ST JOSEPH HOSPITAL OF EUREKA: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH HOSPITAL OF EUREKA (EIN 94-1156596)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-13
IRS object ID
201611349349304491
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-13T12:36:48-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118101 VON KARMAN AVENUE SUITE 1700AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941156596EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL OF EUREKABusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JONI MURPHYInCareOfNm
Business Name ControlSTJOBusinessNameControlTxt
Phone7074458121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 DOLBEER STREETAddressLine1Txt
CityEUREKACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95501ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICH RICCIONIPersonNm
Person TitleCFOPersonTitleTxt
Phone7074458121PhoneNum
Signature2016-05-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKARA ADAMSPreparerPersonNm
PTINP00023315PTIN
Phone9497942300PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR DAVID O'BRIENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 DOLBEER STAddressLine1Txt
CityEUREKACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95501ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$255,052,864GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STJOSEPHEUREKA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1942FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1274TotalEmployeeCnt
Total Volunteers190TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,124,639PYContributionsGrantsAmt
CY Contributions Grants$3,457,585CYContributionsGrantsAmt
PY Program Service Revenue$208,590,076PYProgramServiceRevenueAmt
CY Program Service Revenue$251,308,497CYProgramServiceRevenueAmt
PY Investment Income$282,548PYInvestmentIncomeAmt
CY Investment Income-$15,606CYInvestmentIncomeAmt
PY Other Revenue$516,569PYOtherRevenueAmt
CY Other Revenue$95,863CYOtherRevenueAmt
PY Total Revenue$211,513,832PYTotalRevenueAmt
CY Total Revenue$254,846,339CYTotalRevenueAmt
PY Grants And Similar Paid$1,028,381PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,198,530CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$86,902,157PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$88,088,392CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$637,535CYTotalFundraisingExpenseAmt
PY Other Expenses$109,068,775PYOtherExpensesAmt
CY Other Expenses$128,802,678CYOtherExpensesAmt
PY Total Expenses$196,999,313PYTotalExpensesAmt
CY Total Expenses$219,089,600CYTotalExpensesAmt
PY Revenues Less Expenses$14,514,519PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$35,756,739CYRevenuesLessExpensesAmt
Total Assets BOY$250,967,452TotalAssetsBOYAmt
Total Assets EOY$252,378,253TotalAssetsEOYAmt
Total Liabilities BOY$125,316,556TotalLiabilitiesBOYAmt
Total Liabilities EOY$117,817,695TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$125,650,896NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$134,560,558NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$208,501,970ExpenseAmt
Grant$2,198,530GrantAmt
Revenue$251,327,148RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$208,501,970TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionYes (true)DeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document213IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1274EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJONI MURPHYPersonNm
Phone7074458121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 DOLBEER STAddressLine1Txt
CityEUREKACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95501ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DONALD BAIRD MD
BOARD MEMBER2.02.0Yes (X)$0$39,800$0
PATRICK CLEARY
BOARD MEMBER2.02.0Yes (X)$0$0$0
SISTER KAREN CLOCK
BOARD MEMBER2.02.0Yes (X)$0$0$0
RONALD DILUIGI
BOARD MEMBER2.052.0Yes (X)$0$476,556$44,874
BECKY GIACOMINI
BOARD MEMBER2.02.0Yes (X)$0$0$0
JOHN GIEREK JR
BOARD CHAIRMAN4.05.0Yes (X)$0$0$0
SISTER PAT HAYHURST CSJ
BOARD MEMBER2.04.0Yes (X)$0$0$0
RON JONES MD
BOARD MEMBER2.02.0Yes (X)$0$0$0
DENNIS LEONARDI
VICE CHAIR4.06.0Yes (X)$0$0$0
ELLEN MAHONEY MD
BOARD MEMBER2.02.0Yes (X)$0$1,338$0
JEFF NELSON
BOARD MEMBER2.02.0Yes (X)$0$0$0
DAVID O'BRIEN MD
PRESIDENT43.014.0Yes (X)$0$760,274$41,815Yes (X)
SCOTT SAGEMAN MD
BOARD MEMBER/CHIEF OF STAFF2.02.0Yes (X)$0$0$0
MEGAN SMITH-ZAGONE MD
BOARD MEMBER2.02.0Yes (X)$0$0$0
SR MARY THERESE SWEENEY CSJ
BOARD MEMBER2.02.0Yes (X)$0$0$0
SISTER LISA TURAY CSJ
BOARD MEMBER2.02.0Yes (X)$0$0$0
SISTER DIANE HEJNA CSJ
BOARD MEMBER (PART YEAR)2.02.0Yes (X)$0$0$0
SISTER ANN MARIE STEFFEN CSJ
BOARD MEMBER (PART YEAR)2.02.0Yes (X)$0$0$0
VICTOR WALLENKAMPF MD
BOARD MEMBER (PART YEAR)2.04.0Yes (X)$0$0$0
HERBERT WOOD
BOARD MEMBER (PART YEAR)2.02.0Yes (X)$0$0$0
RODNEY MAPLES
BOARD MEMBER (PART YEAR)2.02.0Yes (X)$0$0$0
WILLIAM KILGORE MD
BOARD MEMBER (PART YEAR)2.02.0Yes (X)$36,000$0$0
ROBYNN VAN PATTEN
SECRETARY2.052.0$0$507,946$43,431Yes (X)
MICH RICCIONI
CFO12.044.0$0$507,769$46,666Yes (X)
KEVIN KLOCKENGA
REGIONAL CEO10.018.0$0$879,223$40,946Yes (X)
JAYNIE BOREN
N. CA REG VP-STRATEGIC SVCS10.027.0$0$387,992$32,906Yes (X)
ROBERT EISEN
REGIONAL VP OF HUMAN RESOURCES12.026.0$0$290,577$31,914Yes (X)
CAROL REEDER
VP, CNO43.07.0$337,485$0$15,345Yes (X)
LINDA COOK
VP, HUMAN RESOURCES43.07.0$254,754$0$28,987Yes (X)
MATTHEW MILLER
VP, MEDICAL AFFAIRS/CMO43.07.0$241,489$0$20,316Yes (X)
LAURIE WATSON-STONE
VP, ANCILIARY & SUPPORT SVCS43.07.0$237,836$0$42,761Yes (X)
JOSHUA ALLEE
VP, MISSION INTEGRATION43.07.0$220,912$0$12,179Yes (X)
NIKKI COLLIER
RNFA CLINICAL COORDINATOR40.00.0$225,358$0$31,782Yes (X)
BRIAN BAKER
INTERIM NURSE MANAGER40.00.0$220,331$0$37,411Yes (X)
LYNDSEY CHAMBERLAIN
CLINICAL CRD - PHARMACY40.00.0$200,929$0$50,741Yes (X)
PHILIP SAMS
PHARMACIST40.00.0$197,515$0$40,619Yes (X)
MARGARET MIRANDA
LEAD ADMIN SUPERVISOR36.00.0$190,930$0$30,809Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,363,539TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,851,475TotReportableCompRltdOrgAmt
Total Other Compensation$593,502TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K151IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDICAL STAFFING NETWORK HEALTHCARE
PO BOX 840292DALLASTX75284REGISTRY$8,521,193
ST JOSEPH HERITAGE HEALTHCARE
500 S MAIN ST - SUITE 1000ORANGECA92868PHYSICIAN SERVICES$5,346,215
HEALTHCARE CODING CONSULTING
8000 SUMMERLIN LAKES DR - SUITE 200FORT MYERSFL33907CONSULTING$866,724
JOHN POSTEL MD
2321 HARRISON AVEEUREKACA95501PHYSICIAN SERVICES$580,000
ARENT FOX LLP
1717 K STREET NWWASHINGTONDC20036LEGAL SERVICES$491,076
