TY 2019 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) ALAN BRECHBILL...................................................................... DIRECTOR /PSH EXEC VP	2.00 ................. 48.00	X				0	1,180,703	70,719
(2) STEPHEN MASSINI...................................................................... DIRECTOR / PSH CEO (BEG 9/2019)	2.00 ................. 48.00	X				0	1,093,641	31,451
(3) JOHN MORAHAN...................................................................... PRESIDENT/CEO/DIRECTOR (THRU 5/2020)	36.00 ................. 4.00	X	X			0	671,661	44,066
(4) LOUIS BORGATTA MD...................................................................... DIRECTOR / (PHYSICIAN)	2.00 ................. 38.00	X				0	648,601	42,685
(5) PAULA TINCH...................................................................... INTERIM TREAS/PSH SENIOR VP/CFO (BEG 3/2020)	2.00 ................. 48.00		X			0	381,891	19,681
(6) ANNEMARIE BOYAN...................................................................... INT SEC/PSH ASSOC GC (BEG 3/2020)	2.00 ................. 48.00		X			0	353,295	36,214
(7) SARA KLEIMAN...................................................................... PHYSICIAN ADVISOR	40.00 ................. 0.00				X	332,010	0	48,620
(8) SHARON STROHECKER...................................................................... VP, NURSING AND CNO	40.00 ................. 0.00			X		346,081	0	31,581
(9) COURTNEY COFFMAN...................................................................... SECRETARY/TREAS/CFO (THRU 12/2019)	36.00 ................. 4.00		X			308,703	0	38,892
(10) SCOTT MENGLE...................................................................... VP, HUMAN RESOURCES	40.00 ................. 0.00			X		274,723	0	36,607
(11) MICHAEL BRADLEY...................................................................... MEDICAL DIRECTOR	40.00 ................. 0.00				X	232,623	0	29,925
(12) MARY HAHN...................................................................... VP STRATEGY & BUS. DEV.	40.00 ................. 0.00			X		233,208	0	15,828
(13) ANDREW JONES...................................................................... PHYSICIST	40.00 ................. 0.00				X	214,598	0	33,841
(14) MICHAEL JUPINA...................................................................... VP COMMUNICATIONS	40.00 ................. 0.00			X		219,241	0	6,579
(15) CHRISTOPHER NEWMAN...................................................................... PHYSICIAN	40.00 ................. 0.00			X		210,334	0	12,323
(16) ACCAMMA JOY...................................................................... PHYSICIAN	40.00 ................. 0.00				X	204,559	0	15,375
(17) MAMIE ESCHLEMAN...................................................................... REGISTERED NURSE	40.00 ................. 0.00				X	200,741	0	6,420

(A) Name and business address	(B) Description of services	(C) Compensation
SODEXO INC PO BOX 360170 PITTSBURGH,PA15251	FOOD & DIETARY	3,437,700
HEALTHTRUST WORKFORCE SOLUTIONS PO BOX 742697 ATLANTA,GA30374	TEMP HELP	1,984,959
EMERGENCY PHYSICIANS ASSOCIATES OF PA PO BOX 634850 CINCINNATI,OH45263	PHYSICIAN SERVICES	1,566,767
ON TOP MEDICAL LLC 100 ABBY ROAD THIBODAUX,LA70301	PHYSICIAN SERVICES	1,320,000
QUEST DIAGNOSTICS INC PO BOX 828669 PHILADELPHIA,PA19182	LAB SERVICES	1,209,933
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 32

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2019

Page 6

Part V

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

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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

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) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization ST JOSEPH REGIONAL HEALTH NETWORK

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization ST JOSEPH REGIONAL HEALTH NETWORK		Employer identification number 23-1352211

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization ST JOSEPH REGIONAL HEALTH NETWORK			Employer identification number 23-1352211
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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 HEALTH NETWORK

Employer identification number

23-1352211

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(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)? ........

Yes

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

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

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
PART II-B, LINE 1B	DESCRIPTION OF THE ACTIVITIES REPORTED ON LINES 1A THROUGH 1I: LINE 1F: THE FILING ORGANIZATION PAYS DUES TO THE ASSOCIATIONS LISTED BELOW WHO CONDUCT LOBBYING. THE AMOUNT OF DUES ALLOCATED TO LOBBYING EFFORTS IS NEGLIGIBLE. HOSPITAL & HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA AMERICAN HOSPITAL ASSOCIATION CATHOLIC HEALTH ASSOCIATION
PART II-B, LINE 1I	COMPENSATION, BENEFITS, AND TRAVEL EXPENSES INCURRED FOR EMPLOYEES IN CONDUCTING LOBBYING EFFORTS IS APPROXIMATELY LESS THAN $2,500

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 FASB 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 on 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 FASB ASC 958 relating to these items:

Revenue included on 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) 2019

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(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

Term endowment SchDMd Bullet

The percentages on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	3,788,724		3,788,724
b	Buildings ....	82,682,739	18,352,736	64,330,003
c	Leasehold improvements	6,762,170	3,265,220	3,496,950
d	Equipment ....	38,785,013	19,876,668	18,908,345
e	Other .....	9,369,264		9,369,264
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				99,893,286

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on 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........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	133,009,442
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) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on 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
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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 (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

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:

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: . . . . . . . .

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		(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) . . .	1,318,723		1,318,723	0.460 %
b	Medicaid (from Worksheet 3, column a) . . . . .	33,755,930	19,675,425	14,080,505	4.890 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	35,074,653	19,675,425	15,399,228	5.350 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	239,645		239,645	0.080 %
f	Health professions education (from Worksheet 5) . . .	229,226		229,226	0.080 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	52,935		52,935	0.020 %
j	Total. Other Benefits . .	521,806		521,806	0.180 %
k	Total. Add lines 7d and 7j .	35,596,459	19,675,425	15,921,034	5.530 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	1,560	1,560	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	1,560	1,560	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

18,241,185

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).....

50,317,869

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

60,188,584

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

-9,870,715

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) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ST JOSEPH MEDICAL CENTER 2500 BERNVILLE ROAD READING,PA19605 PENNSTATEHEALTH.ORG/LOCATIONS/ST-JOSEP 710501	X	X	X	X	X

Schedule H (Form 990) 2019

Page 4

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 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

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

6 a

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

Yes

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

Yes

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.PENNSTATEHEALTH.ORG/LOCATIONS/ST-JOSEPH

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 18

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

Yes

If "Yes" (list url): WWW.PENNSTATEHEALTH.ORG/LOCATIONS/ST-JOSEPH

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

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ST JOSEPH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

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 %
and FPG family income limit for eligibility for discounted care of %

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)

Was widely publicized 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):

SEE PART V NARRATIVE

The FAP application form was widely available on a website (list url):

SEE PART V NARRATIVE

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V NARRATIVE

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	ST JOSEPH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

