SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    4,224,026   4,224,026 0.660 %
b Medicaid (from Worksheet 3, column a) . . . . .     103,974,342 70,138,033 33,836,309 5.280 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     108,198,368 70,138,033 38,060,335 5.940 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 6   1,461,280 1,044,946 416,334 0.060 %
f Health professions education (from Worksheet 5) . . . 3 380 21,769,255 13,171,889 8,597,366 1.340 %
g Subsidized health services (from Worksheet 6) . . . . 12 150,183 17,986,054 8,161,526 9,824,528 1.530 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 1   45,000   45,000 0.010 %
j Total. Other Benefits . . 22 150,563 41,261,589 22,378,361 18,883,228 2.940 %
k Total. Add lines 7d and 7j . 22 150,563 149,459,957 92,516,394 56,943,563 8.880 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
7,495,272
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
137,818,405
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
142,906,372
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-5,087,967
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
12 BCP PARTNERS LLC
  		WOMEN'S HEALTH AND CANCER CARE 14.290 % 0 % 51.480 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVE
SYRACUSE,NY13203
WWW.SJHSYR.ORG
3301003H 		X X   X     X   CERTIFIED HOME HEALTH AGENCY  
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ST JOSEPH'S HOSPITAL HEALTH CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ST JOSEPH'S HOSPITAL HEALTH CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.SJHSYR.ORG/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
b
WWW.SJHSYR.ORG/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
ST JOSEPH'S HOSPITAL HEALTH CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST JOSEPH'S HOSPITAL HEALTH CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: ST. JOSEPH'S HOSPITAL HEALTH CENTER (ST. JOSEPH'S) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. PREVENTION OF CHRONIC DISEASES 2. TOBACCO USE 3. PROMOTION OF A HEALTHY AND SAFE ENVIRONMENT 4. ECONOMIC STABILITY/POVERTY 5. PREVENTION OF MENTAL AND SUBSTANCE USE DISORDERS
ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 5: INPUT WAS GARNERED FROM THE COMMUNITY BY MULTIPLE HUMAN-SERVICES ORGANIZATIONS SERVING ONONDAGA COUNTY AND CITY OF SYRACUSE RESIDENTS. THE LARGEST SOURCE OF PRIMARY DATA USED TO DRIVE ST. JOSEPH'S CHNA WAS GATHERED IN COLLABORATION WITH THE 2016-2018 ONONDAGA COUNTY COMMUNITY HEALTH ASSESSMENT/COMMUNITY HEALTH IMPROVEMENT PLAN (CHA/CHIP) COMMUNITY ENGAGEMENT ACTIVITIES. THE HOSPITAL WAS AN ACTIVE PARTICIPANT ON THE 2016-2018 ONONDAGA COUNTY CHA/CHIP STEERING COMMITTEE, LED BY THE ONONDAGA COUNTY HEALTH DEPARTMENT (OCHD). THE 2016-2018 ONONDAGA COUNTY CHA/CHIP USED A COMMUNITY ENGAGEMENT SURVEY AND FOCUS GROUPS TO GATHER INFORMATION FROM COUNTY RESIDENTS REGARDING THE HEALTH NEEDS OF THE COMMUNITY.THE 2016-2018 CHA/CHIP COMMUNITY ENGAGEMENT SURVEY WAS DESIGNED TO REACH ONONDAGA COUNTY RESIDENTS, AND WAS DISTRIBUTED FROM JULY 2016 TO SEPTEMBER 2016. THE ENGAGEMENT PROCESS ALSO INCLUDED FOCUS GROUPS, WHICH WERE AIMED AT REACHING POPULATIONS WHO ARE AT HIGHER RISK FOR POOR HEALTH OUTCOMES. THE FOLLOWING EXCERPTS REGARDING THE COMMUNITY ENGAGEMENT SURVEY WERE TAKEN FROM THE CHA/CHIP COMMUNITY ENGAGEMENT SUMMARY:THE OCHD AND STEERING COMMITTEE MEMBERS PROMOTED THE SURVEY THROUGH A VARIETY OF OUTLETS. THE OCHD ADDED A SURVEY LINK TO ITS WEBSITE AND SOCIAL MEDIA PAGES. PAPER COPIES WERE DISTRIBUTED TO HEALTH DEPARTMENT CLINICS FOR PATIENTS TO COMPLETE AS THEY WAITED FOR APPOINTMENTS. THE OCHD ALSO SHARED THE LINK WITH ALL COUNTY STAFF, AND POSTED FLYERS AND TABLE TENTS IN THE ELEVATOR AND CAFETERIA OF THE MAIN OFFICE BUILDING. OCHD SENIOR STAFF SENT THE SURVEY LINK TO