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Fundraising$38,291FundraisingAmt
Related Organizations$457,625RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$2,961,669AllOtherContributionsAmt
Noncash Contributions$38,291NoncashContributionsAmt
Total Contributions$3,457,585TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT REVENUE622110$250,456,478$250,456,478$0$0
EHR REVENUE722310$60,142$60,142$0$0
CAFETERIA REVENUE531120$665,917$665,917$0$0
MOB REVENUE900099$71,721$71,721$0$0
ALL OTHER PROGRAM REVENUE900099$54,239$54,239$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$251,308,497TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,608TotalRevenueColumnAmt
Exclusion$49,608ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$115,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$180,214SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$65,214SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$65,214TotalRevenueColumnAmt
Exclusion-$65,214ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$103,523FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$38,291ContriRptFundraisingEventAmt
Fundraising Direct Expenses$26,311FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,212TotalRevenueColumnAmt
Exclusion$77,212ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescREBATES AND REFUNDSDesc
Business900099BusinessCd
Total Revenue Column$18,651TotalRevenueColumnAmt
Related Or Exempt Func Income$18,651RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$18,651OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$254,846,339TotalRevenueColumnAmt
Related Or Exempt Func Income$251,327,148RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$61,606ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,198,530TotalAmt
Program Services$2,198,530ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,777,199TotalAmt
Program Services$286,862ProgramServicesAmt
Management And General$1,490,337ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$55,716,665TotalAmt
Program Services$53,559,225ProgramServicesAmt
Management And General$1,896,292ManagementAndGeneralAmt
Fundraising$261,148FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,641,041TotalAmt
Program Services$3,336,644ProgramServicesAmt
Management And General$270,043ManagementAndGeneralAmt
Fundraising$34,354FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$22,116,645TotalAmt
Program Services$20,818,436ProgramServicesAmt
Management And General$1,116,848ManagementAndGeneralAmt
Fundraising$181,361FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,836,842TotalAmt
Program Services$4,538,791ProgramServicesAmt
Management And General$252,856ManagementAndGeneralAmt
Fundraising$45,195FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$14,139,191TotalAmt
Program Services$13,559,961ProgramServicesAmt
Management And General$579,230ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,125,528TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,125,528ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,338TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,338ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$19,647TotalAmt
Program Services$19,647ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,022,899TotalAmt
Program Services$24,307,510ProgramServicesAmt
Management And General$1,671,622ManagementAndGeneralAmt
Fundraising$43,767FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$114,951TotalAmt
Program Services$111,427ProgramServicesAmt
Management And General$3,524ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,930,962TotalAmt
Program Services$5,819,301ProgramServicesAmt
Management And General$93,680ManagementAndGeneralAmt
Fundraising$17,981FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,560,921TotalAmt
Program Services$3,378,510ProgramServicesAmt
Management And General$171,427ManagementAndGeneralAmt
Fundraising$10,984FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,248,343TotalAmt
Program Services$3,238,086ProgramServicesAmt
Management And General$9,441ManagementAndGeneralAmt
Fundraising$816FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$480,779TotalAmt
Program Services$220,970ProgramServicesAmt
Management And General$235,909ManagementAndGeneralAmt
Fundraising$23,900FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$84,066TotalAmt
Program Services$83,042ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$1,024FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,602,042TotalAmt
Program Services$3,602,042ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,816,999TotalAmt
Program Services$9,799,374ProgramServicesAmt
Management And General$17,625ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,245,903TotalAmt
Program Services$1,245,903ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$36,474,878$36,474,878$0$0
CA HOSPITAL FEE$16,015,722$16,015,722$0$0
REPAIRS AND MAINTENANCE$2,675,795$2,455,980$219,467$348
TAX AND LICENSES$621,914$537,245$84,669$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,620,800TotalAmt
Program Services$2,893,884ProgramServicesAmt
Management And General$710,259ManagementAndGeneralAmt
Fundraising$16,657FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$219,089,600TotalAmt
Program Services$208,501,970ProgramServicesAmt
Management And General$9,950,095ManagementAndGeneralAmt
Fundraising$637,535FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$163,359BOYAmt
EOY$7,585,289EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$749,780BOYAmt
EOY$4,634,780EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,986,651BOYAmt
EOY$18,496,299EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$547,603BOYAmt
EOY$242,440EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,243,028BOYAmt
EOY$5,427,279EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,450,004BOYAmt
EOY$1,501,864EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$327,579,622LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$125,942,633LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$205,801,497BOYAmt
EOY$201,636,989EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$601,612BOYAmt
EOY$610,323EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,218,263BOYAmt
EOY$2,130,602EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,205,655BOYAmt
EOY$10,112,388EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$250,967,452BOYAmt
EOY$252,378,253EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,848,704BOYAmt
EOY$18,255,154EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$109,467,852BOYAmt
EOY$99,562,541EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$125,316,556BOYAmt
