ST MARY MEDICAL CENTER: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ST MARY MEDICAL CENTER (EIN 95-1914489)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201611349349306631
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T16:36:34-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 VON KARMAN AVENUE SUITE 1700 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951914489 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % SHAWN CURTIS DIR OF FINANCE | InCareOfNm |
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 7602422311 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18300 HIGHWAY 18 | AddressLine1Txt |
| City | APPLE VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92307 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRACEY FERNANDEZ | PersonNm |
| Person Title | VP AND CFO | PersonTitleTxt |
| Phone | 7602422311 | PhoneNum |
| Signature | 2016-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KARA ADAMS | PreparerPersonNm |
| PTIN | P00023315 | PTIN |
| Phone | 9497942300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALAN H GARRETT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18300 HIGHWAY 18 | AddressLine1Txt |
| City | APPLE VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92307 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $339,107,354 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stmaryapplevalley.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH & QUALITY OF LIFE OF PEOPLE IN THE COMM WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1830 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,309,993 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,565,505 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $276,738,669 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $328,101,737 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,985,468 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,949,843 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,475 | PYOtherRevenueAmt |
| CY Other Revenue | $163,906 | CYOtherRevenueAmt |
| PY Total Revenue | $283,041,605 | PYTotalRevenueAmt |
| CY Total Revenue | $338,780,991 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $133,400 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $781,133 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $146,590,704 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $143,042,643 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $205 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $1,119 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $711,335 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $124,841,130 | PYOtherExpensesAmt |
| CY Other Expenses | $151,153,385 | CYOtherExpensesAmt |
| PY Total Expenses | $271,565,439 | PYTotalExpensesAmt |
| CY Total Expenses | $294,978,280 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,476,166 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $43,802,711 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $290,774,854 | TotalAssetsBOYAmt |
| Total Assets EOY | $293,108,133 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $102,339,803 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $93,453,410 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $188,435,051 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $199,654,723 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE ARE 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $233,737,144 | ExpenseAmt |
| Grant | $781,133 | GrantAmt |
| Revenue | $328,098,785 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $233,737,144 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 305 | IRPDocumentCnt |
| IRP Document W2 G | 1 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1830 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHAWN CURTIS DIR OF FINANCE | PersonNm |
| Phone | 7609468742 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16000 KASOTA RD | AddressLine1Txt |
| City | APPLE VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92307 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| VENKAT DEVINENI MD | ||||||||||
| BD OF DIR/CHIEF OF STAFF | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| DIANA CARLONI O'MALLEY | ||||||||||
| BOARD OF DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| BRUCE FAY | ||||||||||
| BOARD OF DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| HENRY GONZALEZ MD | ||||||||||
| BD OF DIR/COMMITTEE CHAIR | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ZOHEIR EL-HAJJAOUI MD | ||||||||||
| BOARD OF DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| SR CLAUDETTE DES FORGES | ||||||||||
| BOARD OF DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ERIC MORENO | ||||||||||
| BOARD OF DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ROB TURNER | ||||||||||
| BOARD OF DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ROSELLA BERNAL | ||||||||||
| BOARD OF DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN HULTERSTROM | ||||||||||
| BOARD OF DIRECTOR (PART YEAR) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| BR EDWARD FRANCIS MCENROE | ||||||||||
| BOARD OF DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| BR STEPHEN DE LA ROSA | ||||||||||
| BOARD OF DIRECTOR (PART YEAR) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOLINE TREANOR | ||||||||||
| BOARD OF DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| SR MARY ELIZABETH NELSEN | ||||||||||
| BOARD OF DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| BR IGNATIUS SUDOL | ||||||||||
| BOARD OF DIRECTOR (PART YEAR) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN MURPHY | ||||||||||
| BOARD OF DIRECTOR (PART YEAR) | 2.0 | 50.0 | Yes (X) | $0 | $432,441 | $50,389 | ||||
| DAVID GREINER | ||||||||||
| BOARD OF DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| SR THERESA LAMETTEREY | ||||||||||
| BOARD OF DIRECTOR, VICE CHAIR | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ALAN GARRETT | ||||||||||
| PRESIDENT/CEO | 50.0 | 2.0 | Yes (X) | $0 | $752,565 | $48,144 | Yes (X) | |||
| TRACEY FERNANDEZ | ||||||||||
| CHIEF FINANCIAL OFFICER | 50.0 | 0.0 | $340,609 | $0 | $35,390 | Yes (X) | ||||
| TARA COWELL | ||||||||||
| SECRETARY | 2.0 | 50.0 | $0 | $409,560 | $44,598 | Yes (X) | ||||
| MARILYN DRONE | ||||||||||
| CHIEF NURSING OFFICER | 50.0 | 0.0 | $315,602 | $0 | $34,260 | Yes (X) | ||||
| KELLY LINDEN | ||||||||||
| CHIEF OPERATING OFFICER | 50.0 | 0.0 | $443,256 | $0 | $33,576 | Yes (X) | ||||
| PAUL KAMINSKI | ||||||||||
| VP FOUNDATION | 50.0 | 0.0 | $190,051 | $0 | $23,420 | Yes (X) | ||||
| DENNIS HAGHIGHAT MD | ||||||||||
| CHIEF MEDICAL OFFICER | 50.0 | 0.0 | $389,539 | $0 | $23,638 | Yes (X) | ||||
| JUDY WAGNER | ||||||||||
| VP MISSION INTEGRATION | 50.0 | 0.0 | $162,414 | $0 | $7,708 | Yes (X) | ||||
| RANDY BEVILACQUA | ||||||||||
| VP COMMUNICATIONS | 50.0 | 0.0 | $256,042 | $0 | $30,609 | Yes (X) | ||||
| KIMBERLY DIEMLING | ||||||||||
| CERTIFIED NURSE MIDWIFE | 40.0 | 0.0 | $187,547 | $0 | $30,478 | Yes (X) | ||||
| MARILYN PLATT | ||||||||||
| CERTIFIED NURSE MIDWIFE/SUPVR | 50.0 | 0.0 | $201,227 | $0 | $23,489 | Yes (X) | ||||
| LAURIE ROBERTS | ||||||||||
| DIR COMMUNITY HEALTH | 50.0 | 0.0 | $248,308 | $0 | $25,748 | Yes (X) | ||||
| NOAH ENGLISH-CROGAN | ||||||||||
| STAFF RN | 36.0 | 0.0 | $215,552 | $0 | $7,237 | Yes (X) | ||||
| DOUGLAS DAVIS | ||||||||||
| STAFF RN | 36.0 | 0.0 | $191,791 | $0 | $14,999 | Yes (X) | ||||
| DAVID O'BRIEN | ||||||||||
| CEO - HUMBOLDT (FMR KEY EMPL) | 0.0 | 50.0 | $0 | $760,274 | $41,815 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,141,938 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,354,840 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $475,498 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 331 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICAL STAFFING NETWORK | |||||
| PO BOX 84029 | DALLAS | TX | 75284 | REGISTRY | $3,057,940 |
| HMP OF CALIFORNIA | |||||
| PO BOX 645037 | CINCINNATI | OH | 45264 | HOSPITALIST COVERAGE | $1,366,580 |
| UPLAND ANESTHESIA MEDICAL GROUP | |||||
| 2020 TAPIA WAY | UPLAND | CA | 91784 | ANESTHESIA COVERAGE | $1,036,194 |
| INLAND CARDIOTHORACIC SURGICAL | |||||
| 401 EAST HIGHLAND SUITE 251 | SAN BERNARDINO | CA | 92404 | MEDICAL SERVICES | $661,350 |
| ST MARY HIGH DESERT MED GROUP | |||||
| 12550 HESPERIA RD SUITE 100 | VICTORVILLE | CA | 92395 | MEDICAL SERVICES | $454,481 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $61,070 | FundraisingAmt |
| Related Organizations | $1,479,687 | RelatedOrganizationsAmt |
| Government Grants | $834,348 | GovernmentGrantsAmt |
| All Other Contributions | $1,190,400 | AllOtherContributionsAmt |
| Noncash Contributions | $518,719 | NoncashContributionsAmt |
| Total Contributions | $3,565,505 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $306,773,323 | $306,773,323 | $0 | $0 |
| CAPITATION PREMIUM REVENUE | 622110 | $18,501,736 | $18,501,736 | $0 | $0 |
| FEE REVENUE | 900099 | $2,189,671 | $2,189,671 | $0 | $0 |
| CAFETERIA REVENUE | 722110 | $452,524 | $452,524 | ||
| FINANCE CHARGE REVENUE | 900099 | $109,635 | $109,635 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,848 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $74,848 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $328,101,737 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,653,872 | TotalRevenueColumnAmt |
| Exclusion | $6,653,872 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $62,319 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,232 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $44,087 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,087 | TotalRevenueColumnAmt |
| Exclusion | $44,087 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $295,971 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $295,971 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $295,971 | TotalRevenueColumnAmt |
