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ACCOUNTS RECEIVABLE ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND REFERS COLLECTION EFFORTS TO A THIRD-PARTY COLLECTOR UNDER CONTRACT. RECOVERIES OF BAD DEBT WRITE-OFFS REDUCE BAD DEBT EXPENSE. COST TO CHARGE RATIO WAS USED. CALCULATED AS TOTAL EXPENSES LESS TOTAL OTHER REVENUE LESS SOCIAL ACCOUNTABILITY EXPENSE DIVIDED BY TOTAL GROSS PATIENT REVENUE."},{"explanation":"PART III, LINE 8: SHORTFALL IS NOT REPORTED IN LINE 7 COMMUNITY BENEFIT. SOURCE USED IS 2011 COST REPORT CERTIFICATION AND SETTLEMENT SUMMARY."},{"explanation":"PART III, LINE 9B: POLICY REQUIRES ALL ACCOUNTS TO BE REVIEWED FOR POSSIBLE CHARITY WRITE OFF."},{"explanation":"PART V, SECTION B, LINE 11H: SPECIAL CIRCUMSTANCES BEYOND CATASTROPHIC CARE."},{"explanation":"PART V, SECTION B, LINE 13G: FINANCIAL COUNSELORS ARE AVAILABLE IN KEY REGISTRATION AREAS TO DISCUSS PATIENT NEEDS ON AN INDIVIDUAL BASIS. SCHEDULED PATIENTS MAY BE PROVIDED ESTIMATES OF AMOUNTS THEY MAY OWE AND ARE ENCOURAGED TO MEET AND DISCUSS PAYMENT MATTERS WITH FINANCIAL COUNSELORS AT THAT TIME OR ARE PROVIDED WITH CONTACT INFORMATION IN THE EVENT THEY SHOULD HAVE FURTHER QUESTIONS OR NEEDS. WE ALSO HAVE SPECIAL REPRESENTATIVES THAT WORK WITH PATIENTS, AS NEEDED, TO ASSIST THEM IN APPLYING FOR CHARITY CARE, DISCOUNTED CARE OR OTHER STATE/FEDERAL PROGRAMS THAT MAY BE AVAILABLE TO ASSIST THE PATIENT IN PAYING FOR THEIR MEDICAL CARE."},{"explanation":"PART V, SECTION B, LINE 15E: CLAIMS AGAINST ESTATES OF DECEASED PATIENTS."},{"explanation":"PART V, SECTION B, LINE 16E: CLAIMS AGAINST ESTATES OF DECEASED PATIENTS."},{"explanation":"PART V, SECTION B, LINE 19D: USED AVERAGE DISCOUNTS AFFORDED TO THE MEDICARE PROGRAM TO APPROXIMATE MEDICARE PAYMENT RATES."},{"explanation":"PART VI, LINE 2: AS DEPICTED IN OUR STRATEGIC PLAN FOR THE 2017 HEALTH CARE DELIVERY MODEL, SJHS WILL ADVOCATE FOR QUALITY CARE, ESPECIALLY FOR THOSE WHO ARE MARGINALIZED AND WILL COLLABORATE BROADLY TO SERVE PERSONS IN OUR COMMUNITIES. THE 2017 STRATEGIC FRAMEWORK GUIDES US TO IMPLEMENT STRATEGIES THAT IMPROVE THE HEALTH STATUS OF VULNERABLE POPULATIONS SUCH AS THE HOMELESS.CONSEQUENTLY, THE SJHS OPERATING PLAN IDENTIFIES THAT WE WILL CONDUCT A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS AND AN UPDATE EVERY YEAR TO IDENTIFY THE VULNERABLE POPULATIONS, DEVELOP SERVICES TO MEET THE NEEDS OF THOSE POPULATIONS AND MEET OUR TARGETS FOR SERVICES TO THOSE IN NEED.PROCESSTO ACCOMPLISH THE COMMUNITY HEALTH NEEDS ASSESSMENTS, WE UTILIZE A PLANNING TEAM THAT INCLUDED MEMBERS OF MANAGEMENT, FINANCE STAFF, BOARD AND BOARD COMMITTEES. THE PLANNING TEAM DETERMINES THE SCOPE OF THE ASSESSMENT EACH YEAR, AS WELL AS RESEARCH OBJECTIVES AND PRELIMINARY HEALTH INDICATORS. THIS TEAM GATHERS AND ANALYZES DATA AND DEVELOPS PRELIMINARY PRIORITIES AND RESOURCES. THE COMMUNITY ADVISORS ARE THEN UTILIZED TO PROVIDE FEEDBACK ON THE PRELIMINARY RECOMMENDATIONS AND TO OBTAIN COMMUNITY INPUT.1. DEFINE THE COMMUNITYSJEG ANNUALLY REDEFINES OUR PRIMARY SERVICE AREA. THIS IS USED TO DEFINE THE COMMUNITY FOR THE ASSESSMENT. THE ASSESSMENT THEN IDENTIFIES THE HEALTH NEEDS OF MULTIPLE POPULATIONS ACROSS THE SERVICE AREAS INCLUDING:-SENIORS-MEMBERS OF ETHNIC GROUPS-RESIDENTS OF PUBLIC HOUSING-MEMBERS OF MINORITY GROUPS-UNINSURED PERSONS-COMMUNITY MEMBERS WITH CHRONIC CONDITIONS (E.G., DIABETES, CHF, OBESITY, ETC.)2. COLLECT, REVIEW AND ANALYZE DATAREADILY AVAILABLE INFORMATION ABOUT COMMUNITY HEALTH ISSUES AND NEEDS IS COLLECTED FROM PUBLIC HEALTH DEPARTMENTS, COMMUNITY AGENCIES, LOCAL HEALTH AND WELFARE AGENCIES, AREA AGENCIES ON AGING, AND OTHER RESOURCES WITHIN THE COMMUNITY.QUANTITATIVE DATA SUCH AS DEMOGRAPHICS, SOCIOECONOMIC DATA, PUBLIC HEALTH INDICATORS, DATA ON HEALTH-RELATED BEHAVIORS (BRFSS), DATA ON THE HOMELESS, AND UTILIZATION STATISTICS FOR LOCAL HEALTH SERVICES ARE OBTAINED THROUGH CATHOLIC HEALTH EAST'S PLANNING DEPARTMENT.THE BULK OF THE DATA FOR COMMUNITY NEEDS ASSESSMENT COMES FROM SECONDARY DATA SOURCES.PRIMARY REVIEW OF THE AVAILABLE SECONDARY DATA TYPICALLY IDENTIFIES ISSUES OR HIGHLIGHTS AREAS OF POULATIONS ABOUT WHICH ADDITIONAL INFORMATION IS NEEDED. AT THAT POINT SOURCES FOR NEW INFORMATION RELATED TO THOSE SPECIFIC ISSUES OR POPULATIONS ARE IDENTIFIED AND TYPICALLY INCLUDE COMMUNITY MEMBERS, LEADERS AND ADVOCATES, FAITH COMMUNITIES, COMMUNITY HEALTH PROVIDERS, AND MEMBERS OF THE