	ST JOSEPH MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, LINE 5	INPUT FOR COMMUNITY HEALTH NEEDS ASSESSMENT:FOR ITS 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), PENN STATE HEALTH FORMED A COLLECTIVE WORKGROUP THAT INCLUDED PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER (PSHMC), PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER (PSHSJ), PENNSYLVANIA PSYCHIATRIC INSTITUTE (PPI) AND KEY COMMUNITY STAKEHOLDERS TO IDENTIFY AND ADDRESS THE NEEDS OF RESIDENTS LIVING IN BERKS, CUMBERLAND, DAUPHIN, LANCASTER AND LEBANON COUNTIES. THIS WAS THE THIRD CHNA CONDUCTED BY ENTITIES OF PENN STATE HEALTH. PREVIOUS ASSESSMENTS IN 2012 AND 2015 INVOLVED A DIFFERENT CONSORTIUM OF HEALTH CARE INSTITUTIONS AND STUDY AREA. FOR THE 2018 CHNA, PENN STATE HEALTH OPTED TO CONDUCT A SYSTEM WIDE ASSESSMENT, FOCUSING ON THE COLLECTIVE AREAS SERVED BY ITS HOSPITALS AND AFFILIATED HEALTH PROVIDERS. THE COMPREHENSIVE CHNA WAS CONDUCTED FROM JANUARY TO AUGUST 2018, WITH BAKER TILLY AS OUR CONSULTING PARTNER. THE STUDY INCLUDED AN IN-DEPTH REVIEW OF PRIMARY AND SECONDARY DATA FOR THE FIVE COUNTIES COMPRISING PENN STATE HEALTH'S PRIMARY GEOGRAPHIC SERVICE AREA. MORE THAN 1,500 COMMUNITY MEMBERS PARTICIPATED IN THE CHNA PROCESS BY COMPLETING KEY INFORMANT AND COMMUNITY MEMBER SURVEYS, ATTENDING FORUMS AND PARTICIPATING IN FOCUS GROUPS. EXPERTS IN COMMUNITY HEALTH FROM EACH HEALTH CARE INSTITUTION, AS WELL AS KEY COMMUNITY STAKEHOLDERS, PARTICIPATED IN THE 2018 CHNA WORKGROUP TO GUIDE THE PROCESS AND REVIEW FINDINGS. THE STUDY CULMINATED WITH THE IDENTIFICATION AND PRIORITIZATION OF THE MOST PRESSING HEALTH ISSUES THAT IMPACT RESIDENTS WITHIN OUR FIVE-COUNTY SERVICE AREA. INFORMATION COLLECTED THROUGH THE CHNA IS USED TO INFORM OUR COMMUNITY BENEFIT INVESTMENTS, GUIDE OUR HEALTH IMPROVEMENT INITIATIVES AND ADVANCE OUR POPULATION HEALTH MANAGEMENT STRATEGIES.
SCHEDULE H, PART V, SECTION B, LINE 6A / 6B	OTHER HOSPITAL FACILITIES INCLUDED IN NEEDS ASSESSMENT: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER (PSHMC) AND PENNSYLVANIA PSYCHIATRIC INSTITUTE (PPI)
SCHEDULE H, PART V, SECTION B, LINE 11	PRIORITIZED COMMUNITY HEALTH NEEDSTHROUGH MULTIPLE METHODS OF COMMUNITY ENGAGEMENT, FACILITATED DIALOGUE WITH COMMUNITY HEALTH EXPERTS AND A SERIES OF CRITERIA-BASED VOTING EXERCISES. THE MOST SIGNIFICANT ISSUES TO FOCUS SYSTEM WIDE HEALTH IMPROVEMENT EFFORTS OVER THE THREE-YEAR CYCLE FROM 2019 TO 2022 ARE BEHAVIORAL HEALTH (MENTAL HEALTH, SUBSTANCE USE DISORDER), HEALTHY LIFESTYLES (NUTRITION, ORAL HEALTH, PHYSICAL ACTIVITY) AND DISEASE MANAGEMENT (CANCER, CARDIOVASCULAR DISEASE, DIABETES). ADDRESSING ACCESS TO CARE AND SOCIAL DETERMINANTS OF HEALTH WERE SEEN AS CROSS-CUTTING STRATEGIES NEEDED TO IMPROVE OUTCOMES ACROSS ALL PRIORITY AREAS.KEY INFORMANT AND COMMUNITY MEMBER SURVEYS WERE CONDUCTED.ADDRESSING BEHAVIORAL HEALTH:GOALS: -IMPROVE MENTAL HEALTH THROUGH PREVENTION AND BY ENSURING ACCESS TO APPROPRIATE, QUALITY MENTAL HEALTH SERVICES-REDUCE SUBSTANCE USE DISORDER TO PROTECT THE HEALTH, SAFETY AND QUALITY OF LIFE FOR ALLOBJECTIVES:-DECREASE THE NUMBER OF MENTALLY UNHEALTHY DAYS REPORTED IN THE LAST 30 DAYS-REDUCE THE NUMBER OF DRUG POISONING DEATHS PER 100,000 POPULATION-REDUCE THE PERCENTAGE OF ADULTS REPORTING BINGE OR HEAVY DRINKINGACCOMPLISHMENTS: -771 COMMUNITY MEMBERS RECEIVED MENTAL HEALTH TRAINING -10,000 PEOPLE REACHED BY BEHAVIORAL HEALTH COMMUNITY OUTREACH -3,000 DISPOSETX PACKETS WERE DISTRIBUTED-1,002 LOCK BOXES WERE DISTRIBUTED ACROSS 13 SITES-759 POUNDS OF DISCARDED MEDICATIONS COLLECTED IN DRUG TAKE BACK BOXESADDRESSING HEALTHY LIFESTYLES:GOALS:-ADDRESS ISSUES RELATED TO OBESITY AND FOOD INSECURITY BY PROMOTING ACCESS TO AND CONSUMPTION OF HEALTHFUL DIETS, AND IMPLEMENTING STANDARDIZED NUTRITION EDUCATION PROGRAMS-INCREASE ACCESS TO ORAL HEALTH PREVENTIVE SERVICES AND DENTAL CARE TO IMPROVE OVERALL HEALTH-IMPROVE HEALTH, FITNESS AND QUALITY OF LIFE THROUGH DAILY PHYSICAL ACTIVITYOBJECTIVES:-REDUCE OBESITY RATES IN BERKS, DAUPHIN AND LEBANON COUNTIES-REDUCE PERCENTAGE OF RESIDENTS THAT HAVE LOW ACCESS TO FOOD IN BERKS, DAUPHIN AND LEBANON COUNTIES-INCREASE THE PROPORTION OF CHILDREN, ADOLESCENTS AND ADULTS WHO USED THE ORAL HEALTH CARE SYSTEM IN THE PAST YEAR-REDUCE THE PERCENTAGE OF ADULTS WHO DO NOT ENGAGE IN LEISURE-TIME PHYSICAL ACTIVITYACCOMPLISHMENTS:-NUTRITION AND FOOD OUTREACH TO OVER 47,000 INDIVIDUALS WITH HEALTHY FOOD CHOICES AND CONSISTENT MYPLATE MESSAGING (CHOOSEMYPLATE.GOV)-3,000 PLUS POUNDS OF FOOD AND 566 FLOWER VASES WERE DISTRIBUTED FROM THE COMMUNITY GARDEN-VEGGIE RX PROGRAM: 111 PATIENTS INITIALLY ENROLLED IMPACTING OVER 215 FAMILY MEMBERS; 22,000+ VOUCHERS WERE REDEEMED; $45,000 SPENT ON LOCAL FRUITS AND VEGGIES-ORAL HEALTH MESSAGING FOCUSED ON BRUSHING TWICE PER DAY AND THE IMPORTANCE OF FLUORIDE REACH 700+ MEMBERS OF UNDERSERVED COMMUNITIES-WORKED ON UPDATING THE COMMUNITY HEALTH WORKER TRAINING CURRICULUM TO INCLUDE EARLY CHILDHOOD ORAL HEALTH EDUCATION WITH AN ONLINE COMPONENT THAT IS PUBLICLY AVAILABLE SO ANYONE CAN USEADDRESSING DISEASE MANAGEMENT:GOALS:-IMPROVE CHRONIC DISEASE MANAGEMENT AND TREATMENT OUTCOMES BY PROVIDING SCREENINGS, EDUCATIONAL SESSIONS AND CARE NAVIGATION TO IDENTIFIED HIGH-NEED COMMUNITIESOBJECTIVES:-INCREASE THE PERCENTAGE OF FEMALE MEDICARE BENEFICIARIES RECEIVING MAMMOGRAMS-INCREASE THE PERCENTAGE OF ADULTS AGE 50 AND OLDER WHO HAVE HAD COLON CANCER SCREENINGS-REDUCE HOSPITAL READMISSION OF CHRONIC DISEASE POPULATIONSACCOMPLISHMENTS:-EXPANDED EFFORTS WITH COMMUNITY PARAMEDICINE WHICH REDUCED CHRONIC DISEASE READMISSIONS FOR HEART FAILURE AND STROKE PATIENTS-13,000 COMMUNITY MEMBERS WERE REACHED BY COORDINATED DISEASE PREVENTION SCREENING, EDUCATION, NAVIGATION AND SUPPORT PROGRAMS FOCUSED ON CANCER, CARDIOVASCULAR DISEASES AND STROKE*** ALL PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE CHNA WILL BE ADDRESSED.
SCHEDULE H, PART V, SECTION B, LINE 13B	INCOME LEVEL OTHER THAN FPG FOR ELIGIBILITYST. JOSEPH REGIONAL HEALTH NETWORK BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 55%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
SCHEDULE H, PART V, SECTION B, LINE 16	THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.PENNSTATEHEALTH.ORG/PATIENTS-VISITORS/BILLING-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?14
Name and address		Type of Facility (describe)
1	1 - READING DOWNTOWN CAMPUS 145 NORTH 6TH STREET 640 WALNUT STREET READING,PA19601	CLINIC/X-RAY/CT-LAB WOUND CARE/HBO/DIABETES EDUC/PT
2	2 - ST JOSEPH HEALTH NETWORK-STRAUSSTOWN 44 EAST AVENUE STRAUSSTOWN,PA19559	DIAG/URGENT CARE/LAB DRAW
3	3 - ST JOSEPH HEALTH NETWORKMAIDENCREEK 108 PLAZA DRIVE SUITE 101 BLANDON,PA19510	THERAPY, X-RAY, URGENT CARE, LAB DRAW
4	4 - STJOSEPH HEALTH NETWORK SPRING-RIDGE 2605 KEISER BOULEVARD SUITE 200 WYOMISSING,PA19610	CARDIAC REHAB/LAB
5	5 - ST JOSEPH HEALTH NETWORK-LEESPORT SCHOOLSIDE PLAZA-RT 61 AND WALL ST LEESPORT,PA19533	LAB DRAW AND X-RAY
6	6 - ST JOE QUALITY MED LAB-SINKING SPRG 4400 PENN AVENUE SINKING SPRING,PA19608	LAB DRAW (CLOSED 4/30/2020)
7	8 - ST JOE QUALITY MED LAB-HEALTHSOUTH 1623 MORGANTOWN ROAD READING,PA19607	DRAW STATION
8	9 - ST JOE QUALITY MED LAB-BOYERTOWN FIFTH AND MONTGOMERY AVENUES BOYERTOWN,PA19512	DRAW STATION
9	10 - THE HERITAGE OF GREEN HILLS 10 TRANQUILITY LANE READING,PA19607	LAB DRAW
10	11 - PSH ST JOSEPH EXETER RDGE HLTH CMPLX 3970 PERKIOMEN AVENUE EXETER,PA19606	PHYSICAL THERAPY, RADIOLOGY SERVICES, MEDICAL FITNESS, DIABETES EDUC.
11	12 - PSH ST JOSEPH MUHLENBERG 3407 N 5TH ST HIGHWAY MUHLENBERG,PA19605	LAB DRAW, URGENT CARE, RADIOLOGY, DIABETES EDUC(CLOSED 06/30/2020)
12	13 - PSH ST JOSEPH ROBESONIA 410 E PENN AVENUE ROBESONIA,PA19551	LAB DRAW, X-RAY, EKG
13	14 - PSH ST JOSEPH SPRING RDGE HLTH CORRID 2607 KEISER BOULEVARD WYOMISSING,PA19610	PHYSICAL THERAPY, WOUND CARE, DIAG. SERVICES, DIABETES EDUC.
14	15 - PSH ST JOSEPH MUHLENBERG 4301 N 5TH ST HIGHWAY READING,PA19605	LAB DRAW, URGENT CARE, RADIOLOGY, DIABETES EDUC(OPENED 03/01/2020)

