2017-04-28T15:01:39-05:00 2016-06-30 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2015-07-01 941384665 REDWOOD MEMORIAL HOSPITAL % JONI MURPHY REDW 7072694259 3300 RENNER DRIVE FORTUNA CA 95540 MICH RICCIONI CFO 7074458121 2017-04-28 true KARA ADAMS P00023315 9497942300 2015 2021-01-29 14:40:06Z DR DAVID O'BRIEN 3300 RENNER DRIVE FORTUNA CA 95540 55814494 false 0928 X www.stjoehumboldt.org/ X 1954 CA TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING HEALTH & QUALITY OF LIFE OF THE PEOPLE IN THE COMM WE SERVE. 15 11 229 50 0 352500 1774548 51500666 50507101 3718318 3532845 0 0 55571484 55814494 279600 79000 0 0 20330560 20412320 0 0 287951 17463156 19405956 38073316 39897276 17498168 15917218 86175942 93873983 10581451 9053942 75594491 84820041 X REDWOOD MEMORIAL HOSPITAL IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. 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(FORMER OFFICER) 0.0 0.0 X 0 320681 21760 CAROL REEDER VP CNO (Former Key Employee) 0.0 0.0 X 0 209741 0 JOSEPH ROGERS VP COO (FORMER OFFICER) 0.0 0.0 X 159991 0 0 994124 5913061 523396 38 true true false MEDICAL STAFFING NETWORK HEALTHCARE PO BOX 840292 DALLAS TX 75284 REGISTRY 650324 CHASE DENNIS MEDICAL GROUP INC PO BOX 634850 CINCINNATI OH 45263 MEDICAL SERVICES 385675 INTEGRITY HEALTHCARE LOCUMS LLC PO BOX 823424 PHILADELPHIA PA 19182 STAFFING SERVICES 371062 JB JORDAN AND ASSOCIATES PO BOX 3629 EUREKA CA 95502 PURCHASED SERVICES 315422 SONOMA IMAGING MEDICAL ASSOC PO BOX 3222 NAPA CA 94558 MEDICAL SERVICES 297600 14 0 1774548 0 1774548 NET PATIENT REVENUE 622110 49901551 49901551 0 0 CAFETERIA REVENUE 722310 82831 82831 0 0 MOB REVENUE 531120 53670 53670 0 0 EHR REVENUE 900099 273473 273473 0 0 OTHER REVENUE 900099 195576 195576 0 0 50507101 3532845 3532845 0 0 0 0 0 0 0 0 0 0 55814494 50507101 0 3532845 X 79000 79000 0 0 0 0 0 0 291814 41375 250439 0 159991 0 159991 0 13455193 12936549 277444 241200 904609 849394 53121 2094 4522334 4328254 188010 6070 1078379 1023151 53242 1986 2740305 2682253 58052 0 124835 0 124835 0 4475 0 4475 0 4363 4363 0 0 0 0 0 0 0 0 7024618 6679040 331412 14166 21658 21298 360 0 1147157 1123096 19064 4997 513577 486892 22976 3709 0 0 0 0 384845 382709 1461 675 73785 25730 43039 5016 0 0 0 0 16618 16618 0 0 70310 70310 0 0 0 0 0 0 779432 778371 1061 0 260412 260412 0 0 MEDICAL SUPPLIES 3538892 3538892 0 0 REPAIRS AND MAINTENANCE 1327570 1305792 21778 0 TAX AND LICENSE 65206 45205 20001 0 ALL OTHER EXPENSES 1307898 1146612 153248 8038 39897276 37825316 1784009 287951 0 0 0 33086063 25249947 0 0 5767705 4652765 0 0 0 0 8311 8365 971098 1016990 505466 268325 32981874 22191993 10803206 10789881 32024741 49038821 0 0 0 0 0 0 3009352 2848889 86175942 93873983 3782829 4897914 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6798622 4156028 10581451 9053942 X 75506657 84731683 87834 88358 0 0 75594491 84820041 86175942 93873983 X 15917218 -4190892 0 0 0 -2500776 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 4325 4325 false SCHEDULE C, PART II-B, LINE 1I DESCRIPTION OF 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 GOVENMENTAL OFFICIALS, AS WELL AS COMMUNICATION TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION. THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO REDWOOD MEMORIAL HOSPITAL. 36003 36003 12306760 9451908 2854852 16308623 12740085 3568538 4330488 4330488 10789881 0 INTERCO WITH HEALTH SYSTEM BONDS 1321101 PAYABLE TO THIRD PARTIES 2030933 DUE TO AFFILIATES 356903 ACCRUED LIABILITIES 447091 4156028 X SCHEDULE D, PART X, LINE 2 CONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740) ACCOUNTING STANDARDS CODIFICATION (ASC 740), INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIALS STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2016 OR 2015. true true X true X true X 500. true true false true true 498440 498440 0.01250 11563927 13518641 133717 14690 119027 0.00300 12196084 13533331 617467 0.01550 766067 106419 659648 0.01650 28826 28826 0.00070 238353 238353 0.00600 1033246 106419 926827 0.02320 13229330 13639750 1544294 0.03870 300 300 0.00000 0 0 0.00000 7519 7519 0.00000 0 0 0.00000 0 0 0.00000 0 0 0.00000 0 0 0.00000 0 0 0.00000 0 0 0.00000 7819 7819 0.00000 false 2428229 15736752 11496982 4239770 X true true 1 1 REDWOOD MEMORIAL HOSPITAL 3300 RENNER DRIVE FORTUNA CA 95540 www.redwoodmemorial.org D-0295172 X X X X Redwood Memorial Hospital false false true X X X X X X X X X 13 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 13 true SEE SCHEDULE H, PART V, SECTION C false true X 200. 