MEDICAL PROFESSIONAL STAFFS. ADDITIONAL DATA COLLECTION METHODS SUCH AS SURVEYS AND QUESTIONNAIRES, INTERVIEWS, COMMUNITY FORUMS AND FOCUS GROUPS ARE UTILIZED TO OBTAIN DATA RELATED TO THESE SPECIFIC ISSUES OR POPULATIONS.3. REVIEW AND SUMMARIZE FINDINGS4. PRIORITIZE NEEDSUSING VALUES-BASED DISCERNMENT PROCESS, THE PLANNING TEAM ESTABLISHES THE CRITERIA AND METHODOLOGY THAT WILL BE USED TO IDENTIFY PRIORITIES AMONG COMPETING NEEDS. CRITERIA MAY INCLUDE:-COMMUNITY GROUPS EXPRESS STRONG CONCERN-HIGH NEED AMONG VULNERABLE POPULATIONS-CAUSE OF OTHER PROBLEMS RATHER THAN A SYMPTOM-CONTINUUM OF CARE CONSIDERATIONS; BUILDS ON EXISTING COMPETENCIESTHE PLANNING TEAM RANKS NEEDS ACCORDING TO THE CRITERIA AND DEVELOPS PRELIMINARY PRIORITIES WHICH ARE SHARED WITH, AND AGREED UPON, BY MANAGEMENT TEAM AND BOARD.5. DRAFT THE FINAL REPORT6. DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANBASED ON THE REPORT, THE MANAGEMENT TEAM AND BOARD DETERMINE GOALS AND OBJECTIVES THAT ADDRESS THE NEEDS OF THE PRIORITIZED VULNERABLE POPULATIONS. INDICATORS THAT WILL BE MONITORED ARE IDENTIFIED AND A MONITORING PROCESS IS ESTABLISHED. FINALLY, A PLAN IS DEVELOPED TO ACHIEVE THE GOALS. THE PLAN INCLUDES ACTIVITIES, RESPONSIBLE PERSON(S), TIMELINES, AND RESOURCE REQUIREMENTS. THE PLAN IS THEN INCORPORATED INTO THE ANNUAL OPERATING PLAN AND BUDGET PROCES."},{"explanation":"PART VI, LINE 3: OUR CHARITY CARE POLICY AND FINANCIAL ASSISTANCE APPLICATIONS ARE LOCATED ON OUR WEBSITE FOR PATIENT CONVENIENCE. FINANCIAL ASSISTANCE INFORMATION IS ALSO ON OUR PATIENT BILLING STATEMENTS AND DISCUSSED DURING FINANCIAL SCREENINGS. OUR PATIENTS ARE SENT A LETTER PROVIDING THEIR STATUS OF FINANCIAL ASSISTANCE AS EACH APPLICATION IS PROCESSED. WE ALSO UTILIZE A MEDICAID ELIGIBILITY VENDOR TO ASSIST PATIENTS IN APPLYING FOR MEDICAID, CANCER STATE AID OR OTHER GOVERNMENT PROGRAMS."},{"explanation":"PART VI, LINE 4: SJHAS PRIMARY AND SECONDARY SERVICE AREA LARGELY FALLS WITH THE 28 COUNTY ATLANTA METROPOLITAN STATISTICAL AREA (MSA). AS OF THE 2010 U.S. CENSUS, THE ATLANTA MSA HAD AN ESTIMATED POPULATION OF 5,268,860. ALTHOUGH THERE HAS BEEN A POPULATION INCREASE OF 24% SINCE 2000 TO 2010, THE ATLANTA MSA POPULATION HAS ACTUALLY DECREASE IN SIZE APPROXIMATELY 110,000 PEOPLE FROM THE U.S. CENSUS ESTIMATES IN 2007. THE ATLANTA MSA IS STILL THE 9TH LARGEST MSA IN THE COUNTRY EVEN WITH THE SLIGHT POPULATION DECLINE. ACCORDING TO THE 2009 AMERICAN COMMUNITY SURVEY ESTIMATES, THE MEDIAN ATLANTA MSA AGE IS 34 YEARS VERSUS THE U.S. AVERAGE OF 36.5. THE MEDIAN HOUSEHOLD INCOME IS $62,904 VERSUS THE U.S. AVERAGE OF $62,363. OF THE POPULATION 25 YEARS OR HIGHER, 45.7% HAVE EARNED A BACHELOR DEGREE OR HIGHER VERSUS 27.5% OF THE U.S. ADULT POPULATION. THE RACIAL MAKEUP OF THE AREA IS 50.1% BLACK OR AFRICA AMERICAN, 43.1% WHITE, 2.7% ASIAN, 0.2% AMERICAN INDIAN AND ALASKAN NATIVE, <0.1% PACIFIC ISLAND, 2.7% FROM OTHER RACES, AND 1.2% FROM TWO OR MORE RACES. HISPANICS OR LATINOS OF ANY RACE MADE UP 5.3% OF THE POPULATION."},{"explanation":"PART VI, LINE 5: SJHS HAS NUMEROUS EXAMPLES IN PLACE OF PROMOTING THE HEALTH OF THE COMMUNITY. THESE INCLUDE BUT ARE NOT LIMITED TO:1) UTILIZING AN OPEN MEDICAL STAFF MODEL2) SUPPORTING THE EFFORTS OF MERCY CARE SERVICES THROUGH VOLUNTEER HOURS AND APPROXIMATELY $1.5 TO 2.0 MILLION PER YEAR IN FUNDING. MERCY CARE SERVICES WAS CREATED IN 1985 BY VOLUNTEER NURSES AND PHYSICIANS AT SAINT JOSEPHS HOSPITAL. IT HAS GROWN INTO A PROGRAM THAT PROVIDES A MEDICAL HOME FOR THOUSANDS OF PERSONS IN NEED THROUGHOUT THE ATLANTA AREA EACH YEAR BY PROVIDING EFFICIENT, INTEGRATED SYSTEM OF PRIMARY HEALTH CARE, EDUCATION AND SOCIAL SERVICES AT 4 FIXED SITES, 6 CLINICS AND A MOBILE HEALTH COACH. 3) SAINT JOSEPHS HOSPITAL MAINTAINS AN EXTENSIVE COMMUNITY OUTREACH AND SCREENING SERVICE THAT PROVIDES NUMEROUS SCREENING FUNCTIONS OFF SITE FOR THE COMMUNITY AT LITTLE OR NO COST TO THE PEOPLE THEY SERVE. EXTENSIVE SCREENINGS FOR CARDIAC, VASCULAR AND ONCOLOGY DISEASE ARE PERFORMED EACH YEAR, INCLUDING A MOBILE MAMMOGRAPHY PROGRAM THAT REACHES OUT IN THE COMMUNITY APPROXIMATELY 15 DAYS OUT OF EACH MONTH.4) SAINT JOSEPHS HAS RECENTLY ESTABLISHED A PROGRAM CALLED ATLANTA HEALTH EXPERTS THAT PROVIDES EDUCATION AND INFORMATION ON HEALTH CARE TOPICS OF CONCERN DIRECTLY TO THE COMMUNITY THROUGH A DEDICATED WEBSITE, COMMUNITY AWARENESS PROGRAMS AND SPEAKING ENGAGEMENTS."