TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) PAUL J SANCHIRICO MD PRESIDENT	1.00 .......................0	X	X			0	0	0
(2) SISTER ANNE MCMULLEN SECRETARY	1.00 .......................0	X	X			0	0	0
(3) MIKE THOMASON BOARD MEMBER	1.00 .......................0	X	X			0	0	0
(4) ROBERT J HENKEL FACHE BOARD MEMBER	1.00 .......................49.00	X				0	7,455,630	56,750
(5) JOSEPH R IMPICCICHE BOARD MEMBER	1.00 .......................49.00	X				0	3,242,424	42,523
(6) ANTHONY J SPERANZO BOARD MEMBER	1.00 .......................49.00	X				0	4,879,259	50,560
(7) BONNIE L PHIPPS BOARD MEMBER	1.00 .......................54.50	X				0	1,796,439	34,585
(8) THOMAS SAFLEY CFO	40.00 .......................0		X			284,359	0	31,114
(9) MICHAEL ROONEY MD CMO/INTERIM CEO	40.00 .......................0		X			329,594	0	31,079
(10) ALAN ABBOT VP PATEINT CARE SERVICES (THRU 3/27/15)	40.00 .......................0			X		234,180	0	20,943
(11) JOAN AGEE VP PATEINT CARE SERVICES	40.00 .......................0			X		159,103	0	36,332
(12) BOBBY JONES VP OUTPATIENT SERVICES	40.00 .......................0			X		208,316	0	26,862
(13) LISA LOUGRHAN VP Patient Care Services	40.00 .......................0			X		148,665	0	21,276
(14) JOHN HO MD PHYSICIAN	40.00 .......................0				X	928,504	0	50,676
(15) GERARDO MIDENCE MD PHYSICIAN	40.00 .......................0				X	561,175	0	33,003
(16) SUSHMA PANT MD PHYSICIAN	40.00 .......................0				X	565,533	0	37,773
(17) BINAY K SHAH MD PHYSICIAN	40.00 .......................0				X	563,088	0	39,215

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	124,974	124,974
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	12,396	12,396
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	1,541,956		1,541,956
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages ....	56,371,276	45,945,328	10,325,116	100,832
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	-417,422		-417,422
9	Other employee benefits .......	7,081,513	7,080,942	571
10	Payroll taxes ...........	3,947,606	2,955,152	984,903	7,551
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	169,963		169,963
c	Accounting ...........	3,406		3,406
d	Lobbying ...........	12,651	1,238	11,413
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	10,493,190	9,058,500	1,423,890	10,800
12	Advertising and promotion ....	486,521	32,707	442,373	11,441
13	Office expenses .......	725,012	688,860	36,152
14	Information technology ......	6,076,448		6,076,448
15	Royalties ..
16	Occupancy ...........	3,239,351	601,448	2,637,903
17	Travel ............	650,840	442,793	206,141	1,906
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........	823,123		823,123
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	6,330,047	2,626,012	3,704,035
23	Insurance ..............	210,138		210,138
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Supplies - Med & Other	34,662,711	33,819,484	834,910	8,317
b	Purchased Services	9,960,486	5,434,288	4,521,398	4,800
c	Service Fees	1,553,351	1,553,351
d	Provider Tax	400,827		400,827
e	All other expenses	2,742,217	219,785	2,523,382	-950
25	Total functional expenses. Add lines 1 through 24e	147,202,581	110,597,258	36,460,626	144,697
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	787,339	1	355,291
2	Savings and temporary cash investments .........		2
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	25,177,186	4	21,211,112
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	3,247,289	8	3,765,522
9	Prepaid expenses and deferred charges ..........	739,270	9	396,153
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	117,133,193
b	Less: accumulated depreciation .....	10b	57,219,189	46,281,907	10c	59,914,004
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....	0	12
13	Investments—program-related. See Part IV, line 11 .....	0	13
14	Intangible assets ...............	6,567,595	14	6,499,595
15	Other assets. See Part IV, line 11 ...........	80,928,502	15	65,252,560
16	Total assets. Add lines 1 through 15 (must equal line 34)......	163,729,088	16	157,394,237
	17	Accounts payable and accrued expenses .........	11,405,497	17	11,624,586
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	35,038,570	25	31,615,654
26	Total liabilities. Add lines 17 through 25.........	46,444,067	26	43,240,240
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	117,285,021	27	114,153,997
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	117,285,021	33	114,153,997
34	Total liabilities and net assets/fund balances ........	163,729,088	34	157,394,237

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

St Joseph Regional Medical Center Inc

Employer identification number

82-0204264

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

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 2014 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-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

St Joseph Regional Medical Center Inc

Employer identification number

82-0204264

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

12,651

Total. Add lines 1c through 1i ...............................

12,651

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Additionally, dues are paid to the Rural Referral Center\Sole Community Hospital Coalition to lobby on behalf of the St. Joseph Regional Medical Center. St. Joseph Regional Medical Center does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Return Reference

Explanation

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. Additionally, dues are paid to the Rural Referral Center\Sole Community Hospital Coalition to lobby on behalf of the St. Joseph Regional Medical Center. St. Joseph Regional Medical Center does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

St Joseph Regional Medical Center Inc

Employer identification number

82-0204264

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	5,606,524		5,606,524
b	Buildings ................	70,127,769	29,263,781	40,863,988
c	Leasehold improvements ............
d	Equipment ................	37,570,633	27,620,478	9,950,155
e	Other .................	3,828,267	334,930	3,493,337
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				59,914,004

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) AH Deferred Compensation Asset				549,817
(2) Prepaid Pension				5,732,365
(3) Intercompany Receivables				404,263
(4) Interest in Investments Held By Ascenstion Health Alliance				56,948,401
(5) Est. Third Party Payer Settlements				181,134
(6) Other Miscellaneous Current Assets				1,436,580



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				65,252,560

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
Intercompany Debt with Ascension Health Alliance		26,019,867
Payable to Third Party Payors		2,563,228
Self-Insurance Liability		806,275
Asset Retirement Obligation		327,953
Valuation Allowance Liability		1,348,514
AH Deferred Compensation Liability		549,817



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		31,615,654
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1.....................			3	0
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b.......................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	0
e	Add lines 2a through 2d......................			2e	0
3	Subtract line 2e from line 1.....................			3	0
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	0
c	Add lines 4a and 4b.......................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of St. Joseph Regional Medical Center: The System accounts for uncertainty in income tax provisions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2015.

Return Reference

Explanation

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of St. Joseph Regional Medical Center: The System accounts for uncertainty in income tax provisions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2015.

Schedule D (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

St Joseph Regional Medical Center Inc

Employer identification number

82-0204264

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: .........

Yes

200% 250% 300% 350% 400% Other %

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.

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"? ..............

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

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? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

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) ..			1,898,071	0	1,898,071	1.29 %
b	Medicaid (from Worksheet 3, column a) ....			18,162,630	15,620,292	2,542,338	1.73 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .			0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs .	0	0	20,060,701	15,620,292	4,440,409	3.02 %
Other Benefits				243,222	0	243,222	0.17 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..			243,222	0	243,222	0.17 %
f	Health professions education (from Worksheet 5) ..			52,000	0	52,000	0.04 %
g	Subsidized health services (from Worksheet 6) ..			4,592,267	3,305,038	1,287,229	0.87 %
h	Research (from Worksheet 7)			0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)			273,277	0	273,277	0.19 %
j	Total. Other Benefits ..	0	0	5,160,766	3,305,038	1,855,728	1.26 %
k	Total. Add lines 7d and 7j .	0	0	25,221,467	18,925,330	6,296,137	4.28 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

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					0	0 %
2	Economic development	1		10,000		10,000	0.01 %
3	Community support	8		130,041		130,041	0.09 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy	2		12,553		12,553	0.01 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	11	0	152,594	0	152,594	0.10 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,934,133

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

62,125,517

Enter Medicare allowable costs of care relating to payments on line 5.....

74,209,480

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-12,083,963

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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.......................

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

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?1 Name, 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)
1	St Joseph Regional Medical Center 415 Sixth Street Lewiston,ID83501 www.sjrmc.org 09	X	X	X

Schedule H (Form 990) 2014

Page

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)

	St Joseph Regional Medical Center
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

Community Health Needs Assessment

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?.......................

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..........