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE:ST. JOSEPH REGIONAL HEALTH NETWORK BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 55%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
PART I, LINE 6A:	COMMUNITY BENEFIT REPORT: ST. JOSEPH REGIONAL HEALTH NETWORK PREPARES A COMMUNITY BENEFIT REPORT AND MAKES IT AVAILABLE TO THE PUBLIC.
PART I, LINE 7:	COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE: A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. BASED ON THAT FORMULA, [$221,800,481/$956,020,243] RESULTS IN A 23.2% COST-TO-CHARGE RATIO.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES: THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION: $18,241,185
PART VI SUPPLEMENTAL INFORMATION	THROUGHOUT THESE NARRATIVES, ST. JOSEPH REGIONAL HEALTH NETWORK IS ALSO KNOWN AS: PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND ST. JOSEPH MEDICAL CENTER.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES: ST. JOSEPH'S COMMUNITY FOCUSED PROGRAMS AND ACTIVITIES ARE GUIDED BY A COMPREHENSIVE COMMUNITY HEALTH NEEDS (CHNA) PROCESS CONDUCTED EVERY 3 YEARS FOLLOWED BY DETAILED IMPLEMENTATION PLANS TO ADDRESS THE NEEDS IDENTIFIED. THE CHNA PROCESS ENGAGES KEY STAKEHOLDER ORGANIZATIONS AND PROFESSIONALS AS WELL AS GRASSROOTS GROUPS AND INDIVIDUAL COMMUNITY MEMBERS FROM THROUGHOUT OUR SERVICE AREA. INFORMATION FROM THE 2013, 2016, AND 2018 CHNA'S ARE AVAILABLE AT HTTPS://WWW.PENNSTATEHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-STRATEGY. A RECENT PROGRESS REPORT ON THE 2018 CHNA IS AVAILABLE AT HTTPS://WWW.PENNSTATEHEALTH.ORG/SITES/DEFAULT/FILES/COMMUNITY/PDFS/CHNA2020REPORTCARD_V4BLEED.PDF. THE 2021 CHNA PROCESS IS CURRENTLY UNDERWAY.
PART III, LINE 2:	BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT: COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 23.2%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
PART III, LINE 3:	BAD DEBT EXPENSE METHODOLOGY: ST. JOSEPH REGIONAL HEALTH NETWORK DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.
PART III, LINE 4:	BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE: ST. JOSEPH REGIONAL HEALTH NETWORK ADOPTED FASB ASU 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606); AS A RESULT, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS NO LONGER ADDRESS BAD DEBT EXPENSE.
PART III, LINE 8:	COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS: USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND APPORTIONMENT METHODS, SJRHN CALCULATES A PAYER'S GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM GROSS ALLOWABLE COSTS MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. ST. JOSEPH REGIONAL HEALTH NETWORK'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL.ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE TRUE COST OF SERVICES (FOR SHORTFALL PURPOSES) SJRHN ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, SJRHN INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, SJRHN ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY:TOTAL MEDICARE REVENUE: $50,317,869TOTAL MEDICARE COSTS: $60,188,584SURPLUS OR (SHORTFALL): ($9,870,715) ST. JOSEPH REGIONAL HEALTH NETWORK BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY.THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS SUBSIDIZED HEALTH SERVICES.MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS.
PART III, LINE 9B:	COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE: ST. JOSEPH REGIONAL HEALTH NETWORK'S DEBT COLLECTION POLICY PROVIDES THAT SJRHN WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT FOR TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH ST. JOSEPH MEDICAL CENTER'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET SJRHN COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO SJRHN FOR APPROPRIATE FOLLOW-UP. SJRHN REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE.SJRHN'S CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THEFOLLOWING STANDARDS: - NEITHER SJRHN NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; - NEITHER SJRHN NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; - NO COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL.FINALLY, COLLECTION AGENCIES ARE TRAINED ON SJRHN'S MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
PART VI, LINE 2:	COMMUNITY HEALTH NEEDS ASSESSMENT:AS PART OF THE IMPLEMENTATION PLAN, PENN STATE HEALTH AND AFFILIATES WILL ADDRESS THE PRIORITIZED HEALTH NEEDS OF THE COMMUNITY OVER A THREE YEAR PERIOD. THE PLAN HAS LAID THE INFORMATION OUT AS FOLLOWS:-DESCRIPTION OF THE HEALTH CONCERNS IDENTIFIED THROUGH THE CHNA PROCESS-INITIATIVES THE HOSPITALS INTEND TO IMPLEMENT-ANTICIPATED HEALTH IMPACT OF THESE STRATEGIES BASED ON ACHIEVING SET GOALS, OBJECTIVES AND INDICATORS-PROJECTED RESOURCES-POTENTIAL COMMUNITY PARTNERS RELATED TO THE PLANSTRATEGIES INCLUDED ARE EVIDENCE-BASED, OR THOSE THAT WILL BE EVALUATED, TO ENSURE THE MOST EFFECTIVE USE OF COMMUNITY AND HOSPITAL RESOURCES. ALL OUTCOMES AND ANY NECESSARY ADJUSTMENTS TO THE PLAN WILL BE SHARED IN ANNUAL REPORTS THAT WILL BE MADE PUBLIC ON THE WEBSITE.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEWE BELIEVE THAT RECEIVING HEALTHCARE IS A BASIC HUMAN RIGHT. ST. JOSEPH PARTICIPATES IN THE WIDEST NUMBER OF INSURANCE PROGRAMS OF THE HOSPITALS IN THE REGION. WE REALIZE THAT MANY PEOPLE EITHER CANNOT AFFORD HEALTH INSURANCE OR DO NOT HAVE ENOUGH INSURANCE TO COVER THEIR BILLS. THOSE ARE THE REASONS FOR OUR PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAM, WHICH IS PUBLICLY POSTED ON THE HOSPITAL WEBSITE: HTTPS://WWW.PENNSTATEHEALTH.ORG/PATIENTS-VISITORS/BILLING-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE. A PRICE ESTIMATOR ALSO WAS ADDED IN ORDER TO FURTHER CREATE PRICE AND COST TRANSPARENCY.WE UNDERSTAND THAT THE NEED FOR HEALTH CARE AND HOSPITAL SERVICES IS OFTEN UNPLANNED, AND SOME PATIENTS MAY NOT HAVE SUFFICIENT INSURANCE, OR MAY BE UNABLE TO PAY THEIR ENTIRE BILL RIGHT AWAY. WE ASSURE PATIENTS THAT ADMISSION TO PENN STATE HEALTH ST. JOSEPH IS A MEDICAL, NOT A FINANCIAL, DECISION. AND, FOR THOSE WHO NEED TO TAKE ADVANTAGE OF OUR FINANCIAL ASSISTANCE PROGRAMS, WE PROVIDE THE NECESSARY ASSISTANCE IN COMPLETING APPLICATIONS THAT HELP TO DETERMINE ELIGIBILITY FOR FEDERAL, STATE OR COUNTY GOVERNMENT HEALTH CARE ASSISTANCE. WE ALSO OFFER PENN STATE HEALTH ST. JOSEPH'S OWN ASSISTANCE PLAN THAT CAN PAY ALL OR A SIGNIFICANT PORTION OF HOSPITAL BILLS.
