4A (Expenses $ 106204327 including grants of $ 141269) (Revenue $ 154085007)
"AS A MEMBER OF ASCENSION HEALTH, THE NATION'S LARGEST CATHOLIC HEALTHCARE SYSTEM, ST. JOSEPH REGIONAL MEDICAL CENTER (""SJRMC"") CONTINUES TO BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH OF INDIVIDUALS, FAMILIES AND SOCIETY AS A WHOLE. THE GOAL OF SJRMC IS TO PERPETUATE THE HEALING MISSION OF THE CHURCH. SJRMC FURTHERS THIS GOAL THROUGH THE DELIVERY OF PATIENT SERVICES, THE PROVISION OF CARE TO THE ELDERLY AND INDIGENT, AND THE CREATION OF PATIENT EDUCATION AND HEALTH AWARENESS PROGRAMS FOR THE COMMUNITY. OUR CONCERN FOR ALL HUMAN LIFE AND THE DIGNITY OF EACH PERSON LEADS THE ORGANIZATION TO PROVIDE MEDICAL SERVICES TO ALL PEOPLE IN THE COMMUNITY WITHOUT REGARD TO THE PATIENT'S RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS OR ABILITY TO PAY. SEE SCHEDULE H."

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - Saint Joseph Regional Medical Center. THE 2016 COMMUNITY NEEDS ASSESSMENT: HEALTH, EDUCATION & INCOME (CNA) FOCUSED ON HEALTH, EDUCATION AND INCOME AND WAS ACCOMPLISHED THROUGH A COLLABORATIVE EFFORT SPEARHEADED BY THE TWIN COUNTY UNITED WAY, ST. JOSEPH REGIONAL MEDICAL CENTER AND PUBLIC HEALTH - IDAHO NORTH CENTRAL DISTRICT. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN A FIVE-COUNTY AREA OF NORTH CENTRAL IDAHO ENCOMPASSING CLEARWATER, IDAHO, LATAH, LEWIS, AND NEZ PERCE COUNTIES AND ONE BORDERING EASTERN WASHINGTON COUNTY; ASOTIN. NEARLY 1,700 RESPONDENTS PROVIDED INPUT VIA A SURVEY AND DOZENS OF INDIVIDUALS PROVIDED INPUT THROUGH COMMUNITY CONVERSATIONS AND BOARD MEETINGS. A VERY SPECIAL THANK YOU IS OWED TO ALL THE VOLUNTEERS, SURVEY RESPONDENTS AND INDIVIDUALS WHO CONTRIBUTED TO THIS PROJECT. THE CNA IS INTENDED TO IDENTIFY THE HEALTH, EDUCATION AND INCOME NEEDS AND ISSUES OF THE REGION AND TO PROVIDE USEFUL INFORMATION TO PUBLIC HEALTH, HOSPITALS, HEALTH CARE PROVIDERS, POLICY MAKERS, COLLABORATIVE GROUPS, SOCIAL SERVICE AGENCIES, COMMUNITY GROUPS AND ORGANIZATIONS, CHURCHES, BUSINESSES AND CONSUMERS WHO ARE INTERESTED IN IMPROVING THE HEALTH AND OVERALL STATUS OF THE COMMUNITY AND REGION. JOINING FORCES HELPS ENSURE THAT GOOD USE IS BEING MADE OF OUR COMMUNITY'S CHARITABLE RESOURCES BY IDENTIFYING THE MOST URGENT NEEDS OF THE UNDER-SERVED. IN TURN, THIS MAXIMIZES EFFORT BY REDUCING COSTS COORDINATING RESEARCH FINDINGS INTO A COMPREHENSIVE DOCUMENT FOR USE BY OTHERS.

Schedule H, Part V, Section B, Line 11 Facility , 1
"Facility , 1 - ST. JOSEPH REGIONAL MEDICAL CENTER (PART I). ST. JOSEPH REGIONAL MEDICAL CENTER CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2012. LISTED BELOW ARE THE FOUR HEALTH NEEDS WERE IDENTIFIED AS PRIORITY NEEDS AND THE PROGRESS AND ACTIONS THAT WERE TAKEN TO ADDRESS THE NEEDS. 1) OBESITY, HEART DISEASE & STROKE, AND DIABETES AS RISK FACTORS FOR CHRONIC DISEASE SUCH AS TYPE 2 DIABETES, COPD AND OVERALL HEALTH. GOAL: TO PROMOTE HEALTHY LIFESTYLE CHOICES THROUGH INCREASED AWARENESS AND EDUCATION OF HEALTH BEHAVIORS AND RISK FACTORS CONTRIBUTING TO ADVANCEMENT OF CHRONIC DISEASE AND IMPROVE ACCESS TO TREATMENT SERVICES RELATED TO NEEDS IDENTIFIED. ACCOMPLISHMENTS TO DATE: OBESITY - ST. JOSEPH'S OUTPATIENT NUTRITION SERVICES COLLABORATED WITH AREA SCHOOLS, BUSINESS, CHURCHES, AND COMMUNITY HEALTH CARE AGENCIES TO PROVIDE FREE, ONSITE EDUCATIONAL PRESENTATIONS REGARDING HEALTHY EATING AND HEALTHY WEIGHT. THE REGISTERED DIETITIAN PROVIDED FOUR (4) PRESENTATIONS IN BOTH 2013 AND 2014. IN 2015, TEN (10) PRESENTATIONS WERE PROVIDED HEART DISEASE AND STROKE -EXPANDED CARDIOLOGY AND NEURO AND INTERVENTIONAL RADIOLOGY SERVICES TO PROVIDE PREVENTATIVE, DIAGNOSTIC, FOLLOW-UP, AND EMERGENCY INTERVENTION AND TREATMENT. PATIENT ARE NOW ABOUT TO RECEIVE CARE LOCALLY -COMMUNITY OPEN HOUSE - GRAND OPENING OF NEW CATH LAB - PROVIDED EDUCATION ON SERVICES PROVIDED AND HEART/STROKE HEALTH -JOINED THE PROVIDENCE TELEHEALTH STROKE NETWORK -OUTREACH CONVERSATIONS WITH AREA HEALTHCARE PROVIDERS ON CARE OF STROKE PATIENTS, SERVICES ST. JOSEPH CAN PROVIDE AND HOW TO WORK TOGETHER TO SUPPORT NEEDS OF THE PATIENTS WE JOINTLY SERVE -PROMOTED HEART HEALTH AND HEALTHY LIVING VIA ""PAINT THE VALLEY RED"" AWARENESS CAMPAIGN AND COMMUNITY GO RED HEART HEALTH & WELLNESS FAIR. -PROVIDED EDUCATION AT VARIOUS COMMUNITY HEALTH FAIRS/EVENTS ON HEART HEALTHY LIVING/EATING AND SIGNS & SYMPTOMS OF STROKE AND HEART ATTACK -PARTNER WITH LOCAL PUBLIC HEALTH DEPARTMENT TO PROVIDE TOBACCO CESSATION PROGRAM AT FREE OR LOW COST. COURSES ARE HELD AT ST. JOSEPH AND PROMOTED VIA OUR WEBSITE AND SOCIAL MEDIA -CONTINUE TO OPERATE THE AMERICAN HEART ASSOCIATION TRAINING CENTER WHICH PROVIDES BLS, ACLS AND PALS TRAINING AND EDUCATION TO THE PUBLIC AND AHA INSTRUCTORS -ACTIVELY PARTICIPATE IN IDAHO'S TSE ENSURING PATIENTS EXPERIENCING CARDIAC AND STROKE EMERGENCIES RECEIVE TIMELY CARE AND WORK WITH SURROUNDING FACILITIES TO EVALUATE THIS CARE AND IDENTIFY AREAS OF OPPORTUNITY WE CAN WORK ON AS A REGION TO IMPROVE -PHYSICIANS PROVIDED COMMUNITY EDUCATION VIA ""YOUR DOCTOR SPEAKS"". TOPICS INCLUDED: ""PREVENTATIVE CARDIOLOGY WHAT ARE YOUR RISK FACTORS"", ""SIGNS, SYMPTOMS, TREATMENT FOR ACUTE ISCHEMIC STROKE"" -IMPLEMENTED THE INSULIN ASSISTANCE PROGRAM, ""PROJECT HOPE"" WHICH PROVIDES INSULIN ASSISTANCE FOR UNINSURED, UNDER INSURED AND INDIVIDUALS, AT NO COST, WHO ARE EXPERIENCING FINANCIAL HARDSHIP -THE DIABETES CENTER STAFF (DIABETES EDUCATOR, REGISTERED DIETITIAN, AND SUPPORT STAFF) ATTENDED VARIOUS COMMUNITY HEALTH FAIRS PROVIDING FREE EDUCATIONAL MATERIALS AND BLOOD GLUCOSE TESTING -ESTABLISHED A TYPE 1 YOUTH DIABETES SUPPORT GROUP -PROVIDED FREE PRE-DIABETES/DIABETES EDUCATION PRESENTATIONS TO LOCAL CHURCHES, ASSISTED LIVING FACILITIES AND BUSINESSES -OFFERED THE ANNUAL DIABETES BOOT CAMP EACH FALL WHICH FOCUSES ON MANAGEMENT OF DIABETES IN THE SCHOOL. ALL SCHOOLS IN THE AREA ARE INVITED AND THE COURSE IS FREE -CERTIFIED DIABETES EDUCATOR/RN VOLUNTEERS AT THE REGIONAL DIABETES CAMP ""CAMP STIX"". CAMP STIX IS A WEEK LONG, SLEEP AWAY CAMP SPECIFICALLY FOR CHILDREN WITH DIABETES -HOSTED THE ANNUAL DIABETES AWARENESS FAIR EACH NOVEMBER. THIS EVENT IS FREE TO PUBIC -DIABETES STAFF PARTICIPATES IN LOCAL DIABETES COALITION GROUP 2) MENTAL HEALTH. GOAL: TO INCREASE AWARENESS OF THE COMMUNITY AND CARE PROVIDERS OF MENTAL HEALTH PROGRAMS AND RESOURCES WITHIN THE REGION AND TO ADVOCATE FOR IMPLEMENTATION OF PROGRAMS/SERVICES TO ADDRESS MENTAL HEALTH NEEDS. ACCOMPLISHMENTS TO DATE: -SUPPORTED THE EFFORTS TO GAIN FUNDING FOR THE IMPLEMENTATION OF A DRUG TREATMENT CENTER IN NEZ PERCE COUNTY -THROUGHOUT MENTAL HEALTH MONTH (MAY), VARIOUS ACTIVITIES WERE HELD TO EDUCATE THE COMMUNITY AND CARE PROVIDERS OF AVAILABLE RESOURCES IN THE AREA -PROVIDED MENTAL HEALTH 1ST AID TRAINING FOR BOTH ADULTS AND YOUTH TO EDUCATE NON-PROFESSIONALS TO IDENTIFY THE WARNING SIGNS OF A MENTAL HEALTH CRISIS, HOW TO RESPOND APPROPRIATE AND LEARN WHERE TO GET HELP -PROVIDED MENTAL HEALTH DEPRESSION SCREENINGS AT VARIOUS HEALTH FAIRS -HELD ANNUAL RURAL MENTAL HEALTH SYMPOSIUM PROVIDING EDUCATIONAL OPPORTUNITIES FOR COMMUNITY MEMBERS AND BEHAVIORAL/MENTAL HEALTH PROVIDERS -MAINTAIN A PRESENCE ON AND PARTICIPATE IN THE REGIONAL MENTAL HEALTH BOARD -RECRUITMENT OF MENTAL HEALTH PROVIDERS -EXPANDED THERAPY SERVICES BY ADDING ADDITIONAL STAFF -MENTAL HEALTH STAFF GAVE NUMEROUS PRESENTATIONS REGARDING MENTAL HEALTH AWARENESS, HEALTHY STRATEGIES, AND AVAILABLE RESOURCES AND SERVICES TO ORGANIZATIONS, AGENCIES AND COMMUNITY PARTNERS. -IMPLEMENTED A CRISIS TEAM -HOSTED AND PARTICIPATED IN CRISIS INTERVENTION TRAINING FOR LAW ENFORCEMENT"

