ST MARY MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: ST MARY MEDICAL CENTER (EIN 95-1914489)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-12
IRS object ID: 201531329349304678
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-12T20:12:00-05:00	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	951914489	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% SHAWN CURTIS DIR OF FINANCE	InCareOfNm
Business Name Control	STMA	BusinessNameControlTxt
Phone	7602422311	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18300 HIGHWAY 18	AddressLine1
Address Line2	Suite	AddressLine2
City	APPLE VALLEY	City
State	CA	State
ZIP Code	92307	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TRACEY FERNANDEZ	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2015-05-11	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	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ALAN H GARRETT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18300 HIGHWAY 18	AddressLine1
City	APPLE VALLEY	City
State	CA	State
ZIP Code	92307	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$283,592,593	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STMARYAPPLEVALLEY.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1863	TotalEmployeeCnt
Total Volunteers	213	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,835,121	PYContributionsGrantsAmt
CY Contributions Grants	$2,309,993	CYContributionsGrantsAmt
PY Program Service Revenue	$274,185,520	PYProgramServiceRevenueAmt
CY Program Service Revenue	$276,738,669	CYProgramServiceRevenueAmt
PY Investment Income	$7,941,415	PYInvestmentIncomeAmt
CY Investment Income	$3,985,468	CYInvestmentIncomeAmt
PY Other Revenue	$99,826	PYOtherRevenueAmt
CY Other Revenue	$7,475	CYOtherRevenueAmt
PY Total Revenue	$288,061,882	PYTotalRevenueAmt
CY Total Revenue	$283,041,605	CYTotalRevenueAmt
PY Grants And Similar Paid	$99,750	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$133,400	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$135,859,970	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$146,590,704	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$47,317	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$205	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$828,686	CYTotalFundraisingExpenseAmt
PY Other Expenses	$132,383,707	PYOtherExpensesAmt
CY Other Expenses	$124,841,130	CYOtherExpensesAmt
PY Total Expenses	$268,390,744	PYTotalExpensesAmt
CY Total Expenses	$271,565,439	CYTotalExpensesAmt
PY Revenues Less Expenses	$19,671,138	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$11,476,166	CYRevenuesLessExpensesAmt
Total Assets BOY	$271,349,420	TotalAssetsBOYAmt
Total Assets EOY	$290,774,854	TotalAssetsEOYAmt
Total Liabilities BOY	$88,743,784	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$102,339,803	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$182,605,636	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$188,435,051	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	$247,284,400	ExpenseAmt
Grant	$133,400	GrantAmt
Revenue	$276,680,599	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$247,284,400	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	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	285	IRPDocumentCnt
IRP Document W2 G	3	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1863	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	18	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SHAWN CURTIS DIR OF FINANCE	PersonNm
Phone	7609468742	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	16000 KASOTA RD	AddressLine1
City	APPLE VALLEY	City
State	CA	State
ZIP Code	92307	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SISTER THERESA LAMETTEREY
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
KEVIN MURPHY
BOARD OF DIRECTOR	2.0	50.0	Yes (X)	$0	$323,816	$49,695
ERIC MORENO
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
DIANA CARLONI O'MALLEY
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
VODUR REDDY MD
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$24,000	$0	$0
BROTHER IGNATIUS SUDOL
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
ROB TURNER
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
DAVID VARGAS MD
BOARD OF DIRECTOR (PART YEAR)	2.0	0.0	Yes (X)	$600	$0	$0
ZOHEIR EL-HAJJAOUI MD
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
SISTER CLAUDETTE DES FORGES
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
VENKAT DEVINENI MD
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$57,035	$0	$0
BRUCE FAY
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
ALAN H GARRETT
PRESIDENT/CEO	50.0	2.0	Yes (X)	$0	$590,309	$48,352	Yes (X)
VIRGIL BARNES
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
ROSELLA BERNAL
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
BROTHER STEPHEN DE LA ROSA
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
SISTER MARTHA ANN FITZPATRICK
BOARD OF DIRECTOR	2.0	2.0	Yes (X)	$0	$0	$0
HENRY GONZALEZ MD
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
JOHN HULTERSTROM
BOARD OF DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
TARA COWELL
SECRETARY	2.0	52.0		$0	$314,087	$39,671	Yes (X)
KELLY LINDEN
COO	50.0	0.0		$344,921	$0	$22,923	Yes (X)
TRACY FERNANDEZ
SVP/CFO	50.0	0.0		$296,271	$0	$25,384	Yes (X)
MARILYN DRONE
CHIEF NURSING OFFICER	50.0	0.0		$274,181	$0	$27,314		Yes (X)
RANDY BEVILACQUA
VP STRATEGIC SERVICES	50.0	0.0		$223,953	$0	$27,755		Yes (X)
DENNIS HAGHIGHAT MD
VP MEDICAL AFFAIRS	50.0	0.0		$353,578	$12,013	$23,315		Yes (X)
VANBOTRA HUANG
DIRECTOR OF PHARMACY	50.0	0.0		$190,025	$0	$23,006			Yes (X)
LAURIE ROBERTS
DIRECTOR COMMUNITY HEALTH	50.0	0.0		$182,287	$0	$22,941			Yes (X)
KATHERINE FREEMAN
STAFF RN	36.0	0.0		$174,023	$0	$13,923			Yes (X)
MARILYN PLATT
MANAGER OB CLINIC	50.0	0.0		$170,534	$0	$21,382			Yes (X)
SHARON KIDD
STAFF RN	36.0	0.0		$164,903	$0	$37,359			Yes (X)
DAVID O'BRIEN
COO (FORMER KEY EMPLOYEE)	0.0	52.0		$203,450	$261,161	$12,702				Yes (X)
JAMES KYLE
VP MED AFFAIRS (FMR KEY EMPL)	0.0	50.0		$0	$451,523	$34,727				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,659,761	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,952,909	TotReportableCompRltdOrgAmt
Total Other Compensation	$430,449	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	282	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
EXECUTIVE HEALTH RESOURCES
PO BOX 822688	PHILADELPHIA	CA	19182	CASE MANAGEMENT	$1,071,556
HIGH DESERT PRIMARY MEDICAL GROUP
17095 MAIN STREET	HESPERIA	CA	92345	MEDICAL SERVICES	$703,151
HIGH DESERT SPECIALITY GROUP
12550 HESPERIA RD SU 100	VICTORVILLE	CA	92395	SPECIALTY CARE SVCS	$390,079
MS ILBEIGI AND ASSOC
18300 HIGHWAY 18	APPLE VALLEY	CA	92307	ANESTHESIA SERVICES	$609,709
PRECYSE SOLUTIONS LLC
PO BOX 11407	BIRMINGHAM	IL	35246	TRANSCRIPTION SVCS	$237,744

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	19	CntrctRcvdGreaterThan100KCnt
Fundraising	$31,640	FundraisingAmt
Related Organizations	$940,177	RelatedOrganizationsAmt
Government Grants	$959,641	GovernmentGrantsAmt
All Other Contributions	$378,535	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$2,309,993	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	622110	$255,041,808	$255,041,808	$0	$0
CAPITATION PREMIUM REVENUE	622110	$20,892,518	$20,892,518	$0	$0
CAFETERIA REVENUE	722110	$433,315	$433,315	$0	$0
FINANCE CHARGES REVENUE	900099	$173,726	$173,726	$0	$0
FEE REVENUE	900099	$114,399	$114,399	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$82,903	TotalRevenueColumnAmt
Related Or Exempt Func Income	$82,903	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$276,738,669	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,981,716	TotalRevenueColumnAmt
Exclusion	$3,981,716	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$46,377	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$38,213	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$8,164	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,164	TotalRevenueColumnAmt
Exclusion	$8,164	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$3,752	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$3,752	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,752	TotalRevenueColumnAmt