},{"explanation":"PART VI, LINE 6: MERCY CARE SERVICES IS AN AFFILIATE OF SAINT JOSEPHS HOSPITAL OF ATLANTA THAT WAS CREATED IN 1985 BY VOLUNTEER NURSES AND PHYSICIANS AT SAINT JOSEPHS HOSPITAL. IT HAS GROWN INTO A PROGRAM THAT PROVIDES A MEDICAL HOME FOR THOUSANDS OF PERSONS IN NEED THROUGHOUT THE ATLANTA AREA EACH YEAR BY PROVIDING EFFICIENT, INTEGRATED SYSTEM OF PRIMARY HEALTH CARE, EDUCATION AND SOCIAL SERVICES AT 4 FIXED SITES, 6 CLINICS AND A MOBILE HEALTH COACH."},{"explanation":"AL,CT,DE,FL,GA,ME,MA,NJ,NY,NC,PA"}]},"ScheduleJ":{"compensation_process":{"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"KEVIN 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Other non operating expenses -73,000."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_400":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":13181357,"reimbursed_by_medicare":102119455,"cost_of_care_reimbursed_by_medicare":124327683,"medicare_surplus_or_shortfall":-22208228,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"persons_served":587,"total_community_benefit_expense":10349465,"net_community_benefit_expense":10349465,"total_expense_percentage":0.0308},"unreimbursed_medicaid":{"persons_served":1322,"total_community_benefit_expense":13554122,"direct_offsetting_revenue":8103656,"net_community_benefit_expense":5450466,"total_expense_percentage":0.0162},"total_financial_assistance":{"persons_served":1909,"total_community_benefit_expense":23903587,"direct_offsetting_revenue":8103656,"net_community_benefit_expense":15799931,"total_expense_percentage":0.047},"community_health_services":{"persons_served":2450,"total_community_benefit_expense":222825,"direct_offsetting_revenue":3590,"net_community_benefit_expense":219235,"total_expense_percentage":0.0007},"subsidized_health_services":{"persons_served":10451,"total_community_benefit_expense":2067812,"net_community_benefit_expense":2067812,"total_expense_percentage":0.0061},"research":{"total_community_benefit_expense":2065162,"direct_offsetting_revenue":1904095,"net_community_benefit_expense":161067,"total_expense_percentage":0.0005},"cash_and_inkind_contributions":{"persons_served":530,"total_community_benefit_expense":560875,"net_community_benefit_expense":560875,"total_expense_percentage":0.0017},"total_other_benefits":{"persons_served":13431,"total_community_benefit_expense":4916674,"direct_offsetting_revenue":1907685,"net_community_benefit_expense":3008989,"total_expense_percentage":0.009},"total_community_benefits":{"persons_served":15340,"total_community_benefit_expense":28820261,"direct_offsetting_revenue":10011341,"net_community_benefit_expense":18808920,"total_expense_percentage":0.056}},"management_companies":[{"business_name_line1":"1 CV Partners LLC","primary_activities":"Provide Management Services for Cardiovascular Service Line","organization_profit_or_ownership_percentage":0.5,"name":"1 CV Partners LLC"},{"business_name_line1":"2 Outpatient Surgical Management LLC","primary_activities":"Provide Management Services for Outpatient Surgical Area","organization_profit_or_ownership_percentage":0.51,"name":"2 Outpatient Surgical Management LLC"},{"business_name_line1":"3 Gwinnett Cardiovascular Services LLC","primary_activities":"Develop Gwinnett's Cardiovascular Service Line","organization_profit_or_ownership_percentage":0.5,"name":"3 Gwinnett Cardiovascular Services LLC"}],"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"St Joseph's Hospital of Atlanta","address_line1":"5665 Peachtree Dunwoody Road","city":"Atlanta","state":"GA","zip":"303421701","licensed_hospital":true,"general_medical_and_surgical":true,"research_facility":true,"emergency_room_24_hours":true,"name":"St Joseph's Hospital of Atlanta","address":"5665 Peachtree Dunwoody Road, Atlanta, GA, 303421701"}],"facility_policies":[{"business_name_line1":"NOT APPLICABLE","facility_number":1,"name":"NOT APPLICABLE"}],"supplemental_information":[{"explanation":"Part I, Line 6a: The organization's community benefit activities are included in Catholic Health East's community benefit report."},{"explanation":"Part I, Line 7: The amounts reported on Line 7a represent the product of a cost-to-charge ratio multiplied by the amount of gross revenue associated with services rendered to patients eligible for charity care. The cost-to-charge ratio is a fraction. The numerator of which is equal to the costs associated with rendering patient care less the sum of any costs associated with (i) community benefit expenses for which no revenue is recognized and (ii) other revenue. The denominator is equal to gross patient revenue."