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....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

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 .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

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. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.sjrmc.org/pdf/sjrmc-CHNA2012.pdf

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.sjrmc.org/pdf/sjrmc-CHNA2012.pdf

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to 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) 2014

Page

Part VFacility Information (continued)

	St Joseph Regional Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 1.0%
and FPG family income limit for eligibility for discounted care of 2.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): http://www.sjrmc.org/patient-visitor-billing.aspx

The FAP application form was widely available on a website (list url): http://www.sjrmc.org/patient-visitor-billing.aspx

A plain language summary of the FAP was widely available on a website (list url):
http://www.sjrmc.org/patient-visitor-billing.aspx

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	St Joseph Regional Medical Center
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third 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?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ................................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

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, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 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
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - St. Joseph Regional Medical Center. A development team composed of a diverse group of representatives from St. Joseph Regional Medical Center, Idaho North Central District Health Department, local and regional hospitals and clinics, local social services agencies and community members. Representatives helped guide the formation of the Community Health Needs Assessment ("CHNA") process and provided key insights and involvement in the design and implementation of the CHNA. The development team met throughout the process to review the proposed plan design, review preliminary results, assist with prioritization of the identified needs and provide input into potential responses to the identified needs. Carol Moehrle, District Director, Idaho North Central District Health Department, Lewiston, ID provided special input throughout the process. For the past twenty years Carol has served as the District Director for North Central Idaho, which covers 13,500 square miles and a combined population of approximately 120,000. Carol is also active with the National Association of County and City Health Officials. She has served on the Board of the National Association of County and City Health Officials (NACCHO), the Public Health Accreditation Board (PHAB), and the National Association of Counties (NACo).
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - St. Joseph Regional Medical Center. Process for Prioritizing Identified Health Needs: The Medical Center Leadership Team reviewed the results of the Community Needs Assessment Survey, internal and external data sources for population demographics and health needs, and input from community stakeholders. Using these sources, the members of the CHNA Leadership Team prioritized needs based upon need, severity, St. Joseph's mission and philosophy, and our ability to impact the need. Prioritized Needs The identified and prioritized needs include: 1. Obesity, Heart Disease and Stroke, & Diabetes 2. Cancer 3. Mental Health 4. Access to Health Care Community Health Implementation Strategy and Plan: Recognized Need Action Plan Obesity, Heart Disease & Stroke, Diabetes - Continue operations and development of 24/7 Cardiovascular and Interventional Radiology Services - Partner in local programs to promote physical activity, overall wellness, and support policy, system and environmental change. (CHANGE Group) - Partner in community coalitions to support local events focusing on improvement of nutritional status/knowledge in the community - Support community sponsorships for physical activity/wellness events - Support community initiatives for community gardens and community programs to feed the hungry with nutritionally sound food choices - Support community classes for cooking basic commodity foods - Provide free or low-cost health education and screening events focused on health behaviors - Continue implementation of Beacon Community Project focused on Diabetes care management - Promote awareness within the community - Integrate and develop weight management programs - Continue to offer Tobacco Cessation Program at free or low cost - Continue affiliations with American Heart Association, American Diabetes Association and American Dietetic Association - Prescription Assistance Program to support patients in accessing available resources to obtain needed prescriptions Cancer - Promote and support awareness and provide screening programs - Engage and educate providers of services SJRMC provides - Continue operation of the only accredited Cancer Center within 100-mile radius and its services: Medical oncology/hematology, surgical oncology and radiation oncology - Continue partnership with the American Cancer Society and provide space/location for ACA Cancer Resource Center -Prescription Assistance Program to support patients in using available resources to obtain needed prescriptions Mental Health - Advocate for mental health funding and services in our region - Advocate for a Drug Treatment Center for North Central/Northern Idaho - Work with the Social Detox Committee through the United Way and other agencies - Continue to educate the region, professionals and non-professionals - Engage Idaho legislature to champion additional Regional Mental Health Councils, fund programs, and create additional legislation to better address mental health and drug addiction services - Continue Mental Health Telemedicine involvement with the Regional Tele-health Board and Idaho's Region II hospitals - Maintain presence on Regional Mental Health Board - Hold Annual Rural Mental Health Symposium - Continue recruitment of mental health providers Access to Care - Ensure community, including the uninsured and working poor, have access to a medical home and healthcare, including preventative care - Continue efforts to recruit providers - Support local CHAS and Snake River Community Clinics - Support implementation of Health Insurance Exchanges - Support Medicaid and Managed Care expansion Identified Needs St. Joseph Regional Medical Center will not address in this plan: St. Joseph Regional Medical Center recognizes the significance of all needs/concerns and their importance identified by the community. St. Joseph will not directly design strategies for every issue/need identified in the survey in the implementation plan because of our desire to be focused on the needs identified as most critical, and because other issues are already being addressed in a variety of ways by the Medical Center as well as other community partners, stakeholders and agencies. St. Joseph will continue to collaborate with key community partners, stakeholders and agencies to support initiatives and strategies to meet the needs of the community.
Schedule H, Part V, Section B, Line 22 Facility , 1	Facility , 1 - St. Joseph Regional Medical Center. All uninsured patients receive a minimum discount of at least 6%. Individuals whose income is at or below 100% of federal poverty guidelines received a charity care write-off equal to 100% of amounts billed. Individuals whose income is between 101% and 200% of federal poverty guidelines receive a charity care write-off between 90% and 5% of amounts billed based on a sliding scale.

Schedule H (Form 990) 2014

Page

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?4
Name and address		Type of Facility (describe)
1	SJRMC Outpatient Mental Health Clinic 428 6th Avenue Lewiston,ID83501	Medical Health Clinic
2	SJRMC Lewiston Medical Center 307 St Johns Way Lewiston,ID83501	Medical Clinic
3	SJRMC St Joseph Medical Oncology 1250 Idaho Street Lewiston,ID83501	Oncology Center
4	SJRMC Breast Imaging Center 1630 23rd Avenue Bidg 3 Suite 601 Lewistion,ID83501	Radiology
5	SJRMC Southway Clinic 222 Southway Suite C Lewiston,ID83501	Physician Clinics
6	SJRMC Gastro and Endoscopy 1630 23rd Street Suites 707 801 Lewiston,ID83501	Gastroenterology and Endoscpopy
7	SJRMC Outpatient Rehabiliation Center 1250 Idaho Street Lewiston,ID83501	Speech, Physical, Occupational Therapy
8
9
10

