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CA REG VP - STRATEGIC SVCS 10.0 27.0 X 0 379578 30401 KEVIN KLOCKENGA REGIONAL CEO 10.0 18.0 X 0 773124 38738 ROBERT EISEN REGIONAL VP OF HUMAN RESOURCES 12.0 26.0 X 0 305103 26575 NIKKI COLLIER RN FIRST ASSISTANT 52.0 0.0 X 241620 0 30694 PATRICIA WALDRON DIRECTOR CASE MANAGEMENT 40.0 0.0 X 212056 0 18713 BRIAN BAKER INTERIM NURSE MANAGER 40.0 0.0 X 198916 0 28834 LYNDSEY CHAMBERLAIN CLINICAL CRD PHARMACY 40.0 0.0 X 195007 0 45055 MARGARET MIRANDA LEAD ADMIN SUPERVISOR 36.0 0.0 X 191761 0 30164 JIM STRONG VP, CFO/COO (FORMER OFFICER) 0.0 0.0 X 181538 0 0 2755848 3393114 501487 144 true true false MEDICAL STAFFING NETWORK INC PO BOX 20300 DALLAS TX 753203000 REGISTRY 5782228 ST JUDE HOSPITAL YORBA LINDA 505 S MAIN STREET STE 1000 ORANGE CA 928684533 PHYSICIAN SERVICES 3860887 QUANTUM HEALTHCARE MEDICAL ASSOC IN PO BOX 634850 CINCINNATI OH 452634850 MEDICAL SERVICES 1142356 SOYRING CONSULTING PO BOX 602094 CHARLOTTE NC 282602094 TEMPORARY HELP 974395 JOHN POSTEL MD 2144 TYDD STREET APT A EUREKA CA 95521 PHYSICIAN SERVICES 580000 27 32719 450000 127494 1514426 32719 2124639 NET PATIENT REVENUE 622110 206301368 206301368 0 0 EHR REVENUE 722310 1582769 1582769 0 0 CAFETERIA 531120 570685 570685 0 0 MOB REVENUE 900099 96726 96726 0 0 ALL OTHER PROGRAM REVENUE 900099 38528 38528 0 0 208590076 213869 213869 0 0 0 0 0 68679 68679 68679 68679 102823 32719 36155 66668 66668 0 0 REBATES AND REFUNDS 900099 439949 439949 0 0 CASH PURCHASES AND DISCOUNTS 900099 9952 9952 0 0 449901 211513832 209039977 0 349216 X 1028381 1028381 0 0 0 0 0 0 1095657 353181 742476 0 181538 0 181538 0 54450805 51286215 2938122 226468 3653051 3319180 308143 25728 22925709 21760629 1042559 122521 4595397 4335572 226801 33024 14026888 13811354 215534 0 851749 0 851749 0 491644 0 491644 0 26149 26149 0 0 0 0 0 0 0 0 29202311 26885140 2247206 69965 115319 106510 7737 1072 5266893 5134189 114101 18603 2958975 2373414 577592 7969 0 0 0 0 3088858 3080369 8029 460 244057 116806 116729 10522 0 0 0 0 70537 69387 0 1150 3659186 3659186 0 0 0 0 0 0 11033785 10998035 31100 4650 1552828 1552828 0 0 MEDICAL SUPPLIES 28615904 28615904 0 0 CA HOSPITAL FEE PROGRAM 3331520 3331520 0 0 REPAIRS AND MAINTENANCE 1989347 1842288 146553 506 TAX AND LICENSES 575945 442069 131732 2144 1966880 1335359 624163 7358 196999313 185463665 11003508 532140 0 0 0 2348916 163359 749780 749780 23959382 23986651 0 0 0 0 887291 547603 4678964 6243028 1204670 1450004 319345659 113544162 212513318 205801497 523070 601612 0 0 2024303 2218263 269429 0 9352142 9205655 258511265 250967452 16802432 15848704 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118136547 109467852 134938979 125316556 X 123572286 125650896 0 0 0 0 123572286 125650896 258511265 250967452 X 14514519 68679 -12504588 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 26149 26149 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I THE AMOUNT ON LINE 1I IS THE PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. DURING THE PAST YEAR, THE ST. JOSEPH HEALTH SYSTEM HAS CONDUCTED AN ADVOCACY EFFORT WHICH INCLUDED SOME LOBBYING ACTIVITY. THESE INCLUDED MEETING WITH LOCAL, STATE, AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS; AND COMMUNICATIONS TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION. 4843950 4843950 209017450 43057027 165960423 1098457 701810 396647 89317643 69785325 19532318 15068159 0 15068159 205801497 0 INTERCO. WITH HEALTH SYSTEM-BONDS 60856718 INTERCOMPANY PAYABLES 25221649 MELLON LOC PAYABLE 7870118 PAYABLE TO THIRD PARTIES 8224673 OTHER LIABILITES 1169668 ACCRUED LIABILITIES 4315542 MANAGED CARE EXPENSES 1809484 109467852 X SCHEDULE D, PART X, LINE 2 CONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE 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. GOLF TOURNAMENT 135542 32719 102823 36155 0 135542 32719 102823 36155 36155 66668 true true X true X true X 500. true true true false true true 1734103 1734103 0.00880 45871186 33717290 12153896 0.06170 6320997 3214543 3106454 0.01580 53926286 36931833 16994453 0.08630 1241308 67600 1173708 0.00600 707753 707753 0.00360 2019850 2019850 0.01030 903 903 1225198 1225198 0.00620 5195012 67600 5127412 0.02600 59121298 36999433 22121865 0.11230 19788 19788 621650 137000 484650 0.00070 98804 98804 0.00000 740242 137000 603242 0.00070 false 11482429 64820799 89275355 -24454556 X true true 1 1 ST JOSEPH HOSPITAL OF EUREKA 2700 DOLBEER STREET EUREKA CA 95501 WWW.STJOSEPHEUREKA.ORG D-0189726 X X X ST JOSEPH HOSPITAL OF EUREKA 1 true X X X X X X X X X 13 true true true X SEE SCHEDULE H, PART V, SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X X true true X true false X X true X false false 5 NORTHCOAST SURGERY CENTER 2705 HARRIS AVENUE EUREKA CA 95501 SURGERY CENTER OUTPATIENT IMAGING CENTER 2330 BUHNE STREET EUREKA CA 95501 IMAGING CENTER HUMBOLDT HOME INFUSION PROGRAM 2612 HARRISON AVENUE EUREKA CA 95501 AMBULATORY HOME INFUSION CENTER INPATIENT REHABILITATION CENTER 2200 HARRISON AVENUE EUREKA CA 95501 REHABILITATION CENTER OUTPATIENT REHABILITATION 2024 HARRISON AVENUE EUREKA CA 95501 REHABILITATION CENTER 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 6A: REDWOOD MEMORIAL HOSPITAL SCHEDULE H, PART I, LINE 7A-I THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES THIS YEAR COMMUNITY BUILDING ACTIVITIES INCLUDED THE FOLLOWING: LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS BY PROVIDING LEADERSHIP AND ADVOCACY FOR LOCAL NON-PROFITS BY PARTICIPATING ON BOARDS AND COMMITTEES TO HELP ADDRESS THE NEEDS OF THE COMMUNITY (LINE 5); COALITION BUILDING THROUGH COLLABORATING WITH COMMUNITY LEADERS AND ORGANIZATIONS ON TRANSITIONS OF CARE FOR VULNERABLE INDIVIDUALS, HEALTH EDUCATION, EARLY DETECTION FOR MINORITIES AND THE UNDERSERVED, AND RESOURCES AVAILABLE IN THE COMMUNITY FROM ST. JOSEPH HEALTH SYSTEM - HUMBOLDT COUNTY(LINE 6); AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY THROUGH INCREASING PUBLIC AWARENESS BY THE USE OF RADIO SHOWS, HEALTH FAIRS, AND OTHER VARIOUS COMMUNICATION EFFORTS AND BY PROVIDING ADVOCACY INFORMATION, SUPPORT, AND ASSISTANCE TO ADDRESS THE UNMET NEEDS OF THE POOR, ESPECIALLY THE NEEDS OF WOMEN AND CHILDREN (LINE 7). SCHEDULE H, PART III, SECTION A, LINE 2 THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE PAGE 11 OF THE 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 OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, SECTION B, LINE 8 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 SUBMITTED FOR THE FISCAL YEAR USING CMS STANDARD COSTING METHODS. THIS METHOD INCLUDES SPECIFIC STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS. SCHEDULE H, PART III, SECTION C, LINE 9B PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE (100 PERCENT FINANCIAL ASSISTANCE) WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTIONS POLICY APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR A PARTIAL DISCOUNT. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT ST. JOSEPH HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA ASSESSED THE HEALTH STATUS OF ITS COMMUNITY IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED, IN THE ASSESSMENT OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE OUR MISSION IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS, REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST. JOSEPH HOSPITAL EUREKA HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. THE HOSPITAL POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS OF THE HOSPITAL INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICE, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS OR OTHER COMMON PATIENT WAITING AREAS OF THE HOSPITAL. NOTICES ARE ALSO POSTED AT ANY LOCATION WHERE A PATIENT MAY PAY THEIR BILL AND INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. A PATIENT INFORMATION BROCHURE THAT DESCRIBES THE FEATURES OF THE FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO PATIENTS AND MEMBERS OF THE GENERAL PUBLIC; AND A COPY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE TO THE PUBLIC ON A REASONABLE BASIS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION ST. JOSEPH HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA PROVIDES NORTH COAST COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL IS LOCATED ON THE FAR NORTH COAST IN HUMBOLDT COUNTY - ONE OF THE LARGEST COUNTIES IN CALIFORNIA BY GEOGRAPHY, COVERING 3,568 SQUARE MILES. THE COUNTY IS DENSELY FORESTED, MOUNTAINOUS AND RURAL WITH NEARLY 1.5 MILLION ACRES OF COMBINED PUBLIC AND PRIVATE FORESTS. A LARGE PORTION - 680,000 ACRES - OF REDWOOD FORESTS ARE PROTECTED OR STRICTLY CONSERVED. THE COUNTY IS THE SOUTHERN GATEWAY TO THE PACIFIC NORTHWEST AND IS SURROUNDED BY DEL NORTE COUNTY TO THE NORTH, TRINITY COUNTY TO THE EAST, MENDOCINO COUNTY TO THE SOUTH AND THE PACIFIC OCEAN ON THE WEST. THE COUNTY WAS ESTABLISHED IN MAY OF 1853 