PART VI, LINE 4:	COMMUNITY INFORMATIONPENN STATE HEALTH ST. JOSEPH WAS FOUNDED ORIGINALLY AS ST. JOSEPH HOSPITAL BY THE SISTERS OF ST. FRANCIS IN 1873 TO PROVIDE HEALTHCARE SERVICES TO THE PEOPLE OF THE CITY OF READING. AS THE ONLY CATHOLIC-SPONSORED HOSPITAL TO SERVE THE COMMUNITY, ST. JOSEPH EMBRACED THE MISSION OF THE FOUNDING RELIGIOUS CONGREGATION. FOR NEARLY 150 YEARS, ST. JOSEPH HAS SERVED THE ENTIRE READING AND BERKS COMMUNITY WITH A FOCUS ON PROVIDING CARE TO ALL WHO NEED IT WITHOUT REGARD TO ABILITY TO PAY, A PHILOSOPHY THAT HAS DRIVEN THE MISSION OF ST. JOSEPH. IT'S A MISSION THAT IS AS IMPORTANT TODAY AS IT WAS TO THE SISTERS OF ST. FRANCIS GIVEN THAT THE CITY OF READING HAS BEEN AMONG THE POOREST CITIES IN AMERICA. THIS DISTINCTION HAS PROVEN THE NEED FOR ACCESS TO HEALTHCARE SERVICES THAT ARE PROVIDED WITH COMPASSION AND WITHOUT DISCRIMINATION. PENN STATE HEALTH ST. JOSEPH IS A NON-PROFIT NETWORK CONSISTING OF ST. MEDICAL CENTER, ST. JOSEPH DOWNTOWN READING CAMPUS, ST. JOSEPH MEDICAL GROUP AND ST. JOSEPH PHYSICIAN HOSPITAL ORGANIZATION. FOUNDED IN 1873 BY THE SISTERS OF ST. FRANCIS, THE NETWORK PROVIDES A FULL-RANGE OF OUTPATIENT AND INPATIENT DIAGNOSTIC, MEDICAL AND SURGICAL SERVICES. THE 380,000 SQ. FT., 212-BED STATE-OF-THE-ART HOSPITAL AND HEALTH CAMPUS OPENED IN LATE 2006 ON 40 ACRES IN BERN TOWNSHIP.ROUTINELY RANKED AMONG THE TOP 50 HEART HOSPITALS IN QUALITY METRICS, ST. JOSEPH ALSO IS NATIONALLY CERTIFIED AS A CENTER OF EXCELLENCE IN CHEST PAIN, STROKE AND HEART FAILURE. NURSING CARE AT ST. JOSEPH ALSO HAS EARNED THE DISTINCTION AS A PATHWAYS TO EXCELLENCE ACCREDITED FACILITY.ST. JOSEPH HAS NEARLY 20 SATELLITE SITES ACROSS BERKS COUNTY, PROVIDING CARE TO WHERE THE COMMUNITY LIVES AND WORKS. ST. JOSEPH'S DOWNTOWN READING CAMPUS AT 6TH AND WALNUT STREETS ANCHORS THE AMBULATORY NETWORK AND IS THE LARGEST PRIMARY CARE PROVIDER IN THE CITY OF READING, OPERATING OUT OF A THRIVING 266,000 SQUARE FOOT FACILITY THAT PROVIDES FAMILY PRACTICE, WOMEN'S AND CHILDREN'S SERVICES AND DIAGNOSTIC SERVICES. THE DOWNTOWN FACILITY HAS BEEN LAUDED AS A MODEL FOR INNER CITY PRIMARY CARE AS WELL AS OFFERS INNOVATIVE PATIENT CENTER APPROACHES TO MATERNITY AND DIABETES MANAGEMENT. IT ALSO IS PIONEERING THE IMPLEMENTATION OF PATIENT CENTERED MEDICAL HOME PRACTICES.ST. JOSEPH MEDICAL GROUP IS A NETWORK OF 100 PLUS PHYSICIANS AND MID-LEVEL PROVIDERS. THE GROUP INCLUDES: SPECIALISTS IN INTERNAL MEDICINE, FAMILY MEDICINE, HOSPITALISTS, ORTHOPEDICS AND SPORTS MEDICINE, GYNECOLOGY AND OBSTETRICS, NEUROLOGY, NEUROSURGERY, GENERAL SURGERY, WOMEN'S SERVICES AND VASCULAR SURGERY AND IS COMMITTED TO PROVIDING THE BERKS COMMUNITY WITH THE BEST MEDICAL CARE AVAILABLE FROM BOARD CERTIFIED AND FELLOWSHIP-TRAINED PHYSICIANS. ST. JOSEPH'S 380 MEMBER MEDICAL STAFF CONSISTS OF BOARD CERTIFIED AND FELLOWSHIP TRAINED PHYSICIANS. ST. JOSEPH ALSO OFFERS A FAMILY PRACTICE MEDICAL RESIDENCY PROGRAM, AND PROVIDES CLINICAL TRAINING FOR SEVERAL NURSING AND ALLIED HEALTH PROFESSIONALS. THE NETWORK HAS NEARLY 1600 EMPLOYEES, $220 MILLION IN ANNUAL REVENUES AND NEARLY 42,651 ANNUAL EMERGENCY ROOM VISITS.ST. JOSEPH REDUCES THE BURDENS OF THE GOVERNMENT TO MEET THE COMMUNITY'S GROWING AND DIVERSE HEALTH NEEDS BY REACHING OUT THROUGH ITS TWO CAMPUSES AND MULTIPLE OUTPATIENT FACILITIES. WE HAVE A RESPONSIBILITY TO CARE FOR PEOPLE WHO COME TO US FOR SERVICES AND ALSO TO SEEK OUT THE UNMET NEEDS OF PEOPLE WHO LACK BASIC ESSENTIALS EVERY DAY. WE ALSO PARTNER WITH LOCAL ORGANIZATIONS TO HELP IMPROVE HEALTH AND QUALITY OF LIFE FOR THE POOR, MARGINALIZED AND VULNERABLE. WE PROVIDE QUALITY AND COMPASSIONATE CARE TO ALL AS WE REACH DEEPLY INTO THE COMMUNITY TO PARTICIPATE IN NUMEROUS ACTIVITIES WITH OTHER NON-PROFIT, EDUCATIONAL AND SOCIAL SERVICES AGENCIES.OUR COMMUNITY BENEFIT ACTIVITIES ARE DESIGNED TO:- IDENTIFY AND INCREASE AWARENESS OF HEALTH NEEDS IN READING AND BERKS COUNTY.- PROVIDE MEDICAL, SPIRITUAL AND FINANCIAL RESOURCES TO MEET THOSE NEEDS.- CREATE COLLABORATION AMONG COMMUNITY ORGANIZATIONS THAT FOCUS ON HEALTH AND WELL-BEING.ST. JOSEPH IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS MADE UP OF A BROAD CROSS-SECTION OF LOCAL COMMUNITY AND BUSINESS LEADERS. THE HOSPITAL PARTICIPATES IN THE WIDEST RANGE OF PRIVATE AND GOVERNMENT INSURANCES OF ANY HOSPITAL IN THE REGION AND, ACCORDING TO THE PENNSYLVANIA HEALTH CARE COST CONTAINMENT COUNCIL, CONTINUES TO PROVIDE CARE FOR A HIGH PERCENTAGE OF MEDICAID AND NON-PAYING PATIENTS COMPARED TO NET PATIENT REVENUE IN A REGION THAT COVERS HOSPITALS IN BERKS, LEHIGH, NORTHAMPTON, SCHUYLKILL, NORTHUMBERLAND, AND CARBON COUNTIES (SEE WWW.PHC4.ORG).LOCATED IN READING, PA, PENN STATE HEALTH ST. JOSEPH SERVES PRIMARILY BERKS COUNTY, PA AND SURROUNDING AREAS. THE CITY OF READING HAS A POPULATION OF 88,232 AND WHEN COMBINED WITH THE REMAINING POPULATION OF BERKS COUNTY, THE HEALTH NETWORK SERVES APPROXIMATELY 421,164 RESIDENTS. THE MEDIAN AGE OF THE CITY OF READING IS ABOUT 30 YEARS OLD, NINE YEARS YOUNGER THAN THAT OF THE COUNTY AND A REFLECTION OF THE GROWING LATINO POPULATION. THE MEDIAN SIGNALS THE TYPE OF CARE MOST NEEDED IN THE CITY AND IS REFLECTED IN THE ST. JOSEPH'S EFFORTS TO PROVIDE PATIENTS WITH ACCESS TO PRIMARY CARE PHYSICIANS AT ITS DOWNTOWN READING CAMPUS.MOST NOTABLY, READING - THE FIFTH LARGEST CITY IN THE STATE OF PENNSYLVANIA IS ETHNICALLY DIVERSE, WITH THE HISPANIC POPULATION ACCOUNTING FOR OVER 60 PERCENT OF THOSE WHO LIVE IN THE CITY. THE MEDIAN HOUSEHOLD INCOME IS LESS THAN HALF OF THAT OF THE TOTAL COUNTY. THE CITY ITSELF IS FINANCIALLY CHALLENGED, AND REMAINS AMONG THE POOREST CITIES IN AMERICA.