Schedule H (Form 990) 2014

Page

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
Schedule H, Part VI Community Benefit Report - Part I	Community Benefit Report St. Joseph Regional Medical Center For the Year Ended June 30, 2015 St. Joseph Regional Medical Center (St. Joseph) is a private, non-profit, Catholic hospital founded in 1902 by the Sisters of St. Joseph. As a member of Ascension Health, the nation's largest Catholic and largest non-profit healthcare system, St. Joseph continues to invest in the health and well-being of individuals, families, and society as a whole. St. Joseph directs its management activities towards a strong, vibrant, Catholic Health Ministry united in service and healing, and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health's mission of service to those who are poor and vulnerable, St. Joseph accepts patients regardless of their ability to pay. St. Joseph has a long history of providing community benefit to residents of the North Central Idaho region. This report illustrates the significant degree to which SJRMC contributed to the positive health status of the communities it serves during its fiscal year from July 1, 2014 through June 30, 2015. Mission St. Joseph seeks to enhance the quality of life of the citizens of the service area through the promotion of health, prevention of disease and injury and the provision of health services. St. Joseph witnesses to the saving presence and mercy of the Risen Christ by providing high quality restorative, preventative, and acute health care services, respecting human dignity in the experience of sickness and death and fostering the physical, psychological, emotional, spiritual and social well-being of people. Vision St. Joseph is a vibrant, dynamic Catholic faith based healthcare organization that continues to be a leader in the provision of health services by responding to and meeting the health needs of all people of the region. St. Joseph envisions maintaining its vital presence as the preferred healthcare provider, the source for health education, and the healthcare safety net for the Region. St. Joseph continues to develop inpatient and outpatient services; outpatient care sites; and partner with providers sharing similar commitments and values. We will expand patient education and strive to improve the community health status. We will collaborate with public and private agencies and businesses to assure an appropriate continuum of care, and develop strategic relationships with area providers to help maintain their vital presence, and further develop the referral network into St. Joseph and our Medical/Dental Staff. As the leader in the Region, St. Joseph will utilize knowledge and tradition; along with wisdom, creativity and innovation to further position itself as the hub of services, and the regional care center for the nine counties we serve. Our Philosophy to Community Benefit St. Joseph's primary mission is to continue Christ's mission of mercy by meeting the health care needs of the individuals in the communities we serve. No one requiring medical care or services offered by St. Joseph is turned away regardless of race, creed, religion, national origin, gender, sexual orientation, ability to pay or economic status.
Schedule H, Part VI Community Benefit Report - Part III	Community Health Needs Assessment In an effort to provide community benefits to those most in need, St. Joseph assesses the needs of the community at least every three years. In December 2012, St. Joseph partnered with numerous local organizations that represented the broad interest of the community to conduct a Community Health Needs Assessment. This assessment assisted St. Joseph in strategically focusing on the highest needs of the community. The health needs identified through this process included access to healthcare, obesity, heart disease, cancer, diabetes, and mental health. Below are a few highlights of the programs and activities St. Joseph provided to the community to meet those needs identified. Access to Healthcare: Addressing Provider Shortages The state of Idaho continues to be one of the most underserved states in the country by physicians. North Central Idaho is no exception. In FY15, St. Joseph remained committed to implementing its Medical Staff Development Plan and meeting the provider needs in the region by recruiting additional primary care, medical, surgical and hospital based physicians to the Medical Staff. As a result of this enhanced commitment, St. Joseph added eleven (11) providers to the Medical Group, including Brian Bullock (CRNA), Dr. Brenda Bye (Psychiatry), Michelle Dickinson (NP), Dr. Vincent Harrison (General Surgery), Dr. Robert Johnson (Psychiatry), Dr. Leah Jones (Palliative Care), Dr. Hanna Konarzewska (Cardiac Electrophysiology), Dr. Clinton Morgan (Oncology/ Hematology), Dr. Dirk Vandergon (Interventional Cardiology), Elizabeth Von Bargen (NP) and Dr. Inski Yu (Infectious Disease). St. Joseph also provided recruitment support to community healthcare partners which brought Dr. John Cochran (Urology) and Dr. Sennett Pierce (Otolaryngology) to the primary service area. Heart Disease: Developing Cardiovascular Services Since 2012, St. Joseph has provided the only interventional cardiology care and interventional radiology care in the region. The St. Joseph Heart Center offers 24/7 cardiac care for inpatients and outpatients. The Heart Center is able to treat patients experiencing heart attacks, as well as those with chronic heart failure, heart disease, atrial fibrillation, stroke interventions, and other heart conditions. Vascular services including angioplasties and stent placements have helped hundreds of patients achieve better peripheral and cerebrovascular circulation close to home. As the only Heart Center and Interventional Radiology provider between Boise, ID and Spokane, WA these services allow patients to receive close to home care and reduce travel time and distances for thousands of patients throughout the region.
Schedule H, Part VI Community Benefit Report - Part V	Policies and Programs In addition to the community benefits that St. Joseph provided to the general public and residents of the community, financial assistance policies are in place for low-income persons receiving care at St. Joseph. Uninsured patients continue to receive a discount off their initial bills in order to improve the affordability of health care to these patients. Financial Assistance materials are included in the Admission packets and are available at all Registration Areas alerting the patient to the availability of Financial Assistance. Information is also included on bills sent to patients so they can contact St. Joseph to request an application for Financial Assistance in the settlement of their bill. Information and application is also available on the St. Joseph website. www.SJRMC.org All uninsured and insured patients are eligible for financial screening for further adjustment to their bills based on documented income and expense profiles provided by the patient or guarantor; and the resulting ability to pay all of, or part of, the remainder of the bill over a four year period of time. St. Joseph will write off 100% of a bill for a patient/family with no insurance which has a documented income profile level that is 100% or less of the Federal Poverty Level. Discount is applied in 10% increments up to 200% of the Federal Poverty Level. Eligibility for further discounts is based on an ability of the patient to pay after the patient completes a financial application. St. Joseph reviews the completed application regarding income, expense, assets, and liabilities to determine the extent of Financial Assistance that can be offered according to St. Joseph policies. St. Joseph has an arrangement with a financing company to enable the patient or guarantor to finance payment of medical bills. St. Joseph has a policy that all alternative sources of financial assistance, including application to various Medicaid, County and other available programs must be applied for, and rejected, before Financial Assistance is provided by St. Joseph. Failure of the patient or guarantor to follow-through on the application of financial assistance that may be available from another source will constitute a reason for denial of an application for Financial Assistance from St. Joseph. Community Partners Recognizing the importance of a healthy community and desiring to respond to the range of needs of the community, St. Joseph partners with a wide variety of organizations to provide the community with health benefits. St. Joseph provides support to these organizations as part of its ongoing efforts to improve the health status of the community, focusing especially on the poor, vulnerable, indigent and elderly populations. Below is more in-depth list of the community partners that are provided financial support by St. Joseph to benefit the communities served in the region: Organization - Primary Role - People Served (Primarily): All Saints Catholic School - Primary Education - Students American Cancer Society - Provide Cancer support services - Cancer patients, survivors and families Clearwater Valley Hospital - Hospital (Orofino, ID) - Clearwater County residents Community Health Association of Spokane - Federally Qualified Health Center - Primary care and dental patients from the region Family Promise - Provide shelter and meals to families in crisis - Homeless Lewis - Clark Valley residents Gina Quesenberry Foundation - Breast Cancer awareness and patient support - Breast cancer patients and survivors Inland Northwest Blood Center - Blood Bank - Region-wide blood distribution Lewiston Library and LC Valley Literacy Council - Community Library - Nez Perce county residents Life Choices Clinic - Pregnancy clinic - Nez Perce County expectant moms March of Dimes - Infant Education and Safety - Newborns Meals on Wheels & Senior Life Senior Services, Adults over 60 years old that provides assistance to seniors, ongoing wellness programs and workshops for over 1,200 members. Northwest Children's Home - Residential Center - Abused, neglected and abandoned boys and girls St. Mary's Hospital - Hospital (Cottonwood, ID) - Lewis County residents St. Vincent DePaul - Social services, including food programs, financial assistance, clothing - Services available region-wide Syringa Hospital - Hospital (Grangeville, ID) - Idaho County residents Valley Boys and Girls Club - Youth Center - Boys and girls, Nez Perce and Asotin Counties Valley Transit - Public Transportation - Region wide general public Various In-kind Donations by St. Joseph - Those in need of: Warm Clothes, Food, School Supplies, Toys, Financial Assistance and Car Seats Willow Center for Grieving Children - Grief Center - Adolescents Financial report St. Joseph provided $6,448,732 in un-reimbursed cost of services to the poor and to meet the needs of the community as outlined below: - Charity Care at Cost = $1,891,011 - Government Sponsored Health Care = $2,541,776 - Community Benefit Programs: - Programs targeted to the Poor = $50,021 - Community Health & Building = $675,454 - Subsidized Health Services = $1,287,228 - Hospice - Mental Health Services - Inpatient Physical Therapy - Outpatient Nutritional Counseling - Outpatient Diabetes Education - Pastoral Care - Home Respiratory Therapy Total cost for care of persons who are poor and community benefit programs = $6,452,490. St. Joseph furthers its charitable purposes by providing a broad array of services to meet the healthcare needs of patients and organizations in the community. We provide essential medical services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those patients who are not able to pay for their own healthcare needs, provide services to other organizations that allow them to provide quality services to their patients or constituents, and present education information classes and activities to the community in order to improve its overall health status. Associate Education General Areas of Emphasis for all Associates on hire and annual review: - Abuse, Neglect, Exploitation, Abandonment, and Domestic Violence - Age & Population Care - Biomedical Equipment - Computer logins & software access - Corporate Responsibility Program - Emergency Management, Emergency Codes, Disaster Preparedness - Employee Assistance Program - Hand washing - Hazardous Materials/Waste Training - Healing Without Harm - Health, Education, and Benefits Plan; Tuition Assistance - High Reliability - HIPAA, Privacy and Security Education - Human Resources - Internet Security, Passwords, ID - Infection Prevention/Employee Health - Joint Commission - Language of Caring & (M)AIDET - Lifting, Moving, Health Backs - Limited English Proficiency - Loss and Grief In-service - Material Data Safety Sheets - Meaningful Use - Mission, Values, Promise - Palliative Care - Pastoral Care Services - Password/Confidentiality - Patient Experience Commitment - Performance Improvement, PDSA, Quality, Core Measures - P.I.E.S People Invested in Extraordinary Service Program - Patient Experience Commitment - Quality Improvement, Core Measures - Retirement Plan, TransAmerica - Security - Safety, Environment of Care, Radiation Safety, Fire Safety - Wellness Program - Weight Watchers or Ideal Protein Plan Intranet, Internet, and Newsletter Resources: - Ascension Health University, many programs for example: - Harvard Manage Mentor - Nursing Education - Coding - Ascension Health Communities (SharePoint) - Basic Life Support - CRP Hotline Report - Pharmacy & Therapeutics Newsletter - Pediatric Nutrition Care Manual - Policies & Procedures - Language of Caring website & newsletter - Meditech Training - MicroMedex/CareNotes - Microsoft Office Training Programs - Mosby's Skills - New England Journal of Medicine - Nurse Advise - ERR Newsletter - Nutrition Care Manual - Nursing Consult - Safety Data Sheets (SDS) - Quick Reference Guides (Portal) - UpToDate - Wellness Works