500. X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE SECTION C X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT WAS PROVIDED IN A MULTITUDE OF WAYS, INCLUDING SIX REGIONAL COMMUNITY FORUMS DONE IN COLLABORATION WITH PUBLIC HEALTH DURING SEPTEMBER AND OCTOBER 2013. AN ADJUNCT FORUM WAS DONE WITH THE PROMOTORES DE SALUD GROUP TO LEARN ABOUT HEALTH NEEDS SPECIFIC TO THE LATINO POPULATION IN HUMBOLDT COUNTY. ALSO AT THIS TIME, FIRST 5 HUMBOLDT WAS CONDUCTING THEIR ANNUAL SURVEY OF PROGRAM PARTICIPANTS AND AGREED TO INCLUDE QUESTIONS ON NUTRITION AND FOOD SECURITY. MORE THAN FORTY COMMUNITY NEEDS ASSESSMENTS, REPORTS, AND DOCUMENTS WERE USED FOR THIS META-ANALYSIS OF COMMUNITY NEED. NEARLY ALL OF THESE REPORTS INCLUDED COMMUNITY INPUT IN THE FORM OF QUESTIONNAIRES, INTERVIEWS, FOCUS GROUPS AND TOWN HALL MEETINGS. CONSULTING ORGANIZATIONS INCLUDED: THE HUMBOLDT COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, PUBLIC HEALTH BRANCH REPRESENTING ALL PEOPLE IN HUMBOLDT COUNTY BUT BEING A COUNTY WITH HIGH POVERTY RATES, SPECIAL EMPHASIS IS ON THE ECONOMICALLY POOR AND VULNERABLE. FIRST 5 HUMBOLDT REPRESENTING CHILDREN BIRTH TO AGE FIVE AND THEIR CAREGIVERS, ESPECIALLY LOW INCOME. PROMOTORES DE SALUD REPRESENTING MINORITY LATINO POPULATION. COMMUNITY AND FAMILY RESOURCE CENTERS ACROSS THE COUNTY REPRESENTING LOW AND VERY-LOW INCOME INDIVIDUALS, FAMILIES, DISABLED AND SENIORS. WE ALSO REVIEWED WHITE PAPERS FROM MULTIPLE AGENCIES REPRESENTING VULNERABLE POPULATIONS SUCH AS: HUMBOLDT SENIOR RESOURCE CENTER REPRESENTING FRAIL AND HOMEBOUND SENIORS, FOOD FOR PEOPLE REPRESENTING FOOD INSECURE PEOPLE AND CALIFORNIA CENTER FOR RURAL POLICY REPRESENTING THOSE LIVING IN POVERTY AND EXPERIENCING HEALTH DISPARITIES. SCHEDULE H, PART V, SECTION B, LINES 6A AND 6B CHNA HOSPITAL FACILITIES: ST. JOSEPH HOSPITAL OF EUREKA CHNA OTHER ORGANIZATIONS: COUNTY OF HUMBOLDT DEPARTMENT OF HEALTH & HUMAN SERVICES - PUBLIC HEALTH BRANCH FIRST 5 HUMBOLDT NORTHERN CALIFORNIA ASSOCIATION OF NON-PROFITS SCHEDULE H, PART V, SECTION B, LINE 7A http://www.stjoehumboldt.org/documents/community-benefit/2014-community-he alth-needs-assessment-report.pdf SCHEDULE H, PART V, SECTION B, LINE 10A http://www.stjoehumboldt.org/documents/Community-Benefit/FY15-17-SJE-CB-Pl an-and-IS-Report.pdf SCHEDULE H, PART V, SECTION B, LINE 11 IN FY15-FY17 REDWOOD MEMORIAL HOSPITAL PRIORITIZED THREE AREAS OF SIGNIFICANT HEALTH NEED AS WE HEARD IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THEY ARE 1) NUTRITION, HEALTHY FOOD AND FOOD SECURITY; 2) MENTAL AND BEHAVIORAL HEALTH SERVICES; AND 3) CARE COORDINATION AND REFERRAL. REDWOOD MEMORIAL HOSPITAL IS ADDRESSING THESE IDENTIFIED NEEDS IN THE FOLLOWING WAYS: 1. NUTRITION, HEALTHY FOOD AND FOOD SECURITY: GRANTED $121,000 TO 13 ORGANIZATIONS THAT PROVIDE HEALTHY FOOD TO INDIVIDUALS FACING FOOD SECURITY (IN PARTNERSHIP WITH ST. JOSEPH HOSPITAL EUREKA). PARTICIPATED IN COUNTY-WIDE CAL-FRESH OUTREACH, ENROLLMENT AND RETENTION EFFORTS RESULTING IN A 4.4% INCREASE IN CAL-FRESH BENEFICIARIES SINCE JUNE 2015. HOSTED 29 FREE COMMUNITY DINNERS OR EVENTS FEATURING FRESH PRODUCE AND NUTRITIOUS FOODS. 2. MENTAL AND BEHAVIORAL HEALTH SERVICES: INCREASED PARTICIPATION IN MAY IS MENTAL HEALTH AWARENESS MONTH WITH THE GOAL OF INCREASING AWARENESS OF AND REDUCING STIGMA ASSOCIATED WITH MENTAL ILLNESS. CONTRACTED WITH A BI-LINGUAL LICENSED MARRIAGE AND FAMILY THERAPIST TO PROVIDE FREE COUNSELING SERVICES TO SPANISH-SPEAKING FAMILIES AND INDIVIDUALS. GRANTED $82,600 TO SIX ORGANIZATIONS OFFERING MENTAL/BEHAVIORAL HEALTH SERVICES OR RESOURCES (IN PARTNERSHIP WITH ST. JOSEPH HOSPITAL EUREKA). 3. CARE COORDINATION AND REFERRAL: IMPROVED COMMUNICATION BETWEEN EMERGENCY DEPARTMENT AND PRIMARY CARE AROUND NOTIFICATION OF OVERDOSE. TALLIED 945 AVOIDABLE HOSPITAL BED DAYS IN MEDICAL RESPITE AT OUR HEALING RING AND SERENITY INN LOCATIONS SUPPORTED BY THE CARE TRANSITIONS PROGRAM. EXPANDED MEDICAL RESPITE SERVICES BY PARTNERING WITH THE BETTY KWAN CHINN HOMELESS FOUNDATION TO OPEN TEN ADDITIONAL RESPITE BEDS IN A NEW LOCATION. 3.3% 30-DAY READMISSION RATE FOR PATIENTS SERVED BY THE BEHAVIORAL HEALTH OUTREACH RN WHO SUPPORTS HIGH ACUITY BEHAVIORAL HEALTH DISCHARGES TO SKILLED NURSING FACILITIES. ALTHOUGH NO HEALTH CARE FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, WE ARE COMMITTED TO CONTINUING OUR MISSION THROUGH COMMUNITY BENEFIT EFFORTS AND BY FUNDING OTHER NON-PROFITS THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE REDWOOD MEMORIAL HOSPITAL CHNA WILL NOT BE DIRECTLY ADDRESSED THROUGH PROGRAMMING OR FUNDING AND AN EXPLANATION IS PROVIDED BELOW: MOTOR VEHICLE SAFETY: REDWOOD MEMORIAL HOSPITAL DOES NOT DIRECTLY ADDRESS MOTOR VEHICLE AND PEDESTRIAN SAFETY; HOWEVER WE PARTNER WITH SEVERAL ORGANIZATIONS THAT ADDRESS THIS ISSUE, INCLUDING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, REDWOOD COMMUNITY ACTION AGENCY, AND LOCAL MUNICIPALITIES. LOW