Schedule H, Part V, Section B, Line 11 Facility , 2
"Facility , 2 - ST. JOSEPH REGIONAL MEDICAL CENTER (PART II). 3) CANCER. GOAL: TO CONTINUE TO PROVIDE AND ENHANCE CANCER TREATMENT SERVICES, INCREASE AWARENESS AND PROMOTE HEALTHY BEHAVIORS, AND REDUCE RISK FACTORS CONTIBUTION TO THE ADVANCEMENT OF THE CANCER. ACCOMPLISHMENTS TO DATE: -EXPANDED ACCESS TO CANCER TREATMENT OPTIONS AND CLINICAL ADVANCES THROUGH A FORMAL AFFILIATION WITH THE SEATTLE CANCER CARE ALLIANCE -EXPANDED SERVICES TO PROVIDE ORAL CHEMOTHERAPY -PROVIDE PRESCRIPTION ASSISTANCE PROGRAM TO SUPPORT PATIENTS IN ACCESSING AVAILABLE RESOURCES TO OBTAIN NEEDED PRESCRIPTIONS -ACQUIRED AND INSTALLED A MODULE INTERFACED TO OUR COMPREHENSIVE ONCOLOGY ELECTRONIC MEDICAL RECORD TO CREATE SURVIVORSHIP CARE PLAN. LAUNCHED SURVIVORSHIP PROGRAM WITH SURVIVORSHIP CANCER PLANS FOR BREAST CANCER -PARTNERED WITH THE AMERICAN CANCER SOCIETY AND PROVIDE SPACE/LOCATION FOR THE ACS CANCER RESOURCE CENTER -MAJOR SPONSOR OF THE RELAY FOR LIFE EVENT -PARTNERED WITH WOMEN'S HEALTH CHECK TO ASSIST UNDER INSURED WOMEN RECEIVE SCREENING MAMMOGRAMS -PARTNERED WITH THE SNAKE RIVER COMMUNITY CLINIC TO PROVIDE FREE, ONSITE SCREENING MAMMOGRAMS VIA ST. JOSEPH'S MOBILE MAMMOGRAPHY COACH. -PROVIDED AND PROMOTED CANCER SCREENING PROGRAMS: MAMMOGRAPHY, COLONOSCOPY, FECAL OCCULT BLOOD TESTS -IMPLEMENTED THE STAR REHAB PROGRAM THAT OFFERS REHABILITATION FOR CANCER PATIENTS AND CANCER SURVIVORS TO IMPROVE THEIR OUTCOMES AND SATISFACTION WITH CANCER TREATMENT -ESTABLISHED THE ""MOVING ON"" CANCER SUPPORT GROUP. -BEGAN COLLABORATION WITH LOCAL VALLEY LIVE STRONG SUPPORT GROUP TO FORM VALLEY STRONG CANCER SUPPORT GROUP -ATTENDED VARIOUS COMMUNITY HEALTH FAIRS AND EVENTS PROVIDING EDUCATIONAL MATERIALS -ST. JOSEPH STAFF PROVIDED FREE, EDUCATIONAL PROGRAMS TO THE COMMUNITY RELATED TO NUTRITION, PHYSICAL ACTIVITY AND CANCER RISK -PARTNERED WITH THE LOCAL PUBLIC HEALTH DEPARTMENT TO EXPAND ACCESS AND PROMOTE THE USE OF COMPREHENSIVE TOBACCO CESSATION PROGRAMS AND SERVICES -MAJOR SPONSOR AND/OR SUPPORTER OF VARIOUS EVENTS IN THE REGION THAT PROMOTE AND SUPPORT BREAST CANCER PREVENTION, TREATMENT AND SURVIVORSHIP SUCH AS PINK RIBBON LUNCHEON, JOGS FOR JUGS, GINA QUESENBERRY FOUNDATION GOLF TOURNAMENT, LEWISTON ROUNDUP - TOUGH ENOUGH TO WEAR PINK, & CHICK & CHAPS -ST. JOSEPH'S BREAST IMAGING CENTER HELD NUMEROUS ""MAMMOGRAMS & MASSAGE"" EVENTS TO PROMOTE SCREENING MAMMOGRAM. PATIENTS RECEIVE A COMPLIMENTARY MASSAGE, REFRESHMENTS AND EDUCATION AT THE EVENT. THESE EVENTS ARE OFFERED TO THE PUBLIC, ST. JOSEPH STAFF AND BUSINESSES -ST. JOSEPH STAFF ARE ACTIVE ON AREA COALITIONS, ADVOCACY GROUPS TO ENSURE COLLABORATIVE EFFORTS WITHIN THE REGION INCLUDING, BUT NOT LIMITED TO: CANCER AWARENESS & PREVENTION COALITION, REGIONAL TOBACCO TASK FORCE, AMERICAN CANCER SOCIETY, GINA QUESENBERRY FOUNDATION -IN 2015, ST. JOSEPH HOSTED OUR FIRST CANCER SURVIVORS DINNER WITH 68 GUESTS IN ATTENDANCE. THE EVENT FEATURED A SPEAKER ON CANCER SURVIVORSHIP 4) ACCESS TO CARE. GOAL: TO ENHANCE HEALTHCARE FOR THE TARGET POPULATION. ACCOMPLISHMENTS TO DATE: -PROVIDED SPACE TO CHAS (FEDERALLY QUALIFIED HEALTH CLINIC) AT NO CHARGE -SUPPORTED THE SNAKE RIVER COMMUNITY CLINIC -RECRUITED NEW CARE PROVIDERS -PROVIDE ASSISTANCE TO THE COMMUNITY, PROVIDERS AND STAFF, THROUGH OUR SENIOR LIFE PROGRAM, TO ENSURE ACCESS TO PROGRAMS INCLUDING MEDICARE, MEDICARE PART D AND VARIOUS PRESCRIPTION ASSISTANCE PROGRAMS -PROMOTED AND SUPPORTED LEGISLATIVE EFFORTS PROMOTING IMPLEMENTATION OF STATE HEALTH INSURANCE EXCHANGES THROUGH PRESENTATIONS TO VARIOUS LOCAL KEY STAKEHOLDERS -PROMOTED AND SUPPORTED LEGISLATIVE EFFORTS PROMOTING MEDICAID AND MANAGED CARE EXPANSION THROUGH PRESENTATIONS TO VARIOUS KEY STAKEHOLDERS AND VIA OUR WEBSITE -IMPLEMENTED PATIENT NAVIGATORS TO ASSIST UNDER INSURED PATIENTS WITH APPLYING FOR ACA HEALTH INSURANCE. -PROACTIVELY SHARE FINANCIAL ASSISTANCE POLICIES WITH VARIOUS NONPROFIT AGENCIES. -RECRUITED NEW PROVIDERS IN AN EFFORT TO PROVIDE COMMUNITY BENEFITS TO THOSE MOST IN NEED, ST. JOSEPH ASSESSES THE NEEDS OF THE COMMUNITY AT LEAST EVERY THREE YEARS. IN SEPTEMBER OF 2015, ST. JOSEPH, THE TWIN COUNTY UNITED WAY AND THE NORTH CENTRAL PUBLIC HEALTH - IDAHO RELEASED THE COMMUNITY NEEDS ASSESSMENT: HEALTH, EDUCATION AND INCOME REPORT. THE HEALTH NEEDS IDENTIFIED THROUGH THE PROCESS INCLUDED ACCESS TO INFORMATION ON OVERWEIGHT/OBESITY & CHRONIC DISEASES, HEALTH INSURANCE, AND MENTAL HEALTH. BELOW ARE A FEW HIGHLIGHTS OF THE PROGRAMS AND ACTIVITIES ST. JOSEPH PROVIDED TO THE COMMUNITY TO MEET THOSE NEEDS IDENTIFIED. TOP HEALTH NEED: OVERWEIGHT/ OBESITY & CHRONIC DISEASES THE NUMBER 1 RANKED HEALTH CONCERN AMONG ALL RESPONDENTS, THOSE WITHOUT HEALTH INSURANCE AND THOSE WITH INCOME LESS THAN $50,000 IS OVERWEIGHT/ OBESITY. CLOSELY TIED TO OBESITY IS CHRONIC DISEASES, WHICH IS THE 3RD HIGHEST HEALTH NEED AMONG RESPONDENTS WITH INCOME LESS THAN $50,000 AND THOSE WITHOUT HEALTH INSURANCE. ST. JOSEPH PROVIDES THE ONLY INTERVENTIONAL CARDIOLOGY CARE AND INTERVENTIONAL RADIOLOGY CARE IN THE REGION. THE ST. JOSEPH HEART CENTER OFFERS 24/7 CARDIAC CARE FOR INPATIENTS AND OUTPATIENTS. THE HEART CENTER IS ABLE TO TREAT PATIENTS EXPERIENCING HEART ATTACKS, AS WELL AS THOSE WITH CHRONIC HEART FAILURE, HEART DISEASE, ATRIAL FIBRILLATION, STROKE INTERVENTIONS, AND OTHER HEART CONDITIONS. VASCULAR SERVICES INCLUDING ANGIOPLASTIES AND STENT PLACEMENTS HAVE HELPED HUNDREDS OF PATIENTS ACHIEVE BETTER PERIPHERAL AND CEREBROVASCULAR CIRCULATION CLOSE TO HOME. AS THE ONLY HEART CENTER AND INTERVENTIONAL RADIOLOGY PROVIDER BETWEEN BOISE, ID AND SPOKANE, WA THESE SERVICES ALLOW PATIENTS TO RECEIVE CLOSE TO HOME CARE AND REDUCE TRAVEL TIME AND DISTANCES FOR THOUSANDS OF PATIENTS THROUGHOUT THE REGION. THE ST. JOSEPH DIABETES CENTER IS NATIONALLY RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION. THE DIABETES CENTER IS DEDICATED TO PROVIDING QUALITY EDUCATION TO A BROAD SPECTRUM OF CLIENTS AND THEIR FAMILIES. EDUCATIONAL TOPICS RANGE FROM BLOOD GLUCOSE MONITORING TO NUTRITION EDUCATION FOR OBESE PATIENTS. SJRMC OFFERS FREE MONTHLY EDUCATION PROGRAMS SPECIFIC TO DIABETES RELATED TOPICS AND HOLDS AN ANNUAL WORLD DIABETES FAIR EVERY YEAR. THE CERTIFIED DIABETES EDUCATOR AND REGISTERED DIETITIAN GIVE FREE EDUCATION PROGRAMS AS REQUESTED BY OTHER HEALTH CARE FACILITIES. SJRMC CONTINUES TO PROVIDE FREE BLOOD GLUCOSE TESTING MONITOR WITH SAMPLE STRIPS TO THOSE PATIENTS IN NEED AS WELL AS FREE A1-C TESTING AT 2 MONTH AND 8 MONTH INTERVALS TO PATIENTS WHO HAVE NOT HAD OR CANNOT AFFORD SUCH TESTING AND HAVE PARTICIPATED IN SJRMC'S DIABETES EDUCATION. 2ND HIGHEST NEED: THE SECOND HIGHEST RANKING HEALTH CONCERN AMONG ALL RESPONDENTS, THOSE WITHOUT HEALTH INSURANCE AND THOSE WITH INCOME LESS THAN $50,000 WAS HEALTH INSURANCE. THIS INDICATES THAT EVEN THOSE WITH HEALTH INSURANCE ACKNOWLEDGE THAT A LACK OF HEALTH INSURANCE IS A LEADING NEED IN THE COMMUNITY. ST. JOSEPH CONTINUES TO PROVIDE STAFF TO EDUCATATE AND ASSIST PATIENTS WITH APPLICATIONS FOR HEALTH INSURANCE, PHARMACUTICAL PROGRAMS FOR PRESCRIPTION ASSISTANCE AND WORKS WITH LOCAL, REGIONAL AND STATE REPRESENTATIVES TO PROVIDE SOLUTIONS FOR PATIENTS WITHOUT HEALTH INSURANCE. 3RDHIGHEST NEED: MENTAL HEALTH: PROVIDING THE ONLY SERVICES IN THE REGION THE MENTAL HEALTH PROGRAM AT ST. JOSEPH IS THE ONLY PROVIDER OF INPATIENT MENTAL HEALTH SERVICES FOR OVER 100 MILES. THE MENTAL HEALTH PROGRAM CONTINUES TO ANNUALLY BRING THE REGIONAL PROFESSIONALS AND NON-PROFESSIONALS TOGETHER FOR MENTAL HEALTH EDUCATION THROUGH THE RURAL MENTAL HEALTH SYMPOSIUM. TO EXPAND ITS REACH AND MAXIMIZE ITS BENEFIT TO THE OUTLYING COMMUNITIES, THE MENTAL HEALTH PROGRAM PROVIDES MENTAL HEALTH FIRST AID TO THE REGION. IN AN EFFORT TO FULFILL ITS MISSION AND VISION BY PROVIDED HEALTHCARE THAT TRULY LEAVES NO ONE BEHIND, THE MENTAL HEALTH PROGRAM AT ST. JOSEPH CONTINUES TO CARE FOR THOUSANDS OF MENTAL HEALTH PATIENTS THROUGHOUT THE REGION. IN ADDITION TO PROVIDING SERVICES, ST. JOSEPH ALSO ADVOCATES FOR INCREASED MENTAL HEALTH FUNDING AND SUPPORT AT THE LOCAL AND STATE GOVERNMENT LEVEL, INCLUDING SUPPORTING THE NEED FOR A DRUG TREATMENT CENTER IN NORTH CENTRAL IDAHO."