AND DERIVES ITS NAME FROM HUMBOLDT BAY, DISCOVERED BY A SEA OTTER HUNTING PARTY IN 1806 AND REDISCOVERED IN 1849, AND THE STATE'S SECOND LARGEST NATURAL BAY. THE COUNTY HAS A POPULATION OF 136,375 OR 38.2 PEOPLE PER SQUARE MILE. NEIGHBORING, TRINITY COUNTY, POPULATION 13,526 HAS ONLY 4.3 PEOPLE PER SQUARE MILE (COVERING 3,179 SQUARE MILES). CALIFORNIA AVERAGES 239.1 RESIDENTS PER SQUARE MILE AND CLASSIFIES RURAL COUNTIES AS UP TO 52 RESIDENTS PER SQUARE MILE. HUMBOLDT COUNTY IS CLASSIFIED AS A RURAL COUNTY AND TRINITY COUNTY IS CONSIDERED FRONTIER, BASED ON THIS PEOPLE PER SQUARE MILE AVERAGE. SEVEN PERCENT OF HUMBOLDT COUNTY HOUSEHOLDS ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, WHICH IS HIGHER THAN BOTH THE STATE AND NATIONAL LEVEL. IN SOME POCKETS OF HUMBOLDT COUNTY, MORE THAN A QUARTER OF HOUSEHOLDS ARE LIVING IN POVERTY. THE REGION'S ECONOMICALLY POOR RESIDENTS HAVE BEEN SEVERELY IMPACTED BY THE RECESSION AND THE ELIMINATION OF PROGRAMS AND SERVICES THAT LOCAL GOVERNMENTS ARE NO LONGER ABLE TO FUND. THE GROWING GAP IN NEEDED SERVICES HAS PLACED AT RISK THE HEALTH OF THOUSANDS OF UNDERSERVED INDIVIDUALS AND FAMILIES. HEALTH INSURANCE OPTIONS FOR LOCAL RESIDENTS HAVE INCREASED WITH MEDICAL EXPANSION AND OPENING OF THE STATE HEALTH INSURANCE EXCHANGE, COVERED CALIFORNIA. HOWEVER, THE COUNTY LACKS PROVIDERS TO CARE FOR THE REGIONS' NEWLY INSURED. HUMBOLDT COUNTY IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA AND AREAS ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (GARBERVILLE/REDWAY, NORTH COASTAL, MCKINLEYVILLE, ARCATA, FERNDALE AND WILLOW CREEK). ATTRACTING AND RETAINING PRIMARY CARE AND SPECIALTY PHYSICIANS AS WELL AS OTHER HEALTH PROFESSIONALS IS AN ONGOING CHALLENGE FOR THIS RURAL COMMUNITY. ACCESS TO AFFORDABLE HEALTHCARE AND BASIC NEEDS HAS ELEVATED TO A CRITICAL LEVEL FOR PEOPLE LIVING IN HUMBOLDT COUNTY. TO RESPOND EFFECTIVELY REQUIRES COLLABORATIVE PROBLEM SOLVING AT THE COMMUNITY LEVEL. NONPROFIT HEALTH PROVIDERS - LARGE AND SMALL - MUST WORK TOGETHER TO LEVERAGE RESOURCES AND MAXIMIZE HEALTH ASSETS IN INNOVATIVE WAYS TO RESTORE WHAT HAS BEEN LOST, ENHANCE WHAT STILL EXISTS AND ENSURE SUSTAINABLE HEALTH PROGRAMS AND SERVICES ARE AVAILABLE OVER THE LONG-TERM TO POPULATIONS THAT NEED THEM THE MOST. COMMUNITY-BASED COLLABORATION HAS BEEN A PRIORITY FOR HUMBOLDT COUNTY NONPROFIT ORGANIZATIONS, AND WILL CONTINUE TO DRIVE THIS HOSPITAL'S COMMUNITY BENEFIT EFFORTS IN THE FUTURE. TWO OTHER HOSPITALS SERVE COMMUNITIES IN HUMBOLDT COUNTY. THEY ARE MAD RIVER COMMUNITY HOSPITAL IN ARCATA AND GERALD PHELPS COMMUNITY HOSPITAL IN GARBERVILLE. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH THE GOVERNING BODY WAS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS. THE SUB-COMMITTEE OF THE BOARD OF TRUSTEES, KNOWN AS THE COMMUNITY BENEFIT COMMITTEE, OVERSAW THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN EVERY THREE YEARS, AS WELL AS AN ANNUAL COMMUNITY BENEFIT REPORT. THE COMMITTEE ALSO PROVIDES GENERAL DIRECTION TO REDWOOD MEMORIAL 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 INTEGRATED INTO EVERY ASPECT OF OUR ORGANIZATION. 