},{"explanation":"Part I, Line 7g: Support was provided to Mercy Care Services. Mercy Care Services is an affiliate of Saint Joseph's Hospital of Atlanta that was created in 1985 by volunteer nurses and physicians at Saint Joseph's Hospital. It has grown into a program that provides a medical home for thousands of persons in need throughout the Atlanta area each year but providing efficient, integrated system of primary health care, education and social services at 4 fixed sites, 6 clinics and a mobile health coach."},{"explanation":"Part I, L7 Col(f): The amount of bad debt expense included on Form 990, Part IX, Line 25, Column (A) but subrtacted from total expense for purpose of calculating the percentages in this column was $23,143,458 pursuant to the instructions."},{"explanation":"Part III, Line 4: The System records an allowance for doubtful accounts for estimated losses resulting from theunwillingness of patients or failure of payors to make payments for services. The allowance is determined by analyzing historical data and trends. Accounts receivable are written off against the allowance for doubtful accounts when management determines that recovery is unlikely and collection efforts cease. Cost to Charge Ratio was used. Calculated as Total expenses less Total Other Revenue less Social Accountability expense divided by Total Gross Patient Revenue"},{"explanation":"Part III, Line 8: Shortfall is not reported in Line 7 Community Benefit. Source used is 2010 cost report certification and settlement summary."},{"explanation":"Part III, Line 9b: Policy requires all accounts to be reviewed for possible Charity write off."},{"explanation":"Part VI, Line 7: The list of states in which CHE's community benefit report is filed are: Alabama, Connecticut, Delaware, Florida, Georgia, Maine, Massachusetts, New Jersey, New York, North Carolina and Pennsylvania."},{"explanation":"Part VI, Line 2: As depicted in our strategic plan for the 2017 Health Care Delivery Model, SJHS will advocate for quality care, especially for those who are marginalized and will collaborate broadly to serve persons in our communities. The 2017 Strategic Framework guides us to implement strategies that improve the health status of vulnerable populations such as the homeless. Consequently, the SJHS Operating Plan provides that we will conduct a comprehensive Community Needs Assessments every three years and an update every year to identify the vulnerable populations, develop services to meet the needs of those populations and meet our targets for services to those in need. PROCESSTo accomplish the Community Health Needs Assessments we utilize a Planning Team that includes members of management, finance staff, mission integration staff, clinicians, planning staff, members of Saint Josephs Mercy Care Services and community advisors (ideally from the local health departments and service agencies). The Planning Team determines the scope of the assessment each year as well as research objectives and the preliminary health indicators. This team gathers and analyzes data and develops preliminary priorities. The community advisors are then utilized to provide feedback on the preliminary recommendations and to obtain community input. The major steps of the process that SJHS follows are provided below:1) Define the CommunityThe needs assessments are tailored to the local community characteristics, priorities and resources. SJHS annually redefines our primary and secondary service areas and those are used to define the community for the assessment. The assessment then identifies the health needs of multiple populations across the service areas, including:Seniors Children Pregnant women Homeless persons Immigrants and migrant workers Members of ethnic groups Residents of public housing Members of minority groups Uninsured persons Community members with chronic conditions (e.g., diabetes, CHF, obesity, etc.) 2) Collect, Review and Analyze DataSecondaryReadily available information about community health issues and needs is collected from public health departments, community agencies, local health and welfare agencies, area agencies on aging and other resources within the community. Quantitative data such as demographics, socioeconomic