Schedule H, Part VI Community Benefit Report - Part VI	Additional Areas of Emphasis for Clinical Care Services Associates in Orientation: - BASIC CARE PROVIDER (Nursing Orientation): Safety & Emergency; Communication & Teamwork; Infection control & Employee Health; Quality & Performance Improvement; Skin; Pain Management; Medical Equipment Usage; Medication Administration & Reconciliation; Surgical Site Preparation, Time Out, Universal Protocol; IV Procedures; CLABSI, CAUTI, Care Bundles/Protocols; Blood/component Administration; Restraints; Specialty beds; Epidural; Patient Mgmt; Pt. Education; Waived testing; Computer Clinical Documentation, Order Entry, and Reference Sites - MOSBY's SKILLS (additional new hire learning assignments): AED Automated External Defibrillator; Lovenox (medication administration); Nursing Practice Forum; SBAR, Temporal Artery Thermometer; Hand Hygiene, CLABSIs, Restraints; Oral Care; Pressure Ulcer prevention; Waived testing; Pt. Experience Commitment; Implanted Ports; and VAP Unit Based Education - E.A.S.Y. Assessment Examples of topics within fiscal year: - National Patient Safety Goals - Anterior Cruciate Repair - Bone Health - Cardiac Care - Cardiac Organ Donation - Cardiac Rhythm education - Dr. Sanchirico - radiology presentation - Endocrine - Overview - Endocrine - Coumadin - Febrile - FHR Strip Review - Fluid & Lytes Lab Results - Hemodynamics & Drips - Hypothermia - JCAHO Survey - Microbiology - MRSA Screening - Nephrostomy Tube - Post Partum - Respiratory - ARDS - Rituxan - STAR (Cancer Rehab) Program Patient Care Skills Lab - NG/OG/Suction/Dobhoff/Pegtubes - CAUTI/Foley/Restraints - Pulmonary 02 Admin - ABG interpretation - Pain Management - Documentation/clindoc/meditech - Chest Tubes Total Joint Replacement Program - Center of Excellence - "Back to Living" cervical & lumbar spine - "Steps for Success" total knee and hip Newborn & Pediatric/Population Offerings - Diabetes education for pediatrics by Susan Rauch: Basal Bolus Insulin, Correction Scale Insulin Dosing, Insulin to Carb ratios - Easy Assessment: Pediatric and Newborn focused education - EFM Collaborative Training - EFM Strip Review/Common Fetal Monitoring - Emergency Nurse Pediatric Course - Influenza testing and treatment; viral testing - Genetic Evaluations - Multi-system Pediatric Assessment - Newborn Resuscitation Program (Staff and Physicians) - Noelle Skills Lab - Noelle - Cardiac Arrest - Period of Purple Crying - Providence Sacred Heart Pediatric Grand Rounds
Schedule H, Part VI Community Benefit Report - Part VII	Family Beginnings Community Education Course Offerings - Lamaze - Preparation for Childbirth - Lamaze - Childbirth Seminar - Lamaze - Moms on the Go - Private Childbirth Class - Private Tours of Family Beginnings - Pre-Delivery Interview - ABC's of Parenting - Breastfeeding Basics - Natural Family Planning - New Mom's Group - Sibling Class - Safe Sitter Classes - Shoulder Dystocia - Car Seat Safety Check - Drug Addictions & New Moms - Labor Strip Review Critical Care areas (ICU, PCU, Emergency, Post Anesthesia) Offerings - Arrhythmia Course - Basic Rhythm Interpretation Sec & CNA - CAM and RASS - Code Blue Documentation Reviews - Code Blue Medication Reviews - Code Blue Team Leader Reviews - Course in Advanced Trauma Nurse - Critical Care Course - ABG interpretation - Cardiac - 2 lectures - EKG - Endocrine - Gastrointestinal - Hematology and Immunology - Ischemic stroke - Lab Review - Neuro Assessment - Pain Management - Pulmonary - Ventilator and Bipap - Renal - Pain Management - CVP measurements - Critical Care Skills Fair - Rapid Response Team Training - Trauma Nurse Core Course - Triage Management "Your Doctor Speaks" series - Breast Cancer - Understanding Current Imaging & Tools & Treatment Options - October 22, 2014 - The Biological, Psychological, Social & Spiritual Model of Understanding Addictions & Mental Health Problems - September 18, 2014 Pastoral Care Offerings - End of Life Issues - Reducing Patient Anxiety - Community Workshops on Advance Directives - Including participation in National Healthcare Decision Day - Holiday Grief Workshop for the Community - Quarterly Community Memorial Services - Assist community members with completion of advance directives - Provide Funeral services when requested - Friends Reach Out --Grief Support Group for the Community every 2nd and 4th Monday - Host the Monthly Ministerial Meeting for area clergy - Christmas Brunch for area clergy - S.H.A.R.E. Support Group for parents/families who have lost babies - Hosted National Health Care Decision Day for the Community - Talk with staffs of the Skilled Nursing Facilities and Assisted Living Facilities about POST and Advance Directives - Provide time to people from the community who walk in and need someone to talk to about grief issues - Send bereavement cards and information about grieving to families who have lost loved ones. - Relay for Life Prayer Service - Affordable Healthcare Act - Spiritual Care & Quality - Psychosocial Aspects of Palliative Care Community Health Education Resource Center - Advanced Cardiac Life Support (ACLS) Provider and Instructor Course - Basic Life Support (BLS) Provider Course & Instructor Course - American Heart Association (AHA) Community Training Center - AHA First Aid Course - Clearwater Paper Health Education Series - Community Wellness Education - Five Habits of Weight Loss - Quick and Healthy Meals on a Budget - Simple Exercises for Home, Neighborhood or Office - Goal Setting Success - Stress Management for Children and Adults - Diabetes Education at Juniper Meadows, March 2014 - Diabetes Boot Camp Oct 2014 - GO RED for Women's Health Feb 2015 - Lewiston School District Type I Diabetes Education Series - Lunch & Learn: "Let's Talk Insulin-Levemir & Novolog", March 2015 - Ladies Night Out - Women's Connection Community Event - National Healthcare Decision Day Event - National Breast Cancer Awareness Month - National Heart Health Month - Nutrition Education - Parkway Head Start, Diabetes, April 2015 - Pediatric Advanced Life Support (PALS) Provider & Instructor Courses - Pre-Diabetes Classes, June 2015 - Senior Life Program - "Tobacco Free You" Nicotine Intervention Program - WA/ID Volunteer Senior Fitness Fair - Wellness Program - World Diabetes Day Awareness Event - Volunteer Services opportunities Leadership/Management Development - Accelerated Development Program - CMS Core Measures - Human Resource Functions (Portal) - Procurement to Pay (Portal) - Time and Attendance/Kronos (Portal) - The Joint Commission webinars - Value-Based Purchasing - Professional Research Development (PRC) Continuing Medical Education for Providers - Grand Rounds - Providence Sacred Heart Pediatric Grand Rounds - Up-to-Date online physician education Wound/ Ostomy Offerings - Ostomy Support Group - 4 Eyes on admission skin assessment education - Wound Care and Diabetes Ethics in Healthcare Offerings: Speaking of Ethics - Patient Experience: Rehab - Sept 2014 - Utilization Review - Oct 2014 - Material Management - Nov 2014 - LEAN, Supply Chain - Dec 2014 - Palliative Care - Jan 2015 - Cancer Center Program - Feb 2015 - Life Flight - Mar 2015 - Organ Donation - Apr 2015 - Hospice - May 2015 - Human Resources - Jun 2015 Business Office, Medical Records, & Information Technology Offerings - AAHAM webinar - Affordable Care Webcast - Allscripts - Ongoing EMR Education - Bedside medication verification - Clinical documentation - Comparison of Coding System ICD9-10 - eMAR - electronic medication admin record - Health Insurance education - ICD-9-CM AHA Coding Clinic - ICD-10 Coding Training - Knowledge Source Client Training - Meditech - ongoing Physician & Nursing - Mosaiq - ongoing EMR development - Medicare Reopenings Appeals - Medicare Secondary Payer - POE - Physician Order Entry - Professional Development Group - Rehab Denial Pitfalls Central Processing Offerings - BAR PATIENT ISSUE TRAINING - ASCENSION HEALTH UNIVERSITY - JOINT COMMISSION CSSD SURVEYS - CUSTOMER SERVICE BASICS FOR CENTRAL - INBONE TOTAL ANKLE SET - PROMOTING EFFECTIVE WORK - TRAINING EVALUATION PART ONE - BENCHMARKING 3M HEALTH CARE - QUALITY ASSURANCE - INFECTION PREVENTION - WOLF SCOPES - CENTRAL SERVICE LEADERSHIP PART - SYMPHONY PATIENT CHARGING - PROMOTING EFFECTIVE WORK - STERILIZATION ISSUES & SOLUTIONS - PROMOTING EFFECTIVE WORK - IMPLANT TRACKING LOG Additional Education Offerings - JOINT COMMISSION RISKY BUSINESS - STRATEGIC DIRECTION - A LOOK AHEAD AT HCAHPS WEBINAR - COMPLEXITIES OF CMS - TARGET BSI - MSC TRAVEL & EXPENSE - WORK LIKE YOU OWN IT - OUTLOOK SCHEDULING - CULTURE OF ACCOUNTABILITY - PRC OVERVIEW - PRC WEBINAR BROOKS DAMEIER - IMPROVING PATIENT EXPERIENCE - HARD CONVERSATIONS - ADVANCING PATIENT & FAMILY CARE - BED INSERVICE - NURSE COMMUNICATION HCAHPS - SUCCESSFUL IV STARTS Hospice Offerings - DEBILITY, FAILURE TO THRIVE - CHILDREN'S & TEEN'S NEEDS - ON GRIEF & GRIEVING - BEYOND KUBLER-ROSS - CMS FINAL RULE Mental Health Offerings - Mental Health In the Workplace - Law Enforcement Crisis Intervention Training - Mental Health Memorial Walk - Mental Health First Aid - Mental Health Symposium - MH Community Provider Presentation - Private Agency Training by Dr. Sherman - Mental Health Resource Fair - Stress Management Presentations - Presented to local NAMI Chapter Special Procedures Unit Offerings - HEMISPHERES LEVELS - NIH STROKE SCALE TRAINING - OLYMPUS EDUCATION - IMPULSE 2.0 LEVEL FOUR 12LEAD ECGS Utilization Review Offerings - CMS BENCHMARK INPATIENT ADMISSIONS - COMPLIANCE TRAINING - INPATIENT PROBE - CMS IPPS 2014 FINAL RULE - ACT WEBINAR 2014 Fall Nursing Practice Forum Topics - BLOOD ADMINISTRATION - CODE REVIEW - BODY MECHANICS - CORE MEASURES - ENTERAL FEEDING - INFECTION PREVENTION - PALLIATIVE CARE - PHARMACY & MEDICATIONS - SKIN & WOUNDS OR Equipment Offerings - ACUMED ACU-LOC 2 DISTAL RADIUS - ADVANCES IN WOUND THERAPY - BRAT 1ST COLLECT - BRONCH CLEANING - CARESCAPE MONITOR - HANA TABLE - HOT LINES & A LINES - HUMOR IN RECOVERY - IDENTIFYING & MANAGING HEREDITARY - IDENTIFYING & MANAGING HEREDITARY - INERTAN HIP NAIL - LASER - MEDIVATOR - MICROSCOPE - MINIMALLY INVASIVE TECHNIQUES IN IR - PREWARMING: MAINTAINING - TAKING SAFETY OWN HANDS