Exclusion	$3,752	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$218,100	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$31,640	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$160,719	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$57,381	TotalRevenueColumnAmt
Exclusion	$57,381	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$293,986	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$352,056	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$58,070	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$58,070	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$283,041,605	TotalRevenueColumnAmt
Related Or Exempt Func Income	$276,680,599	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$4,051,013	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$133,400	TotalAmt
Program Services	$133,400	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	$1,679,719	TotalAmt
Management And General	$1,679,719	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	$100,467,322	TotalAmt
Program Services	$95,792,800	ProgramServicesAmt
Management And General	$4,301,814	ManagementAndGeneralAmt
Fundraising	$372,708	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,821,530	TotalAmt
Program Services	$5,325,763	ProgramServicesAmt
Management And General	$473,929	ManagementAndGeneralAmt
Fundraising	$21,838	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$30,715,040	TotalAmt
Program Services	$29,454,394	ProgramServicesAmt
Management And General	$1,145,319	ManagementAndGeneralAmt
Fundraising	$115,327	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,907,093	TotalAmt
Program Services	$7,453,715	ProgramServicesAmt
Management And General	$423,938	ManagementAndGeneralAmt
Fundraising	$29,440	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$33,889,880	TotalAmt
Program Services	$26,851,164	ProgramServicesAmt
Management And General	$6,979,662	ManagementAndGeneralAmt
Fundraising	$59,054	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,364,920	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,364,920	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$12,500	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$12,500	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$35,488	TotalAmt
Program Services	$35,488	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$205	TotalAmt
Fundraising	$205	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$378,528	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$378,528	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$21,008,919	TotalAmt
Program Services	$20,116,833	ProgramServicesAmt
Management And General	$715,160	ManagementAndGeneralAmt
Fundraising	$176,926	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$51,680	TotalAmt
Management And General	$51,680	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$439,808	TotalAmt
Program Services	$408,134	ProgramServicesAmt
Management And General	$24,128	ManagementAndGeneralAmt
Fundraising	$7,546	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$392,847	TotalAmt
Program Services	$382,986	ProgramServicesAmt
Management And General	$9,831	ManagementAndGeneralAmt
Fundraising	$30	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	$5,277,529	TotalAmt
Program Services	$5,054,294	ProgramServicesAmt
Management And General	$217,248	ManagementAndGeneralAmt
Fundraising	$5,987	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$162,307	TotalAmt
Program Services	$91,092	ProgramServicesAmt
Management And General	$62,315	ManagementAndGeneralAmt
Fundraising	$8,900	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	$51,721	TotalAmt
Program Services	$39,016	ProgramServicesAmt
Management And General	$9,104	ManagementAndGeneralAmt
Fundraising	$3,601	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,814,806	TotalAmt
Program Services	$2,814,806	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,446,897	TotalAmt
Program Services	$9,906,379	ProgramServicesAmt
Management And General	$537,197	ManagementAndGeneralAmt
Fundraising	$3,321	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,159,463	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,159,463	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$42,195,184	$42,147,884	$42,833	$4,467
PHYSICIAN LOAN FORGIVENES	$882,620	$0	$882,620	$0
CHFT PLEDGE	$563,666	$0	$563,666	$0
EMPLOYEE RECRUITMENT	$155,817	$0	$155,817	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,556,550	TotalAmt
Program Services	$1,276,252	ProgramServicesAmt
Management And General	$260,962	ManagementAndGeneralAmt
Fundraising	$19,336	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$271,565,439	TotalAmt
Program Services	$247,284,400	ProgramServicesAmt
Management And General	$23,452,353	ManagementAndGeneralAmt
Fundraising	$828,686	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	$6,809,133	BOYAmt
EOY	-$7,702,497	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$38,630,826	BOYAmt
EOY	$65,053,455	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$952,900	BOYAmt
EOY	$952,900	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$47,734,801	BOYAmt
EOY	$48,136,708	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	$730,665	BOYAmt
EOY	$720,991	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,577,975	BOYAmt
EOY	$3,967,158	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$308,997	BOYAmt
EOY	$13,874,903	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$250,641,281	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$112,605,369	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$135,577,253	BOYAmt
EOY	$138,035,912	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$21,823,124	BOYAmt
EOY	$25,099,967	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,203,746	BOYAmt
EOY	$2,635,357	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$271,349,420	BOYAmt
EOY	$290,774,854	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$28,635,630	BOYAmt
EOY	$25,180,088	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	$462,730	BOYAmt
EOY	$1,578,624	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$954,440	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	$59,645,424	BOYAmt
EOY	$74,626,651	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$88,743,784	BOYAmt
EOY	$102,339,803	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$177,161,203	BOYAmt
EOY	$183,193,560	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,444,433	BOYAmt
EOY	$5,241,491	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	$182,605,636	BOYAmt
EOY	$188,435,051	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$271,349,420	BOYAmt
EOY	$290,774,854	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$11,476,166	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,285,302	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$6,200	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$9,938,253	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$35,488	OtherActivitiesAmt
Total Lobbying Expenditures	$35,488	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	LOBBYING A PORTION OF THE DUES PAID TO HOSPITAL ASSOCIATIONS ARE FOR LOBBYING ACTIVITIES. DURING THIS PAST YEAR, THE ST. JOSEPH HEALTH SYSTEM HAS CONDUCTED AN ADVOCACY EFFORT WHICH INCLUDED SOME LOBBYING ACTIVITY. THESE INCLUDED MEETINGS 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 Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$566,823	BeginningYearBalanceAmt
Investment Earnings Or Losses	$70,417	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,000	GrantsOrScholarshipsAmt
End Year Balance	$634,240	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$549,770	BeginningYearBalanceAmt
Investment Earnings Or Losses	$20,053	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,000	GrantsOrScholarshipsAmt
End Year Balance	$566,823	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$530,889	BeginningYearBalanceAmt
Investment Earnings Or Losses	$21,881	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,000	GrantsOrScholarshipsAmt
End Year Balance	$549,770	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$473,913	BeginningYearBalanceAmt
Investment Earnings Or Losses	$59,976	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,000	GrantsOrScholarshipsAmt