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, ST. JOSEPH HOSPITAL OF EUREKA PROVIDES 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 THOSE SERVICES THAT ADDRESS A SPECIFIC UNMET HEALTH NEED AND ARE SEPARATE FROM TRADITIONAL ACUTE CARE SERVICES. THE FOLLOWING PROGRAMS IN FY14 WERE MADE POSSIBLE THROUGH CARE FOR THE POOR FUNDS AND EXEMPLIFY OUR COMMITMENT TO PROMOTE HEALTH AND ACCESS TO CARE TO THE LOW-INCOME: FIVE COMMUNITY RESOURCE CENTERS LOCATED ACROSS HUMBOLDT COUNTY FROM ISOLATED WILLOW CREEK IN THE NORTH EAST TO UNDERSERVED RIO DELL IN THE SOUTHERN EEL RIVER VALLEY AND INCLUDES CENTERS IN BLUE LAKE, EUREKA AND LOLETA. THE PASO A PASO PROGRAM PROVIDES SERVICES TO SPANISH-SPEAKING RESIDENTS IN HUMBOLDT COUNTY; THEY TEACH A VARIETY OF FAMILY CENTERED EDUCATIONAL CLASSES INCLUDING PRENATAL, BREASTFEEDING, PARENTING, CAR SEAT SAFETY, AND HOST SUPPORT GROUPS FOR MOMS, DADS AND TEENS. THE CARE TRANSITIONS PROGRAM HELPS FACILITATE PATIENTS' TRANSITION OUT OF THE HOSPITAL AND USES A METHOD OF COACHING TO ENCOURAGE PATIENTS' TO BECOME MORE ACTIVATED PARTICIPANTS IN THEIR HEALTHCARE. CARE FOR THE POOR FUNDS ALSO SUPPORTED COMMUNITY GRANTS THAT WERE GIVEN TO OTHER NON-PROFIT ORGANIZATIONS TO SUPPORT THEIR WORK OF INCREASING ACCESS TO FOOD AND INCREASING MENTAL HEALTH OPTIONS FOR THE LATINO POPULATION. WE ARE ALSO COMMITTED TO PROMOTING HEALTH AND ACCESS TO CARE FOR THE BROADER COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING PROGRAMS: MENTORING STUDENT NURSE INTERNS, DONATIONS TO NON PROFITS AND/OR INDIVIDUALS, ADVOCACY EFFORTS FOR THE COMMUNITY, COLLABORATIVE PROGRAMS WITH SCHOOLS, AND OUTREACH AND EDUCATION FOR THE COMMUNITY. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM ST. JOSEPH HOSPITAL EUREKA IS A HEALING MINISTRY OF ST. JOSEPH HEALTH SYSTEM AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND (FORMERLY THE FOUNDATION) TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZED A POLICY THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE COMMUNITY PARTNERSHIP FUND THEN FUNDS PROGRAMS IN COMMUNITIES SERVED BY SYSTEM HOSPITALS THAT EXEMPLIFY THE FOUR CORE VALUES OF THE ST. JOSEPH HEALTH SYSTEM: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA true HUMBOLDT AREA FOUNDATION PO BOX 1386 EUREKA CA 95502 237310660 501(C)(3) 44762 PROGRAM SUPPORT OPEN DOOR COMMUNITY HEALTH CENTERS 38717 KNEELAND RD BRIDGEVILLE CA 95526 952671433 501(C)(3) 15000 PROGRAM SUPPORT HUMBOLDT SENIOR RESOURCE CENTER INC 1910 CALIFORNIA STREET EUREKA CA 95501 942261434 501(C)(3) 20000 PROGRAM SUPPORT REDWOOD COMMUNITY ACTION AGENCY 904 G STREET EUREKA CA 95501 942646370 501(C)(3) 13500 PROGRAM SUPPORT SOCIETY OF ST VINCENT DE PAUL PO BOX 1386 EUREKA CA 95501 941573587 501(C)(3) 15500 PROGRAM SUPPORT COMMUNITY ALLIANCE W FAMILY FARMERS FDN 