4A (Expenses $ 31888936 including grants of $ 0) (Revenue $ 31797049)
IT IS THE PHILOSOPHY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND AFFILIATED HOSPITALS TO TREAT PATIENTS IN A NON-DISCRIMINATORY MANNER, MINIMIZE HUMAN SUFFERING AS MUCH AS POSSIBLE; CREATE A PREFERENTIAL OPTION FOR THE POOR; AND PROVIDE ASSISTANCE TO THOSE PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS AND AS SUCH PROVIDE CARE AT REIMBURSEMENT LEVELS LOWER THAN CHARGES. THE DIFFERENCE BETWEEN REIMBURSEMENT FROM THESE PROGRAMS AND CHARGES AT ESTABLISHED RATES ARE INCLUDED IN THE HOSPITAL'S MISSION IN SERVICE TO THE COMMUNITY WHICH IT OPERATES. TO THAT END, THE HOSPITAL HAS INSTITUTED AND PARTICIPATES IN THE FOLLOWING COMMUNITY BENEFIT ACTIVITIES; PROVIDES LABORATORY, RADIOLOGICAL, AND PHARMACEUTICAL SERVICE AT DUCHESNE CLINIC. DUCHESNE CLINIC IS A CLINIC FOR THE CARE OF THE MEDICALLY INDIGENT. COMMUNITY HEALTH SERVICES ARE PROVIDED AT MINIMAL OR NO CHARGE: CHOLESTERAL SCREENING, BLOOD SUGAR SCREENING, SIBLING PREPARATION, LAMAZE CHILDBIRTH CLASSES, CANCER SUPPORT, GROUP STROKE SUPPORT GROUP, BREAST FEEDING SUPPORT, HEARING SCREENING, CESAREAN BIRTH CLASSES, FREEDOM FROM SMOKING, COLORECTAL SCREENING, NUTRITIONAL COUNSELING; HOSPITAL CARE: INPATIENT DAYS OF CARE, INPATIENT ADMISSIONS, NEWBORN DELIVERIES, OUTPATIENT REGISTRATIONS, EMERGENCY ROOM VISITS, CLINIC VISITS.

determining eligibility form 990, sch h, part i, line 3c:
PART I, LINE 7, METHODOLOGY FOR COMPUTING THE COST OF CHARITY AND UNREIMBURSED MEDICAID COST WAS BASED ON THE CATHOLIC HOSPITAL ASSOCIATION GUIDE FOR PLANNING AND REPORTING OF COMMUNITY BENEFITS, APPENDIX D, WORKSHEET 2. THIS METHODOLOGY COMPUTES A COST TO CHARGE RATIO USING TOTAL OPERATING EXPENSES INCLUDING BAD DEBT EXPENSE AND EXCLUDING MEDICAID PROVIDER TAXES. THIS AMOUNT IS REDUCED BY OTHER OPERATING REVENUE TO ARRIVE AT NET EXPENSE. NET EXPENSE AS A PERCENTAGE OF GROSS PATIENT REVENUE IS THE PERCENTAGE USED TO COMPUTE THE COST OF CHARITY AND UNREIMBURSED MEDICAID COST. OTHER BENEFITS (INCLUDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS ARE CALCULATED BASED ON THE ACTUAL COST TO DELIVER THESE SERVICES. FOR DONATIONS OTHER THAN MONETARY (IE STAFF TIME AND IN-KIND DONATIONS), THE COSTS ARE DETERMINED BASED ON FAIR MARKET VALUE OF THE DONATION. THIS INFORMATION IS TRACKED ON CBISA, A SOFTWARE DATABASE EXCLUSIVELY USED TO TRACK COMMUNITY BENEFIT REPORTING. NET COMMUNITY BENEFIT EXPENSE IS CALCULATED AS A PERCENTAGE OF TOTAL EXPENSES EXCLUDING BAD DEBT OF $4,378,878.