Schedule H, Part V, Section B, Line 11 Facility , 3
Facility , 3 - ST. JOSEPH REGIONAL MEDICAL CENTER (PART III). THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THREE NEEDS THAT ST. JOSEPH WILL NOT BE ADDRESSING; ACCESS TO HEALTHY FOOD, TEEN PREGNANCY PREVENTION AND EDUCATION, AND PREVENTION AND RECOVERY FROM DOMESTIC VIOLENCE OR ABUSE. ST. JOSEPH ACKNOWLEDGES THAT THESE NEEDS ARE BEING ADDRESSED BY COMMUNITY PARTNERS, INCLUDING THE IDAHO FOOD BANK, THE YWCA, THE LOCAL SCHOOLS DISTRICTS AND BOYS & GIRLS CLUB OF THE LEWIS-CLARK VALLEY. AS ST. JOSEPH HAS IN THE PAST, INCLUDING FY16, IT WILL CONTINUE TO FINANCIALLY SUPPORT THE IDAHO FOOD BANK, THE YWCA AND THE BOYS AND GIRLS CLUB OF THE LEWIS-CLARK VALLEY WITH CASH CONTRIBUTIONS BUT WILL NOT ALLOCATE WORKED HOURS OR OTHER IN-KIND CONTRIBUTIONS TO MEET THESE NEEDS.

Schedule H, Part V, Section B, Line 22 Facility , 1
"Facility , 1 - ST JOSEPH REGIONAL MEDICAL CENTER. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NOT BE CHARGED INDIVIDUALLY MORE THAN AGB FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE AND NOT MORE THAN GROSS CHARGES FOR ALL OTHER MEDICAL CARE. THE ORGANIZATION CALCULATES ONE OR MORE AGB PERCENTAGES USING THE ""LOOK-BACK"" METHOD AND INCLUDING MEDICARE FEE-FOR-SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE ORGANIZATION, ALL IN ACCORDANCE WITH 501(R). A FREE COPY OF THE AGB CALCULATION DESCRIPTION AND PERCENTAGE(S) MAY BE OBTAINED BY CONTACTING THE HOSPITAL BUSINESS OFFICE AT 208-799-5324."

Schedule H, Part VI Community Benefit Report - Part I
COMMUNITY BENEFIT REPORT ST. JOSEPH REGIONAL MEDICAL CENTER FOR THE YEAR ENDED JUNE 30, 2016 PART VI. SUPPLEMENTAL INFORMATION ST. JOSEPH REGIONAL MEDICAL CENTER (ST. JOSEPH) IS A PRIVATE, NON-PROFIT, CATHOLIC HOSPITAL FOUNDED IN 1902 BY THE SISTERS OF ST. JOSEPH. AS A MEMBER OF ASCENSION HEALTH, THE NATION'S LARGEST CATHOLIC AND LARGEST NON-PROFIT HEALTHCARE SYSTEM, ST. JOSEPH CONTINUES TO INVEST IN THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES, AND SOCIETY AS A WHOLE. ST. JOSEPH DIRECTS ITS MANAGEMENT ACTIVITIES TOWARDS A STRONG, VIBRANT, CATHOLIC HEALTH MINISTRY UNITED IN SERVICE AND HEALING, AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH ASCENSION HEALTH'S MISSION OF SERVICE TO THOSE WHO ARE POOR AND VULNERABLE, ST. JOSEPH ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ST. JOSEPH HAS A LONG HISTORY OF PROVIDING COMMUNITY BENEFIT TO RESIDENTS OF THE NORTH CENTRAL IDAHO REGION. THIS REPORT ILLUSTRATES THE SIGNIFICANT DEGREE TO WHICH SJRMC CONTRIBUTED TO THE POSITIVE HEALTH STATUS OF THE COMMUNITIES IT SERVES DURING ITS FISCAL YEAR FROM JULY 1, 2015 THROUGH JUNE 30, 2016. ST. JOSEPH'S MISSION AND VISION MISSION ST. JOSEPH SEEKS TO ENHANCE THE QUALITY OF LIFE OF THE CITIZENS OF THE SERVICE AREA THROUGH THE PROMOTION OF HEALTH, PREVENTION OF DISEASE AND INJURY AND THE PROVISION OF HEALTH SERVICES. ST. JOSEPH WITNESSES TO THE SAVING PRESENCE AND MERCY OF THE RISEN CHRIST BY PROVIDING HIGH QUALITY RESTORATIVE, PREVENTATIVE, AND ACUTE HEALTH CARE SERVICES, RESPECTING HUMAN DIGNITY IN THE EXPERIENCE OF SICKNESS AND DEATH AND FOSTERING THE PHYSICAL, PSYCHOLOGICAL, EMOTIONAL, SPIRITUAL AND SOCIAL WELL-BEING OF PEOPLE. VISION ST. JOSEPH IS A VIBRANT, DYNAMIC CATHOLIC FAITH BASED HEALTHCARE ORGANIZATION THAT CONTINUES TO BE A LEADER IN THE PROVISION OF HEALTH SERVICES BY RESPONDING TO AND MEETING THE HEALTH NEEDS OF ALL PEOPLE OF THE REGION. ST. JOSEPH ENVISIONS MAINTAINING ITS VITAL PRESENCE AS THE PREFERRED HEALTHCARE PROVIDER, THE SOURCE FOR HEALTH EDUCATION, AND THE HEALTHCARE SAFETY NET FOR THE REGION. ST. JOSEPH CONTINUES TO DEVELOP INPATIENT AND OUTPATIENT SERVICES; OUTPATIENT CARE SITES; AND PARTNER WITH PROVIDERS SHARING SIMILAR COMMITMENTS AND VALUES. WE WILL EXPAND PATIENT EDUCATION AND STRIVE TO IMPROVE THE COMMUNITY HEALTH STATUS. WE WILL COLLABORATE WITH PUBLIC AND PRIVATE AGENCIES AND BUSINESSES TO ASSURE AN APPROPRIATE CONTINUUM OF CARE, AND DEVELOP STRATEGIC RELATIONSHIPS WITH AREA PROVIDERS TO HELP MAINTAIN THEIR VITAL PRESENCE, AND FURTHER DEVELOP THE REFERRAL NETWORK INTO ST. JOSEPH AND OUR MEDICAL/DENTAL STAFF. AS THE LEADER IN THE REGION, ST. JOSEPH WILL UTILIZE KNOWLEDGE AND TRADITION; ALONG WITH WISDOM, CREATIVITY AND INNOVATION TO FURTHER POSITION ITSELF AS THE HUB OF SERVICES, AND THE REGIONAL CARE CENTER FOR THE NINE COUNTIES WE SERVE. OUR PHILOSOPHY TO COMMUNITY BENEFIT ST. JOSEPH'S PRIMARY MISSION IS TO CONTINUE CHRIST'S MISSION OF MERCY BY MEETING THE HEALTH CARE NEEDS OF THE INDIVIDUALS IN THE COMMUNITIES WE SERVE. NO ONE REQUIRING MEDICAL CARE OR SERVICES OFFERED BY ST. JOSEPH IS TURNED AWAY REGARDLESS OF RACE, CREED, RELIGION, NATIONAL ORIGIN, GENDER, SEXUAL ORIENTATION, ABILITY TO PAY OR ECONOMIC STATUS.

Schedule H, Part VI Community Benefit Report - Part III
Community Health Needs Assessment IN AN EFFORT TO PROVIDE COMMUNITY BENEFITS TO THOSE MOST IN NEED, ST. JOSEPH ASSESSES THE NEEDS OF THE COMMUNITY AT LEAST EVERY THREE YEARS. IN SEPTEMBER OF 2015, ST. JOSEPH, THE TWIN COUNTY UNITED WAY AND THE NORTH CENTRAL PUBLIC HEALTH - IDAHO RELEASED THE COMMUNITY NEEDS ASSESSMENT: HEALTH, EDUCATION AND INCOME REPORT. THE HEALTH NEEDS IDENTIFIED THROUGH THE PROCESS INCLUDED ACCESS TO INFORMATION ON OVERWEIGHT/OBESITY & CHRONIC DISEASES, HEALTH INSURANCE, AND MENTAL HEALTH. BELOW ARE A FEW HIGHLIGHTS OF THE PROGRAMS AND ACTIVITIES ST. JOSEPH PROVIDED TO THE COMMUNITY TO MEET THOSE NEEDS IDENTIFIED. TOP HEALTH NEED: OVERWEIGHT/ OBESITY & CHRONIC DISEASES THE NUMBER 1 RANKED HEALTH CONCERN AMONG ALL RESPONDENTS, THOSE WITHOUT HEALTH INSURANCE AND THOSE WITH INCOME LESS THAN $50,000 IS OVERWEIGHT/ OBESITY. CLOSELY TIED TO OBESITY IS CHRONIC DISEASES, WHICH IS THE 3RD HIGHEST HEALTH NEED AMONG RESPONDENTS WITH INCOME LESS THAN $50,000 AND THOSE WITHOUT HEALTH INSURANCE. ST. JOSEPH PROVIDES THE ONLY INTERVENTIONAL CARDIOLOGY CARE AND INTERVENTIONAL RADIOLOGY CARE IN THE REGION. THE ST. JOSEPH HEART CENTER OFFERS 24/7 CARDIAC CARE FOR INPATIENTS AND OUTPATIENTS. THE HEART CENTER IS ABLE TO TREAT PATIENTS EXPERIENCING HEART ATTACKS, AS WELL AS THOSE WITH CHRONIC HEART FAILURE, HEART DISEASE, ATRIAL FIBRILLATION, STROKE INTERVENTIONS, AND OTHER HEART CONDITIONS. VASCULAR SERVICES INCLUDING ANGIOPLASTIES AND STENT PLACEMENTS HAVE HELPED HUNDREDS OF PATIENTS ACHIEVE BETTER PERIPHERAL AND CEREBROVASCULAR CIRCULATION CLOSE TO HOME. AS THE ONLY HEART CENTER AND INTERVENTIONAL RADIOLOGY PROVIDER BETWEEN BOISE, ID AND SPOKANE, WA THESE SERVICES ALLOW PATIENTS TO RECEIVE CLOSE TO HOME CARE AND REDUCE TRAVEL TIME AND DISTANCES FOR THOUSANDS OF PATIENTS THROUGHOUT THE REGION. THE ST. JOSEPH DIABETES CENTER IS NATIONALLY RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION. THE DIABETES CENTER IS DEDICATED TO PROVIDING QUALITY EDUCATION TO A BROAD SPECTRUM OF CLIENTS AND THEIR FAMILIES. EDUCATIONAL TOPICS RANGE FROM BLOOD GLUCOSE MONITORING TO NUTRITION EDUCATION FOR OBESE PATIENTS. SJRMC OFFERS FREE MONTHLY EDUCATION PROGRAMS SPECIFIC TO DIABETES RELATED TOPICS AND HOLDS AN ANNUAL WORLD DIABETES FAIR EVERY YEAR. THE CERTIFIED DIABETES EDUCATOR AND REGISTERED DIETITIAN GIVE FREE EDUCATION PROGRAMS AS REQUESTED BY OTHER HEALTH CARE FACILITIES. SJRMC CONTINUES TO PROVIDE FREE BLOOD GLUCOSE TESTING MONITOR WITH SAMPLE STRIPS TO THOSE PATIENTS IN NEED AS WELL AS FREE A1-C TESTING AT 2 MONTH AND 8 MONTH INTERVALS TO PATIENTS WHO HAVE NOT HAD OR CANNOT AFFORD SUCH TESTING AND HAVE PARTICIPATED IN SJRMC'S DIABETES EDUCATION. 2ND HIGHEST NEED: THE SECOND HIGHEST RANKING HEALTH CONCERN AMONG ALL RESPONDENTS, THOSE WITHOUT HEALTH INSURANCE AND THOSE WITH INCOME LESS THAN $50,000 WAS HEALTH INSURANCE. THIS INDICATES THAT EVEN THOSE WITH HEALTH INSURANCE ACKNOWLEDGE THAT A LACK OF HEALTH INSURANCE IS A LEADING NEED IN THE COMMUNITY. ST. JOSEPH CONTINUES TO PROVIDE STAFF TO EDUCATATE AND ASSIST PATIENTS WITH APPLICATIONS FOR HEALTH INSURANCE, PHARMACUTICAL PROGRAMS FOR PRESCRIPTION ASSISTANCE AND WORKS WITH LOCAL, REGIONAL AND STATE REPRESENTATIVES TO PROVIDE SOLUTIONS FOR PATIENTS WITHOUT HEALTH INSURANCE. 3RDHIGHEST NEED: MENTAL HEALTH: PROVIDING THE ONLY SERVICES IN THE REGION THE MENTAL HEALTH PROGRAM AT ST. JOSEPH IS THE ONLY PROVIDER OF INPATIENT MENTAL HEALTH SERVICES FOR OVER 100 MILES. THE MENTAL HEALTH PROGRAM CONTINUES TO ANNUALLY BRING THE REGIONAL PROFESSIONALS AND NON-PROFESSIONALS TOGETHER FOR MENTAL HEALTH EDUCATION THROUGH THE RURAL MENTAL HEALTH SYMPOSIUM. TO EXPAND ITS REACH AND MAXIMIZE ITS BENEFIT TO THE OUTLYING COMMUNITIES, THE MENTAL HEALTH PROGRAM PROVIDES MENTAL HEALTH FIRST AID TO THE REGION. IN AN EFFORT TO FULFILL ITS MISSION AND VISION BY PROVIDING HEALTHCARE THAT TRULY LEAVES NO ONE BEHIND, THE MENTAL HEALTH PROGRAM AT ST. JOSEPH CONTINUES TO CARE FOR THOUSANDS OF MENTAL HEALTH PATIENTS THROUGHOUT THE REGION. IN ADDITION TO PROVIDING SERVICES, ST. JOSEPH ALSO ADVOCATES FOR INCREASED MENTAL HEALTH FUNDING AND SUPPORT AT THE LOCAL AND STATE GOVERNMENT LEVEL, INCLUDING SUPPORTING THE NEED FOR A DRUG TREATMENT CENTER IN NORTH CENTRAL IDAHO.

