SRM ALLIANCE HOSPITAL SERVICES: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: SRM ALLIANCE HOSPITAL SERVICES (EIN 68-0395200)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-11
IRS object ID: 201511319349302391
Schema version: 2013v4.0
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-11T14:18:05-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4370 LA JOLLA VILLAGE DR STE 500	AddressLine1
City	SAN DIEGO	City
State	CA	State
ZIP Code	92122	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	680395200	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SRM ALLIANCE HOSPITAL SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% NIALL FOLEY	InCareOfNm
Business Name Control	SRMA	BusinessNameControlTxt
Phone	7075255300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 NORTH MCDOWELL BLVD	AddressLine1
Address Line2	Suite	AddressLine2
City	PETALUMA	City
State	CA	State
ZIP Code	94954	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHEL RICCIONI	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2015-05-05	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	PETALUMA VALLEY HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Principal Officer	TODD SALNAS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1165 MONTGOMERY DRIVE	AddressLine1
City	SANTA ROSA	City
State	CA	State
ZIP Code	95405	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$79,945,862	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STJOSEPHHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	573	TotalEmployeeCnt
Total Volunteers	179	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$1,491,474	PYContributionsGrantsAmt
CY Contributions Grants	$1,240,396	CYContributionsGrantsAmt
PY Program Service Revenue	$80,881,013	PYProgramServiceRevenueAmt
CY Program Service Revenue	$78,537,609	CYProgramServiceRevenueAmt
PY Investment Income	$54,580	PYInvestmentIncomeAmt
CY Investment Income	$59,685	CYInvestmentIncomeAmt
PY Other Revenue	-$84,820	PYOtherRevenueAmt
CY Other Revenue	-$86,118	CYOtherRevenueAmt
PY Total Revenue	$82,342,247	PYTotalRevenueAmt
CY Total Revenue	$79,751,572	CYTotalRevenueAmt
PY Grants And Similar Paid	$35,235	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$383,245	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$47,836,532	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$43,483,699	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$478,909	CYTotalFundraisingExpenseAmt
PY Other Expenses	$35,674,017	PYOtherExpensesAmt
CY Other Expenses	$32,614,027	CYOtherExpensesAmt
PY Total Expenses	$83,545,784	PYTotalExpensesAmt
CY Total Expenses	$76,480,971	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,203,537	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,270,601	CYRevenuesLessExpensesAmt
Total Assets BOY	$42,355,160	TotalAssetsBOYAmt
Total Assets EOY	$39,975,082	TotalAssetsEOYAmt
Total Liabilities BOY	$31,990,756	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$29,983,087	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$10,364,404	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$9,991,995	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	$71,851,786	ExpenseAmt
Grant	$383,245	GrantAmt
Revenue	$78,577,108	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$71,851,786	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	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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	false	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	103	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	573	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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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	NIALL FOLEY	PersonNm
Phone	7075255300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	141 STONY CIRCLE SUITE 140	AddressLine1
City	SANTA ROSA	City
State	CA	State
ZIP Code	95401	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JO SANDERSFELD
BOARD SECRETARY (PART YEAR)	2.0	52.0	Yes (X)	Yes (X)	$0	$302,545	$35,840
JOSEPHINE THORNTON
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
ANTHONY KOSINSKI
CHIEF OF STAFF	2.0	0.0	Yes (X)		$11,650	$0	$0
MICHAEL TOMASINI
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
ROBERT CURRY
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
ROBYNN VANPATTEN
BOARD SECRETARY	2.0	50.0	Yes (X)	Yes (X)	$0	$497,341	$26,492
SISTER MARY BERNADETTE MCNULTY
BOARD MEMBER, TREASURER	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
NANCY PRATT
BOARD MEMBER	2.0	48.0	Yes (X)		$0	$465,800	$13,839
SISTER MARIAN SCHUBERT
BOARD MEMBER	2.0	57.0	Yes (X)		$0	$0	$0
TODD SALNAS
BOARD MEMBER, PRESIDENT	7.0	49.0	Yes (X)	Yes (X)	$0	$552,938	$38,756
JIM CARR
VICE CHAIRPERSON	4.0	0.0	Yes (X)		$0	$0	$0
SISTER JUDITH DUGAN
BOARD MEMBER (PART YEAR)	2.0	4.0	Yes (X)		$0	$0	$0
KATHRYN POWELL
BOARD MEMBER (PART YEAR)	2.0	0.0	Yes (X)		$0	$0	$0
PAMELA TUFT
BOARD MEMBER, CHAIRPERSON	5.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MICHEL RICCIONI
CHIEF FINANCIAL OFFICER	7.0	43.0		Yes (X)	$0	$555,423	$46,007
KEVIN KLOCKENGA
REGIONAL EVP	7.0	52.0		Yes (X)	$0	$773,124	$38,738
DAVID ZIOLKOWSKI
CHIEF OPERATING OFFICER	2.0	50.0		Yes (X)	$0	$291,676	$17,056
RICHARD CARVOLTH
CHIEF MEDICAL OFCR (PART YEAR)	7.0	50.0		Yes (X)	$0	$23,146	$0
JANE READ
VP-OPERATIONS	43.0	0.0			$281,170	$0	$21,846	Yes (X)
JAYNIE BOREN
N. CA REG VP - STRATEGIC SVCS	5.0	54.0			$0	$379,578	$30,401	Yes (X)
GARY MAHAN
MANAGER - PHARMACY	40.0	0.0			$183,559	$0	$38,982		Yes (X)
JANETTE MARLOW
STAFF NURSE III - CNA	32.0	0.0			$187,958	$0	$49,895		Yes (X)
PAULA GRIFFITH
STAFF NURSE IV-CNA	32.0	0.0			$169,788	$0	$40,188		Yes (X)
MICHELE GEILS
STAFF NURSE IV-CNA	32.0	0.0			$164,308	$0	$43,770		Yes (X)
WENDI THOMAS
DIRECTOR-NURSING SVCS	40.0	0.0			$181,399	$0	$41,326		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,179,832	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,841,571	TotReportableCompRltdOrgAmt
Total Other Compensation	$483,136	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	66	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
MEDICAL STAFFING NETWORK HEALTHCARE
PO BOX 840292	DALLAS	TX	75284	REGISTRY	$861,292
PETALUMA CC INC
1115 B STREET	PETALUMA	CA	94952	MEDICAL SERVICES	$284,908
WINDSOR CARE CENTER OF PETALUMA
523 HAYES LANE	PETALUMA	CA	94952	MEDICAL SERVICES	$229,609
JACKSON COKER
PO BOX 277638	ATLANTA	GA	30022	MEDICAL SERVICES	$191,026
QUEST DIAGNOSTICS
FILE NO 51048	LOS ANGELES	CA	90074	LABORATORY SERVICES	$167,607

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
Fundraising	$467,586	FundraisingAmt
Related Organizations	$180,000	RelatedOrganizationsAmt
Government Grants	$6,250	GovernmentGrantsAmt
All Other Contributions	$586,560	AllOtherContributionsAmt
Noncash Contributions	$2,458	NoncashContributionsAmt
Total Contributions	$1,240,396	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	622110	$77,373,068	$77,373,068	$0	$0
ELECTRONIC HEALTH RECORDS	622110	$867,763	$867,763	$0	$0
CAFETERIA	722514	$80,875	$80,875	$0	$0
OTHER OPERATING REVENUE	900099	$215,903	$215,903	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$78,537,609	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$59,685	TotalRevenueColumnAmt
Exclusion	$59,685	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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$68,673	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$467,586	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$194,290	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$125,617	TotalRevenueColumnAmt
Exclusion	-$125,617	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CASH PURCHASES AND DISCOUNTS	900099	$20,616	$20,616	$0	$0
REBATES AND REFUNDS	900099	$18,883	$18,883	$0	$0

Field	Value	IRS element (for citing)
Other Revenue Total	$39,499	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$79,751,572	TotalRevenueColumnAmt