EOY$117,817,695EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$125,650,896BOYAmt
EOY$116,945,360EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$17,615,198EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$125,650,896BOYAmt
EOY$134,560,558EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$250,967,452BOYAmt
EOY$252,378,253EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$35,756,739ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$54,567NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$1,656,241PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$25,245,403OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$19,647OtherActivitiesAmt
Total Lobbying Expenditures$19,647TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLOBBYING ACTIVITIESFormAndLineReferenceDesc
ExplanationSCHEDULE C, PART II-B, LINE 1I 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 HOSPITAL EUREKA.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,663,736OtherCostOrOtherBasisAmt
Book Value$4,663,736BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$209,017,450OtherCostOrOtherBasisAmt
Depreciation$48,356,984DepreciationAmt
Book Value$160,660,466BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,098,457OtherCostOrOtherBasisAmt
Depreciation$748,441DepreciationAmt
Book Value$350,016BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$95,578,307OtherCostOrOtherBasisAmt
Depreciation$76,837,208DepreciationAmt
Book Value$18,741,099BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,221,672OtherCostOrOtherBasisAmt
Book Value$17,221,672BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$201,636,989TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
INTERCO. WITH HEALTH SYSTEM-BONDS$60,890,382
PAYABLE TO THIRD PARTIES$6,746,570
INTERCOMPANY PAYABLES$25,616,580
OTHER LIABILITIES$1,103,375
ACCRUED LIABILITIES$1,827,168
MANAGED CARE EXPENSES$3,378,466
FieldValueIRS element (for citing)
Total Liability$99,562,541TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationCONSOLIDATED 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 FINANCIAL 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, 2015 OR 2014.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINNER&AUCTIONEvent1Nm
Gross Receipts Event1$141,814GrossReceiptsEvent1Amt
Charitable Contri Event1$38,291CharitableContriEvent1Amt
Gross Revenue Event1$103,523GrossRevenueEvent1Amt
Other Direct Expenses Event1$26,311OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$141,814GrossReceiptsTotalAmt
Charitable Contributions Tot$38,291CharitableContributionsTotAmt
Gross Revenue Total Events$103,523GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$26,311OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$26,311DirectExpenseSummaryEventsAmt
Net Income Summary$77,212NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,491,256TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,491,256NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,115,069TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,667,337DirectOffsettingRevenueAmt
Net Community Benefit Expns$447,732NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,606,325TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,667,337DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,938,988NetCommunityBenefitExpnsAmt
Total Expense0.00880TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,766,953TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$214,901DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,552,052NetCommunityBenefitExpnsAmt
Total Expense0.00710TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$338,535TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$338,535NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$224,635TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,196DirectOffsettingRevenueAmt
Net Community Benefit Expns$182,439NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,076,196TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,170DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,055,026NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,406,319TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$278,267DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,128,052NetCommunityBenefitExpnsAmt
Total Expense0.01420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,012,644TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,945,604DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,067,040NetCommunityBenefitExpnsAmt
Total Expense0.02300TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,896TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,896NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,190TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,190NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,544TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$62,544NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,126TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,126NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,064NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$144,820TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$144,820NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$6,294,598BadDebtExpenseAmt
Reimbursed By Medicare$95,565,517ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$72,280,163CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$23,285,354MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL OF EUREKABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 DOLBEER STREETAddressLine1Txt
CityEUREKACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95501ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.STJOSEPHEUREKA.ORGWebsiteAddressTxt
State LicenseD-0189726StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL OF EUREKABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5COMMUNITY INPUT WAS PROVIDED IN A MULTITUDE OF WAYS, INCLUDING SIX REGIONAL FOCUS GROUPS DONE IN COLLABORATION WITH PUBLIC HEALTH DURING SEPTEMBER AND OCTOBER 2013. AN ADJUNCT FOCUS GROUP WAS DONE WITH THE PROMOTORES GROUP TO LEARN ABOUT HEALTH NEEDS SPECIFIC TO THE HISPANIC 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.
SCHEDULE H, PART V, SECTION B, LINE 6AREDWOOD MEMORIAL HOSPITAL
SCHEDULE H, PART V, SECTION B, LINE 6BCOUNTY OF HUMBOLDT DEPARTMENT OF HEALTH & HUMAN SERVICES - PUBLIC HEALTH BRANCH.
SCHEDULE H, PART V, SECTION B, LINE 7ATHE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: http://www.stjoehumboldt.org/documents/Community-Benefit/2014-Community-He alth-Needs-Assessment-Report.pdf