| Exclusion | $295,971 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $160,444 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $61,070 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $37,673 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $122,771 | TotalRevenueColumnAmt |
| Exclusion | $122,771 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $267,506 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $270,458 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,952 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$2,952 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $338,780,991 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $328,098,785 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,116,701 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $781,133 | TotalAmt |
| Program Services | $781,133 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,390,098 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,390,098 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,282,991 | TotalAmt |
| Program Services | $93,555,030 | ProgramServicesAmt |
| Management And General | $3,312,705 | ManagementAndGeneralAmt |
| Fundraising | $415,256 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,606,283 | TotalAmt |
| Program Services | $5,223,786 | ProgramServicesAmt |
| Management And General | $359,634 | ManagementAndGeneralAmt |
| Fundraising | $22,863 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,084,228 | TotalAmt |
| Program Services | $29,186,147 | ProgramServicesAmt |
| Management And General | $777,987 | ManagementAndGeneralAmt |
| Fundraising | $120,094 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,679,043 | TotalAmt |
| Program Services | $7,238,755 | ProgramServicesAmt |
| Management And General | $408,243 | ManagementAndGeneralAmt |
| Fundraising | $32,045 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,036,166 | TotalAmt |
| Program Services | $16,687,367 | ProgramServicesAmt |
| Management And General | $22,348,799 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,584,360 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,584,360 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,076 | TotalAmt |
| Program Services | $27,076 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,119 | TotalAmt |
| Fundraising | $1,119 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $582,603 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $582,603 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,481,980 | TotalAmt |
| Program Services | $19,350,354 | ProgramServicesAmt |
| Management And General | $16,057,710 | ManagementAndGeneralAmt |
| Fundraising | $73,916 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,584 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $96,584 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,638 | TotalAmt |
| Program Services | $260,765 | ProgramServicesAmt |
| Management And General | $20,418 | ManagementAndGeneralAmt |
| Fundraising | $3,455 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,951 | TotalAmt |
| Program Services | $300,396 | ProgramServicesAmt |
| Management And General | $6,555 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,329,685 | TotalAmt |
| Program Services | $4,218,314 | ProgramServicesAmt |
| Management And General | $110,833 | ManagementAndGeneralAmt |
| Fundraising | $538 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,013 | TotalAmt |
| Program Services | $82,880 | ProgramServicesAmt |
| Management And General | $81,149 | ManagementAndGeneralAmt |
| Fundraising | $15,984 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,066 | TotalAmt |
| Program Services | $14,901 | ProgramServicesAmt |
| Management And General | $14,492 | ManagementAndGeneralAmt |
| Fundraising | $1,673 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,366,430 | TotalAmt |
| Program Services | $187 | ProgramServicesAmt |
| Management And General | $2,366,243 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,212,151 | TotalAmt |
| Program Services | $11,565,078 | ProgramServicesAmt |
| Management And General | $643,752 | ManagementAndGeneralAmt |
| Fundraising | $3,321 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,269,047 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,269,047 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $44,570,594 | $44,540,011 | $28,342 | $2,241 |
| OTHER DIRECT EXPENSES | $6,783,696 | $100,288 | $6,677,231 | $6,177 |
| FREIGHT | $405,581 | $405,569 | $0 | $12 |
| DUES & SUBSCRIPTION | $196,454 | $93,649 | $94,484 | $8,321 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,310 | TotalAmt |
| Program Services | $105,458 | ProgramServicesAmt |
| Management And General | $298,532 | ManagementAndGeneralAmt |
| Fundraising | $4,320 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,978,280 | TotalAmt |
| Program Services | $233,737,144 | ProgramServicesAmt |
| Management And General | $60,529,801 | ManagementAndGeneralAmt |
| Fundraising | $711,335 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$7,702,497 | BOYAmt |
| EOY | $1,651,993 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,053,455 | BOYAmt |
| EOY | $56,641,209 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $952,900 | BOYAmt |
| EOY | $952,900 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,136,708 | BOYAmt |
| EOY | $39,135,762 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $720,991 | BOYAmt |
| EOY | $712,499 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,967,158 | BOYAmt |
| EOY | $4,278,676 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,874,903 | BOYAmt |
| EOY | $22,445,858 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $240,963,247 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $122,286,860 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,035,912 | BOYAmt |
| EOY | $118,676,387 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,099,967 | BOYAmt |
| EOY | $46,118,738 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,635,357 | BOYAmt |
| EOY | $2,494,111 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,774,854 | BOYAmt |
| EOY | $293,108,133 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,180,088 | BOYAmt |
| EOY | $21,337,135 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,578,624 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $954,440 | BOYAmt |
| EOY | $979,140 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,626,651 | BOYAmt |
| EOY | $71,137,135 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,339,803 | BOYAmt |
| EOY | $93,453,410 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,193,560 | BOYAmt |
| EOY | $193,513,789 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,241,491 | BOYAmt |
| EOY | $6,140,934 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,435,051 | BOYAmt |
| EOY | $199,654,723 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,774,854 | BOYAmt |
| EOY | $293,108,133 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $43,802,711 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,784,044 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$27,798,995 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $27,076 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $27,076 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES DURING THE YEAR, ST. JOSEPH HEALTH SYSTEM CONDUCTED ADVOCACY EFFORTS WHICH INCLUDED SOME LOBBYING ACTIVITIES. THESE ACTIVITIES INCLUDED MEETING WITH LOCAL, STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS, AS WELL AS COMMUNICATION TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION. THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO ST. MARY MEDICAL CENTER. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $634,240 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $10,138 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $21,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $623,378 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $566,823 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $70,417 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $634,240 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $549,770 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $20,053 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $566,823 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $530,889 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $21,881 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $549,770 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $473,913 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $59,976 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $530,889 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,153,187 | OtherCostOrOtherBasisAmt |
| Book Value | $30,153,187 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $111,392,611 | OtherCostOrOtherBasisAmt |
| Depreciation | $62,496,584 | DepreciationAmt |
| Book Value | $48,896,027 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $328,078 | OtherCostOrOtherBasisAmt |
| Depreciation | $216,727 | DepreciationAmt |
| Book Value | $111,351 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,774,606 | OtherCostOrOtherBasisAmt |
| Depreciation | $57,928,700 | DepreciationAmt |
| Book Value | $15,845,906 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,314,765 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,644,849 | DepreciationAmt |
| Book Value | $23,669,916 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $118,676,387 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY W/HEALTH SYSTEM BONDS | $57,476,763 |
| DUE TO 3RD PARTY PAYORS | $10,182,795 |
| CAPITAL LEASE | $1,383,687 |
| 457F LIABILITY | $1,317,695 |
| ANNUITY AND TRUST PAYABLE | $773,541 |