End Year Balance	$530,889	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$420,803	BeginningYearBalanceAmt
Investment Earnings Or Losses	$56,110	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,000	GrantsOrScholarshipsAmt
End Year Balance	$473,913	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,153,187	OtherCostOrOtherBasisAmt
Book Value	$30,153,187	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,135,872	OtherCostOrOtherBasisAmt
Depreciation	$55,311,093	DepreciationAmt
Book Value	$51,824,779	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$328,078	OtherCostOrOtherBasisAmt
Depreciation	$205,307	DepreciationAmt
Book Value	$122,771	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,921,032	OtherCostOrOtherBasisAmt
Depreciation	$55,529,615	DepreciationAmt
Book Value	$15,391,417	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$42,103,112	OtherCostOrOtherBasisAmt
Depreciation	$1,559,354	DepreciationAmt
Book Value	$40,543,758	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$138,035,912	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
INTERCOMPANY W/HEALTH SYSTEM BONDS	$61,019,735
DUE TO 3RD PARTY PAYORS	$11,492,950
CAPITAL LEASE	$1,383,318
ANNUITY AND TRUST PAYABLE	$650,136
457F LIABILITY	$74,819
SECURITY DEPOSIT	$5,693

Field	Value	IRS element (for citing)
Total Liability	$74,626,651	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

ENDOWMENT FUNDS USE ENDOWMENT FUNDS WERE DESIGNATED TO PROVIDE SCHOLARSHIP FUNDS FOR NURSING STUDENTS.

SCHEDULE D, PART X, LINE 2

FIN 48 (ASC 740) FOOTNOTE ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2014 OR 2013.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	ANNUAL GALA	NameOfEvent1Amt
Gross Receipts Event1	$211,625	GrossReceiptsEvent1Amt
Charitable Contri Event1	$19,320	CharitableContriEvent1Amt
Gross Revenue Event1	$192,305	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$3,150	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$54,261	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$48,316	FoodAndBeverageEvent1Amt
Entertainment Event1	$35,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$17,093	OtherDirectExpensesEvent1Amt
Name Of Event2	MEN WHO COOK	NameOfEvent2Amt
Gross Receipts Event2	$38,115	GrossReceiptsEvent2Amt
Charitable Contri Event2	$12,320	CharitableContriEvent2Amt
Gross Revenue Event2	$25,795	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$181	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$2,304	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$0	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$414	OtherDirectExpensesEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$249,740	GrossReceiptsTotalAmt
Charitable Contributions Tot	$31,640	CharitableContributionsTotAmt
Gross Revenue Total Events	$218,100	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$3,331	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$56,565	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$48,316	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$35,000	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$17,507	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$160,719	DirectExpenseSummaryEventsAmt
Net Income Summary	$57,381	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	$6,203,860	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,203,860	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,945,939	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,305,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,640,217	NetCommunityBenefitExpnsAmt
Total Expense	0.04660	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,149,799	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,305,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,844,077	NetCommunityBenefitExpnsAmt
Total Expense	0.06950	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$701,124	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$196,357	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$504,767	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$419,384	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$419,384	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,682,198	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$926,061	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,756,137	NetCommunityBenefitExpnsAmt
Total Expense	0.01750	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$148,993	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$148,993	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,951,699	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,122,418	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,829,281	NetCommunityBenefitExpnsAmt
Total Expense	0.02140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,101,498	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,428,140	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,673,358	NetCommunityBenefitExpnsAmt
Total Expense	0.09090	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,419	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,419	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,228	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,228	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,989	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,989	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,989	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,989	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,989	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,989	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,773	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,158	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$615	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$383	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$383	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,770	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,125	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,645	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$2,922,691	BadDebtExpenseAmt
Reimbursed By Medicare	$54,572,613	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$64,326,855	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,754,242	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY MEDICAL CENTER	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18300 HIGHWAY 18	AddressLine1
City	APPLE VALLEY	City
State	CA	State
ZIP Code	92307	ZIPCode

Field	Value	IRS element (for citing)
Website Address	www.stmaryapplevalley.com	WebsiteAddressTxt
State License	240000207	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY MEDICAL CENTER	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	false	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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3	THE HOSPITAL PLACES ON ITS INTERNET SITE ALL COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS, COMMUNITY BENEFIT PLANS AND ANNUAL COMMUNITY BENEFIT REPORTS. THE HOSPITAL OPERATES A HEALTHY COMMUNITY DEPARTMENT WORKING WITH NUMEROUS COMMUNITY PARTNERS AND RESIDENTS WHO PROVIDE INPUT ON HEALTH AND SOCIAL NEEDS THROUGHOUT THE YEAR. ADDITIONALLY, THE HOSPITAL OPERATES TWO FIXED COMMUNITY CLINICS AND A MOBILE MEDICAL UNIT. THE HOSPITAL'S COMMUNITY CLINICS SERVE POOR PATIENTS IN THE COMMUNITIES OF ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE. THE PRIMARY CARE SERVICES THAT ARE PROVIDED TO THIS POPULATION PROVIDES FEEDBACK THAT LOW COST SPECIALTY CARE SERVICES ARE NEEDED. FEEDBACK TO THE HOSPITAL'S HEALTHY COMMUNITIES TEAM IS ALWAYS FOCUSED ON THE NEED FOR ADDITIONAL SERVICES PROVIDED IN LOW INCOME COMMUNITIES. THIS INCLUDES: THE NEED FOR LOW COST ACCESS TO HEALTHY FOODS, ADDITIONAL HEALTH PROVIDERS LOCATED IN POOR NEIGHBORHOODS, AN IMPROVED TRANSPORTATION SYSTEM THAT PROVIDING IMPROVED SERVICE FOR LOW INCOME PERSONS, THE DEVELOPMENT OF ADDITIONAL BEHAVIORAL HEALTH SERVICES INCLUDING AN INPATIENT PSYCHIATRIC PROGRAM, CREATION OF A FOOD BANK, IMPROVED JOB TRAINING AND EMPLOYMENT OPPORTUNITIES AND INCREASED AFFORDABLE HOUSING FOR THE HOMELESS. THE HOSPITAL RECEIVES FEEDBACK FROM TWO PARTNERS USING HOSPITAL GRANTS TO SERVE THE POOR WITH FOOD, HOUSING AND UTILITY