SCHEDULE H, PART V, SECTION B, LINE 10ATHE IMPLEMENTATION STRATEGY IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: http://www.stjoehumboldt.org/documents/Community-Benefit/FY15-17-SJE-CB-Pl an-and-IS-Report.pdf
SCHEDULE H, PART V, SECTION B, LINE 11IN FY15-FY17 ST. JOSEPH HOSPITAL OF EUREKA (SJE) PRIORITIZED THREE AREAS OF SIGNIFICANT HEALTH NEED AS WAS 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. BELOW EACH PRIORITY AREA IS SUMMARIZED AND FY15 ACCOMPLISHMENTS REPORTED. NUTRITION, HEALTHY FOOD AND FOOD SECURITY - SJE GRANTED $95,000 TO TEN ORGANIZATIONS THROUGH THE ANNUAL SJE CARE FOR THE POOR COMMUNITY GRANTS TO ADDRESS NEEDS RELATED TO PROVIDING HEALTHY FOOD TO INDIVIDUALS FACING FOOD INSECURITY (IN PARTNERSHIP WITH REDWOOD MEMORIAL HOSPITAL). - 44.6% INCREASE IN CALFRESH BENEFICIARIES SINCE 2010 - SJE HAS PARTICIPATED IN THE COUNTY-WIDE EFFORT TO INCREASE ENROLLMENT IN CALFRESH IN ORDER TO INCREASE ACCESS TO FRESH PRODUCE AND NUTRITIOUS FOODS FOR LOW INCOME FAMILIES AND INDIVIDUALS. - 21 FREE COMMUNITY DINNERS/EVENTS FEATURING FRESH PRODUCE AND NUTRITIOUS FOODS HOSTED BY SJE AND REDWOOD MEMORIAL HOSPITALS' COMMUNITY BENEFIT PROGRAMS. MENTAL AND BEHAVIOR HEALTH SERVICES - PARTICIPATION IN MAY IS MENTAL HEALTH AWARENESS MONTH WITH THE GOAL OF INCREASING AWARENESS OF AND REDUCING STIGMA ASSOCIATED WITH MENTAL ILLNESS. - PARTICIPATION IN THE BEHAVIORAL HEALTH INTEGRATION NETWORK PLANNING GRANT WITH COMMUNITY PARTNERS. - SUPPORT ACCESS TO MENTAL HEALTH SERVICES FOR UNDERSERVED MONO-LINGUAL SPANISH SPEAKERS VIA USC TELEHEALTH COUNSELING AND ADVOCACY. CARE COORDINATION AND REFERRAL - COMMUNITY COLLABORATION AROUND EMERGENCY DEPARTMENT SUPER UTILIZERS INCLUDES: - 28 NEW OR UPDATED CARE PLANS FOR SUPER UTILIZERS - NOW FLAGGED IN THE ELECTRONIC MEDICAL RECORD. - ATTENDANCE AT THE SUPER UTILIZER CONFERENCE IN PHILADELPHIA - WEEKLY CARE COORDINATION COMMUNITY HUDDLES AND TWICE MONTHLY CARE IMPROVEMENT MEETINGS. - 6.7% 30-DAY READMISSION RATE FOR PATIENTS - MOST OF WHOM ARE HOMELESS OR VERY LOW INCOME - SERVED BY THE BEHAVIORAL HEALTH OUTREACH RN WHO SUPPORTS HIGH ACUITY BH DISCHARGES TO SKILLED NURSING FACILITIES; FTE INCREASED FROM FIFTY PERCENT TIME TO FULL TIME. ALTHOUGH NO HEALTH CARE FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, WE ARE COMMITTED TO CONTINUE 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 MINISTRY CHNA WILL NOT BE DIRECTLY ADDRESSED THROUGH PROGRAMMING OR FUNDING AND AN EXPLANATION IS PROVIDED BELOW: MOTOR VEHICLE SAFETY: THE 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, LOCAL ORGANIZING COMMITTEES VIA THE HUMBOLDT AREA FOUNDATION AND LOCAL CITY AND COUNTY GOVERNMENT. AFFORDABLE HOUSING: THE HOSPITAL DOES NOT DIRECTLY ADDRESS THE AVAILABILITY OF AFFORDABLE HOUSING - FOR LEASE OR PURCHASE - IN THE COUNTY; HOWEVER THIS IS AN ISSUE BEING ADDRESSED BY SEVERAL ORGANIZATIONS, INCLUDING LOCAL CHAMBERS OF COMMERCE, LOCAL CITY AND COUNTY GOVERNMENT, THE HUMBOLDT HOUSING AND HOMELESS COALITION AND THE VETERANS ASSOCIATION. IN ADDITION, ST. JOSEPH HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA WILL COLLABORATE WITH SEVERAL LOCAL ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS. FOR FURTHER INFORMATION PLEASE VISIT: HTTP://WWW.STJOSEPHEUREKA.ORG/DOCUMENTS/COMMUNITY-BENEFIT/FY15-17-SJE-CB-P LAN-AND-IS-REPORT.PDF
SCHEDULE H, PART V, SECTION B, LINE 13HTHE 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 16ATHE WEB ADDRESS IS: HTTP://WWW.STJOEHUMBOLDT.ORG/DOCUMENTS/FINANCIAL-ASSISTANCE-POLICY-ENGLISH .PDF
SCHEDULE H, PART V, SECTION B, LINE 16BTHE WEB ADDRESS IS: HTTPS://WWW.SYFPHR.OSHPD.CA.GOV
SCHEDULE H, PART V, SECTION B, LINE 16CTHE WEB ADDRESS IS: HTTP://WWW.STJOEHUMBOLDT.ORG/DOCUMENTS/PATIENTFINANCIALBROCHENG.PDF
SCHEDULE H, PART V, SECTION B, LINE 16ITHE 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 22DFOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USED MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE HOSPITAL FACILITY USED THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED.
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
NORTHCOAST SURGERY CENTER
2705 HARRIS AVENUEEUREKACA95501SURGERY CENTER
OUTPATIENT IMAGING CENTER
2330 BUHNE STREETEUREKACA95501IMAGING CENTER
HUMBOLDT HOME INFUSION PROGRAM
2612 HARRISON AVENUEEUREKACA95501AMBULATORY HOME INFUSION CTR.
INPATIENT REHABILITATION CENTER
2200 HARRISON AVENUEEUREKACA95501REHABILITATION CENTER
OUTPATIENT REHABILITATION CENTER
2024 HARRISON AVENUEEUREKACA95501REHABILITATION CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CIN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES, INCLUDING BUT NOT LIMITED TO DISABILITY AND HOMELESSNESS ARE CONSIDERED WHEN DETERMINING ELIGIBILITY.
SCHEDULE H, PART I, LINE 6AREDWOOD MEMORIAL HOSPITAL
SCHEDULE H, PART I, LINE 7A-ITHE 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 IICOMMUNITY BUILDING ACTIVITIES ST. JOSEPH HOSPITAL EUREKA'S COMMUNITY BUILDING ACTIVITIES IN FY15 FOCUS ON THE UNDERLYING OR ROOT CAUSES OF POOR HEALTH OUTCOMES. ST. JOSEPH HOSPITAL EUREKA'S PASO A PASO PROGRAM HOSTED SUPPORTIVE COMMUNITY EVENTS TO IMPROVE SOCIAL COHESION AND CELEBRATE CULTURE BY BRINGING THE LATINO COMMUNITY TOGETHER FOR TWO FATHERHOOD PICNICS, A BLUEBERRY FARM FIELD TRIP, BAILE TERAPIA DANCE THERAPY CLASSES AND COMMUNITY FUN RUNS. ST. JOSEPH HOSPITAL EUREKA'S HEALTHY KIDS HUMBOLDT STAFF WERE CERTIFIED AS VOLUNTEER TAX PREPARERS UNDER THE VITA PROGRAM AND COMPLETED SEVERAL DOZEN INCOME TAX RETURNS FOR LOW INCOME INDIVIDUALS AND FAMILIES. THE AVERAGE RETURN WAS $2,000 PER FAMILY. ST. JOSEPH HOSPITAL EUREKA'S CARE TRANSITIONS PROGRAM HAS PARTICIPATED IN MULTIPLE COMMUNITY COLLABORATIONS AROUND CHRONIC PAIN AND ADVANCED CARE PLANNING WITH ST. JOSEPH HOSPITAL EUREKA'S LOCAL HEALTH CLINIC AND INDEPENDENT PRACTICE ASSOCIATION. LOCAL ADVOCACY EFFORTS HAVE CENTERED ON MEETINGS WITH THE DISTRICT ATTORNEY, SHERRIFF AND LOCAL POLICE DEPARTMENTS AROUND AREAS THE LATINO COMMUNITY FACES AS ST. JOSEPH HOSPITAL EUREKA'S REGIONS LARGEST MINORITY GROUP. ST. JOSEPH HOSPITAL EUREKA HAS HOSTED YOUTH AMBASSADORS TO LEARN ABOUT CAREERS IN HEALTH CARE AND SUPPORTED YOUTH ENTREPRENEURS IN THE LOCAL LEMONADE STAND DAY WHERE YOUTH GET FIRST-HAND EXPERIENCE MAKING A BUSINESS PLAN AROUND LEMONADE SALES. AND FINALLY ST. JOSEPH HOSPITAL EUREKA'S MANAGEMENT TEAM HAS PARTICIPATED ON NON-PROFIT BOARDS INCLUDING LATINONET, UNION LABOR HEALTH FOUNDATION, SEVA, RED CROSS AND MAKING HEADWAY AS WELL AS LOCAL CHAMBERS AND ROTARY CLUBS. ST. JOSEPH HOSPITAL EUREKA'S CEO HAS PARTICIPATED IN A CEO ROUNDTABLE WITH OTHER AREA LEADERS AROUND THE CONCEPT OF CREATING AN ACCOUNTABLE CARE COMMUNITY.