COMMUNITY PARTNERS WHO WORK DIRECTLY WITH THE PUBLIC. STEERING COMMITTEE MEMBERS AND KEY STAKEHOLDERS ASSISTED BY ADDING THE SURVEY TO AGENCY WEBSITES, FORWARDING TO COMMUNITY LISTSERVS, AND PROMOTING IT TO AGENCY STAFF, INCLUDING THE STAFF OF THREE LARGE AREA HOSPITALS. THROUGH ADDITIONAL COMMUNITY OUTREACH, THE SURVEY WAS DISTRIBUTED TO EMPLOYEES OF TWO LOCAL UNIVERSITIES, VOLUNTEER FIREFIGHTERS, CENTRAL LIBRARY PATRONS, UNIVERSITY STUDENTS, YMCA MEMBERS, AND PHARMACY CUSTOMERS AT A LARGE LOCAL GROCERY CHAIN, AMONG OTHERS.AS MENTIONED ABOVE, FOCUS GROUPS WERE IDENTIFIED AS A METHOD TO GATHER INFORMATION FROM TARGET POPULATIONS THAT MAY BE BOTH UNDERREPRESENTED IN THE SURVEY RESPONSES, AND POTENTIALLY AT HIGHER RISK FOR POOR HEALTH OUTCOMES. THE OCHD ALSO RELIED ON INFORMATION FROM RECENT ENGAGEMENT PROJECTS COMPLETED BY OTHER AGENCIES, THAT TARGETED POPULATIONS NOT LISTED ABOVE (SPANISH-SPEAKING RESIDENTS, LGBTQ RESIDENTS, ETC.).ADDITIONAL PRIMARY DATA WAS COLLECTED FOR THIS CHNA IN COLLABORATION WITH THE CENTRAL NEW YORK COMMUNITY FOUNDATION, WHICH LED AN INITIATIVE IN WHICH ORGANIZATIONS WERE TAUGHT HOW TO GATHER DATA FROM RESIDENTS IN ONONDAGA COUNTY THROUGH A "LIFE NEEDS ASSESSMENT SURVEY" TO IDENTIFY WHICH NEEDS ARE NOT BEING ADEQUATELY MET FOR PEOPLE LIVING IN POVERTY. PARTICIPANTS INCLUDED LARGE HOSPITALS IN THE COUNTY AS WELL AS A MULTITUDE OF NONPROFIT ORGANIZATIONS. DATA WAS COLLECTED ON A VARIETY OF TOPICS, INCLUDING AFFORDABLE LONG-TERM HOUSING, ADDICTION, LEAD POISONING, JOB READINESS, AND ECONOMIC INDEPENDENCE. MORE THAN 1,500 RESPONSES WERE RECEIVED FROM THE COMMUNITY BETWEEN JANUARY 2017 AND JANUARY 2019.ST. JOSEPH'S RECEIVED A FIVE-YEAR ACCOUNTABLE HEALTH COMMUNITIES (AHC) GRANT. WITH THIS GRANT, THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) IS IMPLEMENTING AND TESTING "THE THREE-TRACK AHC MODEL TO SUPPORT LOCAL COMMUNITIES IN ADDRESSING THE HEALTH-RELATED SOCIAL NEEDS OF MEDICARE AND MEDICAID BENEFICIARIES BY BRIDGING THE GAP BETWEEN THE CLINICAL AND COMMUNITY SERVICE PROVIDERS." THE PARTICIPANT SURVEY RESULTS, GATHERED BETWEEN AUGUST 1, 2018 AND JANUARY 15, 2019 FROM CLIENTS WITH MEDICAID AND/OR MEDICARE, ALSO HELPED INFORM THE ST. JOSEPH'S CHNA. THE SURVEY INCLUDED QUESTIONS THAT ADDRESS SOCIAL NEEDS, INCLUDING HOUSING INSTABILITY, FOOD INSECURITY, UTILITY NEEDS, INTERPERSONAL VIOLENCE AND TRANSPORTATION. SURVEYS WERE DISTRIBUTED TO PATIENTS IN THE EMERGENCY DEPARTMENT, LABOR AND DELIVERY DEPARTMENT, INPATIENT PSYCHIATRIC DEPARTMENT, TWO URGENT CARE FACILITIES, AND 12 PRIMARY CARE CLINICS, INCLUDING THE TWO HOSPITAL-BASED PRIMARY CARE CLINICS.FURTHER INPUT REGARDING COMMUNITY NEED WAS GATHERED FOR THIS CHNA FROM THE ST. JOSEPH'S CARE COORDINATION NETWORK (HEALTH HOME). THE HEALTH HOME CONDUCTS A COMPREHENSIVE ASSESSMENT WITH EACH CLIENT, AND RESULTS WERE AGGREGATED TO COMPLIMENT AVAILABLE INFORMATION REGARDING THE NEEDS OF MEDICAID RECIPIENTS.FINALLY, SIX KITCHEN TABLE TALK SESSIONS WERE HELD ON THE NEAR WESTSIDE IN MAY AND JUNE OF 2018 IN COLLABORATION WITH THE TRANSFORMING COMMUNITIES INITIATIVE COALITION (TCI SYRACUSE) TO DISCUSS HEALTH TOPICS AFFECTING NEIGHBORHOOD RESIDENTS. THE NEAR WESTSIDE OF SYRACUSE HAS A HIGH CONCENTRATION OF POVERTY AND IS ONE OF TWO NEIGHBORHOODS IN WHICH TCI SYRACUSE IS CURRENTLY FOCUSING HEALTH-RELATED POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE EFFORTS. THE TALKS WERE FOCUS-GROUP STYLE COMMUNITY ENGAGEMENT SESSIONS IN WHICH NEAR WESTSIDE NEIGHBORS GATHERED IN A RESIDENT'S HOME OR A COMMUNITY CENTER TO SHARE A HEALTHY MEAL AND DISCUSS THE TOPICS VIA A FACILITATED CONVERSATION. EACH TALK INCLUDED BETWEEN FOUR AND TEN PARTICIPANTS; 50 RESIDENTS PARTICIPATED IN TOTAL. DATA GATHERED FROM RESIDENTS THROUGH THE KITCHEN TABLE TALKS HELPED TO INFORM THE ST. JOSEPH'S CHNA.
ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES WERE UNDERTAKEN BY ST. JOSEPH'S IN FY20 TO MEET THE GOAL OF PREVENTING CHRONIC DISEASE: 1. SUPPORTED THE IMPLEMENTATION OF THE AMERICAN HEART ASSOCIATION'S GROWING HEALTHY HEARTS PROGRAM WITHIN SYRACUSE CITY SCHOOLS, WHICH PROVIDED MONTHLY HEALTH EDUCATION ON A VARIETY OF TOPICS SUPPORTING THE PREVENTION OF CHRONIC DISEASE2. FURTHER DEVELOPED PROCESSES TO CONSISTENTLY SCREEN PATIENTS FOR BMI, DOCUMENTED A PLAN OF CARE FOR ABNORMAL BMI, AND REFERRED ELIGIBLE ST. JOSEPH'S PATIENTS TO PROGRAMS TO PROMOTE MAINTENANCE OF HEALTHY WEIGHT3. CONTINUED THE IMPLEMENTATION OF A FAITH COMMUNITY NURSING PROGRAM TO BUILD ADDITIONAL CAPACITY IN THE COMMUNITY TO SUPPORT HEALTH AND WELLNESS (E.G. DIABETES PREVENTION, CONTROLLED HYPERTENSION, HEALTHY EATING, ETC.)4. PROVIDED PRIMARY CARE SERVICES FOR ADULTS AND CHILDREN IN UNDERSERVED LOCATIONS WITHIN THE ST. JOSEPH'S SERVICE AREA5. CONTINUED PARTICIPATING IN THE IMPLEMENTATION OF A COLLABORATIVE, COMMUNITY-BASED PROGRAM (TRANSFORMING COMMUNITIES INITIATIVE) WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT, THE NEAR WESTSIDE INITIATIVE, NORTHSIDE UP, AND HEALTHECONNECTIONS, TO DEVELOP ENVIRONMENTS AND PROMOTE POLICY CHANGES TO IMPACT OBESITY AND TOBACCO USE6. PARTICIPATED IN THE AMERICAN HEART ASSOCIATION'S "TARGET BP" PROGRAM AS WELL AS THE CHECK IT! CHALLENGE, TO PROMOTE THE REDUCTION OF UNCONTROLLED HYPERTENSION7. BEGAN THE IMPLEMENTATION OF A DIABETES PREVENTION PROGRAM IN COLLABORATION WITH FIRST MILE CARETHE FOLLOWING INITIATIVES WERE IN PROCESS IN FY20 TO MEET THE GOAL OF REDUCING TOBACCO USE:1. CONTINUED TO ADVOCATE FOR STRONGER TOBACCO-FREE POLICIES THROUGH THE TOBACCO ACTION COALITION OF ONONDAGA COUNTY, INCLUDING BUT NOT LIMITED TO ADVOCACY FOR A STATEWIDE BAN ON CANDY-FLAVORED NICOTINE PRODUCTS, WHICH WAS ENACTED INTO LAW AS PART OF THE GOVERNOR'S COMPREHENSIVE TOBACCO CONTROL POLICY IN THE FY 2020-2021 EXECUTIVE BUDGET2. FURTHER DEVELOPED PROCESSES TO CONSISTENTLY SCREEN PATIENTS FOR TOBACCO USE, DOCUMENT A CESSATION INTERVENTION, AND REFER ELIGIBLE ST. JOSEPH'S PATIENTS TO PROGRAMS FOR TOBACCO CESSATION3. LAUNCHED AN ONLINE TOBACCO CESSATION PROGRAM IN COLLABORATION WITH ANOTHER TRINITY HEALTH HOSPITAL IN ALBANY, NYTHE FOLLOWING INITIATIVES WERE UNDERTAKEN IN FY20 TO MEET THE GOAL OF PROMOTING A HEALTHY AND SAFE ENVIRONMENT:1. PARTICIPATED IN ADVOCACY EFFORTS TO SUPPORT POLICIES AND PROGRAMS WHICH WILL IMPROVE ACCESS TO HEALTHY FOODS IN ONONDAGA COUNTY (AMERICAN HEART COMMUNITY ACTION COALITION AND THE SYRACUSE-ONONDAGA FOOD SYSTEMS ALLIANCE)2. SUPPORTED COLLABORATIVE WORK TO DEVELOP A WOMEN'S WELLNESS SPACE ON THE