ASSISTANCE. THEIR QUARTERLY REPORTS CITE A DEMAND OF SERVICES EXCEEDING THE SUPPLY OF FOOD OR FUNDS. THE REGION SUFFERS FROM AN UNEMPLOYMENT RATE THAT IS TYPICALLY ONE TO TWO PERCENTAGE POINTS HIGHER THAN THE STATEWIDE AVERAGE. THAT PERCENTAGE IS 8.9% FOR DECEMBER 2013. THE HOSPITAL RECEIVES FEEDBACK FROM SAN BERNARDINO COUNTY PUBLIC HEALTH THAT COLLABORATIVE EFFORTS WILL SPEED THE OPENING OF LOCAL COMMUNITY CLINICS SERVING THE POOR. SAN BERNARDINO COUNTY EXPERIENCES AN ACUTE PHYSICIAN SHORTAGE TO SERVE ITS POPULATION. THE HOSPITAL JOINED A COUNTY-WIDE COMMUNITY CLINIC COLLABORATIVE AND HAS ASSISTED IN THE OPENING OF FOUR (4) LOCAL COMMUNITY CLINICS SERVING LOW INCOME PERSONS. THE HOSPITAL WORKED CLOSELY WITH KAISER FONTANA WHO PROVIDED TECHNICAL ASSISTANCE AND START-UP GRANTS FOR CLINIC EXPANSION. ADDITIONALLY, THE HOSPITAL WORKED WITH THE NEWLY FORMED COMMUNITY CLINIC ASSOCIATION TO STREAMLINE THE REFERRAL OF POOR PATIENTS OBTAINING SPECIALTY CARE AT THE COUNTY HOSPITAL. THE HOSPITAL RECEIVED FEEDBACK FROM RESIDENTS AND LEADERS THAT COMMUNITIES NEED ADDITIONAL HEALTH CLINICS. THIS FEEDBACK RESULTED IN THE HOSPITAL RECRUITING MOLINA HEALTH TO OPEN ITS FIRST CLINIC IN THE VICTOR REGION. IN 2013 MOLINA OPENED A SECOND CLINIC IN THE CITY OF VICTORVILLE. THE HOSPITAL RECEIVED FEEDBACK FROM THE COUNTY'S HEALTHY COMMUNITIES PROGRAM THAT COORDINATING RESOURCES AND ADVOCACY COULD HELP "PUSH" LOCAL CITY LEADERS TO PRIORITIZE PARK AND RECREATION AND IMPROVED STREET PROGRAMS (PROVIDING SIDEWALKS, WALKING TRAILS AND BICYCLE LANES). THIS ADVOCACY RESULTED IN THE HOSPITAL'S CONTINUED WORK SUPPORTING/MANAGING FOUR (4) HEALTHY CITY CAMPAIGNS WHICH ALSO PROVIDES THE HOSPITAL FEEDBACK ABOUT THE LOCAL RESIDENT'S NEED FOR INCREASED ACCESS TO HEALTHY FOODS, SAFER STREETS, PARK AND RECREATION, THE NEED FOR MORE MEDICAL CARE, MORE EMPLOYMENT AND CAREER DEVELOPMENT PROGRAMS. THE HOSPITAL'S WORK IS NOW REGIONAL WITH MULTIPLE CITIES ENGAGED. FEEDBACK FROM THE COUNTY'S INLAND EMPIRE CHILDREN'S HEALTH INITIATIVE URGED THE HOSPITAL TO ASSIST IN DEVELOPING ENROLLMENT CAMPAIGNS TARGETING HISPANIC FAMILIES TRADITIONALLY NOT ENROLLING INTO HEALTH INSURANCE. THE HOSPITAL IS THE ONLY VICTOR VALLEY REPRESENTATIVE ON THIS COUNTY LEVEL COLLABORATIVE. HEALTH INSURANCE RESEARCH ESTIMATES THAT THE VICTOR VALLEY HAS 67,000 UNINSURED RESIDENTS AND AN ESTIMATED 32,000 OF THEM ELIGIBLE FOR MEDI-CAL. IN RESPONSE, THE HOSPITAL DEVELOPED A LOCAL NETWORK OF BILINGUAL HEALTH INSURANCE ENROLLERS. THE HOSPITAL ALSO IDENTIFIED SCHOOLS WHERE LARGE NUMBERS OF HISPANIC FAMILIES MEET TO DISCUSS THEIR CHILDREN'S EDUCATION. THESE MEETINGS SERVE AS EDUCATION OPPORTUNITIES TO DISCUSS COMMUNITY BARRIERS TO SERVICES, HEALTH CONDITIONS AND HEALTH INSURANCE. FEEDBACK FROM SAN BERNARDINO COUNTY'S ONLY FOOD BANK URGED THE HOSPITAL PARTICIPATE DEVELOPING A COUNTY-WIDE FOOD POLICY INCLUDING DEVELOPMENT OF A TRANSPORTATION SERVICE WHEREBY LARGER QUANTITIES OF FOOD COULD BE DELIVERED TO LOCAL FOOD PANTRIES. IN RESPONSE, THE HOSPITAL IDENTIFIED FOUR PROGRAMS AND SECURED GRANT FUNDS TO BEGIN A COLLABORATIVE FOOD TRANSPORT SERVICE. THE LONG TERM GOAL OF THIS PROJECT COULD LEAD TO THE DEVELOPMENT OF THE HIGH DESERT'S FIRST FOOD BANK. THE NEED FOR A VICTOR-BARSTOW FOOD BANK HAS BEEN IDENTIFIED AS A NEED BY PARTNERS SERVING THE POOR.
SCHEDULE H, PART V, SECTION B, LINE 5	CHNA WEBSITE ADDRESS HTTP://WWW.STMARYAPPLEVALLEY.COM/DOCUMENTS/COMMUNITY-BENEFIT/2014-COMMUNIT Y-HEALTH-NEEDS-ASSESMENT-REPORT.PDF
SCHEDULE H, PART V, SECTION B, LINE 7	AS THE REGION'S ONLY NON-PROFIT HOSPITAL, ST. MARY COMPLETES A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS INCLUDING INPUT FROM RESIDENTS, COMMUNITY PARTNERS AND COUNTY AGENCIES INCLUDING SAN BERNARDINO COUNTY PUBLIC HEALTH. A HEALTH SURVEY WAS CONDUCTED LOCALLY TO OBTAIN PRIMARY HEALTH DATA BY INTERVIEWING 700 RANDOMLY SELECTED HOUSEHOLDS REPRESENTING THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS. COLLECTION OF THIS PRIMARY HEALTH DATA WAS THEN CROSS-REFERENCED WITH HEALTH BENCHMARKS ESTABLISHED AT THE COUNTY, STATE OF CALIFORNIA AND NATIONAL LEVEL (HEALTHY PEOPLE 2020. THE HOSPITAL WORKS IN A COMMUNITY BENEFIT COLLABORATIVE OF SIX (6) NONPROFIT HOSPITALS TO DISCUSS RESULTS OF EACH HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT. DISCUSSIONS INCLUDE COMMON APPROACHES ADDRESSING SIGNIFICANT HEALTH AND SOCIAL NEEDS REGIONALLY. THE COLLABORATIVE HAS IDENTIFIED: (1) ACCESS TO CARE AND (2) HEART DISEASE AS REGIONAL ISSUES WITH CROSS-CUTTING THEMES OF OBESITY, AND POOR PHYSICAL ENVIRONMENTS PROMOTING HEALTH. A RESULT OF THE HOSPITAL'S 2012 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED 16 HEALTH/DISEASE OR POPULATION BEHAVIOR RISKS HIGHER THAN STATE AND NATIONAL BENCHMARKS. IN FY14 THE HOSPITAL CONTINUED TO IMPLEMENT PROGRAMS ADDRESSING THE PRIORITY ISSUES: (1) ACCESS TO CARE, (2) CHILD/FAMILY OBESITY, (3) BREASTFEEDING AND (4) DIABETES. THE HOSPITAL'S SUCCESS WITH ACCESS TO CARE INCLUDES ENROLLING 963 PERSONS INTO HEALTH INSURANCE, AND THE OPENING OF TWO ADDITIONAL COMMUNITY CLINICS SERVING THE AREA'S POOR. THE TWO CLINICS PROVIDE PRIMARY CARE AND MENTAL HEALTH SERVICES TO LOW INCOME PERSONS. THE HOSPITAL'S FAMILY OBESITY PROGRAM WORKS IN 9 SCHOOLS AND 13 CLASSROOMS. THE PROGRAM HAS BEEN ADOPTED BY PARTNERS COUNTY-WIDE AT FEDERALLY FUNDED HEAD STARTS. THE PROGRAM ASSISTED 17% OF OVERWEIGHT OR OBESE CHILDREN (AGES 3-6 YEARS) TO DROP ONE WEIGHT CLASSIFICATION AS A RESULT OF FAMILY CHANGES IN EATING AND PLAYTIME. THE HOSPITAL'S COMPREHENSIVE DIABETES PROGRAM FOR THE UNINSURED IS THE ONLY ONE OF ITS KIND IN THE REGION. THE PROGRAM REPORTS THAT 80% OF PATIENTS REPORT MAINTAINING HGA1C LEVELS LESS THAN 7 AND 90% HAVE COMPLIED WITH ACCESSING ANNUAL EYE AND FOOT EXAMS. THE HOSPITAL CONTINUED TO IMPLEMENT ITS BREASTFEEDING WORK AS AN ELEMENT OF ITS BABY FRIENDLY DESIGNATION. THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT TRACKS THE NUMBER OF MOMS PROVIDING BREAST MILK AT ONE, THREE AND SIX MONTH INTERVALS AS WELL AS PROVIDING PATIENTS LACTATION AND BREAST PUMP ASSISTANCE. THE PROGRAM IS CONSIDERED A BEST PRACTICE BY THE COUNTY WIC AGENCY. A DETAILED DISCUSSION OF THE HOSPITAL ADDRESSING HEALTH NEEDS FOLLOWS. HOSPITAL RESPONSE TO IDENTIFIED HEALTH NEEDS THE HOSPITAL'S HEALTH ASSESSMENT IDENTIFIED 16 HEALTH AND SOCIAL CONDITIONS AT LEVELS GREATER THAN STATE OR NATIONAL BENCHMARKS. THESE CONDITIONS ARE: CHILD ASTHMA, CANCER, DIABETES, STROKE, HYPERTENSION AND HIGH CHOLESTEROL, DEPRESSION AND LOW SELF-RATED MENTAL HEALTH, ARTHRITIS AND ACTIVITY LIMITATION, FAIR AND POOR SELF-RATED HEALTH, OBESITY, ACCESS TO GROCERY STORES, HIGH USE OF ALCOHOL AND TOBACCO, POOR DENTAL CARE, UNINSURED AND HIGH BARRIERS TO ACCESS TO HEALTH SERVICES. DURING THE HOSPITAL'S ASSESSMENT OF FINDINGS AND FEEDBACK SESSIONS WITH RESIDENTS AND PARTNERS, THE HOSPITAL PRIORITIZED FOUR HEALTH ISSUES THAT WERE NOT BEING ADDRESSED AT ALL OR NEEDED INCREASED HOSPITAL SUPPORT. THESE ISSUES ARE: ACCESS TO CARE, DIABETES, OBESITY AND MENTAL HEALTH. THE HOSPITAL IDENTIFIED PUBLIC HEALTH PROVIDING PROGRAMS ADDRESSING CHILD ASTHMA AND MENTAL HEALTH INCLUDING CRISIS SERVICES. THE HOSPITAL PARTNERS WITH A COMMUNITY ORGANIZATION PROVIDING DENTAL CARE TO LOW INCOME AND THE UNINSURED. THE HOSPITAL PRIORITIZATION OF ACCESS TO CARE AND DIABETES WAS ALSO IDENTIFIED REGIONALLY. THE HOSPITAL NOTED THE EXPERTISE OF THE AMERICAN HEART ASSOCIATION AND THE COUNTY'S 211 PROGRAM TO EDUCATE ON THE RISKS OF HEART DISEASE AND SIGNS OF STROKE. THE HOSPITAL RECOGNIZED THAT IT IS THE COMMUNITY'S ONLY PROVIDER OF COMPREHENSIVE SERVICES ADDRESSING OBESITY AND DIABETES. THE HOSPITAL PARTNERS WITH COMMUNITY CLINICS TO ASSIST IN EXPANDING ACCESS TO CARE. THE HOSPITAL CONTINUES ENROLLMENT OF UNINSURED INTO HEALTH INSURANCE. THE HOSPITAL PARTNER'S WITH THE COUNTY'S LARGEST MEDI-CAL PROVIDER TO NAVIGATE ON FREQUENT USERS OF ACUTE CARE HEALTH SERVICES. THE HOSPITAL'S OBESITY PROGRAM INCLUDES STRATEGIES ADDRESSING TOBACCO, ALCOHOL AND ACCESS TO HEALTHY FOODS. THE HOSPITAL IS ADDRESSING THESE ISSUES IN PARTNERSHIP WITH CITY HEALTH CAMPAIGNS AND COUNTY PUBLIC HEALTH. RESIDENT FEEDBACK INCLUDED THE NEED FOR MORE LOCAL GROCERY STORES AND PARKS. RESIDENTS IN ADELANTO WANT THE HOSPITAL TO BRING MORE HEALTH SERVICES TO THEIR COMMUNITY INCLUDING AN URGENT CARE CENTER, MENTAL HEALTH PROVIDERS AND DIABETES EDUCATION AND LOW COST SERVICES TO EQUIPMENT, TEST STRIPS AND MEDICATION. THE HOSPITAL, AS PREVIOUSLY MENTIONED, HELPED MOLINA HEALTH TO OPEN A CLINIC IN ADELANTO IN 2012. FEEDBACK FROM NON-PROFIT AGENCIES WAS A LOW COST TRANSPORTATION SERVICE WAS NEEDED TO CONNECT THE POOR WITH THEIR HEALTH HAND SOCIAL SERVICE NEEDS. THE HOSPITAL IS ASSESSING THE DEVELOPMENT OF TRANSPORTATION PROGRAMS WITH THE TECHNICAL ASSISTANCE OF VICTOR VALLEY TRANSIT AUTHORITY. FEEDBACK FROM HOMELESS PERSONS ADVOCATE FOR GREATER ACCESS TO FOOD, EMPLOYMENT AND HOUSING AS WELL AS ACCESS TO HEALTH INSURANCE AND EYE GLASSES.