Schedule H, Part VI Community Benefit Report - Part V
"FINANCIAL ASSISTANCE POLICIES AND PROGRAMS IN ADDITION TO THE COMMUNITY BENEFITS THAT ST. JOSEPH PROVIDED TO THE GENERAL PUBLIC AND RESIDENTS OF THE COMMUNITY, FINANCIAL ASSISTANCE POLICIES ARE IN PLACE FOR LOW-INCOME PERSONS RECEIVING CARE AT ST. JOSEPH. UNINSURED PATIENTS CONTINUE TO RECEIVE A DISCOUNT OFF THEIR INITIAL BILLS IN ORDER TO IMPROVE THE AFFORDABILITY OF HEALTH CARE TO THESE PATIENTS. FINANCIAL ASSISTANCE MATERIALS ARE INCLUDED IN THE ADMISSION PACKETS AND ARE AVAILABLE AT ALL REGISTRATION AREAS ALERTING THE PATIENT TO THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION IS ALSO INCLUDED ON BILLS SENT TO PATIENTS SO THEY CAN CONTACT ST. JOSEPH TO REQUEST AN APPLICATION FOR FINANCIAL ASSISTANCE IN THE SETTLEMENT OF THEIR BILL. ALL UNINSURED AND INSURED PATIENTS ARE ELIGIBLE FOR FINANCIAL SCREENING FOR FURTHER ADJUSTMENT TO THEIR BILLS BASED ON DOCUMENTED INCOME AND EXPENSE PROFILES PROVIDED BY THE PATIENT OR GUARANTOR; AND THE RESULTING ABILITY TO PAY ALL OF, OR PART OF, THE REMAINDER OF THE BILL OVER A FOUR YEAR PERIOD OF TIME. ST. JOSEPH WILL WRITE OFF 100% OF A BILL FOR A PATIENT/FAMILY WITH NO INSURANCE WHICH HAS A DOCUMENTED INCOME PROFILE LEVEL THAT IS 250% OR LESS OF THE FEDERAL POVERTY LEVEL. UNDER THE FAP, AN ELIGIBLE PERSON WITH INCOME LESS THAN OR EQUAL TO 250% OF THE FEDERAL POVERTY LEVEL (""FPL"") WILL RECEIVE A 100% CHARITY CARE WRITE-OFF ON THE PORTION OF THE CHARGES FOR WHICH HE OR SHE IS RESPONSIBLE, AND AN ELIGIBLE PATIENT WITH INCOME ABOUT 250% OF THE FPL BUT NOT EXCEEDING 400% OF THE FPL WILL RECEIVE A SLIDING SCALE DISCOUNT ON SUCH CHARGES. PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE WILL NOT BE CHARGED MORE FOR ELIGIBLE CARE THAN THE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE COVERAGE. A COPY OF THE FINANCIAL ASSISTANCE POLICY CAN BE FOUND AT HTTPS://WWW.SJRMC.ORG/CORE/FILES/SJRMC/UPLOADS/FILES/COMPLETE%20FINANCIAL%20ASSISTANCE%20POLICY(1).PDF ST. JOSEPH HAS AN ARRANGEMENT WITH A FINANCING COMPANY TO ENABLE THE PATIENT OR GUARANTOR TO FINANCE PAYMENT OF MEDICAL BILLS. ST. JOSEPH HAS A POLICY THAT ALL ALTERNATIVE SOURCES OF FINANCIAL ASSISTANCE, INCLUDING APPLICATION TO VARIOUS MEDICAID, COUNTY AND OTHER AVAILABLE PROGRAMS MUST BE APPLIED FOR, AND REJECTED, BEFORE FINANCIAL ASSISTANCE IS PROVIDED BY ST. JOSEPH. FAILURE OF THE PATIENT OR GUARANTOR TO FOLLOW-THROUGH ON THE APPLICATION OF FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE FROM ANOTHER SOURCE WILL CONSTITUTE A REASON FOR DENIAL OF AN APPLICATION FOR FINANCIAL ASSISTANCE FROM ST. JOSEPH. COMMUNITY PARTNERS RECOGNIZING THE IMPORTANCE OF A HEALTHY COMMUNITY AND DESIRING TO RESPOND TO THE RANGE OF NEEDS OF THE COMMUNITY, ST. JOSEPH PARTNERS WITH A WIDE VARIETY OF ORGANIZATIONS TO PROVIDE THE COMMUNITY WITH HEALTH BENEFITS. ST. JOSEPH PROVIDES SUPPORT TO THESE ORGANIZATIONS AS PART OF ITS ONGOING EFFORTS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY, FOCUSING ESPECIALLY ON THE POOR, VULNERABLE, INDIGENT AND ELDERLY POPULATIONS. BELOW IS MORE IN-DEPTH LIST OF THE COMMUNITY PARTNERS THAT ARE PROVIDED FINANCIAL SUPPORT BY ST. JOSEPH TO BENEFIT THE COMMUNITIES SERVED IN THE REGION: ORGANIZATION - PRIMARY ROLE - PEOPLE SERVED (PRIMARILY) ALL SAINTS CATHOLIC SCHOOL - PRIMARY EDUCATION - STUDENTS CITY OF LEWISTON/ NEZ PERCE COUNTY - CITY/STATE GOVERNMENT - HEALTH FAIR PARTICIPANTS CLEARWATER VALLEY HOSPITAL - HOSPITAL (OROFINO, ID) - CLEARWATER COUNTY RESIDENTS COMMUNITY HEALTH ASSOCIATION OF SPOKANE - FEDERALLY QUALIFIED HEALTH CENTER - PRIMARY CARE AND -DENTAL PATIENTS FROM THE REGION GINA QUESENBERRY FOUNDATION - BREAST CANCER AWARENESS AND PATIENT SUPPORT - BREAST CANCER PATIENTS AND SURVIVORS HOLY FAMILY CATHOLIC SCHOOL - PRIMARY EDUCATION - STUDENTS IDAHO FOOD BANK - FOOD SUPPLIER - ADULTS, CHILDREN AND FAMILIES LEWIS-CLARK STATE COLLEGE - HIGHER EDUCATION - STUDENTS ( NURSING PRIMARILY) LEWIS-CLARK VALLEY BOYS AND GIRLS CLUBS - BEFORE/AFTER SCHOOL ACTIVITIES - STUDENTS LEWISTON INDEPENDENT FOUNDATION FOR EDUCATION - EDUCATION - STUDENTS LEWISTON LIBRARY FOUNDATION - LIBRARY - PUBLIC MEALS ON WHEELS & SENIOR LIFE - SENIOR SERVICES - ADULTS OVER 60 YEARS OLD NORTH CENTRAL CARE COALITION - CARE CONTINUUM (HOSPITALS, CLINICS, SNF, HOME HEALTH) - REGIONAL PATIENTS NORTHWEST CHILDREN'S HOME - RESIDENTIAL CENTER - ABUSED, NEGLECTED AND ABANDONED BOYS AND GIRLS RELAY FOR LIFE (AMERICAN CANCER SOCIETY) - CANCER SUPPORT - CANCER PATIENTS, SURVIVORS AND FAMILIES SNAKE RIVER COMMUNITY CLINIC - FREE HEALTH CLINIC - UN/UNDER-INSURED PATIENTS ST. MARY'S HOSPITAL - HOSPITAL (COTTONWOOD, ID) - LEWIS COUNTY RESIDENTS ST. VINCENT DEPAUL - SOCIAL SERVICES, INCLUDING FOOD PROGRAMS, FINANCIAL ASSISTANCE, CLOTHING - SERVICES AVAILABLE REGION-WIDE SYRINGA HOSPITAL - HOSPITAL (GRANGEVILLE) - IDAHO COUNTY RESIDENTS TWIN COUNTY UNITED WAY VALLEY BOYS AND GIRLS CLUB - YOUTH CENTER - BOYS AND GIRLS, NEZ PERCE AND ASOTIN COUNTIES VALLEY TRANSIT - PUBLIC TRANSPORTATION - REGION WIDE GENERAL PUBLIC WILLOW CENTER FOR GRIEVING CHILDREN - GRIEF CENTER - ADOLESCENTS FINANCIAL REPORT ST. JOSEPH PROVIDED $8,710,024 IN UN-REIMBURSED COST OF SERVICES TO THE POOR AND TO MEET THE NEEDS OF THE COMMUNITY AS OUTLINED BELOW: -CHARITY CARE AT COST = $2,042,756 -GOVERNMENT SPONSORED HEALTH CARE = $3,895,790 -COMMUNITY BENEFIT PROGRAMS: -PROGRAMS TARGETED TO THE POOR = $43,644 -COMMUNITY HEALTH & BUILDING = $591,400 -SUBSIDIZED HEALTH SERVICES (LISTED BELOW) = $ 2,136,433 -HOSPICE -MENTAL HEALTH SERVICES -MEALS ON WHEELS -INPATIENT PHYSICAL THERAPY -OUTPATIENT NUTRITIONAL COUNSELING -OUTPATIENT DIABETES EDUCATION -PASTORAL CARE -HOME RESPIRATORY THERAPY ST. JOSEPH FURTHERS ITS CHARITABLE PURPOSES BY PROVIDING A BROAD ARRAY OF SERVICES TO MEET THE HEALTHCARE NEEDS OF PATIENTS AND ORGANIZATIONS IN THE COMMUNITY. WE PROVIDE ESSENTIAL MEDICAL SERVICES TO THE COMMUNITY, TRAIN AND RECRUIT HEALTHCARE PROFESSIONALS TO SERVE THE NEEDS OF THE BROADER COMMUNITY, PROVIDE APPROPRIATE CHARITY SERVICES TO THOSE PATIENTS WHO ARE NOT ABLE TO PAY FOR THEIR OWN HEALTHCARE NEEDS, PROVIDE SERVICES TO OTHER ORGANIZATIONS THAT ALLOW THEM TO PROVIDE QUALITY SERVICES TO THEIR PATIENTS OR CONSTITUENTS, AND PRESENT EDUCATION INFORMATION CLASSES AND ACTIVITIES TO THE COMMUNITY IN ORDER TO IMPROVE ITS OVERALL HEALTH STATUS."