NORTH SIDE OF THE CITY OF SYRACUSE3. DEVELOPED OPERATION OF A PANTRY TO INCREASE ACCESSIBILITY TO FOOD FOR UNDERSERVED PATIENTSTHE FOLLOWING INITIATIVES WERE UNDERTAKEN IN FY20 TO MEET THE GOAL OF ADDRESSING ECONOMIC STABILITY/POVERTY:1. DEVELOPED AND IMPLEMENTED A PLAN TO INCREASE THE NUMBER OF REFERRALS TO SUPPORTIVE EMPLOYMENT/JOB TRAINING PROGRAMS FOR ELIGIBLE UNEMPLOYED PATIENTS2. CONTINUED DEVELOPMENT OF LOCAL HIRING STRATEGIES AT ST. JOSEPH'S THROUGH A PARTNERSHIP WITH HEALTH TRAIN, A JOB TRAINING AND READINESS PROGRAMTHE FOLLOWING INITIATIVES WERE UNDERTAKEN IN FY20 TO MEET THE GOAL OF PREVENTING MENTAL AND SUBSTANCE USE DISORDERS:1. EXPANDED THE ZERO SUICIDE PROGRAM AT ST. JOSEPH'S HOSPITAL TO INCLUDE YOUTH IN ADDITION TO ADULTS, WITH STANDARD WORK OVER THE REPORTABLE YEAR INCLUDING BUT NOT LIMITED TO: STANDARDIZED SUICIDE ASSESSMENTS, STANDARDIZED SAFETY PLANS, AND POST-DISCHARGE FOLLOW-UP CALLS2. PROVIDED BEHAVIORAL HEALTH SERVICES FOR ADULTS AND CHILDREN WITHIN ST. JOSEPH'S SERVICE AREA, INCLUDING UNDERSERVED POPULATIONS3. CONTINUED PROVISION OF THE REGIONAL COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAMST. JOSEPH'S ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. ST. JOSEPH'S HAS NOT INCLUDED IN THIS PLAN SPECIFIC ACTION ON THE FOLLOWING HEALTH NEEDS. THESE HEALTH NEEDS SURFACED DURING THE QUANTITATIVE AND QUALITATIVE DATA ASSESSMENT PROCESS, BUT WERE NOT SCORED AMONG THE HIGHEST PRIORITY NEEDS:1. HEALTHY MOMS AND BABIES - ST. JOSEPH'S DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE THERE ARE LIMITED RESOURCES IN THE COMMUNITY. THEREFORE, IT WOULD BE DIFFICULT TO COMMIT SUFFICIENT TIME AND RESOURCES TO A COMMUNITY-LEVEL INITIATIVE. ST. JOSEPH'S DOES, HOWEVER, SUPPORT THE HEALTH OF MOMS AND BABIES THROUGH THE PROVISION OF OB/GYN AND PRIMARY CARE SERVICES FOR UNDERSERVED POPULATIONS.2. HOUSING - ST. JOSEPH'S DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE IT WAS NOT PRIORITIZED AS HIGHLY AS THE BROADER ISSUE OF POVERTY/ECONOMIC INSTABILITY IN THE COMMUNITY, WHICH WAS ADDRESSED. 3. RISK OF FALLS - ST. JOSEPH'S DID NOT DIRECTLY ADDRESS THIS PARTICULAR NEED BECAUSE IT DID NOT SCORE AS ONE OF THE HIGHEST COMMUNITY-LEVEL PRIORITIES. ST. JOSEPH'S CONTINUES TO IDENTIFY OPPORTUNITIES TO REDUCE FALL RISKS AMONG THOSE SERVED BY ST. JOSEPH'S IN BOTH INPATIENT AND OUTPATIENT SETTINGS.
ST. JOSEPH'S HOSPITAL HEALTH CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
ST. JOSEPH'S HOSPITAL HEALTH CENTER - PART V, SECTION B, LINE 7A: WWW.SJHSYR.ORG/ABOUT-US/FOR-OUR-COMMUNITY/HEALTH-NEEDS-ASSESSMENT
ST. JOSEPH'S HOSPITAL HEALTH CENTER - PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.