SCHEDULE H, PART III, SECTION A, LINE 2THE 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, SECTION A, LINE 3THE 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 RECEIVED A 100 PERCENT WRITE-OFF OF THE BALANCE DUE. 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, SECTION A, LINE 4BAD DEBT EXPENSE 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 SUBJECT TO DIFFERING ECONOMIC CONDITIONS AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. 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, SECTION B, LINE 8THE 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, SECTION C, LINE 9BPATIENT 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 2NEEDS ASSESSMENT ST. JOSEPH 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 3PATIENT 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 4COMMUNITY INFORMATION ST. JOSEPH HOSPITAL PROVIDES NORTH COAST COMMUNITIES 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, AND THE STATE'S SECOND LARGEST NATURAL BAY. 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 REGION'S ECONOMICALLY POOR RESIDENTS HAVE BEEN SEVERELY IMPACTED BY THE 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 MEDICAL 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 PROFESSIONAL SHORTAGE AREA AND AREAS ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (GARBERVILLE/REDWAY, NORTH COASTAL, MCKINLEYVILLE, ARCATA, FERNDALE AND WILLOW CREEK). 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. 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 HOSPITAL'S COMMUNITY BENEFIT EFFORTS IN THE FUTURE. TWO OTHER HOSPITALS SERVE COMMUNITIES IN HUMBOLDT COUNTY: THEY ARE MAD RIVER COMMUNITY HOSPITAL IN ARCATA AND GERALD PHELPS COMMUNITY HOSPITAL IN GARBERVILLE. SUTTER COAST HOSPITAL SERVES DEL NORTE COUNTY TO THE NORTH.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH REALIZING OUR MISSION ST. JOSEPH HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE PEOPLE IN THE LOCAL COMMUNITY FOR OVER 95 YEARS. SERVING THE COMMUNITIES OF HUMBOLDT COUNTY, PARTS OF DEL NORTE, TRINITY AND MENDOCINO COUNTIES, ST. JOSEPH HOSPITAL EUREKA IS AN ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF CARDIAC CARE, CRITICAL CARE, DIAGNOSTIC IMAGING, EMERGENCY MEDICINE, 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 1290 EMPLOYEES COMMITTED TO REALIZING THE MISSION, ST. JOSEPH HOSPITAL EUREKA IS ONE OF THE LARGEST EMPLOYERS IN THE HUMBOLDT REGION. ST. JOSEPH HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE OF ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: THERE IS A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION, AN OPEN MEDICAL STAFF, AND THROUGH OUR COMMUNITY BENEFIT PROGRAMS WHICH ARE PARTLY FUNDED BY CARE FOR THE POOR DOLLARS. ST. JOSEPH 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 ST. JOSEPH 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. COMMUNITY BENEFIT INVESTMENT: THIS IS DEMONSTRATED THROUGH THE FOLLOWING KEY PROGRAMS: CASH DONATIONS OR SPONSORSHIP FOR THE POOR THROUGHOUT FY15, ST. JOSEPH HOSPITAL EUREKA MADE SEVERAL CASH DONATIONS 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 CAMPS SCHOLARSHIPS FOR LOW-INCOME YOUTH, FOOD FOR PEOPLE'S FREE SUMMER LUNCH PROGRAM, HOMELESS SHELTERS AND SERVICES FOR THE HOMELESS INCLUDING OUR COUNTY'S POINT IN TIME COUNT OF HOMELESS INDIVIDUALS, MOBILE SEALANT PROGRAM THAT TARGETS AREAS WITH HIGHEST UNMET NEED AND NEW FLOORS AT SERENITY INN, A LOCAL TRANSITIONAL LIVING MOTEL. 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. PHYSICIAN RECRUITMENT ST. JOSEPH HOSPITAL IS LOCATED IN A REGION DESIGNATED AS A HEALTH PROFESSIONALS SHORTAGE AREA AND A MEDICALLY UNDERSERVED AREA. ST. JOSEPH HOSPITAL EUREKA HAS AN AGING PHYSICIAN WORK FORCE WITH FEW NEW PHYSICIANS MOVING TO THE AREA TO PRACTICE MEDICINE. ST. JOSEPH HOSPITAL EUREKA WORKS EXTENSIVELY WITH COMMUNITY PARTNERS AND PRIVATE PRACTICE TO RECRUIT QUALIFIED PRIMARY CARE AND SPECIALTY PHYSICIANS TO THE AREA. THIS IS A TOP PRIORITY FOR ST. JOSEPH HOSPITAL EUREKA AS IT IS CRITICAL TO INSURING ACCESS TO CARE FOR ALL MEMBERS OF ST. JOSEPH HOSPITAL EUREKA'S RURAL COMMUNITY. CARE TRANSITIONS PROGRAM THE CARE TRANSITIONS PROGRAM AT ST. JOSEPH HOSPITAL LIVES WITHIN THE COMMUNITY BENEFIT DEPARTMENT AND FOCUSES ON COMMUNITY-BASED INTERVENTIONS FOR HIGH-RISK PATIENTS RECENTLY DISCHARGED FROM AN IN-PATIENT SETTING. THE MULTI-DISCIPLINARY TEAM OF NURSE, SOCIAL WORKER AND HEALTH COACH PROVIDE TRANSITIONAL SUPPORT TO HOMELESS PATIENTS RECOVERING IN ONE OF ST. JOSEPH HOSPITAL EUREKA'S 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 ED OVERUSE.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM ST. JOSEPH HOSPITAL OF EUREKA 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 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 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. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES A POLICY THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION THEN FUNDS PROGRAMS IN COMMUNITIES SERVED BY ST. JOSEPH HEALTH SYSTEM HOSPITALS THAT ALIGN WIT OUR MISSION AND EXEMPLIFY THE FOUR CORE VALUES OF ST. JOSEPH HEALTH SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE.