Schedule H, Part VI Community Benefit Report - Part VI
ASSOCIATE EDUCATION GENERAL AREAS OF EMPHASIS FOR ALL ASSOCIATES ON HIRE AND ANNUAL REVIEW: - ABUSE, NEGLECT, EXPLOITATION, ABANDONMENT, AND DOMESTIC VIOLENCE - AGE & POPULATION CARE - BIOMEDICAL EQUIPMENT - COMPUTER LOGINS & SOFTWARE ACCESS - CORPORATE RESPONSIBILITY PROGRAM - EMERGENCY MANAGEMENT, EMERGENCY CODES, DISASTER PREPAREDNESS - EMPLOYEE ASSISTANCE PROGRAM - HAND WASHING - HAZARDOUS MATERIALS/WASTE TRAINING - HEALING WITHOUT HARM - HEALTH, EDUCATION, AND BENEFITS PLAN; TUITION ASSISTANCE - HIGH RELIABILITY - HIPAA, PRIVACY AND SECURITY EDUCATION - HUMAN RESOURCES - INTERNET SECURITY, PASSWORDS, ID - INFECTION PREVENTION/EMPLOYEE HEALTH - JOINT COMMISSION - LANGUAGE OF CARING & (M)AIDET - LIFTING, MOVING, HEALTH BACKS - LIMITED ENGLISH PROFICIENCY - LOSS AND GRIEF IN-SERVICE - MATERIAL DATA SAFETY SHEETS - MEANINGFUL USE - MISSION, VALUES, PROMISE - PALLIATIVE CARE - PASTORAL CARE SERVICES - PASSWORD/CONFIDENTIALITY - PATIENT EXPERIENCE COMMITMENT - PERFORMANCE IMPROVEMENT, PDSA, QUALITY, CORE MEASURES - P.I.E.S PEOPLE INVESTED IN EXTRAORDINARY SERVICE PROGRAM - PATIENT EXPERIENCE COMMITMENT - QUALITY IMPROVEMENT, CORE MEASURES - RETIREMENT PLAN, TRANSAMERICA - SECURITY - SAFETY, ENVIRONMENT OF CARE, RADIATION SAFETY, FIRE SAFETY - WELLNESS PROGRAM - WEIGHT WATCHERS OR IDEAL PROTEIN PLAN INTRANET, INTERNET, AND NEWSLETTER RESOURCES: - ASCENSION HEALTH UNIVERSITY, MANY PROGRAMS FOR EXAMPLE: - HARVARD MANAGE MENTOR - NURSING EDUCATION - CODING - ASCENSION HEALTH COMMUNITIES (SHAREPOINT) - BASIC LIFE SUPPORT - CRP HOTLINE REPORT - PHARMACY & THERAPEUTICS NEWSLETTER - PEDIATRIC NUTRITION CARE MANUAL - POLICIES & PROCEDURES - LANGUAGE OF CARING WEBSITE & NEWSLETTER - MEDITECH TRAINING - MICROMEDEX/CARENOTES - MICROSOFT OFFICE TRAINING PROGRAMS - MOSBY'S SKILLS - NEW ENGLAND JOURNAL OF MEDICINE - NURSE ADVISE - ERR NEWSLETTER - NUTRITION CARE MANUAL - NURSING CONSULT - SAFETY DATA SHEETS (SDS) - QUICK REFERENCE GUIDES (PORTAL) - UPTODATE - WELLNESS WORKS ADDITIONAL AREAS OF EMPHASIS FOR CLINICAL CARE SERVICES ASSOCIATES IN ORIENTATION: - BASIC CARE PROVIDER (NURSING ORIENTATION): SAFETY & EMERGENCY; COMMUNICATION & TEAMWORK; INFECTION CONTROL & EMPLOYEE HEALTH; QUALITY & PERFORMANCE IMPROVEMENT; SKIN; PAIN MANAGEMENT; MEDICAL EQUIPMENT USAGE; MEDICATION ADMINISTRATION & RECONCILIATION; SURGICAL SITE PREPARATION, TIME OUT, UNIVERSAL PROTOCOL; IV PROCEDURES; CLABSI, CAUTI, CARE BUNDLES/PROTOCOLS; BLOOD/COMPONENT ADMINISTRATION; RESTRAINTS; SPECIALTY BEDS; EPIDURAL; PATIENT MGMT; PT. EDUCATION; WAIVED TESTING; COMPUTER CLINICAL DOCUMENTATION, ORDER ENTRY, AND REFERENCE SITES - MOSBY'S SKILLS (ADDITIONAL NEW HIRE LEARNING ASSIGNMENTS): AED AUTOMATED EXTERNAL DEFIBRILLATOR; LOVENOX (MEDICATION ADMINISTRATION); NURSING PRACTICE FORUM; SBAR, TEMPORAL ARTERY THERMOMETER; HAND HYGIENE, CLABSIS, RESTRAINTS; ORAL CARE; PRESSURE ULCER PREVENTION; WAIVED TESTING; PT. EXPERIENCE COMMITMENT; IMPLANTED PORTS; AND VAP UNIT BASED EDUCATION - E.A.S.Y. ASSESSMENT EXAMPLES OF TOPICS WITHIN FISCAL YEAR: - NATIONAL PATIENT SAFETY GOALS - ANTERIOR CRUCIATE REPAIR - BONE HEALTH - CARDIAC CARE - CARDIAC ORGAN DONATION - CARDIAC RHYTHM EDUCATION - DR. SANCHIRICO - RADIOLOGY PRESENTATION - ENDOCRINE - OVERVIEW - ENDOCRINE - COUMADIN - FEBRILE - FHR STRIP REVIEW - FLUID & LYTES LAB RESULTS - HEMODYNAMICS & DRIPS - HYPOTHERMIA - JCAHO SURVEY - MICROBIOLOGY - MRSA SCREENING - NEPHROSTOMY TUBE - POST PARTUM - RESPIRATORY - ARDS - RITUXAN - STAR (CANCER REHAB) PROGRAM PATIENT CARE SKILLS LAB - NG/OG/SUCTION/DOBHOFF/PEGTUBES - CAUTI/FOLEY/RESTRAINTS - PULMONARY 02 ADMIN - ABG INTERPRETATION - PAIN MANAGEMENT - DOCUMENTATION/CLINDOC/MEDITECH - CHEST TUBES

Schedule H, Part VI Community Benefit Report - Part VII
"FAMILY BEGINNINGS COMMUNITY EDUCATION COURSES -LAMAZE - PREPARATION FOR CHILDBIRTH -LAMAZE - CHILDBIRTH SEMINAR -LAMAZE - MOMS ON THE GO -PRIVATE CHILDBIRTH CLASS -PRIVATE TOURS OF FAMILY BEGINNINGS -PRE-DELIVERY INTERVIEW -ABC'S OF PARENTING -BREASTFEEDING BASICS -NATURAL FAMILY PLANNING -NEW MOM'S GROUP -SIBLING CLASS -SAFE SITTER CLASSES -SHOULDER DYSTOCIA -CAR SEAT SAFETY CHECK -DRUG ADDICTIONS & NEW MOMS -LABOR STRIP REVIEW HOSPICE OFFERINGS -DEBILITY, FAILURE TO THRIVE -CHILDREN'S & TEEN'S NEEDS -ON GRIEF & GRIEVING -BEYOND KUBLER-ROSS -CMS FINAL RULE MENTAL HEALTH OFFERINGS -MENTAL HEALTH IN THE WORKPLACE -LAW ENFORCEMENT CRISIS INTERVENTION TRAINING -MENTAL HEALTH MEMORIAL WALK -MENTAL HEALTH FIRST AID -MENTAL HEALTH SYMPOSIUM -MH COMMUNITY PROVIDER PRESENTATION -PRIVATE AGENCY TRAINING BY DR. SHERMAN -MENTAL HEALTH RESOURCE FAIR -STRESS MANAGEMENT PRESENTATIONS -PRESENTED TO LOCAL NAMI CHAPTER WOUND/OSTOMY OFFERINGS -OSTOMY SUPPORT GROUP -4 EYES ON ADMISSION SKIN ASSESSMENT EDUCATION -WOUND CARE AND DIABETES PASTORAL CARE OFFERINGS -END OF LIFE ISSUES -REDUCING PATIENT ANXIETY -COMMUNITY WORKSHOPS ON ADVANCE DIRECTIVES, INCLUDING PARTICIPATION IN THE NATIONAL HEALTHCARE DECISION DAY -HOLIDAY GRIEF WORKSHOP FOR THE COMMUNITY -QUARTERLY COMMUNITY MEMORIAL SERVICES -ASSIST COMMUNITY MEMBERS WITH COMPLETION OF ADVANCE DIRECTIVES -PROVIDE FUNERAL SERVICES WHEN REQUESTED -FRIENDS REACH OUT --GRIEF SUPPORT GROUP FOR THE COMMUNITY EVERY 2ND AND 4TH MONDAY -HOST THE MONTHLY MINISTERIAL MEETING FOR AREA CLERGY -CHRISTMAS BRUNCH FOR AREA CLERGY -S.H.A.R.E. SUPPORT GROUP FOR PARENTS/FAMILIES WHO HAVE LOST BABIES -HOSTED NATIONAL HEALTH CARE DECISION DAY FOR THE COMMUNITY -TALK WITH STAFFS OF THE SKILLED NURSING FACILITIES AND ASSISTED LIVING FACILITIES ABOUT POST AND ADVANCE DIRECTIVES -PROVIDE TIME TO PEOPLE FROM THE COMMUNITY WHO WALK IN AND NEED SOMEONE TO TALK TO ABOUT GRIEF ISSUES -SEND BEREAVEMENT CARDS AND INFORMATION ABOUT GRIEVING TO FAMILIES WHO HAVE LOST LOVED ONES. -RELAY FOR LIFE PRAYER SERVICE COMMUNITY HEALTH EDUCATION RESOURCE CENTER -ADVANCED CARDIAC LIFE SUPPORT (ACLS) PROVIDER AND INSTRUCTOR COURSE -BASIC LIFE SUPPORT (BLS) PROVIDER COURSE & INSTRUCTOR COURSE -AMERICAN HEART ASSOCIATION (AHA) COMMUNITY TRAINING CENTER -AHA FIRST AID COURSE -CLEARWATER PAPER HEALTH EDUCATION SERIES -COMMUNITY WELLNESS EDUCATION -FIVE HABITS OF WEIGHT LOSS -QUICK AND HEALTHY MEALS ON A BUDGET -SIMPLE EXERCISES FOR HOME, NEIGHBORHOOD OR OFFICE -GOAL SETTING SUCCESS -STRESS MANAGEMENT FOR CHILDREN AND ADULTS -DIABETES EDUCATION AT JUNIPER MEADOWS, MARCH 2016 -DIABETES BOOT CAMP OCT 2015 -GO RED FOR WOMEN'S HEALTH FEB 2016 -LEWISTON SCHOOL DISTRICT TYPE I DIABETES EDUCATION SERIES -LUNCH & LEARN: ""LET'S TALK INSULIN-LEVEMIR & NOVOLOG"", MARCH 2016 -LADIES NIGHT OUT - WOMEN'S CONNECTION COMMUNITY EVENT -NATIONAL HEALTHCARE DECISION DAY EVENT -NATIONAL BREAST CANCER AWARENESS MONTH -NATIONAL HEART HEALTH MONTH -NUTRITION EDUCATION -PARKWAY HEAD START, DIABETES, APRIL 2016 -PEDIATRIC ADVANCED LIFE SUPPORT (PALS) PROVIDER & INSTRUCTOR COURSES -PRE-DIABETES CLASSES, JUNE 2016 -SENIOR LIFE PROGRAM -""TOBACCO FREE YOU"" NICOTINE INTERVENTION PROGRAM -WA/ID VOLUNTEER SENIOR FITNESS FAIR -WELLNESS PROGRAM -WORLD DIABETES DAY AWARENESS EVENT -VOLUNTEER SERVICES OPPORTUNITIES -AFFORDABLE HEALTHCARE ACT -SPIRITUAL CARE & QUALITY -PSYCHOSOCIAL ASPECTS OF PALLIATIVE CARE"