ST. JOSEPH'S HOSPITAL HEALTH CENTER - PART V, SECTION B, LINE 10A: WWW.SJHSYR.ORG/ABOUT-US/FOR-OUR-COMMUNITY/HEALTH-NEEDS-ASSESSMENT
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?15
Name and address Type of Facility (describe)
1 1 - CENTER FOR WOUND CARE & HYPERBARIC
4000 MEDICAL CENTER DR STE 206
FAYETTEVILLE,NY13066 		WOUND CARE AND HYPERBARIC MEDICINE
2 2 - PHYSICAL THERAPY NORTHEAST
4401 MEDICAL CENTER DR
FAYETTEVILLE,NY13066 		PHYSICAL THERAPY
3 3 - DENTAL CLINIC
101 UNION AVE
SYRACUSE,NY13203 		DENTAL CLINIC
4 4 - LABORATORY ALLIANCE OF CENTRAL NY
4870 NOTH JEFFERSON ST
PULASKI,NY13142 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
5 5 - LABORATORY ALLIANCE OF CENTRAL NY
15 EAST GENESEE ST STE 230
BALDWINSVILLE,NY13027 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
6 6 - LABORATORY ALLIANCE OF CENTRAL NY
6221 ROUTE 31 STE 108B
CICERO,NY13039 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
7 7 - LABORATORY ALLIANCE OF CENTRAL NY
5000 BRITTONFIELD PKWY STE A108
EAST SYRACUSE,NY13057 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
8 8 - LABORATORY ALLIANCE OF CENTRAL NY
260 TOWNSHIP BLVD STE 40
CAMILUS,NY13031 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
9 9 - LABORATORY ALLIANCE OF CENTRAL NY
5700 WEST GENESEE ST STE 209
CAMILUS,NY13031 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
10 10 - LABORATORY ALLIANCE OF CENTRAL NY
475 IRVING AVE STE 100
SYRACUSE,NY13210 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
11 11 - LABORATORY ALLIANCE OF CENTRAL NY
104 UNION AVE STE 802
SYRACUSE,NY13203 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
12 12 - LABORATORY ALLIANCE OF CENTRAL NY
4900 BROAD RD STE 1K
SYRACUSE,NY13215 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
13 13 - LABORATORY ALLIANCE OF CENTRAL NY
4000 MEDICAL CENTER DR STE 210
FAYETTEVILLE,NY13066 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
14 14 - LABORATORY ALLIANCE OF CENTRAL NY
132 1/2 ALBANY ST STE ANXS-1
CAZENOVIA,NY13035 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
15 15 - LABORATORY ALLIANCE OF CENTRAL NY
5100 WEST TAFT RD SUITE 2F
LIVERPOOL,NY13088 		CLINICAL AND ANATOMIC PATHOLOGY TESTING
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
PART I, LINE 6A: ST. JOSEPH'S HOSPITAL HEALTH CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF NEW YORK. IN ADDITION, ST. JOSEPH'S REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, ST. JOSEPH'S INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.
PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $7,495,272, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSES INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.
PART III, LINE 3: ST. JOSEPH'S USES A PREDICTIVE MODEL THAT INCORPORATES TWO DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, AND (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL). BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, ST. JOSEPH'S IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, THE HOSPITAL IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4: ST. JOSEPH'S IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD JULY 1, 2019 THROUGH APRIL 30, 2020.
PART III, LINE 8: ST. JOSEPH'S DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
PART VI, LINE 2: NEEDS ASSESSMENT - IN ADDITION TO THE CHNA, ST. JOSEPH'S PARTICIPATES IN THE COMMUNITY SERVICES PLAN (COMMUNITY HEALTH IMPROVEMENT PLAN/CHIP) PROCESS WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT, CROUSE HOSPITAL, AND UPSTATE MEDICAL UNIVERSITY HOSPITAL. THIS PROCESS FACILITATES ANOTHER ASSESSMENT OF OUR COMMUNITY'S HEALTH NEEDS, AND REQUIRES THE SUBMISSION OF A SINGLE COLLECTIVE AND COMPREHENSIVE REPORT. IN RESPONSE TO THE NEEDS IDENTIFIED, AN ACTION PLAN IS CREATED, AND ALL PARTIES MEET QUARTERLY THEREAFTER TO DISCUSS PROGRESS WITH RESPECT TO PRIORITY INITIATIVES. ST. JOSEPH'S ALSO REVIEWS PATIENT DATA TRENDS TO CONTINUALLY ASSESS THE NEEDS OF PATIENTS, INCLUDING THE MOST VULNERABLE PATIENTS, AND TO IDENTIFY WHERE GAPS IN ACCESS TO CARE MAY EXIST. THIS PROCESS INCLUDES BUT IS NOT LIMITED TO SOCIAL INFLUENCERS OF HEALTH, CHRONIC DISEASE RISKS, AND ACCESS TO CARE.LASTLY, ST. JOSEPH'S CONTINUALLY SEEKS TO UNDERSTAND THE NEEDS OF THE COMMUNITY THROUGH PARTICIPATION IN COALITIONS, INCLUDING BUT NOT LIMITED TO THE TOBACCO ACTION COALITION OF ONONDAGA, THE TRANSFORMING COMMUNITIES INITIATIVE (SYRACUSE), THE AMERICAN HEART ASSOCIATION'S COMMUNITY ACTION COALITION, AND THE SYRACUSE-ONONDAGA FOOD SYSTEMS ALLIANCE.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - ST. JOSEPH'S COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. ST. JOSEPH'S OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. ST. JOSEPH'S HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. ST. JOSEPH'S MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER.