community building activities form 990, sch h, part ii:
OUR COMMUNITY BUILDING EXPENSES ARE THOSE IDENTIFIED IN OUR COMMUNITY HEALTH ASSESSMENT AS CONTRIBUTING TO THE HEALTH OF THE COMMUNITY, BUT NOT DIRECTLY PROVIDING HEALTH SERVICES.

bad debt, medicare & collection practices form 990, sch h, part iii, section a, line 4:
THE COSTING METHODOLOGY USED TO CALCULATE THE COST OF GROSS BAD DEBT EXPENSE WAS BASED ON THE COSTING METHODOLOGY IN THE INSTRUCTIONS TO SCHEDULE H, WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. LINE 11 OF WORKSHEET 2 (RATIO OF PATIENT CARE COST TO CHARGES) WAS MULTIPLIED AGAINST THE GROSS BAD DEBT EXPENSE TO ARRIVE AT THE COST OF BAD DEBT EXPENSE. BAD DEBT EXPENSE REPRESENTS THE UNPAID PORTION OF THE GROSS CHARGES (AT ESTABLISHED RATES) LESS PAYMENTS FROM 3RD PARTY PAYORS AND THE PATIENT AND ANY CONTRACTUAL ADJUSTMENTS. THE HOSPITAL DOES NOT PROVIDE ANY PROMPT PAY DISCOUNTS FOR PAYING THE PATIENT PORTION OF THE BALANCE OF THEIR ACCOUNT WITHIN A SPECIFIED TIMEFRAME. SOME ACCOUNTS WRITTEN OFF TO BAD DEBTS WHICH ARE SENT TO THE HOSPITAL'S COLLECTION AGENCIES ARE SUBSEQUENTLY RECLASSIFIED TO CHARITY. ACCOUNTS THAT ARE CLOSED BY THE COLLECTION AGENCY BASED ON THE AGENCY'S ASSESSMENT OF THE PATIENT AND\OR GUARANTOR'S FINANCIAL POSITION (I.E. UNEMPLOYED, NO ASSETS, ETC.) ARE RECLASSIFIED TO CHARITY EXPENSE ONCE THAT DETERMINATION IS MADE. ACCOUNTS WRITTEN OFF TO BAD DEBT EXPENSE IN CY 2012 AND SUBSEQUENTLY RECLASSIFIED TO CHARITY IN CY 2013 WERE NOT QUANTIFIED AT DECEMBER 31, 2012. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. WITHIN THE FINANCIAL STATEMENTS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, BAD DEBT EXPENSE IS INCLUDED WITHIN OPERATING EXPENSES, AT THE VALUE OF UNCOLLECTED AND ESTIMATED UNCOLLECTIBLE CHARGES AFTER CONTRACTUAL ALLOWANCES AND SELF-PAY DISCOUNTS ARE APPLIED.

bad debt, medicare & collection practices form 990, sch h, part iii, section b, line 8:
THE MEDICARE ALLOWABLE COSTS WERE ARRIVED AT FROM VARIOUS WORKSHEETS C, D AND E OF THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED DECEMBER 31, 2012. THE MEDICARE SHORTFALL INDICATED IN PART III, LINE 7 WAS NOT INCLUDED IN PART I, LINE 7, COMMUNITY BENEFIT.