SCHEDULE H, PART V, SECTION B, LINE 12I	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS: THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT.
SCHEDULE H, PART V, SECTION B, LINE 14G	MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA. PROVIDED UPON INQUIRY.
SCHEDULE H, PART V, SECTION B, LINE 18E	THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA.
SCHEDULE H, PART V, SECTION B, LINE 20D	AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: FOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USES MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES IS USED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
OUTPATIENT SURGERY PAVILLION
18122 HIGHWAY 18	APPLE VALLEY	CA	92307	AMBULATORY SURGERY CENTER
WOUND CARE CENTER
16077 KAMANA ROAD	APPLE VALLEY	CA	92307	WOUND CARE
HEALTHY BEGINNINGS CLINIC
18977 S OUTER HWY 18 A	APPLE VALLEY	CA	92307	CLINIC
ADELANTO CLINIC
11424 CHAMBERLAIN WAY STE 89	ADELANTO	CA	92301	CLINIC
HESPERIA CLINIC
17091 MAIN STREET STE 100	HESPERIA	CA	92345	CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES, INCLUDING BUT NOT LIMITED TO DISABILITY AND HOMELESSNESS ARE CONSIDERED WHEN DETERMINING ELIGIBILITY.
SCHEDULE H, PART I, LINE 7	A COST-TO-CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COST OF ALL REPORTED CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST. IT INCLUDED ALL PATIENT TYPES (I.E. INPATIENT OUTPATIENT, EMERGENCY ROOM), AND WOULD ONLY INCLUDE CHARGES OR RELATED COSTS THAT PERTAIN TO EACH RESPECTIVE AREA (I.E. CHARITY, MEDICAID, MANAGED CARE, PRIVATE INSURANCE, SELF PAY, UNINSURED, ETC.). FOR UNREIMBURSED COSTS, THAT WOULD BE THE DIFFERENCE BETWEEN THE DETERMINED COSTS UTILIZING THE COST-TO-CHARGE RATIO LESS ANY PAYMENTS RECEIVED FOR THAT PARTIAL PAYOR GROUP. THE COST-TO-CHARGE RATIO USED WAS NOT DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED HEALTH SERVICES NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES THE HOSPITAL CONSIDERS COMMUNITY BUILDING AN ESSENTIAL ELEMENT OF PERFORMING COMMUNITY BENEFIT PARTICULARLY PARTNERING WITH LIKE-MINDED AGENCIES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF COMMUNITIES IT SERVES. THE HOSPITAL HAS PARTNERED WITH SAN BERNARDINO COUNTY PUBLIC HEALTH TO IMPLEMENT A "HEALTH IN ALL POLICIES" CAMPAIGN IN THE HOSPITAL SERVICE AREA. THE HOSPITAL AND COUNTY SUPPORT A REGIONAL COLLABORATIVE OF FOUR (4) LOCAL HEALTHY CITY CAMPAIGNS. EACH CITY CAMPAIGN INCLUDES A CROSS SECTION OF THE COMMUNITY TO ADDRESS "UPSTREAM ISSUES" WHICH IMPACT A COMMUNITY'S HEALTH STATUS. THE GOAL OF HEALTHY CITY CAMPAIGNS IS TO: IMPROVE THE POPULATION'S ACCESS TO CLEANER AIR, HEALTHIER FOODS, SAFER STREETS AND INCREASED ACCESS TO RECREATION INCLUDING EXPANSION OF PARKS AND ACTIVE TRAIL WAYS. THESE CAMPAIGNS ARE CREATING A COMMUNITY-WIDE "CULTURE OF HEALTH". THE HOSPITAL'S SUPPORTS A COUNTY-WIDE APPROACH IN 26 SAN BERNARDINO COMMUNITIES. THE PROGRAM IS IN RESPONSE TO THE COUNTY'S LOW HEALTH RANKINGS (44TH OUT OF 58 COUNTIES) AS REPORTED BY COUNTY HEALTH RANKINGS AND ROADMAPS WWW.COUNTYHEALTHRANKINGS.ORG. THE HOSPITAL'S SUPPORT OF HEALTHY CITY CAMPAIGNS IMPACTS THE PRIMARY AND SECONDARY SERVICE AREAS ENCOMPASSING ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE. THE POPULATION OF THESE FOUR COMMUNITIES COMPRISES 85% THE HOSPITAL'S TOTAL SERVICE AREA OF APPROXIMATELY 400,000 RESIDENTS. THE HOSPITAL HAS SPONSORED NUMEROUS HEALTH, FITNESS AND EXERCISE EVENTS AS A STRATEGY PROMOTING HEALTH IMPROVEMENT. IN TURN, PROCEEDS FROM EVENTS ARE INVESTED BY HEALTHY CITY PARKS TO INSTALL PLAYGROUND AND EXERCISE EQUIPMENT IN LOW INCOME COMMUNITIES. EACH CAMPAIGN HAS INCREASED THE NUMBER OF COMMUNITY PARTNERS USING FITNESS EVENTS FOR FUNDRAISING. THIS WORK ALSO INCLUDES WORKING HELPING LOCAL CITY GOVERNMENT PASS HEALTH POLICIES. RECENT ACCOMPLISHMENTS INCLUDE NO SMOKING OR VAPING IN APPLE VALLEY PARKS AND THE CITY OF ADELANTO APPROVING A NO SALE OF SPICE OR BATH SALTS. ADDITIONALLY, THE HOSPITAL ASSISTED THE CITY TO INSTALL AN EXERCISE PARK. SIMILAR GRANT SUPPORT HAS BEEN PROVIDED TO THE THREE OTHER HEALTHY CITY CAMPAIGNS. THE HOSPITAL WORKED WITH HEALTHY VICTORVILLE TO IMPACT A GENERAL PLAN THAT ENCOURAGES INSTALLATION OF BICYCLE LANES AND OUTDOOR GYMS AND REGULATION OF TOBACCO AND LIQUOR LICENSE AVAILABILITY. A TASK FORCE OF HEALTHY VICTORVILLE HAS DEVELOPED A LIST OF THE REGION'S MOST DANGEROUS STREETS AND INTERSECTIONS WITH THE GOAL THAT AUTOMOBILE ACCIDENTS AND PEDESTRIAN AND BICYCLE FATALITIES CAN BE REDUCED. THE ANNUAL AVERAGE OF PEDESTRIAN DEATHS IN THE REGION IS REPORTED AT 2.72 PER 100,000 HIGHER THAN THE STATE AVERAGE OF 1.60 PER 100,000 RESIDENTS AND THE NATIONAL RATE OF 1.38 PER 100,000. THE HOSPITAL BEGAN WORKING WITH LOMA LINDA MEDICAL UNIVERSITY ON A HEALTH CAREER PIPELINE WITH A FOCUS ON DEVELOPING A HEALTH WORKFORCE TO MEET A COUNTY-WIDE SHORTAGE OF ALLIED HEALTH PROFESSIONALS. THE SHORTAGE CONTRIBUTES TO THE INLAND EMPIRE HAVING 22 DESIGNED AREAS IDENTIFIED AS MEDICALLY UNDERSERVED. A PUBLIC HEALTH GRADUATE STUDENT IS WORKING WITH (4) LOCAL HIGH SCHOOLS AND THEIR HEALTH INTERNS. THE COLLEGE STUDENT AND HOSPITAL ARE WORKING ON FOOD DESERTS WITH THE ASSISTANCE OF RESIDENTS AND HEALTHY CITY CAMPAIGNS. THIS WORK IS GRANT FUNDED BY THE COUNTY OF SAN BERNARDINO'S NUTRITION DEPARTMENT. THE PROJECT IS SUPPORTED BY THE STATE'S CHAMPIONS FOR CHANGE NETWORK FOR A HEALTHY CALIFORNIA. THE HOSPITAL AND GRANT FUNDERS HAVE WORKED TO DEVELOP ONE LARGE COMMUNITY GARDEN AND HAVE FUNDED A LOCAL FOOD COLLABORATIVE. THE PURPOSE OF THE COLLABORATIVE IS TO INCREASE THE QUANTITY OF MEAT AND FRESH PRODUCE AT LOCAL FOOD BANKS SERVING THE POOR. EFFORTS TO CREATE THE REGION'S FIRST FOOD BANK CONTINUE. CURRENTLY, ONE MUST TRAVEL 90 MILES TO OBTAIN FOOD DONATIONS AT THE NEAREST FOOD BANK. THE HOSPITAL CONTINUES A BI-WEEKLY FRESH PRODUCE MARKET AT ITS CAMPUS AND IS WORKING WITH LOCAL SCHOOLS TO EXPERIMENT WITH FARM TO SCHOOL PROGRAMS. THE HOSPITAL WORKED WITH SCHOOLS AND CHURCHES TO EDUCATE AND ENROLL THE UNINSURED UNDER COVERED CALIFORNIA CAMPAIGNS.
SCHEDULE H, PART III, LINE 2	METHODOLOGY FOR CALCULATING BAD DEBT THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S PATIENT COST-TO-CHARGE RATIO.
SCHEDULE H, PART III, LINE 4	FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT: PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS - THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT 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 ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, LINE 8	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES (EXCEPT FOR AMOUNTS REPORTED IN PART I LINE 7) AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT.