PART VI, LINE 4: COMMUNITY INFORMATION - APPROXIMATELY 67% OF ST. JOSEPH'S INPATIENT MARKET SHARE IS ATTRIBUTABLE TO ONONDAGA COUNTY ALONE, AND THE MAJORITY OF CURRENT OUTPATIENT HOSPITAL BASED-SERVICES AND CLINICS ARE LOCATED WITHIN ONONDAGA COUNTY. IN ADDITION, ONONDAGA COUNTY SERVES AS THE "HUB" FOR HEALTH CARE IN THE CENTRAL NEW YORK AREA, AS IT INCLUDES TWO ADDITIONAL HOSPITALS (CROUSE HOSPITAL AND UPSTATE MEDICAL UNIVERSITY HOSPITAL), AS WELL AS A FEDERALLY QUALIFIED HEALTH CENTER (SYRACUSE COMMUNITY HEALTH CENTER). ALL OF ONONDAGA COUNTY'S HOSPITALS, AS WELL AS SYRACUSE COMMUNITY HEALTH CENTER, ARE LOCATED WITHIN THE CITY OF SYRACUSE.ONONDAGA COUNTY IS HOME TO THE CITY OF SYRACUSE, WHICH IS THE LARGEST CITY IN CENTRAL NEW YORK. IT IS BORDERED BY OSWEGO, MADISON, CORTLAND, AND CAYUGA COUNTIES. MORE THAN 465,000 PEOPLE LIVE IN ONONDAGA COUNTY, ABOUT ONE-THIRD OF WHOM LIVE IN THE CITY OF SYRACUSE. ALTHOUGH ONONDAGA HAS JUST THE ONE CITY OF SYRACUSE, THE COUNTY ALSO HAS 14 VILLAGES, 19 TOWNS, AND PART OF THE ONONDAGA NATION TERRITORY. THE MAJORITY OF ONONDAGA COUNTY'S POPULATION IS WHITE (80%), ALTHOUGH THERE IS A HIGHER PROPORTION OF RACIAL MINORITIES LIVING IN THE CITY OF SYRACUSE COMPARED TO THE REST OF ONONDAGA COUNTY. FOR INSTANCE, NEARLY ONE-THIRD OF SYRACUSE CITY RESIDENTS ARE BLACK OR AFRICAN AMERICAN (29%), WHICH IS HIGHER THAN ONONDAGA COUNTY AS A WHOLE (11.8% BLACK/AFRICAN AMERICAN), AND NEW YORK STATE (17.7%). ONONDAGA COUNTY'S HIGH SCHOOL EDUCATION RATES, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT RATE, AND POVERTY LEVELS ARE ROUGHLY COMPARABLE TO THOSE OF NEW YORK STATE; HOWEVER, SYRACUSE FARES WORSE ON THESE MEASURES COMPARED TO ONONDAGA OVERALL. SYRACUSE'S MEDIAN HOUSEHOLD INCOME IS ABOUT 60% OF ONONDAGA'S ($34,716 VS. $57,271), AND THE PERCENT LIVING IN POVERTY IS MORE THAN DOUBLE THAT OF ONONDAGA COUNTY (32.6% VS. 13.7%).