| SECURITY DEPOSIT | $2,654 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $71,137,135 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | ENDOWMENT FUNDS USE ENDOWMENT FUNDS WERE DESIGNATED TO PROVIDE SCHOLARSHIP FUNDS FOR NURSING STUDENTS. |
| SCHEDULE D, PART X, LINE 2 | FIN 48 (ASC 740) FOOTNOTE 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. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNUAL GALA | Event1Nm |
| Gross Receipts Event1 | $206,078 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $60,000 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $146,078 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $1,803 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $8,017 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $16,493 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $3,400 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $4,799 | OtherDirectExpensesEvent1Amt |
| Event2 | MEN WHO COOK | Event2Nm |
| Gross Receipts Event2 | $15,436 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $1,070 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $14,366 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $750 | CashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $2,004 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $15 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $200 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $192 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $221,514 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $61,070 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $160,444 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $750 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $1,803 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $10,021 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $16,508 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $3,600 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $4,991 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $37,673 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $122,771 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,445,316 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,445,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $104,910,319 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $112,554,332 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,355,635 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $112,554,332 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,445,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01170 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,150,116 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $269,846 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $880,270 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $429,179 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $429,179 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,194,313 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $732,983 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,461,330 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01510 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $684,030 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $684,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,457,638 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,002,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,454,809 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02190 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $115,813,273 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $113,557,161 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,900,125 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03360 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,494 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,494 | NetCommunityBenefitExpnsAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,742 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,742 | NetCommunityBenefitExpnsAmt |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,356 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $749 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $607 | NetCommunityBenefitExpnsAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,706 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,744 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,962 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,097 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,241 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,856 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,418 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,418 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $71,813 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,734 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $62,079 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $15,588,882 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $51,265,149 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $60,966,735 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,701,586 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18300 HIGHWAY 18 | AddressLine1Txt |
| City | APPLE VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92307 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stmaryapplevalley.com | WebsiteAddressTxt |
| State License | 240000207 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H, PART V, SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | COMMUNITY INPUT THE HOSPITAL PLACES ON ITS INTERNET SITE ALL COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS, COMMUNITY BENEFIT PLANS AND ANNUAL COMMUNITY BENEFIT REPORTS. THE HOSPITAL OPERATES A HEALTHY COMMUNITY DEPARTMENT WORKING WITH NUMEROUS COMMUNITY PARTNERS AND RESIDENTS WHO PROVIDE INPUT ON HEALTH AND SOCIAL NEEDS THROUGHOUT THE YEAR. ADDITIONALLY, THE HOSPITAL OPERATES TWO FIXED COMMUNITY CLINICS AND A MOBILE MEDICAL UNIT. THE HOSPITAL'S COMMUNITY CLINICS SERVE POOR PATIENTS IN THE COMMUNITIES OF ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE. THE PRIMARY CARE SERVICES THAT ARE PROVIDED TO THIS POPULATION PROVIDES FEEDBACK THAT LOW COST SPECIALTY CARE SERVICES ARE NEEDED. FEEDBACK TO THE HOSPITAL'S HEALTHY COMMUNITIES TEAM IS ALWAYS FOCUSED ON THE NEED FOR ADDITIONAL SERVICES PROVIDED IN LOW INCOME COMMUNITIES. THIS INCLUDES: THE NEED FOR LOW COST ACCESS TO HEALTHY FOODS, ADDITIONAL HEALTH PROVIDERS LOCATED IN POOR NEIGHBORHOODS, AN IMPROVED TRANSPORTATION SYSTEM THAT PROVIDING IMPROVED SERVICE FOR LOW INCOME PERSONS, THE DEVELOPMENT OF ADDITIONAL BEHAVIORAL HEALTH SERVICES INCLUDING AN INPATIENT PSYCHIATRIC PROGRAM, CREATION OF A FOOD BANK, IMPROVED JOB TRAINING AND EMPLOYMENT OPPORTUNITIES AND INCREASED AFFORDABLE HOUSING FOR THE HOMELESS. THE HOSPITAL RECEIVES FEEDBACK FROM TWO PARTNERS USING HOSPITAL GRANTS TO SERVE THE POOR WITH FOOD, HOUSING AND UTILITY ASSISTANCE. THEIR QUARTERLY REPORTS CITE A DEMAND OF SERVICES EXCEEDING THE SUPPLY OF FOOD OR FUNDS. THE REGION SUFFERS FROM AN UNEMPLOYMENT RATE THAT IS TYPICALLY ONE TO TWO PERCENTAGE POINTS HIGHER THAN THE STATEWIDE AVERAGE. THAT PERCENTAGE IS 8.9% FOR DECEMBER 2013. THE HOSPITAL RECEIVES FEEDBACK FROM SAN BERNARDINO COUNTY PUBLIC HEALTH THAT COLLABORATIVE EFFORTS WILL SPEED THE OPENING OF LOCAL COMMUNITY CLINICS SERVING THE POOR. SAN BERNARDINO COUNTY EXPERIENCES AN ACUTE PHYSICIAN SHORTAGE TO SERVE ITS POPULATION. THE HOSPITAL JOINED A COUNTY-WIDE COMMUNITY CLINIC COLLABORATIVE AND HAS ASSISTED IN THE OPENING OF FOUR (4) LOCAL COMMUNITY CLINICS SERVING LOW INCOME PERSONS. THE HOSPITAL WORKED CLOSELY WITH KAISER FONTANA WHO PROVIDED TECHNICAL ASSISTANCE AND START-UP GRANTS FOR CLINIC EXPANSION. ADDITIONALLY, THE HOSPITAL WORKED WITH THE NEWLY FORMED COMMUNITY CLINIC ASSOCIATION TO STREAMLINE THE REFERRAL OF POOR PATIENTS OBTAINING SPECIALTY CARE AT THE COUNTY HOSPITAL. THE HOSPITAL RECEIVED FEEDBACK FROM RESIDENTS AND LEADERS THAT COMMUNITIES NEED ADDITIONAL HEALTH CLINICS. THIS FEEDBACK RESULTED IN THE HOSPITAL RECRUITING MOLINA HEALTH TO OPEN ITS FIRST CLINIC IN THE VICTOR VALLEY REGION. IN 2013 MOLINA OPENED A SECOND CLINIC IN THE CITY OF VICTORVILLE. THE HOSPITAL RECEIVED FEEDBACK FROM THE COUNTY'S HEALTHY COMMUNITIES PROGRAM THAT COORDINATING RESOURCES AND ADVOCACY COULD HELP "PUSH" LOCAL CITY LEADERS TO PRIORITIZE PARK AND RECREATION AND IMPROVED STREET PROGRAMS (PROVIDING SIDEWALKS, WALKING TRAILS AND BICYCLE LANES). THIS ADVOCACY RESULTED IN THE HOSPITAL'S CONTINUED WORK SUPPORTING/MANAGING FOUR (4) HEALTHY CITY CAMPAIGNS WHICH ALSO PROVIDES THE HOSPITAL FEEDBACK ABOUT THE LOCAL RESIDENT'S NEED FOR INCREASED ACCESS TO HEALTHY FOODS, SAFER STREETS, PARKS AND RECREATION, THE NEED FOR MORE MEDICAL CARE, MORE EMPLOYMENT AND CAREER DEVELOPMENT PROGRAMS. THE HOSPITAL'S WORK IS NOW REGIONAL WITH MULTIPLE CITIES ENGAGED. FEEDBACK FROM THE COUNTY'S INLAND EMPIRE CHILDREN'S HEALTH INITIATIVE URGED THE HOSPITAL TO ASSIST IN DEVELOPING ENROLLMENT CAMPAIGNS TARGETING HISPANIC FAMILIES TRADITIONALLY NOT ENROLLING INTO HEALTH INSURANCE. THE HOSPITAL IS THE ONLY VICTOR VALLEY REPRESENTATIVE ON THIS COUNTY LEVEL COLLABORATIVE. HEALTH INSURANCE RESEARCH ESTIMATES THAT THE VICTOR VALLEY HAS 67,000 UNINSURED RESIDENTS AND AN ESTIMATED 32,000 OF THEM ELIGIBLE FOR MEDI-CAL. IN RESPONSE, THE HOSPITAL DEVELOPED A LOCAL NETWORK OF BILINGUAL HEALTH INSURANCE ENROLLERS. THE HOSPITAL ALSO IDENTIFIED SCHOOLS WHERE LARGE NUMBERS OF HISPANIC FAMILIES MEET TO DISCUSS THEIR CHILDREN'S EDUCATION. THESE MEETINGS SERVE AS EDUCATION OPPORTUNITIES TO DISCUSS COMMUNITY BARRIERS TO SERVICES, HEALTH CONDITIONS AND HEALTH INSURANCE. FEEDBACK FROM SAN BERNARDINO COUNTY'S ONLY FOOD BANK URGED THE HOSPITAL TO PARTICIPATE IN DEVELOPING A COUNTY-WIDE FOOD POLICY INCLUDING DEVELOPMENT OF A TRANSPORTATION SERVICE WHEREBY LARGER QUANTITIES OF FOOD COULD BE DELIVERED TO LOCAL FOOD PANTRIES. IN RESPONSE, THE HOSPITAL IDENTIFIED FOUR PROGRAMS AND SECURED GRANT FUNDS TO BEGIN A COLLABORATIVE FOOD TRANSPORT SERVICE. THE LONG TERM GOAL OF THIS PROJECT COULD LEAD TO THE DEVELOPMENT OF THE HIGH DESERT'S FIRST FOOD BANK. THE NEED FOR A VICTOR-BARSTOW FOOD BANK HAS BEEN IDENTIFIED AS A NEED BY PARTNERS SERVING THE POOR. |
