2018-05-10T11:36:59-05:00 2017-06-30 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2016-07-01 953589356 ST JOSEPH HEALTH SYSTEM % ANNETTE WALKER STJO 9493814000 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 ANNETTE WALKER CE 9493814000 2018-05-09 true KARA ADAMS P00023315 9497942300 2016 2022-09-23 18:48:47Z JO ANN ESCASA-HAIGH 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 493320040 false 0928 X WWW.STJHS.ORG X 1981 CA WE ARE COMMITTED TO EXTENDING THE TRADITION OF THE SISTERS OF ST. 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Counsel/Secretary 25.0 25.0 X 428068 762919 191059 Annette Walker Chief Executive, SJH 25.0 25.0 X 420653 1059193 263321 Darrin Montalvo President Integrated Services 25.0 25.0 X 479801 1169372 75410 Richard Afable Reg EVP, Southern CA 0.0 50.0 X 1512022 1147406 247980 Kevin Klockenga Reg EVP, Northern CA 0.0 50.0 X 1270400 0 31292 Richard Parks Reg EVP, West TX/Eastern NM 0.0 50.0 X 1503687 0 31065 Steven Moreau Chief Executive, SJO 0.0 50.0 X 1287102 0 30316 Lee Penrose Chief Executive, SJF 0.0 50.0 X 1236215 0 45944 Tarek Salaway Chief Executive, MHRMC 0.0 50.0 X 539859 0 11947 Robert Braithwaite Chief Executive, Hoag 0.0 50.0 X 1231116 282941 45776 Kevin Manemann Chief Executive, Heritage 0.0 50.0 X 737790 55193 45493 Todd Salnas Chief Executive, Sonoma 0.0 50.0 X 824623 0 48322 Walter Cathey Chief Executive, Covenant 0.0 50.0 X 0 588790 40262 Alan Garrett Chief Executive, SMMC 0.0 50.0 X 1284213 0 49453 David O'Brien Chief Executive, Humboldt 0.0 50.0 X 874136 0 44573 James Watson SVP, Ministry Integrity 50.0 0.0 X 863153 0 59235 Joline Treanor SVP, Human Resources 50.0 0.0 X 803930 0 23327 Jack Cox SVP, Chief Medical Officer 50.0 0.0 X 776839 0 27425 Thomas Kopfensteiner Former Board Trustee 0.0 0.0 X 15000 6400 0 Keith Marton Former Board Trustee 0.0 0.0 X 15000 0 0 Henry Walker Former Board Trustee 0.0 0.0 X 22500 0 0 Edward E Dolejsi Ned Former Board Trustee 0.0 0.0 X 18161 0 0 John O Mudd Former Board Trustee 0.0 0.0 X 12500 0 0 Nicholas Wittner Former Board Trustee 0.0 0.0 X 12500 0 0 Deborah Proctor Former System CEO (FMR OFCR) 0.0 0.0 X 2689150 0 22114 Jeff Thies VP, Leadership Inst (Fmr Ofcr) 0.0 0.0 X 193873 0 0 Clarence Burke CE, Heritage (Fmr Key Empl) 0.0 0.0 X 703665 0 21200 Kenneth McFarland CE, MHRMC (Fmr Key Empl) 0.0 0.0 X 1043841 0 10736 William Russell SVP, CIO (Fmr Key Employee) 0.0 0.0 X 784510 0 19128 Troy Thibodeaux CE, Covenant (Fmr Key Empl) 0.0 0.0 X 0 467364 0 21998318 13427162 1929341 404 true true false MCCARTHY BUILDING COMPANIES INC 1341 NORTH ROCK HILL ROAD ST LOUIS MO 63124 CONSTRUCTION SERVICE 35845709 HEALTHCARE DESIGN AND CONSTRUCTION 836 TOWN AND COUNTRY RD ORANGE CA 92868 CONSTRUCTION SERVICE 35175616 LEE LEWIS CONSTRUCTION INC 7810 ORLANDO AVE LUBBOCK TX 79423 CONSTRUCTION SERVICE 16323842 DELOITTE CONSULTING LLP PO BOX 844717 DALLAS TX 75284 PROFESSIONAL SVCS 10582212 TRIAGE CONSULTING GROUP 221 MAIN ST STE 1100 SAN FRANCISCO CA 94105 COLLECTION SERVICES 4607871 428 0 2325611 391143 0 2716754 PATIENT SERVICES REVENUE 621110 86704896 86704896 0 0 SUPPORT AND SERVICE REVENUE 561110 306038430 306038430 0 0 COLLECTION SERVICE REVENUE 561110 81378984 81378984 0 0 MNGMNT FEES FROM RELATED EXEMPT ORGS 561110 1407000 1407000 0 0 475529310 4551294 4551294 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SETTLEMENT/REIMBURSEMENT 561110 801500 801500 0 0 REBATE/REFUND 561110 7757277 7757277 0 0 ALL OTHER REVENUE 900099 1963905 1963905 0 0 10522682 493320040 486051992 0 4551294 X 497512 497512 0 0 0 0 0 0 20069779 10480846 9588933 0 1372938 0 1372938 0 190270707 116439407 73472033 359267 8665349 4561119 4060620 43610 70588642 54896173 15626858 65611 14451240 9059738 5370307 21195 0 0 0 0 748237 189379 558858 0 2492934 0 2492934 0 24393 24393 0 0 0 0 0 0 0 0 76684894 26714771 49960910 9213 16435 0 16435 0 3982755 1546719 2434249 1787 101927166 101149688 777478 0 0 0 0 0 11332856 8059306 3273550 0 6653033 4360653 2272941 19439 0 0 0 0 826649 0 826649 0 9528990 6849324 2679666 0 8110524 8110524 0 0 63820436 45976981 17843455 0 3137046 2781261 355785 0 RECRUITING 138430 0 138430 0 DME/PHARMACEUT/MED SUPPLIES 9535537 9535537 0 0 DUES AND SUBSCRIPTIONS 3708618 2310331 1380519 17768 ALL OTHER EXPENSES 25891894 17261204 8617823 12867 634476994 430804866 203121371 550757 0 0 0 33854261 29030215 0 0 13211334 20411226 0 0 0 0 0 0 219031 256106 36547668 28879707 506250868 177798813 367640467 328452055 126550357 166587934 87697143 41504117 0 0 57671000 36405003 2110243307 2036092822 2833634568 2687619185 272607851 261210420 0 0 0 0 2042522653 2147843109 0 0 0 0 325196526 140967986 0 0 226742483 189054626 2867069513 2739076141 X -33497387 -53991009 62442 2534053 