SCHEDULE H, PART III, LINE 9B	SJHS PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDING APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE (100 PERCENT FINANCIAL ASSISTANCE) WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT ST. MARY HOSPITAL CONDUCTED ITS 2013 COMMUNITY HEALTH NEEDS ASSESSMENT IN THE COMMUNITIES OF ADELANTO, APPLE VALLEY, BARSTOW, HESPERIA AND VICTORVILLE AS WELL AS HOUSEHOLDS IN UNINCORPORATED COMMUNITIES OF LUCERNE VALLEY, PHELAN, OAK HILLS AND ORO GRANDE. THE HOSPITAL COLLECTED FEEDBACK ABOUT COMMUNITY HEALTH AND NEED BY: (1) CONDUCTING A LARGE TELEPHONE SURVEY: THE HOSPITAL CONTRACTED WITH THE NATIONAL FIRM PROFESSIONAL RESEARCH CONSULTANTS (PRC). THE HOSPITAL AND PRC DEVELOPED A TELEPHONE SURVEY OF 152 QUESTIONS FOCUSED ON HEALTH ISSUES INCLUDING, BUT NOT LIMITED TO: GENERAL HEALTH, CHRONIC DISEASE, INJURY AND VIOLENCE, HEALTH RISKS, PREVENTIVE CARE, ACCESS TO HEALTHCARE SERVICES AND BROAD COMMUNITY ISSUES. THE SURVEY IS MODELED AFTER THE CENTERS FOR DISEASE CONTROL'S (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, WHICH ENABLES THE HOSPITAL AND COMMUNITY TO BENCHMARK LOCAL RESULTS TO STATE-WIDE AND NATIONAL LEVELS. A TOTAL OF 6,010 HOUSEHOLDS WERE SUCCESSFULLY SURVEYED VIA TELEPHONE AND THE OVERALL RESPONSE RATE WAS 37%. SURVEY RESULTS ARE BASED ON RESPONSES FROM 750 RESIDENTS CONDUCTED ACROSS THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA WITH A MINIMUM OF 100 SURVEYS FOR EACH OF THE FOUR LARGER COMMUNITIES. THE SAMPLING PLAN WAS DESIGNED TO ACHIEVE VALIDITY OF RESULTS AT A 95% CONFIDENCE LEVEL (AND 95% WHEN LOOKING AT CITY-SPECIFIC DATA). (2) KEY STAKEHOLDER PANELS: THE HOSPITAL CONDUCTED FOCUS GROUPS WITH KEY STAKEHOLDERS INCLUDING SAN BERNARDINO COUNTY PUBLIC HEALTH LEADERS, LEADERS REPRESENTING 52 LOCAL NON-PROFIT ORGANIZATIONS, MEMBERS OF SAN BERNARDINO COUNTY'S HOSPITAL COLLABORATIVE ADDRESSING COMMUNITY BENEFIT, LOCAL LEADERS REPRESENTING HEALTHY CITY CAMPAIGNS AND RESIDENTS LIVING IN POORER NEIGHBORHOODS. (3)RESIDENT FORUMS ASSISTING THE POOR: THE HOSPITAL CONDUCTED RESIDENT MEETINGS AND/OR SURVEYS IN AN EFFORT TO IDENTIFY LOCAL ISSUES IMPACTING HEALTH AND QUALITY OF LIFE. NURSING STUDENTS FROM ASUZA PACIFIC ASSISTED THE HOSPITAL IN CONDUCTING A HOMELESS SURVEY TO 125 HOMELESS TO PRIORITIZE THEIR TOP HEALTH AND SOCIAL NEEDS. ADDITIONALLY, IN ADELANTO THE HOSPITAL MET WITH SPANISH SPEAKING RESIDENTS, CITY LEADERS AND REPRESENTATIVES OF LOCAL NON-PROFITS TO DISCUSS THEIR HEALTH AND COMMUNITY NEEDS. THIS SESSION WAS CONDUCTED IN ENGLIGH AND SPANISH FOR A PERIOD OF TWO HOURS. THIS COMMUNITY WAS SELECTED BECAUSE THEIR ACCESS TO CARE AND LACK OF COMMUNITY RESOURCES RANKS IT THE POOREST (HIGHEST NEED) COMMUNITY IN THE HOSPITAL'S SERVICE AREA. RESIDENTS WERE ASKED TO REVIEW AND RANK THE FINDINGS OF THE PRC HEALTH SURVEY. ADDITIONALLY, RESIDENTS WERE ASKED TO PRIORITIZE QUALITY OF LIFE NEEDS INCLUDING ACCESS TO HEALTHY FOOD, EDUCATION, EMPLOYMENT AND PARK AND RECREATION AS WELL AS CRIME AND STREET SAFETY. THIS INFORMATION WAS SHARED WITH THE CITY'S HEALTHY CITIES CAMPAIGN THAT MEETS QUARTERLY AND WILL BE USED BY THE HOSPITAL'S COMMUNITY OF EXCELLENCE PROJECT. THE PRC HEALTH SURVEY IDENTIFIED 16 HEALTH ISSUES. FEEDBACK FROM PARTNERS, RESIDENTS AND MEMBERS OF THE COMMUNITY BENEFIT COMMITTEE ALIGNED FOR A PRIORITY LIST OF SEVEN ISSUES FURTHER SHORTENED TO FOUR. IT SHOULD BE NOTED THAT PARTNER FEEDBACK VARIED FROM RESIDENT FEEDBACK IN HOW TO ADDRESS THE ISSUES. FEEDBACK FROM COUNTY PUBLIC HEALTH AND NONPROFIT LEADERS URGED GREATER COLLABORATION AND PROGRAM EXPANSION, WHEREBY POOR RESIDENTS REQUESTED THE CREATION OF HEALTH AND SOCIAL RESOURCES THEY FELT WERE MISSING IN THEIR NEIGHBORHOODS. THE HOSPITAL WILL USE THE PRIORITIES IN DEVELOPING A NEW (FY15-FY17) THREE YEAR COMMUNITY BENEFIT PLAN THAT BUILDS OFF THE CURRENT PLAN FOR FISCAL YEARS 2012-2014. THE CURRENT PLAN IS ADDRESSING: (1) ACCESS TO CARE THROUGH CLINIC OPENINGS (2) BREASTFEEDING (3) CHILD OBESITY AND (4) DIABETES. ADDITIONALLY, THE HOSPITAL WILL USE FEEDBACK FROM ADELANTO RESIDENTS THAT A LACK OF HEALTH, FOOD AND SAFETY RESOURCES IN THEIR NEIGHBORHOODS BE ADDRESSED WITH THE HELP OF HEALTHY ADELANTO AND PUBLIC HEALTH.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA ENCOMPASSES THE HIGH DESERT REGION OF SAN BERNARDINO COUNTY WITH A POPULATION ESTIMATED OVER 415,591. THE REGION IS CHARACTERIZED AS 90% DESERT WITH MOUNTAINS SEPARATING THE REGION FROM THE CITIES OF FIVE MAJOR COMMUNITIES: ADELANTO, APPLE VALLEY, BARSTOW, HESPERIA AND VICTORVILLE AND NUMEROUS SMALLER UNINCORPATED COMMUNITIES. THE REGION IS 40 MILES FROM THE NEAREST MAJOR URBAN AREA, (THE CITY OF SAN BERNARDINO) AND ISOLATED BY MOUNTAINOUS GEOGRAPHY. THE REGION EXPERIENCED RAPID POPULATION GROWTH DURING THE REAL ESTATE BOOM OF 2001-2007. THE REGION'S ECONOMY IS DOMINATED BY CONSTRUCTION AND REAL ESTATE DEVELOPMENT WITH LARGE EMPLOYERS INCLUDING SCHOOL SYSTEMS FOLLOWED BY HEALTHCARE. THE REGION HAS BEEN IDENTIFIED AS HAVING ONLY 28% OF ITS POPULATION HOLDING SOME TYPE OF A COLLEGE DEGREE OR AWARD. THE AREAS' WORKFORCE IS LARGELY BLUE COLLAR WITH A GROWING WORKFORCE IN THE SERVICE INDUSTRIES. THE REGION SUFFERS FROM HIGHER THAN STATE AVERAGES IN UNEMPLOYMENT AND APPROXIMATELY 18% OF RESIDENTS LIVE BELOW THE POVERTY LEVEL. THE REGION'S MEDIAN HOUSEHOLD INCOME OF $54,000 IS SIGNIFICANTLY LESS THAN THE STATE'S MEDIAN HOUSEHOLD INCOME OF $60,000. THE RATIO OF HEALTHCARE WORKERS TO INLAND EMPIRE RESIDENTS (SAN BERNARDINO AND RIVERSIDE COUNTIES) IS 1:34, LOWER THAN NEIGHBORING ORANGE COUNTY (1:22), LOS ANGELES COUNTY (1:23) AND SAN DIEGO COUNTY (1:24). THE LACK OF PRIMARY CARE PROFESSIONALS HAS CREATED A SIGNIFICANT NUMBER (22) OF MEDICALLY UNDERSERVED AREAS (MUAS) WHERE COMMUNITIES LACK HEALTH ACCESS AND ALSO HAVE HIGH INFANT MORTALITY RATES, HIGH POVERTY AND/OR HIGH ELDERLY POPULATIONS. THE REGION'S ETHNIC MAKE-UP IS SIMILAR TO THAT OF CALIFORNIA AND BY THE YEAR 2030, 52% OF THE POPULATION WILL BE HISPANIC. FORTY-EIGHT PERCENT (48%) OF THE REGION'S POPULATION IS 44 YEARS OR YOUNGER HIGHER THAN THE STATE AVERAGE OF 44%. BY 2020 17% OF RESIDENTS WILL BE 60 YEARS OR OLDER A 1% INCREASE WHICH ALSO INCREASING THE DEMAND FOR HEALTH SERVICES. TO REACH RURAL POPULATIONS THE HOSPITAL OPERATES THREE COMMUNITY CLINICS AND A MOBILE MEDICAL VAN. ADDITIONALLY, THE AREA IS SERVED BY MOBILE HEALTH UNITS OPERATED BY SAN BERNARDINO COUNTY PUBLIC HEALTH PROVIDING BOTH PRIMARY CARE TO THE UNINSURED AND ASTHMA CARE TO CHILDREN. IN 2012 THE HIGH DESERT REGION OPENED ITS FIRST FEDERALLY QUALIFIED HEALTH CENTER OPERATED BY SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH. OTHER HOSPITALS IN THE SERVICE AREA INCLUDE: VICTOR VALLEY COMMUNITY HOSPITAL AND DESERT VALLEY HOSPITAL.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH THE GOVERNING BODY IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS. 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 REPORT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORT EVERY THREE YEARS, AS WELL AS AN ANNUAL COMMUNITY BENEFIT REPORT. THE COMMITTEE ALSO PROVIDED GENERAL DIRECTION TO ST. MARY HOSPITAL 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, WE PROVIDE FREE AND DISCOUNTED CARE VIA OUR FINANCIAL ASSISTANCE PROGRAM AND HAVE 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 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. 1. HEALTHY BEGINNINGS - A PROGRAM PROVIDING PRE-NATEL CARE TO UNINSURED MOMS AND THEIR CHILDREN OFFERED AT THREE CLINICS 2. ADELANTO CLINIC - OPERATION OF COMMUNITY CLINIC SERVING POOREST NEIGHBORHOOD IN HOSPITAL'S SERVICE AREA 3. BRIGHT FUTURES - FUNDS MOBILE MEDICAL VAN PROVIDING PRIMARY CARE AND CANCER SCREENING SERVICES TO AREA'S POOR 4. BRIDGES FOR FAMILIES - A PROGRAM PROVIDING EDUCATION AND COUNSELING TO HIGH RISK FAMILIES 5. BREASTFEEDING - FUNDS PROVIDING LACTATION, EDUCATION AND FOLLOW-UP SUPPORT TO NEW MOTHERS 6. TRANSPORTATION - FUNDS PATIENT TRANSPORTATION TO FROM COMMUNITY CLINICS 7. CLINIC IT UPGRADES - PURCHASE OF ELECTRONIC MEDICAL RECORD PROGRAM 8. ADELANTO HEALTHY LIVING - EXPANSION OF HEALTH/RECREATION 9. CATHOLIC CHARITIES - FOOD, UTILITY HOUSING TO THE POOR 10. ST. JOHN OF GOD/SAMARITAN'S - FOOD, UTILITY ASSISTANCE 11. LORDS TABLE - FOOD PANTRY SERVING HOMELESS 12. ADELANTO SWIM - SPONSOR ADELANTO'S 8 WEEK SUMMER POOL 13. A BETTER WAY DOMESTIC VIOLENCE - PROTECT THOSE IN CRISIS 14. FAMILY ASSIST DOMESTIC VIOLENCE - PROTECT THOSE IN CRISIS 15. POLICE ACTIVITY LEAGUE - PROGRAMS FOR AT-RISK YOUTH 16. VICTOR COMMUNITY SERVICES - CARE FOR SHUT-IN SENIORS 17. COMMUNITY TOOL BOX - FOOD PANTRY IN ADELANTO 18. HOMELESS CASE WORKER - ASSIST TO OBTAIN SSI/SSDI BENEFITS WE ARE COMMITTED TO PROMOTING HEALTH AND ACCESS TO CARE FOR THE BROADER COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING PROGRAMS: THE HOSPITAL'S WORK IN FOUR HEALTHY CITY CAMPAIGNS SUPPORTS A HEALTH CAMPAIGN ADDRESSING FAMILY OBESITY IN SCHOOLS. THE HEALTHY CITY PROGRAMS ADDRESS COMMUNITY LEVEL BARRIERS PREVENTING NEIGHBORHOODS FROM ACCESSING HEALTHY FOOD, FREE/LOW COST RECREATION AND SAFE STREETS. THE HOSPITAL'S SUCCESS INCLUDES PARK EXPANSION, ADDING BICYCLE LANES, CREATING HEALTHY VENDING MACHINES AND BANNING THE SALE OF SPICE AND BATH SALTS. THE FOUR CITY CAMPAIGNS INVOLVE A CROSS-SECTION OF COMMUNITY PARTNERS, OTHER HEALTH SYSTEMS, COUNTY PUBLIC HEALTH, RESIDENTS AND SCHOOLS. THE HOSPITAL'S LEADERSHIP INCLUDED DEVELOPING GRANT FUNDING SOURCES FOR EACH CITY CAMPAIGN. THE HOSPITAL SPONSORS A FARMER'S MARKET TO ENCOURAGE ACCESS TO FRESH FRUITS AND VEGETABLES AND IS ASSISTING ADDITIONAL MARKETS TO OPEN. THE HOSPITAL HAS BEEN THE REGION'S MAJOR SPONSOR OF PHYSICAL FITNESS EVENTS AS A STRATEGY TO PROMOTE HEALTH AND EXERCISE. THE HOSPITAL'S LEADERSHIP HAS BEEN JOINED BY OTHER CORPORATE SPONSORS. EXERCISE AND RUNNING PROGRAMS EVENTS ARE NOW COMMONPLACE. ONE CITY NOW OPERATES A MOBILE PARK PROGRAM. THE HOSPITAL CO-SPONSORS A SENIOR PROGRAM OFFERING A BROAD RANGE OF HEALTH AND WELL BEING PROGRAMS. EDUCATION TOPICS INCLUDE HEART HEALTH, COOKING HEALTHY, STRETCHING AND EXERCISE. A MONTHLY SCHEDULE OF ACTIVITIES IS DEVELOPED AND MEMBERSHIP IS OVER 500.