Related Or Exempt Func Income	$78,577,108	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$65,932	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	$383,245	TotalAmt
Program Services	$383,245	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	$659,934	TotalAmt
Program Services	$411,643	ProgramServicesAmt
Management And General	$248,291	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	$28,694,811	TotalAmt
Program Services	$27,189,192	ProgramServicesAmt
Management And General	$1,321,064	ManagementAndGeneralAmt
Fundraising	$184,555	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,908,015	TotalAmt
Program Services	$1,794,078	ProgramServicesAmt
Management And General	$101,012	ManagementAndGeneralAmt
Fundraising	$12,925	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,584,514	TotalAmt
Program Services	$9,031,845	ProgramServicesAmt
Management And General	$460,157	ManagementAndGeneralAmt
Fundraising	$92,512	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,636,425	TotalAmt
Program Services	$2,499,766	ProgramServicesAmt
Management And General	$119,144	ManagementAndGeneralAmt
Fundraising	$17,515	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,424,922	TotalAmt
Program Services	$4,289,739	ProgramServicesAmt
Management And General	$135,183	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$328,211	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$328,211	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$56,903	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$56,903	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$8,321	TotalAmt
Program Services	$8,321	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,220,864	TotalAmt
Program Services	$9,009,102	ProgramServicesAmt
Management And General	$203,162	ManagementAndGeneralAmt
Fundraising	$8,600	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$67,755	TotalAmt
Program Services	$67,414	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$341	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,913,235	TotalAmt
Program Services	$1,759,093	ProgramServicesAmt
Management And General	$74,569	ManagementAndGeneralAmt
Fundraising	$79,573	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,009,650	TotalAmt
Program Services	$1,859,622	ProgramServicesAmt
Management And General	$137,452	ManagementAndGeneralAmt
Fundraising	$12,576	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	$1,362,346	TotalAmt
Program Services	$1,356,090	ProgramServicesAmt
Management And General	$544	ManagementAndGeneralAmt
Fundraising	$5,712	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$270,536	TotalAmt
Program Services	$233,073	ProgramServicesAmt
Management And General	$34,828	ManagementAndGeneralAmt
Fundraising	$2,635	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	$6,198	TotalAmt
Program Services	$6,198	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,455	TotalAmt
Program Services	$23,455	ProgramServicesAmt
Management And General	$0	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	$1,642,857	TotalAmt
Program Services	$1,635,112	ProgramServicesAmt
Management And General	$7,745	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$661,501	TotalAmt
Program Services	$661,501	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$5,694,566	$5,694,566	$0	$0
CA HOSPITAL FEE PROGRAM	$1,139,921	$1,139,921	$0	$0
REPAIRS AND MAINTENANCE	$310,873	$296,560	$1,069	$13,244
LICENSES AND TAXES	$151,482	$55,131	$47,766	$48,585

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,320,431	TotalAmt
Program Services	$2,447,119	ProgramServicesAmt
Management And General	$873,176	ManagementAndGeneralAmt
Fundraising	$136	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$76,480,971	TotalAmt
Program Services	$71,851,786	ProgramServicesAmt
Management And General	$4,150,276	ManagementAndGeneralAmt
Fundraising	$478,909	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	$0	BOYAmt
EOY	$2,059	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,922,087	BOYAmt
EOY	$7,869,504	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,097,171	BOYAmt
EOY	$9,969,417	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	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,017,500	BOYAmt
EOY	$1,133,422	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$165,470	BOYAmt
EOY	$916,661	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$52,439,110	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$36,000,188	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$17,984,696	BOYAmt
EOY	$16,438,922	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$131,163	BOYAmt
EOY	$232,974	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	$3,037,073	BOYAmt
EOY	$3,412,123	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$42,355,160	BOYAmt
EOY	$39,975,082	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,137,985	BOYAmt
EOY	$5,744,610	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	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$22,852,771	BOYAmt
EOY	$24,238,477	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,990,756	BOYAmt
EOY	$29,983,087	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,559,568	BOYAmt
EOY	$7,916,221	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,804,836	BOYAmt
EOY	$2,075,774	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	$10,364,404	BOYAmt
EOY	$9,991,995	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$42,355,160	BOYAmt
EOY	$39,975,082	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,270,601	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$3,643,010	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	false	FederalGrantAuditRequiredInd

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	$8,321	OtherActivitiesAmt
Total Lobbying Expenditures	$8,321	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	PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING DURING THE PAST YEAR, ST. JOSEPH HEALTH SYSTEM CONDUCTED ADVOCACY EFFORTS WHICH INCLUDED SOME LOBBYING ACTIVITIES. THESE INCLUDED MEETING WITH LOCAL, STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS, AND COMMUNICATIONS TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,746,655	OtherCostOrOtherBasisAmt
Depreciation	$10,635,808	DepreciationAmt
Book Value	$110,847	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,844,443	OtherCostOrOtherBasisAmt
Depreciation	$3,038,451	DepreciationAmt
Book Value	$2,805,992	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,574,527	OtherCostOrOtherBasisAmt
Depreciation	$22,325,929	DepreciationAmt
Book Value	$10,248,598	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,273,485	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$3,273,485	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$16,438,922	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
HOSPITAL FEE	$763,069
HOSPICE RESTRICTED FUNDS	$2,076,033
OTHER RECEIVABLES	$0
REC FROM THIRD PARTY PAYORS	$573,021

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,412,123	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ACCRUED LIABILITIES	$2,236,607
INTERCOMPANY BOND PAYABLES	$337,471
DUE TO AFFILIATES	$21,487,374
OTHER NON CURRENT LIABILITES	$177,025

Field	Value	IRS element (for citing)
Total Liability	$24,238,477	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	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, 2014 OR 2013.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	BENEDETTI	NameOfEvent1Amt
Gross Receipts Event1	$363,775	GrossReceiptsEvent1Amt
Charitable Contri Event1	$327,226	CharitableContriEvent1Amt
Gross Revenue Event1	$36,549	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$37,148	FoodAndBeverageEvent1Amt
Entertainment Event1	$6,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$64,520	OtherDirectExpensesEvent1Amt
Name Of Event2	GOLF TOURNAMNT	NameOfEvent2Amt
Gross Receipts Event2	$155,635	GrossReceiptsEvent2Amt
Charitable Contri Event2	$126,011	CharitableContriEvent2Amt