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
HUMBOLDT SENIOR RESOURCE CENTER
1910 CALIFORNIA STEUREKACA95501942261434501(c)(3)$18,000$0PROGRAM SUPPORT
EUREKA RESCUE MISSION
1031 BROADWAYEUREKACA95501946135983501(c)(3)$10,000$0PROGRAM SUPPORT
COMMUNITY ALLIANCE WITH FAMILY FARMERS
2700 DOLBEER STEUREKACA95501942814745501(c)(3)$8,000$0PROGRAM SUPPORT
MCKINLEYVILLE COMMUNITY COLLABORATIVE
PO BOX 2668MCKINLEYVILLECA95519680445130501(c)(3)$18,000$0PROGRAM SUPPORT
ARCATA HOUSE PARTNERSHIP
1005 11TH STREETARCATACA95521943163269501(c)(3)$7,500$0PROGRAM SUPPORT
BETTY KWAN CHINN HOMELESS FOUNDATION
PO BOX 736EUREKACA95502461413135501(c)(3)$9,230$0PROGRAM SUPPORT
HUMBOLDT DOMESTIC VIOLENCE SERVICES
PO BOX 969EUREKACA95502942429700501(c)(3)$15,000$0PROGRAM SUPPORT
AREA 1 AGENCY ON AGING
434 7TH STREETEUREKACA95501942673039501(c)(3)$10,000$0PROGRAM SUPPORT
REDWOOD COMMUNITY ACTION AGENCY
904 G STREETEUREKACA95501942646370501(c)(3)$17,500$0PROGRAM SUPPORT
FOOD FOR PEOPLE INC
307 W 14TH STREETEUREKACA95501942772549501(c)(3)$18,000$0PROGRAM SUPPORT
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR STE 100IRVINECA92612330143024501(c)(3)$2,057,300$0CARE FOR THE POOR
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSFormAndLineReferenceDesc
ExplanationSCHEDULE I, PART I, LINE 2 EACH GRANTEE REPORTS ON THE PROGRESS OF THE FUNDED PROGRAM ON A BIANNUAL BASIS EVERY 6 MONTHS TO THE COMMUNITY BENEFIT COMMITTEE. THE COMMUNITY BENEFIT COMMITTEE REVIEWS DOCUMENTATION TO CONFIRM THAT THE GRANTEE IS COMPATIBLE WITH THE MISSION, VISION, AND VALUES OF ST. JOSEPH HEALTH SYSTEM. ALSO THE GRANTEE MUST DEMONSTRATE OPERATIONAL AND MANAGERIAL EFFECTIVENESS, FINANCIAL VIABILITY, AND RESPONSIBLE STEWARDSHIP OF RESOURCES. THEY MUST BE ABLE TO DEMONSTRATE COLLABORATION, FLEXIBILITY, AND RESPECT FOR DIVERSE CULTURES WHILE UTILIZING EFFECTIVE STRATEGIES AND OUTCOME MEASURES. THE GRANTEE MUST HAVE AN EXISTING GOVERNING AND/OR ADVISORY BOARD WITH SUFFICIENT EXPERTISE AND FAMILIARITY WITH THE PROPOSED PROGRAM/PROJECT. THE GRANTEE MUST BE WILLING TO ACKNOWLEDGE THE SUPPORT OF THE LOCAL HOSPITALS IN EXTERNAL COMMUNICATIONS, INCLUDING WEBSITES. MOST IMPORTANTLY, THE GRANTEE MUST BE A NONPROFIT ORGANIZATION IN CALIFORNIA THAT IS TAX EXEMPT. 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredfalseSubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RONALD DILUIGI
BOARD MEMBER$0$272,238$0$79,277$0$125,041$0$20,673$0$24,201$0$521,430$0$0
DAVID O'BRIEN MD
PRESIDENT$0$404,682$0$243,805$0$111,787$0$18,200$0$23,615$0$802,089$0$0
KEVIN KLOCKENGA
REGIONAL CEO$0$546,506$0$176,842$0$155,875$0$13,000$0$27,946$0$920,169$0$0
JAYNIE BOREN
N. CA REG VP-STRATEGIC SVCS$0$274,761$0$69,937$0$43,294$0$10,400$0$22,506$0$420,898$0$0
ROBERT EISEN
REGIONAL VP OF HUMAN RESOURCES$0$213,469$0$44,562$0$32,546$0$6,512$0$25,402$0$322,491$0$0
ROBYNN VAN PATTEN
SECRETARY$0$353,239$0$100,569$0$54,138$0$10,400$0$33,031$0$551,377$0$0
CAROL REEDER
VP, CNO$177,429$0$50,333$0$109,723$0$6,270$0$9,075$0$352,830$0$0$0
LINDA COOK
VP, HUMAN RESOURCES$171,564$0$41,734$0$41,456$0$11,839$0$17,148$0$283,741$0$0$0
MATTHEW MILLER
VP, MEDICAL AFFAIRS/CMO$205,276$0$0$0$36,213$0$6,201$0$14,115$0$261,805$0$0$0
LAURIE WATSON-STONE
VP, ANCILIARY & SUPPORT SVCS$168,376$0$36,889$0$32,571$0$13,830$0$28,931$0$280,597$0$0$0
JOSHUA ALLEE
VP, MISSION INTEGRATION$163,137$0$32,263$0$25,512$0$1,600$0$10,579$0$233,091$0$0$0
NIKKI COLLIER
RNFA CLINICAL COORDINATOR$224,858$0$500$0$0$0$20,245$0$11,537$0$257,140$0$0$0
BRIAN BAKER
INTERIM NURSE MANAGER$211,319$0$9,012$0$0$0$17,069$0$20,342$0$257,742$0$0$0
LYNDSEY CHAMBERLAIN
CLINICAL CRD - PHARMACY$200,829$0$0$0$100$0$10,244$0$40,497$0$251,670$0$0$0
PHILIP SAMS
PHARMACIST$191,709$0$0$0$5,806$0$19,889$0$20,730$0$238,134$0$0$0
MARGARET MIRANDA
LEAD ADMIN SUPERVISOR$182,518$0$0$0$8,412$0$19,010$0$11,799$0$221,739$0$0$0
MICH RICCIONI
CFO$0$356,046$0$76,838$0$74,885$0$17,993$0$28,673$0$554,435$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ASUPPLEMENTAL COMPENSATION INFORMATION TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ST. JOSEPH HOSPITAL OF EUREKA GROSSES UP PAYMENTS FOR LIMITED APPROVED EXPENDITURES. DISCRETIONARY SPENDING ACCOUNT: EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION.
SCHEDULE J, PART I, LINE 3THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER 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 4BEXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. NO INDIVIDUALS RECEIVED ANY PAYMENT FROM THE PLAN DURING THE YEAR.