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM ST. MARY MEDICAL CENTER IS A HEALING MINISTRY OF ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH CREATED THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND (FORMERLY KNOWN AS THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES A POLICY THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION THEN FUNDS PROGRAMS IN COMMUNITIES SERVED BY ST. JOSEPH HEALTH HOSPITALS THAT ALIGN WITH OUR MISSION AND EXEMPLIFY THE FOUR CORE VALUES OF 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	Yes (true)	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
CATHOLIC CHARITIES
1450 N D STREET	SAN BERNARDINO	CA	92405	953516461	501(c)(3)	$30,000	PROGRAM SUPPORT
ST JOHN OF GOD
13333 PALMDALE RD	VICTORVILLE	CA	92392	953806996	501(c)(3)	$48,000	PROGRAM SUPPORT
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 Michelson Dr STE 100	Irvine	CA	92612	330143024	501(c)(3)	$55,400	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS COMMUNITY BENEFIT COMMITTEE OVERSEES/MONITORS GRANT USAGE ON A MONTHLY BASIS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN MURPHY
BOARD OF DIRECTOR	$0	$236,899	$0	$55,060	$0	$31,857	$0	$17,205	$0	$32,490	$0	$373,511	$0	$0
MARILYN DRONE
CHIEF NURSING OFFICER	$219,231	$0	$30,934	$0	$24,016	$0	$10,801	$0	$16,513	$0	$301,495	$0	$0	$0
RANDY BEVILACQUA
VP STRATEGIC SERVICES	$174,070	$0	$24,599	$0	$25,284	$0	$12,113	$0	$15,642	$0	$251,708	$0	$0	$0
VANBOTRA HUANG
DIRECTOR OF PHARMACY	$193,202	$0	$0	$0	-$3,177	$0	$7,494	$0	$15,512	$0	$213,031	$0	$0	$0
TARA COWELL
SECRETARY	$0	$230,892	$0	$53,574	$0	$29,621	$0	$16,482	$0	$23,189	$0	$353,758	$0	$0
DENNIS HAGHIGHAT MD
VP MEDICAL AFFAIRS	$260,569	$0	$61,131	$0	$31,878	$12,013	$12,244	$506	$10,143	$422	$375,965	$12,941	$0	$0
KELLY LINDEN
COO	$237,722	$0	$81,299	$0	$25,900	$0	$0	$0	$22,923	$0	$367,844	$0	$0	$0
LAURIE ROBERTS
DIRECTOR COMMUNITY HEALTH	$153,298	$0	$22,310	$0	$6,679	$0	$13,578	$0	$9,363	$0	$205,228	$0	$0	$0
KATHERINE FREEMAN
STAFF RN	$173,273	$0	$750	$0	$0	$0	$4,444	$0	$9,479	$0	$187,946	$0	$0	$0
MARILYN PLATT
MANAGER OB CLINIC	$147,778	$0	$15,000	$0	$7,756	$0	$13,433	$0	$7,949	$0	$191,916	$0	$0	$0
SHARON KIDD
STAFF RN	$164,866	$0	$0	$0	$37	$0	$11,916	$0	$25,443	$0	$202,262	$0	$0	$0
ALAN H GARRETT
PRESIDENT/CEO	$0	$454,940	$0	$65,252	$0	$70,117	$0	$22,950	$0	$25,402	$0	$638,661	$0	$0
TRACY FERNANDEZ
SVP/CFO	$240,392	$0	$32,779	$0	$23,100	$0	$0	$0	$25,384	$0	$321,655	$0	$0	$0
DAVID O'BRIEN
COO (FORMER KEY EMPLOYEE)	$168,723	$151,918	$16,878	$83,943	$17,849	$25,300	$8,439	$380	$436	$3,447	$212,325	$264,988	$0	$0
JAMES KYLE
VP MED AFFAIRS (FMR KEY EMPL)	$0	$311,235	$0	$101,428	$0	$38,860	$0	$10,200	$0	$24,527	$0	$486,250	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	SUPPLEMENTAL COMPENSATION INFORMATION DISCRETIONARY SPENDING ACCOUNT EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. TAX INDEMNIFICATIONS AND GROSS-UP PAYMENTS GIFT CARDS PROVIDED TO EMPLOYEES DURING CHRISTMAS AND THROUGHOUT THE YEAR FOR REWARD AND RECOGNITION ARE GROSSED UP AND TAXES ARE PAID BY THE MINISTRY.
SCHEDULE J, PART I, LINE 3	THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM.
SCHEDULE J, PART I, LINE 4B	EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN.
SCHEDULE J, PART I, LINE 7	A PORTION OF EXECUTIVE SALARIES ARE PLACED "AT-RISK" AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	UPLAND ANESTHESIA	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$1,197,672	TransactionAmt
Transaction	ANESTHESIA SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION HENRY GONZALEZ, M.D. SERVES ON THE BOARD OF ST. MARY MEDICAL CENTER AND IS ALSO A BOARD MEMBER AND PARTNER OF UPLAND ANESTHESIA.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	ORGANIZATION'S 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.
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS REALIZING OUR MISSION ST. MARY MEDICAL CENTER HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 58 YEARS. SERVING THE COMMUNITIES OF THE HIGH DESERT, ST. MARY MEDICAL CENTER IS AN ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF 24-HOUR EMERGENCY SERVICES, COMPREHENSIVE CARDIAC SERVICES, AN OUTPATIENT SURGERY PAVILION, MOBILE HEALTH SERVICES, DIABETES EDUCATION, LEVEL II NEONATAL INTENSIVE CARE, A ROBOTIC-ASSISTED SURGERY PROGRAM AND A CENTER FOR WOUND CARE & HYPERBARIC MEDICINE. THE HOSPITAL IS DESIGNATED AS A STEMI RECEIVING CENTER BY INLAND COUNTIES EMERGENCY MEDICAL AGENCY AND RECEIVED THE BABY FRIENDLY DESIGNATION BY THE WORLD HEALTH ORGANIZATION. SJH ST. MARY IS THE COMMUNITY'S LARGEST PROVIDER OF ACUTE CARE SERVICES, THE HIGH DESERT'S ONLY NONPROFIT HOSPITAL AND EMPLOYS OVER 1850 EMPLOYEES COMMITTED TO REALIZING THIS MISSION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, ST. MARY MEDICAL CENTER IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORS" AND MINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBLITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. THREE MISSION OUTCOMES STRATEGICALLY GUIDE OUR MINISTRY WORK ST. MARY MEDICAL CENTER IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 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. - STARTED A HOMELESS CARE PROGRAM ASSISTING WITH ACCESS TO HOUSING, MEDICAL SUPPLIES, OUTPATIENT CARE, MEDICATION AND TRANSPORTATION RESOURCES. THE HOSPITAL'S PROGRAM ALSO IS COORDINATING WORK CONDUCTED WITH A NEW COUNTY HOMELESS PROGRAM (NAMED HOPE) WHERE THE HOMELESS ARE CASE MANAGED AND RECEIVE BEHAVIORAL HEALTH AND HOUSING ASSISTANCE. - DONATIONS OF THREE VEHICLES (RETIRED BY THE HOSPITAL) THAT HAVE BEEN PLACED INTO SERVICE BY COMMUNITY PARTNERS TO: (1) PROVIDE A MOBILE EMERGENCY COMMAND CENTER TO A LOCAL FIRE DEPARTMENT, (2) A MOBILE HEALTH CLINIC SERVING CHURCHES MINISTERING TO THE POOR, (3) A TRANSPORTATION SHUTTLE SERVING LOW INCOME SENIORS AND THE DISABLED TO ACCESS MEDICAL CARE, SOCIAL SERVICES AND FOOD. 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. - IMPLEMENTING FOUR INITIATIVES ADDRESSING (1) ACCESS TO CARE BARRIERS IN POOR NEIGHBORHOODS, (2) INCREASING THE ADOPTION OF BREASTFEEDING PRACTICES, (3) REDUCING CHILD OBESITY IN SCHOOLS, AND (4) TEACHING DIABETES EDUCATION AND SELF-CARE TO THE POOR. EACH OF THESE FOUR PROGRAMS ACHIEVED ITS TARGETED GOAL. HOWEVER ACCESS TO CARE ISSUES REMAIN SIGNIFICANT AND THE PREVALENCE OF ADULT OBESITY AND DIABETES HAS INCREASED FROM RESULTS OBTAINED IN THE 2011 CHNA. - WHEN PATIENTS REQUIRE TRANSPORTATION SERVICES AFTER BEING RELEASED, THIS SERVICE ALLOWS THEM TO CONTINUE RECEIVING MEDICALLY NECESSARY CARE. ST. MARY PROVIDED 2,134 TRIPS CONNECTING PATIENTS TO FOLLOW-UP SERVICES ENSURING THE CONTINUITY OF PERFECT CARE. 