Gross Revenue Event2	$29,624	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$16,432	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$8,190	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$20,705	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$34,288	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$16,849	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$14,349	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$2,500	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$758	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$750	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$500	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$922	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$4,077	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$536,259	GrossReceiptsTotalAmt
Charitable Contributions Tot	$467,586	CharitableContributionsTotAmt
Gross Revenue Total Events	$68,673	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$17,190	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$8,940	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$58,353	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$6,922	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$102,885	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$194,290	DirectExpenseSummaryEventsAmt
Net Income Summary	-$125,617	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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$1,208,988	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,208,988	NetCommunityBenefitExpnsAmt
Total Expense	0.01580	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,724,142	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,604,056	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,120,086	NetCommunityBenefitExpnsAmt
Total Expense	0.08000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,975,029	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$734,808	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,240,221	NetCommunityBenefitExpnsAmt
Total Expense	0.01620	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,908,159	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,338,864	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,569,295	NetCommunityBenefitExpnsAmt
Total Expense	0.11200	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$332,704	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$140,111	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$192,593	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$359,704	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$140,111	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$219,593	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,267,863	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,478,975	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,788,888	NetCommunityBenefitExpnsAmt
Total Expense	0.11490	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$7,448,350	BadDebtExpenseAmt
Reimbursed By Medicare	$15,646,007	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$23,571,301	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,925,294	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	SRM ALLIANCE HOSPITAL SERVICES	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 NORTH MCDOWELL BLVD	AddressLine1
City	PETALUMA	City
State	CA	State
ZIP Code	94954	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.STJHS.ORG	WebsiteAddressTxt
State License	110000001	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	SRM ALLIANCE HOSPITAL SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	Yes (true)	CHNAConductedWithOtherFcltsInd
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
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
Residency	Yes (X)	ResidencyInd
Other Factors	Yes (X)	OtherFactorsInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
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 3	COMMUNITY INPUT THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE (CHIC) SELECTED THREE TYPES OF COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH LEADERS IN THE COMMUNITY, FROM THE COUNTY DEPARTMENT OF HEALTH SERVICES AND LOCAL HEALTH, EDUCATION AND BUSINESS LEADERS; FOCUS GROUPS IN DIFFERENT COMMUNITIES THROUGHOUT THE COUNTY, BALANCED IN TERMS OF GEOGRAPHY AND CULTURE; AND A TELEPHONE SURVEY OF 1,500 PEOPLE. THESE THREE METHODS ALLOWED THE CHIC TO HEAR FROM CONTENT EXPERTS, COMMUNITY LEADERS, AND A BROAD SPECTRUM OF COMMUNITY MEMBERS. KEY INFORMANT INTERVIEWS WITH LOCAL EXPERTS CHNA PROJECT PARTNERS IDENTIFIED A PANEL OF 18 KEY INFORMANTS. KEY INFORMANTS WERE SELECTED FOR THEIR EXPERTISE IN A BROAD VARIETY OF HEALTH AND HEALTH-RELATED DISCIPLINES INCLUDING HOSPITAL AND PRIMARY CARE, PUBLIC HEALTH, MATERNAL AND CHILD HEALTH, HUMAN SERVICES, BUSINESS AND EDUCATION. PROJECT CONSULTANTS INTERVIEWED KEY INFORMANTS INDIVIDUALLY USING A STANDARDIZED SET OF QUESTIONS DESIGNED TO ELICIT INFORMATION ON THE LOCAL HEALTH ISSUES OF GREATEST CONCERN AND PERSPECTIVES ON LOCAL OPPORTUNITIES TO IMPROVE POPULATION HEALTH AND/OR THE HEALTHCARE DELIVERY SYSTEM. COMMUNITY BASED FOCUS GROUPS ST. JOSEPH HEALTH, SONOMA COUNTY CONDUCTED A SERIES OF TARGETED, COMMUNITY-BASED FOCUS GROUPS ON BEHALF OF THE PROJECT PARTNERS. THE GOAL OF THE FOCUS GROUP PROCESS WAS TO GATHER INFORMATION FROM RESIDENTS OF LOW-INCOME NEIGHBORHOODS ON THEIR HEALTH CONCERNS, THE CHALLENGES THEY FACE IN MAINTAINING HEALTH AND THEIR IDEAS ON HOW TO IMPROVE THEIR COMMUNITY'S HEALTH AND WELLBEING. FOUR FOCUS GROUPS WERE HELD, AVERAGING 8 PARTICIPANTS PER GROUP. GROUPS WERE FACILITATED IN BOTH SPANISH AND ENGLISH, BASED ON GROUP MAKE-UP. THE GROUPS WERE CONDUCTED IN THE COMMUNITIES OF SONOMA VALLEY, ROHNERT PARK, SANTA ROSA, AND CLOVERDALE AND WERE FACILITATED BY ST. JOSEPH'S STAFF USING STANDARDIZED QUESTIONS APPROVED BY THE CHNA PARTNERSHIP. BRFSS - A TELEPHONE SURVEY OF SONOMA COUNTY RESIDENTS ST. JOSEPH HEALTH, SONOMA COUNTY CONTACTED 1500 PEOPLE (839 COMPLETED THE SURVEY) USING A SURVEY TOOL INCORPORATING QUESTIONS FROM THE NATIONAL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY. THE SURVEY PROVIDED VALUABLE INFORMATION ON LOCAL HEALTH STATUS, HEALTH BEHAVIORS, EXPERIENCE WITH THE LOCAL HEALTH SYSTEMS AND HIGHLIGHTED THE LINKS BETWEEN SOCIAL DETERMINANTS, PREDOMINANTLY INCOME AND EDUCATIONAL ATTAINMENT, AND DISPARITIES IN HEALTH AND HEALTH CARE ACCESS. ORGANIZATIONS, PUBLIC HEALTH OR OTHER DEPARTMENTS OR AGENCIES, COMMUNITY LEADERS AND REPRESENTATIVES, OTHERS WHICH REPRESENT THE BROAD INTERESTS OF THE COMMUNITY CONSULTED DURING THE CHNA PROCESS INCLUDED: SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES SONOMA COUNTY OFFICE OF EDUCATION ECONOMIC DEVELOPMENT BOARD DRUG ABUSE ALTERNATIVE CENTER SANTA ROSA COMMUNITY HEALTH CENTERS SONOMA INDIAN HEALTH PROJECT REDWOOD COMMUNITY HEALTH COALITION KAISER PERMANENTE PARTNERSHIP HEALTHPLAN OF CALIFORNIA SONOMA COUNTY ORAL HEALTH ACCESS COALITION IN AN EFFORT TO GATHER DIVERSE POINTS OF VIEW THOSE INTERVIEWED REPRESENTED THE FOLLOWING SECTORS, SERVICES, ORGANIZATIONS AND AGENCIES: HEALTH AND HUMAN SERVICES HOSPITALS SONOMA COUNTY SCHOOLS ORAL HEALTH SERVICES COMMUNITY HEALTH CENTERS COMMUNITY BASED ORGANIZATIONS HEALTH INSURANCE PLANS ECONOMIC DEVELOPMENT
SCHEDULE H, PART V, SECTION B, LINE 4	THE SONOMA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 2013 IS A COLLABORATIVE EFFORT BY ST. JOSEPH HEALTH, SONOMA COUNTY (SANTA ROSA MEMORIAL AND PETALUMA VALLEY), SUTTER MEDICAL CENTER OF SANTA ROSA, KAISER PERMANENTE MEDICAL CENTER SANTA ROSA AND THE SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES TO ASSESS THE HEALTH STATUS OF SONOMA COUNTY RESIDENTS AND TO IDENTIFY CRITICAL AREAS FOR HEALTH IMPROVEMENT IN SONOMA COUNTY. THE 2013 ASSESSMENT CONTINUES A SUCCESSFUL COLLABORATION BETWEEN THE HOSPITAL PARTNERS AND LOCAL HEALTH DEPARTMENT, BEGUN IN 2000, TO IDENTIFY AND JOINTLY ADDRESS SIGNIFICANT COMMUNITY HEALTH ISSUES.