PART VI, LINE 5: OTHER INFORMATION - ST. JOSEPH'S IS ALSO A PARTICIPANT IN A COLLABORATIVE COMMUNITY HEALTH INITIATIVE CALLED THE "TRANSFORMING COMMUNITIES INITIATIVE" (TCI SYRACUSE). AS PART OF TCI SYRACUSE, THE HOSPITAL FOCUSES AS A PARTNER ON THE DEVELOPMENT OF POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE STRATEGIES THAT WILL HAVE BROAD IMPACTS UPON COMMUNITY HEALTH OUTCOMES. PARTNERS IN THIS INITIATIVE INCLUDE BUT ARE NOT LIMITED TO: THE ONONDAGA COUNTY HEALTH DEPARTMENT; HEALTHECONNECTIONS; THE NORTHSIDE URBAN PARTNERSHIP; THE NEAR WESTSIDE PEACEMAKING PROJECT; THE TOBACCO ACTION COALITION OF ONONDAGA COUNTY; AND ST. JOSEPH'S HEALTH. TARGETED TCI SYRACUSE WORK INCLUDES A FOCUS ON FURTHERING THE FOLLOWING INITIATIVES: ADVOCACY FOR TOBACCO 21 AND POINT-OF-SALE CONTROL POLICIES; ADVOCACY FOR TOBACCO-FREE OUTDOOR SPACE; IMPLEMENTATION OF ENHANCED NUTRITION STANDARDS IN EARLY CHILDHOOD CENTERS; INCREASING THE AMOUNT OF PHYSICAL ACTIVITY IN SYRACUSE CITY SCHOOLS IN ALIGNMENT WITH THE SYRACUSE CITY SCHOOL DISTRICT WELLNESS POLICY; INCREASING THE WALKABILITY OF SOME SYRACUSE NEIGHBORHOODS; INCREASING HEALTHY FOOD AND BEVERAGE OPTIONS IN CORNER STORES; AND INCREASING ACCESS TO SPACES FOR SAFE RECREATION/PHYSICAL ACTIVITY.OVER THE COURSE OF THE REPORTABLE YEAR, THE HOSPITAL ACTIVELY PARTICIPATED ON THE NEWLY FORMED SYRACUSE-ONONDAGA FOOD SYSTEMS ALLIANCE, A COALITION FOCUSED ON THE DEVELOPMENT OF AN EQUITABLE FOOD SYSTEM IN OUR SERVICE AREA. IN ADDITION, THE HOSPITAL PARTNERED WITH A PROGRAM CALLED HEALTH TRAIN TO INCREASE ACCESS TO EMPLOYMENT IN HEALTH CARE FOR UNDEREMPLOYED AND UNEMPLOYED COMMUNITY MEMBERS. HEALTH TRAIN IS A PROGRAM UNDER THE DIVISION OF ECONOMIC INCLUSION OF THE CENTERSTATE CEO FOUNDATION, AND IS ALSO IN PARTNERSHIP WITH SUNY EOC. LASTLY, ST. JOSEPH'S IS A MEMBER OF THE NORTHSIDE STEERING COMMITTEE, A COALITION FOCUSED ON COMMUNITY AND ECONOMIC DEVELOPMENT WITHIN SYRACUSE'S NORTHSIDE NEIGHBORHOOD. AS THE NORTHSIDE NEIGHBORHOOD CAN BE DESCRIBED AS AN ECONOMICALLY DEPRESSED REGION OF THE CITY OF SYRACUSE, THE WORK OF THIS COALITION IS INTENDED TO RESTORE VIBRANCY TO THE NEIGHBORHOOD THROUGH THE CULTIVATION OF OPPORTUNITIES FOR ITS CURRENT RESIDENTS AND STAKEHOLDERS.IN RESPONSE TO THE COVID-19 PANDEMIC, THE HOSPITAL ENGAGED IN MANY COMMUNITY PLANNING EFFORTS TO COORDINATE ST. JOSEPH'S RESPONSE WITH OTHER STAKEHOLDERS, AND TO SHARE BEST RESPONSE PRACTICES THROUGH EMERGENCY RESPONSE DRILLS AND CONFERENCE CALLS. ST. JOSEPH'S LAUNCHED SEVERAL INTERNAL PLANNING INITIATIVES TO DEVELOP A SYSTEM-WIDE RESPONSE, INCLUDING BUT NOT LIMITED TO PATIENT AND STAFF COVID-19 TESTING STATIONS AND PROTOCOLS; ENHANCED PATIENT, VISITOR AND STAFF SCREENING PROTOCOLS; AND ENHANCED PERSONAL PROTECTIVE EQUIPMENT (PPE) STANDARDS AND PROTOCOLS. AS PART OF ST. JOSEPH'S COMMUNITY RESPONSE EFFORT, STAFF TIME WAS CONTRIBUTED FROM ST. JOSEPH'S TO HELP OPERATE A COMMUNITY TESTING SITE OPEN TO THE PUBLIC.