Schedule H, Part VI Community Benefit Report - Part II	As the region's leader in the delivery of health care services, St. Joseph continues to accept the responsibility to contribute to the overall health and welfare of our community. St. Joseph is deeply committed to our community to help assure residents live healthy and productive lives through cost effective and quality healthcare and education services. St. Joseph offers a variety of services and programs that are not found elsewhere in the region and is constantly monitoring and assessing the needs of the region to ensure access to quality health care. Through our commitment to providing community benefit St. Joseph has engaged in the following activities to ensure that our mission is accomplished: - St. Joseph is fully accredited by the Joint Commission, and provides level III Adult/Pediatric trauma services, as designated by the Washington State Hospital Association. - St. Joseph operates an Emergency Room that is open 24/7 and serves all persons regardless of their ability to pay. - St. Joseph provides many inpatient and outpatient services to all persons while participating in Medicare, Medicaid, County Insurance, TriCare, Indian Health Services and/or other government health care programs to assure access for patients. - St. Joseph's medical staff privileges are open to any qualified physician and Allied Health provider in the region. In FY15, SJRMC's Medical/ Dental Staff included 131 physicians (82% board certified), specializing in 31 fields. The active/ associate Medical/ Dental staff represents 71% of the total physicians, while 18% of physicians have courtesy privileges and 11% have provisional/ consulting privileges. Additionally St. Joseph has 45 Allied Health providers on staff in six specialties: Podiatry, Nurse Practitioner, Certified Nurse Midwife, Certified Registered Nurse Anesthetist, Physician Assistant and Psychology. In total, St. Joseph has granted privileges to 176 providers in the community to care for our patients. - St. Joseph has a governing Board of Directors that consist of independent persons who represent the local community, the medical staff and the religious community. The governing body also includes national leaders of the Ascension Health organization. Who We Serve St. Joseph, designated as a sole community hospital provider, is located in Lewiston, ID and serves residents of a nine county region including the Idaho counties of Nez Perce, Latah, Idaho, Clearwater and Lewis, the Washington counties of Asotin, Garfield and Whitman and Wallowa County in Oregon. The primary service area consists of the Lewis-Clark Valley, home to over 60,000 people. Throughout the region an additional 122,000 people reside. In total St. Joseph seeks to meet the needs of more than 180,000 people residing over nearly 20,000 square miles. Services Provided: As a team in FY15 SJRMC served: 4,422 - Men, Women, Children as Inpatients 471 - Mental Health Inpatients 767- Newborns 5,660 - Total Admissions 3,573 - Surgical Cases 32,224 - Emergency Department Visits 161,061 - Total Individual Outpatient Visits Patient Services : CANCER CENTER CARDIOLOGY/VASCULAR CARDIOPULMONARY COMMUNITY HEALTH / EDUCATION RESOURCES DIAGNOSTIC IMAGING EMERGENCY DEPTARTMENT OBSTETRICS GI LAB HOSPICE INTENSIVE CARE INTERVENTIONAL RADIOLOGY LABORATORY MEDICAL SERVICES MENTAL HEALTH - ADULT OUTPATIENT SERVICES PALLIATIVE CARE PASTORAL CARE PATIENT EDUCATION PHARMACY PHYSICIAN CLINICS PROGRESSIVE CARE REHABILITATION SERVICES SOCIAL SERVICE SURGICAL SERVICES
Schedule H, Part VI Community Benefit Report - Part IV	Cancer: Expanding Cancer Care Services St. Joseph provides the only accredited Cancer Center within a 100-mile radius and provides Medical Oncology, Hematology, surgical oncology and radiation oncology. The Cancer Center continues to partner with the American Cancer Society and provide space/location for their Resource Center. The St. Joseph Cancer Center has an increased emphasis on screening programs and promoting cancer awareness. There are four full-time Hematology/ Oncology physicians at the Cancer Center as well as an Infusion Clinic, pharmacists, and survivorship programs. The Prescription Assistance Program supports patients in need of finding available resources to obtain needed prescriptions. The St. Joseph Cancer Center has off-site locations in Pullman, WA and Moscow, ID to meet the cancer needs of patients living on the Palouse. In FY14, St. Joseph opened an offsite, freestanding Breast Imaging Center. This Center provides a Nurse Navigator to guide women throughout their course of treatment for breast cancer. Additionally this Center has redesigned breast cancer screening procedures to allow for quicker results, increased detection rates and more timely access to treatment for all patients. Diabetes: Continuing Education The St. Joseph Diabetes Center is nationally recognized by the American Diabetes Association. The Diabetes Center is dedicated to providing quality education to a broad spectrum of clients and their families. Educational topics range from blood glucose monitoring to nutrition education for obese patients. SJRMC offers free monthly education programs specific to diabetes related topics and holds an Annual World Diabetes Fair every year. The certified diabetes educator and registered dietitian give free education programs as requested by other health care facilities. SJRMC continues to provide free blood glucose testing monitor with sample strips to those patients in need as well as free A1-C testing at 2 month and 8 month intervals to patients who have not had or cannot afford such testing and have participated in SJRMC's diabetes education. Mental Health: Providing the only Services in the Region The Mental Health program at St. Joseph is the only provider of inpatient mental health services for over 100 miles and the only provider of outpatient psychiatrists in the region. The Mental Health program continues to annually bring the regional professionals and non-professionals together for mental health education through the Rural Mental Health Symposium. To expand its reach and maximize its benefit to the outlying communities, the Mental Health program provides mental health First Aid to the region. In an effort to fulfill its Mission and Vision by provided healthcare that truly leaves no one behind, the Mental Health program at St. Joseph continues to care for thousands of mental health patients throughout the region. In addition to providing services, St. Joseph also advocates for increased mental health funding and support at the local and state government level, including supporting the need for a drug treatment center in North Central Idaho. Community Collaborations and Building Activities St. Joseph recognizes that it cannot meet all the community needs and has therefore collaborated with numerous community organizations to improve community health, expand access to healthcare, and benefit the community. In FY15, St. Joseph supported and/or funded the following community building activities: - St. Joseph maintains a Community Health Education Resource Center. In FY15 $123,250 was spent to provide health education information to associates, students and community members. - As the regional referral center, St. Joseph leads the way in preparing the region for emergency situations. In FY15, $116,313 was expended to train and educate community and regional partners in Emergency Preparedness via the North Central Idaho Healthcare Coalition and the Idaho Society for Healthcare Engineering. - Ambulance and EMS Support Services - St. Joseph provided $92,159 in support to local ambulance and EMS support services, including training rural EMS providers, by providing clinical locations and workforce experience. - St. Joseph matched Associate contributions to the local United Way, an agency which provides supplemental support to non-profit agencies, and also served on its Board of Directors, $42,428. - Nursing Faculty at Lewis Clark State College were subsidized by $44,000 to enable increased nursing student enrollment - St. Joseph Diabetes Center provided education to area schools, teachers and staff, held a Diabetes Awareness Fair, a Diabetes Community Class, did pre-diabetes presentations, provided Diabetes Boot Camp education, and also did presentations at a free medical clinic and a Walk-a-Thon, $15,866. - St. Joseph provided the local Lewis-Clark Health Clinic, a Federally Qualified Health Clinic and partner of the Community Health Association of Spokane, free rent a $33,804 value. - St. Joseph supported economic development through Valley Vision, $10,000. - St. Joseph supported Senior Services, $12,553, including Meals on Wheels, and Senior Life, a program for adults over 60 years old that provides assistance to seniors with Medicare Part D, ongoing wellness programs and workshops for over 1,200 members. - St. Joseph educated the region regarding Total Joint and Spine procedures, $33,643. - Approximately 15-20 outside organizations, including support groups, not for profit agencies, schools and many other utilized St. Joseph's Conference Rooms and Classrooms, $10,050. - The volunteers of the St. Joseph Auxiliary, including student volunteers, donated gift baskets, hand crafted toys, held blood pressure screenings and donated to the soup kitchen, $26,936. - St. Joseph provided community services to a wide variety of individuals and healthcare entities, including patient transportation, infant supplies, car seats and clothing, foundation donations and more, $17,872. - Indigent patients were provided funds, $50,126, to purchase prescriptions and receive social services assistance, $8,000. - As a Catholic healthcare organization, St. Joseph provides Pastoral Care support to patients and families. In FY15, $17,725 in Pastoral Care support was provided for in and outpatients, area clergy and those in bereavement. - St. Joseph engages in the training and education of caregivers to help address the shortages of trained clinicians and expand the availability of skilled caregivers in the region. St. Joseph has developed an extensive affiliation program with educational institutions throughout the Pacific Northwest, including Lewis-Clark State College, Walla Walla Community College, Washington State University, University of Washington, Whitworth, Eastern Washington, University of Montana, Boise State University and Gonzaga University. In FY15, St. Joseph provided 12 educational programs a clinical teaching site for 465 students, including 296 nursing students, 35 nursing assistant students, 14 medical school students, 42 EMT/Paramedic Students, 23 Physician Assistants/ Nurse Practioners and 20 Radiology students, as well as students of Physical Therapy, Occupational Therapy, Respiratory Therapy and Pharmacy. - St. Joseph believes that in order to provide the best health care to the community, all the associates, especially its clinical personnel, must receive ongoing medical education. See Appendix A for a complete list of the classes, seminars, and materials that SJRMC has provided to its associates, clinical staff and the community.
Schedule H, Part I, Line 7g Subsidized Health Services	The Medical Center provides in-kind clinical space (Value of $33,804) to the Lewis and Clark Health Clinic, a Federally Qualified Health Clinic serving the primary care needs in our geographic region.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data and is in compliance with Catholic Health Association ("CHA") guidelines. The best data available was used to calculate the amount reported in the table. For certain categories in the table, this was direct costs from the general ledger, in other categories, a specific cost-to-charge ratio was used.