SCHEDULE H, PART V, SECTION B, LINE 5A	THE WEB ADDRESS IS: HTTP://WWW.STJOESONOMA.ORG/DOCUMENTS/COMMUNITY-BENEFIT/2014-PVH-COMMUNITY- HEALTH-NEEDS-ASSESSMENT-REPORT.PDF
SCHEDULE H, PART V, SECTION B, LINE 7	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. THESE HEALTH NEEDS, USING THE ESTABLISHED CRITERIA WERE NOT RANKED AS HIGHLY AS ACCESS TO CARE, HEALTHY EATING AND PHYSICAL FITNESS, MENTAL HEALTH AND SUBSTANCE USE, BARRIERS TO HEALTHY AGING AND ORAL HEALTH. SRM ALLIANCE HOSPITAL SERVICES HAS UNIQUE RESOURCES AND CAPACITY TO DEDICATE TO THE FIVE CHOSEN HEALTH NEEDS. IN ADDITION, THERE ARE OTHER STRONG COMMUNITY PARTNERS WHO ARE CURRENTLY ADDRESSING THE NEEDS BELOW. THE NEEDS THAT WILL NOT BE SPECIFICALLY ADDRESSED ARE: 1. DISPARITIES IN EDUCATIONAL ATTAINMENT. ST. JOSEPH HEALTH, SONOMA COUNTY (SJH, SC) DID NOT CHOOSE TO SPECIFICALLY ADDRESS THIS NEED DUE TO RESOURCE AND CAPACITY RESTRAINTS. HOWEVER, SJH, SC WILL SUPPORT THIS HEALTH PRIORITY THROUGH ITS PARTICIPATION WITH THE SONOMA COUNTY CRADLE TO CAREER INITIATIVE, AND THE UNITED WAY SCHOOLS OF HOPE. THE CRADLE TO CAREER INITIATIVE IS A COUNTY WIDE PARTNERSHIP THAT CONNECTS ALL SEGMENTS OF THE EDUCATIONAL CONTINUUM OF EARLY EDUCATION, K-12, COLLEGE/TECHNICAL TRAINING WITH BROAD COMMUNITY SUPPORT TO IMPROVE THE EDUCATIONAL, ECONOMIC AND HEALTH OUTCOMES OF ALL SONOMA COUNTY YOUTH. IN ADDITION, THE HOSPITAL LEADERSHIP TEAM SUPPORTS VOLUNTEER SERVICE AND PARTICIPATION ON COMMUNITY BOARDS, SUCH AS UNITED WAY WITH ITS SCHOOLS OF HOPE INITIATIVE, AN EARLY READING INITIATIVE THAT HELPS CHILDREN BUILD THE CRITICAL SKILLS TO SUCCEED IN SCHOOLS AND LIFE. 2. CARDIOVASCULAR DISEASE. THOUGH SJH, SC WILL NOT SUPPORT EFFORTS TO REDUCE CARDIOVASCULAR DISEASE AS PART OF THE COMMUNITY BENEFIT IMPLEMENTATION PLAN, AS WE PLAN TO FOCUS ON HEALTH PROMOTION AND DISEASE PREVENTION EFFORTS. THE HOSPITAL WILL SUPPORT ADDRESSING CARDIOVASCULAR DISEASE THROUGH QUALITY, CULTURALLY COMPETENT CARE, WHICH WILL ENABLE EARLY DETECTION, INTERVENTION AND TREATMENT. THE HEART & VASCULAR INSTITUTE AT SJH, SC OFFERS STATE-OF-THE-ART DIAGNOSTIC PROCEDURES TO AID IN THE EVALUATION, DIAGNOSIS AND TREATMENT OF POSSIBLE HEART DISEASE. SJH, SC HAS IDENTIFIED HEALTHY EATING AND ACTIVE LIVING AS ONE OF ITS HEALTH PRIORITIES AND COMMUNITY BENEFITS TEAM MEMBERS ARE ACTIVE PARTICIPANTS IN THE COUNTY WIDE WORK OF COMMUNITY ACTIVITY AND NUTRITION COALITION OF SONOMA COUNTY (CAN-C) WHICH FOCUSES ON HEALTHY EATING AND PHYSICAL FITNESS, AND THIS INVOLVEMENT ADDRESSES THE PREVENTION AND ROOT CAUSES OF CARDIOVASCULAR DISEASE. 3. ADVERSE CHILDHOOD EXPOSURE TO STRESS (ACES). THIS HEALTH NEED WILL NOT BE ADDRESSED SEPARATELY, AS THE RESEARCH IN THIS AREA IS RELATIVELY NEW, AND WE CONTINUE TO INVESTIGATE OPPORTUNITIES TO BETTER ADDRESS THIS ISSUE. CIRCLE OF SISTERS, A PROGRAM OF THE SJH COMMUNITY BENEFIT DEPARTMENT, DOES INCLUDE CURRICULA AND PROGRAMMING THAT WORKS TO BUILD THE CONFIDENCE, SELF-ESTEEM, AND SELF-EFFICACY OF UNDERPRIVILEGED GIRLS IN PUBLIC SCHOOLS IN SONOMA COUNTY. 4. LUNG, BREAST, AND COLORECTAL CANCER. SJH, SC WILL ADDRESS CANCER THROUGH ITS SUPPORT FOR ACCESS TO PRIMARY CARE, COVERAGE AND MEDICAL HOMES, WHICH WILL ENABLE EARLY DETECTION, INTERVENTION AND TREATMENT FOR RESIDENTS WHO DEVELOP CANCER. WE DID NOT ADDRESS THIS HEALTH NEED IN OUR COMMUNITY BENEFIT IMPLEMENTATION PLAN, AS THERE ARE INSUFFICIENT RESOURCES IN COMMUNITY BENEFIT TO SUPPLEMENT THE EXISTING WORK THAT SJH, SC DOES IN THIS AREA. 5. TOBACCO USE. THE COMMUNITY BENEFIT PLAN DOES NOT FOCUS ON TOBACCO CESSATION, AS WE HAVE A LACK OF CAPACITY IN THIS SPECIFIC AREA. SJH, SC ADDRESSES TOBACCO USE THROUGH ITS FOCUS ON ACCESS TO CARE, EDUCATION AND PREVENTION EFFORTS. IN PARTICULAR, SJH,SC COLLABORATES WITH THE SONOMA COUNTY HEALTH DEPARTMENT AND THE EFFORTS OF ST. JOSEPH'S NEIGHBORHOOD CARE STAFF YOUTH LEADERS, WHO WORK TO CREATE HEALTHY RETAIL OUTLET ENVIRONMENTS. 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. IN ADDITION, SJH, SC WILL CONTINUE ITS COLLABORATIVE WORK AS A MEMBER OF THE SONOMA COUNTY HEALTH ALLIANCE, COMMUNITY HEALTH IMPROVEMENT COMMITTEE AND THE SONOMA COUNTY HEALTH ACTION COMMITTEE FOCUSED ON IDENTIFYING AND JOINTLY ADDRESSING SIGNIFICANT COMMUNITY HEALTH ISSUES. FOR FURTHER INFORMATION, PLEASE SEE THE IMPLEMENTATION STRATEGY FOUND AT: HTTP://WWW.STJOESONOMA.ORG/DOCUMENTS/COMMUNITY-BENEFIT/FY15-FY17-PVH-CB-AN D-IS-REPORT.PDF
SCHEDULE H, PART V, SECTION B, LINE 12I	THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. 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 14G	THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDED THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. 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 PATIENT BILLS 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 MORE THAN 5% OR MORE OF THE HOSPITAL'S PATIENT POPULATION.
SCHEDULE H, PART V, SECTION B, LINE 18E	THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDED THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. 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 PATIENT BILLS 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 MORE THAN 5% OR MORE OF THE HOSPITAL'S PATIENT POPULATION.
SCHEDULE H, PART V, SECTION B, LINE 20D	FOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE ORGANIZATION USES MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES IS USED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
HOSPICE OF PETALUMA
416 PAYRAN STREET	PETALUMA	CA	95954	HOSPICE
HOSPICE OF SANTA ROSA
439 COLLEGE AVE	SANTA ROSA	CA	95401	HOSPICE
HOSPICE OF SANTA ROSA
447 COLLEGE AVE	SANTA ROSA	CA	95401	HOSPICE
LYNCH CREEK LABORATORY
151 LYNCH CREEK	PETALUMA	CA	95954	LAB OUTREACH
LYNCH CREEK IMAGING
151 LYNCH CREEK	PETALUMA	CA	95954	IMAGING/RADIOLOGY
HOSPICE OF NORTH COUNTY
205 EAST STREET	HEALDSBURG	CA	95448	HOSPICE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINES 3C	FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES, INCLUDING BUT NOT LIMITED TO DISABILITY AND HOMELESSNESS ARE CONSIDERED WHEN DETERMINING ELIGIBILITY.
SCHEDULE H, PART I, LINES 7A-7I	COSTING METHODOLOGY THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM.
SCHEDULE H, PART III, SECTION A, LINE 2	COSTING METHODOLOGY THE AMOUNTS REPORTED WERE CALCULATED USING A COST-TO-CHARGE RATIO. WE CALCULATE THE OVERALL HOSPITAL COST TO CHARGE RATIO USING GROSS CHARGES AND OPERATIONAL COSTS. WE APPLIED THAT RATIO TO THE GROSS CHARGES WRITTEN OFF TO BAD DEBT. ANY PAYMENTS ON PATIENT ACCOUNTS REDUCE THE AMOUNT CALCULATED FOR BAD DEBT. NO DISCOUNTS WERE APPLIED. 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 CALCULATION OF BAD DEBT.