data, public health indicators, data on health-related behaviors (BRFSS), data on the homeless and utilization statistics for local health services is obtained through Catholic Health East's Planning Department.The bulk of the data for the community needs assessment comes from secondary data sources.PrimaryReview of the available secondary data typically identifies issues or highlights areas or populations about which additional information is needed. At that point sources for new information related to those specific issues or populations are identified and typically include community members, leaders and advocates, faith communities, community health providers, and members of the medical and professional staffs. Additional data collection methods such as surveys and questionnaires, interviews, community forums and focus groups are utilized to obtain data related to these specific issues or populations.3) Review and Summarize Findings4) Prioritize NeedsUsing a values-based discernment process, the Planning Team establishes the criteria and methodology that will be used to identify priorities among competing needs. Criteria may include:Community groups express strong concern High need among vulnerable populations Cause of other problems rather than a symptom Significant human and financial cost of a negative outcome Evidence that intervention can change the problem Relationship to existing partnership, community or legislative initiatives Continuum of care considerations; builds on existing competencies. The Planning Team ranks needs according to the criteria and develops preliminary priorities which are shared with and agreed upon by management team and Board. 5) Draft the Final Report6) Develop Community Health Improvement PlanBased on the report, the management team and Board determine goals and objectives that address the needs of the prioritized vulnerable populations. Indicators that will be monitored are identified and a monitoring process is established. Finally a plan is developed to achieve the goals that includes activities, responsible person(s), timelines and resource requirements. The plan is then incorporated into the annual operating plan and budget process."},{"explanation":"Part VI, Line 3: Our Charity care policy and financial assistance applications are located on our website for patient convenience. Financial assistance information is also on our patient billing statements and discussed during financial screenings. Our patients are sent a letter providing their status of financial assistance as each application is processed. We also utilize a Medicaid eligibility vendor to assist patients in applying for Medicaid, Cancer State Aid or other government programs."},{"explanation":"Part VI, Line 4: SJHAs Primary and Secondary service area largely falls with the 28 county Atlanta Metropolitan Statistical Area (MSA). As of the 2010 U.S. Census, the Atlanta MSA had an estimated population of 5,268,860. Although there has been a population increase of 24% since 2000 to 2010, the Atlanta MSA population has actually decreased in size by approximately 110,000 people from the U.S. Census estimates in 2007. The Atlanta MSA is still the 9th largest MSA in the country even with the slight population decline. According to the 2009 American Community Survey estimates, the median Atlanta MSA age is 34 years versus the U.S. average of 36.5. The median household income is $62,904 versus the U.S. average of $62,363. Of the population 25 years or higher, 45.7% have earned a bachelor degree or higher versus 27.5% of the U.S. adult population. The racial makeup of the area is 50.1% Black or Africa American, 43.1% White, 2.7% Asian, 0.2% American Indian and Alaskan Native, <0.1% Pacific Island, 2.7% from other races, and 1.2% from two or more races. Hispanics or Latinos of any race made up 5.3% of the population."},{"explanation":"Part VI, Line 6: SJHS has numerous examples in place of promoting the health of the community. These include but are not limited to:1) Utilizing an open medical staff model2) Supporting the efforts of Mercy Care Services through volunteer hours and approximately $1.5 to 2.0 million per year in funding. Mercy Care Services was created in 1985 by volunteer nurses and physicians at Saint Josephs Hospital. It has grown into a program that provides a medical home for thousands of persons in need throughout the Atlanta area each year but providing efficient, integrated system of primary health care, education and social services at 4 fixed sites, 6 clinics and a mobile health coach. 