INCOME/ AFFORDABLE HOUSING: AFFORDABLE HOUSING IS A BIG NEED IN THE REDWOOD MEMORIAL HOSPITAL SERVICE AREA AND WE RECOGNIZE HOUSING AS BEING A KEY SOCIAL DETERMINANT OF HEALTH, BUT REDWOOD MEMORIAL HOSPITAL HAS HISTORICALLY FELT THAT THIS NEED IS BEYOND OUR SCOPE AND ABILITY TO IMPACT. HOWEVER, WE HAVE RECENTLY STARTED TO LOOK INTO BARRIERS TO HOUSING FOR HOMELESS FAMILIES AND EXPLORE OPPORTUNITIES FOR US TO WORK COLLABORATIVELY, ACROSS SECTORS, WITH THIS SIGNIFICANT NEED IN OUR COMMUNITY. FOR FURTHER INFORMATION PLEASE VISIT: HTTP:WWW.STJOSEPHEUREKA.ORG/DOCUMENTS/COMMUNITY-BENEFIT/FY15-17-SJE-CB-PLA N-AND-IS-REPORT.PDF. SCHEDULE H, PART V, SECTION B, LINE 13H THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT. SCHEDULE H, PART V, SECTION B, LINE 16A HTTP://WWW.STJOEHUMBOLDT.ORG/DOCUMENTS/FINANCIAL-ASSISTANCE-POLICY-ENGLISH .PDF SCHEDULE H, PART V, SECTION B, LINE 16B http://www.stjoehumboldt.org/documents/Patient Financial Assistance/Financial-Assistance-Application-Humboldt ENGLISH_3.8.16.pdf SCHEDULE H, PART V, SECTION B, LINE 16C HTTP://WWW.STJOEHUMBOLDT.ORG/DOCUMENTS/PATIENTFINANCIALBROCHENG.PDF SCHEDULE H, PART V, SECTION B, LINE 16I THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA. SCHEDULE H, PART V, SECTION B, LINE 22D FOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USES MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES IS USED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED. SCHEDULE H, PART I, LINE 3C IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. SCHEDULE H, PART I, LINE 6B REDWOOD MEMORIAL HOSPITAL PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT WWW.STJOEHUMBOLDT.ORG SCHEDULE H, PART I, LINE 7A-I THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS. SCHEDULE H, PART II THE REDWOOD MEMORIAL HOSPITAL COMMUNITY BUILDING ACTIVITIES IN FY16 FOCUS ON THE UNDERLYING OR ROOT CAUSES OF POOR INDIVIDUAL AND COMMUNITY HEALTH INDICATORS. FOR EXAMPLE, OUR CEO PARTICIPATED IN A COMMUNITY-WIDE COALITION THAT SEEKS TO TRANSFORM OUR LOCAL HEALTH SYSTEM TO AN ACCOUNTABLE COMMUNITY FOR HEALTH AS WELL AS INVESTIGATE ROOT CAUSES OFWORKFORCE RELATED ISSUES AND PLAN FOR THE FUTURE OF HEALTHCARE WORKFORCE DEVELOPMENT. ALL OF THESE ACTIVITIES WERE UNDERTAKEN TO ASSURE EQUAL ACCESS TO A ROBUST HEALTHCARE SYSTEM FOR FUTURE GENERATIONS. REDWOOD MEMORIAL HOSPITAL ALSO PROVIDING FUNDING TO SUPPORT INCREASED PURCHASING OF LOCAL FOODS. LOCAL FOOD SOURCING CONTRIBUTES TO THE HEALTH OF THE COMMUNITY BY DECREASING FOSSIL FUEL EMISSIONS RESULTING FROM TRANSPORTING FOOD FROM DIFFERENT PARTS OF THE COUNTY OR WORLD. THERE IS ALSO A MULTIPLIER EFFECT FOR EVERY DOLLAR SPENT IN THE LOCAL COMMUNITY THAT DOLLAR HELPS GENERATE A POSITIVE ECONOMIC IMPACT FOR OUR RURAL COMMUNITY. REDWOOD MEMORIAL HOSPITAL SUPPORTED A RESIDENT-LED COMMUNITY BUILDING PROJECT IN LOLETA IN PARTNERSHIP WITH THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. SOME OF THE ACCOMPLISHMENTS OF THIS WORK INCLUDE THE REVITALIZATION OF A CENTRALIZED COMMUNITY PARK COMPLETE WITH PLAY STRUCTURE, PICNIC TABLES AND COMMUNITY READER. SCHEDULE H, PART III, LINE 2 THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART III, LINE 4 FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT CREDIT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED PAYORS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE HEALTH SYSTEM. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION REGULARLY ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, LINE 8 THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING CMS STANDARD COSTING METHODS. THIS INCLUDES STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS. SCHEDULE H, PART III, LINE 9B PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT REDWOOD MEMORIAL HOSPITAL ASSESSED THE HEALTH STATUS OF ITS COMMUNITY IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED, IN THE ASSESSMENT OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION REDWOOD MEMORIAL HOSPITAL PROVIDES THE COMMUNITIES ON THE NORTH COAST OF CALIFORNIA WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL IS LOCATED ON THE FAR NORTH COAST IN HUMBOLDT COUNTY ONE OF THE LARGEST COUNTIES IN CALIFORNIA BY GEOGRAPHY, COVERING 3,568 SQUARE MILES. THE COUNTY IS DENSELY FORESTED, MOUNTAINOUS AND RURAL WITH NEARLY 1.5 MILLION ACRES OF COMBINED PUBLIC AND PRIVATE FORESTS. A LARGE PORTION 680,000 ACRES OF REDWOOD FORESTS ARE PROTECTED OR STRICTLY CONSERVED. THE COUNTY IS THE SOUTHERN GATEWAY TO THE PACIFIC NORTHWEST AND IS SURROUNDED BY DEL NORTE COUNTY TO THE NORTH, TRINITY COUNTY TO THE EAST, MENDOCINO COUNTY TO THE SOUTH AND THE PACIFIC OCEAN ON THE WEST. THE COUNTY WAS ESTABLISHED IN MAY OF 1853 AND DERIVES ITS NAME FROM HUMBOLDT BAY, DISCOVERED