3300 RENNER DRIVE FORTUNA CA 95540 942914745 501(C)(3) 10000 PROGRAM SUPPORT MCKINLEYVILLE COMMUNITY COLLABORATIVE PO BOX 2668 MCKINLEYYVILLE CA 95519 680445130 501(C)(3) 20871 PROGRAM SUPPORT FOOD FOR PEOPLE INC 307 W 14TH STREET EUREKA CA 95501 942772549 501(C)(3) 21248 PROGRAM SUPPORT AREA I AGENCY ON AGING 434 7TH STREET EUREKA CA 95501 942673039 501(C)(3) 20000 PROGRAM SUPPORT ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DR STE 100 IRVINE CA 92612 330143024 501(c)(3) 847500 CARE FOR THE POOR 10 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 EACH GRANTEE REPORTS ON THE PROGRESS OF THE FUNDED PROGRAM ON A BIANNUAL BASIS EVERY 6 MONTHS TO THE COMMUNITY BENEFIT COMMITTEE. THE COMMUNITY BENEFIT COMMITTEE REVIEWS DOCUMENTATION TO CONFIRM THAT THE GRANTEE IS COMPATIBLE WITH THE MISSION, VISION, AND VALUES OF ST. JOSEPH HEALTH SYSTEM. ALSO THE GRANTEE MUST DEMONSTRATE OPERATIONAL AND MANAGERIAL EFFECTIVENESS, FINANCIAL VIABILITY, AND RESPONSIBLE STEWARDSHIP OF RESOURCES. THEY MUST BE ABLE TO DEMONSTRATE COLLABORATION, FLEXIBILITY, AND RESPECT FOR DIVERSE CULTURES WHILE UTILIZING EFFECTIVE STRATEGIES AND OUTCOME MEASURES. THE GRANTEE MUST HAVE AN EXISTING GOVERNING AND/OR ADVISORY BOARD WITH SUFFICIENT EXPERTISE AND FAMILIARITY WITH THE PROPOSED PROGRAM/PROJECT. THE GRANTEE MUST BE WILLING TO ACKNOWLEDGE THE SUPPORT OF THE LOCAL HOSPITALS IN EXTERNAL COMMUNICATIONS, INCLUDING WEBSITES. MOST IMPORTANTLY, THE GRANTEE MUST BE A NONPROFIT ORGANIZATION IN CALIFORNIA THAT IS TAX EXEMPT. FUNDS THAT ARE TRANSFERRED TO ST. JOSEPH HEALTH SYSTEM FOUNDATION (CARE FOR THE POOR) ARE MONITORED AND DISTRIBUTED BY THE ST. JOSEPH HEALTH SYSTEM, AND ARE NOT MONITORED ON A HOSPITAL LEVEL ONCE THE FUNDS ARE TRANSFERRED. X X true false true true false false false false false true false JIM STRONG VP, CFO/COO (FORMER OFFICER) 0 0 0 0 181538 0 0 0 0 0 181538 0 0 0 LAURIE WATSON-STONE VP, ANCILLARY & SUPPORT SVCS 159756 0 81965 0 26922 0 17629 0 30817 0 317089 0 0 0 LINDA COOK VP, HUMAN RESOURCES 159999 0 80635 0 24408 0 10719 0 20344 0 296105 0 0 0 NIKKI COLLIER RN FIRST ASSISTANT 241095 0 500 0 25 0 19033 0 11661 0 272314 0 0 0 DAVID O'BRIEN MD PRESIDENT 66623 320641 6663 100822 6869 43149 0 8819 1140 3884 81295 477315 0 0 MICH RICCIONI REGIONAL CFO 0 334981 0 161077 0 59365 0 17606 0 28401 0 601430 0 0 MATTHEW MILLER VP, MEDICAL AFFAIRS/CMO 274489 0 109403 0 31754 0 7650 0 17403 0 440699 0 0 0 CAROL REEDER INTERIM VP/CNO 215331 0 96149 0 25009 0 3455 0 12297 0 352241 0 0 0 RONALD DILUIGI BOARD MEMBER 0 311425 0 60128 0 9771 0 20665 0 24992 0 426981 0 0 JAYNIE BOREN N. CA REG VP - STRATEGIC SVCS 0 262619 0 89261 0 27698 0 7729 0 22672 0 409979 0 0 KEVIN KLOCKENGA REGIONAL CEO 0 505252 0 207110 0 60762 0 10200 0 28538 0 811862 0 0 PATRICIA WALDRON DIRECTOR CASE MANAGEMENT 140301 0 14876 0 56879 0 7600 0 11113 0 230769 0 0 0 BRIAN BAKER INTERIM NURSE MANAGER 198891 0 0 0 25 0 11691 0 17143 0 227750 0 0 0 LYNDSEY CHAMBERLAIN CLINICAL