Schedule H, Part II Community Building Activities	St. Joseph Regional Medical Center recognizes that it cannot meet all the community needs and has therefore collaborated with numerous community organizations to improve community health, expand access to healthcare, and benefit the community. In FY15, St. Joseph supported and/or funded the following community building activities: - Nursing Faculty at Lewis Clark State College were subsidized, $44,000 by St. Joseph to enable increased nursing student enrollment - St. Joseph provided the local Lewis-Clark Health Clinic, a Federally Qualified Health Clinic and partner of the Community Health Association of Spokane, free rent a $33,804 value. - St. Joseph supported economic development through Valley Vision, $10,000. - The Medical Center provided support to a rural Critical Access Hospital, Syringa General from Grangeville, Idaho for development of a Heli-pad design to be used for life-flight purposes. - Approximately 15-20 outside organizations, including support groups, not for profit agencies, schools and many other utilized St. Joseph's Conference Rooms and Classrooms, $10,050. - As a Catholic healthcare organization, St. Joseph provides Pastoral Care support to patients and families. In FY15, $12,553 in Pastoral Care support for area Clergy development and socialization and helping community members complete Advance Directives.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY THE SYSTEM. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE SYSTEM'S POLICIES. ST. JOSEPH REGIONAL MEDICAL CENTER'S BAD DEBT DEDUCTION IN 2015 WAS $3,943,133 AND $1,553,522 AT COST.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	St. Joseph Regional Medical Center follows the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	St. Joseph Regional Medical Center has a written debt collection policy that also includes a provision on the collection of practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity care or financial assistance certain collection practices do not apply.
Schedule H, Part V, Section B, Line 16a FAP website	- St. Joseph Regional Medical Center: Line 16a URL: http://www.sjrmc.org/patient-visitor-billing.aspx;
Schedule H, Part V, Section B, Line 16b FAP Application website	- St. Joseph Regional Medical Center: Line 16b URL: http://www.sjrmc.org/patient-visitor-billing.aspx;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- St. Joseph Regional Medical Center: Line 16c URL: http://www.sjrmc.org/patient-visitor-billing.aspx;
Schedule H, Part VI, Line 2 Needs assessment	St. Joseph Regional Medical Center does assess the health care needs of the community it serves every three years. St. Joseph Regional Medical Center partnered with numerous community organizations that represented the broad interest of the community to conduct a Community Health Needs Assessment (CHNA) from November to December, 2012 and will do its next Needs Assessment in early 2016. The CHNA consisted of a survey, focus group sessions and secondary data analysis of national, state and local demographics and community health database. The CHNA sampled a diverse group of people, with special attention to the poor and vulnerable. Health needs identified through this process include: - Obesity - Heart disease and stroke - Diabetes care and management - Cancer - Mental health - Access to healthcare Using the results of the Community Health Needs Assessment, St. Joseph seeks to improve the health of our community through actions, not just words. The St. Joseph Diabetes Center Project Hope is one an example of how St. Joseph is responding to the needs identified in the CHNA. Project Hope provides insulin assistant for uninsured, underinsured and individuals who are experiencing financial hardships. Providing insulin to this population increases adherence to recommended medical regimen by reducing the barrier of insulin affordability. St. Joseph continues to monitor the number of patients who receive assistance with insulin annually and the number of applications for patient assistance programs given to patients. St. Joseph measures the outcomes by calculating the value of insulin dispensed and counting the number of patient assistance program forms faxed by the Diabetes Center.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	St. Joseph Regional Medical Center financial assistance is available to all patients. St. Joseph's financial assistance notice is posted in all registration areas, emergency department and business services department. Uninsured patients continue to receive a discount off their initial bills in order to improve the affordability of health care to these patients. Financial Assistance materials have been included in the Admission packets and are available at all Registration Areas alerting the patient to the availability of Financial Assistance. Information is also included on bills sent to patients so they can contact St. Joseph to request an application for Financial Assistance in the settlement of their bill. Information and application is also available on the St. Joseph website. www.SJRMC.org. St. Joseph makes every attempt to identify/assist patients who may be eligible for charity or discounted care through St. Joseph's Charity Care Policy. A financial assistance counselor is available to all patients. The Business Office staff is trained on how to qualify patients for Medicaid, County Assistance and other payment programs including Health Exchange Products for both Idaho and Washington residents. The financial assistance counselor discusses with patients the availability of various government assistance programs and assists the patient with qualifying for such programs. As a result of a grant through the state of Washington, a Medicaid eligibility case worker assists Washington applicants with their application process. The written summary and contact information is also provided in billing communications with patients. For the patient who has limited English proficiency, interpreter services are available at no charge. All uninsured and insured patients are eligible for financial screening for further adjustment to their bills based on documented income and expense profiles provided by the patient or guarantor; and the resulting ability to pay all of, or part of, the remainder of the bill over a four year period of time. St. Joseph will write off 100% of a bill for a patient/family with no insurance which has a documented income profile level that is 100% or less of the Federal Poverty Level. A discount is applied in 10% increments up to 200% of the Federal Poverty Level. Eligibility for further discounts is based on an ability of the patient to pay after the patient completes a financial application for St. Joseph evaluation. St. Joseph reviews the completed application regarding income, expense, assets, and liabilities to determine the extent of Financial Assistance that can be offered according to St. Joseph policies. St. Joseph has an arrangement with a financing company to enable the patient or guarantor to finance payment of medical bills. St. Joseph has a policy that all alternative sources of financial assistance, including application to various Medicaid, County and other available programs must be applied for, and rejected, before Financial Assistance is provided by St. Joseph. Failure of the patient or guarantor to follow-through on the application of financial assistance that may be available from another source will constitute reason for denial of an application for Financial Assistance from St. Joseph.
Schedule H, Part VI, Line 4 Community information	St. Joseph Regional Medical Center is the only full service Medical Center in the region with nine Critical Access Hospitals in the immediate geographic area. A Federally Qualified Health Clinic is also available for outpatient visits. St. Joseph, designated as a sole community hospital provider, is located in Lewiston, ID and serves residents of a nine county region including the Idaho counties of Nez Perce, Latah, Idaho, Clearwater and Lewis, the Washington counties of Asotin, Garfield and Whitman and Wallowa County in Oregon. The primary service area consists of the Lewis-Clark Valley, home to over 60,000 people. Throughout the region an additional 125,000 people reside. In total St. Joseph seeks to meet the needs of more than 185,000 people residing over nearly 20,000 square miles. The regional service area has 169,375 people of which 16% are 65 years and older. This age group is growing the fastest in the regional service area and it expected to comprise 18.2% of the market by 2020. People insured by Medicare consist of 32% of the regional service area population, while those insured by Medicaid make up 15% of the market. The uninsured account for 11% and those with commercial insurance make up 42% of the people service area.
Schedule H, Part VI, Line 5 Promotion of community health	St. Joseph's primary mission is to continue Christ's mission of mercy by meeting the health care needs of the individuals in the communities we serve. No one requiring medical care or services offered by St. Joseph is turned away regardless of race, creed, religion, national origin, sex, ability to pay or economic status. As the region's leader in the delivery of health care services, St. Joseph continues to accept the responsibility to contribute to the overall health and welfare of our community. St. Joseph is deeply committed to our community to help assure residents live healthy and productive lives through cost effective and quality healthcare and education services. St. Joseph offers a variety of services and programs that are not found elsewhere in the region and is constantly monitoring and assessing the needs of the region to ensure quality health care. Through our commitment to providing community benefit St. Joseph has engaged in the following activities to ensure that our mission is accomplished: - St. Joseph is fully accredited by the Joint Commission, and provides level III Adult/Pediatric trauma services, a designated by the Washington State Hospital Association. - St. Joseph operates an Emergency Room and Minor Care that is open 24/7 and serves all persons regardless of their ability to pay. - St. Joseph provides many inpatient and outpatient services to all persons while participating in Medicare, Medicaid, County Insurance, TriCare, Indian Health Services and/or other government health care programs to assure access for patients. - St. Joseph's medical staff privileges are open to any qualified physician and Allied Health provider in the region. In FY15, SJRMC's Medical/ Dental Staff included 131 physicians (82% board certified), specializing in 31 fields. The active/ associate Medical/ Dental staff represents 71% of the total physicians, while 18% of physicians have courtesy privileges and 11% have provisional/ consulting privileges. Additionally St. Joseph has 45 Allied Health providers on staff in six specialties: Podiatry, Nurse Practitioner, Certified Nurse Midwife, Certified Registered Nurse Anesthetist, Physician Assistant and Psychology. In total, St. Joseph has granted privileges to 176 providers in the community to care for our patients. - St. Joseph has a governing Board of Directors that consist of independent persons who represent the local community, the medical staff and the religious community. The governing body also includes national leaders in the religious community, the physician community and the Ascension Health organization.
Schedule H, Part VI, Line 6 Affiliated health care system	Ascension Health Alliance, d/b/a Ascension (Ascension), is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or Health Ministries, located in 23 states and the District of Columbia. Ascension and its member organizations are hereafter referred to collectively as the System. Ascension is sponsored by Ascension Sponsor, a Public Juridic Person. The Participating Entities of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul, St. Louise Province; the Congregation of St. Joseph; the Congregation of the Sisters of St. Joseph of Carondelet; the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. - American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province. The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs: - Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured. - Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons. - Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome. - Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the persons living in poverty, including health promotion and education, health clinics and screenings, and medical research. Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and other community benefit programs. The cost of providing care to persons living in poverty and other community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care. Certain costs such as graduate medical education and certain other activities are excluded from total operating expenses for purposes of this computation. The amount of traditional charity care provided, determined on the basis of cost, was $527,386 thousand and $580,606 thousand for the years ended June 30, 2015 and 2014, respectively.