3) Saint Josephs hospital maintains an extensive community outreach and screening service that provides numerous screening functions off site for the community at little or no cost to the people they serve. Extensive screenings for cardiac, vascular and oncology disease are performed each year, including a mobile mammography program that reaches out in the community approximately 15 days out of each month.4) Saint Josephs has recently established a program called Atlanta Health Experts that provides education and information on health care topics of concern directly to the community through a dedicated website, community awareness programs and speaking engagements."},{"explanation":"Part VI, Line 7: Mercy Care Services is an affiliate of Saint Josephs Hospital of Atlanta that was created in 1985 by volunteer nurses and physicians at Saint Josephs Hospital. It has grown into aprogram that provides a medical home for thousands of persons in need throughout the Atlanta area each year but providing efficient, integrated system of primary health care, educationand social services at 4 fixed sites, 6 clinics and a mobile health coach."}]},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":11150,"reported_domestic_org_grants_program_services":11150,"total_501c3_and_government_organizations":1,"grants":[{"ein":581489941,"irc_section":"501(c)(3)","cash":6000,"purpose":"To support financial aid and educational programs for Skyland Trail - mental health treatment programs","valuation_method":"FMV","address_line1":"1961 North Druid Hills Rd","city":"Atlanta","state":"GA","zip":"30329","name":"George West Mental Health Foundation Skyland Trail","address":"1961 North Druid Hills Rd, Atlanta, GA, 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CV PARTNERS LLC","primary_activities":"PROVIDE MANAGEMENT SERVICES FOR CARDIOVASCULAR SERVICE LINE","organization_profit_or_ownership_percentage":0.5,"name":"1 CV PARTNERS LLC"},{"business_name_line1":"2 OUTPATIENT SURGICAL MANAGEMENT LLC","primary_activities":"PROVIDE MANAGEMENT SERVICES FOR OUTPATIENT SURGICAL AREA","organization_profit_or_ownership_percentage":0.51,"name":"2 OUTPATIENT SURGICAL MANAGEMENT LLC"},{"business_name_line1":"3 GWINNETT CARDIOVASCULAR SERVICES LLC","primary_activities":"DEVELOP GWINNETT'S CARDIOVASCULAR SERVICE LINE","organization_profit_or_ownership_percentage":0.5,"name":"3 GWINNETT CARDIOVASCULAR SERVICES LLC"}],"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"ST JOSEPH'S HOSPITAL OF ATLANTA","address_line1":"5665 PEACHTREE DUNWOODY 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JOSEPH'S HOSPITAL OF ATLANTA INC"}],"supplemental_information":[{"explanation":"PART I, L7 COL(F): N/A"},{"explanation":"CATHOLIC HEALTH EAST"},{"explanation":"SUPPORT WAS PROVIDED TO MERCY CARE SERVICES. MERCY CARE SERVICES IS AN AFFILIATE OF SAINT JOSEPH'S HOSPITAL OF ATLANTA THAT WAS CREATED IN 1985 BY VOLUNTEER NURSES AND PHYSICIANS AT SAINT JOSEPH'S HOSPITAL. IT HAS GROWN INTO A PROGRAM THAT PROVIDES A MEDICAL HOME FOR THOUSANDS OF PERSONS IN NEED THROUGHOUT THE ATLANTA AREA EACH YEAR BUT PROVIDING EFFICIENT, INTEGRATED SYSTEM OF PRIMARY HEALTH CARE, EDUCATION AND SOCIAL SERVICES AT 4 FIXED SITES, 6 CLINICS AND A MOBILE HEALTH COACH."},{"explanation":"COST TO CHARGE RATIO WAS USED. CALCULATED AS: (TOTAL EXPENSES - TOTAL OTHER REVENUE - SOCIAL ACCOUNTABILITY EXPENSES) / TOTAL GROSS PATIENT REVENUE)."},{"explanation":"PART III, LINE 4: SJHA PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE UNWILLINGNESS OR INABILITY OF PATIENTS OR THIRD PARTY PAYORS TO MAKE PAYMENTS FOR SERVICES. THE ALLOWANCE IS DETERMINED BY ANALYZING HISTORICAL DATA AND TRENDS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND REFERS COLLECTION EFFORTS TO A THIRD-PARTY COLLECTOR UNDER CONTRACT. RECOVERIES OF BAD DEBT WRITE-OFFS REDUCE BAD DEBT EXPENSE. COST TO CHARGE RATIO WAS USED. CALCULATED AS TOTAL EXPENSES LESS TOTAL OTHER REVENUE LESS SOCIAL ACCOUNTABILITY EXPENSE DIVIDED BY TOTAL GROSS PATIENT REVENUE."},{"explanation":"PART III, LINE 8: SHORTFALL IS NOT REPORTED IN LINE 7 COMMUNITY BENEFIT. SOURCE USED IS 2011 COST REPORT CERTIFICATION AND SETTLEMENT SUMMARY."},{"explanation":"PART III, LINE 9B: POLICY REQUIRES ALL ACCOUNTS TO BE REVIEWED FOR POSSIBLE CHARITY WRITE OFF."