BY A SEA OTTER HUNTING PARTY IN 1806 AND REDISCOVERED IN 1849, THE STATES SECOND LARGEST NATURAL BAY. PRIOR TO BEING DISCOVERED BY EURO-AMERICANS, THIS REGION HAS BEEN HOME TO INDIGENOUS PEOPLE FOR CENTURIES. THE INDIGENOUS PEOPLE OCCUPIED SPECIFIC TERRITORIES AND SPOKE SEVERAL DIFFERENT LANGUAGES. THE WIYOT, YUROK, HUPA, KAROK AND CHILULA ARE SOME OF THE NATIVE TRIBES TO THIS REGION AND HAVE MADE AND CONTINUE TO MAKE SIGNIFICANT CONTRIBUTIONS TO THE HISTORY AND DEVELOPMENT OF THIS REGION. THE COUNTY HAS A POPULATION OF 136,375 OR 38.2 PEOPLE PER SQUARE MILE. NEIGHBORING, TRINITY COUNTY, POPULATION 13,526 HAS ONLY 4.3 PEOPLE PER SQUARE MILE (COVERING 3,179 SQUARE MILES). CALIFORNIA AVERAGES 239.1 RESIDENTS PER SQUARE MILE AND CLASSIFIES RURAL COUNTIES AS UP TO 52 RESIDENTS PER SQUARE MILE. HUMBOLDT COUNTY IS CLASSIFIED AS A RURAL COUNTY AND TRINITY COUNTY IS CONSIDERED FRONTIER, BASED ON THIS PEOPLE PER SQUARE MILE AVERAGE. SEVEN PERCENT OF HUMBOLDT COUNTY HOUSEHOLDS ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, WHICH IS HIGHER THAN BOTH THE STATE AND NATIONAL LEVEL. IN SOME POCKETS OF HUMBOLDT COUNTY, MORE THAN A QUARTER OF HOUSEHOLDS ARE LIVING IN POVERTY. THE REGIONS ECONOMICALLY POOR RESIDENTS HAVE BEEN SEVERELY IMPACTED BY THE GREAT RECESSION AND THE ELIMINATION OF PROGRAMS AND SERVICES THAT LOCAL GOVERNMENTS ARE NO LONGER ABLE TO FUND. THE GROWING GAP IN NEEDED SERVICES HAS PLACED AT RISK THE HEALTH OF THOUSANDS OF UNDERSERVED INDIVIDUALS AND FAMILIES. HEALTH INSURANCE OPTIONS FOR LOCAL RESIDENTS HAVE INCREASED WITH MEDICAID EXPANSION AND OPENING OF THE STATE HEALTH INSURANCE EXCHANGE, COVERED CALIFORNIA. HOWEVER, THE COUNTY LACKS PROVIDERS TO CARE FOR THE REGIONS NEWLY INSURED. HUMBOLDT COUNTY IS DESIGNATED AS A HEALTH PROFESSIONS SHORTAGE AREA AND AREAS ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (GARBERVILLE/REDWAY, NORTH COASTAL, MCKINLEYVILLE, ARCATA, FERNDALE, WILLOW CREEK AND HOOPA). ATTRACTING AND RETAINING PRIMARY CARE AND SPECIALTY PHYSICIANS AS WELL AS OTHER HEALTH PROFESSIONALS IS AN ONGOING CHALLENGE FOR THIS RURAL COMMUNITY. ACCESS TO AFFORDABLE HEALTHCARE AND BASIC NEEDS HAS ELEVATED TO A CRITICAL LEVEL FOR PEOPLE LIVING IN HUMBOLDT COUNTY. TO RESPOND EFFECTIVELY REQUIRES COLLABORATIVE PROBLEM SOLVING AT THE COMMUNITY LEVEL. GOVERNMENT AND NONPROFIT HEALTH PROVIDERS LARGE AND SMALL MUST WORK TOGETHER TO LEVERAGE RESOURCES AND MAXIMIZE HEALTH ASSETS IN INNOVATIVE WAYS TO RESTORE WHAT HAS BEEN LOST, ENHANCE WHAT STILL EXISTS AND ENSURE SUSTAINABLE HEALTH PROGRAMS AND SERVICES ARE AVAILABLE OVER THE LONG TERM TO POPULATIONS THAT NEED THEM THE MOST. COMMUNITY-BASED COLLABORATION HAS BEEN A PRIORITY FOR HUMBOLDT COUNTY NONPROFIT ORGANIZATIONS, AND WILL CONTINUE TO DRIVE THIS HOSPITALS COMMUNITY BENEFIT EFFORTS IN THE FUTURE. OTHER HOSPITALS IN THE COMMUNITY INCLUDE: JEROLD PHELPS COMMUNITY HOSPITAL MAD RIVER COMMUNITY HOSPITAL SEMPERVIRENS PSYCHIATRIC HOSPITAL ST. JOSEPH HOSPITAL OF EUREKA SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH REALIZING OUR MISSION: REDWOOD MEMORIAL HOSPITAL IS A CRITICAL-CARE ACCESS HOSPITAL FOUNDED IN 1957, LOCATED IN FORTUNA, CA SERVING THE NORTH COAST REGION OF NORTHERN CALIFORNIA. REDWOOD MEMORIAL HOSPITAL PROVIDES VITAL HOSPITAL AND COMMUNITY SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE (TRADITIONAL CHARITY CARE) AND DISCOUNTED CARE. REDWOOD MEMORIAL HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE OF ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) A COMMUNITY BENEFIT COMMITTEE THAT IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES, 2) AN OPEN MEDICAL STAFF AND 3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ARE IN PART FUNDED BY CARE FOR THE POOR DOLLARS. REDWOOD MEMORIAL HOSPITAL IS A HEALING MINISTRY OF ST. JOSEPH HEALTH SYSTEM, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. ST. JOSEPH HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPITAL CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND 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 THE PEOPLE IN THE COMMUNITIES WE SERVE. LOCAL COMMUNITY BENEFIT COMMITTEE: THE ROLE OF THE REDWOOD MEMORIAL HOSPITAL COMMUNITY BENEFIT COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMITTEE ACTS IN ACCORDANCE WITH A BOARD-APPROVED CHARTER. THE COMMUNITY BENEFIT COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS IDENTIFIED NEEDS IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS, AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY BENEFIT COMMITTEE HAS A MINIMUM OF EIGHT MEMBERS INCLUDING THREE MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES THREE MEMBERS OF THE BOARD OF TRUSTEES AND EIGHT COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE GENERALLY MEETS BI-MONTHLY. REDWOOD MEMORIAL HOSPITALS FY15-FY17 COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSES ON THREE PRIORITY AREAS. THEY ARE 1) NUTRITION, HEALTHY FOOD AND FOOD SECURITY; 2) MENTAL AND BEHAVIORAL HEALTH SERVICES; AND 3) CARE COORDINATION AND REFERRAL. REDWOOD MEMORIAL HOSPITAL IS ADDRESSING THESE IDENTIFIED NEEDS IN THE FOLLOWING WAYS DURING FY16: 1. NUTRITION, HEALTHY FOOD AND FOOD SECURITY: GRANTED $121,000 TO 13 ORGANIZATIONS THAT PROVIDE HEALTHY FOOD TO INDIVIDUALS FACING FOOD SECURITY (IN PARTNERSHIP WITH ST. JOSEPH HOSPITAL). PARTICIPATED IN COUNTY-WIDE CAL-FRESH OUTREACH, ENROLLMENT AND RETENTION EFFORTS RESULTING IN A 4.4% INCREASE IN CAL-FRESH BENEFICIARIES SINCE JUNE 2015. HOSTED 29 FREE COMMUNITY DINNERS OR EVENTS FEATURING FRESH PRODUCE AND NUTRITIOUS FOODS. 2. MENTAL AND BEHAVIORAL HEALTH SERVICES: INCREASED PARTICIPATION IN MAY IS MENTAL HEALTH AWARENESS MONTH WITH THE GOAL OF INCREASING AWARENESS OF AND REDUCING STIGMA ASSOCIATED WITH MENTAL ILLNESS. CONTRACTED WITH A BI-LINGUAL LICENSED MARRIAGE AND FAMILY THERAPIST TO PROVIDE FREE COUNSELING SERVICES TO SPANISH-SPEAKING FAMILIES AND INDIVIDUALS. GRANTED $82,600 TO SIX ORGANIZATIONS OFFERING MENTAL/BEHAVIORAL HEALTH SERVICES OR RESOURCES (IN PARTNERSHIP WITH ST. JOSEPH HOSPITAL). 3. CARE COORDINATION AND REFERRAL: IMPROVED COMMUNICATION BETWEEN EMERGENCY DEPARTMENT AND PRIMARY CARE AROUND NOTIFICATION OF OVERDOSE. TALLIED 945 AVOIDABLE HOSPITAL BED DAYS IN MEDICAL RESPITE AT OUR HEALING RING AND SERENITY INN LOCATIONS SUPPORTED BY THE CARE TRANSITIONS PROGRAM. EXPANDED MEDICAL RESPITE SERVICES BY PARTNERING WITH THE BETTY KWAN CHINN HOMELESS FOUNDATION TO OPEN TEN ADDITIONAL RESPITE BEDS IN A NEW LOCATION. 3.3% 30-DAY READMISSION RATE FOR PATIENTS SERVED BY THE BEHAVIORAL HEALTH OUTREACH RN WHO SUPPORTS HIGH ACUITY BEHAVIORAL HEALTH DISCHARGES TO SKILLED NURSING FACILITIES. PATIENT FINANCIAL ASSISTANCE PROGRAM REDWOOD MEMORIAL HOSPITAL BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY REDWOOD MEMORIAL HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY16, REDWOOD MEMORIAL HOSPITAL PROVIDED $498,440 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM REDWOOD MEMORIAL HOSPITAL PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY16, REDWOOD MEMORIAL HOSPITAL PROVIDED $4,081,882 IN MEDICAID SHORTFALL; HOWEVER TOTAL MEDICAID SHORTFALL WAS ($1,954,714) AFTER ACCOUNTING FOR MEDICAID REIMBURSEMENT FROM THE CALIFORNIA HOSPITAL QUALITY ASSURANCE FEE. PROGRAM SERVICE ACCOMPLISHMENTS COMMUNITY RESOURCE CENTERS (CRCS) THE COMMUNITY RESOURCE CENTERS (CRC) ARE A COMMUNITY BENEFIT PROGRAM OF REDWOOD MEMORIAL HOSPITAL AND PROVIDE RESOURCE AND REFERRAL SERVICES COUNTY-WIDE THROUGH FIVE PLACE-BASED COMMUNITY CENTERS IN DIFFERENT PARTS OF HUMBOLDT COUNTY (WILLOW CREEK, BLUE LAKE, EUREKA, LOLETA AND RIO DELL). THEIR FOCUS IS ON PROVIDING SERVICES FOR LOW-INCOME FAMILIES AND INDIVIDUALS SUCH AS EMERGENCY FOOD PANTRIES, TRANSPORTATION ASSISTANCE, EMPLOYMENT INFORMATION AND ASSISTANCE APPLYING FOR CALFRESH, MEDI-CAL, AND WOMEN INFANT AND CHILDRENS (WIC) AMONG OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THEY ALSO WORK TO BUILD COMMUNITY AND PREVENT SOCIAL ISOLATION IN OUR RURAL SERVICE AREA BY HOSTING COMMUNITY DINNERS AND WELLNESS AND SAFETY EVENTS SUCH AS BICYCLE RODEOS, PLAYGROUPS FOR KIDS AGE 0-5 YEARS OLD AND THEIR CAREGIVERS, AND MENTAL ILLNESS STIGMA REDUCTION SUPPORT GROUPS. EACH RESOURCE CENTER IS SIMILAR IN PURPOSE AND SCOPE, BUT TAILORED TO MEET THE SPECIFIC NEEDS OF THE COMMUNITY IT SERVES. CARE TRANSITIONS PROGRAM THE CARE TRANSITIONS PROGRAM AT REDWOOD MEMORIAL HOSPITAL, HOUSED WITHIN THE REDWOOD MEMORIAL HOSPITAL COMMUNITY BENEFIT DEPARTMENT, FOCUSES ON COMMUNITY-BASED INTERVENTIONS FOR HIGH-RISK PATIENTS RECENTLY DISCHARGED FROM AN IN-PATIENT SETTING. THE EMERGENCY DEPARTMENT IS NOT A SETTING TO RECEIVE TIMELY AND EFFECTIVE PRIMARY MEDICAL CARE AND/OR SOCIAL SERVICES. THE MULTI-DISCIPLINARY TEAM OF NURSE, SOCIAL WORKER AND HEALTH COACH PROVIDE TRANSITIONAL SUPPORT TO HOMELESS PATIENTS RECOVERING IN ONE OF OUR RESPITE BEDS AT HEALING RING, A CLEAN AND SOBER HOUSE. A SECOND NURSE WORKS WITH FREQUENT UTILIZERS OF THE EMERGENCY DEPARTMENT TO CONNECT THEM WITH PRIMARY CARE AND THE SUPPORT SERVICES THEY NEED WHILE TRYING TO DETERMINE THE ROOT CAUSE OF THEIR EMERGENCY DEPARTMENT OVERUSE. IN FY16 CARE TRANSITIONS PARTNERED WITH THE BETTY KWAN CHINN HOMELESS FOUNDATION TO OPEN A NEW MEDICAL RESPITE FACILITY TO EXPAND OUR CURRENT RESPITE SERVICES. TEN ADDITIONAL BEDS WILL BE AVAILABLE TO HOMELESS PATIENTS NEEDING EXTRA TIME TO RECOVER AFTER A HOSPITAL STAY. CASH DONATIONS OR SPONSORSHIP FOR THE POOR THROUGHOUT FY16, REDWOOD MEMORIAL HOSPITAL MADE