Schedule H (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
St Joseph Regional Medical Center Inc

Employer identification number
82-0204264

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Snake River Medical Clinic 215 10th Street Lewiston,ID83501	31-1726460	501 (c) (3)	33,349	Support for volunteer clinic
(2) Twin County United Way 2207 E Main Street Lewiston,ID83501	82-0261086	501 (c) (3)	37,625	Community Support
(3) LCSC Nursing Faculty 500 8th Ave Lewiston,ID83501	82-6000935	501 (c) (3)	44,000	Nursing School Faculty
(4) Valley Vision 111 Main Street Lewiston,ID83501	84-1367690	501 (c) (6)	10,000	Community Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance
(1) Prescriptions for indigent patients	100	0	12,396	Book	Prescriptions

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds	Before funds are disbursed, all grants must go through an approval process at St. Joseph Regional Medical Center. After approval and disbursement of the funds, expenditures are monitored by the applicable non-profit's board of directors. The Snake River Medical Clinic is provided drugs administred by a physician. As an exectuvie sponsor for United Way, contributions are used to cover administrative expenses of that organization. Funds disbursed to the LCSC Nursing Faculty and Lewis-Clark State College are used for a specific purposes and are acknowledged via receipts. Valley Vision has a specific charter to support economic development in local communities and expenditures are monitored by its Board.
Schedule I, Part III, Column (b) Estimated Number Of Recipients	Prescriptions for indigent patients : Patients are not tracked, the number represents and apprxoimation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	Before funds are disbursed, all grants must go through an approval process at St. Joseph Regional Medical Center. After approval and disbursement of the funds, expenditures are monitored by the applicable non-profit's board of directors. The Snake River Medical Clinic is provided drugs administred by a physician. As an exectuvie sponsor for United Way, contributions are used to cover administrative expenses of that organization. Funds disbursed to the LCSC Nursing Faculty and Lewis-Clark State College are used for a specific purposes and are acknowledged via receipts. Valley Vision has a specific charter to support economic development in local communities and expenditures are monitored by its Board.

Schedule I (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

St Joseph Regional Medical Center Inc

Employer identification number

82-0204264

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ROBERT J HENKEL FACHE BOARD MEMBER	(i) (ii)	0 ............................... 1,213,433	0 ............................... 5,571,283	0 ............................... 670,914	0 ............................... 25,277	0 ............................... 31,473	0 ............................... 7,512,380	0 ............................... 0
2JOSEPH R IMPICCICHE BOARD MEMBER	(i) (ii)	0 ............................... 775,431	0 ............................... 2,161,419	0 ............................... 305,574	0 ............................... 14,102	0 ............................... 28,421	0 ............................... 3,284,947	0 ............................... 0
3ANTHONY J SPERANZO BOARD MEMBER	(i) (ii)	0 ............................... 1,042,029	0 ............................... 3,252,375	0 ............................... 584,855	0 ............................... 16,942	0 ............................... 33,618	0 ............................... 4,929,819	0 ............................... 0
4BONNIE L PHIPPS BOARD MEMBER	(i) (ii)	0 ............................... 620,861	0 ............................... 958,057	0 ............................... 217,521	0 ............................... 2,875	0 ............................... 31,710	0 ............................... 1,831,024	0 ............................... 0
5TIMOTHY P SAYLER FORMER CEO	(i) (ii)	69,487 ............................... 0	0 ............................... 0	98,044 ............................... 0	2,138 ............................... 0	1,890 ............................... 0	171,559 ............................... 0	0 ............................... 0
6THOMAS SAFLEY CFO	(i) (ii)	245,141 ............................... 0	38,134 ............................... 0	1,084 ............................... 0	14,179 ............................... 0	16,935 ............................... 0	315,473 ............................... 0	0 ............................... 0
7MICHAEL ROONEY MD CMO/INTERIM CEO	(i) (ii)	282,544 ............................... 0	44,314 ............................... 0	2,736 ............................... 0	11,231 ............................... 0	19,848 ............................... 0	360,673 ............................... 0	0 ............................... 0
8BRENDA FORGE FORMER VP HUMAN RESOURCES	(i) (ii)	91,955 ............................... 0	0 ............................... 0	101,813 ............................... 0	2,838 ............................... 0	6,885 ............................... 0	203,491 ............................... 0	0 ............................... 0
9DEBRA WIGGS FORMER VP PHYSICIAN SERVICES	(i) (ii)	72,256 ............................... 0	0 ............................... 0	93,586 ............................... 0	1,471 ............................... 0	6,029 ............................... 0	173,342 ............................... 0	0 ............................... 0
10ALAN ABBOT VP PATEINT CARE SERVICES (THRU 3/27/15)	(i) (ii)	201,379 ............................... 0	30,470 ............................... 0	2,331 ............................... 0	8,153 ............................... 0	12,790 ............................... 0	255,123 ............................... 0	0 ............................... 0
11JOAN AGEE VP PATEINT CARE SERVICES	(i) (ii)	143,760 ............................... 0	8,820 ............................... 0	6,523 ............................... 0	8,826 ............................... 0	27,506 ............................... 0	195,435 ............................... 0	0 ............................... 0
12BOBBY JONES VP OUTPATIENT SERVICES	(i) (ii)	178,440 ............................... 0	27,853 ............................... 0	2,023 ............................... 0	13,029 ............................... 0	13,833 ............................... 0	235,178 ............................... 0	0 ............................... 0
13LISA LOUGRHAN VP Patient Care Services	(i) (ii)	138,753 ............................... 0	7,896 ............................... 0	2,016 ............................... 0	7,443 ............................... 0	13,833 ............................... 0	169,941 ............................... 0	0 ............................... 0
14JOHN HO MD PHYSICIAN	(i) (ii)	922,055 ............................... 0	0 ............................... 0	6,449 ............................... 0	13,000 ............................... 0	37,676 ............................... 0	979,180 ............................... 0	0 ............................... 0
15GERARDO MIDENCE MD PHYSICIAN	(i) (ii)	553,719 ............................... 0	0 ............................... 0	7,456 ............................... 0	6,500 ............................... 0	26,503 ............................... 0	594,178 ............................... 0	0 ............................... 0
16SUSHMA PANT MD PHYSICIAN	(i) (ii)	559,760 ............................... 0	0 ............................... 0	5,773 ............................... 0	14,300 ............................... 0	23,473 ............................... 0	603,306 ............................... 0	0 ............................... 0
17BINAY K SHAH MD PHYSICIAN	(i) (ii)	557,280 ............................... 0	0 ............................... 0	5,808 ............................... 0	6,500 ............................... 0	32,715 ............................... 0	602,303 ............................... 0	0 ............................... 0
18KATRINA A ROLEN MD PHYSICIAN	(i) (ii)	542,851 ............................... 0	0 ............................... 0	2,347 ............................... 0	14,300 ............................... 0	18,657 ............................... 0	578,155 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