| SCHEDULE H, PART V, SECTION B, LINE 7A | CHNA WEBSITE ADDRESS http://www.stmaryapplevalley.com/documents/Community-Benefit/2014-Communit y-Health-Needs-Assessment-Report.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 10A | IMPLEMENTATION STRATEGY WEBSITE ADDRESS http://www.stmaryapplevalley.com/documents/Community-Benefit/FY15-17-St-Ma ry-CB-and-IS-Report.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 11 | IN RESPONSE TO UNMET HEALTH-RELATED NEEDS IDENTIFIED FROM A 2014 COMMUNITY HEALTH NEEDS ASSESSMENT, SMMC'S FY15-FY17 COMMUNITY BENEFIT PLAN WILL FOCUS ON FOUR PROGRAMS FOR THE BROADER AND UNDERSERVED DISADVANTAGED MEMBERS OF THE SURROUNDING COMMUNITY. 1. EFFORTS IMPROVING ACCESS TO CARE WILL ADDRESS MARKED SHORTAGES OF HEALTH SERVICES INCLUDING PRIMARY AND SPECIALTY CARE ACROSS THE HOSPITAL'S SERVICE AREAS. ADDITIONALLY, ACCESS TO CARE ISSUE HAS BEEN PRIORITIZED BY EACH OF THE SOUTHERN CALIFORNIA SJH HOSPITALS OPERATING IN ORANGE AND SAN BERNARDINO COUNTIES AND A REGIONAL ASSESSMENT CONTINUES. THE HOSPITAL'S HEALTH ASSESSMENT REPORTS ACCESS CONCERNS BY 41.5% OF RESPONDENTS, AN INCREASE OVER 38.4% REPORTED IN 2007 AND SIGNIFICANTLY HIGHER THAN THE 37.7% REPORTED NATIONALLY. ACCESS ISSUES ARE EXACERBATED BY SAN BERNARDINO COUNTY'S ONLY SAFETY NET HOSPITAL LOCATED 45 MILES FROM THE COMMUNITY. CHRONIC CONDITIONS INCLUDING POVERTY AND MENTAL ILLNESS OFTEN IMPAIR PEOPLE FROM ACCESSING CARE. ACCESS ISSUES INCLUDE, BUT ARE NOT LIMITED TO: LACK OF TRANSPORTATION, HEALTH INSURANCE AND COST RELATED ISSUES, THE SHORTAGE OF HEALTH CARE PROFESSIONALS PARTICULARLY PRIMARY CARE PROVIDERS WHO ARE BILINGUAL AND GAPS IN HEALTH SERVICES PROVIDED LOCALLY. PORTION'S OF THE HOSPITAL'S SERVICE AREA ARE DESIGNATED BY HEALTH AND HUMAN SERVICES' HEALTH RESOURCES SERVICES ADMINISTRATION (HRSA) AS MEDICALLY UNDERSERVED AREAS (MUA) AND MEDICAL HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) FOR PRIMARY CARE AND MENTAL HEALTH. SMMC INTENDS TO: - DEVELOP A PRIMARY AND SPECIALTY NETWORK OF OUTPATIENT SERVICES TO EXPAND LOCAL HEALTH SERVICES WHILE PARTNERING TO IMPROVE TRANSPORTATION AND NAVIGATION OF THE LOCAL HEALTH SYSTEM THAT MANY REPORT NOT FULLY UNDERSTANDING HOW TO USE APPROPRIATELY; - PARTNER WITH COMMUNITY CLINICS AND PHYSICIANS TO EXPAND ACCESS. THE HOSPITAL WILL WORK WITH PARTNERS AND IMPROVE HEALTHCARE ACCESS FOR ALL RESIDENTS INCLUDING THOSE LIVING IN EIGHT (8) NEIGHBORHOODS IDENTIFIED AS THE REGIONS' POOREST; - LEAD LOCAL HEALTH INSURANCE ENROLLMENT EFFORTS IMPLEMENTING COVERED CALIFORNIA; AND - IMPROVE HOSPITAL CLINIC SERVICES PROVIDING HEALTH SERVICES TO THE AREA'S UNINSURED, LOW INCOME AND UNDOCUMENTED WHILE CONTINUING REGIONAL EFFORTS TO IMPROVE ACCESS WITH SMMC HIGH DESERT MEDICAL GROUP, SAN BERNARDINO COUNTY PUBLIC HEALTH AND A NEWLY FORMED SAN BERNARDINO COUNTY COMMUNITY CLINIC ASSOCIATION. 2. EXPANDING DIABETES SERVICES ADDRESSING THE INCREASE OF THE CONDITION NOW REPORTED AT 15.3% OF THE COMMUNITY. THE HOSPITAL INTENDS TO CONSOLIDATE AND BETTER TARGET ITS DIABETES SERVICES WITH EXPANDED EDUCATION PROVIDED AT THE HOSPITAL, TO PATIENTS SERVED BY PHYSICIANS OF SMMC HIGH DESERT PRIMARY CARE OFFICES, THRU THE HOSPITAL'S COMMUNITY CLINICS AND WITH THE ASSISTANCE OF PARTNERS, IN A RANGE OF COMMUNITY SETTINGS INCLUDING SCHOOLS, CHURCHES AND NEIGHBORHOODS. ADDRESSING DIABETES BUILDS UPON THE HOSPITAL'S SUCCESS IN PROVIDING COMPREHENSIVE DIABETES PROGRAMS TO UNINSURED RESIDENTS. THE HOSPITAL WILL: - EXPAND REFERRALS TO PHYSICIANS PROVIDING SPECIALIZED SERVICES AT SMMC HIGH DESERT PRIMARY CARE AND ITS REGIONAL NETWORK OF CARE; - RECRUIT AND TRAIN HEALTH PARTNERS TO TEACH DIABETES CARE IN POORER COMMUNITIES, REACHING FAMILIES AT CHURCHES, SCHOOLS AND APARTMENT COMPLEXES; AND - ASSIST SAN BERNARDINO COUNTY PUBLIC HEALTH TO DEVELOP DIABETES EDUCATION PROGRAMS OFFERED FROM ITS CLINICS IN ADELANTO AND HESPERIA. 3. IMPROVING MENTAL HEALTH CARE WHERE 18.4% OF RESIDENTS SELF-REPORTED THEIR MENTAL HEALTH AS EITHER FAIR OR POOR - A 3.9% INCREASE OVER 2007, SIGNIFICANTLY HIGHER THAN THE NATIONAL RATE OF 11.7%. AS PREVIOUSLY MENTIONED, THERE IS A RECOGNIZED SHORTAGE OF MENTAL HEALTH PROVIDERS IN THE HOSPITAL'S SERVICE AREA. THE HOSPITAL WILL: - JOIN A LOCAL MENTAL HEALTH COLLABORATIVE AND IMPROVE REFERRAL OF HOSPITAL PATIENTS REQUIRING OUTPATIENT CARE AND TO ASSIST IN THE DEVELOPMENT OF THE COMMUNITY'S WELLNESS SERVICES; - PARTNER WITH THE COUNTY'S FQHC CLINIC SINCE IT IS EXPANDING ITS MENTAL HEALTH PROGRAMS. THE HOSPITAL WILL PARTNER WITH MENTAL HEALTH CLINIC PROVIDING LOW COST PSYCHIATRY CARE AND ASSIST A LOCAL PARTNER PROVIDING MENTAL HEALTH SERVICES AS PART OF ITS SUBSTANCE ABUSE AND RECOVERY PROGRAMS; - PROVIDE BEHAVIORAL COUNSELING TO PATIENTS OF ITS CLINIC PROGRAMS WHILE ASSESSING REGIONAL OPPORTUNITIES TO IMPROVE MENTAL HEALTH SERVICES WITH OTHER SJH HOSPITALS; AND - CONDUCT ADVOCACY EFFORTS TARGETING IMPROVED POLICY AND RESOURCES FOR MENTAL HEALTH CARE. 4. ADDRESSING OBESITY AND NUTRITION CAMPAIGNS WHERE 37% AND 33% OF RESIDENTS ARE IDENTIFIED AS EITHER OVERWEIGHT OR OBESE. THE HOSPITAL WILL: - EXPAND ITS CHILD OBESITY AND HEALTHY CITY CAMPAIGNS IN SCHOOLS, CHURCHES AND AT COMMUNITY SETTINGS INCLUDING HEAD START AND OTHER PRE-SCHOOL PROGRAMS AND INCLUDE ADULT CARE; - CONTINUE ITS PARTNERSHIP WITH SAN BERNARDINO COUNTY PUBLIC HEALTH IMPLEMENTING A COMMUNITIES OF EXCELLENCE CAMPAIGN EXPANDING NEIGHBORHOOD ACCESS TO FRESH FRUITS AND VEGETABLES AND IMPROVING STREET SAFETY, ACTIVE TRANSPORTATION AND DEVELOPMENT OF PHYSICAL ACTIVITY RESOURCES; - EXPAND PARTNERSHIPS WITH PHYSICIANS REFERRING OVERWEIGHT AND OBESE PATIENTS FOR MEDICAL NUTRITION COUNSELING. NUTRITION COUNSELING WILL CONTINUE TO TARGET CHANGING UNDERLYING FAMILY BEHAVIORS WITH FOOD AND PLAY/RECREATION WHILE ACHIEVING WEIGHT LOSS; AND, - INCREASE HEALTHY EATING EDUCATION IN SCHOOLS, WORKPLACES AND CHURCHES AS PART OF BROAD PROGRAMS TARGETING EMPLOYEE AND COMMUNITY WELLNESS WHILE CONTINUING NUTRITION COUNSELING AT ITS CLINICS. DUE TO THE FAST PACE AT WHICH THE COMMUNITY AND HEALTH CARE INDUSTRY CHANGE, SMMC ANTICIPATES THAT IMPLEMENTATION STRATEGIES MAY EVOLVE AND THEREFORE, A FLEXIBLE APPROACH IS BEST SUITED FOR THE DEVELOPMENT OF ITS RESPONSE TO THE SMMC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). ON AN ANNUAL BASIS SMMC EVALUATES ITS COMMUNITY BENEFIT PLAN, SPECIFICALLY ITS STRATEGIES AND RESOURCES; AND MAKES ADJUSTMENTS AS NEEDED TO ACHIEVE ITS GOALS/OUTCOME MEASURES, AND TO ADAPT TO CHANGES IN RESOURCE AVAILABILITY. 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: ALCOHOL AND TOBACCO SERVICES: THE HOSPITAL DOES NOT DIRECTLY ADDRESS SUBSTANCE ABUSE; HOWEVER, THE MINISTRY PARTNERS WITH SEVERAL ORGANIZATIONS THAT SERVE THIS POPULATION, INCLUDING CATHOLIC CHARITIES AND ST. JOHN OF GOD HEALTH CARE SERVICES AND SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH. THE HOSPITAL PARTNERS WITH THE INSTITUTE FOR PUBLIC STRATEGIES TO PASS CITY ORDINANCES TO BAN THE SALE OF SPICE AND BATH SALTS AND, WHERE POSSIBLE, LIMIT OR BAN TOBACCO AND ALCOHOL USE. THE HOSPITAL'S SUPPORT INCLUDES ADVOCACY WITH ELECTED. FOOD SECURITY: THE HOSPITAL DOES NOT DIRECTLY ADDRESS FOOD INSECURITY; HOWEVER THE HOSPITAL PARTNERS WITH FOOD PROGRAMS THAT SERVICE THIS POPULATION, INCLUDING CATHOLIC CHARITIES, COMMUNITY ACTION PARTNERSHIP OF SAN BERNARDINO COUNTY, DESERT MANNA, FEED MY SHEEP MINISTRIES, HIGH DESERT OUTREACH, THE LORDS TABLE AND VICTOR RESCUE MISSION. ADDITIONALLY, THE SJHS COMMUNITY PARTNERSHIP GRANT AWARDS FUNDS ADDRESSING HOMELESSNESS AND FOOD INSECURITY IN THE BARSTOW AND VICTOR VALLEYS. HOSPITAL LEADERS ALSO VOLUNTEER AS BOARD MEMBERS OF FOOD PROGRAMS. FINALLY, EACH YEAR HOSPITAL EMPLOYEES COMPLETE A FOOD DRIVE WITH DONATIONS TO LOCAL PROGRAMS. HOMELESSNESS SERVICES: THE HOSPITAL DOES NOT DIRECTLY ADDRESS HOMELESSNESS; HOWEVER, THE HOSPITAL PARTNERS WITH SEVERAL ORGANIZATIONS THAT SERVE THE HOMELESS, INCLUDING CATHOLIC CHARITIES, ST. JOHN OF GOD, THE VICTOR VALLEY HOMELESS SHELTER, DESERT MANNA, NEW HOPE TRANSITIONAL LIVING, SAN BERNARDINO COUNTY'S HOMELESS OUTREACH AND PROACTIVE ENFORCEMENT PROGRAM, FAMILY ASSIST, VICTOR RESCUE MISSION AND A BETTER WAY DOMESTIC VIOLENCE. THE SJH COMMUNITY PARTNERSHIP FUND ANNUALLY AWARDS PARTNERS GRANTS THAT ADDRESS HOMELESSNESS. ADDITIONALLY, THE HOSPITAL'S MOBILE CLINIC PROGRAMS SUPPORTS HOMELESS HEALTH CARE EVENTS ORGANIZED BY LOCAL PARTNERS. ORAL HEALTH SERVICES: THE HOSPITAL DOES NOT DIRECTLY ADDRESS DENTAL CARE; HOWEVER WE PARTNER WITH SEVERAL ORGANIZATIONS THAT PROVIDE DENTAL SERVICES TO THE UNINSURED AND LOW INCOME, INCLUDING: VICTOR COMMUNITY SERVICES DENTAL PROGRAM, WESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE AND SAN BERNARDINO COUNTY PUBLIC HEALTH. THE HOSPITAL CONTINUES WORKING WITH COUNTY PUBLIC HEALTH TO INFORM RESIDENTS OF A DENTAL PROGRAM AT THE COUNTY'S FQHC CLINIC IN HESPERIA. TRANSPORTATION SERVICES: THE HOSPITAL DOES NOT DIRECTLY ADDRESS COMMUNITY BARRIERS WITH PUBLIC TRANSPORTATION; HOWEVER, THE HOSPITAL PARTNERS WITH VICTOR VALLEY TRANSIT AUTHORITY AND VICTOR COMMUNITY SERVICES COUNCIL TO SUPPORT PR |
| SCHEDULE H, PART V, SECTION B, LINE 13H | THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT. |
| SCHEDULE H, PART V, SECTION B, LINE 16A | THE FAP IS MADE WIDELY AVAILABLE AT: HTTP://WWW.STMARYAPPLEVALLEY.COM/DOCUMENTS/FINANCIAL-ASSISTANCE-POLICY.PDF SCHEDULE H, PART V, SECTION B, LINES 16B & 16C THE FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY IS MADE WIDELY AVAILABLE AT: HTTP://WWW.STMARYAPPLEVALLEY.COM/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-AN D-PAYMENT/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.ASPX |