SCHEDULE J, PART I, LINE 7A PORTION OF EXECUTIVES 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.JOSPEH 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 OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT RISK PAY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
HUMBOLDT MOVING STORAGE
SEE PART V$122,840STORAGEfalse
M ELLEN MAHONEY MEDICAL CORPORATION
SEE PART V$206,420MEDICAL SERVICESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBusiness TransactionsFormAndLineReferenceDesc
ExplanationSCHEDULE L, PART IV BUSINESS TRANSACTIONS - JOHN GIEREK, JR IS A BOARD CHAIRMAN FOR SJHE AND MORE THAN 35% OWNER OF HUMBOLDT MOVING AND STORAGE. - ELLEN MAHONEY, M.D., IS A BOARD TRUSTEE OF SJHE AND MORE THAN 35% OWNER OF M ELLEN MAHONEY MEDICAL CORPORATION.ExplanationTxt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)MEALS/FOOD7$5,248COST
Yes (X)JEWELRY5$1,461COST
Yes (X)GENERAL MERCHANDISE35$31,582COST
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN (B)FormAndLineReferenceDesc
ExplanationTHE AMOUNTS IN COLUMN (B) REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1ST. JOSEPH HOSPITAL OF EUREKA 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 1ORGANIZATIONS MISSION ST. JOSEPH HOSPITAL OF EUREKA 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 4AREALIZING OUR MISSION ST. JOSEPH HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE PEOPLE IN THE LOCAL COMMUNITY FOR OVER 95 YEARS. SERVING THE COMMUNITIES OF HUMBOLDT COUNTY, PARTS OF DEL NORTE, TRINITY AND MENDOCINO COUNTIES, ST. JOSEPH HOSPITAL EUREKA IS AN ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF CARDIAC CARE, CRITICAL CARE, DIAGNOSTIC IMAGING, EMERGENCY MEDICINE, 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 1290 EMPLOYEES COMMITTED TO REALIZING THE MISSION, ST. JOSEPH HOSPITAL EUREKA IS ONE OF THE LARGEST EMPLOYERS IN THE HUMBOLDT REGION. AS A MEMBER OF ST. JOSEPH HEALTH, ST. JOSEPH HOSPITAL EUREKA 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 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 NEIGHBORS" AND MINISTER 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 SYSTEM MINISTRY. PATIENT FINANCIAL ASSISTANCE PROGRAM ST. JOSEPH HOSPITAL BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST. JOSEPH HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY15, ST. JOSEPH HOSPITAL PROVIDED $1,491,256 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM ST. JOSEPH HOSPITAL PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM.IN FY15, ST. JOSEPH HOSPITAL PROVIDED $447,732 IN MEDICAID SHORTFALL. PROGRAM SERVICE ACCOMPLISHMENTS CASH DONATIONS OR SPONSORSHIP FOR THE POOR THROUGHOUT FY15, ST. JOSEPH HOSPITAL EUREKA MADE SEVERAL CASH DONATIONS 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 CAMPS SCHOLARSHIPS FOR LOW-INCOME YOUTH, FOOD FOR PEOPLE'S FREE SUMMER LUNCH PROGRAM, HOMELESS SHELTERS AND SERVICES FOR THE HOMELESS INCLUDING OUR COUNTY'S POINT IN TIME COUNT OF HOMELESS INDIVIDUALS, MOBILE SEALANT PROGRAM THAT TARGETS AREAS WITH HIGHEST UNMET NEED AND NEW FLOORS AT SERENITY INN, A LOCAL TRANSITIONAL LIVING MOTEL. 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. PHYSICIAN RECRUITMENT ST. JOSEPH HOSPITAL IS LOCATED IN A REGION DESIGNATED AS A HEALTH PROFESSIONALS SHORTAGE AREA AND A MEDICALLY UNDERSERVED AREA. WE HAVE AN AGING PHYSICIAN WORK FORCE WITH FEW NEW PHYSICIANS MOVING TO THE AREA TO PRACTICE MEDICINE. OUR HOSPITAL WORKS EXTENSIVELY WITH COMMUNITY PARTNERS AND PRIVATE PRACTICE TO RECRUIT QUALIFIED PRIMARY CARE AND SPECIALTY PHYSICIANS TO THE AREA. THIS IS A TOP PRIORITY FOR OUR HOSPITAL AS IT IS CRITICAL TO INSURING ACCESS TO CARE FOR ALL MEMBERS OF OUR RURAL COMMUNITY. CARE TRANSITIONS PROGRAM THE CARE TRANSITIONS PROGRAM AT ST. JOSEPH HOSPITAL LIVES WITHIN THE COMMUNITY BENEFIT DEPARTMENT AND FOCUSES ON COMMUNITY-BASED INTERVENTIONS FOR HIGH-RISK PATIENTS RECENTLY DISCHARGED FROM AN IN-PATIENT SETTING. 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 ED OVERUSE. FOR MORE INFORMATION ABOUT ST. JOSEPH HOSPITAL PLEASE VISIT WWW.STJOEHUMBOLDT.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG.
FORM 990, PART VI, LINE 6DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST JOSEPH HSPITAL OF EUREKA.
FORM 990, PART VI, LINE 7AST JOSEPH HOSPITAL OF EUREKA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST JOSEPH HOSPITAL OF EUREKA BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST JOSEPH HOSPITAL OF EUREKA 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 7BTHE 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 11BTHE 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 APRIL 2016 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 12COFFICERS, 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, LINE 15A & 15BTHE ORGANIZATION'S CHIEF EXECUTIVE OFFICER 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 ST JOSEPH HOSPITAL OF EUREKA EXECTIVE 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 2015. DURING THE YEAR, THE ST JOSEPH HOSPITAL OF EUREKA EXECUTIVE 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 19AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS GOVERINING 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.
FORM 990, PART IX, LINE 11GOTHER FEES REGISTRY 8,055,139 MED/PHYSICIAN SERVICES 9,779,823 PURCHASED SERVICES 8,187,937 ========== TOTAL 26,022,899
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCE EQUITY TRANSFER ($25,245,644) ROUNDING $ 241 ------------- TOTAL ($25,245,403)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COVENANT HEALTH NETWORK INC
3345 MICHELSON DRIVE STE 100IRVINECA92612461259908HEALTHCARECA501(C)(3)11,IIISJHSYes (true)
COVENANT ACO
3615 19TH STREETLUBBOCKTX79410611573313HEALTHCARETX501(C)(3)11,ICHSYes (true)
COVENANT HEALTH SYSTEM
3615 19TH STREETLUBBOCKTX79410752765566HEALTHCARETX501(C)(3)3SJHSYes (true)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACELUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHSYes (true)
COVENANT MEDICAL GROUP
3420 22ND PLACELUBBOCKTX79410752743883HEALTHCARETX501(C)(3)3CHSYes (true)
COVENANT HEALTH PARTNERS
3615 19TH STREETLUBBOCKTX79410463516417HEALTHCARETX501(C)(3)11, ICHSYes (true)
HOAG CHARITY SPORTS
330 PLACENTIA AVENEWPORT BEACHCA92663452982422SUPPORTCA501(C)(3)7HHFYes (true)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVENEWPORT BEACHCA92663953222343FUNDRAISINGCA501(C)(3)7HMHPYes (true)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100NEWPORT BEACHCA92663951643327HEALTHCARECA501(C)(3)3CHNYes (true)
HOME CARE PARTNERS