SCHEDULE H, PART III, SECTION A, LINE 4	FOOTNOTE FROM FINANCIAL STATEMENTS PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS - THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER 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 RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROXIMATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, SECTION B, LINE 8	COMMUNITY BENEFITS AS A CATHOLIC HEALTH CARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S COMMUNITY BENEFIT REPORTING GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE AS A COMMUNITY BENEFIT. THE COST ACCOUNTING SYSTEM CALCULATES COSTS AT THE DEPARTMENTAL LEVEL AND APPLIES IT TO EACH PATIENT ACCOUNT. WE THEN USE THE TOTAL COSTS OF ALL THE APPLICABLE ACCOUNTS TO DETERMINE MEDICARE COSTS.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION ACTIVITY 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 ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE (100 PERCENT FINANCIAL ASSISTANCE) WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR A PARTIAL DISCOUNT.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT THE SONOMA COUNTY COMMUNITY NEEDS ASSESSMENT (CHNA) 2013 WAS A COLLABORATIVE EFFORT BY ST. JOSEPH HEALTH, SONOMA COUNTY (SANTA ROSA MEMORIAL AND PETALUMA VALLEY), SUTTER MEDICAL CENTER OF SANTA ROSA, KAISER PERMANENTE MEDICAL CENTER - SANTA ROSA AND THE SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES TO ASSESS THE HEALTH STATUS OF SONOMA COUNTY RESIDENTS AND TO IDENTIFY CRITICAL AREAS FOR HEALTH IMPROVEMENT IN SONOMA COUNTY. THE 2013 ASSESSMENT CONTINUED A SUCCESSFUL COLLABORATION BETWEEN THE HOSPITAL PARTNERS AND LOCAL HEALTH DEPARTMENT, BEGUN IN 2000, TO IDENTIFY AND JOINTLY ADDRESS SIGNIFICANT COMMUNITY HEALTH ISSUES. THE GOAL OF THE CHNA DATA DEVELOPMENT PROCESS WAS TO GATHER, ANALYZE AND SUMMARIZE CURRENT LOCAL DATA ON THE RESIDENTS OF SONOMA COUNTY, THEIR HEALTH STATUS AND THE VARIETY OF FEATURES AND CONDITIONS WHICH IMPACT THEIR HEALTH, HEALTHY DEVELOPMENT AND QUALITY OF LIFE. TO ACCOMPLISH THIS, THE CHNA PARTNERS DEVELOPED AND UTILIZED BOTH PRIMARY AND SECONDARY DATA SOURCES. THE PARTNERS CONDUCTED THE FOLLOWING ACTIVITIES TO CREATE THE 2013 SONOMA COUNTY CHNA: o DEMOGRAPHIC SUMMARY: DEVELOPED A DEMOGRAPHIC SUMMARY OF SONOMA COUNTY'S CURRENT POPULATION ALONG WITH POPULATION GROWTH PROJECTIONS WHEN AVAILABLE. INFORMATION IS PROVIDED ON A VARIETY OF DEMOGRAPHIC INDICATORS INCLUDING POPULATION DISTRIBUTION, AGE, ETHNICITY, INCOME, HEALTHCARE COVERAGE, EDUCATION AND EMPLOYMENT. o SECONDARY SOURCES: ASSEMBLED SUMMARY DATA FROM A VARIETY OF SECONDARY SOURCES IDENTIFYING HEALTH BEHAVIORS AND CONDITIONS THAT COMPROMISE THE HEALTH AND HEALTHY DEVELOPMENT OF CHILDREN AND CONTRIBUTE MOST PROMINENTLY TO ILLNESS AND INJURY, DISABILITY AND DEATH FOR SONOMA COUNTY ADULTS AND CHILDREN. WHERE KNOWN, INFORMATION ON CONTRIBUTING FACTORS IS PRESENTED ALONG WITH EACH HEALTH INDICATOR. HEALTH DISPARITIES ARE HIGHLIGHTED. o KEY INFORMANT INTERVIEWS AND FOCUS GROUPS: CONDUCTED KEY INFORMANT INTERVIEWS, COMMUNITY-BASED FOCUS GROUPS AND A COUNTYWIDE RANDOM TELEPHONE SURVEY TO GATHER DATA ON HEALTH STATUS AND ELICIT INFORMATION ON COMMUNITY HEALTH ISSUES OF GREATEST CONCERN AND PERSPECTIVES ON LOCAL OPPORTUNITIES TO IMPROVE POPULATION HEALTH AND/OR THE HEALTHCARE DELIVERY SYSTEM.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE OUR COMMITMENT IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS, REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY PETALUMA VALLEY HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. THE HOSPITAL POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS OF THE HOSPITAL INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICE, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS OR OTHER COMMON PATIENT WAITING AREAS OF THE HOSPITAL. NOTICES ARE ALSO POSTED AT ANY LOCATION WHERE A PATIENT MAY PAY THEIR BILL AND INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. A PATIENT INFORMATION BROCHURE THAT DESCRIBES THE FEATURES OF THE FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO PATIENTS AND MEMBERS OF THE GENERAL PUBLIC; AND A COPY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE TO THE PUBLIC ON A REASONABLE BASIS.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION SONOMA COUNTY, THE NORTHERNMOST OF THE NINE GREATER SAN FRANCISCO BAY AREA COUNTIES, IS BORDERED ON THE NORTH BY MENDOCINO COUNTY, ON THE EAST BY LAKE AND NAPA COUNTIES, ON THE SOUTH BY MARIN COUNTY AND SAN PABLO BAY, AND ON THE WEST BY THE PACIFIC OCEAN. SONOMA COUNTY HAD THE 17TH LARGEST COUNTY POPULATION OF THE 58 COUNTIES IN CALIFORNIA. SANTA ROSA, THE COUNTY SEAT AND LARGEST CITY, HAS ONE-THIRD OF THE TOTAL POPULATION OF SONOMA COUNTY AND RANKS AS THE 30TH LARGEST CITY IN THE STATE. MUCH OF SONOMA COUNTY IS IN AREAS DEFINED AS RURAL. THESE RURAL AREAS HAVE BEEN FEDERALLY CLASSIFIED AS A MEDICALLY UNDERSERVED POPULATION (MUP) BASED ON LOW-INCOME POPULATION FACTORS AND ALSO AS PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). PETALUMA IS A COMMUNITY WITH A POPULATION OF 54,496, LOCATED IN SOUTHERN SONOMA COUNTY, ABOUT 40 MILES NORTH OF SAN FRANCISCO. ALTHOUGH SONOMA COUNTY IS RELATIVELY AFFLUENT, MORE THAN ONE-FIFTH OF ITS POPULATION (21.9%) LIVES UNDER 200% OF THE FEDERAL POVERTY LEVEL, AND NEARLY ONE-THIRD (32.8%) OF SONOMA HOUSEHOLDS EARN LESS THAN $40,000 PER YEAR. THE MAJORITY OF SONOMA COUNTY'S POPULATION IS EITHER WHITE (68.3%) OR LATINO (21.2%), WITH 4.7% ASIAN, 1.2% AFRICAN-AMERICAN, AND 1% AMERICAN INDIAN/ALASKA NATIVE MAKING UP THE REMAINDER. WHILE PETALUMA IS A COMMUNITY WITH THE APPEARANCE OF WIDESPREAD AFFLUENCE, IT CONTAINS SIGNIFICANT POCKETS OF VULNERABILITY, IN WHICH FAMILIES FACE FINANCIAL, LINGUISTIC, CULTURAL, AND CITIZENSHIP DOCUMENTATION BARRIERS. FOR EXAMPLE, FOR THE EAST SIDE OF THE CITY, CALIFORNIA DEPARTMENT OF EDUCATION STATISTICS FOR THE 2007-2008 SCHOOL YEAR SHOW THAT 75.8% OF MCDOWELL ELEMENTARY SCHOOL'S STUDENTS ARE LATINO, 75.2% ARE ENGLISH LANGUAGE LEARNERS, AND 81.3% QUALIFY FOR THE FEDERAL FREE OR REDUCED MEAL PROGRAM. AT NEARBY MCKINLEY ELEMENTARY SCHOOL, 67.2% ARE LATINO, 68% ARE ENGLISH LANGUAGE LEARNERS, AND 81.1% QUALIFY FOR FREE OR REDUCED MEALS. OTHER HOSPITALS IN SERVICE AREA INCLUDE: PETALUMA VALLEY HOSPITAL, SUTTER MEDICAL CENTER OF SANTA ROSA, HEALDSBURG DISTRICT HOSPITAL, SONOMA VALLEY HOSPITAL, AND PALM DRIVE HOSPITAL.