| SCHEDULE H, PART V, SECTION B, LINE 16I | THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA. |
| SCHEDULE H, PART V, SECTION B, LINE 22D | FOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| OUTPATIENT SURGERY PAVILLION | ||||
| 18122 HIGHWAY 18 | APPLE VALLEY | CA | 92307 | AMBULATORY SURGERY CENTER |
| WOUND CARE CENTER | ||||
| 16077 KAMANA ROAD | APPLE VALLEY | CA | 92307 | WOUND CARE |
| HEALTHY BEGINNINGS CLINIC | ||||
| 18977 S OUTER HWY 18 A | APPLE VALLEY | CA | 92307 | CLINIC |
| ADELANTO CLINIC | ||||
| 11424 CHAMBERLAIN WAY STE 89 | ADELANTO | CA | 92301 | CLINIC |
| HESPERIA CLINIC | ||||
| 17091 MAIN STREET STE 100 | HESPERIA | CA | 92345 | CLINIC |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. |
| SCHEDULE H, PART I, LINE 6A | ST. MARY MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTP://WWW.STMARYAPPLEVALLEY.COM/DOCUMENTS/FY15-COMMUNITY-BENEFIT-REPORT_S MMC_FINAL.PDF |
| SCHEDULE H, PART I, LINE 7 | THE COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COST OF ALL REPORTED CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST. IT INCLUDED ALL PATIENT TYPES (I.E. INPATIENT OUTPATIENT, EMERGENCY ROOM), AND WOULD ONLY INCLUDE CHARGES OR RELATED COSTS THAT PERTAIN TO EACH RESPECTIVE AREA (I.E. CHARITY, MEDICAID, MANAGED CARE, PRIVATE INSURANCE, SELF PAY, UNINSURED, ETC.). FOR UNREIMBURSED COSTS, THAT WOULD BE THE DIFFERENCE BETWEEN THE DETERMINED COSTS LESS PAYMENTS RECEIVED FOR THAT PARTIAL PAYOR GROUP. THE COSTS USED WERE NOT DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. |
| SCHEDULE H, PART I, LINE 7G | SUBSIDIZED HEALTH SERVICES NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. |
| SCHEDULE H, PART II | COMMUNITY BUILDING ACTIVITIES THE HOSPITAL CONDUCTS A RANGE OF COMMUNITY BUILDING ACTIVITIES IN PARTNERSHIP WITH A GOVERNMENT AND PRIVATE PARTNERS. THE HOSPITAL SUPPORTS ONE REGIONAL HEALTH COLLABORATIVE NAMED HEALTHY HIGH DESERT. THE COLLABORATIVE IS COMPRISED OF FOUR HEALTHY CITY PROGRAMS, COUNTY PUBLIC HEALTH AND NUMEROUS LOCAL HEALTH AND SOCIAL AGENCIES. THE REGIONAL HEALTH COLLABORATIVE HOLDS AN ANNUAL HEALTH SUMMIT REPORTING ON EFFORTS PROMOTING OR PROTECTING THE HEALTH OF RESIDENTS. MILESTONES INCLUDE PASSAGE OF POLICIES ADDRESSING SMOKING, INSTALLATION OF BICYCLE LANES AND FITNESS PARKS AND IMPROVEMENTS TO STREETS FOR PUBLIC SAFETY. THE HOSPITAL IS ONE OF SEVERAL HOSPITAL AND HEALTH PARTNERS SUPPORTING THE CAMPAIGN. THE HOSPITAL SUPPORTS FOUR LOCAL HEALTHY CITY CAMPAIGNS WHERE A CROSS SECTION OF THE COMMUNITY DISCUSSES STRATEGIES TO IMPROVE HEALTH. THESE CAMPAIGNS ARE HOSTED BY THE CITIES OF ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE. EACH CITY IS ADDRESSING ISSUES INCLUDING, BUT NOT LIMITED TO: SUPPORTING HEALTH PROGRAMS WORKING WITH RESIDENTS; ASSESSING THE PASSAGE OF CITY POLICIES PROMOTING HEALTH AND EXPANDING ACCESS TO COMMUNITY GARDENS AND LOCAL FRESH PRODUCE MARKETS. THE HOSPITAL IS ALSO ACTIVE IN A REGIONAL HEALTH CAREER COLLABORATIVE WITH FOUR HIGH SCHOOL DISTRICTS AND TWO HOSPITALS SERVING AS A TRAINING SITE TEACHING STUDENTS CLINCAL SKILLS. THE HOSPITAL CONTINUES TO BUILD ON ITS COLLEGE HEALTH CAREERS PROGRAM WITH FOUR LOCAL COLLEGES. THE COMBINED HEALTH CAREER PROGRAMS ADDRESSES A REGIONAL SHORTAGE OF SKILLED HEALTH PROFESSIONALS. COMMUNITIES WITHIN THE HOSPITAL'S SERVICE AREA ARE LISTED AS A PROFESSIONAL HEALTHCARE SHORTAGE AREA BY THE FEDERAL GOVERNMENT. |
| SCHEDULE H, PART III, LINE 2 | METHODOLOGY FOR CALCULATING BAD DEBT THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS 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, LINE 4 | FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS - 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, LINE 8 | BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING CMS STANDARD COSTING METHODS. THIS INCLUDES STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS. |
| SCHEDULE H, PART III, LINE 9B | PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT THE HOSPITAL HAS PRIORITIZED FINDINGS OF THE FY14 CHNA TO FOUR: ACCESS TO CARE, DIABETES, OBESITY AND MENTAL HEALTH. HOSPITAL PROGRAMS HAVE BEEN IMPLEMENTED TO ADDRESS EACH OF THE FOUR PRIORITIES INCLUDING THE USE OF FIXED AND MOBILE SERVICES WITH CLINICAL STAFF REPORTING THE NUMBER OF PERSONS SERVED. ADDITIONAL HEALTH FINDINGS ARE BEING ADDRESSED WITH ASSISTANCE OF COMMUNITY PARTNERS. EXAMPLES INCLUDE: ST. JOHN OF GOD PROVIDING DRUG AND ALCOHOL SERVICES, INSTITUTE OF PUBLIC STRATEGIES ADDRESSING UNSAFE STREETS AND ALCOHOL AND TOBACCO RELATED CRIME AND LOCAL SHELTERS AND FOOD PANTRIES ASSISTING WITH POVERTY. THE HOSPITAL CONTINUES A MULTI-YEAR PARTNERSHIP WITH SAN BERNARDINO COUNTY PUBLIC HEALTH TO EXPAND HEALTH ACCESS WITH CLINICS AND MOBILE SERVICES. THE COUNTY OPERATES CLINICS WITH SERVICES NOT OFFERED BY THE HOSPITAL INCLUDING DENTAL CARE. THE HOSPITAL LOOKS TO PARTNERS WITH EXPERTISE AND RESOURCES TO ASSIST MEETING COMMUNITY NEEDS IDENTIFIED BY THE HOSPITAL'S CHNA. EXAMPLES INCLUDE: DEVELOPING HEALTHY CITY CAMPAIGNS TO ADDRESS OBESITY AND EXPANSION OF HEALTHY FOODS IN LOW INCOME COMMUNITIES WITH ASSISTANCE OF COUNTY PUBLIC HEALTH. WHERE POSSIBLE, THE HOSPITAL PROVIDES GRANTS TO ADDRESS UNMET NEEDS INCLUDING SUPPORT OF SHELTERS FOR VICTIMS OF ABUSE OR TRAFFICKING. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION ST. MARY MEDICAL CENTER (SMMC) PROVIDES THE VICTOR VALLEY AND BARSTOW COMMUNITIES WITH ACCESS TO ADVANCED CARE. THE COMMUNITY BENEFIT SERVICE AREA IS DEFINED AS SERVING THE VICTOR VALLEY REGION OF SAN BERNARDINO COUNTY WITH A TOTAL POPULATION OF 430,795 AS REPORTED BY 2010 U.S. CENSUS DATA. OVER 90% OF THE HOSPITAL'S COMMUNITY BENEFIT AREA HAS BEEN IDENTIFIED AS "HIGH NEED" FROM SCORING AND AGGREGATING SOCIOECONOMIC INDICATORS (E.G. INCOME, RACE, FAMILY SIZE) CONTRIBUTING TO HEALTH DISPARITIES. A DETAILED LOOK AT MAJOR POPULATION CENTERS SERVED BY THE HOSPITAL FOLLOWS DEPICTING THE HOSPITAL'S SERVICE AREAS: APPLE VALLEY - HAS 69,135 RESIDENTS AS REPORTED BY THE 2010 CENSUS. THE TOWN IS THE HOME COMMUNITY TO SMMC. THE TOWN IS 73.5 SQUARE MILES AT AN ELEVATION OF 2,946 FEET WITH 23,598 HOUSEHOLDS WITH 69% WHITE, 29.2% HISPANIC AND 9.1% BLACK AND 2.9% ASIAN. APPROXIMATELY 31% OF RESIDENTS ARE BETWEEN THE AGES OF 0-19 YEARS JUST HIGHER THAN THE COUNTY AVERAGE AND RESIDENTS AGED 50 TO 85 YEARS (A TOTAL OF 35%) MAKE UP A HIGHER PERCENTAGE OF RESIDENTS THAN REPORTED AT THE COUNTY AND STATE LEVEL. THE SENIOR COMMUNITY HAS A HIGH PREVALENCE OF ADULT OBESITY, PROBLEMS ACCESSING SPECIALTY CARE, DIABETES AND PHYSICAL LIMITATIONS. ASIAN HOUSEHOLD INCOME IS REPORTED AT $86,719 WHICH IS HIGHER THAN COUNTY AND STATE LEVELS. MEDIAN HOUSEHOLD INCOME IS $56,547 WHICH IS HIGHER THAN THE COUNTY BUT LOWER THAN THE STATE LEVEL. HISPANICS AND BLACKS SUFFER UNEMPLOYMENT RATES OF 17.0% AND 20.9% RESPECTIVELY, NEARLY DOUBLE THE 9% RATE FOR WHITE RESIDENTS. THE TOWN OF APPLE VALLEY WAS THE FIRST COMMUNITY TO START A HEALTHY CITY CAMPAIGN; THE HOSPITAL AND ITS PHYSICIAN PARTNERS PROVIDE EXTENSIVE EDUCATION SERVICES TO THE TOWN'S SENIOR POPULATION FROM A SENIOR SELECT EDUCATION CENTER LOCATED IN THE COMMUNITY. THIS PROGRAM REPORTS THE LARGEST MEMBERSHIP IN THE REGION OFFERING WEEKLY EDUCATIONAL, HEALTH PROMOTION AND SOCIAL PROGRAMS TO ITS MEMBERS. THE HOSPITAL ALSO OPERATES A COMMUNITY CLINIC AND A MOBILE MEDICAL CLINIC SERVING RESIDENTS WHO ARE UNINSURED AND/OR LOW INCOME. THE MOBILE MEDICAL PROGRAM SERVES THE POOREST NEIGHBORHOOD IN APPLE VALLEY LOCATED ALONG HIGHWAY 18 AND NAVAJO ROAD. VICTORVILLE - THE STATE OF CALIFORNIA'S 50TH LARGEST CITY HAS A 2010 US CENSUS REPORTED POPULATION OF 115,903. THE CITY IS APPROXIMATELY 74 SQUARE MILES IN SIZE AT AN ELEVATION OF 2,726 FT. DEMOGRAPHIC DATA REPORTS 47.8% OF RESIDENTS ARE HISPANIC WITH WHITE RESIDENTS AT 28.3% FOLLOWED BY BLACK RESIDENTS AT 16%. OVER 30% OF RESIDENTS ARE BETWEEN THE AGES OF 0 TO 19 YEARS OF AGE WHICH AS A PERCENTAGE IS LARGER THAN REPORTED AT THE COUNTY LEVEL. ECONOMIC DATA REPORTS THE MEDIAN INCOME IN VICTORVILLE IS $52,983 (AMONG AFRICAN AMERICAN FAMILIES AT JUST $44,767) WITH POVERTY HIGHEST (30%) IN AFRICAN AMERICAN FAMILIES FOLLOWED BY HISPANIC (16%) AND WHITE (9%). THE CITY HAS FORMED A "HEALTHY VICTORVILLE" CAMPAIGN IN PARTNERSHIP WITH COUNTY PUBLIC HEALTH, SMMC, DESERT VALLEY HOSPITAL, KAISER AND VICTOR GLOBAL MEDICAL CENTER IN A COLLABORATIVE EFFORT TO PROMOTE HEALTH AND IMPROVE NEIGHBORHOODS WITH SAFER STREETS AND ACCESS TO HEALTHY FOODS. THE HOSPITAL PROVIDES A MOBILE MEDICAL CLINIC TO MANY OF THE NEIGHBORHOODS IN THE COMMUNITY AND SUPPORTS SEVERAL LOCAL AGENCIES WITH GRANTS TO SERVE A VARIETY OF PERSONS IN CRISIS. THE HOSPITAL ALSO ASSISTED THE OPENING OF A NON-PROFIT CLINIC NAMED MISSION CITY WHICH IS CURRENTLY PROVIDING SOME BEHAVIORAL HEALTH SERVICES. ADDITIONALLY, MOLINA HEALTH HAS OPENED A PRIMARY CARE CLINIC SERVING LOW INCOME PATIENTS. BOTH CLINICS EXPAND ACCESS TO CARE IN THIS LOW INCOME COMMUNITY OF OLD-TOWN VICTORVILLE WHICH HAS BEEN IDENTIFIED BY THE HOSPITAL HAS ONE OF THE POOREST USING A HARDSHIP INDEX. HESPERIA - HAS 90,173 RESIDENTS AS REPORTED BY THE 2010 CENSUS. THE CITY IS 73 SQUARE MILES AT AN ELEVATION OF 3,186 FEET. THE CITY HAS NO HOSPITAL AND RESIDENTS ARE DEPENDENT ON ACCESSING ACUTE CARE AT VICTORVILLE AND APPLE VALLEY HOSPITALS 10 TO 15 MILES AWAY. THERE ARE A REPORTED 26,431 HOUSEHOLDS WITH 21.9% OF BLACK FAMILIES LIVING IN POVERTY FOLLOWED BY 20.9% FOR HISPANIC AND 9.6% FOR WHITE FAMILIES. THESE POVERTY RATES ARE HIGHER THAN COUNTY AND STATE LEVELS. HOUSEHOLD INCOME IS $51,676, (LOWER THAN COUNTY AND STATE LEVELS) WITH HISPANIC FAMILY INCOME REPORTED AT $42,897, BLACK AT $49,185 AND WHITE AT $61,795. AN ESTIMATED 35.8% OF