1165 MONTGOMERY DRSANTA ROSACA95405680318656INACTIVECA501(C)(3)3SRMHYes (true)
HOSPICE OF LUBBOCK
3702 21ST STREETLUBBOCKTX79410752133781HEALTHCARETX501(C)(3)9CHSYes (true)
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREETLUBBOCKTX79410752220963HEALTHCARETX501(C)(3)7CHSYes (true)
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREETLUBBOCKTX79410752428911HEALTHCARETX501(C)(3)3CHSYes (true)
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUELEVELLANDTX79336752246348HEALTHCARETX501(C)(3)3CHSYes (true)
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROADPLAINVIEWTX79072752426010HEALTHCARETX501(C)(3)3CHSYes (true)
MISSION HOSPITAL REGIONAL MEDICAL CTR
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691951643360HEALTHCARECA501(C)(3)3CHNYes (true)
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREETNAPACA94558941243669HEALTHCARECA501(C)(3)3SJHSYes (true)
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVEFORTUNACA95540942779313HEALTHCARECA501(C)(3)7RMHYes (true)
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVEFORTUNACA95540941384665HEALTHCARECA501(C)(3)3SJHSYes (true)
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRSANTA ROSACA95405941231005HEALTHCARECA501(C)(3)3SJHSYes (true)
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)1NAfalse
SRM ALLIANCE HOSPITAL SERVICES (PVH)
400 NORTH MCDOWELL BLVDPETALUMACA94954680395200HEALTHCARECA501(C)(3)3SRMHYes (true)
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DRIVE STE 100IRVINECA92612271666576RELIGIOUS ORGCA501(C)(3)1SSJOfalse
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DRIVE STE 100IRVINECA92612953589356HEALTHCARECA501(C)(3)11, ISJHMfalse
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE STE 100IRVINECA92612330143024HEALTHCARECA501(C)(3)7SJHSYes (true)
ST JOSEPH HOME CARE NETWORK
1111 SONOMA STE 308SANTA ROSACA95405680331084HEALTHCARECA501(C)(3)9SJHSYes (true)
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVEORANGECA92868951643359HEALTHCARECA501(C)(3)3CHNYes (true)
ST JUDE HOSPITAL YORBA LINDA
200 WEST CENTER ST PROMENADEANAHEIMCA92805330185031HEALTHCARECA501(C)(3)3SJHSYes (true)
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVEFULLERTONCA92635951643324HEALTHCARECA501(C)(3)3CHNYes (true)
ST MARY MEDICAL CENTER
18300 HIGHWAY 18APPLE VALLEYCA92307951914489HEALTHCARECA501(C)(3)3CHNYes (true)
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREETLUBBOCKTX79410751653181HEALTHCARETX501(C)(3)7CHSYes (true)
TALLER SAN JOSE
801 NORTH BROADWAYSANTA ANACA92701593816355WORK DEVELOPMCA501(C)(3)2SSJOYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)

Primary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEIN
COVENANT LONG-TERM CARE LP
HEALTHCARETXNAN/A
HEALTHCARE DESIGN & CONSTRUCT
REAL ESTATEDENAN/A
HEALTHCARE PROPERTY ADVISORS
REAL ESTATEDENAN/ASEE PART VIIAUSTINTX78750752569094
HERITAGE INVESTMENT GROUP
INVESTMENTSCANAN/ASEE PART VIILUBBOCKTX79410752177401
HOAG ORTHOPEDIC INSTITUTE
HEALTHCARECANAN/ASEE PART VIILUBBOCKTX79410205033419
LUBBOCK SURGERY CENTER LTD
HEALTHCARETXNAN/ASEE PART VIIIRVINECA92612271000061
METHODIST DIAGNOSTIC IMAGING
HEALTHCARETXNAN/ASEE PART VIIORANGECA92868264591502
MISSION AMBULATORY SURGICENTER
HEALTHCARECANAN/ASEE PART VIIORANGECA92868454521884
NEWPORT IMAGING CENTER
HEALTHCARECANAN/A
SHA LLC
INSURANCETXNAN/A
ST JOSEPH PHYSICIAN VENTURES
REAL ESTATECANAN/A
ST JOSEPH HLTH SYS HOME CARE
HOME HEALTHCANAN/A
ST JOSEPH HLTH SYS HOME HLTH
HOME HEALTHCANAN/A
THE INNOVATION INSTITUTE
HEALTHCAREDENAN/A
TOTAL HEALTH ENVIRONMENT
HEALTHCAREDENAN/A
ADVANCED SURGERY INSTITUTE LLC
HEALTHCARECANAN/A
NORTH BAY ENDOSCOPY CENTER
HEALTHCARECANAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Primary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEIN
ALLIANCE PHYSICIAN SERVICES
INACTIVECANAC-CORP
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCENAC-CORP90 PITTS BAY ROADPEMBROKEHM08BDBD
COASTAL MANAGEMENT SERVICES ORGANIZATION
HEALTHCARECANAC-CORP1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330676831
DATU HEALTH INC
IT SVCSMONAC-CORP16150 MAIN CIRCLE DR SUITE 250CHESTERFIELDMO63017463070062
HMTS INC
HEALTHCARECANAC-CORP1 HOAG DRIVENEWPORT BEACHCA92658453583707
HOAG MANAGEMENT SERVICES INC
HEALTHCARECANAC-CORP1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330731587
HPA REALTY INC
REAL ESTATECANAC-CORP1 CENTERPOINTE DRIVE SUITE 200LA PALMACA90623300835291
LUBBOCK METHODIST HOSP PRACTICE MGMT
INACTIVETXNAC-CORP2107 OXFORD STREET STE 300LUBBOCKTX79410752578995
LUBBOCK METHODIST HOSPITAL SVCS
HEALTHCARETXNAC-CORPPO BOX 1201LUBBOCKTX79410752118585
MISSION VIEJO MEDICAL VENTURES
HEALTHCARECANAC-CORP27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905
ST JOSEPH HEALTH
HOLDING COMPANYCANAC-CORP3345 MICHELSON DRIVE SUITE 100IRVINECA92612462340232
ST JOSEPH HEALTH SOURCE INC
HEALTHCARECANAC-CORP3345 MICHELSON DRIVE SUITE 100IRVINECA92612461900168
ST JOSEPH PROF SVCS ENTERPRISES INC
HEALTHCARECANAC-CORP3345 MICHELSON DRIVE SUITE 100IRVINECA92612330155323
ST JOSEPH YORBA PARK
INACTIVECANAC-CORP
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH FOUNDATION
c$397,500ACCRUAL
ST JOSEPH HEALTH FOUNDATION
b$2,057,300ACCRUAL
REDWOOD MEMORIAL HOSPITAL
o$1,743,445ACCRUAL
REDWOOD MEMORIAL HOSPITAL
p$3,614,975ACCRUAL
REDWOOD MEMORIAL HOSPITAL
q$3,383,892ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
c$6,405,431ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
b$14,909,149ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
m$5,346,215ACCRUAL
SANTA ROSA MEMORIAL HOSPITAL
p$800,066ACCRUAL
QUEEN OF THE VALLEY MEDICAL CENTER
p$193,162ACCRUAL

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIIFormAndLineReferenceDesc
ExplanationIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 HEALTHCARE DESIGN AND CONSTRUCTION EIN: 46-2611662 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 HEALTHCARE PROPERTY ADVISORS, LLC EIN: 46-5497794 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 500 S. MAIN STREET, STE 1000, ORANGE, CA 92868 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE 362, MISSION VIEJO, CA 92691 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE 100, ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE 200 ORANGE, CA 92868-2012 THE INNOVATION INSTITUTE EIN: 90-0745066 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 TOTAL HEALTH ENVIRONMENT EIN: 46-4807513 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 ADVANCED SURGERY INSTITUTE LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954ExplanationTxt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.