Schedule H, Part VI Community Benefit Report - Part II
AS THE REGION'S LEADER IN THE DELIVERY OF HEALTH CARE SERVICES, ST. JOSEPH CONTINUES TO ACCEPT THE RESPONSIBILITY TO CONTRIBUTE TO THE OVERALL HEALTH AND WELFARE OF OUR COMMUNITY. ST. JOSEPH IS DEEPLY COMMITTED TO OUR COMMUNITY TO HELP ASSURE RESIDENTS LIVE HEALTHY AND PRODUCTIVE LIVES THROUGH COST EFFECTIVE AND QUALITY HEALTHCARE AND EDUCATION SERVICES. ST. JOSEPH OFFERS A VARIETY OF SERVICES AND PROGRAMS THAT ARE NOT FOUND ELSEWHERE IN THE REGION AND IS CONSTANTLY MONITORING AND ASSESSING THE NEEDS OF THE REGION TO ENSURE ACCESS TO QUALITY HEALTH CARE. THROUGH OUR COMMITMENT TO PROVIDING COMMUNITY BENEFIT ST. JOSEPH HAS ENGAGED IN THE FOLLOWING ACTIVITIES TO ASSURE THAT OUR MISSION IS ACCOMPLISHED: -ST. JOSEPH IS FULLY ACCREDITED BY THE JOINT COMMISSION, AND PROVIDES LEVEL III ADULT/PEDIATRIC TRAUMA SERVICES, AS DESIGNATED BY THE WASHINGTON STATE HOSPITAL ASSOCIATION. -ST. JOSEPH OPERATES AN EMERGENCY ROOM THAT IS OPEN 24/7 AND SERVES ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. -ST. JOSEPH PROVIDES MANY INPATIENT AND OUTPATIENT SERVICES TO ALL PERSONS WHILE PARTICIPATING IN MEDICARE, MEDICAID, COUNTY INSURANCE, TRICARE, INDIAN HEALTH SERVICES AND/OR OTHER GOVERNMENT HEALTH CARE PROGRAMS TO ENSURE ACCESS FOR PATIENTS. -ST. JOSEPH'S MEDICAL STAFF PRIVILEGES ARE OPEN TO ANY QUALIFIED PHYSICIAN AND ALLIED HEALTH PROVIDER IN THE REGION. IN FY16, SJRMC'S MEDICAL/ DENTAL STAFF INCLUDED 171 PHYSICIANS, MIDWIVES, CERTIFIED REGISTERED NURSE ANESTHETIST AND NURSE PRACTIONERS SPECIALIZING IN 39 FIELDS. THE ACTIVE/ ASSOCIATE MEDICAL/ DENTAL STAFF REPRESENTS 64% OF THE TOTAL PHYSICIANS, WHILE 22% OF PHYSICIANS HAVE COURTESY PRIVILEGES AND 14% HAVE PROVISIONAL/ CONSULTING PRIVILEGES OR PROVIDE CARE VIA TELEMEDICINE. ADDITIONALLY ST. JOSEPH HAS 14 ALLIED HEALTH PROVIDERS ON STAFF INCLUDING PHYSICIAN ASSISTANT AND PSYCHOLOGY. IN TOTAL, ST. JOSEPH HAS GRANTED PRIVILEGES TO 185 PROVIDERS TO CARE FOR OUR PATIENTS. -ST. JOSEPH HAS A GOVERNING BOARD OF DIRECTORS THAT CONSIST OF INDEPENDENT PERSONS WHO REPRESENT THE LOCAL COMMUNITY, THE MEDICAL STAFF AND THE RELIGIOUS COMMUNITY. THE GOVERNING BODY ALSO INCLUDES NATIONAL LEADERS OF THE ASCENSION HEALTH ORGANIZATION. WHO WE SERVE ST. JOSEPH, DESIGNATED AS A SOLE COMMUNITY HOSPITAL PROVIDER, IS LOCATED IN LEWISTON, ID AND SERVES RESIDENTS OF A NINE COUNTY REGION INCLUDING THE IDAHO COUNTIES OF NEZ PERCE, LATAH, IDAHO, CLEARWATER AND LEWIS, THE WASHINGTON COUNTIES OF ASOTIN, GARFIELD AND WHITMAN AND WALLOWA COUNTY IN OREGON. THE PRIMARY SERVICE AREA CONSISTS OF THE LEWIS-CLARK VALLEY, HOME TO OVER 60,000 PEOPLE. THROUGHOUT THE REGION AN ADDITIONAL 122,000 PEOPLE RESIDE. IN TOTAL ST. JOSEPH SEEKS TO MEET THE NEEDS OF MORE THAN 180,000 PEOPLE RESIDING OVER NEARLY 20,000 SQUARE MILES. SERVICES PROVIDED AS A TEAM IN FY16 SJRMC SERVED: 4,505 - MEN, WOMEN, CHILDREN AS INPATIENTS 476 - MENTAL HEALTH INPATIENTS 772 - NEWBORNS 5,753 - TOTAL ADMISSIONS 3,913 - SURGICAL CASES 32,067 - EMERGENCY DEPARTMENT VISITS 132,932 - TOTAL INDIVIDUAL OUTPATIENT VISITS PATIENT SERVICES: CANCER CENTER CARDIOLOGY/VASCULAR CARDIOPULMONARY COMMUNITY HEALTH / EDUCATION RESOURCES DIAGNOSTIC IMAGING DIALYSIS (INPT ONLY) EMERGENCY DEPT. GI LAB HOSPICE INTENSIVE CARE INTERVENTIONAL RADIOLOGY LABORATORY MEDICAL SERVICES MENTAL HEALTH - ADULT OBSTETRICS OUTPATIENT SERVICES PALLIATIVE CARE PASTORAL CARE PATIENT EDUCATION PHYSICIAN CLINICS PHARMACY PROGRESSIVE CARE REHABILITATION SERVICES SOCIAL SERVICE SURGICAL SERVICES

Schedule H, Part VI Community Benefit Report - Part IV
COMMUNITY PROGRAMS ST. JOSEPH RECOGNIZES THAT IT CANNOT MEET ALL THE COMMUNITY NEEDS AND HAS THEREFORE COLLABORATED WITH NUMEROUS COMMUNITY ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTHCARE, AND BENEFIT THE COMMUNITY. IN FY16, ST. JOSEPH SUPPORTED, SUBSIDIZED AND/OR OTHERWISE FUNDED THE FOLLOWING COMMUNITY ACTIVITIES. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS COMMUNITY HEALTH EDUCATION -ST. JOSEPH MAINTAINS A COMMUNITY HEALTH EDUCATION RESOURCE CENTER. IN FY16 $104,601 WAS SPENT TO PROVIDE HEALTH EDUCATION INFORMATION TO ASSOCIATES, STUDENTS AND COMMUNITY MEMBERS. -ST. JOSEPH EDUCATED THE REGION REGARDING TOTAL JOINT AND SPINE PROCEDURES, $34,885. -THE ST. JOSEPH PHYSICAL AND OCCUPATIONAL DEPARTMENT TAUGHT STEPS AND BACK TO LIVING CLASSES FOR SURGERY PATIENTS, CANCER SURVIVOR CLASSES, NEW DIAGNOSIS CANCER ORIENTATION/ EDUCATION MEETING AND BRAIN INJURY CLASSES, AMONG OTHER EDUCATION SESSIONS, $9,624. -THE ST. JOSEPH MENTAL HEALTH PROGRAM SPENT $7,428, PRESENTING AT A VARIETY OF HEALTH FAIRS, TEACHING MENTAL HEALTH FIRST AID AND HOSTING THE SUICIDE PREVENTION ACTION NETWORK. -ST. JOSEPH ORGANIZED THE NORTH CENTRAL IDAHO COMMUNITY COALITION, WHICH WORKED TO IMPROVE THE LIVES OF THOSE LIVING WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), $7,040. -ST. JOSEPH DIABETES CENTER PROVIDED EDUCATION TO AREA SCHOOLS, TEACHERS AND STAFF, HELD A DIABETES AWARENESS FAIR, A DIABETES COMMUNITY CLASS, DID PRE-DIABETES PRESENTATIONS, PROVIDED DIABETES BOOT CAMP EDUCATION, AND ALSO DID PRESENTATIONS AT A FREE MEDICAL CLINIC, $6,971. -OTHER COMMUNITY HEALTH EDUCATION INCLUDING COPD CLASSES AT SKILLED NURSING HOMES, LAMAZE CLASSES, A SENIOR NUTRITION PROGRAM, NECK AND SPINE AWARENESS PROGRAMS AND OTHER COMMUNITY EDUCATION ACTIVITIES, $4,758. COMMUNITY BASED CLINICAL SERVICES -INDIGENT PATIENTS ARE CARED FOR BY THE SNAKE RIVER COMMUNITY CLINIC, A FREE HEALTH CARE CLINIC, WERE PROVIDED PRESCRIPTIONS BY ST. JOSEPH'S PHARMACY STOCK, $39,505. SUPPORT GROUPS -ST. JOSEPH HOSTED A VARIETY OF SUPPORT GROUPS THROUGHOUT THE YEAR INCLUDING BRIDGE THE GAP, A SUICIDE AWARENESS GROUP, GRIEF DURING THE HOLIDAY HOSTED BY PASTORAL CARE, A QUARTERLY MEMORIAL SERVICE AND ALSO SENT BEREAVEMENT CARDS, $5,232. HEALTH CARE SUPPORT SERVICES -ST. JOSEPH SUPPORT THOSE PATIENTS WHOM NEEDED INTERPRETER SERVICES, $6,187 AND PROVIDED TRANSPORTATION FOR PATIENTS AND FAMILIES IN NEED, $7,475. OTHER COMMUNITY BENEFIT OPERATIONS -ST. JOSEPH PROVIDED PRESCRIPTIONS TO INDIGENT PATIENTS AS WELL AS OTHER SOCIAL SERVICE SUPPORT, $9,949. HEALTH PROFESSIONAL EDUCATION NURSING NURSING FACULTY AT LEWIS CLARK STATE COLLEGE WERE SUBSIDIZED BY $44,000 TO ENABLE INCREASED NURSING STUDENT ENROLLMENT OTHER HEALTH PROFESSIONALS ST. JOSEPH ENGAGES IN THE TRAINING AND EDUCATION OF CAREGIVERS TO HELP ADDRESS THE SHORTAGES OF TRAINED CLINICIANS AND EXPAND THE AVAILABILITY OF SKILLED CAREGIVERS IN THE REGION. ST. JOSEPH HAS DEVELOPED AN EXTENSIVE AFFILIATION PROGRAM WITH EDUCATIONAL INSTITUTIONS THROUGHOUT THE PACIFIC NORTHWEST, INCLUDING LEWIS-CLARK STATE COLLEGE, WALLA WALLA COMMUNITY COLLEGE, WASHINGTON STATE UNIVERSITY, UNIVERSITY OF WASHINGTON, EASTERN WASHINGTON, BOISE STATE UNIVERSITY AND IDAHO STATE UNIVERSITY. IN FY16, ST. JOSEPH PROVIDED 15 EDUCATIONAL PROGRAMS A CLINICAL TEACHING SITE FOR 430 STUDENTS, INCLUDING 285 NURSING STUDENTS, 37 NURSING ASSISTANT STUDENTS, 16 MEDICAL SCHOOL STUDENTS, 43 EMT/PARAMEDIC STUDENTS, 16 PHYSICAL THERAPY AND 10 RADIOLOGY STUDENTS, AS WELL AS STUDENTS OF PHYSICIAN ASSISTANTS/ NURSE PRACTITIONERS, RESPIRATORY THERAPY AND PHARMACY. CASH & IN-KIND CONTRIBUTIONS CATH CONTRIBUTIONS -ST. JOSEPH MATCHED ASSOCIATE CONTRIBUTIONS TO THE LOCAL UNITED WAY, AN AGENCY WHICH PROVIDES SUPPLEMENTAL SUPPORT TO NON-PROFIT AGENCIES, AND ALSO SERVED ON ITS BOARD OF DIRECTORS, $33,696. -ST. JOSEPH GAVE CASH TO A VARIETY OF COMMUNITY ORGANIZATIONS PROVIDING COMMUNITY SERVICES INCLUDING THE IDAHO FOOD BANK, CLEARWATER VALLEY HOSPITAL, THE CITY OF LEWISTON PARKS AND RECREATION, IDAHO BUSINESS OF EDUCATION, ESSENTIA HEALTH, SYRINGA HOSPITAL AND THE PALOUSE CLEARWATER MEDICAL CONFERENCE, $25,542. -ST. JOSEPH ALSO MADE COMMUNITY RELATIONS BASED CASH CONTRIBUTIONS TO OVER THIRTY COMMUNITY ORGANIZATIONS, INCLUDING LEWIS CLARK STATE COLLEGE, THE BOYS AND GIRLS CLUBS OF THE LEWIS-CLARK VALLEY, THE LEWISTON ROUNDUP, RELAY FOR LIFE, LEWISTON HIGH SCHOOL, THE LEWISTON INDEPENDENT FOUNDATION FOR EDUCATION, THE WILLOW CENTER, THE NORTHWEST CHILDREN'S HOME, THE YWCA AND AMERICAN LEGION, $43,278. IN-KIND CONTRIBUTIONS -AMBULANCE AND EMS SUPPORT SERVICES - ST. JOSEPH PROVIDED $12,152 IN SUPPORT TO LOCAL AMBULANCE AND EMS SUPPORT SERVICES, INCLUDING TRAINING RURAL EMS PROVIDERS, BY PROVIDING CLINICAL LOCATIONS AND WORKFORCE EXPERIENCE. -ST. JOSEPH PROVIDED THE LOCAL LEWIS-CLARK HEALTH CLINIC, A FEDERALLY QUALIFIED HEALTH CLINIC AND PARTNER OF THE COMMUNITY HEALTH ASSOCIATION OF SPOKANE, FREE RENT A $33,804 VALUE. -APPROXIMATELY 15-20 EXTERNAL ORGANIZATIONS UTILIZED THE CONFERENCE ROOMS IN FY16, $12,450 -ST. JOSEPH VOLUNTEER SERVICES PROVIDED $27,168 IN CONTRIBUTIONS TO THE AUXILIARY NURSING SERVICES AT LEWIS CLARK STATE COLLEGE AND WALLA WALLA COMMUNITY COLLEGE, UTILIZING JUNIOR AND SENIOR HIGH STUDENTS AND ALSO VOLUNTEERED AT THE TOY WORKSHOP. -IN ADDITION TO THE ABOVE IN-KIND CONTRIBUTIONS, SJRMC ALSO RECOGNIZED THE COST OF STAFF HOURS DONATED BY EMPLOYEES TO COMMUNITY ORGANIZATIONS AS WELL AS THE INDIRECT COST OF DONATED SPACE, FOOD, EQUIPMENT AND SUPPLIES FOR FY16 IN THE AMOUNT OF $40,363. COMMUNITY ORGANIZATIONS RECEIVING THESE IN-KIND DONATIONS INCLUDE: TWIN COUNTY UNITED WAY, ST. VINCENT DEPAUL, WILLOW CENTER, CITY OF LEWISTON PARKS AND REC, SNAKE RIVER VOLLEYBALL, LEWISTON INDEPENDENT FOUNDATION FOR EDUCATION, LEWIS-CLARK STATE COLLEGE, LEWISTON ROTARY CLUB, LEWIS CLARK CHAMBER OF COMMERCE AND THE NORTH CENTRAL HEALTHCARE COALITION. COMMUNITY BUILDING COMMUNITY SUPPORT -AS THE REGIONAL REFERRAL CENTER, ST. JOSEPH LEADS THE WAY IN PREPARING THE REGION FOR EMERGENCY SITUATIONS. IN FY16, $88,095 WAS EXPENDED TO TRAIN AND EDUCATE COMMUNITY AND REGIONAL PARTNERS IN EMERGENCY PREPAREDNESS VIA THE NORTH CENTRAL IDAHO HEALTHCARE COALITION AND THE IDAHO SOCIETY FOR HEALTHCARE ENGINEERING. -ST. JOSEPH SUPPORTED ECONOMIC DEVELOPMENT THROUGH VALLEY VISION, $10,000. -ST. JOSEPH SUPPORTED SENIOR SERVICES, $13,510, INCLUDING MEALS ON WHEELS, AND SENIOR LIFE, A PROGRAM FOR ADULTS OVER 60 YEARS OLD THAT PROVIDES ASSISTANCE TO SENIORS WITH MEDICARE PART D, ONGOING WELLNESS PROGRAMS AND WORKSHOPS FOR OVER 1,200 MEMBERS. -AS A CATHOLIC HEALTHCARE ORGANIZATION, ST. JOSEPH PROVIDES PASTORAL CARE SUPPORT TO PATIENTS AND FAMILIES. IN FY16, $7,333 IN PASTORAL CARE SUPPORT WAS PROVIDED FOR IN AND OUTPATIENTS, AREA CLERGY AND THOSE IN BEREAVEMENT. -ST. JOSEPH BELIEVES THAT IN ORDER TO PROVIDE THE BEST HEALTH CARE TO THE COMMUNITY, ALL THE ASSOCIATES, ESPECIALLY ITS CLINICAL PERSONNEL, MUST RECEIVE ONGOING MEDICAL EDUCATION. SEE APPENDIX A FOR A COMPLETE LIST OF THE CLASSES, SEMINARS, AND MATERIALS THAT SJRMC HAS PROVIDED TO ITS ASSOCIATES, CLINICAL STAFF AND THE COMMUNITY.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
"THE COST OF PROVIDING CHARITY CARE, MEANS TESTED GOVERNMENT PROGRAMS, AND COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA AND IS IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION (""CHA"") GUIDELINES. THE BEST DATA AVAILABLE WAS USED TO CALCULATE THE AMOUNT REPORTED IN THE TABLE. FOR CERTAIN CATEGORIES IN THE TABLE, THIS WAS DIRECT COSTS FROM THE GENERAL LEDGER, IN OTHER CATEGORIES, A SPECIFIC COST-TO-CHARGE RATIO WAS USED."