bad debt, medicare & collection practices form 990, sch h, part iii, section c, line 9b:
AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST, AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. SAINT JOHN HOSPITAL NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION, DISCHARGE AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. form 990, sch h, part V, section A: NA form 990, sch h, part V, section B, lines 1j: NA form 990, sch h, part V, section B, lines 3 : NA form 990, sch h, part V, section B, lines 4 : NA form 990, sch h, part V, section B, lines 5c: NA

NEEDS ASSESSMENT form 990, sch h, part vi, line 2:
AS PART OF OUR CORE VALUE OF RESPONSE TO NEED, WE TAKE STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD. SAINT JOHN HAS REGULARLY PARTICIPATED IN NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. THE MOST RECENT SURVEY WAS CONDUCTED IN 2009, AND ONE IS SCHEDULED TO BE COMPLETED IN 2013. THIS ASSESSMENT STUDIES A DEFINED COMMUNITY SERVED BY SAINT JOHN, AND IS DONE BY PARTNERING WITH LOCAL GOVERNMENT AND SOCIAL AGENCIES; COMBINING EFFORTS WITH OTHER LOCAL HOSPITALS AND HEALTH CARE ORGANIZATIONS; AND CONDUCTING SURVEYS AND ASSESSMENTS WITH THE ASSISTANCE OF OUTSIDE CONSULTANTS. WE ALSO CONTINUOUSLY ASSESS THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY, AND BY EVALUATING STATE AND COUNTY HEATLH STATISTICS. EVERY YEAR AS A COMPONENT OF THE ANNUAL STRATEGIC PLANNING PROCESS, SAINT JOHN PARTNERS WITH COMMUNITY ORGANIZATIONS INCLUDING THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, THE LEAVENWORTH ECONOMIC DEVELOPMENT COUNCIL AND THE UNITED WAY TO REVIEW STATISTICS REGARDING THE POPULATION AND HEALTH-RELATED TRENDS. THE MOST RECENT SURVEY WAS CONDUCTED IN 2011 AND WILL BE UPDATED AS A PART OF THE 2013 PLANNING PROCESS. IN ADDITION, SAINT JOHN CONDUCTED A PHYSICIAN NEEDS ASSESSMENT OF LEAVENWORTH COUNTY UTILIZING QUANTITATIVE RESEARCH METHODS TO DETERMINE GAPS IN PHYSICIAN SPECIALTY COVERAGE IN THE MARKET. WE ALSO CONTINUOUSLY ASSESS THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY AND BY EVALUATING STATE AND COUNTY HEALTH STATISTICS.

PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3:
SAINT JOHN HOSPITAL TREATS PATIENTS WITH RESPECT AND DIGNITY REGARDLESS OF THEIR ABILITY TO PAY. SAINT JOHN HOSPITAL HAS A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINS ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE AT VARIOUS LEVELS, INCLUDING A 100% DISCOUNT, AND IS BASED ON FEDERAL POVERTY GUIDELINES. WE WORK WITH PATIENTS TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS IN DEMONSTRATION OF OUR CORE VALUE OF RESPECT. AS PART OF OUR RESPONSIBILITY TO EDUCATE, WE INFORM OUR PATIENTS AND THEIR FAMILIES OF THE AVAILABILITY OF ASSISTANCE, INCLUDING GOVERNMENT PROGRAMS. WE COMMUNICATE THIS IN A VARIETY OF WAYS TO ENSURE THAT MESSAGES REACH MULTIPLE AUDIENCES. BEFORE, DURING AND/OR AFTER ADMISSION, WE ENCOURAGE OUR SELF PAY PATIENTS TO VISIT WITH A FINANCIAL COUNSELOR TO DISCUSS QUALIFICATIONS FOR FINANCIAL ASSISTANCE. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT TO COMPLETE A FINANCIAL ASSISTANCE FORM TO DETERMINE THE LEVEL OF DISCOUNT FOR WHICH THE PATIENT MAY BE ELIGIBLE. WE POST FINANCIAL ASSISTANCE INFORMATION IN EMERGENCY AND ADMISSIONS AREAS, ON BILLINGS INVOICES, IN VARIOUS AREAS AROUND THE HOSPITAL AND CLINIC SITES AND ON THE HOSPITAL WEBSITE. WE PROVIDE WRITTEN MATERIALS TO PATIENTS THAT DETAIL OUR FINANCIAL ASSISTANCE POLICY AND HOW IT IS ADMINISTERED. THIS COVERS ELIGIBILITY, STEPS TO FOLLOW TO DETERMINE IF A PATIENT QUALIFIES FOR ASSISTANCE, TYPICAL CHARGES A PATIENT MAY EXPECT FOR ROUTINE PROCEDURES, AND ASSISTANCE AVAILABLE BASED ON A PATIENT'S INCOME LEVEL. WE PROVIDE MATERIALS AND EDUCATION WHEN PATIENTS ARE DISCHARGED, AND INCLUDE INFORMATION IN BILLING STATEMENTS, INCLUDING PHONE NUMBERS AND OTHER METHODS TO CONTACT US WITH QUESTIONS. WE ENSURE THAT OUR FINANCIAL COUNSELORS, ADMISSION EMPLOYEES, SOCIAL WORKERS AND OTHER EMPLOYEES UNDERSTAND OUR POLICIES TO BE ABLE TO ASSIST PATIENTS IN THE MOST APPROPRIATE WAY. WE HAVE A PARTNERSHIP WITH THE MIDLAND GROUP TO PROVIDE EXTENDED PAYMENT PLANS. THIS HELPS PATIENTS MEET THEIR FINANCIAL OBLIGATIONS IN A REASONABLE AND DIGNIFIED MANNER BASED ON THEIR ABILITY TO PAY, AND ALLOWS THEM TO CONTINUE TO ENSURE THE ONGOING WELFARE OF THEIR FAMILIES. THIS IS DONE IN ACCORDANCE WITH OUR CORE VALUE OF RESPECT.

COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4:
SAINT JOHN IS PART OF A NATIONAL SYSTEM OF FAITH-BASED HOSPITALS SPONSORED BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM LOCATED IN denver, colorado. THE HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH OF THE RESIDENTS IN ITS SERVICE AREAS INCLUDING LEAVENWORTH AND WYANDOTTE COUNTIES IN KANSAS. BASED ON RESEARCH FROM CLARITAS, INC., SAINT JOHN'S PRIMARY SERVICE AND SECONDARY SERVICE AREAS ARE EXPECTED TO INCREASE RAPIDLY OVER THE NEXT FIVE YEARS, INCREASING THE NEED FOR SERVICES THESE INDIVIDUALS HISTORICALLY NEED, SUCH AS CARDIOLOGY, NEUROLOGY, ONCOLOGY, ORTHOPAEDIC AND PULMONARY CARE. IN THE HOSPITAL'S PRIMARY SERVICE AREA, 78.1 PERCENT OF THE ETHNIC POPULATION IS WHITE; 12.5 PERCENT IS AFRICAN-AMERICAN; AND 4.2 PERCENT IS HISPANIC. THE HOSPITAL'S SECONDARY SERVICE AREA IS 92.5 PERCENT WHITE. ADDITIONALLY, IN LEAVENWORTH COUNTY, 10.6 PERCENT OF THE POPULATION IS UNINSURED, WITH 42 PERCENT OF THE UNINSURED FALLING UNDER 200 PERCENT OF THE FEDERAL POVERTY LINE.

PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5:
"WE ARE AN IMPORTANT PART OF OUR COMMUNITY AND SERVE IN MANY WAYS FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORT OF OTHER CIVIC GROUPS. IN 2012, WE PROVIDED COMMUNITY BENEFIT TOTALING $1,311,931, INCLUDING TRADITIONAL CHARITY CARE AND THE UNPAID COST OF MEDICAID. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. WHEN SAINT JOHN HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING, EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS. WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR COMMUNITY ACTIVITIES DEMONSTRATE THIS COMMITMENT. DURING THIS YEAR, OUR COMMUNITY ACTIVITIES INCLUDED: -ATHLETIC TRAINERS-TEAM WORKS IS A SAINT JOHN-SPONSORED PROGRAM THAT WORKS WITH THE LEAVENWORTH AND LANSING AREA HIGH SCHOOLS TO PROVIDE CERTIFIED ATHLETIC TRAINERS TO THE SCHOOLS AT LITTLE COST. TEAM WORKS PROVIDES GAME EVENT COVERAGE, INJURY PREVENTION COUNSELING, EFFICIENT RUNNING ASSESSMENT PROGRAMS, PRE-GAME WORKOUTS, WELLNESS PROGRAMS, MANAGEMENT AND TREATMENT OF INJURIES ON THE FIELD, ATHLETIC TRAINING PROGRAMS, A COMPREHENSIVE REHABILITATION/RECONDITIONING PROGRAM FOR INJURIES, HEALTH INFORMATION AND COUNSELING, SPORTS PERFORMANCE/CONDITIONING AND INJURY TRACKING CAPABILITIES. THE PROGRAM'S GOALS INCLUDE EARLY DIAGNOSIS OF CONCUSSIONS ON THE FIELD TO PREVENT LONG-TERM AFFECTS, OR EVEN DEATH; AND TO PREVENT OR REHABILITATE INJURIES EARLY ON IN THESE STUDENTS SO THAT THESE INJURIES DO NOT BECOME LIFETIME HEALTH ISSUES. -CANCER SUPPORT GROUP-SAINT JOHN SPONSORS A CANCER SUPPORT GROUP THAT MEETS ON A REGULAR BASIS TO ASSIST PATIENTS AS THEY ARE UNDERGOING CANCER TREATMENT AND RECOVERY. ISSUES COVERED INCLUDE NUTRITION, CANCER-RELATED FATIGUE AND DISEASE RECURRENCE. -CHILDBIRTH PREPARATION COURSES-TO PROVIDE THE COMMUNITY'S NEWEST RESIDENTS WITH THE BEST STARTS POSSIBLE IN LIFE, SAINT JOHN OFFERS A WIDE RANGE OF CHILDBIRTH PREPARATION COURSES, INCLUDING BREASTFEEDING, PREPARED CHILDBIRTH, AND SIBLING PREPARATION. THE GOAL IS TO PROMOTE A HEALTHY FAMILY ENVIRONMENT, REDUCE THE RISK OF LOW-BIRTH WEIGHT BABIES AND IMPROVE THE SUCCESS OF BREASTFEEDING FOR NEW MOTHERS AND THEIR INFANTS. THESE INITIATIVES HAVE BEEN PROVEN TO LOWER HEALTH-RELATED COSTS ASSOCIATED WITH CHILDBIRTH, AND RELATED COMPLICATIONS. -DIABETES EDUCATION COURSES-SAINT JOHN OFFERS COURSES TO REDUCE COMPLICATIONS AND COSTS ASSOCIATED WITH DIABETES, INCLUDING A DIABETES DINING CLUB, DIABETES OUTPATIENT CLASSES AND DIABETES SUPPORT GROUP. THESE OFFERINGS ASSIST PATIENTS WITH SUCCESSFULLY MANAGING THEIR DISEASE, IMPROVING LONG-TERM HEALTH FOR THESE PATIENTS AND THE COMMUNITY. -HEART HEALTH EDUCATION-BY ENCOURAGING COMMUNITY PARTICIPATION IN ACTIVITIES SUCH AS BLOOD PRESSURE SCREENINGS, HEART HEALTH FAIRS, AND WALKS, SAINT JOHN ASSISTS INDIVIDUALS IN MAKING HEALTHIER LIFESTYLE CHOICES (EXERCISE AND SMOKING CESSATION) THAT