0 0 -33434945 -51456956 2833634568 2687619185 X -141156954 6020355 0 0 0 117114588 X X false false false X X 1 ST JOSEPH HEALTH MINISTRY 271666576 1 true 0 0 PROVIDENCE MINISTRIES 000000000 1 true 0 0 2 0 0 true true false false true true true false false false false false false false false false true true SCHEDULE A, PART I, LINE 12G, COLUMN VI ST. JOSEPH HEALTH SYSTEM (SJHS) GOVERNS AND MANAGES A HEALTH CARE SYSTEM COMPRISED OF CHARITABLE HOSPITALS AND OTHER CHARITABLE HEALTH PROGRAMS TO CARRY OUT THE MISSION AND PHILOSOPHY OF HEALTH CARE OF ITS FOUNDING SPONSOR, THE SISTERS OF ST. JOSEPH OF ORANGE, IN ACCORDANCE WITH THE SUPPORTED ORGANIZATIONS, ST. JOSEPH HEALTH MINISTRY (SJHM) AND PROVIDENCE MINISTRIES, AND THE ETHICAL PRINCIPLES OF THE ROMAN CATHOLIC CHURCH. SJHS PROVIDES GUIDANCE, CONSULTATION AND, IN SOME CASES, CENTRAL MANAGEMENT AND ADMINISTRATIVE STAFF SERVICES TO EACH HOSPITAL WITHIN THE HEALTH CARE SYSTEM. SCHEDULE A, PART IV, SECTION A, LINE 2 ST. JOSEPH HEALTH MINISTRY (SJHM) IS AN INTEGRATED AUXILIARY OF THE SISTERS OF ST. JOSEPH OF ORANGE, A RELIGIOUS ORDER OF THE ROMAN CATHOLIC CHURCH, WITH ITS MOTHERHOUSE IN ORANGE, CALIFORNIA. THE PURPOSE OF THIS ORGANIZATION IS TO: A. CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST IN THE CHURCH THROUGH THE OWNERSHIP, MANAGEMENT AND GOVERNANCE OF HEALTH CARE FACILITIES, PROGRAMS AND SERVICES INTENDED TO IMPROVE THE HEALTH OF INDIVIDUALS AND THE COMMUNITIES SERVED; B. CONDUCT ITS ACTIVITIES IN A MANNER CONSISTENT WITH THE TEACHINGS AND LAWS OF THE ROMAN CATHOLIC CHURCH; C. ADHERE TO THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS APPROVED BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, AS APPLIED BY THE DIOCESAN BISHOP AND AS AMENDED FROM TIME TO TIME, AS WELL AS BY ANY GUIDING PRINCIPLES WHICH MAY BE GIVEN BY THE CORPORATE MEMBERS; AND D. SEEK OPPORTUNITIES FOR CO-MINISTRY WITH OTHER RELIGIOUS ORGANIZATIONS WHICH HAVE A LIKE PURPOSE OF ESTABLISHING HEALTH CARE SYSTEMS WITH A CHRISTIAN DIMENSION. SJHM AND PROVIDENCE MINISTRIES ARE INCLUDED IN THE GROUP RULING ISSUED TO THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS BY THE IRS (GROUP EXEMPTION NUMBER 0928), WHICH EXEMPTS THE FOLLOWING FROM INCOME TAX UNDER IRC SECTION 501(C)(3): THE AGENCIES AND INSTRUMENTALITIES AND THE EDUCATIONAL, CHARITABLE, AND RELIGIOUS INSTITUTIONS OPERATED, SUPERVISED OR CONTROLLED BY OR IN CONNECTION WITH THE ROMAN CATHOLIC CHURCH IN THE UNITED STATES, ITS TERRITORIES OR POSSESSIONS APPEARING IN THE OFFICIAL CATHOLIC DIRECTORY. SJHM AND PROVIDENCE MINISTRIES ARE LISTED IN THE OFFICIAL CATHOLIC DIRECTORY AND ARE THEREBY EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AS A RESULT OF THE GROUP RULING, SJHM AND PROVIDENCE MINISTRIES DO NOT HAVE A DETERMINATION LETTER FROM THE IRS. SCHEDULE A, PART IV, SECTION A, LINE 5A THE ORGANIZATION'S ARTICLES OF INCORPORATION WERE RESTATED AND ADOPTED BY THE BOARD IN JUNE 2017 TO ADD PROVIDENCE MINISTRIES AS A SUPPORTED ORGANIZATION FOLLOWING A MERGER OF ST. JOSEPH HEALTH SYSTEM AND PROVIDENCE HEALTH & SERVICES. SCHEDULE A, PART IV, SECTION A, LINE 6 THE MISSION, AND PRIMARY ACTIVITIES, OF ST. JOSEPH HEALTH SYSTEM (SJHS) IS TO GOVERN AND MANAGE A HEALTH CARE SYSTEM COMPRISED OF CHARITABLE HOSPITALS AND OTHER CHARITABLE HEALTH PROGRAMS TO CARRY OUT THE MISSION AND PHILOSOPHY OF HEALTH CARE OF ITS FOUNDING SPONSOR, THE SISTERS OF ST. JOSEPH OF ORANGE, IN ACCORDANCE WITH ITS SUPPORTED ORGANIZATIONS, ST. JOSEPH HEALTH MINISTRY (SJHM) AND PROVIDENCE MINISTRIES, AND THE ETHICAL PRINCIPLES OF THE ROMAN CATHOLIC CHURCH. SEE ADDITIONAL INFORMATION IN SCHEDULE A, PART IV, SECTION B, QUESTION 2 REGARDING HOW SJHS CARRIED OUT THE PURPOSES OF ITS SUPPORTED ORGANIZATION BY PROVIDING SUPPORT TO ALL OF THE HEALTH MINISTRIES WITHIN ST. JOSEPH HEALTH. ST. JOSEPH HEALTH RECOGNIZES THAT THE HEALTH OF ANY COMMUNITY DEPENDS ON THE MAINTENANCE AND CREATION OF STRONG STRUCTURES BOTH PHYSICAL AND SOCIAL WHICH CONTRIBUTE TO THE LONG-TERM WELL-BEING OF PEOPLE. THAT PHILOSOPHY INSPIRED THE INITIATION OF THE COMMUNITY INVESTMENT FUND (THE CIF) AN EFFORT TO SUPPORT ORGANIZATIONS THAT PROMOTE THE COMMON GOOD. AS OF JUNE 30, 2017, SJHS INVESTED $ 11.5M IN THE COMMUNITY INVESTMENT FUND. THERE WERE 20 LOW-INCOME ACTIVE INVESTMENTS MANAGED BY THE SJHS TREASURY DEPARTMENT. INVESTMENTS INCLUDE LOW INTEREST LOANS, LINES OF CREDIT AND CD COLLATERAL. SOME OF THE PROGRAMS SUPPORTED THROUGH THE CIF INCLUDE: AFFORDABLE HOUSING, ECONOMIC DEVELOPMENT INITIATIVES, SOCIAL SERVICES, JOB EXPANSION, AND SCHOOL AND EDUCATIONAL PROGRAMS. PARTICIPATING NON-PROFIT ORGANIZATIONS INCLUDED: CALIFORNIA PARENTING INSTITUTE CONCERN AMERICA HANDS TOGETHER - A CENTER FOR CHILDREN HOMES, INC. ILLUMINATION