Schedule H, Part II Community Building Activities
ST. JOSEPH RECOGNIZES THAT IT CANNOT MEET ALL THE COMMUNITY NEEDS AND HAS THEREFORE COLLABORATED WITH NUMEROUS COMMUNITY ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTHCARE, AND BENEFIT THE COMMUNITY. IN FY16, ST. JOSEPH SUPPORTED AND/OR FUNDED THE FOLLOWING COMMUNITY BUILDING ACTIVITIES: -AS THE REGIONAL REFERRAL CENTER, ST. JOSEPH LEADS THE WAY IN PREPARING THE REGION FOR EMERGENCY SITUATIONS. IN FY16, $88,095 WAS EXPENDED TO TRAIN AND EDUCATE COMMUNITY AND REGIONAL PARTNERS IN EMERGENCY PREPAREDNESS VIA THE NORTH CENTRAL IDAHO HEALTHCARE COALITION AND THE IDAHO SOCIETY FOR HEALTHCARE ENGINEERING. -ST. JOSEPH SUPPORTED ECONOMIC DEVELOPMENT THROUGH VALLEY VISION, $10,000. -ST. JOSEPH SUPPORTED SENIOR SERVICES, $13,510, INCLUDING MEALS ON WHEELS, AND SENIOR LIFE, A PROGRAM FOR ADULTS OVER 60 YEARS OLD THAT PROVIDES ASSISTANCE TO SENIORS WITH MEDICARE PART D, ONGOING WELLNESS PROGRAMS AND WORKSHOPS FOR OVER 1,200 MEMBERS. -AS A CATHOLIC HEALTHCARE ORGANIZATION, ST. JOSEPH PROVIDES PASTORAL CARE SUPPORT TO PATIENTS AND FAMILIES. IN FY16, $7,333 IN PASTORAL CARE SUPPORT WAS PROVIDED FOR IN AND OUTPATIENTS, AREA CLERGY AND THOSE IN BEREAVEMENT. -ST. JOSEPH BELIEVES THAT IN ORDER TO PROVIDE THE BEST HEALTH CARE TO THE COMMUNITY, ALL THE ASSOCIATES, ESPECIALLY ITS CLINICAL PERSONNEL, MUST RECEIVE ONGOING MEDICAL EDUCATION. SEE APPENDIX A FOR A COMPLETE LIST OF THE CLASSES, SEMINARS, AND MATERIALS THAT SJRMC HAS PROVIDED TO ITS ASSOCIATES, CLINICAL STAFF AND THE COMMUNITY.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE BENEFIT COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYER CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE MEDICAL CENTER FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE MEDICAL CENTER'S POLICIES. ST. JOSEPH REGIONAL MEDICAL CENTER'S BAD DEBT DEDUCTION FROM IN 2016 WAS $4,308,255 AT COST $1,601,302. (Cost to Charge Ratio from Schedule H)

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE BENEFIT COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYER CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE MEDICAL CENTER FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE MEDICAL CENTER'S POLICIES. ST. JOSEPH REGIONAL MEDICAL CENTER'S BAD DEBT DEDUCTION FROM IN 2016 WAS $4,308,255 AT A COST OF $1,601,302.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
"ST. JOSEPH REGIONAL MEDICAL CENTER FOLLOWS THE CATHOLIC HEALTH ASSOCIATION (""CHA"") GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT."

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
ST. JOSEPH REGIONAL MEDICAL CENTER HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY.

Schedule H, Part V, Section B, Line 16a FAP website
- St. Joseph Regional Medical Center: Line 16a URL: https://www.sjrmc.org/billing-financial-assistance/;

Schedule H, Part V, Section B, Line 16b FAP Application website
- St. Joseph Regional Medical Center: Line 16b URL: https://www.sjrmc.org/billing-financial-assistance/;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- St. Joseph Regional Medical Center: Line 16c URL: https://www.sjrmc.org/billing-financial-assistance/;