SEVERAL CASH DONATIONS TOWARD COMMUNITY BENEFIT TO SUPPORT ORGANIZATIONS, PROGRAMS OR ACTIVITIES TARGETED FOR POOR AND VULNERABLE PERSONS LIVING IN HUMBOLDT AND THE SURROUNDING COUNTIES. A FEW EXAMPLES OF DONATIONS INCLUDE SUPPORTING SUMMER CAMP SCHOLARSHIPS FOR LOW-INCOME YOUTH AND PROGRAM DEVELOPMENT BY THE BOYS AND GIRLS CLUB, FOOD FOR PEOPLES FREE SUMMER LUNCH PROGRAM, HOMELESS SHELTERS AND SERVICES FOR THE HOMELESS INCLUDING OUR COUNTYS POINT IN TIME COUNT OF HOMELESS INDIVIDUALS, STABLE HOUSING FOR FOSTER YOUTH WHO HAVE AGED OUT OF THE SYSTEM BUT STILL NEED SUPPORT AND THE LIFE SAVING ANTI-OVERDOSE DRUG, NALOXONE, TO COMBAT THE LOCAL OPIOID EPIDEMIC. WE ALSO MADE A CASH DONATION TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT GRANT INITIATIVES TARGETED AT IMPROVING THE HEALTH CONDITION OF LOW-INCOME AND UNDER SERVED RESIDENTS LIVING IN THE COMMUNITIES WE SERVE. FOR MORE INFORMATION ABOUT REDWOOD MEMORIAL HOSPITAL, PLEASE VISIT WWW.STJOEHUMBOLDT.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM REDWOOD MEMORIAL HOSPITAL IS A HEALING MINISTRY OF ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND 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 THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH SYSTEM CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND (FORMERLY KNOWN AS THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. EVERY YEAR, EACH ST. JOSEPH HEALTH HOSPITAL CONTRIBUTES 10% TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT OUTREACH EFFORTS FOR THE ECONOMICALLY POOR. IN FY16 THIS AMOUNT TOTALED $79,000 FOR REDWOOD MEMORIAL HOSPITAL. 75% OF THE CONTRIBUTIONS ARE USED TO SUPPORT CARE FOR POOR PROGRAMS BY EACH HOSPITAL. 17.5% OF FUNDS ARE USED TO SUPPORT ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND INITIATIVES. THE REMAINING 7.5% ARE DESIGNATED TOWARD AN ENDOWMENT WHICH HELPS ENSURE THE FUNDS ABILITY TO SUSTAIN PROGRAMS INTO THE FUTURE THAT ASSIST LOW-INCOME AND UNDERSERVED POPULATIONS. ST. JOSEPH HEALTH FURTHERMORE RECOGNIZES THAT THE HEALTH OF ANY COMMUINTY DEPENDS ON THE MAINTENANCE AND CREATION OF STRONG STRUCTURES- BOTH PHYSICAL AND SOCIAL- THAT CONTRIBUTE TO THE LONG-TERM WELL-BEING OF PEOPLE. THAT PHILOSOPHY INSPIRED THE INITIATION OF THE ST. JOSEPH HEALTH COMMUNITY INVESTMENT FUND- AN EFFORT TO ENABLE NON PROFIT 501(C)3 ORGANIZATIONS TO ACHIEVE THEIR FULL POTENTIAL AND PLAY A MAJOR ROLE IN THE GROWTH OF THEIR COMMUNITIES. THE SJH COMMUNITY INVESTMENT FUND PROVIDES CAPITAL IN THE FORM OF LOANS, DEPOSITS AND OTHER FORMS OF SUPPORT TO NON-PROFITS TO ENABLE THEM TO PROMOTE SOCIAL GOOD THROUGH THE DEVELOPMENT OF HEALTHIER COMMUNITIES. IN FY16, A TOTAL OF $11,200,000 WAS INVESTED INTO THE COMMUNITY THROUGH LOANS AND LINES OF CREDIT. TO LEARN MORE ABOUT ST. JOSEPH HEALTH GO TO WWW.STJHS.ORG SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA true ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DR IRVINE CA 92612 330143024 501(c)(3) 79000 0 CARE FOR THE POOR 1 SCHEDULE I, PART I, LINE 2 DESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS FUNDS THAT ARE TRANSFERRED TO ST. JOSEPH HEALTH SYSTEM FOUNDATION (CARE FOR THE POOR) ARE MONITORED AND DISTRIBUTED BY THE ST. JOSEPH HEALTH SYSTEM, AND ARE NOT MONITORED ON A HOSPITAL LEVEL ONCE THE FUNDS ARE TRANSFERRED. true true false false false false false true false PAUL OHTA BOARD MEMBER 0 231173 0 85294 0 27491 0 18587 0 7289 0 369834 0 0 DAVID O'BRIEN MD PRESIDENT/CEO 0 425145 0 200374 0 66755 0 16228 0 26544 0 735046 0 0 KEVIN KLOCKENGA REGIONAL EVP 0 626686 0 314627 0 79798 0 13250 0 20352 0 1054713 0 0 OLUYEMI ADEYANJU SECRETARY 0 124704 0 30000 0 11577 0 0 0 2087 0 168368 0 0 MICHEL RICCIONI REGIONAL CFO 0 374936 0 141096 0 236820 0 18347 0 27763 0 798962 0 181755 JAYNIE BOREN N CA REG VP - STRATEGIC SVCS 0 289266 0 110871 0 27572 0 10600 0 22272 0 460581 0 0 ROBERT EISEN REGIONAL VP OF HUMAN RESOURCES 0 233095 0 85863 0 19403 0 8793 0 29290 0 376444 0 0 DAVID SOUTHERLAND VP, COO 0 270169 0 77838 0 26864 0 2475 0 9579 0 386925 0 0 LAURIE WATSON-STONE VP ANCILLARY & SUPPORT SRVCS 0 200667 0 68102 0 24265 0 16152 0 28781 0 337967 0 0 JOSHUA ALLEE VP MISSION INTEGRATION 0 179495 0 56784 0 15170 0 7232 0 10724 0 269405 0 0 TAMMY BARK VP CNO 0 164363 0 38440 0 16120 0 0 0 5993 0 224916 0 0 WILLIAM PARKS VP MEDICAL AFFAIRS/CMO 0 181051 0 14416 0 20488 0 0 0 17933 0 233888 0 0 CAROL REEDER VP CNO (Former Key Employee) 0 0 0 0 0 209741 0 0 0 0 0 209741 0 0 JOSEPH ROGERS VP COO (FORMER OFFICER) 0 0 0 0 159991 0 0 0 0 0 159991 0 0 0 LAURIE GARRISON DIR NURSING 160519 0 12648 0 4095 0 14274 0 9432 0 200968 0 0 0 ROBERT MORRIS CLINICAL PHARMACIST 166640 0 0 0 0 0 13384 0 13911 0 193935 0 0 0 PAMELA CASSADY ADMIN SUPERVISOR 162929 0 0 0 0 0 