Schedule J, Part I, Line 4a Severance or change-of-control payment

Debra Wiggs, $83,200. As a term of her employment agreement, she was entitled to 6 months of severance pay for being terminated without cause. Brenda Forge, $91,784. Payment of severance was a condition of a Termination Severance and Release Agreement.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, column F in the year paid. There are no distributions from the supplemental nonqualified retirement plan for the current year.

Schedule J (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

St Joseph Regional Medical Center Inc

Employer identification number

82-0204264

Return Reference	Explanation
Form 990, Part IV, Line 20b Explanation of Financial Statements	The activity of St. Joseph Regional Medical Center (SJRMC) is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of SJRMC is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of SJRMC.
Form 990, Part VI, Line 6 Classes of members or stockholders	St. Joseph Regional Medical Center has a single corporate member, Ascension Health.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	St. Joseph Regional Medical Center has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Joseph Regional Medical Center.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Line 12c Conflict of interest policy	The organization regularly and consistently monitors and enforces compliance with the Conflict of Interest Policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the Conflict of Interest Policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	IN DETERMINING COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS PERFORMED BY ST. JOSEPH REGIONAL MEDICAL CENTER INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMMITTEE OF THE SJRMC BOARD AND THE SJRMC BOARD REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES.
Form 990, Part VI, Line 19 Required documents available to the public	The organization will provide any document open to public inspection upon request.
Form 990, Part VIII, Line 2f Other Program Service Revenue	- Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Miscellaneous Revenue - Total Revenue: 1380408, Related or Exempt Function Revenue: 1380408, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Unrestricted Deferred Pension Costs - -6116593; Transfer to Affiliates - -1453350;
Form 990, Part VII, Section B Independent Contractor Reporting	Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health EIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

St Joseph Regional Medical Center Inc

Employer identification number

82-0204264

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS,MO63145 45-3358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3	Type I	NA		No
(2) ASCENSION HEALTH PO BOX 45998 ST LOUIS,MO63145 31-1662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3	Type I	ASCENSION HEALTH ALLIANCE		No
(3) ST JOSEPH REGIONAL MEDICAL CENTER FOUNDATION INC 415 6TH STREET LEWISTON,ID83501 51-0168321	FUNDRAISING	ID	501(c)(3	Type I	ST JOSEPH REGIONAL MEDICAL CENTER	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) St Joseph Regional Medical Center Foundation Inc	R	172,529	Actual Amount Paid

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:	14000329
Software Version:	2014v1.0

1	Briefly describe the organization’s mission or most significant activities: Provides inpatient, outpatient and emergency care services.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	7
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	3
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	1,200
6	Total number of volunteers (estimate if necessary) .............	6	125
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	57,048	43,657
9	Program service revenue (Part VIII, line 2g) .........	147,557,284	150,418,716
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,735,180	1,056,913
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,648,184	1,913,314
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	152,997,696	153,432,600
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	206,678	137,370
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	68,525,081	68,524,929
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 144,697
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	75,125,199	78,540,282
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	143,856,958	147,202,581
19	Revenue less expenses. Subtract line 18 from line 12.......	9,140,738	6,230,019
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	163,729,088	157,394,237
21	Total liabilities (Part X, line 26).............	46,444,067	43,240,240
22	Net assets or fund balances. Subtract line 21 from line 20.....	117,285,021	114,153,997

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 110,597,258 including grants of $ 137,370 ) (Revenue $ 151,959,169 )
	AS A MEMBER OF ASCENSION HEALTH, THE NATION'S LARGEST CATHOLIC HEALTHCARE SYSTEM, ST. JOSEPH REGIONAL MEDICAL CENTER ("SJRMC") CONTINUES TO BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH OF INDIVIDUALS, FAMILIES AND SOCIETY AS A WHOLE. THE GOAL OF SJRMC IS TO PERPETUATE THE HEALING MISSION OF THE CHURCH. SJRMC FURTHERS THIS GOAL THROUGH THE DELIVERY OF PATIENT SERVICES, THE PROVISION OF CARE TO THE ELDERLY AND INDIGENT, AND THE CREATION OF PATIENT EDUCATION AND HEALTH AWARENESS PROGRAMS FOR THE COMMUNITY. OUR CONCERN FOR ALL HUMAN LIFE AND THE DIGNITY OF EACH PERSON LEADS THE ORGANIZATION TO PROVIDE MEDICAL SERVICES TO ALL PEOPLE IN THE COMMUNITY WITHOUT REGARD TO THE PATIENT'S RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS OR ABILITY TO PAY. SEE SCHEDULE H.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses110,597,258

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) KATRINA A ROLEN MD PHYSICIAN	40.00 .......................0	X		545,198	0	32,957
(19) BRENDA FORGE FORMER VP HUMAN RESOURCES	0.00 .......................0		X	193,768	0	9,723
(20) DEBRA WIGGS FORMER VP PHYSICIAN SERVICES	0.00 .......................0		X	165,842	0	7,500
(21) TIMOTHY P SAYLER FORMER CEO	40.00 .......................0		X	167,531	0	4,028

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	5,054,856	17,373,752	566,899

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		40,937

f	All other contributions, gifts, grants, and similar amounts not included above1f		2,720

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			43,657
			Business Code
2a	Net Patient Revenue		621990	147,784,081	147,784,081
b	Pharmacy		446110	1,091,790	1,091,790
c	Cafeteria Revenue		722514	621,305	621,305
d	Contract Service Rev.		900099	838,106	838,106
e	Program Revenue		900099	83,434	83,434
f	All other program service revenue .			0	0	0	0
g	Total. Add lines 2a–2f........			150,418,716
3	Investment income (including dividends, interest, and other similar amounts).......			1,056,913			1,056,913
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	434,070
b	Less: rental expenses	61,209
c	Rental income or (loss)	372,861	0
d	Net rental income or (loss).......			372,861			372,861
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	0	0
d	Net gain or (loss)..........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	Late Penalty Fees		900099	159,078	159,078
b	Medical Record Fees		900099	967	967
c
d	All other revenue ....			1,380,408	1,380,408	0	0
e	Total. Add lines 11a–11d ......			1,540,453
12	Total revenue. See Instructions......			153,432,600	151,959,169	0	1,429,774


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			787,339	1	355,291
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			25,177,186	4	21,211,112
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			3,247,289	8	3,765,522
9	Prepaid expenses and deferred charges ..........			739,270	9	396,153
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	117,133,193
b	Less: accumulated depreciation .....	10b	57,219,189	46,281,907	10c	59,914,004
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 .....			0	13
14	Intangible assets ...............			6,567,595	14	6,499,595
15	Other assets. See Part IV, line 11 ...........			80,928,502	15	65,252,560
16	Total assets. Add lines 1 through 15 (must equal line 34)......			163,729,088	16	157,394,237
17	Accounts payable and accrued expenses .........			11,405,497	17	11,624,586
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			35,038,570	25	31,615,654
26	Total liabilities. Add lines 17 through 25.........			46,444,067	26	43,240,240
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			117,285,021	27	114,153,997
28	Temporarily restricted net assets ...........				28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			117,285,021	33	114,153,997
34	Total liabilities and net assets/fund balances ........			163,729,088	34	157,394,237