FOUNDATION JAMBOREE HOUSING CORPORATION LATINO HEALTH ACCESS MERCY HOUSING FUND NORTHERN CALIFORNIA COMMUNITY LOAN OUR LADY OF GRACE CATHOLIC CHURCH PARTNERS FOR THE COMMON GOOD, INC. RURAL COMMUNITY ASSISTANCE CORPORATION SOLAR ENERGY LOAN FUND SHARE OUR SELVES TALLER SAN JOSE THINK TOGETHER WEST SIDE MISSIONARY BAPTIST CHURCH MERCURY HOUSING, INC NATIONAL HEALTH FOUNDATION THE ORANGE CATHOLIC FOUNDATION HEALTH IMPACT ST MARY MEDICAL CENTER FOUNDATION SCHEDULE A, PART IV, SECTION B, LINE 2 THE MISSION OF ST. JOSEPH HEALTH SYSTEM (SJHS) IS TO GOVERN AND MANAGE A HEALTH CARE SYSTEM COMPRISED OF CHARITABLE HOSPITALS AND OTHER CHARITABLE HEALTH PROGRAMS TO CARRY OUT THE MISSION AND PHILOSOPHY OF HEALTH CARE OF ITS FOUNDING SPONSOR, THE SISTERS OF ST. JOSEPH OR ORANGE, IN ACCORDANCE WITH ITS SUPPORTED ORGANIZATIONS, ST. JOSEPH HEALTH MINISTRY (SJHM) AND PROVIDENCE MINISTRIES, AND THE ETHICAL PRINCIPLES OF THE ROMAN CATHOLIC CHURCH. SJHS ALSO ASSURES THE CONTINUED DEVELOPMENT AND QUALITY OF EACH HOSPITAL AND OF EACH HEALTH PROGRAM WITHIN THE HEALTH CARE SYSTEM BY PROVIDING GUIDANCE, CONSULTATION AND, IN SOME CASES, CENTRAL MANAGEMENT AND ADMINISTRATIVE STAFF SERVICES. THE HOSPITAL MINISTRIES ARE ESTABLISHED FOR THE PURPOSES OF DELIVERING HEALTH SERVICES TO THE PEOPLE IN THE COMMUNITIES WE SERVE (NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, WEST TEXAS AND EAST NEW MEXICO). THESE SERVICES INCLUDE INPATIENT AND OUTPATIENT CARE, EDUCATIONAL PROGRAMS, RESEARCH ACTIVITIES AND PARTICIPATION IN OTHER ACTIVITIES DESIGNED TO PROMOTE THE GENERAL HEALTH, REHABIITATION AND SOCIAL NEEDS OF THE COMMUNITY. PROVIDING SUCH BENEFIT TO THE HOSPITAL MINISTRIES ALSO CARRIES OUT THE PURPOSE OF SJHSS SUPPORTED ORGANIZATIONS, SJHM AND PROVIDENCE MINISTRIES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 true 5617 false 0 false 0 true 3745 false 0 true 24393 33755 false SCHEDULE C, PART II-B LOBBYING ACTIVITIES DURING THE YEAR, ST. JOSEPH HEALTH SYSTEM CONDUCTED ADVOCACY EFFORTS WHICH INCLUDED SOME LOBBYING ACTIVITIES. THESE ACTIVITIES INCLUDED MEETING WITH LOCAL, STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS, AS WELL AS COMMUNICATION TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION. THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO ST. JOSEPH HEALTH SYSTEM. 11230000 11230000 19290275 7269500 12020775 28667413 14125105 14542308 328268445 154794687 173473758 118794735 1609521 117185214 328452055 INTERCO REC - TAX-EXEMPT BONDS 1871555043 INTERCOMPANY RECEIVABLES 142990460 OTHER ASSETS 21547319 2036092822 0 SWAP MARKET VALUATION 105098654 RETIREE HEALTH PLANS 18516092 ASBESTOS ASSET RETIREMENT LIAB 4486648 OTHER LIABILITIES 60953232 189054626 Central America and the Caribbean Investments 199921626 Central America and the Caribbean Program Services CAPTIVE INSURANCE 14096731 Europe (Including Iceland and Greenland) 40 Program Services LE PUY PILGRIMAGE 212724 40 40 214231081 214231081 true false true true true false SCHEDULE F, PART I, LINE 3, COLUMN (F) ACCOUNTING METHOD THE ACCRUAL METHOD WAS USED TO DETERMINE THE AMOUNTS IN COLUMN (F). true MERCY HOUSING INC 1999 BROADWAY SUITE 1000 DENVER CO 80202 470646706 501(c)(3) 175000 PROGRAM SUPPORT TALLER SAN JOSE 801 N Broadway SANTA ANA CA 92701 593816355 501(c)(3) 30000 PROGRAM SUPPORT NATIONAL HEALTH FOUNDATION 515 S FIGUEROA ST LOS ANGELES CA 90071 237314808 501(C)(3) 25000 PROGRAM SUPPORT THE ORANGE CATHOLIC FOUNDATION 13280 CHAPMAN AVENUE GARDEN GROVE CA 92840 330934571 501(c)(3) 20000 PROGRAM SUPPORT HEALTH IMPACT 663 13TH ST STE 300 OAKLAND CA 94612 820570413 501(c)(3) 20000 PROGRAM SUPPORT ST MARY MEDICAL CENTER FOUNDATION 18300 CA-18 APPLE VALLEY CA 92307 951914489 501(c)(3) 5400 PROGRAM SUPPORT 6 0 SCHEDULE I, PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS DONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF THE ST. JOSEPH HEALTH SYSTEM. NO FOLLOW UP MONITORING IS CONDUCTED. X X X true true X X X X true true false false false false false true false Mike Butler President, Operations 0 1241463 0 5618732 0 46498 0 324347 0 25286 0 7256326 0 2182191 JoAnn Escasa-Haigh EVP, Chief Financial Officer 284049 283268 0 465096 39962 7052 13250 158719 12791 9570 350052 923705 0 0 Shannon Dwyer EVP, Gen. Counsel/Secretary 289791 275353 100000 485864 38277 1702 21200 145263 12992 11604 462260 919786 0 0 Annette Walker Chief Executive, SJH 366896 402883 0 652214 53757 4096 18550 213286 17915 13570 457118 1286049 0 0 Darrin Montalvo President Integrated Services 423692 421815 0 727147 56109 20410 23850 15900 18690 16970 522341 1202242 0 0 Richard Afable Reg EVP, Southern CA 421861 405025 621000 737356 469161 5025 9275 216106 12041 10558 1533338 1374070 0 395044 Kevin