RESIDENTS ARE BETWEEN THE AGES OF 0-19 YEARS OF AGE, A HIGHER PERCENTAGE THAN REPORTED AT THE COUNTY AND STATE LEVEL. THE PERCENTAGE OF STUDENTS WHO ARE REPORTED AS OVERWEIGHT/OBESE IS 41% SLIGHTLY HIGHER THAN THE COUNTY AND STATE RATINGS OF 39.3% AND 38% RESPECTIVELY. HESPERIA IS IN THE EARLY STAGES OF A "HEALTHY HESPERIA" CAMPAIGN THAT INCLUDES CITY REPRESENTATIVES, PUBLIC HEALTH, SMMC AND REPRESENTATIVES FROM THE SCHOOL AND PARK AND RECREATION DISTRICTS. THE HOSPITAL OPERATES A COMMUNITY CLINIC SERVING THE POOR AND LOCATED NEAR THE CITY'S POOREST NEIGHBORHOOD. ADELANTO - HAS 31,765 RESIDENTS AS REPORTED BY THE 2010 CENSUS. THE CITY IS 56 SQUARE MILES AND AT AN ELEVATION OF 2,871 FEET WITH 58.3% HISPANIC, 43% WHITE, AND 20% BLACK. THERE ARE 7,809 HOUSEHOLDS. OVER 40% OF RESIDENTS ARE BETWEEN THE AGES OF 0 TO 19 YEARS, SEVERAL PERCENTAGE POINTS HIGHER THAN COUNTY AND STATE LEVELS AND CONVERSELY, FEWER RESIDENTS ARE AGED 50 YEARS AND OLDER THAN WHAT IS REPORTED AT COUNTY AND STATE LEVELS. THE COMMUNITY IS DESIGNATED AS MEDICALLY UNDERSERVED BY HRSA. MEDIAN HOUSEHOLD INCOME IS $41,475 WITH BLACK FAMILIES EARNING THE LOWEST - ONLY $28,310, WHICH IS ALMOST HALF THE COUNTY AND STATE RATE FOR BLACK HOUSEHOLDS. UNEMPLOYMENT IS 15.75% AND AS HIGH AS 28.8% FOR HOUSEHOLDS OF TWO OR MORE RACES. THE CITY HAS FEW EMPLOYERS, OR COLLEGES, VERY FEW RETAILERS GENERATING SALES TAX REVENUE, WITH SEVERAL PRISONS IN OPERATION. ONLY 11.5% OF RESIDENTS ARE REPORTED TO HAVE ATTAINED COLLEGE DEGREES, SIGNIFICANTLY LESS THAN THE COUNTY AND STATE LEVELS. THE HOSPITAL WORKS CLOSELY WITH CITY LEADERS WHO RECENTLY FORMED A HEALTHY CITY CAMPAIGN. THIS CAMPAIGN INCLUDES CITY, HOSPITAL AND NONPROFIT REPRESENTATIVES AS WELL AS LOCAL SCHOOL LEADERS. THE HOSPITAL OPERATES A COMMUNITY CLINIC SERVING THE POOREST NEIGHBORHOODS IDENTIFIED BY THE HOSPITAL'S NEEDS ASSESSMENT PROCESS. SERVICES INCLUDE PRIMARY CARE, EDUCATION, COUNSELING, NUTRITION AND MATERNAL CHILD CARE. ADDITIONALLY, THE HOSPITAL AWARDS GRANTS TO PARTNERS SERVING PERSONS EXPERIENCING A VARIETY OF ECONOMIC, HEALTH AND SOCIAL CRISIS. THE HOSPITAL ASSISTED MOLINA HEALTH TO OPEN A PRIMARY CARE CLINIC SERVING MEDI-CAL PATIENTS IN 2013. THE COMMUNITY HAS NO URGENT CARE OR SPECIALTY CARE PROVIDERS. SAN BERNARDINO COUNTY OPERATES A COMMUNITY CLINIC AND A WOMEN, INFANT AND CHILDREN OFFICE PROVIDES SERVICES. THE HOSPITAL SERVES ON THE CHAMBER OF COMMERCE AND MAKES GRANTS TO PARTNERS. BARSTOW - HAS 22,639 RESIDENTS AS REPORTED BY THE 2010 CENSUS. THE CITY IS LOCATED MIDWAY BETWEEN LOS ANGELES AND LAS VEGAS AND IS 41 SQUARE MILES IN SIZE AT AN ELEVATION OF 2,178 FEET. THERE ARE 8,085 HOUSEHOLDS WITH 52% WHITE, 42% HISPANIC AND 14% BLACK. ECONOMIC DATA INDICATES 27% OF FAMILIES LIVE BELOW THE FEDERAL POVERTY LEVEL WITH THE HIGHEST LEVELS REPORTED IN HOUSEHOLDS WITH YOUNG CHILDREN. BLACK FAMILIES HAVE THE HIGHEST RATES OF POVERTY AT 29.2% FOLLOWED BY HISPANIC AT 23% AND WHITES AT 16.9%. THE CITY IS 31 MILES EAST OF SMMC. BARSTOW HAS A 30-BED HOSPITAL PROVIDING ITS RESIDENTS 24 HOUR EMERGENCY ROOM SERVICES, AS WELL AS OB AND RESPIRATORY CARE. PATIENTS WITH SPECIALTY CARE NEEDS TRAVEL 40 MILES TO SMMC FOR TREATMENT OR, MUST TRAVEL AN ADDITIONAL 45 MILES TO ACCESS CARE AT THE COUNTY'S SAFETY NET HOSPITAL ARROWHEAD REGIONAL MEDICAL CENTER. BARSTOW IS SUPPORTED WITH A PUBLIC HEALTH CLINIC OFFERING SOME PRIMARY AND BEHAVIORAL HEALTH SERVICES, IMMUNIZATIONS AND HEALTH EDUCATION. FINALLY, THE COMMUNITIES OF ADELANTO HAVE BEEN DESIGNATED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AS A MEDICALLY UNDERSERVED AREA WITH BARSTOW DESIGNATED AS BEING A PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA AND A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA. THE HOSPITAL CONTINUES TO OPERATE A CLINIC SERVING ADELANTO AND IN 2012 RECRUITED MOLINA TO OPEN A PRIMARY CARE CLINIC THERE. |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH ST. MARY MEDICAL CENTER (SMMC) HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 60 YEARS. SERVING THE COMMUNITIES OF APPLE VALLEY, VICTORVILLE, HESPERIA, ADELANTO AND BARSTOW IN THE HIGH DESERT REGION IS AN ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF 24-HOUR EMERGENCY SERVICES, COMPREHENSIVE CARDIAC SERVICES, OUTPATIENT SURGERY PAVILION, PEDIATRIC CARE, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, COMMUNITY CLINICS AND MOBILE HEALTH SERVICES SERVING THE POOR, CHEST PAIN EMERGENCY CENTER, OPEN HEART SURGERY PROGRAM, LEVEL II NEONATAL INTENSIVE CARE, DIAGNOSTIC IMAGING SERVICES, DIABETES EDUCATION SERVICES, PHYSICAL REFERRAL SERVICES, ROBOTIC-ASSISTED SURGERY PROGRAM AND WOUND CARE AND HYPERBARIC MEDICINE. WITH OVER 1,650 EMPLOYEES COMMITTED TO REALIZING THE MISSION, SMMC IS ONE OF THE LARGEST EMPLOYERS IN THE HIGH DESERT REGION. SMMC 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. SMMC 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 SMMC 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. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM ST. MARY MEDICAL CENTER (SMMC) IS A HEALING MINISTRY OF ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. ST. JOSEPH HEALTH IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 16 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. IN 1986, ST. JOSEPH HEALTH (SJH) 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 FREE CARE FOR THOSE IN NEED OF ACUTE SERVICES, SJH CREATED THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND (FORMERLY THE ST. JOSEPH HEALTH FOUNDATION) TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. EVERY YEAR, EACH ST. JOSEPH HEALTH HOSPITAL MINISTRY CONTRIBUTES 10 PERCENT OF ITS NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. IN FY15, SJH CPF RECEIVED A TOTAL OF $31 MILLION DOLLARS. 75% OF THE CONTRIBUTIONS ARE USED TO SUPPORT CARE FOR THE POOR PROGRAMS THAT ARE SELECTED LOCALLY BY EACH HOSPITAL. 17.5% IS USED TO SUPPORT COMMUNITY PARTNERSHIP FUND INITIATIVES, SUCH AS THE WELLNESS AND PREVENTION INITIATIVE, AND THE COMMUNITY BUILDING INITIATIVE. THE REMAINING 7.5% IS DESIGNATED TOWARD THE ENDOWMENT, WHICH HELPS ENSURE THE FUND'S ABILITY TO SUSTAIN PROGRAMS INTO THE FUTURE THAT ASSIST LOW-INCOME AND UNDERSERVED POPULATIONS. COMMUNITY INVESTMENT FUND ST. JOSEPH HEALTH FURTHER RECOGNIZES THAT THE HEALTH OF ANY COMMUNITY DEPENDS ON THE MAINTENANCE AND CREATION OF STRONG STRUCTURES-BOTH PHYSICAL AND SOCIAL-THAT CONTRIBUTE TO THE LONG-TERM WELL-BEING OF PEOPLE. THAT PHILOSOPHY INSPIRED THE INITIATION OF THE COMMUNITY INVESTMENT FUND-AN EFFORT TO ENABLE NON-PROFIT 501 (C)(3) ORGANIZATIONS TO ACHIEVE THEIR FULL POTENTIAL AND PLAY A MAJOR ROLE IN THE GROWTH OF THEIR COMMUNITIES. THE COMMUNITY INVESTMENT FUND PROVIDES CAPITAL IN THE FORM OF LOANS, DEPOSITS OR OTHER SUPPORT TO NON-PROFITS TO PROMOTE SOCIAL GOOD AND THE DEVELOPMENT OF HEALTHIER COMMUNITIES. IN FY15, A TOTAL OF $9.4 MILLION WAS INVESTED INTO THE COMMUNITY THROUGH LOANS AND LINES OF CREDIT. FUNDED NON-PROFITS INCLUDE THOSE THAT SERVE THE HOMELESS, PROVIDE AFFORDABLE HOUSING, PROVIDE ACCESS TO PRIMARY MEDICAL CARE, AND ADDRESS YOUTH DEVELOPMENT. LEARN MORE ABOUT SJH COMMUNITY BENEFIT TO STJHS.ORG. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| CATHOLIC CHARITIES | ||||||||
| 1450 N D STREET | SAN BERNARDINO | CA | 92405 | 953516461 | 501(c)(3) | $30,000 | $0 | PROGRAM SUPPORT |
| ST JOHN OF GOD | ||||||||
| 13333 PALMDALE RD | VICTORVILLE | CA | 92392 | 953806996 | 501(c)(3) | $40,000 | $0 | PROGRAM SUPPORT |
| VICTOR VALLEY COMM DENTAL | ||||||||
| 14357 7TH STREET | VICTORVILLE | CA | 92392 | 330858710 | 501(c)(3) | $7,000 | $0 | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS COMMUNITY BENEFIT COMMITTEE OVERSEES/MONITORS GRANT USAGE ON A MONTHLY BASIS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEVIN MURPHY | ||||||||||||||
| BOARD OF DIRECTOR (PART YEAR) | $0 | $247,705 | $0 | $116,288 | $0 | $68,448 | $0 | $18,002 | $0 | $32,387 | $0 | $482,830 | $0 | $0 |
| ALAN GARRETT | ||||||||||||||
| PRESIDENT/CEO | $0 | $476,659 | $0 | $127,860 | $0 | $148,046 | $0 | $23,400 | $0 | $24,744 | $0 | $800,709 | $0 | $0 |
| DAVID O'BRIEN | ||||||||||||||
| CEO - HUMBOLDT (FMR KEY EMPL) | $0 | $404,682 | $0 | $243,805 | $0 | $111,787 | $0 | $18,200 | $0 | $23,615 | $0 | $802,089 | $0 | $0 |
| KIMBERLY DIEMLING | ||||||||||||||
| CERTIFIED NURSE MIDWIFE | $106,297 | $0 | $73,342 | $0 | $7,908 | $0 | $15,249 | $0 | $15,229 | $0 | $218,025 | $0 | $0 | $0 |
| MARILYN PLATT | ||||||||||||||
| CERTIFIED NURSE MIDWIFE/SUPVR | $153,440 | $0 | $47,787 | $0 | $0 | $0 | $15,272 | $0 | $8,217 | $0 | $224,716 | $0 | $0 | $0 |
| TRACEY FERNANDEZ | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $251,946 | $0 | $84,707 | $0 | $3,956 | $0 | $9,994 | $0 | $25,396 | $0 | $375,999 | $0 | $0 | $0 |
| MARILYN DRONE | ||||||||||||||
| CHIEF NURSING OFFICER | $229,551 | $0 | $81,216 | $0 | $4,835 | $0 | $11,268 | $0 | $22,992 | $0 | $349,862 | $0 | $0 | $0 |
| KELLY LINDEN | ||||||||||||||
| CHIEF OPERATING OFFICER | $287,555 | $0 | $151,415 | $0 | $4,286 | $0 | $10,400 | $0 | $23,176 | $0 | $476,832 | $0 | $0 | $0 |
| LAURIE ROBERTS | ||||||||||||||
| DIR COMMUNITY HEALTH | $153,523 | $0 | $88,724 | $0 | $6,061 | $0 | $17,706 | $0 | $8,042 | $0 | $274,056 | $0 | $0 | $0 |
| TARA COWELL | ||||||||||||||
| SECRETARY | $0 | $245,980 | $0 | $115,119 | $0 | $48,461 | $0 | $17,821 | $0 | $26,777 | $0 | $454,158 | $0 | $0 |
| NOAH ENGLISH-CROGAN | ||||||||||||||
| STAFF RN | $215,510 | $0 | $0 | $0 | $42 | $0 | $0 | $0 | $7,237 | $0 | $222,789 | $0 | $0 | $0 |
| DOUGLAS DAVIS | ||||||||||||||
| STAFF RN | $191,791 | $0 | $0 | $0 | $0 | $0 | $7,688 | $0 | $7,311 | $0 | $206,790 | $0 | $0 | $0 |
| PAUL KAMINSKI | ||||||||||||||
| VP FOUNDATION | $141,585 | $0 | $46,087 | $0 | $2,379 | $0 | $1,628 | $0 | $21,792 | $0 | $213,471 | $0 | $0 | $0 |