13293 0 28004 0 204226 0 0 0 LINDA BIONDINI NURSING MANAGER 137011 0 18297 0 2803 0 13092 0 21269 0 192472 0 0 0 CLAIRE CARSTENSEN IMAGING MANAGER 144100 0 3291 0 0 0 2377 0 28257 0 178025 0 0 0 RONALD DILUIGI BOARD MEMBER (PART YEAR) 0 150984 0 108146 0 26731 0 12365 0 11707 0 309933 0 0 ROBYNN VAN PATTEN FORMER SEC. (FORMER OFFICER) 0 112168 0 0 0 208513 0 4522 0 17238 0 342441 0 0 SCHEDULE J, PART I, LINE 3 DESCRIPTION OF PRESIDENT PAID BY EXEMPT PARENT THE ORGANZIATION'S PRESIDENT IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY ST. JOSEPH HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE OF CONTROL PAYMENT THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FOR EITHER PART OR ALL OF THE YEAR: JOSEPH ROGERS - $159,991 CAROL REEDER - $209,741 ROBYNN VAN PATTEN - $208,513 SCHEDULE J, PART I, LINE 4B DESCRIPTION OF A SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN 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. THE FOLLOWING INDIVIDUAL RECEIVED 457(F) PAYMENTS DURING THE YEAR: MICHEL RICCIONI - $181,755 SCHEDULE J, PART I, LINE 7 DESCRIBE ANY NON-FIXED PAYMENTS PROVIDED 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. FORM 990, PART III, LINE 4 PROGRAM SERVICE ACCOMPLISHMENTS REALIZING OUR MISSION REDWOOD MEMORIAL HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 59 YEARS. SERVING THE COMMUNITIES OF EUREKA, FORTUNA, FERNDALE, LOLETA RIO DELL AND THROUGHOUT THE EEL RIVER VALLEY AND INTO SOUTHERN HUMBOLDT COUNTY, REDWOOD MEMORIAL HOSPITAL IS A CRITICAL CARE ACCESS HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF EMERGENCY MEDICINE, HOLISTIC AND PATIENT CENTERED CARE, DIAGNOSTIC IMAGING, CANCER PROGRAM AND OBSTETRICS AS WELL AS COMMUNITY-BASED PROGRAMS AND RESOURCE CENTERS FOCUSED ON PREVENTION, HEALTH PROMOTION, OUTREACH, CARE COORDINATION AND COMMUNITY BUILDING. WITH OVER 210 EMPLOYEES COMMITTED TO REALIZING THE MISSION, REDWOOD MEMORIAL HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE HUMBOLDT REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, REDWOOD MEMORIAL HOSPITAL IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. 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 FLEXIBLITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. PATIENT FINANCIAL ASSISTANCE PROGRAM REDWOOD MEMORIAL HOSPITAL BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY REDWOOD MEMORIAL HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY16, REDWOOD MEMORIAL HOSPITAL PROVIDED $498,440 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM REDWOOD MEMORIAL HOSPITAL PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY16, REDWOOD MEMORIAL HOSPITAL PROVIDED $4,081,882 IN MEDICAID SHORTFALL; HOWEVER TOTAL MEDICAID SHORTFALL WAS ($1,954,714) AFTER ACCOUNTING FOR MEDICAID REIMBURSEMENT FROM THE CALIFORNIA HOSPITAL QUALITY ASSURANCE FEE. PROGRAM SERVICE ACCOMPLISHMENTS COMMUNITY RESOURCE CENTERS (CRCs) THE COMMUNITY RESOURCE CENTERS (CRC) ARE A COMMUNITY BENEFIT PROGRAM OF REDWOOD MEMORIAL HOSPITAL AND PROVIDE RESOURCE AND REFERRAL SERVICES COUNTY-WIDE THROUGH FIVE PLACE-BASED COMMUNITY CENTERS IN DIFFERENT PARTS OF HUMBOLDT COUNTY (WILLOW CREEK, BLUE LAKE, EUREKA, LOLETA AND RIO DELL). THEIR FOCUS IS ON PROVIDING SERVICES FOR LOW-INCOME FAMILIES AND INDIVIDUALS SUCH AS EMERGENCY FOOD PANTRIES, TRANSPORTATION ASSISTANCE, EMPLOYMENT INFORMATION AND ASSISTANCE APPLYING FOR CALFRESH, MEDICAL, AND WOMEN, INFANT AND CHILDRENS (WIC) AMONG OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THEY ALSO WORK TO BUILD COMMUNITY AND PREVENT SOCIAL ISOLATION IN OUR RURAL SERVICE AREA BY HOSTING COMMUNITY DINNERS AND WELLNESS AND SAFETY EVENTS SUCH AS BICYCLE RODEOS, PLAYGROUPS FOR KIDS AGE 0-5 YEARS OLD AND THEIR CAREGIVERS, AND MENTAL ILLNESS STIGMA REDUCTION SUPPORT GROUPS. EACH RESOURCE CENTER IS SIMILAR IN PURPOSE AND SCOPE, BUT TAILORED TO MEET THE SPECIFIC NEEDS OF THE COMMUNITY IT SERVES. CARE TRANSITIONS PROGRAM THE CARE TRANSITIONS PROGRAM AT REDWOOD MEMORIAL HOSPITAL, HOUSED WITHIN THE REDWOOD MEMORIAL HOSPITAL COMMUNITY BENEFIT DEPARTMENT, FOCUSES ON COMMUNITY-BASED INTERVENTIONS FOR HIGH-RISK PATIENTS RECENTLY DISCHARGED FROM AN IN-PATIENT SETTING. THE EMERGENCY DEPARTMENT IS NOT A SETTING TO REECEIVE TIMELY AND EFFECTIVE PRIMARY MEDICAL CARE AND/OR SOCIAL SERVICES. THE MULTI-DISCIPLINARY TEAM OF NURSE, SOCIAL WORKER AND HEALTH COACH PROVIDE TRANSITIONAL SUPPORT TO HOMELESS PATIENTS RECOVERING IN ONE OF OUR RESPITE BEDS AT HEALING RING, A CLEAN AND SOBER HOUSE. A SECOND NURSE WORKS WITH FREQUENT UTILIZERS OF THE EMERGENCY DEPARTMENT TO CONNECT THEM WITH PRIMARY CARE AND THE SUPPORT SERVICES THEY NEED WHILE TRYING TO DETERMINE THE ROOT CAUSE OF THEIR EMERGENCY DEPARTMENT OVERUSE. IN FY16 CARE TRANSITIONS