CAN IMPROVE THEIR INDIVIDUAL HEALTH, AS WELL AS THE COMMUNITY'S HEALTH IN GENERAL. THE HOSPITAL ALSO HAS PARTNERED WITH THE AMERICAN HEART ASSOCIATION TO IMPLEMENT THE SEARCH YOUR HEART PROGRAM IN THE LEAVENWORTH COMMUNITY. SEARCH YOUR HEART IS AN EFFORT TO EDUCATE AREA CONGREGATIONS ON ISSUES RELATED TO HEART DISEASE AND STROKE. THE HOSPITAL ALSO SPONSORS HEALTH SCREENINGS, COOKING DEMONSTRATIONS AND OTHER AWARENESS ACTIVITIES FOR PARTICIPATING CHURCHES. -OTHER COMMUNITY EVENTS SAINT JOHN PARTICIPATED IN DURING 2012 INCLUDE: "" BREASTFEEDING CLASSES "" CANCER SUPPORT GROUP "" CITY OF LEAVENWORTH HEALTH FAIR "" CHILDBIRTH PREPARATION CLASSES "" COVER THE UNINSURED WEEK "" DIABETES DINING CLUB "" DIABETES OUTPATIENT CLASSES "" DIABETES SUPPORT GROUP "" FT. LEAVENWORTH PAIR DAY "" HALLMARK EMPLOYEE HEALTH FAIR "" LEAVENWORTH COUNTY EMPLOYEES SAFETY DAY "" LEAVENWORTH COUNTY HEALTH FAIR "" LEAVENWORTH FIRST CITY FESTIVAL "" LEAVENWORTH HEART WALK "" NATIONAL HEALTH CARE DECISIONS DAY "" RELAY FOR LIFE "" SIBLING PREPARATION CLASSES "" UNIVERSITY OF SAINT MARY HEALTH FAIR WE ALSO SUPPORT OUR EMPLOYEES IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS AND PROVIDE OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS: "" CATHOLIC CHARITIES FOOD SUPPLIES DRIVE "" CHRISTMAS IN OCTOBER "" COMMUNITY BLOOD CENTER BLOOD DRIVE "" CRISTO REY SCHOOL SUPPLIES DRIVE "" HAITI RELIEF EFFORTS "" HARVESTERS FOOD DRIVE "" LENTEN FOOD FOR THOUGHT "" UNITED WAY CAMPAIGN WE ARE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY: "" ALLIANCE AGAINST FAMILY VIOLENCE "" AMERICAN CANCER SOCIETY "" AMERICAN HEART ASSOCIATION "" CARITAS CLINICS, INC. "" FRIENDS OF LEAVENWORTH HIGH SCHOOL "" GREATER KANSAS CITY MEDICAL SOCIETY "" IMMACULATA HIGH SCHOOL "" KANSAS CITY WIZARDS "" LANSING BASKETBALL COMMITTEE "" LANSING EDUCATIONAL FOUNDATION "" LANSING HIGH SCHOOL OPERATION GRADUATION "" LEAVENWORTH COUNTY CHILD ABUSE PREVENTION COUNCIL "" LEAVENWORTH HIGH SCHOOL PIONEER FOOTBALL "" LEAVENWORTH PARK AND COMMUNITY ACTIVITIES DEPARTMENT "" LEAVENWORTH REGIONAL CATHOLIC SCHOOLS "" LEAVENWORTH YAC "" LEAVENWORTH-LANSING AREA CHAMBER OF COMMERCE "" LEGENDS OF KANSAS CITY "" MAKE-A-WISH FOUNDATION "" METROPOLITAN MEDICAL SOCIETY "" MOUNT SCHOLASTICA BENEDICTINE SISTERS "" OLDER AMERICAN MONTH CELEBRATIONS "" SAINT FRANCIS DE SALES "" SAINT VINCENT CLINIC "" T-BONES BASEBALL CLUB "" UNIVERSITY OF SAINT MARY "" USD 453 LEAVENWORTH SCHOOL DISTRICT "" USD 469 LANSING SCHOOL DISTRICT "" WOMEN'S FOUNDATION OF GREATER KANSAS CITY WE PROVIDE FOCUSED SUPPORT FOR CARITAS CLINICS, INC., (DUSCHENE AND SAINT VINCENT CLINICS) THE COMMUNITY'S HEALTH CLINICS FOR THE UNINSURED. WE WORK CLOSELY TOGETHER TO PROVIDE INTEGRATED CARE FOR THOSE WHO COME TO EITHER THE HOSPITAL OR THE CLINICS FOR THEIR HEALTH NEEDS. CARITAS CLINICS PROVIDE QUALITY PRIMARY HEALTH CARE SERVICES FOR UNINSURED, LOW-INCOME