},{"explanation":"PART V, SECTION B, LINE 11H: SPECIAL CIRCUMSTANCES BEYOND CATASTROPHIC CARE."},{"explanation":"PART V, SECTION B, LINE 13G: FINANCIAL COUNSELORS ARE AVAILABLE IN KEY REGISTRATION AREAS TO DISCUSS PATIENT NEEDS ON AN INDIVIDUAL BASIS. SCHEDULED PATIENTS MAY BE PROVIDED ESTIMATES OF AMOUNTS THEY MAY OWE AND ARE ENCOURAGED TO MEET AND DISCUSS PAYMENT MATTERS WITH FINANCIAL COUNSELORS AT THAT TIME OR ARE PROVIDED WITH CONTACT INFORMATION IN THE EVENT THEY SHOULD HAVE FURTHER QUESTIONS OR NEEDS. WE ALSO HAVE SPECIAL REPRESENTATIVES THAT WORK WITH PATIENTS, AS NEEDED, TO ASSIST THEM IN APPLYING FOR CHARITY CARE, DISCOUNTED CARE OR OTHER STATE/FEDERAL PROGRAMS THAT MAY BE AVAILABLE TO ASSIST THE PATIENT IN PAYING FOR THEIR MEDICAL CARE."},{"explanation":"PART V, SECTION B, LINE 15E: CLAIMS AGAINST ESTATES OF DECEASED PATIENTS."},{"explanation":"PART V, SECTION B, LINE 16E: CLAIMS AGAINST ESTATES OF DECEASED PATIENTS."},{"explanation":"PART V, SECTION B, LINE 19D: USED AVERAGE DISCOUNTS AFFORDED TO THE MEDICARE PROGRAM TO APPROXIMATE MEDICARE PAYMENT RATES."},{"explanation":"PART VI, LINE 2: AS DEPICTED IN OUR STRATEGIC PLAN FOR THE 2017 HEALTH CARE DELIVERY MODEL, SJHS WILL ADVOCATE FOR QUALITY CARE, ESPECIALLY FOR THOSE WHO ARE MARGINALIZED AND WILL COLLABORATE BROADLY TO SERVE PERSONS IN OUR COMMUNITIES. THE 2017 STRATEGIC FRAMEWORK GUIDES US TO IMPLEMENT STRATEGIES THAT IMPROVE THE HEALTH STATUS OF VULNERABLE POPULATIONS SUCH AS THE HOMELESS.CONSEQUENTLY, THE SJHS OPERATING PLAN IDENTIFIES THAT WE WILL CONDUCT A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS AND AN UPDATE EVERY YEAR TO IDENTIFY THE VULNERABLE POPULATIONS, DEVELOP SERVICES TO MEET THE NEEDS OF THOSE POPULATIONS AND MEET OUR TARGETS FOR SERVICES TO THOSE IN NEED.PROCESSTO ACCOMPLISH THE COMMUNITY HEALTH NEEDS ASSESSMENTS, WE UTILIZE A PLANNING TEAM THAT INCLUDED MEMBERS OF MANAGEMENT, FINANCE STAFF, BOARD AND BOARD COMMITTEES. THE PLANNING TEAM DETERMINES THE SCOPE OF THE ASSESSMENT EACH YEAR, AS WELL AS RESEARCH OBJECTIVES AND PRELIMINARY HEALTH INDICATORS. THIS TEAM GATHERS AND ANALYZES DATA AND DEVELOPS PRELIMINARY PRIORITIES AND RESOURCES. THE COMMUNITY ADVISORS ARE THEN UTILIZED TO PROVIDE FEEDBACK ON THE PRELIMINARY RECOMMENDATIONS AND TO OBTAIN COMMUNITY INPUT.1. DEFINE THE COMMUNITYSJEG ANNUALLY REDEFINES OUR PRIMARY SERVICE AREA. THIS IS USED TO DEFINE THE COMMUNITY FOR THE ASSESSMENT. THE ASSESSMENT THEN IDENTIFIES THE HEALTH NEEDS OF MULTIPLE POPULATIONS ACROSS THE SERVICE AREAS INCLUDING:-SENIORS-MEMBERS OF ETHNIC GROUPS-RESIDENTS OF PUBLIC HOUSING-MEMBERS OF MINORITY GROUPS-UNINSURED PERSONS-COMMUNITY MEMBERS WITH CHRONIC CONDITIONS (E.G., DIABETES, CHF, OBESITY, ETC.)2. COLLECT, REVIEW AND ANALYZE DATAREADILY AVAILABLE INFORMATION ABOUT COMMUNITY HEALTH ISSUES AND NEEDS IS COLLECTED FROM PUBLIC HEALTH DEPARTMENTS, COMMUNITY AGENCIES, LOCAL HEALTH AND WELFARE AGENCIES, AREA AGENCIES ON AGING, AND OTHER RESOURCES WITHIN THE COMMUNITY.QUANTITATIVE DATA SUCH AS DEMOGRAPHICS, SOCIOECONOMIC DATA, PUBLIC HEALTH INDICATORS, DATA ON HEALTH-RELATED BEHAVIORS (BRFSS), DATA ON THE HOMELESS, AND UTILIZATION STATISTICS FOR LOCAL HEALTH SERVICES ARE OBTAINED THROUGH CATHOLIC HEALTH EAST'S PLANNING DEPARTMENT.THE BULK OF THE DATA FOR COMMUNITY NEEDS ASSESSMENT COMES FROM SECONDARY DATA SOURCES.PRIMARY REVIEW OF THE AVAILABLE SECONDARY DATA TYPICALLY IDENTIFIES ISSUES OR HIGHLIGHTS AREAS OF POULATIONS ABOUT WHICH ADDITIONAL INFORMATION IS NEEDED. AT THAT POINT SOURCES FOR NEW INFORMATION RELATED TO THOSE SPECIFIC ISSUES OR POPULATIONS ARE IDENTIFIED AND TYPICALLY INCLUDE COMMUNITY MEMBERS, LEADERS AND ADVOCATES, FAITH COMMUNITIES, COMMUNITY HEALTH PROVIDERS, AND MEMBERS OF THE MEDICAL PROFESSIONAL STAFFS. ADDITIONAL DATA COLLECTION METHODS SUCH AS SURVEYS AND QUESTIONNAIRES, INTERVIEWS, COMMUNITY FORUMS AND FOCUS GROUPS ARE UTILIZED TO OBTAIN DATA RELATED TO THESE SPECIFIC ISSUES OR POPULATIONS.3. REVIEW AND SUMMARIZE FINDINGS4. PRIORITIZE NEEDSUSING VALUES-BASED DISCERNMENT PROCESS, THE PLANNING TEAM ESTABLISHES THE CRITERIA AND METHODOLOGY THAT WILL BE USED TO IDENTIFY PRIORITIES AMONG COMPETING NEEDS. CRITERIA MAY INCLUDE:-COMMUNITY GROUPS EXPRESS STRONG CONCERN-HIGH NEED AMONG VULNERABLE POPULATIONS-CAUSE OF OTHER PROBLEMS RATHER THAN A SYMPTOM-CONTINUUM OF CARE CONSIDERATIONS; BUILDS ON EXISTING COMPETENCIESTHE