Schedule H, Part VI, Line 2 Needs assessment
THE 2016 COMMUNITY NEEDS ASSESSMENT: HEALTH, EDUCATION & INCOME (CNA) FOCUSED ON HEALTH, EDUCATION AND INCOME AND WAS ACCOMPLISHED THROUGH A COLLABORATIVE EFFORT SPEARHEADED BY THE TWIN COUNTY UNITED WAY, ST. JOSEPH REGIONAL MEDICAL CENTER AND PUBLIC HEALTH - IDAHO NORTH CENTRAL DISTRICT. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN A FIVE-COUNTY AREA OF NORTH CENTRAL IDAHO ENCOMPASSING CLEARWATER, IDAHO, LATAH, LEWIS, AND NEZ PERCE COUNTIES AND ONE BORDERING EASTERN WASHINGTON COUNTY; ASOTIN. NEARLY 1,700 RESPONDENTS PROVIDED INPUT VIA A SURVEY AND DOZENS OF INDIVIDUALS PROVIDED INPUT THROUGH COMMUNITY CONVERSATIONS AND BOARD MEETINGS. A VERY SPECIAL THANK YOU IS OWED TO ALL THE VOLUNTEERS, SURVEY RESPONDENTS AND INDIVIDUALS WHO CONTRIBUTED TO THIS PROJECT. THE CNA IS INTENDED TO IDENTIFY THE HEALTH, EDUCATION AND INCOME NEEDS AND ISSUES OF THE REGION AND TO PROVIDE USEFUL INFORMATION TO PUBLIC HEALTH, HOSPITALS, HEALTH CARE PROVIDERS, POLICY MAKERS, COLLABORATIVE GROUPS, SOCIAL SERVICE AGENCIES, COMMUNITY GROUPS AND ORGANIZATIONS, CHURCHES, BUSINESSES AND CONSUMERS WHO ARE INTERESTED IN IMPROVING THE HEALTH AND OVERALL STATUS OF THE COMMUNITY AND REGION. JOINING FORCES HELPS ASSURE THAT GOOD USE IS BEING MADE OF OUR COMMUNITY'S CHARITABLE RESOURCES BY IDENTIFYING THE MOST URGENT NEEDS OF THE UNDERSERVED. IN TURN, THIS MAXIMIZES EFFORT BY REDUCING COSTS AND COORDINATING RESEARCH FINDINGS INTO A COMPREHENSIVE DOCUMENT FOR USE BY OTHERS. THE FOLLOWING ARE THE TOP THREE IDENTIFIED NEEDS FROM EACH CATEGORY (HEALTH, EDUCATION AND INCOME) THAT EMERGED FROM THE FINDINGS OF THE COMMUNITY NEEDS ASSESSMENT: HEALTH -OVERWEIGHT/OBESITY & CHRONIC DISEASES (DIABETES, HEART DISEASE, OBESITY) -HEALTH INSURANCE -MENTAL HEALTH EDUCATION -POST HIGH SCHOOL/COLLEGE OPPORTUNITIES -TUTORING FOR AT-RISK -BEFORE & AFTER SCHOOL OPTIONS INCOME -AFFORDABLE HOUSING -FOOD ASSISTANCE -MANAGING FINANCES/EMPLOYMENT ASSISTANCE THE RESULTS OF THIS COLLABORATIVE ASSESSMENT REVEALS SEVERAL OPPORTUNITIES FOR IMPROVEMENT IN A VARIETY OF AREAS ENABLING ORGANIZATIONS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS AND COMMIT RESOURCES. THE SELECTED AREAS WILL PROVIDE MANY OPPORTUNITIES FOR COMMUNITY GROUPS, WORKING TOGETHER, TO MAKE THE BIGGEST IMPACT ON THE COMMUNITY'S HEALTH, EDUCATION & INCOME.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
ST. JOSEPH REGIONAL MEDICAL CENTER FINANCIAL ASSISTANCE IS AVAILABLE TO ALL PATIENTS. ST. JOSEPH'S FINANCIAL ASSISTANCE NOTICE IS POSTED IN ALL REGISTRATION AREAS, EMERGENCY DEPARTMENT AND BUSINESS SERVICES DEPARTMENT. UNINSURED PATIENTS CONTINUE TO RECEIVE A DISCOUNT OFF THEIR INITIAL BILLS IN ORDER TO IMPROVE THE AFFORDABILITY OF HEALTH CARE TO THESE PATIENTS. FINANCIAL ASSISTANCE MATERIALS HAVE BEEN INCLUDED IN THE ADMISSION PACKETS AND ARE AVAILABLE AT ALL REGISTRATION AREAS ALERTING THE PATIENT TO THE AVAILABILITY OF FINANCIAL ASSISTANCE. INFORMATION IS ALSO INCLUDED ON BILLS SENT TO PATIENTS SO THEY CAN CONTACT ST. JOSEPH TO REQUEST AN APPLICATION FOR FINANCIAL ASSISTANCE IN THE SETTLEMENT OF THEIR BILL. INFORMATION AND APPLICATION IS ALSO AVAILABLE ON THE ST. JOSEPH WEBSITE. WWW.SJRMC.ORG ST. JOSEPH MAKES EVERY ATTEMPT TO IDENTIFY/ASSIST PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY OR DISCOUNTED CARE THROUGH ST. JOSEPH'S CHARITY CARE POLICY. A FINANCIAL ASSISTANCE COUNSELOR IS AVAILABLE TO ALL PATIENTS. THE BUSINESS OFFICE STAFF IS TRAINED ON HOW TO QUALIFY PATIENTS FOR MEDICAID, COUNTY ASSISTANCE AND OTHER PAYMENT PROGRAMS INCLUDING HEALTH EXCHANGE PRODUCTS FOR BOTH IDAHO AND WASHINGTON RESIDENTS. THE FINANCIAL ASSISTANCE COUNSELOR DISCUSSES WITH PATIENTS THE AVAILABILITY OF VARIOUS GOVERNMENT ASSISTANCE PROGRAMS AND ASSISTS THE PATIENT WITH QUALIFYING FOR SUCH PROGRAMS. AS A RESULT OF A GRANT THROUGH THE STATE OF WASHINGTON, A MEDICAID ELIGIBILITY CASE WORKER ASSISTS WASHINGTON APPLICANTS WITH THEIR APPLICATION PROCESS. THE WRITTEN SUMMARY AND CONTACT INFORMATION IS ALSO PROVIDED IN BILLING COMMUNICATIONS WITH PATIENTS. FOR THE PATIENT WHO HAS LIMITED ENGLISH PROFICIENCY, INTERPRETER SERVICES ARE AVAILABLE AT NO CHARGE. ALL UNINSURED AND INSURED PATIENTS ARE ELIGIBLE FOR FINANCIAL SCREENING FOR FURTHER ADJUSTMENT TO THEIR BILLS BASED ON DOCUMENTED INCOME AND EXPENSE PROFILES PROVIDED BY THE PATIENT OR GUARANTOR; AND THE RESULTING ABILITY TO PAY ALL OF, OR PART OF, THE REMAINDER OF THE BILL OVER A FOUR YEAR PERIOD OF TIME. ST. JOSEPH WILL WRITE OFF 100% OF A BILL FOR A PATIENT/FAMILY WITH NO INSURANCE WHICH HAS A DOCUMENTED INCOME PROFILE LEVEL THAT IS 250% OR LESS OF THE FEDERAL POVERTY LEVEL. AT A MINIMUM, PATIENTS WITH INCOMES ABOVE 250% OF THE FPL BUT NOT EXCEEDING 400% OF THE FPL WILL RECEIVE A 57% DISCOUNT ON THAT PORTION OF THE CHARGES FOR SERVICES PROVIDED FOR WHICH THE PATIENT IS RESPONSIBLE FOLLOWING PAYMENT BY AN INSURER, IF ANY, AFTER THE PATIENT COMPLETES A FINANCIAL APPLICATION FOR ST. JOSEPH EVALUATION. ST. JOSEPH REVIEWS THE COMPLETED APPLICATION REGARDING INCOME, EXPENSE, ASSETS, AND LIABILITIES TO DETERMINE THE EXTENT OF FINANCIAL ASSISTANCE THAT CAN BE OFFERED ACCORDING TO ST. JOSEPH POLICIES. ST. JOSEPH HAS AN ARRANGEMENT WITH A FINANCING COMPANY TO ENABLE THE PATIENT OR GUARANTOR TO FINANCE PAYMENT OF MEDICAL BILLS. ST. JOSEPH HAS A POLICY THAT ALL ALTERNATIVE SOURCES OF FINANCIAL ASSISTANCE, INCLUDING APPLICATION TO VARIOUS MEDICAID, COUNTY AND OTHER AVAILABLE PROGRAMS MUST BE APPLIED FOR, AND REJECTED, BEFORE FINANCIAL ASSISTANCE IS PROVIDED BY ST. JOSEPH. FAILURE OF THE PATIENT OR GUARANTOR TO FOLLOW-THROUGH ON THE APPLICATION OF FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE FROM ANOTHER SOURCE WILL CONSTITUTE REASON FOR DENIAL OF AN APPLICATION FOR FINANCIAL ASSISTANCE FROM ST. JOSEPH.

Schedule H, Part VI, Line 4 Community information
ST. JOSEPH, DESIGNATED AS A SOLE COMMUNITY HOSPITAL PROVIDER, IS LOCATED IN LEWISTON, ID AND SERVES RESIDENTS OF A NINE COUNTY REGION INCLUDING THE IDAHO COUNTIES OF NEZ PERCE, LATAH, IDAHO, CLEARWATER AND LEWIS, THE WASHINGTON COUNTIES OF ASOTIN, GARFIELD AND WHITMAN AND WALLOWA COUNTY IN OREGON. THE PRIMARY SERVICE AREA CONSISTS OF THE LEWIS-CLARK VALLEY, HOME TO OVER 60,000 PEOPLE. THROUGHOUT THE REGION AN ADDITIONAL 122,000 PEOPLE RESIDE. IN TOTAL ST. JOSEPH SEEKS TO MEET THE NEEDS OF MORE THAN 180,000 PEOPLE RESIDING OVER NEARLY 20,000 SQUARE MILES.

Schedule H, Part VI, Line 5 Promotion of community health
ST. JOSEPH'S PRIMARY MISSION IS TO CONTINUE CHRIST'S MISSION OF MERCY BY MEETING THE HEALTH CARE NEEDS OF THE INDIVIDUALS IN THE COMMUNITIES WE SERVE. NO ONE REQUIRING MEDICAL CARE OR SERVICES OFFERED BY ST. JOSEPH IS TURNED AWAY REGARDLESS OF RACE, CREED, RELIGION, NATIONAL ORIGIN, SEX, ABILITY TO PAY OR ECONOMIC STATUS. AS THE REGION'S LEADER IN THE DELIVERY OF HEALTH CARE SERVICES, ST. JOSEPH CONTINUES TO ACCEPT THE RESPONSIBILITY TO CONTRIBUTE TO THE OVERALL HEALTH AND WELFARE OF OUR COMMUNITY. ST. JOSEPH IS DEEPLY COMMITTED TO OUR COMMUNITY TO HELP ASSURE RESIDENTS LIVE HEALTHY AND PRODUCTIVE LIVES THROUGH COST EFFECTIVE AND QUALITY HEALTHCARE AND EDUCATION SERVICES. ST. JOSEPH OFFERS A VARIETY OF SERVICES AND PROGRAMS THAT ARE NOT FOUND ELSEWHERE IN THE REGION AND IS CONSTANTLY MONITORING AND ASSESSING THE NEEDS OF THE REGION TO ASSURE QUALITY HEALTH CARE. THROUGH OUR COMMITMENT TO PROVIDING COMMUNITY BENEFIT ST. JOSEPH HAS ENGAGED IN THE FOLLOWING ACTIVITIES TO ASSURE THAT OUR MISSION IS ACCOMPLISHED: -ST. JOSEPH IS FULLY ACCREDITED BY THE JOINT COMMISSION, AND PROVIDES LEVEL III ADULT/PEDIATRIC TRAUMA SERVICES, AS DESIGNATED BY THE WASHINGTON STATE HOSPITAL ASSOCIATION. -ST. JOSEPH OPERATES AN EMERGENCY ROOM AND MINOR CARE THAT IS OPEN 24/7 AND SERVES ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. -ST. JOSEPH PROVIDES MANY INPATIENT AND OUTPATIENT SERVICES TO ALL PERSONS WHILE PARTICIPATING IN MEDICARE, MEDICAID, COUNTY INSURANCE, TRICARE, INDIAN HEALTH SERVICES AND/OR OTHER GOVERNMENT HEALTH CARE PROGRAMS TO ASSURE ACCESS FOR PATIENTS. -ST. JOSEPH'S MEDICAL STAFF PRIVILEGES ARE OPEN TO ANY QUALIFIED PHYSICIAN AND ALLIED HEALTH PROVIDER IN THE REGION. IN FY16, SJRMC'S MEDICAL/ DENTAL STAFF INCLUDED 171 PHYSICIANS, MIDWIVES, CERTIFIED REGISTERED NURSE ANESTHETIST AND NURSE PRACTIONERS SPECIALIZING IN 39 FIELDS. THE ACTIVE/ ASSOCIATE MEDICAL/ DENTAL STAFF REPRESENTS 64% OF THE TOTAL PHYSICIANS, WHILE 22% OF PHYSICIANS HAVE COURTESY PRIVILEGES AND 14% HAVE PROVISIONAL/ CONSULTING PRIVILEGES OR PROVIDE CARE VIA TELEMEDICINE. ADDITIONALLY ST. JOSEPH HAS 14 ALLIED HEALTH PROVIDERS ON STAFF INCLUDING PHYSICIAN ASSISTANT AND PSYCHOLOGY. IN TOTAL, ST. JOSEPH HAS GRANTED PRIVILEGES TO 185 PROVIDERS TO CARE FOR OUR PATIENTS. - ST. JOSEPH HAS A GOVERNING BOARD OF DIRECTORS THAT CONSIST OF INDEPENDENT PERSONS WHO REPRESENT THE LOCAL COMMUNITY, THE MEDICAL STAFF AND THE RELIGIOUS COMMUNITY. THE GOVERNING BODY ALSO INCLUDES NATIONAL LEADERS OF THE ASCENSION HEALTH ORGANIZATION.

Schedule H, Part VI, Line 6 Affiliated health care system
ST. JOSEPH REGIONAL MEDICAL CENTER IS A MEMBER OF ASCENSION HEALTH. ASCENSION HEALTH IS THE NATION'S LARGEST CATHOLIC AND NOT-FOR-PROFIT HEALTH SYSTEM CONSISTING PRIMARILY OF CORPORATIONS THAT OWN AND OPERATE LOCAL AND REGIONAL HEALTH CARE FACILITIES OR HEALTH MINISTRIES. ASCENSION HEALTH DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH ASCENSION HEALTH'S MISSION OF SERVICE TO THOSE WHO ARE POOR AND VULNERABLE, EACH HEALTH MINISTRY, INCLUDING ST. JOSEPH ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ASCENSION HEALTH USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS WHO ARE POOR AND COMMUNITY BENEFIT PROGRAMS: -TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. -UNPAID COST OF PUBLIC PROGRAMS REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR THE POOR. -COST OF OTHER PROGRAMS FOR THE POOR INCLUDES PROGRAMS INTENTIONALLY DIRECTED AT SERVING THE POOR AND VULNERABLE OF THE COMMUNITY INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. -COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE POOR, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS AND MEDICAL RESEARCH. ST. JOSEPH FURTHERS ITS CHARITABLE PURPOSES BY PROVIDING A BROAD ARRAY OF SERVICES TO MEET THE HEALTHCARE NEEDS OF PATIENTS AND ORGANIZATIONS IN THE COMMUNITY. WE PROVIDE ESSENTIAL MEDICAL SERVICES TO THE COMMUNITY, TRAIN AND RECRUIT HEALTHCARE PROFESSIONALS TO SERVE THE NEEDS OF THE BROADER COMMUNITY, PROVIDE APPROPRIATE CHARITY SERVICES TO THOSE PATIENTS WHO ARE NOT ABLE TO PAY FOR THEIR OWN HEALTHCARE NEEDS, PROVIDE SERVICES TO OTHER ORGANIZATIONS THAT ALLOW THEM TO PROVIDE QUALITY SERVICES TO THEIR PATIENTS OR CONSTITUENTS, AND PRESENT EDUCATIONAL INFORMATION CLASSES AND ACTIVITIES TO THE COMMUNITY IN ORDER TO IMPROVE ITS OVERALL HEALTH STATUS.