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHPENN STATE HEALTH ST. JOSEPH IS THE OLDEST AND LARGEST HEALTHCARE PROVIDER IN THE CITY OF READING, WITH A MISSION DATING BACK NEARLY 150 YEARS. OUR ORIGINAL HISTORIC HOSPITAL PROPERTY WAS DONATED TO THE READING SCHOOL DISTRICT WHEN WE BUILT A NEW INPATIENT FACILITY ON THE PERIPHERY OF THE CITY JUST OVER 15 YEARS AGO. THE PSHSJ DOWNTOWN CAMPUS COMMUNITY HEALTH HUB IS LOCATED IN A CHRONIC MEDICALLY UNDERSERVED AREA/POPULATION (MUA/P #02914) AND PROVIDES A FULL CONTINUUM OF OUTPATIENT CARE AND PUBLIC HEALTH/PUBLIC BENEFIT PROGRAMMING IN THE HEART OF THE INNER CITY. OUR SOCIAL DETERMINANTS OF HEALTH WORK INCLUDES HEALTHY FOOD ACCESS AND SECURITY (I.E. WEEKLY FARM STAND), CHRONIC DISEASE PREVENTION AND INTERVENTION (I.E. VEGGIE RX PRODUCE PRESCRIPTION PROGRAM), A FREE COMMUNITY HEALTH WORKER TRAINING INSTITUTE, AND A CDC REACH (RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH) PROJECT, FOCUSED ON NUTRITION, PHYSICAL ACTIVITY, AND HEALTHY LIFESTYLES IN OUR URBAN UNDERSERVED LATINO COMMUNITIES. READING IS A RESILIENT MAJORITY LATINO CITY ONCE COUNTED AMONG THE POOREST IN THE COUNTRY. AMONG THE MANY OTHER CRITICAL PROGRAMS AND SERVICES OFFERED BY ST. JOE'S TO THE COMMUNITY RECENTLY ARE: -FREE FLU SHOTS AND COVID TESTING AND VACCINATIONS A KEY LOCATIONS-EMERGENCY FOOD PANTRY FOR PANDEMIC RELATED PATIENT NEEDS AT ALL INPATIENT AND OUTPATIENT SITES-FREE DIABETES PREVENTION AND CHRONIC DISEASE SUPPORT GROUP PROGRAMS IN ENGLISH AND SPANISH-AID TO SEASONAL AND MIGRANT LABORERS: LIVING IN THE SHADOWS OF BERKS COUNTY ARE SEASONAL FARM WORKERS WHO COME HERE HOPING TO MAKE BETTER LIVES FOR THEMSELVES AND THEIR FAMILIES. THEY WORK IN MUSHROOM HOUSES, ON FARMS AND IN ORCHARDS. THEY PICK STRAWBERRIES, PLANT CHRISTMAS TREES AND PROCESS TURKEYS. THIS GROUP OF FARM WORKERS TENDS TO BE POOR, WITH VERY LIMITED EDUCATION. SOME HAVE WORK VISAS, WHILE OTHERS ARE UNDOCUMENTED. MANY TRAVEL BETWEEN THE UNITED STATES AND MEXICO OR CENTRAL AMERICA, RETURNING TO BERKS COUNTY YEAR AFTER YEAR FOR WORK. THEY TEND TO BE TRANSIENT, AND VERY FEW HAVE ACCESS TO ADEQUATE MEDICAL CARE. ST. JOSEPH ADMINISTERS A PROGRAM IN PARTNERSHIP WITH THE KEYSTONE FARMWORKER HEALTH PROGRAM BASED AT THE ST. JOSEPH DOWNTOWN CAMPUS. WITH THE HELP OF OUR PROVIDERS AND RESIDENTS, THE PROGRAM PROVIDES IMMUNIZATIONS, HEALTH SCREENINGS, A DENTAL PROGRAM, EDUCATIONAL PROGRAMS AND OTHER PRIMARY CARE SERVICES TO THE MIGRANT COMMUNITY. PHYSICIANS AND FARMWORKER PROGRAM REPRESENTATIVES OFTEN MEET WITH FARM WORKERS AT THEIR PLACE OF EMPLOYMENT TO PROVIDE CONSULTATIONS AND BASIC SERVICES. -GUTS AND GLORY - ST. JOSEPH FOCUSES ON OBESITY, COLON CANCER AND GI HEALTH: SINCE ITS INCEPTION OVER SEVEN YEARS AGO, ST. JOSEPH HAS BEEN THE MAIN COLLABORATOR AND TITLE SPONSOR FOR BERKS COUNTY'S FIRST DIGESTIVE AND WELLNESS EXPO CALLED GUTS AND GLORY. THIS ANNUAL EVENT IS FREE AND OPEN TO THE PUBLIC AND OFFERS AN EXCITING JOURNEY OF WELLNESS EDUCATION, NUTRITIONAL AWARENESS, HEALTH CONSCIOUSNESS, AND FAMILY FUN. THE NEED THE EVENT WAS HIGHLIGHTED BY THE RELEASE OF A GALLUP POLL THAT LISTED READING AS THE 9TH MOST OBESE CITY IN THE UNITED STATES. THE STATISTIC WAS SOBERING, PARTICULARLY WHEN THERE ARE SO MANY THINGS THAT PEOPLE CAN DO TO HELP THEMSELVES WHEN IT COMES TO EATING AND LIVING BETTER. THIS EVENT TYPICALLY FEATURES LIVE HEALTHY COOKING DEMONSTRATIONS, GROUP FITNESS EXERCISE PRESENTATIONS, INSPIRING PERSONAL STORIES, AND EXPERT LECTURES. FOR 2020, GUTS AND GLORY WAS ADAPTED AS A VIRTUAL SERIES DUE TO THE PANDEMIC. ADDITIONAL INFORMATION CAN BE FOUND AT WWW.MYGUTINSTINCT.ORG. -MOBILE HEALTH INITIATIVE FOCUSES ON EMPLOYEES' OVERALL HEALTH AND WELL-BEING: PENN STATE HEALTH ST. JOSEPH'S INITIATIVE WITH LOCAL EMPLOYERS PLACES A SPECIALLY RENOVATED AND EQUIPPED DOCTOR'S OFFICE ON WHEELS AT WORKSITE LOCATIONS WEEKLY TO OFFER EMPLOYEES HEALTH CARE SERVICES RIGHT WHERE THEY WORK AND IS A COLLABORATION TO IMPROVE EMPLOYEE SATISFACTION, CREATE A WELLNESS CULTURE AND IMPROVE PRODUCTIVITY. ST. JOSEPH'S INNOVATIVE MOBILE-HEALTH INITIATIVE IS A SPECIALLY MARKED 32-FOOT RV WHICH ARRIVES AT VARIOUS WORKPLACES AND BRINGS PRIMARY MEDICAL CARE TO EMPLOYEES WHO ARE PRE-SCHEDULED. THE MOBILE EFFORT IS PART OF ST. JOSEPH'S LARGER PLAN TO DEVELOP INNOVATIVE EFFORTS TO LOWER HEALTH COSTS BY EARLY AND CONVENIENT INTERVENTION. ADDITIONAL INFORMATION CAN BE FOUND AT: HTTPS://WWW.PENNSTATEHEALTHPASSION.ORG/GIORGIO-PENN-STATE-HEALTH-ST-JOSEPH-ANNOUNCE-MOBILE-HEALTH-INITIATIVE
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMST. JOSEPH REGIONAL HEALTH NETWORK IS A MEMBER OF THE PENN STATE HEALTH SYSTEM. PENN STATE HEALTH SYSTEM'S MANAGEMENT MEETS FREQUENTLY TO COORDINATE AND PLAN COMMUNITY BENEFIT OPERATIONS SUCH AS HEALTH NEEDS ASSESSMENTS AND STATE HEALTH IMPROVEMENT PLAN OBJECTIVES.
SCHEDULE H, PART VI, LINE 7	COMMUNITY BENEFIT REPORT STATE FILINGS:THE COMMUNITY BENEFIT REPORT IS NOT REQUIRED TO BE FILED WITH ANY STATE AGENCY IN THE STATE OF PENNSYLVANIA.