Klockenga Reg EVP, Northern CA 640039 0 548569 0 81792 0 13250 0 18042 0 1301692 0 0 0 Richard Parks Reg EVP, West TX/Eastern NM 742680 0 661296 0 99711 0 13250 0 17815 0 1534752 0 0 0 Steven Moreau Chief Executive, SJO 620554 0 581172 0 85376 0 13034 0 17282 0 1317418 0 0 0 Lee Penrose Chief Executive, SJF 590072 0 554451 0 91692 0 21200 0 24744 0 1282159 0 0 0 Tarek Salaway Chief Executive, MHRMC 384312 0 124986 0 30561 0 0 0 11947 0 551806 0 0 0 Robert Braithwaite Chief Executive, Hoag 598216 0 572033 282941 60867 0 10283 0 35493 0 1276892 282941 0 0 Kevin Manemann Chief Executive, Heritage 398598 49051 280702 58490 6142 15044 3506 23227 3716 776061 62415 0 0 Todd Salnas Chief Executive, Sonoma 430790 0 342104 0 51729 0 13250 0 35072 0 872945 0 0 0 Walter Cathey Chief Executive, Covenant 0 355663 0 180514 0 52613 0 18550 0 21712 0 629052 0 0 Alan Garrett Chief Executive, SMMC 512936 0 660570 0 110707 0 23850 0 25603 0 1333666 0 0 0 David O'Brien Chief Executive, Humboldt 432098 0 371997 0 70041 0 18550 0 26023 0 918709 0 0 0 James Watson SVP, Ministry Integrity 446214 0 333712 0 83227 0 23850 0 35385 0 922388 0 0 0 Joline Treanor SVP, Human Resources 437395 0 312463 0 54072 0 10600 0 12727 0 827257 0 0 0 Jack Cox SVP, Chief Medical Officer 464367 0 223445 0 89027 0 10600 0 16825 0 804264 0 0 0 Thomas Kopfensteiner Former Board Trustee 15000 6400 0 0 0 0 0 0 0 0 15000 6400 0 0 Keith Marton Former Board Trustee 15000 0 0 0 0 0 0 0 0 0 15000 0 0 0 Henry Walker Former Board Trustee 22500 0 0 0 0 0 0 0 0 0 22500 0 0 0 Edward E Dolejsi Ned Former Board Trustee 18161 0 0 0 0 0 0 0 0 0 18161 0 0 0 John O Mudd Former Board Trustee 12500 0 0 0 0 0 0 0 0 0 12500 0 0 0 Nicholas Wittner Former Board Trustee 12500 0 0 0 0 0 0 0 0 0 12500 0 0 0 Deborah Proctor Former System CEO (FMR OFCR) 470726 0 2087638 0 130786 0 18550 0 3564 0 2711264 0 0 0 Jeff Thies VP, Leadership Inst (Fmr Ofcr) 0 0 0 0 193873 0 0 0 0 0 193873 0 0 0 Clarence Burke CE, Heritage (Fmr Key Empl) 0 0 703665 0 0 0 21200 0 0 0 724865 0 0 0 Kenneth McFarland CE, MHRMC (Fmr Key Empl) 72200 0 380187 0 591454 0 5776 0 4960 0 1054577 0 0 0 William Russell SVP, CIO (Fmr Key Employee) 246895 0 220419 0 317196 0 8615 0 10513 0 803638 0 0 0 Troy Thibodeaux CE, Covenant (Fmr Key Empl) 0 0 0 0 0 467364 0 0 0 0 0 467364 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A SUPPLEMENTAL COMPENSATION INFORMATION CHARTER TRAVEL THE HEALTH SYSTEM ALLOWS FOR CHARTER TRAVEL ON A LIMITED BASIS FOR CERTAIN EXECUTIVES VISITING THE HEALTH SYSTEMS RURAL HOSPITAL FACILITIES BECAUSE COMMERCIAL TRAVEL TO THE AREA IS LIMITED AND TIME-CONSUMING. TRAVEL FOR COMPANIONS ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL TO CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. GROSS-UP PAYMENTS THE HEALTH SYSTEM GROSSES UP PAYMENTS FOR LIMITED APPROVED EXPENDITURES. FORM 990, SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: THIES, JEFF - $193,873 MCFARLAND, KENNETH - $584,195 RUSSELL, WILLIAM - $317,196 THIBODEAUX, TROY - $467,364 FORM 990, SCHEDULE J, PART I, LINE 4B BEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR AGE 65 VESTING SCHEDULE. EXECUTIVES PREVIOUSLY PARTICIPATED IN ANOTHER NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT WAS FROZEN EFFECTIVE DECEMBER 2007, AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED. THIS FROZEN PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECT CURRENT YEAR PAYOUTS FROM THESE PLANS. FORM 990, SCHEDULE J, PART I, LINE 7 A PORTION OF EXECUTIVE SALARIES ARE PLACED AT-RISK AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE STRATEGIC OBJECTIVES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. A CALIFORNIA HEALTH FACILITIES FINANCING AUTH 2016A 521643823 13032UFP8 2016-09-28 490804875 SEE SCHEDULE K, PART VI false false false B LUBBOCK HEALTH FACILITIES DEVELOPMENT CORP 2016C 521313557 549208EP7 2016-09-28 39215000 SEE SCHEDULE K, PART VI false false false C LUBBOCK HEALTH FACILITIES DEVELOPMENT CORP 2008B 521313557 549208EM4 2008-06-19 136185000 SEE SCHEDULE K, PART VI false false false D CALIFORNIA HEALTH FACILITIES FINANCING AUTH 2009 521643828 13033LCN5 2009-08-27 426930280 SEE SCHEDULE K, PART VI false false false A 0 0 490804875 0 0 480221287 3547888 0 0 0 7035700 0 2008 true false true true B 0 0 39215000 0 0 0 215000 0 0 0 39000000 0 2004 true false true true C 59150000 0 136185000 0 0 0 602023 1035827 0 0 134547150 0 1998 true false true true D 62510000 0 426930280 0 0 0 4480280 0 0 180000000 242450000 0 2009 true false true true A false true true true true true 0.00909 0.00229 0.01138 false false false true B false true true true true true 0.00750 0.00220 0.00970 false false false true C 0 true D false true true true true