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. - ORGANIZING FOUR HEALTHY CITY CAMPAIGNS IN COLLABORATION WITH SAN BERNARDINO COUNTY PUBLIC HEALTH AND THE COMMUNITIES OF ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE. EACH CAMPAIGN IS MAKING IMPROVEMENTS TO THEIR COMMUNITY'S FOOD AND PHYSICAL ENVIRONMENT. THE PHYSICAL AND FOOD ENVIRONMENTS OF SAN BERNARDINO COUNTY ARE RANKED 45TH OUT OF 57 CALIFORNIA COUNTIES IN PROMOTING HEALTH (COUNTY HEALTH RANKINGS PUBLISHED BY THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE WWW.COUNTYHEALTHRANKINGS.ORG). - ST. MARY'S CHILDHOOD OBESITY PROGRAM IS RECOGNIZED IN THE COUNTY AS A BEST PRACTICE IN COLLABORATION WITH FIRST 5 OF SAN BERNARDINO AND LOCAL SCHOOL DISTRICTS. FY14 OUTCOMES INCLUDED 17% OF AT-RISK CHILDREN DROPPING ONE WEIGHT CLASSIFICATION BY YEAR END AND ADDITIONALLY 36% OF FAMILIES SELF-REPORTING, ADOPTED HEALTHIER EATING HABITS. PROGRAM SERVICE ACCOMPLISHMENTS FINANCIAL ASSISTANCE PROGRAM WE BELIEVE NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST. MARY MEDICAL CENTER, HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND/OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. FACTORS USED IN DETERMINING ELIGIBILITY FOR PATIENT FINANCIAL ASSISTANCE INCLUDE INCOME LEVEL, ASSET LEVEL, AND MEDICAL INDIGENCE. TOTAL COMMUNITY BENEFIT COST OF $6,203,860. SUBSIDIZED HEALTH SERVICES IMPROVING ACCESS TO CARE THROUGH THE OPERATION OF THREE HEALTH CLINICS AND A MOBILE MEDICAL PROGRAM SERVING LOW INCOME NEIGHBORHOODS IN ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE. THESE CLINIC RESOURCES SERVED 47,192 PATIENT ENCOUNTERS PROVIDING PRIMARY CARE, CANCER SCREENINGS, IMMUNIZATIONS, DIABETES AND BREASTFEEDING EDUCATION AS WELL AS MIDWIFERY CARE AND HEALTH INSURANCE ENROLLMENT ASSISTANCE. THE CLINIC'S EXPERTISE IN MATERNAL CARE IS NOTEWORTHY ESPECIALLY SINCE 90% OF PATIENTS ARE LOW INCOME. IN FY14 THE CLINIC'S BIRTH OUTCOMES AGAIN SURPASSED NATIONAL PATIENT QUALITY RANKINGS IN PRIMARY CESAREAN SECTION (11.7% VS. 23% NATIONALLY), PRE-TERM DELIVERY (5.67% VS. 11.55% NATIONALLY) AND LOW BIRTH RATE (4.61% VS. 7.99% NATIONALLY). THE HOSPITAL ALSO SUPPORTED TWO PARTNERS EACH OF WHOM OPENED COMMUNITY HEALTH CLINICS SERVING THE POOR - ONE IN NORTH ADELANTO AND THE SECOND IN OLD TOWN VICTORVILLE. THESE NEW CLINICS BRING EXPANDED HEALTH SERVICES TO THESE LOW INCOME POPULATIONS. TOTAL COMMUNITY BENEFIT COST OF $4,756,137. SUBSIDIZED: EMERGENCY & TRAUMA CARE HEALTH INSURANCE ACCESSIBILITY SHOULD NOT PREVENT ANYONE FROM RECEIVING MEDICALLY NECESSARY CARE; ST. MARY MEDICAL CENTER HELPS ON A CASE BY CASE BASIS REGARDLESS OF THE ABILITY TO PAY. OUR MISSION TO PARTNER WITH LIKE MINDED ORGAINIZATIONS ENABLES US TO ACHIEVE SUCCESSFUL MEDICAL OUTCOMES FOR THE MOST VULNERABLE POPULATIONS - UNINSURED AND HOMELESS IN OUR COMMUNITY. 496 LETTERS OF AGREEMENT WERE EXECUTED BY OUR CARE MANAGEMENT DEPARTMENT PROVIDING FOLLOW-UP MEDICAL SUPPORT. OUR DEAR NEIGHBORS THAT DO NOT QUALIFY FOR HEALTH INSURANCE COVERAGE ARE PROVIDED ENROLLMENT ASSISTANCE AT OUR HOSPITAL AND IN THE COMMUNITY. TOTAL COMMUNITY BENEFIT EXPENSE: $1,519,957. FOR MORE INFORMATION ABOUT ST. MARY MEDICAL CENTER, PLEASE VISIT WWW.STMARYAPPLEVALLEY.COM. 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 ST JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE CORPORATE MEMBERS OF ST. MARY MEDICAL CENTER.
FORM 990, PART VI, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. MARY MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. MARY MEDICAL CENTER BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST. MARY MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS A CORPORATE MEMBER, AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD.
FORM 990, PART VI, LINE 7B	DESCR CLASSES OF PERSONS, DECISIONS REQ APPR & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, LINE 11B	DESCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION 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 APRIL 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 EXECUTIVE COMPENSATION IS APPROVED BY THE ST. MARY MEDICAL CENTER COMPENSATION AND BENEFITS COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE REVIEWS COMPARABILITY DATA PREPARED FOR AND COMPILED BY THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE, A COMMITTEE OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES COMPRISED OF INDEPENDENT MEMBERS. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE ACTS IN ACCORDANCE WITH A COMMITTEE CHARTER APPROVED BY THE ST. JOSEPH HEATLH SYSTEM BOARD OF TRUSTEES AND AN EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER DIRECTS THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND TO APPROVE PROGRAM CHANGES, AS NECESSARY, TO ENSURE ALIGNMENT WITH THE STATED PHILOSOPHY AND ENSURE CONTINUED COMPLIANCE WITH FEDERAL AND STATE REGULATIONS ON BEHALF OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS RETENTION OF KEY MANAGEMENT TALENT. THE EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF FOR PROFIT AND NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. ST. JOSEPH HEALTH SYSTEM PROVIDES COMPENSATION TO ITS EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO ENSURE COMPENSATION PHILOSOPHY ADHERENCE AND GENERAL FAIR MARKET VALUE COMPENSATION, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA AND ENGAGES LEGAL COUNSEL AND CONSULTING SUPPORT, AS NEEDED. THEY USE THIS INFORMATION TO SUPPORT ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE MEETS AT LEAST 3 TIMES A YEAR AND TAKES ACTION IN EXECUTIVE SESSION. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. A FULL COMPENSATION REVIEW IS CONDUCTED ON A BIENNIAL BASIS AND THE LAST REVIEW WAS PERFORMED IN JUNE 2013. DURING THE YEAR, THE ST. MARY MEDICAL CENTER COMPENSATION AND BENEFITS COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTING FIRM WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION. IN ADDITION, ANNUAL INCENTIVE AWARDS ARE REVIEWED AND APPROVED PRIOR TO PAYMENT CONSISTENT WITH THE MOST RECENT COMPENSATION BIENNIAL REVIEW AND IN ACCORDANCE WITH THE PLAN DOCUMENT. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES WHICH ARE SUBSEQUENTLY APPROVED AT THE COMMITTEE MEETING.
FORM 990, PART VI, LINE 19	AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART XI, LINE 9	CHANGES IN NET ASSETS OR FUND BALANCE SJHH-AV EQUITY TRANSFER ($ 726,376) SJHS EQUITY TRANSFER ($ 9,211,877) -------------- TOTAL ($ 9,938,253)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 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
SRM ALLIANCE HOSPITAL SERVICES
400 NORTH MCDOWELL BLVD	PETALUMA	CA	94954	680395200	HEALTHCARE	CA	501(C)(3)	3	SRMH	Yes (true)
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	false
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	953589356	HEALTHCARE	CA	501(C)(3)	11, I	SJHM	false
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	7	SJHS	Yes (true)
ST JOSEPH HOME CARE NETWORK
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)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	EINEIN	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode
ST JOSEPH HLTH SYS HOME HLTH
HOME HEALTH	CA	NA	N/A
ST JOSEPH HLTH SYS HOME CARE
HOME HEALTH	CA	NA	N/A	330307672
METHODIST DIAGNOSTIC IMAGING
HEALTHCARE SVCS	TX	NA	N/A	752343261
SHA LLC
INSURANCE	TX	NA	N/A	752569094
LUBBOCK SURGERY CENTER LTD
HEALTHCARE SVCS	TX	NA	N/A	752177401
COVENANT LONG-TERM CARE LP
HEALTHCARE SVCS	TX	NA	N/A	205033419
HERITAGE INVESTMENT GROUP
INVESTMENTS	CA	NA	N/A
MISSION AMBULATORY SURGICENTER
HEALTHCARE SVCS	CA	NA	N/A	330355575
COMPREHENSIVE IMAGING PARTNERS
HEALTHCARE SVCS	CA	NA	N/A	264591502
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	262299255	SEE PART VII	SANTA ROSA	CA	95404
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	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
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		NA	C-CORP	58 PAR-LA-VILLE ROAD	HAMILTON	HM	BD	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	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JUDE HOSPITAL YORBA LINDA
B	$215,324	CASH
ST JOSEPH HEALTH SYSTEM FOUNDATION
C	$840,177	ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
B	$55,400	ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
Q	$82,267	CASH

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III	FormAndLineReferenceDesc
Explanation	IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP 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: 1739 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 110A, PETALUMA, CA 94954	ExplanationTxt