Schedule H (Form 990) 2019

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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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number
23-1352211

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" on 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	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) ST JOSEPH MEDICAL GROUP 2500 BERNVILLE ROAD READING,PA19605	20-8544021	501 (C) (3)	39,240,556				PROGRAM SUPPORT
(2) ST JOSEPH MEDICAL CENTER FOUNDATION 2500 BERNVILLE ROAD READING,PA19605	23-2649362	501 (C) (3)	723,912				PROGRAM 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) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

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
PART I, LINE 2:	IN THE CURRENT YEAR, SJRHN MADE GRANTS ONLY TO ITS RELATED ORGANIZATIONS. THERE IS NO SPECIFIC MONITORING OF THE GRANT FUNDS; HOWEVER SJRHN HAS ADOPTED BEST PRACTICES FOR INTERNAL CONTROLS.

Schedule I (Form 990) 2019

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

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 on 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 on 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 on 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 on 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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Yes

Were any amounts reported on 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" on 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) 2019

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 on 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 on 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)
1ALAN BRECHBILL DIRECTOR /PSH EXEC VP	(i) (ii)	0 ------------- 863,400	0 ------------- 212,378	0 ------------- 104,925	0 ------------- 40,355	0 ------------- 30,364	0 ------------- 1,251,422	0 ------------- 0
2STEPHEN MASSINI DIRECTOR / PSH CEO (BEG 9/2019)	(i) (ii)	0 ------------- 891,018	0 ------------- 182,106	0 ------------- 20,517	0 ------------- 21,355	0 ------------- 10,096	0 ------------- 1,125,092	0 ------------- 0
3JOHN MORAHAN PRESIDENT/CEO/DIRECTOR (THRU 5/2020)	(i) (ii)	0 ------------- 513,932	0 ------------- 136,381	0 ------------- 21,348	0 ------------- 21,355	0 ------------- 22,711	0 ------------- 715,727	0 ------------- 0
4LOUIS BORGATTA MD DIRECTOR / (PHYSICIAN)	(i) (ii)	0 ------------- 434,245	0 ------------- 189,434	0 ------------- 24,922	0 ------------- 19,000	0 ------------- 23,685	0 ------------- 691,286	0 ------------- 0
5PAULA TINCH INTERIM TREAS/PSH SENIOR VP/CFO (BEG	(i) (ii)	0 ------------- 330,210	0 ------------- 50,000	0 ------------- 1,681	0 ------------- 3,606	0 ------------- 16,075	0 ------------- 401,572	0 ------------- 0
6ANNEMARIE BOYAN INT SEC/PSH ASSOC GC (BEG 3/2020)	(i) (ii)	0 ------------- 282,461	0 ------------- 25,000	0 ------------- 45,834	0 ------------- 25,548	0 ------------- 10,666	0 ------------- 389,509	0 ------------- 0
7SARA KLEIMAN PHYSICIAN ADVISOR	(i) (ii)	279,583 ------------- 0	50,840 ------------- 0	1,587 ------------- 0	27,310 ------------- 0	21,310 ------------- 0	380,630 ------------- 0	0 ------------- 0
8SHARON STROHECKER VP, NURSING AND CNO	(i) (ii)	270,289 ------------- 0	57,235 ------------- 0	18,557 ------------- 0	8,342 ------------- 0	23,239 ------------- 0	377,662 ------------- 0	0 ------------- 0
9COURTNEY COFFMAN SECRETARY/TREAS/CFO (THRU 12/2019)	(i) (ii)	249,369 ------------- 0	50,484 ------------- 0	8,850 ------------- 0	8,197 ------------- 0	30,695 ------------- 0	347,595 ------------- 0	0 ------------- 0
10SCOTT MENGLE VP, HUMAN RESOURCES	(i) (ii)	212,192 ------------- 0	43,346 ------------- 0	19,185 ------------- 0	7,565 ------------- 0	29,042 ------------- 0	311,330 ------------- 0	0 ------------- 0
11MICHAEL BRADLEY MEDICAL DIRECTOR	(i) (ii)	220,426 ------------- 0	5,000 ------------- 0	7,197 ------------- 0	0 ------------- 0	29,925 ------------- 0	262,548 ------------- 0	0 ------------- 0
12MARY HAHN VP STRATEGY & BUS. DEV.	(i) (ii)	190,103 ------------- 0	35,144 ------------- 0	7,961 ------------- 0	4,149 ------------- 0	11,679 ------------- 0	249,036 ------------- 0	0 ------------- 0
13ANDREW JONES PHYSICIST	(i) (ii)	204,055 ------------- 0	0 ------------- 0	10,543 ------------- 0	10,035 ------------- 0	23,806 ------------- 0	248,439 ------------- 0	0 ------------- 0
14MICHAEL JUPINA VP COMMUNICATIONS	(i) (ii)	181,939 ------------- 0	34,625 ------------- 0	2,677 ------------- 0	5,178 ------------- 0	1,401 ------------- 0	225,820 ------------- 0	0 ------------- 0
15CHRISTOPHER NEWMAN PHYSICIAN	(i) (ii)	176,779 ------------- 0	0 ------------- 0	33,555 ------------- 0	6,211 ------------- 0	6,112 ------------- 0	222,657 ------------- 0	0 ------------- 0
16ACCAMMA JOY PHYSICIAN	(i) (ii)	175,382 ------------- 0	27,500 ------------- 0	1,677 ------------- 0	5,733 ------------- 0	9,642 ------------- 0	219,934 ------------- 0	0 ------------- 0
17MAMIE ESCHLEMAN REGISTERED NURSE	(i) (ii)	200,352 ------------- 0	0 ------------- 0	389 ------------- 0	6,009 ------------- 0	411 ------------- 0	207,161 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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
PART I, LINE 3	ARRANGEMENT USED TO ESTABLISH THE CEO'S COMPENSATION: COMPENSATION FOR THE CEO IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION. THAT ORGANIZATION USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINES 4A-B	COURTNEY COFFMAN $5,200 PARTICIPATE IN, OR RECEIVE PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2019, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A RELATED ORGANIZATION'S SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUAL'S CONTRIBUTIONS HAVE VESTED; SUCH VESTED CONTRIBUTIONS ARE REPORTED AS TAXABLE COMPENSATION ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. ALAN BRECHBILL DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2019, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A RELATED ORGANIZATION'S SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS' CONTRIBUTIONS HAVE NOT YET VESTED; THEREFORE, UNVESTED CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. ALAN BRECHBILL STEPHEN MASSINI PAULA TINCH
PART I, LINE 7	BONUSES, PAID BY THE FILING ORGANIZATION OR BY A RELATED ORGANIZATION THAT EMPLOYS THE INDIVIDUALS, ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE APPLICABLE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED.
PART VII	SISTER JANET HENRY IS LISTED AS A KEY EMPLOYEE WITH ZERO TAXABLE COMPENSATION BECAUSE HER COMPENSATION IS PROVIDED TO THE ORDER SHE REPRESENTS.