PART VI, LINE 6: ST. JOSEPH'S IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER HOSPITALS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2020, EVERY TRINITY HEALTH ENTITY FOCUSED ON: 1. REDUCING TOBACCO USE 2. REDUCING OBESITY PREVALENCE3. ADDRESSING AT LEAST ONE SOCIAL INFLUENCER OF HEALTH 4. ADDRESSING AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED BY THEIR HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENTADDITIONALLY, IN RESPONSE TO COVID-19, TRINITY HEALTH MEMBER HOSPITALS MOBILIZED NATIONAL INFRASTRUCTURE TO ASSESS THE MOST URGENT NEEDS IN THEIR COMMUNITIES. TRINITY HEALTH MEMBER HOSPITALS STRENGTHENED PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND COLLABORATED WITH MEDICAL GROUPS AND CLINICALLY INTEGRATED NETWORKS PROVIDING DIRECT PATIENT CARE TO ENSURE THAT PATIENT SOCIAL NEEDS WERE MET IN THE COMMUNITY. LIKEWISE, MEMBER HOSPITALS ACCELERATED THEIR SOCIAL SERVICES RESPONSE BY ESTABLISHING SOCIAL CARE PROGRAMS TO CONNECT PATIENTS, COLLEAGUES AND COMMUNITY MEMBERS TO LOCAL SOCIAL SERVICES SUCH AS: FOOD, HOUSING, FINANCIAL ASSISTANCE AND ACCESS TO HEALTH CARE. FROM MARCH THROUGH JUNE, SOCIAL CARE MADE OVER 103,000 CONNECTIONS, AND TRINITY HEALTH PROVIDED OVER 44,000 MEDICAL SERVICES TO THOSE WHO ARE HOMELESS AND THROUGH COMMUNITY TESTING EVENTS. SOCIAL INFLUENCERS OF HEALTH - SUCH AS ADEQUATE HOUSING, PERSONAL SAFETY AND ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE - HAVE A SIGNIFICANT IMPACT ON THE HEALTH OF COMMUNITIES. IN AN EFFORT TO ADDRESS SOME OF THESE INFLUENCERS, TRINITY HEALTH INVESTED $3.7 MILLION IN THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), WHICH INITIALLY LAUNCHED IN FISCAL YEAR 2016. TCI IS A SHARED FUNDING MODEL AND TECHNICAL-ASSISTANCE INITIATIVE SUPPORTING EIGHT TRINITY HEALTH HOSPITALS, AND THEIR COMMUNITY PARTNERS, TO IMPLEMENT POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AND TO AFFECT CHANGE RELATED TO THE SOCIAL INFLUENCERS OF HEALTH. IN ADDITION TO TRINITY HEALTH'S INVESTMENT, TCI HAS LEVERAGED OVER $12.4 MILLION IN COMMUNITY MATCH FUNDING TO DATE. IN FISCAL YEAR 2020, IN RESPONSE TO COVID-19, TCI SWIFTLY SHIFTED THEIR FOCUS IN MARCH TO ADDRESSING FOOD INSECURITY, HEALTH CARE WORKER PROTECTIVE EQUIPMENT, SUPPORTING CLOSED SCHOOLS TO EFFECTIVELY REACH CHILDREN, MENTAL HEALTH INTERVENTIONS, AND EMERGENCY AID/FINANCIAL ASSISTANCE DIRECTLY TO INDIVIDUALS IN NEED. OVERALL, TCI COMMUNITIES REDIRECTED NEARLY $520,000 TO SUPPORT COVID-19 RELATED NEEDS.TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND HELPED 2,374 PARTICIPANTS COLLECTIVELY LOSE 15,382 POUNDS FROM JANUARY 2018 THROUGH SEPTEMBER 2020. IN MARCH 2020, WITH THE SURGE OF COVID-19 SPREADING ACROSS THE COUNTRY, TRINITY HEALTH MEMBER HOSPITALS TRANSITIONED NEARLY 90% OF ALL IN-PERSON NDPP COHORTS TO AN ONLINE VERSION OF THE LIFESTYLE CHANGE PROGRAM.TRINITY HEALTH DEPLOYED $5.1 MILLION IN NEW AND RENEWED LOANS FOR PLACE-BASED INVESTING TO IMPROVE ACCESS TO AFFORDABLE HOUSING, HEALTHY FOODS, EDUCATIONAL SCHOLARSHIPS, AND ECONOMIC DEVELOPMENT. ADDITIONALLY, TRINITY HEALTH WORKED WITH ALL OF ITS BORROWERS THAT HAD LOANS COMING DUE IN THE MIDST OF THE SPRING COVID-19 SURGE TO EXTEND THEIR LOANS FOR SIX MONTHS. THIS ACTION ALLOWED MORE THAN $2.9 MILLION IN INVESTMENTS TO REMAIN IN THE FIELD AND PROVIDED BREATHING ROOM TO OUR COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION PARTNERS THAT WERE SERVING OUR COMMUNITIES DURING THE CRISIS. THE COMMUNITY-INVESTING PROGRAM ALSO HAS OUTSTANDING LOAN COMMITMENTS OF $9.6 MILLION TO COMMUNITY INFRASTRUCTURE PROJECTS, WHICH WILL BE DEPLOYED IN FUTURE YEARS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2020, TRINITY HEALTH INVESTED OVER $1.3 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE. COVID-19 ACCOUNTED FOR NEARLY $4.9 MILLION IN PROGRAMMATIC COMMUNITY BENEFIT EXPENSES AND ACTIVITIES, INCLUDING COMMUNITY TESTING AND EDUCATION, INCIDENT COMMAND CENTERS, SUPPORT FOR LOCAL ORGANIZATIONS (PROVIDING PPE, OTHER SUPPLIES, STAFF TIME), SOCIAL SUPPORTS (FOOD, HOUSING, MENTAL HEALTH, CHILDCARE), AND OTHER COMMUNITY DISASTER PREPAREDNESS EFFORTS.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
PART VI, LINE 7, REPORTS FILED WITH STATES NY
Schedule H (Form 990) 2019
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