| DENNIS HAGHIGHAT MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $283,452 | $0 | $101,185 | $0 | $4,902 | $0 | $13,000 | $0 | $10,638 | $0 | $413,177 | $0 | $0 | $0 |
| JUDY WAGNER | ||||||||||||||
| VP MISSION INTEGRATION | $130,438 | $0 | $30,266 | $0 | $1,710 | $0 | $0 | $0 | $7,708 | $0 | $170,122 | $0 | $0 | $0 |
| RANDY BEVILACQUA | ||||||||||||||
| VP COMMUNICATIONS | $183,250 | $0 | $66,476 | $0 | $6,316 | $0 | $14,823 | $0 | $15,786 | $0 | $286,651 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | SUPPLEMENTAL COMPENSATION INFORMATION TAX INDEMNIFICATION AND GROSS-UP PAYMENTS GIFT CARDS PROVIDED TO EMPLOYEES DURING CHRISTMAS AND THROUGHOUT THE YEAR FOR REWARD AND RECOGNITION ARE GROSSED UP AND TAXES ARE PAID BY THE MINISTRY. 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 3 | THE 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 THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM. |
| SCHEDULE J, PART I, LINE 4B | EXECUTIVES PREVIOUSLY 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. |
| SCHEDULE J, PART I, LINE 7 | A 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. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE 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 M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $518,719 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN B | FormAndLineReferenceDesc |
| Explanation | THE AMOUNTS REPORTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | PROGRAM SERVICE ACCOMPLISHMENTS REALIZING OUR MISSION ST. JOSEPH HEALTH, ST. MARY MEDICAL CENTER (SMMC), HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE PEOPLE IN THE LOCAL COMMUNITY FOR OVER 60 YEARS. SERVING THE COMMUNITIES OF ADELANTO, APPLE VALLEY, BARSTOW, HESPERIA AND VICTORVILLE IN THE HIGH DESERT REGION IN THE COUNTY OF SAN BERNARDINO, ST. JOSEPH HEALTH, SMMC IS AN ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF 24-HOUR EMERGENCY SERVICES, COMPREHENSIVE CARDIAC SERVICES, OUTPATIENT SURGERY PAVILION, PEDIATRIC CARE, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, COMMUNITY CLINICS AND MOBILE HEALTH SERVICES SERVING THE POOR, CHEST PAIN EMERGENCY CENTER, OPEN HEART SURGERY PROGRAM, LEVEL II NEONATAL INTENSIVE CARE, DIAGNOSTIC IMAGING SERVICES, DIABETES EDUCATION SERVICES, PHYSICAL REFERRAL SERVICES, ROBOTIC-ASSISTED SURGERY PROGRAM AND WOUND CARE AND HYPERBARIC MEDICINE WITH OVER 1,650 EMPLOYEES COMMITTED TO REALIZING THE MISSION, ST. JOSEPH HEALTH, SMMC IS ONE OF THE LARGEST EMPLOYERS IN THE HIGH DESERT REGION. AS A MEMBER OF ST. JOSEPH HEALTH, ST. JOSEPH HEALTH, SMMC IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR 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 FLEXIBLITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. PATIENT FINANCIAL ASSISTANCE PROGRAM ST. JOSEPH HEALTH, SMMC BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST. JOSEPH HEALTH, SMMC HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY15, ST. JOSEPH HEALTH, SMMC PROVIDED $3,445,316 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM ST. JOSEPH HEALTH, SMMC PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY15, ST. JOSEPH HEALTH, SMMC PROVIDED (-$7,644,015) IN MEDICAID SHORTFALL. PROGRAM SERVICE ACCOMPLISHMENTS THE FOLLOWING THREE PRIORITY INITIATIVES REFLECTS KEY PROGRAM SERVICE ACCOMPLISHMENTS FOR ST. MARY MEDICAL CENTER: EXPANDING DIABETES CARE INITIATIVE: SMMC IS THE REGION'S ONLY PROVIDER OF COMPREHENSIVE DIABETES EDUCATION TO THE UNDERINSURED AND UNINSURED. AS PART OF ITS COMMUNITY BENEFIT PLAN SMMC'S DIABETES PROGRAM ACHIEVED THE FOLLOWING: - 1,842 CLINICAL ENCOUNTERS; INCLUDING COUNSELING AND EDUCATION SESSIONS ON DIABETES SELF-CARE. IN ADDITION, PATIENTS RECEIVING PRIMARY CARE AT SMMC HIGH DESERT MEDICAL GROUP AND LOW INCOME AND UNINSURED PERSONS RECEIVING CARE AT THE HOSPITAL'S APPLE VALLEY AND ADELANTO FIX-SITE CLINICS OR THROUGH THE MOBILE VAN. SMMC DIETITIANS' WORKED WITH COMMUNITY HEALTH ACTION NETWORK TO PROVIDE DIABETES EDUCATION TO RESIDENTS LIVING IN LOW-INCOME NEIGHBORHOODS. IN 2015 RESIDENTS AT ONE SCHOOL EXPANDED COMMUNITY GARDENS; AND THE HOSPITAL FUNDED SQUASH4FRIENDS (A COMMUNITY PARTNER) THAT PROVIDED 15,000 POUNDS OF FRESH PRODUCE TO SENIOR PARKS, FOOD KITCHENS AND CHURCH FOOD MINISTRIES SERVING THE POOR. THE GARDEN IS THE AREA'S LARGEST AND THE ONLY FOCUSING ON INCREASING DAILY CONSUMPTION OF FRUITS AND VEGETABLES FOR THE POOR AND HOMELESS. IMPROVING ACCESS TO CARE INITIATIVE LINKING TO CHNA EFFORTS IMPROVING ACCESS TO CARE AIMS TO ADDRESS MARKED SHORTAGES OF HEALTH SERVICES INCLUDING PRIMARY AND SPECIALTY CARE ACROSS THE HOSPITAL'S SERVICE AREA. THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS ACCESS CONCERNS BY 41.5% OF RESPONDENTS, AN INCREASE OVER 38.4% REPORTED IN 2007 AND SIGNIFICANTLY HIGHER THAN THE 37.7% REPORTED NATIONALLY. ACCESS ISSUES ARE EXACERBATED BY SAN BERNARDINO COUNTY'S ONLY SAFETY NET HOSPITAL LOCATED 45 MILES FROM THE COMMUNITY. CHRONIC CONDITIONS INCLUDING POVERTY AND MENTAL ILLNESS OFTEN IMPAIR PEOPLE FROM ACCESSING CARE. ACCESS ISSUES INCLUDE, BUT ARE NOT LIMITED TO: LACK OF TRANSPORTATION, HEALTH INSURANCE AND COST RELATED ISSUES, THE SHORTAGE OF HEALTH CARE PROFESSIONALS PARTICULARLY PRIMARY CARE PROVIDERS WHO ARE BILINGUAL AND GAPS IN HEALTH. IN FY15, SMMC ACHIEVED THE FOLLOWING: COMPLETED 29,016 COMMUNITY CLINIC ENCOUNTERS WHILE SERVING POOR AND RURAL PERSONS LIVING IN THE HIGH DESERT REGION; 2,422 UNINSURED PERSONS WERE ENROLLED INTO COVERED CALIFORNIA OR MEDI-CAL INSURANCE. AN INVESTMENT OF $659,435 TO DO COMMUNITY HEALTH IMPROVEMENT SERVICES IN THE HIGH DESERT. THIS INCLUDED TRANSPORTATION, POST-ACUTE CARE FOR HOMELESS AND UNINSURED PATIENTS, AND TWO GRANTS AIMED AT CREATING HEALTHIER CITIES. IN RELATIONS TO OUR PRIORITY OF DECREASING OBESITY THE FOLLOWING RESULTS ARE WORTH MENTIONING: OBESITY INITIATIVE: ADDRESSING OBESITY AND NUTRITION CAMPAIGNS WHERE 37% AND 33% OF RESIDENTS ARE IDENTIFIED AS EITHER OVERWEIGHT OR OBESE. IMPLEMENTED WEIGHT LOSS PROGRAMS IN SCHOOLS AND THE COMMUNITY. IN FY15: - 110 ADULTS AND CHILDREN ACHIEVED WEIGHT LOSS WHILE PROVIDING 608 CLINICAL ENCOUNTERS AND 807 BODY MASS INDEX MEASURES. - PROVIDED 1,811 EXERCISE ENCOUNTERS; FACILITATED TWO GRANTS CREATING NEIGHBORHOOD EXERCISE PARKS AND SUPPORTING TWO INAUGURAL MAYOR WEIGHT LOSS CHALLENGES IN THE COMMUNITIES OF APPLE VALLEY AND ADELANTO. AN INVESTMENT OF $429,179 TOWARDS DEVELOPING THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS. A TOTAL OF 297 STUDENTS COMPLETED THEIR CLINICAL HOURS AT OUR FACILITY, WHICH INCLUDED 250 NURSING STUDENTS. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, SMMC, PLEASE VISIT WWW.STMARYAPPLEVALLEY.COM FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG. |
| FORM 990, PART VI, LINE 6 | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE CORPORATE MEMBERS OF ST. MARY MEDICAL CENTER. |
| FORM 990, PART VI, LINE 7A | DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. MARY MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. MARY MEDICAL CENTER BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST. MARY MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS A CORPORATE MEMBER, AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD. |
| FORM 990, PART VI, LINE 7B | DESCR CLASSES OF PERSONS, DECISIONS REQ APPR & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. |
| FORM 990, PART VI, LINE 11B | DESCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY THE CHIEF FINANCIAL 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 12C | CONFLICT OF INTEREST POLICY OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN CONNECTION WITH THAT INDIVIDUAL SATISFYING THEIR FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WITH GUIDANCE FROM THE ST. JOSEPH HEALTH SYSTEM CHIEF COMPLIANCE OFFICER (CCO), THE CHIEF EXECUTIVE AND/OR THE GOVERNING BOARD CHAIRPERSON, AS APPROPRIATE, CONSIDERS THE MATTER INITIALLY. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL, THE MATTER IS ESCALATED TO THE CCO. THE CCO, IN CONSULTATION WITH THE ST. JOSEPH HEALTH SYSTEM GENERAL COUNSEL, REVIEWS THE MATTER AND PRESENTS RECOMMENDATIONS TO THE GOVERNING BOARD AND/OR BOARD COMMITTEE, AS APPROPRIATE, FOR DISCUSSION AND VOTE. THE INDIVIDUAL WHOSE POTENTIAL CONFLICT IS BEING REVIEWED MAY BE REQUESTED TO BE PRESENT DURING ANY MEETING IN WHICH THE BOARD OR BOARD COMMITTEE CONDUCTS ITS EVALUATION BUT SHALL BE EXCUSED FOR ANY DISCUSSION OR VOTE. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. |
| FORM 990, PART VI, LINES 15A & 15B | PROCESS USED TO DETERMINE COMPENSATION THE 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. MARY MEDICAL CENTER COMPENSATION AND BENEFITS 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. MARY MEDICAL CENTER COMPENSATION AND BENEFITS COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTNG FIRM WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION. IN ADDITION, ANNUAL INCENTIVE AWARDS ARE REVIEWED AND APPROVED PRIOR TO PAYMENT CONSISTENT WITH THE MOST RECENT COMPENSATION BIENNIAL REVIEW AND IN ACCORDANCE WITH THE PLAN DOCUMENT. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES WHICH ARE SUBSEQUENTLY APPROVED AT THE COMMITTEE MEETING. |
| FORM 990, PART VI, LINE 19 | AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990. |
| FORM 990, PART XI, LINE 9 | CHANGES IN NET ASSETS OR FUND BALANCE SJHS EQUITY TRANSFER ($ 17,493,256) SJHHF EQUITY TRANSFER ($ 10,305,739) -------------- TOTAL ($ 27,798,995) |
| FORM 990 PART IX LINE 11G | DESCRIPTION:GENERAL ADMIN & ASSET RETIRE TOTAL FEES:15553896 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:8475843 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:2478561 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REPAIRS AND MAINTENANCE TOTAL FEES:1092852 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SERVICE CONT EQUIP TOTAL FEES:409138 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SERVICE CONT SOFTWARE TOTAL FEES:183823 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CREDIT & COLLECT AGENCIES TOTAL FEES:7795 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICARE/IBNR/COMML TOTAL FEES:7317745 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:FOUNDATION DIRECT EXPENSES TOTAL FEES:-37673 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT HEALTH NETWORK INC | ||||||||||