Schedule J (Form 990) 2019

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

Return Reference	Explanation
FORM 990, PART III, LINE 1	(CONTINUED:) THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION.
SUPPLEMENTAL INFORMATION FOR PENN STATE HEALTH AND AFFILIATES (PSH)	CORONAVIRUS (COVID-19) PANDEMIC IN MARCH 2020, THE OUTBREAK OF COVID-19 PANDEMIC BEGAN TO IMPACT PSH'S PATIENTS, COMMUNITIES, AND BUSINESS OPERATIONS. THE SPREAD OF COVID-19 AND THE ENSUING RESPONSE OF FEDERAL, STATE AND LOCAL AUTHORITIES, BEGINNING IN MARCH 2020, RESULTED IN A SIGNIFICANT REDUCTION IN THE NUMBER OF SURGERIES, PHYSICIAN OFFICE VISITS AND EMERGENCY ROOM VOLUMES AT PSH. THIS WAS DUE TO MEASURES MEANT TO SLOW THE SPREAD OF THE VIRUS, INCLUDING QUARANTINES AND STAY-AT-HOME AND SHELTER-IN-PLACE ORDERS, AS WELL AS THE COMMUNITY'S GENERAL CONCERNS RELATED TO THE RISK OF CONTRACTING COVID-19. DUE TO COVID-19, PSH MAY, GOING FORWARD, EXPERIENCE SUPPLY CHAIN DISRUPTIONS, INCLUDING DELAYS AND PRICE INCREASES IN EQUIPMENT, PHARMACEUTICALS AND MEDICAL SUPPLIES DUE TO THE PANDEMIC. STAFFING, EQUIPMENT, AND PHARMACEUTICAL AND MEDICAL SUPPLIES SHORTAGES MAY ALSO INFLUENCE OUR ABILITY TO ADMIT AND TREAT PATIENTS. PSH HAS INCURRED, AND MAY CONTINUE TO INCUR, INCREASED EXPENSES ARISING FROM THE COVID-19 PANDEMIC, INCLUDING ADDITIONAL SUPPLY CHAIN AND OTHER EXPENDITURES. ADDITIONALLY, BROAD ECONOMIC FACTORS RESULTING FROM THE COVID-19 PANDEMIC, INCLUDING HIGH UNEMPLOYMENT AND UNDEREMPLOYMENT LEVELS AND REDUCED CONSUMER SPENDING AND CONFIDENCE, COULD ALSO AFFECT OUR SERVICE MIX, REVENUE MIX, PAYOR MIX AND PATIENT VOLUMES, AS WELL AS OUR ABILITY TO COLLECT OUTSTANDING RECEIVABLES. BUSINESS CLOSURES AND LAYOFFS ACROSS OUR SERVICE AREA MAY, IN FUTURE REPORTING PERIODS, LEAD TO INCREASES IN THE UNINSURED AND UNDERINSURED POPULATIONS AND ADVERSELY AFFECT DEMAND FOR OUR SERVICES, AS WELL AS THE ABILITY OF PATIENTS AND OTHER PAYERS TO PAY FOR SERVICES RENDERED. ANY INCREASE IN THE AMOUNT OR DETERIORATION IN THE COLLECTABILITY OF PATIENTS ACCOUNTS RECEIVABLE COULD ADVERSELY AFFECT PSH'S FINANCIAL RESULTS. FORTUNATELY, THE FEDERAL GOVERNMENT HAS TAKEN SEVERAL ACTIONS TO PROVIDE FINANCIAL ASSISTANCE TO HEALTHCARE PROVIDERS DURING THIS PANDEMIC. PSH HAS RECEIVED, AND MAY CONTINUE TO RECEIVE, PAYMENTS AND ADVANCES UNDER THE CARES ACT OR ANY OTHER GOVERNMENTAL ASSISTANCE PROGRAM, WHICH WILL BE BENEFICIAL IN ADDRESSING THE IMPACT OF THE NOVEL CORONAVIRUS PANDEMIC ON PSH'S RESULTS OF OPERATIONS AND FINANCIAL POSITION. AT THIS TIME, PSH IS UNABLE TO QUANTIFY THE IMPACT THAT THE COVID-19 PANDEMIC WILL HAVE ON THE CONTINUING FINANCIAL RESULTS DURING FISCAL YEAR 2021, AS THE IMPACT OF COVID-10 WILL DEPEND ON FUTURE DEVELOPMENTS, INCLUDING THE DURATION OF THE OUTBREAK AND THE RELATED ADVISORIES AND RESTRICTIONS. HOWEVER, PSH HAS TAKEN, AND WILL CONTINUE TO TAKE, VARIOUS ACTIONS TO INCREASE LIQUIDITY AND MITIGATE THE IMPACT OF REDUCTIONS IN PATIENT VOLUMES AND OPERATING REVENUES FROM THE COVID-19 OUTBREAK.
FORM 990, PART V	FORM 1096 FOR THE FILING ORGANIZATION IS PROCESSED AND REPORTED BY ITS RELATED ORGANIZATION PENN STATE HEALTH (EIN: 47-3769205).
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION'S SOLE MEMBER IS PENN STATE HEALTH, A PENNSYLVANIA NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	ELECTING MEMBERS OF GOVERNING BODY DIRECTORS SHALL BE ELECTED BY THE CORPORATE MEMBER, PENN STATE HEALTH. THE CORPORATE MEMBER MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS PURSUANT TO SPECIFICATIONS DEFINED IN THE BYLAWS THE CORPORATE MEMBERS HAVE RESERVED POWERS AS FOLLOWS: - TO DETERMINE THE NUMBER OF AND TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE FILING ORGANIZATION; - TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON AND VICE CHAIRPERSON OF THE FILING ORGANIZATION; - TO INITIATE OR APPROVE ANY AND ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE FILING ORGANIZATION; - TO INITIATE OR TO APPROVE ALL FUNDAMENTAL CHANGE TRANSACTIONS AND ALL OTHER TRANSACTIONS NOT IN THE ORDINARY COURSE OF BUSINESS, INCLUDING WITHOUT LIMITATION, ALL MERGERS, CONSOLIDATIONS, DIVISIONS, SALES OF SUBSTANTIALLY ALL ASSETS, AND LIQUIDATION OR DISSOLUTION OF THE FILING ORGANIZATION; - TO GIVE SUCH OTHER APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF FORM 990 BY GOVERNING BODY THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM; IT IS REVIEWED BY ACCOUNTING/FINANCE DEPARTMENT PERSONNEL AND THE CHIEF FINANCIAL OFFICER, AND THEN DISTRIBUTED TO ALL MEMBERS OF THE BOARD FOR REVIEW AND COMMENT BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY THE FILING ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST (COI) POLICIES FOR OFFICERS, DIRECTORS, AND KEY EMPLOYEES (COVERED PERSONS). PER THE POLICY, NO COVERED PERSONS MAY ENGAGE IN ANY TRANSACTION OR ARRANGEMENT OR UNDERTAKE POSITIONS WITH OTHER ORGANIZATIONS THAT INVOLVE A CONFLICT OF INTEREST, EXCEPT IN COMPLIANCE WITH THE POLICY. EVERY COVERED PERSON SHALL DISCLOSE ALL ACTUAL AND POTENTIAL CONFLICTS THROUGH AN ANNUAL WRITTEN DISCLOSURE STATEMENT AND AS MATTERS INVOLVING AN ACTUAL OR POTENTIAL CONFLICT ARISE. THE BOARD WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION OR ARRANGEMENT GIVING RISE TO THE POTENTIAL CONFLICT TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION OR ARRANGEMENT. A COVERED PERSON WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH THE BOARD OF DIRECTORS OR A COMMITTEE IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE PRESENTATION TO THE BOARD OR COMMITTEE TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. THE FILING ORGANIZATION MAY ENTER INTO A TRANSACTION OR ARRANGEMENT IN WHICH A COVERED PERSON HAS AN ACTUAL CONFLICT OF INTEREST IF A MAJORITY OF DIRECTORS WHO HAVE NO INTEREST IN THE TRANSACTION OR ARRANGEMENT APPROVE THE TRANSACTION OR ARRANGEMENT AT A BOARD OR COMMITTEE MEETING AFTER DETERMINING THAT THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION, ANY COVERED PERSON WHO HAS A CONFLICT WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING SUCH TRANSACTION OR ARRANGEMENT (EXCEPT THAT THE COVERED PERSON MAY APPEAR AT A MEETING TO ANSWER QUESTIONS), AND IF THE TRANSACTION OR ARRANGEMENT INVOLVES COMPENSATION OR OTHER FINANCIAL BENEFIT TO THE COVERED PERSON, THE BOARD RELIES ON APPROPRIATE COMPARABILITY DATA TO DETERMINE REASONABLENESS. THE FILING ORGANIZATION WILL DOCUMENT THE FOREGOING IN THE MINUTES OF BOARD AND COMMITTEE MEETINGS, AS APPLICABLE. EACH COVERED PERSON MUST SIGN A STATEMENT THAT AFFIRMS THAT HE OR SHE HAS RECEIVED A COPY OF THE COI POLICY, HAS READ AND UNDERSTANDS IT, AND HAS AGREED TO COMPLY WITH IT. IF THE BOARD OF DIRECTORS HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE BOARD MAY COUNSEL THE COVERED PERSON REGARDING SUCH FAILURE AND, IF THE ISSUE IS NOT RESOLVED TO THE BOARD'S SATISFACTION, MAY CONSIDER ADDITIONAL CORRECTIVE ACTION, INCLUDING REMOVAL FROM THE BOARD OF DIRECTORS OR OTHER POSITION WITH THE FILING ORGANIZATION, AS APPROPRIATE. FORM 990, PART VI, LINES 13 & 14 WHISTLEBLOWER POLICY AND DOCUMENT RETENTION/DESTRUCTION POLICY THE FILING ORGANIZATION FOLLOWS THE WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY OF A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS USED TO ESTABLISH COMPENSATION OF CEO, OFFICERS, AND KEY EMPLOYEES THE FILING ORGANIZATION DOES NOT HAVE ANY EMPLOYEES; HOWEVER, ITS APPLICABLE RELATED ORGANIZATIONS HAVE THE FOLLOWING PROCESS FOR ESTABLISHING COMPENSATION: ANNUALLY, THE COMPENSATION COMMITTEE OF THE BOARD OF THE RELATED ORGANIZATION ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPENSATION ANALYSIS FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, OFFICERS, AND KEY EMPLOYEES. AS PART OF THE ANALYSIS, THE INDEPENDENT COMPENSATION CONSULTANT IDENTIFIES, GATHERS, AND ANALYZES APPROPRIATE COMPARABILITY DATA UPON WHICH THE COMMITTEE AND THE FULL BOARD WILL RELY TO ASSESS THE REASONABLENESS OF THE TOTAL PROPOSED COMPENSATION (INCLUDING BENEFITS) OF THE CEO, OFFICERS, AND KEY EMPLOYEES. ONCE THE COMPENSATION ANALYSIS IS COMPLETE AND DOCUMENTED IN REPORTS, THE REPORTS ARE PROVIDED TO THE BOARD FOR REVIEW AND CONSIDERATION, TOGETHER WITH WRITTEN OPINIONS FROM THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION ARRANGEMENTS FOR THE CEO, OFFICERS, AND KEY EMPLOYEES ARE REASONABLE WITHIN THE MEANING OF TREASURY REGULATION 53.4958-4(B)(1)(II)(A). WITH INPUT FROM THE COMPENSATION COMMITTEE, THE FULL BOARD MAKES ANNUAL DECISIONS WITH RESPECT TO COMPENSATION FOR THE CEO, OFFICERS, AND KEY EMPLOYEES BASED UPON THE DATA IN THE REPORT AND THE OPINION OF THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION IS REASONABLE. THESE DECISIONS, THE BASIS FOR THESE DECISIONS, THE BOARD MEMBERS' NAMES WHO VOTE ON COMPENSATION, AND THAT NONE OF THE BOARD MEMBERS HAVE A CONFLICT OF INTEREST WITH RESPECT TO THESE COMPENSATION ARRANGEMENTS IS ALL CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF THE PENNSYLVANIA STATE UNIVERSITY AND ITS SUBSIDIARIES (WHICH INCLUDE PENN STATE HEALTH) ARE AVAILABLE AT WWW.PSU.EDU.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ST JOSEPH REGIONAL HEALTH NETWORK