true 0.00510 0.00153 0.00663 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true C false false false true false true MORGAN STANLEY SVCS 25. false true false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true SCHEDULE K SUPPLEMENTAL INFORMATION DESCRIPTION OF PURPOSE - CHFFA 2016A (1) PART I, LINE A, COLUMN (F): THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON APRIL 17, 2007 AND CONVERTED MARCH 27, 2008. THE PROCEEDS WERE ORIGINALLY FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, AND EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL (ORANGE), ST. MARY REGIONAL MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. DESCRIPTION OF PURPOSE - LHFDC 2016C (1) PART I, LINE B, COLUMN (F): THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENT REFUND THE LUBBOCK HEALTH FACILITIES DEVELOPMENT CORPORATION REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON MAY 15, 2008 AND CONVERTED AUGUST 27, 2009. DESCRIPTION OF PURPOSE - LHFDC 2008B (1) PART I, LINE C, COLUMN (F): THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LUBBOCK HEALTH FACILITIES DEVELOPMENT CORPORATION INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON DECEMBER 1, 1998. ORIGINAL ISSUANCE ON JUNE 19, 2008 WITH CUSIP 549208D49, CONVERTED JULY 14, 2011. DESCRIPTION OF PURPOSE - CHFFA 2009 (1) PART I, LINE D, COLUMN (F): THE PROCEEDS DERIVED FROM THE SALE OF THE 2009A BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $180,000,000. PROJECT FUNDS ARE TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, AND EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. ORIGINAL ISSUE DATE ON AUGUST 27, 2009 WITH ORIGINAL CUSIP 13033LCA3. IN ADDITION, THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JANUARY 29, 2004 WITH ORIGINAL CUSIP 130911VQ0 & REFUNDED ON MAY 15, 2008 WITH CUSIP 130795TU1 & REFUNDED AGAIN ON AUGUST 27, 2009 WITH CUSIP 133033LCN5. DESCRIPTION OF PURPOSE - CHFFA 2016B1-3 (2) PART I, LINE A, COLUMN (F): THE PROCEEDS DERIVED FROM THE SALE OF THE 2016B1-3 BONDS ARE TO BE USED TO REFUND ST. JOSEPH HEALTH SYSTEM CHFFA 2011A-D BONDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, AND EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HOSPITAL OF EUREKA AND ST. JUDE MEDICAL CENTER. ORIGINAL ISSUE DATE WAS ON JULY 14, 2011. DESCRIPTION OF PURPOSE - CHFFA 2013 (2) PART I, LINE B, COLUMN (F): THE PROCEEDS DERIVED FROM THE SALE OF THE 2013A-D BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE, REFINANCING OF OUTSTANDING INDEBTEDNESS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $110,684,400. PROCEEDS TO BE UTILIZED FOR CERTAIN COST OF ACQUISITION, CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: HOAG HOSPITAL NEWPORT BEACH, ST. JOSEPH HOSPITAL, ORANGE, ST. JUDE MEDICAL CENTER, ST. MARY MEDICAL CENTER, SANTA ROSA MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA. ORIGINAL ISSUE DATE WAS JULY 24, 2013. SCHEDULE K, PART IV, LINE 2C (1) LHFDC 2008B (BOND C) REBATE COMPUTATION PREPARED JULY 23, 2008 FOR THE PERIOD ENDING JULY 1, 2008 SHOWING NO REBATE DUE. (1) CHFFA 2009 (BOND D) REBATE COMPUTATION PREPARED JANUARY 12, 2015 FOR THE PERIOD ENDING AUGUST 27, 2014 SHOWING NO REBATE DUE. (2) CHFFA 2013 (BOND B) REBATE COMPUTATION PREPARED DECEMBER 11, 2014 FOR THE PERIOD ENDING JULY 1, 2014 SHOWING NO REBATE DUE. A CALIFORNIA HEALTH FACILITIES FINANCING AUTH 2016B 521643828 13032UGP7 2016-09-28 304049410 SEE SCHEDULE K, PART VI false false false B CALIFORNIA HEALTH FACILITIES FINANCING AUTH 2013 521643828 13033LY76 2013-07-24 701719855 SEE SCHEDULE K, PART VI false false false A 0 0 304049410 0 0 0 1939410 0 0 0 302110000 0 2013 true false true true B 0 0 701719855 0 0 138785830 5057223 0 0 110684400 447192402 0 2014 true false true true A false true true true true true 0.00028 0.00098 0.00126 false false false true B false true true true true true 0.00866 0.00028 0.00894 false false false true A false true false false false false 0 false 0 false true B false false false true false false 0 false 0 false true A true B true FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION ST. JOSEPH HEALTH SYSTEM IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. FORM 990, PART III, LINE 4A ST. JOSEPH HEALTH SYSTEM THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORSMINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH MINISTRY. PROVIDENCE ST. JOSEPH HEALTH ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT, THE PURPOSE OF WHICH WAS TO BETTER SERVE BOTH ORGANIZATIONS' COMMUNITIES, MAINTAIN STRONG TRADITIONS OF CATHOLIC HEALTHCARE, AND PROVIDE GREATER AFFORDABILITY AND ACCESS TO HEALTHCARE SERVICES. AS PART OF THE BUSINESS COMBINATION, PHS AND SJHS ALIGNED UNDER A SINGLE PARENT CORPORATION (PSJH), PROVIDENCE ST. JOSEPH HEALTH, WITH A CONSOLIDATED BOARD OF DIRECTORS AND CO-SPONSORSHIP FROM THE PUBLIC JURIDIC PERSONS, PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY. REALIZING OUR MISSION ST. JOSEPH HEALTH SYSTEM (SJHS) HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 30 YEARS. SERVING THE COMMUNITIES OF NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA AND WEST TEXAS/EASTERN NEW MEXICO, SJHS SUPPORTS OVER 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, SKILLED NURSING FACILITIES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. PROGRAM SERVICE ACCOMPLISHMENTS: SJHS PROVIDES KEY COMMUNITY BENEFIT STRATEGIC SUPPORT TO ITS MINISTRIES ON COMMUNITY BENEFIT PLANNING, COMMUNITY HEALTH NEEDS ASSESSMENTS, AND INTERNAL AND EXTERNAL REPORTING. THIS WORK IS ACCOMPLISHED IN PARTNERSHIP WITH VARIOUS KEY SYSTEM OFFICE DEPARTMENTS INCLUDING ADVOCACY, COMMUNITY OUTREACH, LEGAL AND STRATEGIC SERVICES. SEE ALSO SCHEDULE A, PART VI. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM AND PROVIDENCE ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG AND WWW.PSJHEALTH.ORG. FORM 990, PART IV, LINES 11F AND 12 & FORM 990, PART XII, LINE 2A ST. JOSEPH HEALTH SYSTEM WAS INCLUDED IN CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS FOR PROVIDENCE ST. JOSEPH HEALTH FOR THE PERIOD ENDED DECEMBER 31, 2017. AS SUCH, AUDITED FINANCIAL STATEMENTS WERE NOT PREPARED FOR THE TAX YEAR ENDED JUNE 30, 2017. THE REPORTING ORGANIZATION WILL CHANGE ITS TAX YEAR END TO DECEMBER 31 FOR 2017. FORM 990, PART V, LINE 1A ST. JOSEPH HEALTH SYSTEM (SJHS) PAYS ALL VENDORS FOR SJHS ENTITIES FROM ITS SHARED SERVICES. SJHS ISSUES FORM 1099-MISC UNDER ITS TAX ID NUMBER AND COMPLIES WITH BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS. FORM 990, PART VI, LINE 4 ST. JOSEPH HEALTH SYSTEM (SJHS) AMENDED ITS ARTICLES OF INCORPORATION AND BYLAWS IN JUNE 2016 TO CHANGE ITS SOLE CORPORATE MEMBER TO PROVIDENCE ST. JOSEPH HEALTH (PSJH), TO GIVE CERTAIN POWERS AND RIGHTS TO PSJH, AND TO ALLOW THE SJHS BOARD OF TRUSTEES TO BE THE SAME INDIVIDUALS AS THE PSJH BOARD OF TRUSTEES WITH THE EXCEPTION OF THE PSJH CEO. SJHS AMENDED ITS ARTICLES OF INCORPORATION AND BYLAWS IN JUNE 2017 TO ADD PSJH AS A SUPPORTED ORGANIZATION, GIVE POWER TO ELECT OR APPOINT TRUSTEES OF SJHS CONCURRENTLY WITH THE TRUSTEES OF PSJH TO ONE OR MORE OF THE SUPPORTED ORGANIZATIONS, AND GIVE CERTAIN POWERS AND RIGHTS TO THE SJHS BOARD. FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS PROVIDENCE ST. JOSEPH HEALTH IS THE SOLE CORPORATE MEMBER ST. JOSEPH HEALTH SYSTEM. FORM 990, PART VI, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JOSEPH HEALTH SYSTEM HAS A TIERED GOVERNANCE IN WHICH PROVIDENCE ST. JOSEPH HEALTH AS ITS SPONSOR RESERVES THE RIGHT TO APPOINT TRUSTEES TO THE ST. JOSEPH HEALTH SYSTEM BOARD AFTER A COLLABORATIVE AND INCLUSIVE RECRUITMENT AND SELECTION PROCESS. THE SISTERS OF ST. JOSEPH OF ORANGE, AS THE FOUNDING SPONSOR OF ST. JOSEPH HEALTH SYSTEM, ALONG WITH PROVIDENCE MINISTRIES APPOINTS MEMBERS OF PROVIDENCE ST. JOSEPH HEALTH. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL AND TYPE OF VOTING RIGHTS THE CORPORATE MEMBER, PROVIDENCE ST. JOSEPH HEALTH, RESERVES THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. FORM 990, PART VI, LINE 11B PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE MARCH 2018 MEETING. DURING THE AUDIT AND COMPLIANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE AUDIT AND COMPLIANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING. FORM 990, PART VI, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN CONNECTION WITH THAT INDIVIDUAL SATISFYING THEIR FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WITH GUIDANCE FROM THE ST. JOSEPH HEALTH SYSTEM CHIEF COMPLIANCE OFFICER (CCO), THE CHIEF EXECUTIVE AND/OR THE GOVERNING BOARD CHAIRPERSON, AS APPROPRIATE, CONSIDERS THE MATTER INITIALLY. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL, THE MATTER IS ESCALATED TO THE CCO. THE CCO, IN CONSULTATION WITH THE ST. JOSEPH HEALTH SYSTEM GENERAL COUNSEL, REVIEWS THE MATTER AND PRESENTS RECOMMENDATIONS TO THE GOVERNING BOARD AND/OR BOARD COMMITTEE, AS APPROPRIATE, FOR DISCUSSION AND VOTE. THE INDIVIDUAL WHOSE POTENTIAL CONFLICT IS BEING REVIEWED MAY BE REQUESTED TO BE PRESENT DURING ANY MEETING IN WHICH THE BOARD OR BOARD COMMITTEE CONDUCTS ITS EVALUATION BUT SHALL BE EXCUSED FOR ANY DISCUSSION OR VOTE. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. FORM 990, PART VI, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION IT IS ST. JOSEPH HEALTH SYSTEM'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW ST. JOSEPH HEALTH SYSTEM ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. ST. JOSEPH HEALTH SYSTEM HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE ST. JOSEPH HEALTH SYSTEM MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF ST. JOSEPH HEALTH SYSTEM'S LEGAL ENTITIES. ST. JOSEPH HEALTH SYSTEM ALSO MAINTAINS A NETWORK OF COMMUNITY MINISTRY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. ST. JOSEPH HEALTH SYSTEM HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE AND APPROVED BY THE FULL BOARD OF DIRECTORS, NONE OF WHOM IS A ST. JOSEPH HEALTH SYSTEM EMPLOYEE. THE BOARD RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. ST. JOSEPH HEALTH SYSTEM IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS WHOSE REVENUE IS SIMILAR TO THAT OF ST. JOSEPH HEALTH SYSTEM. ADDITIONALLY, ST. JOSEPH HEALTH SYSTEMS LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, ST. JOSEPH HEALTH SYSTEM ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR ST. JOSEPH HEALTH SYSTEM EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING ST. JOSEPH HEALTH SYSTEM OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THIS PROCESS WAS LAST COMPLETED IN SEPTEMBER 2016. FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. FORM 990, PART IX, LINE 25, COLUMN (D) FUNDRAISING EXPENSES THE FUNDRAISING EXPENSES REPORTED IN COLUMN (D) INCLUDE SALARY AND RELATED EXPENSES FOR EMPLOYEES WHO RAISE FUNDS ON BEHALF OF AFFILIATED HOSPITALS. FUNDRAISING EXPENSES INCURRED ARE FOR THE SUPPORT OF THE ENTIRE HEALTH SYSTEM AND HELP TO GENERATE CONTRIBUTIONS AT THE HOSPITAL MINISTRIES. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS EQUITY TRANSFER $ 89,362,068 CHANGE IN FMV OF SWAP AGREEMENT $ 51,058,630 RETIREE HEALTH VALUATION ADJUSTMENT $ (20,837,381) INVESTMENT IN SUBS $ (2,468,814) ROUNDING $ 85 ------------- TOTAL $ 117,114,588 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:43079362 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:13473809 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:10146083 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCIES TOTAL FEES:9985640 REVENUE CYCLE SERVICES LLC 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 272109314 HEALTHCARE CA 81384500 1511829 SJHS EN VIE LLC 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 800772390 HEALTHCARE DE 0 0 SJHS ST JOSEPH HEALTH SYSTEM HOME CARE SVCS 1845 W ORANGEWOOD AVE STE 100 ORANGE CA 928682012 330307672 HOME HEALTH CA 25610319 24024099 SJHS ST JOSEPH HEALTH SYSTEM HEALTH AGENCY 1845 W ORANGEWOOD AVE STE 200 ORANGE CA 928682012 330282945 HOME HEALTH CA 9308645 7421307 SJHS NEWPORT ST JOSEPH INVESTMENTS LLC 19540 JAMBOREE ROAD STE 400 IRVINE CA 92612 461675867 INVESTMENTS CA 0 0 SJHS COVENANT HEALTH NETWORK INC 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 461259908 HEALTHCARE CA 501(C)(3) 12,III SJHS true COVENANT ACO 3615 19TH STREET LUBBOCK TX 79410 611573313 HEALTHCARE TX 501(C)(3) 12,I CHS true COVENANT HEALTH SYSTEM 3615 19TH STREET LUBBOCK TX 79410 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS true COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS true COVENANT MEDICAL GROUP 3420 22ND PLACE LUBBOCK TX 79410 752743883 HEALTHCARE TX 501(C)(3) 3 CHS true COVENANT HEALTH PARTNERS 3615 19TH STREET LUBBOCK TX 79410 463516417 HEALTHCARE TX 501(C)(3) 12,I CHS true HMTS INC 1 HOAG DRIVE NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12,I HMHP true HOAG CHARITY SPORTS 330 PLACENTIA AVE NEWPORT BEACH CA 92663 452982422 SUPPORT CA 501(C)(3) 7 HHF true HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP true HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG ROAD BOX 6100 NEWPORT BEACH CA 92663 951643327 HEALTHCARE CA 501(C)(3) 3 CHN true HOSPICE OF LUBBOCK 3702 21ST STREET LUBBOCK TX 79410 752133781 HEALTHCARE TX 501(C)(3) 9 CHS true LUBBOCK METHODIST HOSPITAL FOUNDATION 3615 19TH STREET LUBBOCK TX 79410 752220963 HEALTHCARE TX 501(C)(3) 7 CHS true METHODIST CHILDREN'S HOSPITAL 3610 21ST STREET LUBBOCK TX 79410 752428911 HEALTHCARE TX 501(C)(3) 3 CHS true METHODIST HOSPITAL LEVELLAND 1900 COLLEGE AVENUE LEVELLAND TX 79336 752246348 HEALTHCARE TX 501(C)(3) 3 CHS true METHODIST HOSPITAL PLAINVIEW 2601 DIMMITT ROAD PLAINVIEW TX 79072 752426010 HEALTHCARE TX 501(C)(3) 3 CHS true MISSION HOSPITAL REGIONAL MEDICAL CTR 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 951643360 HEALTHCARE CA 501(C)(3) 3 CHN true QUEEN OF THE VALLEY MEDICAL CENTER 1000 TRANCAS STREET NAPA CA 94558 941243669 HEALTHCARE CA 501(C)(3) 3 SJHS true REDWOOD MEMORIAL FOUNDATION 3300 RENNER DRIVE FORTUNA CA 95540 942779313 HEALTHCARE CA 501(C)(3) 7 RMH true REDWOOD MEMORIAL HOSPITAL 3300 RENNER DRIVE FORTUNA CA 95540 941384665 HEALTHCARE CA 501(C)(3) 3 SJHS true SANTA ROSA MEMORIAL HOSPITAL 1165 MONTGOMERY DRIVE SANTA ROSA CA 95405 