PATIENTS REGARDLESS OF ABILITY TO PAY. THE CLINICS ARE COMMITTED TO PROVIDING ACCESS TO COMPASSIONATE AND TRUSTWORTHY CARE FOR THE UNINSURED POOR. SERVICES THE CLINICS PROVIDE INCLUDE PRIMARY CARE, ONGOING MANAGEMENT OF CHRONIC DISEASES AND MEDICATION ASSISTANCE. IN ADDITION TO FINANCIAL SUPPORT, SAINT JOHN ASSISTS THE CLINICS IN MANY OTHER WAYS INCLUDING STRATEGY AND OPERATIONS GUIDANCE, DONATING SUPPLIES AND PROVIDING IT AND FINANCIAL SYSTEMS MANAGEMENT. COMMUNITY BENEFITS PROVIDED IN 2011 THROUGHOUT SCLHS TOTALED $220.5 MILLION. AS PART OF SCLHS, WE PROMOTE THE SHARED MISSION THAT ""WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE."" WE ARE COMMITTED TO LIVING AND DEMONSTRATING OUR CORE VALUES OF EXCELLENCE, RESPECT, RESPONSE TO NEED, STEWARDSHIP AND WHOLENESS. SCLHS SUPPORTS ITS HOSPITALS BY PROVIDING GUIDANCE, OVERSIGHT, AND RESOURCES TO HELP THEM ACCOMPLISH INITIATIVES THAT IMPROVE HEALTH IN ALL OUR COMMUNITIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. OTHER WAYS SCLHS BENEFITS ITS HOSPITALS INCLUDE QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE IT IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; BENEFITS ADMINISTRATION (INCLUDING A WELLNESS PROGRAM FREE TO EMPLOYEES THAT PROMOTES THEIR HEALTH AND WELL-BEING); RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE. BY SHARING THE WORK ACROSS OUR SYSTEM WE ARE ABLE TO LIGHTEN THE BURDEN FOR ALL IN ORDER TO FULFILL OUR MISSION OF IMPROVING HEALTH IN OUR COMMUNITIES. SCLHS IMPROVES OVERALL HEALTH IN OUR COMMUNITIES BY PROVIDING INFRASTRUCTURE TO SUPPORT AND SUSTAIN FOUR CLINICS FOR THE UNINSURED IN KANSAS AND COLORADO. THE SCLHS CLINICS FOR THE UNINSURED ARE OFTEN THE ONLY SAFETY NET CLINIC IN THEIR COMMUNITY AND PROVIDE VALUABLE SERVICES FOR THOSE WHO ARE MOST VULNERABLE. EACH HOSPITAL IS SUPPORTED BY A FOUNDATION TO ACCESS AND OPTIMIZE LOCAL PHILANTHROPIC ORGANIZATIONS AND INDIVIDUALS. THESE FOUNDATIONS RAISE FUNDS THROUGH OUTREACH, SPECIAL EVENTS, AND BUILDING DONOR RELATIONS THROUGHOUT THEIR COMMUNITY TO SUPPORT THE NEEDS OF THE HOSPITAL."

AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6:
"SAINT JOHN HOSPITAL IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION ""TO REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE."" SAINT JOHN HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. SCLHS SUPPORTS THE EFFORTS OF THE HOSPITAL THROUGH STRATEGIC DIRECTION AND OPERATING OVERSIGHT. SCLHS SUPPLIES OVERHEAD SUPPORT SERVICES TO SAINT JOHN HOSPITAL, INCLUDING INFORMATION TECHNOLOGY SERVICES, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, SUPPLY CHAIN MANAGEMENT, BENEFITS ADMINISTRATION, RISK MANAGEMENT AND INSURANCE AND QUALITY IMPROVEMENT LEADERSHIP."

STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7:
THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM FILES A COMMUNITY BENEFIT REPORT IN THREE STATES: CALIFORNIA, KANSAS AND MONTANA.