| 3345 MICHELSON DRIVE STE 100 | IRVINE | CA | 92612 | 461259908 | HEALTHCARE | CA | 501(C)(3) | 11,III | SJHS | Yes (true) |
| COVENANT ACO | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 611573313 | HEALTHCARE | TX | 501(C)(3) | 11,I | CHS | Yes (true) |
| COVENANT HEALTH SYSTEM | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752765566 | HEALTHCARE | TX | 501(C)(3) | 3 | SJHS | Yes (true) |
| COVENANT HEALTH SYSTEM FOUNDATION | ||||||||||
| 3623 22ND PLACE | LUBBOCK | TX | 79410 | 752897026 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | Yes (true) |
| COVENANT MEDICAL GROUP | ||||||||||
| 3420 22ND PLACE | LUBBOCK | TX | 79410 | 752743883 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| COVENANT HEALTH PARTNERS | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 463516417 | HEALTHCARE | TX | 501(C)(3) | 11,I | CHS | Yes (true) |
| HOAG CHARITY SPORTS | ||||||||||
| 330 PLACENTIA AVE | NEWPORT BEACH | CA | 92663 | 452982422 | SUPPORT | CA | 501(C)(3) | 7 | HHF | Yes (true) |
| HOAG HOSPITAL FOUNDATION | ||||||||||
| 330 PLACENTIA AVE | NEWPORT BEACH | CA | 92663 | 953222343 | FUNDRAISING | CA | 501(C)(3) | 7 | HMHP | Yes (true) |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | ||||||||||
| 1 HOAG ROAD BOX 6100 | NEWPORT BEACH | CA | 92663 | 951643327 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| HOME CARE PARTNERS | ||||||||||
| 1165 MONTGOMERY DR | SANTA ROSA | CA | 95405 | 680318656 | INACTIVE | CA | 501(C)(3) | 3 | SRMH | Yes (true) |
| HOSPICE OF LUBBOCK | ||||||||||
| 3702 21ST STREET | LUBBOCK | TX | 79410 | 752133781 | HEALTHCARE | TX | 501(C)(3) | 9 | CHS | Yes (true) |
| LUBBOCK METHODIST HOSPITAL FOUNDATION | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752220963 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | Yes (true) |
| METHODIST CHILDREN'S HOSPITAL | ||||||||||
| 3610 21ST STREET | LUBBOCK | TX | 79410 | 752428911 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| METHODIST HOSPITAL LEVELLAND | ||||||||||
| 1900 COLLEGE AVENUE | LEVELLAND | TX | 79336 | 752246348 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| METHODIST HOSPITAL PLAINVIEW | ||||||||||
| 2601 DIMMITT ROAD | PLAINVIEW | TX | 79072 | 752426010 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| MISSION HOSPITAL REGIONAL MEDICAL CTR | ||||||||||
| 27700 MEDICAL CENTER ROAD | MISSION VIEJO | CA | 92691 | 951643360 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| QUEEN OF THE VALLEY MEDICAL CENTER | ||||||||||
| 1000 TRANCAS STREET | NAPA | CA | 94558 | 941243669 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| REDWOOD MEMORIAL FOUNDATION | ||||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 942779313 | HEALTHCARE | CA | 501(C)(3) | 7 | RMH | Yes (true) |
| REDWOOD MEMORIAL HOSPITAL | ||||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 941384665 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| SANTA ROSA MEMORIAL HOSPITAL | ||||||||||
| 1165 MONTGOMERY DR | SANTA ROSA | CA | 95405 | 941231005 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| SISTERS OF ST JOSEPH OF ORANGE | ||||||||||
| 480 S BATAVIA | ORANGE | CA | 92868 | 951643383 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | NA | false |
| SRM ALLIANCE HOSPITAL SERVICES (PVH) | ||||||||||
| 400 NORTH MCDOWELL BLVD | PETALUMA | CA | 94954 | 680395200 | HEALTHCARE | CA | 501(C)(3) | 3 | SRMH | Yes (true) |
| ST JOSEPH HEALTH MINISTRY | ||||||||||
| 3345 MICHELSON DRIVE STE 100 | IRVINE | CA | 92612 | 271666576 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | SSJO | false |
| ST JOSEPH HEALTH SYSTEM | ||||||||||
| 3345 MICHELSON DRIVE STE 100 | IRVINE | CA | 92612 | 953589356 | HEALTHCARE | CA | 501(C)(3) | 11, I | SJHM | false |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||||||||||
| 3345 MICHELSON DRIVE STE 100 | IRVINE | CA | 92612 | 330143024 | HEALTHCARE | CA | 501(C)(3) | 7 | SJHS | Yes (true) |
| ST JOSEPH HOME CARE NETWORK | ||||||||||
| 1111 SONOMA STE 308 | SANTA ROSA | CA | 95405 | 680331084 | HEALTHCARE | CA | 501(C)(3) | 9 | SJHS | Yes (true) |
| ST JOSEPH HOSPITAL OF EUREKA | ||||||||||
| 2700 DOLBEER STREET | EUREKA | CA | 95501 | 941156596 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| ST JOSEPH HOSPITAL OF ORANGE | ||||||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 951643359 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| ST JUDE HOSPITAL YORBA LINDA | ||||||||||
| 200 WEST CENTER ST PROMENADE | ANAHEIM | CA | 92805 | 330185031 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| ST JUDE HOSPITAL INC | ||||||||||
| 101 EAST VALENCIA MESA DRIVE | FULLERTON | CA | 92635 | 951643324 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| ST MARY OF THE PLAINS HOSPITAL FDN | ||||||||||
| 4000 24TH STREET | LUBBOCK | TX | 79410 | 751653181 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | Yes (true) |
| TALLER SAN JOSE | ||||||||||
| 801 NORTH BROADWAY | SANTA ANA | CA | 92701 | 593816355 | WORK DEVELOPM | CA | 501(C)(3) | 2 | SSJO | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| COVENANT LONG-TERM CARE LP | ||||||||
| SEE PART VII | ORANGE | CA | 92868 | 264591502 | HEALTHCARE | TX | NA | N/A |
| HEALTHCARE DESIGN & CONSTRUCT | ||||||||
| SEE PART VII | LUBBOCK | TX | 79410 | 205033419 | REAL ESTATE | DE | NA | N/A |
| HEALTHCARE PROPERTY ADVISORS | ||||||||
| SEE PART VII | LA PALMA | CA | 906231052 | 752569094 | REAL ESTATE | DE | NA | N/A |
| HERITAGE INVESTMENT GROUP | ||||||||
| SEE PART VII | LA PALMA | CA | 906231052 | 462611662 | INVESTMENTS | CA | NA | N/A |
| HOAG ORTHOPEDIC INSTITUTE | ||||||||
| SEE PART VII | LA PALMA | CA | 906231052 | 465497794 | HEALTHCARE | CA | NA | N/A |
| LUBBOCK SURGERY CENTER LTD | ||||||||
| SEE PART VII | ORANGE | CA | 92868 | 271000061 | HEALTHCARE | TX | NA | N/A |
| METHODIST DIAGNOSTIC IMAGING | ||||||||
| SEE PART VII | LUBBOCK | TX | 79410 | 752177401 | HEALTHCARE | TX | NA | N/A |
| MISSION AMBULATORY SURGICENTER | ||||||||
| SEE PART VII | ORANGE | CA | 92868 | 954813223 | HEALTHCARE | CA | NA | N/A |
| NEWPORT IMAGING CENTER | ||||||||
| SEE PART VII | LUBBOCK | TX | 79410 | 752343261 | HEALTHCARE | CA | NA | N/A |
| SHA LLC | ||||||||
| SEE PART VII | MISSION VIEJO | CA | 92691 | 203132592 | INSURANCE | TX | NA | N/A |
| ST JOSEPH PHYSICIAN VENTURES | ||||||||
| SEE PART VII | NEWPORT BEACH | CA | 92660 | 330191776 | REAL ESTATE | CA | NA | N/A |
| ST JOSEPH HLTH SYS HOME CARE | ||||||||
| SEE PART VII | NEWPORT BEACH | CA | 92660 | 330841806 | HOME HEALTH | CA | NA | N/A |
| ST JOSEPH HLTH SYS HOME HLTH | ||||||||
| SEE PART VII | AUSTIN | TX | 78750 | 752569094 | HOME HEALTH | CA | NA | N/A |
| THE INNOVATION INSTITUTE | ||||||||
| SEE PART VII | ORANGE | CA | 92868 | 454521884 | HEALTHCARE | DE | NA | N/A |
| TOTAL HEALTH ENVIRONMENT | ||||||||
| SEE PART VII | ORANGE | CA | 928682012 | 330307672 | HEALTHCARE | DE | NA | N/A |
| ADVANCED SURGERY INSTITUTE LLC | ||||||||
| SEE PART VII | ORANGE | CA | 928682012 | 330282945 | HEALTHCARE | CA | NA | N/A |
| NORTH BAY ENDOSCOPY CENTER | ||||||||
| SEE PART VII | LA PALMA | CA | 906231052 | 900745066 | HEALTHCARE | CA | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALLIANCE PHYSICIAN SERVICES | |||||||||||||
| INACTIVE | CA | NA | C-CORP | ||||||||||
| AMERICAN UNITY GROUP LTD | |||||||||||||
| CAPTIVE INSURANCE | NA | C-CORP | 90 PITTS BAY ROAD | PEMBROKE | HM08 | BD | BD | ||||||
| COASTAL MANAGEMENT SERVICES ORGANIZATION | |||||||||||||
| HEALTHCARE | CA | NA | C-CORP | 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 330676831 | |||||
| DATU HEALTH INC | |||||||||||||
| IT SVCS | MO | NA | C-CORP | 16150 MAIN CIRCLE DR SUITE 250 | CHESTERFIELD | MO | 63017 | 463070062 | |||||
| HMTS INC | |||||||||||||
| HEALTHCARE | CA | NA | C-CORP | 1 HOAG DRIVE | NEWPORT BEACH | CA | 92658 | 453583707 | |||||
| HOAG MANAGEMENT SERVICES INC | |||||||||||||
| HEALTHCARE | CA | NA | C-CORP | 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 330731587 | |||||
| HPA REALTY INC | |||||||||||||
| REAL ESTATE | CA | NA | C-CORP | 1 CENTERPOINTE DRIVE SUITE 200 | LA PALMA | CA | 90623 | 300835291 | |||||
| LUBBOCK METHODIST HOSP PRACTICE MGMT | |||||||||||||
| INACTIVE | TX | NA | C-CORP | 2107 OXFORD STREET STE 300 | LUBBOCK | TX | 79410 | 752578995 | |||||
| LUBBOCK METHODIST HOSPITAL SVCS | |||||||||||||
| HEALTHCARE | TX | NA | C-CORP | PO BOX 1201 | LUBBOCK | TX | 79410 | 752118585 | |||||
| MISSION VIEJO MEDICAL VENTURES | |||||||||||||
| HEALTHCARE | CA | NA | C-CORP | 27800 MEDICAL CENTER RD 354 | MISSION VIEJO | CA | 92691 | 330212905 | |||||
| ST JOSEPH HEALTH | |||||||||||||
| HOLDING COMPANY | CA | NA | C-CORP | 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 462340232 | |||||
| ST JOSEPH HEALTH SOURCE INC | |||||||||||||
| HEALTHCARE | CA | NA | C-CORP | 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 461900168 | |||||
| ST JOSEPH PROF SVCS ENTERPRISES INC | |||||||||||||
| HEALTHCARE | CA | NA | C-CORP | 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 330155323 | |||||
| ST JOSEPH YORBA PARK | |||||||||||||
| INACTIVE | CA | NA | C-CORP | ||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||
| c | $794,187 | CASH |
| ST JUDE HOSPITAL YORBA LINDA | ||
| b | $5,505,993 | CASH |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART III | FormAndLineReferenceDesc |
| Explanation | IDENTIFICATION 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 94954 | ExplanationTxt |