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH THE GOVERNING BODY WAS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS OF HOSPITAL STAFF. THE SUB-COMMITTEE OF THE BOARD OF TRUSTEES, KNOWN AS THE COMMUNITY BENEFIT COMMITTEE, OVERSAW THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN EVERY THREE YEARS, AS WELL AS AN ANNUAL COMMUNITY BENEFIT REPORT. THE COMMITTEE ALSO PROVIDES GENERAL DIRECTION REGARDING: 1) BUDGETING DECISIONS, 2)COMMUNITY BENEFIT PROGRAM CONTENT, 3) COMMUNITY BENEFIT PROGRAM DESIGN, 4) TARGET GEOGRAPHIC/POPULATION, 5) PROGRAM CONTINUATION OR DISCONTINUATION, 6) FUND DEVELOPMENT SUPPORT, AND 7) COMMUNITY WIDE ENGAGEMENT. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. GIVING BACK TO THE COMMUNITY IS HARDWIRED INTO EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH, PETALUMA VALLEY HOSPITAL PROVIDES FREE AND DISCOUNTED CARE VIA OUR FINANCIAL ASSISTANCE PROGRAM AND HAS A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. OUR COMMITMENT TO COMMUNITY IS FURTHER DEMONSTRATED THROUGH OUR STRATEGIC COMMUNITY INVESTMENTS. ON AN ANNUAL BASIS, TEN PERCENT OF OUR NET INCOME IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR (CARE FOR THE POOR FUNDS). SPECIFICALLY, FUNDS ARE USED FOR OUTREACH PROGRAMS, DEFINED AS THOSE SERVICES THAT ADDRESS A SPECIFIC UNMET HEALTH NEED AND ARE SEPARATE FROM TRADITIONAL ACUTE CARE SERVICES. THE FOLLOWING PROGRAMS IN FY14 WERE MADE POSSIBLE THROUGH CARE FOR THE POOR FUNDS AND EXEMPLIFY OUR COMMITMENT TO PROMOTE HEALTH AND ACCESS TO CARE TO THE LOW-INCOME: HEALTHY FOR LIFE SCHOOL-BASED WELLNESS PROGRAM HOUSE CALLS MARY ISAAK CENTER-HEALTH CARE FOR THE HOMELESS MOBILE DENTAL CLINIC EMERGENCY NEEDS FUND FOR AT-RISK PATIENTS PROMOTORES DE SALUD CIRCLE OF SISTERS COMMUNITY HEALTH AWARENESS LABORATORY SERVICES CHILDHOOD OBESITY CHILDREN'S ORAL HEALTH SUBSTANCE ABUSE PREVENTION SENIOR CARE AT PETALUMA PEOPLES SERVICES CENTER HOMELESSNESS UNMET NEED FUND AT COMMITTEE ON THE SHELTERLESS WE ARE ALSO COMMITTED TO PROMOTING HEALTH AND ACCESS TO CARE FOR THE BROADER COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING PROGRAMS: NEIGHBORHOOD CARE STAFF COMMUNITY ORGANIZING HEALTHY EATING AND PHYSICAL ACTIVITY (CAN-C COLLABORATIVE) TEEN ATHLETIC SAFETY AND CONCUSSION PREVENTION COMMUNITY HEALTH COLLECTIVE IMPACT INITIATIVE-SONOMA HEALTH ACTION SENIOR ISOLATION AND POVERTY-HEALTHY AGING COLLABORATIVE
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM PETALUMA VALLEY HOSPITAL IS A HEALING MINISTRY OF ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZED A POLICY THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION THEN FUNDS PROGRAMS IN COMMUNITIES SERVED BY SYSTEM HOSPITALS THAT EXEMPLIFY THE FOUR CORE VALUES OF THE ST. JOSEPH HEALTH: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE.
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	false	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
NORTHERN CALIFORNIA CENTER FOR WELL BEING
365-B TESCONI CIRCLE	SANTA ROSA	CA	95401	931144835	501(c)(3)	$15,345	PROGRAM SUPPORT
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR STE 100	IRVINE	CA	92612	330143024	501(c)(3)	$350,900	CARE FOR THE POOR
PETALUMA PEOPLE SERVICES
1500 A PETALUMA BLVD S	PETALUMA	CA	94952	942271299	501(c)(3)	$17,000	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	DESCRIPTION OF ORG'S PROCEDURES FOR MONITORING THE USE OF GRANTS DONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF SRM ALLIANCE HOSPITAL SERVICES. WE DO NOT MONITOR DONATIONS MADE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
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 (14 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
JO SANDERSFELD
BOARD SECRETARY (PART YEAR)	$0	$202,999	$0	$63,415	$0	$36,131	$0	$18,250	$0	$17,590	$0	$338,385	$0	$0
MICHEL RICCIONI
CHIEF FINANCIAL OFFICER	$0	$334,981	$0	$161,077	$0	$59,365	$0	$17,606	$0	$28,401	$0	$601,430	$0	$0
GARY MAHAN
MANAGER - PHARMACY	$174,646	$0	$8,863	$0	$50	$0	$16,621	$0	$22,361	$0	$222,541	$0	$0	$0
KEVIN KLOCKENGA
REGIONAL EVP	$0	$505,252	$0	$207,110	$0	$60,762	$0	$10,200	$0	$28,538	$0	$811,862	$0	$0
JANETTE MARLOW
STAFF NURSE III - CNA	$187,933	$0	$0	$0	$25	$0	$19,100	$0	$30,795	$0	$237,853	$0	$0	$0
JANE READ
VP-OPERATIONS	$203,382	$0	$63,629	$0	$14,159	$0	$9,302	$0	$12,544	$0	$303,016	$0	$0	$0
JAYNIE BOREN
N. CA REG VP - STRATEGIC SVCS	$0	$262,619	$0	$89,261	$0	$27,698	$0	$7,729	$0	$22,672	$0	$409,979	$0	$0
DAVID ZIOLKOWSKI
CHIEF OPERATING OFFICER	$0	$188,631	$0	$46,287	$0	$56,758	$0	$0	$0	$17,056	$0	$308,732	$0	$0
ROBYNN VANPATTEN
BOARD SECRETARY	$0	$339,611	$0	$120,996	$0	$36,734	$0	$0	$0	$26,492	$0	$523,833	$0	$0
PAULA GRIFFITH
STAFF NURSE IV-CNA	$167,499	$0	$0	$0	$2,289	$0	$17,263	$0	$22,925	$0	$209,976	$0	$0	$0
MICHELE GEILS
STAFF NURSE IV-CNA	$164,258	$0	$0	$0	$50	$0	$14,641	$0	$29,129	$0	$208,078	$0	$0	$0
WENDI THOMAS
DIRECTOR-NURSING SVCS	$170,734	$0	$5,345	$0	$5,320	$0	$12,049	$0	$29,277	$0	$222,725	$0	$0	$0
NANCY PRATT
BOARD MEMBER	$0	$349,244	$0	$81,974	$0	$34,582	$0	$0	$0	$13,839	$0	$479,639	$0	$0
TODD SALNAS
BOARD MEMBER, PRESIDENT	$0	$346,507	$0	$163,867	$0	$42,564	$0	$10,200	$0	$28,556	$0	$591,694	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	SUPPLEMENTAL COMPENSATION IFNORMATION COMPANION TRAVEL ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL TO CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. MEMBERS OF THE BOARD AND EXECUTIVE MANAGEMENT TEAM ARE SELECTED TO PARTICIPATE IN AN ANNUAL PILGRIMAGE TO LE PUY, FRANCE, WHERE THE SISTERS' FIRST CONGREGATION WAS FORMED. THE PURPOSE OF THE PILGRIMAGE IS FOR THE ORGANIZATION'S LEADERS TO DEVELOP A DEEPER UNDERSTANDING OF THE ROOTS AND HERITAGE OF THE ORGANIZATION IN ORDER TO CARRY OUT THE MISSION. COMPANION TRAVEL IS CONSIDERED TO BE AN ESSENTIAL PART OF THIS EXPERIENCE AND THE COMPANION ACTS AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING INDIVIDUALS RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION: TODD SALNAS - $2,235 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 PRESIDENT IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATIONS. SEE SCHEDULE O FORM 990, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY ST. JOSEPH HEALTH SYSTEM.
SCHEDULE J, PART I, LINE 4B	EXECUTIVES 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 PROVISION OF THE PLAN.