PLANNING TEAM RANKS NEEDS ACCORDING TO THE CRITERIA AND DEVELOPS PRELIMINARY PRIORITIES WHICH ARE SHARED WITH, AND AGREED UPON, BY MANAGEMENT TEAM AND BOARD.5. DRAFT THE FINAL REPORT6. DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANBASED ON THE REPORT, THE MANAGEMENT TEAM AND BOARD DETERMINE GOALS AND OBJECTIVES THAT ADDRESS THE NEEDS OF THE PRIORITIZED VULNERABLE POPULATIONS. INDICATORS THAT WILL BE MONITORED ARE IDENTIFIED AND A MONITORING PROCESS IS ESTABLISHED. FINALLY, A PLAN IS DEVELOPED TO ACHIEVE THE GOALS. THE PLAN INCLUDES ACTIVITIES, RESPONSIBLE PERSON(S), TIMELINES, AND RESOURCE REQUIREMENTS. THE PLAN IS THEN INCORPORATED INTO THE ANNUAL OPERATING PLAN AND BUDGET PROCES."},{"explanation":"PART VI, LINE 3: OUR CHARITY CARE POLICY AND FINANCIAL ASSISTANCE APPLICATIONS ARE LOCATED ON OUR WEBSITE FOR PATIENT CONVENIENCE. FINANCIAL ASSISTANCE INFORMATION IS ALSO ON OUR PATIENT BILLING STATEMENTS AND DISCUSSED DURING FINANCIAL SCREENINGS. OUR PATIENTS ARE SENT A LETTER PROVIDING THEIR STATUS OF FINANCIAL ASSISTANCE AS EACH APPLICATION IS PROCESSED. WE ALSO UTILIZE A MEDICAID ELIGIBILITY VENDOR TO ASSIST PATIENTS IN APPLYING FOR MEDICAID, CANCER STATE AID OR OTHER GOVERNMENT PROGRAMS."},{"explanation":"PART VI, LINE 4: SJHAS PRIMARY AND SECONDARY SERVICE AREA LARGELY FALLS WITH THE 28 COUNTY ATLANTA METROPOLITAN STATISTICAL AREA (MSA). AS OF THE 2010 U.S. CENSUS, THE ATLANTA MSA HAD AN ESTIMATED POPULATION OF 5,268,860. ALTHOUGH THERE HAS BEEN A POPULATION INCREASE OF 24% SINCE 2000 TO 2010, THE ATLANTA MSA POPULATION HAS ACTUALLY DECREASE IN SIZE APPROXIMATELY 110,000 PEOPLE FROM THE U.S. CENSUS ESTIMATES IN 2007. THE ATLANTA MSA IS STILL THE 9TH LARGEST MSA IN THE COUNTRY EVEN WITH THE SLIGHT POPULATION DECLINE. ACCORDING TO THE 2009 AMERICAN COMMUNITY SURVEY ESTIMATES, THE MEDIAN ATLANTA MSA AGE IS 34 YEARS VERSUS THE U.S. AVERAGE OF 36.5. THE MEDIAN HOUSEHOLD INCOME IS $62,904 VERSUS THE U.S. AVERAGE OF $62,363. OF THE POPULATION 25 YEARS OR HIGHER, 45.7% HAVE EARNED A BACHELOR DEGREE OR HIGHER VERSUS 27.5% OF THE U.S. ADULT POPULATION. THE RACIAL MAKEUP OF THE AREA IS 50.1% BLACK OR AFRICA AMERICAN, 43.1% WHITE, 2.7% ASIAN, 0.2% AMERICAN INDIAN AND ALASKAN NATIVE, <0.1% PACIFIC ISLAND, 2.7% FROM OTHER RACES, AND 1.2% FROM TWO OR MORE RACES. HISPANICS OR LATINOS OF ANY RACE MADE UP 5.3% OF THE POPULATION."},{"explanation":"PART VI, LINE 5: SJHS HAS NUMEROUS EXAMPLES IN PLACE OF PROMOTING THE HEALTH OF THE COMMUNITY. THESE INCLUDE BUT ARE NOT LIMITED TO:1) UTILIZING AN OPEN MEDICAL STAFF MODEL2) SUPPORTING THE EFFORTS OF MERCY CARE SERVICES THROUGH VOLUNTEER HOURS AND APPROXIMATELY $1.5 TO 2.0 MILLION PER YEAR IN FUNDING. MERCY CARE SERVICES WAS CREATED IN 1985 BY VOLUNTEER NURSES AND PHYSICIANS AT SAINT JOSEPHS HOSPITAL. IT HAS GROWN INTO A PROGRAM THAT PROVIDES A MEDICAL HOME FOR THOUSANDS OF PERSONS IN NEED THROUGHOUT THE ATLANTA AREA EACH YEAR BY PROVIDING EFFICIENT, INTEGRATED SYSTEM OF PRIMARY HEALTH CARE, EDUCATION AND SOCIAL SERVICES AT 4 FIXED SITES, 6 CLINICS AND A MOBILE HEALTH COACH. 3) SAINT JOSEPHS HOSPITAL MAINTAINS AN EXTENSIVE COMMUNITY OUTREACH AND SCREENING SERVICE THAT PROVIDES NUMEROUS SCREENING FUNCTIONS OFF SITE FOR THE COMMUNITY AT LITTLE OR NO COST TO THE PEOPLE THEY SERVE. EXTENSIVE SCREENINGS FOR CARDIAC, VASCULAR AND ONCOLOGY DISEASE ARE PERFORMED EACH YEAR, INCLUDING A MOBILE MAMMOGRAPHY PROGRAM THAT REACHES OUT IN THE COMMUNITY APPROXIMATELY 15 DAYS OUT OF EACH MONTH.4) SAINT JOSEPHS HAS RECENTLY ESTABLISHED A PROGRAM CALLED ATLANTA HEALTH EXPERTS THAT PROVIDES EDUCATION AND INFORMATION ON HEALTH CARE TOPICS OF CONCERN DIRECTLY TO THE COMMUNITY THROUGH A DEDICATED WEBSITE, COMMUNITY AWARENESS PROGRAMS AND SPEAKING ENGAGEMENTS."},{"explanation":"PART VI, LINE 6: MERCY CARE SERVICES IS AN AFFILIATE OF SAINT JOSEPHS HOSPITAL OF ATLANTA THAT WAS CREATED IN 1985 BY VOLUNTEER NURSES AND PHYSICIANS AT SAINT JOSEPHS HOSPITAL. IT HAS GROWN INTO A PROGRAM THAT PROVIDES A MEDICAL HOME FOR THOUSANDS OF PERSONS IN NEED THROUGHOUT THE ATLANTA AREA EACH YEAR BY PROVIDING EFFICIENT, INTEGRATED SYSTEM OF PRIMARY HEALTH CARE, EDUCATION AND SOCIAL SERVICES AT 4 FIXED SITES, 6 CLINICS AND A MOBILE HEALTH COACH."},{"explanation":"AL,CT,DE,FL,GA,ME,MA,NJ,NY,NC,PA"}]},"ScheduleJ":{"compensation_process":{"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"KEVIN 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