941231005 HEALTHCARE CA 501(C)(3) 3 SJHS true SRM ALLIANCE HOSPITAL SERVICES (PVH) 400 NORTH MCDOWELL BLVD PETALUMA CA 94954 680395200 HEALTHCARE CA 501(C)(3) 3 SRMH true ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 330143024 HEALTHCARE CA 501(C)(3) 7 SJHS true ST JOSEPH HOME CARE NETWORK 1111 SONOMA STE 308 SANTA ROSA CA 95405 680331084 HEALTHCARE CA 501(C)(3) 9 SJHS true ST JOSEPH HOSPITAL OF EUREKA 2700 DOLBEER STREET EUREKA CA 95501 941156596 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JOSEPH HOSPITAL OF ORANGE 1100 WEST STEWART DRIVE ORANGE CA 92868 951643359 HEALTHCARE CA 501(C)(3) 3 CHN true ST JOSEPH HERITAGE HEALTHCARE 200 WEST CENTER ST PROMENADE ANAHEIM CA 92805 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JUDE HOSPITAL INC 101 EAST VALENCIA MESA DRIVE FULLERTON CA 92635 951643324 HEALTHCARE CA 501(C)(3) 3 CHN true ST MARY MEDICAL CENTER 18300 HIGHWAY 18 APPLE VALLEY CA 92307 951914489 HEALTHCARE CA 501(C)(3) 3 CHN true ST MARY OF THE PLAINS HOSPITAL FDN 4000 24TH STREET LUBBOCK TX 79410 751653181 HEALTHCARE TX 501(C)(3) 7 CHS true ST JOSEPH HEALTH NOR CAL LLC 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 814791043 HEALTHCARE CA 501(C)(3) 3 SJHS true SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ORANGE CA 92868 951643383 RELIGIOUS ORG CA 501(C)(3) 1 NA false ST JOSEPH HEALTH MINISTRY 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 271666576 RELIGIOUS ORG CA 501(C)(3) 1 SSJO false E WA & MT UNEMPLOYMENT COMP INSR TRUST 1801 LIND AVENUE SW 9016 RENTON WA 980579016 911082119 UNEMPLOYMENT WA 501(C)(3) 12,I PHS WA true EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANS. CARE WA 501(C)(3) 10 NA false FACEY MEDICAL FOUNDATION 15451 SAN FERNANDO MISSION BLVD 2 MISSION HILLS CA 91345 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL true GAMELIN WASHINGTON ASSOCIATION 1423 FIRST AVENUE SEATTLE WA 98101 201910170 SUPPORT WA 501(C)(3) 7 PHS WA true GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS true INLAND NORTHWEST HEALTH SERVICES 601 W 1ST AVENUE SPOKANE WA 99201 911307555 HEALTHCARE WA 501(C)(3) 3 PHS WA true INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVENUE SW 9016 RENTON WA 98057 814260130 HEALTHCARE WA 501(C)(3) 7 PHS SJHS true INSTITUTE FOR SYSTEMS BIOLOGY 401 TERRY AVE N SEATTLE WA 98109 912003593 HEALTHCARE WA 501(C)(3) 7 WHC true JOHN WAYNE CANCER INSTITUTE 2200 SANTA MONICA BLVD SANTA MONICA CA 90404 954291515 HEALTHCARE CA 501(C)(3) 4 PSJHC true KADLEC AUXILIARY INC 888 SWIFT BLVD RICHLAND WA 99352 916033089 SUPPORT WA 501(C)(3) 12,III KRMC true KADLEC FOUNDATION 888 SWIFT BLVD RICHLAND WA 99352 237005501 SUPPORT WA 501(C)(3) 12,I KRMC true KADLEC NEUROLOGICAL RESOURCE CENTER 1268 LEE BLVD RICHLAND WA 99352 911266345 HEALTHCARE WA 501(C)(3) 10 WHC true KADLEC REGIONAL MEDICAL CENTER 888 SWIFT BLVD RICHLAND WA 99352 910655392 HEALTHCARE WA 501(C)(3) 3 WHC true LITTLE COMPANY OF MARY ANCILLARY SVCS CO 4101 TORRANCE BLVD TORRANCE CA 90503 330844408 IMAGING SERVI CA 501(C)(3) 10 PHS SOCAL true LUNDBERG ASSOCIATIONPROVIDENCE HOUSE 5921 E BURNSIDE PORTLAND OR 97215 911562797 SUPPORT OR 501(C)(3) 7 PHS OR true MARSHA RIVKIN CENTER FOR OVARIAN CANCER 747 BROADWAY SEATTLE WA 98122 912054035 RESEARCH WA 501(C)(3) 7 SHS true PACMED CLINICS 1200 12TH AVENUE S SEATTLE WA 98144 562290878 HEALTHCARE WA 501(C)(3) 10 WHC true PH&S FOUNDATIONSFVSA & SCVSA 501 S BUENA VISTA STREET BURBANK CA 91505 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL true PROVIDENCE ALASKA FOUNDATION 3300 PROVIDENCE DR TOWER 2 ANCHORAGE AK 99508 920093565 HEALTHCARE AK 501(C)(3) 12,I PHS WA true 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BROADWAY PO BOX 4587 MISSOULA MT 598064587 810231793 HEALTHCARE MT 501(C)(3) 3 PHS WA true PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVENUE SW 9016 RENTON WA 980579016 510216587 HEALTHCARE OR 501(C)(3) 3 PHS true PROVIDENCE HEALTH & SERVICES - WA 1801 LIND AVENUE SW 9016 RENTON WA 980579016 510216586 HEALTHCARE WA 501(C)(3) 3 PHS true PROVIDENCE HEALTH & SERVICES - WEST WA 1801 LIND AVENUE SW 9016 RENTON WA 980579016 911303277 HEALTHCARE WA 501(C)(3) 3 PMWHC true PROVIDENCE HEALTH ASSURANCE 4400 NE HALSEY BLDG 2 PORTLAND OR 97213 550828701 MEDICAID OR 501(C)(4) N/A PHP true PROVIDENCE HEALTH CARE FNDN - E WA 101 W 8TH AVENUE SPOKANE WA 99204 320014330 HEALTHCARE WA 501(C)(3) 7 PHS WA true PROVIDENCE HEALTH CARE FNDN (CENTRALIA) 914 S SCHEUBER ROAD CENTRALIA WA 98531 911433382 HEALTHCARE WA 501(C)(3) 7 PHS WA true PROVIDENCE HEALTH PLAN 4400 NE HALSEY BLDG 2 PORTLAND OR 97213 930863097 HEALTHCARE OR 501(C)(4) N/A PPP true PROVIDENCE HEALTH SYSTEM - SO CAL 1801 LIND AVENUE SW 9016 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