SCHEDULE J, PART I, LINE 7	A PORTION OF EXECUTIVE SALARIES ARE PLACED 'AT RISK' AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE AT ST. JOSEPSH 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 PERCENT OF AT RISK PAY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	ORGANIZATION'S MISSION STATEMENT SRM ALLIANCE HOSPITAL IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES WE SERVE.
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS SRM ALLIANCE HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 30 YEARS, SERVING THE COMMUNITIES OF SOUTHERN SONOMA COUNTY AND MARIN COUNTY REGIONS. SRM ALLIANCE HOSPITAL, APPROXIMATELY 40 MILES NORTH OF SAN FRANCISCO JUST OFF THE HIGHWAY 101 CORRIDOR IN SOUTHERN SONOMA COUNTY IN THE TOWN OF PETALUMA, IS AN 80-BED ACUTE CARE HOSPITAL. ITS SERVICES INCLUDE A 24-HOUR EMERGENCY DEPARTMENT, INTENSIVE/CORONARY CARE UNIT, FAMILY BIRTH CENTER, INPATIENT MEDICAL/SURGICAL UNIT, DAY SURGERY, IMAGING, LABORATORY, AND RESPIRATORY, PHYSICAL AND OCCUPATIONAL THERAPIES. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, SRM ALLIANCE HOSPITAL IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORS" AND MINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH MINISTRY. SRM ALLIANCE HOSPITAL IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 1) EVERY INTERACTION WILL BE EXPERIENCED AS A SACRED ENCOUNTER. THE GOAL OF SACRED ENCOUNTER HAS A DIRECT CONNECTION TO THE OVERALL MISSION. OUR VALUE OF DIGNITY CALLS FOR US TO RESPECT EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE. WE STRIVE TO DO THIS BY KEEPING AT THE FOREFRONT OF OUR MINDS THE UNDERSTANDING OF THE IMPACT WE CAN HAVE ON ONE ANOTHER WITH EVERY ACTION WE TAKE. THE MAIN GOAL SURROUNDING SACRED ENCOUNTERS IS TO PROVIDE CARE TO PATIENTS DISTINGUISHED BY EASE OF USE, TIMELY ACCESS, SAFETY, AND HIGH RELIABILITY WITH AN EMPHASIS ON PATIENT SAFETY AND PATIENT SATISFACTION. SRM ALLIANCE HOSPITAL HAS IMPLEMENTED EVIDENCED BASED BEST PRACTICE STANDARD WORK TO ADDRESS WHAT WE DO & HOW WE DO WHAT WE DO TO ADDRESS ALL EIGHT KEY HCAHPS COMPOSITE MEASURES OF PATIENT EXPERIENCE. ANY LOCATION PERFORMING BELOW MINISTRY HCAHPS PERFORMANCE GOALS MUST PROVIDE COUNTERMEASURE FOR IMPROVEMENT TO EXECUTIVE LEADERSHIP. ALL STANDARD WORK INCLUDES EDUCATION, MONITORING & COACHING, IS AUDITED DAILY FOR REAL TIME PROGRESS REPORT TO ALL LEVELS OF THE ORGANIZATION, AND RELIES ON THE INFRASTRUCTURE PROVIDED BY SONOMA WAY AND OUR PERFORMANCE IMPROVEMENT AND IMPLEMENTATION TEAM OF EDUCATORS TO SUPPORT SUSTAINMENT. STANDARD WORK IS CONSIDERED HARD WIRED WHEN IT IS PERFORMED CONSISTENTLY AT 90% ON AUDIT OUTCOME DATA. FALLOUTS FROM 90% PERFORMANCE LASTING TWO WEEKS REQUIRE IMMEDIATE ACTION PLANS FOR RESTORATION OF PERFORMANCE. ALL OF THESE INITIATIVES HAVE EDUCATION, STANDARD WORK AND COACHING/MENTORING OF STAFF. AUDITS WITH VISUAL MANAGEMENT BOARDS TRACK PROJECTS AND UNITS ARE CONSIDERED HARDWIRED IF ALL AUDITS ARE AT 90% FOR 2 SIMULTANEOUS WEEKS. IN ADDITION SRM ALLIANCE HOSPITAL IMPLEMENTED A "SPOTLIGHTING PROGRAM," WHICH IS AN INITIATIVE THAT GIVES CAREGIVERS NEW TOOLS TO SHOW THEIR COMPASSION, HONOR PATIENT DIGNITY AND FOSTER AN ENVIRONMENT IN WHICH PATIENTS FEEL SAFE AND NURTURED. SPECIFICALLY, THE FOCUS WAS ON THREE MOMENTS: ADMISSION, BED TIME AND DISCHARGE. DEPARTMENTS LOOKED CLOSELY AT EVERY ASPECT OF THESE EXPERIENCES, DETERMINED THE TONE THEY WANTED TO ESTABLISH AND THEN EXPLORED WHAT CAREGIVERS COULD DO AND SAY TO FOSTER A SACRED ENCOUNTER. THE IDEA WAS TO CREATE TOOLS THAT ALLOW THE CAREGIVERS TO REACH OUT AND HAVE AUTHENTIC ENCOUNTERS WITH THE PATIENTS. 2) ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENT'S EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. OUR MISSION IS TO CONTINUALLY IMPROVE THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. OUR VISION IS THAT EVERY PATIENT WE CARE FOR RECEIVES PERFECT CARE. PERFECT CARE MEANS THAT EVERY PATIENT GETS THE HIGHEST STANDARD OF CARE, EVERY TIME. TO ACHIEVE THOSE GOALS, WE PARTICIPATE IN THE FOLLOWING QUALITY PROGRAM: - CENTER FOR MEDICARE & MEDICAID SERVICES PARTICIPANT IN THE PARTNERSHIP FOR PATIENTS; HOSPITAL ENGAGEMENT NETWORK-A VOLUNTARY PROGRAM TO REDUCE HARM AND IMPROVE CARE IN THE U.S. 3) THE COMMUNITIES WE SERVE WILL BE AMONG THE HEALTHIEST IN OUR NATION. WE SEEK TO DEVELOP COMMUNITY HEALTH INITIATIVES THAT IMPACT LONG-TERM HEALTH ACROSS THE ENTIRE COMMUNITY. IN PURSUIT OF THIS OUTCOME, SRM ALLIANCE HOSPITAL ENGAGED LOW-INCOME COMMUNITY MEMBERS IN PREVENTION ACTIVITIES THAT SUPPORT HEALTHY NUTRITION AND PHYSICAL ACTIVITY. IN FY14, THE PROMOTORES DE SALUD SERVED 36 LOW-INCOME INDIVIDUALS IN PETALUMA THROUGH 348 SERVICE ENCOUNTERS. SENIOR CARE MANAGEMENT AS PART OF A COORDINATED CONTINUUM OF CARE WITHIN THE HOSPITAL THAT INCLUDES CASE MANAGEMENT, HOSPICE AND OTHER DEPARTMENTS, AS WELL AS COMMUNITY PARTNERS, THE COMMUNITY BENEFIT HOUSE CALLS PROGRAM PROVIDED 236 SERVICE ENCOUNTERS IN PETALUMA DURING FY14, HELPING TO PREVENT INFECTIOUS AND MANAGE CHRONIC DISEASES AMONG LOW-INCOME SENIORS WITH COMPLEX MEDICAL AND SOCIO-ECONOMIC CONDITIONS. FOR MORE INFORMATION ABOUT SRM ALLIANCE HOSPITAL, PLEASE VISIT WWW.STJOSEPHHEALTH.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG
FORM 990, PART VI, LINE 6	DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS SANTA ROSA MEMORIAL HOSPITAL IS THE SOLE CORPORATE MEMBER OF SRM ALLIANCE HOSPITAL SERVICES.
FORM 990, PART VI, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS SRM ALLIANCE HOSPITAL SERVICES HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE SRM ALLIANCE HOSPITAL SERVICES BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE SRM ALLIANCE HOSPITAL SERVICES BOARD AS NOMINATIONS MUST BE APPROVED BY SANTA ROSA MEMORIAL HOSPITAL.