Employer identification number

23-1352211

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
(1) SJ HEALTH SERVICES LLC 2500 BERNVILLE RD READING,PA19605 47-3760925	HEALTHCARE	PA	-396,455	2,668,004	N/A
(2) ST JOSEPH PROVIDER HOSPITAL ORG LLC 2500 BERNVILLE RD READING,PA19605 46-1482146	CI-NTWK	PA	-98	0	N/A

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)ST JOSEPH MEDICAL CENTER FOUNDATION 2500 BERNVILLE RD PO BOX 316 READING,PA19605 23-2649362	FUNDRAISING	PA	501(C)(3)	LINE 10	SJRHN	Yes
(2)ST JOSEPH MEDICAL GROUP 2500 BERNVILLE RD PO BOX 316 READING,PA19605 20-8544021	HEALTHCARE	PA	501(C)(3)	LINE 10	PSH		No
(3)PENN STATE HEALTH 500 UNIVERSITY DRIVE MC H162 HERSHEY,PA17033 47-3769205	MGMT/SUPPORT	PA	501(C)(3)	LINE 12A, I	PSU		No
(4)THE PENNSYLVANIA STATE UNIVERSITY ONE OLD MAIN UNIVERSITY PARK,PA16802 24-6000376	EDUCATION	PA	115		N/A		No
(5)THE MILTON S HERSHEY MEDICAL CENTER 90 HOPE DRIVE HERSHEY,PA17033 25-1854772	HEALTHCARE	PA	115		PSH		No
(6)PENN STATE HEALTH HAMPDEN MEDICAL CENTER 2200 GOOD HOPE RD ENOLA,PA17025 85-1608328	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH		No
(7)PENN STATE HEALTH LANCASTER MEDICAL CENTER 2160 STATE ROAD LANCASTER,PA17601 85-1620990	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

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
(1) HERSHEY OUTPATIENT SURGERY CEN 15305 DALLAS PKWY ADDISON,TX19605	HEALTHCARE	PA	N/A				No			No
(2) CGH REALTY ASSOCIATES LP 2500 BERNVILLE RD READING,PA19605	REAL ESTATE	PA	CGH REALTY CO				No			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	(h) Percentage ownership	(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
(1) NITTANY HEALTH INC 500 UNIVERSITY DRIVE MC H162 HERSHEY,PA17033 25-1769611	HOMECARE INTE	PA	PSH	C					No
(2) CGH REALTY CO INC 2500 BERNVILLE RD READING,PA19605 23-2326801	REAL ESTATE	PA	SJRHN	C			100.000 %	Yes
(3) HAMPDEN MEDICAL CENTER 500 UNIVERSITY DRIVE MC H162 HERSHEY,PA17033 82-3189759	REAL ESTATE	PA	PSH	C					No
(4) LPADC INC 500 UNIVERSITY DRIVE MC H162 HERSHEY,PA17033 83-2746880	REAL ESTATE	PA	PSH	C					No

Schedule R (Form 990) 2019

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

Yes

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

Yes

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

Yes

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

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

Yes

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

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

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

Yes

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

Yes

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) ...................

Yes

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

Yes

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

Yes

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

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

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 MEDICAL CENTER FOUNDATION	B	723,912	FMV
(2) ST JOSEPH MEDICAL CENTER FOUNDATION	C	711,152	FMV

Schedule R (Form 990) 2019

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) 2019

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation
SUPPLEMENTAL INFORMATION	SCHEDULE R LISTS ONLY THOSE RELATED ORGANIZATIONS THAT RELATE TO THE HEALTH CARE OPERATIONS UNDER THE COMMON CONTROL OF THE PENNSYLVANIA STATE UNIVERSITY.

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	1,761
6	Total number of volunteers (estimate if necessary) .............	6	109
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	695,733
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	152,725

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,875,851	14,960,366
9	Program service revenue (Part VIII, line 2g) .........	260,448,112	242,068,649
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	14,030	130,945
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,410,207	4,310,887
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	268,748,200	261,470,847
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	28,616,521	39,964,467
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)	97,423,378	103,657,473
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	132,355,121	144,313,618
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	258,395,020	287,935,558
19	Revenue less expenses. Subtract line 18 from line 12.......	10,353,180	-26,464,711
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	170,923,660	158,961,290
21	Total liabilities (Part X, line 26).............	167,802,039	182,304,380
22	Net assets or fund balances. Subtract line 21 from line 20.....	3,121,621	-23,343,090

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 224,505,724 including grants of $ 39,964,467 ) (Revenue $ 244,501,563 )
	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 expenses224,505,724

(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)		(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) CHRISTOPHER FALLON........................................................................ INTERIM CFO (BEG 01/2020)	36.00 .......................4.00		X	0	0	0
(19) HEIDI B MASANO........................................................................ CHAIR / DIRECTOR	2.00 .......................2.00	X	X	0	0	0
(20) JOSEPH FRANK........................................................................ INTERIM PRESIDENT/CEO (5/4/20)	40.00 .......................0.00	X	X	0	0	0
(21) MICHAEL DUFF........................................................................ VICE CHAIR / DIRECTOR	2.00 .......................0.00	X	X	0	0	0
(22) J ANDREW WEIDMAN........................................................................ DIRECTOR	2.00 .......................0.00	X		0	0	0
(23) BRUCE D SMITH........................................................................ DIRECTOR	2.00 .......................0.00	X		0	0	0
(24) CARL N BOTTERBUSCH........................................................................ DIRECTOR	2.00 .......................0.00	X		0	0	0
(25) IVAN TORRES EDD........................................................................ DIRECTOR	2.00 .......................0.00	X		0	0	0
(26) PETER M CARLINO........................................................................ DIRECTOR	2.00 .......................1.00	X		0	0	0
(27) SR CLARE CHRISTI SCHIEFER OSF........................................................................ DIRECTOR	2.00 .......................2.00	X		0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,776,821	4,329,792	520,807

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	4,774,621
e	Government grants (contributions)		1e	10,185,745

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		14,960,366

		Business Code
2a	NET PATIENT SERVICES	900099	235,050,416	235,050,416
b	OTHER HEALTHCARE RELATED REVENUE	900099	7,018,233	6,322,500	695,733
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		242,068,649

3 Investment income (including dividends, interest, and othersimilar amounts) ......			127,233			127,233
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,182,240	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		1,182,240	6c
d	Net rental income or (loss).......			1,182,240			1,182,240
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	31,842		7a
b	Less: cost or other basis and sales expenses	28,130		7b
c	Gain or (loss)	3,712		7c
d	Net gain or (loss).........			3,712			3,712
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	INCENTIVE INCOME		900099	756,902	756,902
b	SPORTS MEDICINE (SCHOOL/COLLEGE)		900099	279,804	279,804
c	RESIDENCY		900099	145,558	145,558
d	All other revenue ....			1,946,383	1,946,383
e	Total. Add lines 11a–11d ......			3,128,647
12	Total revenue. See instructions.....			261,470,847	244,501,563	695,733	1,313,185

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	39,964,467	39,964,467
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
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 ...........	1,734,100	680,338	1,053,762
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........	80,753,271	67,170,406	13,582,865
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,218,565	2,665,371	553,194
9	Other employee benefits .......	11,959,483	9,890,868	2,068,615
10	Payroll taxes ...........	5,992,054	4,931,460	1,060,594
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,334		2,334
c	Accounting ...........
d	Lobbying ...........
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)	22,633,623	13,566,042	9,067,581
12	Advertising and promotion ....	1,441	1,441
13	Office expenses .......	4,479,491	3,557,140	922,351
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	4,952,283	2,575,941	2,376,342
17	Travel ............	147,621	116,062	31,559
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	62,068	42,563	19,505
20	Interest ...........	4,068,832		4,068,832
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	9,590,724	4,922,127	4,668,597
23	Insurance ...	1,298,073	1,269,469	28,604
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	MEDICAL SUPPLIES	54,081,374	54,081,374	0
b	ALLOCATED CORP SERVICES	20,610,708	0	20,610,708
c	BAD DEBT	18,241,185	18,241,185	0
d	LICENSE FEES	446,772	275,692	171,080
e	All other expenses	3,697,089	553,778	3,143,311
25	Total functional expenses. Add lines 1 through 24e	287,935,558	224,505,724	63,429,834	0
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).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			16,004,275	2	11,576,273
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			47,192,297	4	35,407,393
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			6,009,584	8	6,199,854
9	Prepaid expenses and deferred charges ......			934,623	9	1,442,590
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	141,387,910
b	Less: accumulated depreciation	10b	41,494,624	96,134,160	10c	99,893,286
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			4,648,721	15	4,441,894
16	Total assets. Add lines 1 through 15 (must equal line 33)...			170,923,660	16	158,961,290

17	Accounts payable and accrued expenses .....	15,029,494	17	26,977,197
18	Grants payable ...		18
19	Deferred revenue .........	39,366	19	22,317,741
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			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	152,733,179	25	133,009,442
26	Total liabilities. Add lines 17 through 25..	167,802,039	26	182,304,380

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	460,497	27	-26,219,902
28	Net assets with donor restrictions ...........	2,661,124	28	2,876,812
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	3,121,621	32	-23,343,090
33	Total liabilities and net assets/fund balances ........	170,923,660	33	158,961,290