PARTNERED WITH THE BETTY KWAN CHINN HOMELESS FOUNDATION TO OPEN A NEW MEDICAL RESPITE FACILITY TO EXPAND OUR CURRENT RESPITE SERVICES. TEN ADDITIONAL BEDS WILL BE AVAILABLE TO HOMELESS PATIENTS NEEDING EXTRA TIME TO RECOVER AFTER A HOSPITAL STAY. CASH DONATIONS OR SPONSORSHIP FOR THE POOR THROUGHOUT FY16, REDWOOD MEMORIAL HOSPITAL MADE SEVERAL CASH DONATIONS TOWARD COMMUNITY BENEFIT TO SUPPORT ORGANIZATIONS, PROGRAMS OR ACTIVITIES TARGETED FOR POOR AND VULNERABLE PERSONS LIVING IN HUMBOLDT AND THE SURROUNDING COUNTIES. A FEW EXAMPLES OF DONATIONS INCLUDE SUPPORTING SUMMER CAMP SCHOLARSHIPS FOR LOW-INCOME YOUTH AND PROGRAM DEVELOPMENT BY THE BOYS AND GIRLS CLUB, FOOD FOR PEOPLES FREE SUMMER LUNCH PROGRAM, HOMELESS SHELTERS AND SERVICES FOR THE HOMELESS INCLUDING OUR COUNTYS POINT IN TIME COUNT OF HOMELESS INDIVIDUALS, STABLE HOUSING FOR FOSTER YOUTH WHO HAVE AGED OUT OF THE SYSTEM BUT STILL NEED SUPPORT AND THE LIFE SAVING ANTI-OVERDOSE DRUG, NALOXONE, TO COMBAT THE LOCAL OPIOID EPIDEMIC. WE ALSO MADE A CASH DONATION TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT GRANT INITIATIVES TARGETED AT IMPROVING THE HEALTH CONDITION OF LOW-INCOME AND UNDER SERVED RESIDENTS LIVING IN THE COMMUNITIES WE SERVE. FOR MORE INFORMATION ABOUT REDWOOD MEMORIAL HOSPITAL, PLEASE VISIT WWW.STJOEHUMBOLDT.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG. WWW.STJHS.ORG. FORM 990, PART V, LINE 1A ST. JOSEPH HEALTH SYSTEM (SJHS) PAYS ALL VENDORS FOR SJH ENTITIES UNDER SJH AP SHARED SERVICES. THEREFORE, SJHS ISSUES FORM 1099-MISC UNDER ITS TAX ID. SJHS COMPLIES WITH BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS. FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF REDWOOD MEMORIAL HOSPITAL. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS REDWOOD MEMORIAL HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE REDWOOD MEMORIAL HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE REDWOOD MEMORIAL HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. FORM 990, PART VI, LINE 7B THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, 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 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 2017 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING. FORM 990, PART VI, LINE 12C 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 THE ORGANIZATION'S PRESIDENT IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. EXECUTIVE COMPENSATION IS APPROVED BY THE TOTAL REWARDS CENTER FOR EXCELLENCE COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE REVIEWS COMPARABILITY DATA PREPARED FOR AND COMPILED BY THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE, A COMMITTEE OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES COMPRISED OF INDEPENDENT MEMBERS. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE ACTS IN ACCORDANCE WITH A COMMITTEE CHARTER APPROVED BY THE ST. JOSEPH HEATLH SYSTEM BOARD OF TRUSTEES AND AN EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER DIRECTS THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND TO APPROVE PROGRAM CHANGES, AS NECESSARY, TO ENSURE ALIGNMENT WITH THE STATED PHILOSOPHY AND ENSURE CONTINUED COMPLIANCE WITH FEDERAL AND STATE REGULATIONS ON BEHALF OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS RETENTION OF KEY MANAGEMENT TALENT. THE EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF FOR PROFIT AND NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. ST. JOSEPH HEALTH SYSTEM PROVIDES COMPENSATION TO ITS EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO ENSURE COMPENSATION PHILOSOPHY ADHERENCE AND GENERAL FAIR MARKET VALUE COMPENSATION, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA AND ENGAGES LEGAL COUNSEL AND CONSULTING SUPPORT, AS NEEDED. THEY USE THIS INFORMATION TO SUPPORT ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE MEETS AT LEAST 3 TIMES A YEAR AND TAKES ACTION IN EXECUTIVE SESSION. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. A FULL COMPENSATION REVIEW IS CONDUCTED ON A BIENNIAL BASIS AND THE LAST REVIEW WAS PERFORMED IN JUNE 2016. DURING THE YEAR, THE TOTAL REWARDS CENTER FOR EXCELLENCE COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTNG FIRM WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION. IN ADDITION, ANNUAL INCENTIVE AWARDS ARE REVIEWED AND APPROVED PRIOR TO PAYMENT CONSISTENT WITH THE MOST RECENT COMPENSATION BIENNIAL REVIEW AND IN ACCORDANCE WITH THE PLAN DOCUMENT. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES WHICH ARE SUBSEQUENTLY APPROVED AT THE COMMITTEE MEETING. FORM 990, PART VI, LINE 19 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. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990. 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