FORM 990, PART VI, LINE 7B	DESCR CLASSES OF PERSONS, DECISIONS REQ APPR & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIER GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY SANTA ROSA MEMORIAL HOSPITAL, ITS SOLE CORPORATE MEMBER, FOR THE FOLLOWING: A. ESTABLISHING THE PHILOSOPHY, OBJECTIVES AND PURPOSES OF THE ORGANIZATION; B. LONG-TERM AND SHORT-TERM FINANCING; C. SALE, LEASE, DISPOSITION OR HYPOTHECATION OF REAL PROPERTY; D. ANNUAL BUDGETS; E. CAPITAL EXPENDITURES; F. ORGANIZATION'S STRATEGIC PLANS; G. MERGER OR DISSOLUTION; H. APPOINTMENT OR REMOVAL OF FISCAL AUDITORS; I. APPOINTMENT OR REMOVAL OF TRUSTEES, OFFICERS OF THE BOARD AND CHIEF EXECUTIVE OFFICER; J. AMENDMENT OR RESCISSION OF THE BYLAWS; K. EXERCISE THE POWERS WHICH ARE RESERVED TO THE ORGANIZATION IN ITS CAPACITY AS A CORPORATE MEMBER OF ANY SUBSIDIARY; AND L. EXERCISE SUCH OTHER POWERS AS MAY BE REQUIRED OR PERMITTED BY LAW AND BY THE ARTICLES OF INCORPORATION AND THE 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 AS APPLICABLE. THE FORM 990 WAS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE MARCH 2015 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.
FORM 990, PART VI, LINE 15A & 15B	PROCESS USED TO DETERMINE COMPENSATION THE ORGANIZATION'S PRESIDENT IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. EXECUTIVE COMPENSATION IS APPROVED BY THE SRM ALLIANCE HOSPITAL SERVICES EXECUTIVE MANAGEMENT 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 2013. DURING THE YEAR, THE SRM ALLIANCE HOSPITAL SERVICES EXECUTIVE MANAGEMENT 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 IX, LINE 11G	OTHER FEES EXCEEDING 10% PHYSICIAN FEES AND MEDICAL SERVICES $ 5,195,974 CONTRACT SERVICES $ 2,027,937 OTHER PURCHASED SERVICES $ 1,996,953 ------------ TOTAL $ 9,220,864
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS EQUITY TRANSFERS ($ 3,668,361) OTHER $ 25,351 ------------ TOTAL ($ 3,643,010)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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 HEALTH PARTNERS
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
4000 24TH STREET	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 PHYSICIAN PARTNERS
3615 19TH STREET	LUBBOCK	TX	79410	463516417	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
HOAG CHARITY SPORTS
3920 BIRCH STREET SUITE 105	NEWPORT BEACH	CA	92660	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (true)
HOAG HOSPITAL FOUNDATION
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (true)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG DRIVE 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
1102 SLIDE ROAD	LUBBOCK	TX	79414	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
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
170 PROFESSIONAL CENTER DR B	ROHNERT PARK	CA	94928	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
500 S MAIN STREET STE 1000	ORANGE	CA	92868	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 MEDICAL CENTER
18300 HIGHWAY 18	APPLE VALLEY	CA	92307	951914489	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	WORKFORCE DEV	CA	501(C)(3)	2	SSJO	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	UBI Code VUBICodeVAmt
ST JOSEPH HLTH SYS HOME HLTH
SEE PART VII	ORANGE	CA	92868	330282945	HOME HEALTH	CA	NA	N/A
ST JOSEPH HLTH SYS HOME CARE
				330307672	HOME HEALTH	CA	NA	N/A
METHODIST DIAGNOSTIC IMAGING
				752343261	HEALTHCARE SVCS	TX	NA	N/A
SHA LLC
				752569094	INSURANCE	TX	NA	N/A
LUBBOCK SURGERY CENTER LTD
				752177401	HEALTHCARE SVCS	TX	NA	N/A
COVENANT LONG-TERM CARE LP
				205033419	HEALTHCARE SVCS	TX	NA	N/A
HERITAGE INVESTMENT GROUP
				271000061	INVESTMENTS	CA	NA	N/A	$0
MISSION AMBULATORY SURGICENTER
				330355575	HEALTHCARE SVCS	CA	NA	N/A
COMPREHENSIVE IMAGING PARTNERS
				264591502	HEALTHCARE SVCS	CA	NA	N/A
ST JOSEPH PHYSICIAN VENTURES
					REAL ESTATE	CA	NA	N/A
ADVANCED SURGERY INSTITUTE LLC
					HEALTHCARE SVCS	CA	NA	N/A
HOAG OUTPATIENT CENTERS
					HEALTHCARE SVCS	CA	NA	N/A
NEWPORT IMAGING CENTER
					HEALTHCARE SVCS	CA	NA	N/A
HOAG ORTHOPEDIC INSTITUTE
					HEALTHCARE SVCS	CA	NA	N/A
MAIN ST SPECIALTY SURGERY CNTR
					HEALTHCARE SVCS	CA	NA	N/A
ORTHOPEDIC SURGERY CNTR OF OC
					HEALTHCARE SVCS	CA	NA	N/A
THE INSTITUTE FOR INNOVATION
					HEALTHCARE SVCS	DE	NA	N/A
HEALTHCARE DESIGN & CONSTRUCT
					REAL ESTATE	DE	NA	N/A
NORTH BAY ENDOSCOPY CENTER
					HEALTHCARE SVCS	CA	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country
ST JOSEPH PROF SVCS ENTERPRISES INC
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330155323	HEALTHCARE SVCS	CA	NA	C-CORP
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE	AL	NA	C-CORP	58 PAR-LA-VILLE ROAD	HAMILTON HM HX	BD
ALLIANCE PHYSICIAN SERVICES
					INACTIVE	CA	NA	C-CORP
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE SVCS	CA	NA	C-CORP
ST JOSEPH YORBA PARK
					INACTIVE	CA	NA	C-CORP
LUBBOCK METHODIST HOSPITAL SVCS
PO BOX 1201	LUBBOCK	TX	79410	752118585	HEALTHCARE SVCS	TX	NA	C-CORP
LUBBOCK METHODIST HOSP PRACTICE MGMT
2107 OXFORD STREET STE 300	LUBBOCK	TX	79410	752578995	INACTIVE	TX	NA	C-CORP
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE SVCS	CA	NA	C-CORP
COASTAL MANAGEMENT SERVICES ORGANIZATION
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE SVCS	CA	NA	C-CORP
HMTS INC FKA HOAG MEDICAL FOUNDATION
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE SVCS	CA	NA	C-CORP
ST JOSEPH HEALTH SOURCE INC
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	461900168	HEALTHCARE SVCS	CA	NA	C-CORP
DATU HEALTH INC
16150 MAIN CIRCLE DR SUITE 250	CHESTERFIELD	MO	63017	463070062	IT SVCS	MO	NA	C-CORP
ST JOSEPH HEALTH
3345 MICHELSON DR SUITE 100	IRVINE	CA	92612	462340232	HOLDING COMPANY	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	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
b	$350,900	ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
c	$180,000	ACCRUAL
SANTA ROSA MEMORIAL HOSPITAL
p	$23,130,000	CASH
SANTA ROSA MEMORIAL HOSPITAL
o	$577,302	ACCRUAL

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 ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100, ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 2301 QUAKER, LUBBOCK, TX 79410 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 3345 MICHELSON DRIVE, STE. 100, IRVINE, CA 92612 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE. 362, MISSION VIEJO, CA 92691 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY, LLC EIN: 26-4591502 ADDRESS: ONE CITY BOULEVARD WEST, SUITE 1100, ORANGE, CA 92868 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 17349 4TH STREET, SANTA ROSA, CA 95404 HOAG OUTPATIENT CENTERS EIN: 45-3587572 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 MAIN ST SPECIALTY SURGERY CENTER EIN: 95-4813223 ADDRESS: 280 MAIN STREET, STE 100, ORANGE, CA 92868 ORTHOPEDIC SURGERY CENTER OF OC, LLC EIN: 33-0841806 ADDRESS: 22 CORPORATE PLAZA, NEWPORT BEACH, CA 92660 THE INSTITUTE FOR INNOVATION, LLC EIN: 90-0745066 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 HEALTHCARE DESIGN AND CONSTRUCTION EIN: 46-2611662 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954	ExplanationTxt