CRD PHARMACY 193356 0 0 0 1651 0 9941 0 35114 0 240062 0 0 0 MARGARET MIRANDA LEAD ADMIN SUPERVISOR 187014 0 0 0 4747 0 19040 0 11124 0 221925 0 0 0 ROBERT EISEN REGIONAL VP OF HUMAN RESOURCES 0 195777 0 93019 0 16307 0 6158 0 20417 0 331678 0 0 ROBYNN VAN PATTEN SECRETARY 0 339611 0 120996 0 36734 0 0 0 0 0 497341 0 0 SCHEDULE J, PART I, LINE 1A SUPPLEMENTAL COMPENSATION INFORMATION TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ST. JOSEPH HOSPITAL OF EUREKA GROSSES UP PAYMENTS FOR LIMITED APPROVED EXPENDITURES. DISCRETIONARY SPENDING ACCOUNT: EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S PRESIDENT AND CEO 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 990 PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FOR EITHER PART OR ALL OF THE YEAR: JIM STRONG $ 181,538 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 EXECUTIVES SALARIES ARE PLACED 'AT RISK' AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST.JOSPEH HEALTH SYSTEM. AT RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT RISK PAY. CEP AMERICA SEE PART V 475371 MEDICAL SERVICES false HUMBOLDT MOVING AND STORAGE SEE PART V 198156 STORAGE false M ELLEN MAHONEY MEDICAL CORPORATION SEE PART V 135975 MEDICAL SERVICES false SCHEDULE L, PART IV BUSINESS TRANSACTIONS - VICTOR WALLENKAMFP, M.D. IS A BOARD TRUSTEE OF SJHE AND AN OWNER OF CEP AMERICA. - JOHN GIEREK, JR IS THE BOARD CHAIRMAN FOR SJHE AND OWNER OF HUMBOLDT MOVING AND STORAGE. - ELLEN MAHONEY, M.D., IS A BOARD TRUSTEE OF SJHE AND OWNER OF M ELLEN MAHONEY MEDICAL CORPORATION. X 2 610 COST X MEALS/FOOD 5 3300 COST X JEWELRY 8 1638 COST X GENERAL MERCHANDISE 34 27171 COST false false false SCHEDULE M, PART I, COLUMN (B) THE AMOUNTS IN COLUMN (B) REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, BOX B AMENDED RETURN ST. JOSEPH HOSPITAL OF EUREKA IS AMENDING FORM 990 TO CORRECT THE AMOUNT OF FINANCIAL ASSISTANCE EXPENSE REPORTED IN SCHEDULE H, PART I, LINE 7A. FORM 990, PART I, LINE 1 & PART III, LINE 1 ORGANIZATION'S MISSION ST. JOSEPH HOSPITAL OF EUREKA IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. FORM 990, PART III, LINE 4A REALIZING OUR MISSION ST. JOSEPH HOSPITAL EUREKA HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR NEARLY 100 YEARS. SERVING THE COMMUNITIES OF HUMBOLDT COUNTY, PARTS OF DEL NORTE, TRINITY AND MENDOCINO COUNTIES, ST. JOSEPH HOSPITAL EUREKA (SJE) IS AN ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF OPEN HEART SURGERY, INTERVENTIONAL CARDIOLOGY, TOTAL JOINT REPLACEMENTS, COMPLEX EYE SURGERY, PEDIATRIC CARE, AND A FULL RANGE OF WOMEN'S AND CHILDREN'S SERVICES. SJE OFFERS COMPREHENSIVE ONCOLOGY CARE THROUGH AN ACCREDITED CANCER PROGRAM, AS WELL AS EMERGENCY MEDICINE BOARD CERTIFIED PHYSICIANS FOR THE HOSPITAL'S FULL SERVICE EMERGENCY ROOM. THE HOSPITAL PROVIDES THE COMMUNITY WITH BOTH AN OUTPATIENT SURGERY AND AN OUTPATIENT IMAGING CENTER. ALL SERVICES WERE GREATLY ENHANCED ON 11/11/12 WHEN THE NEW PATIENT TOWER WAS OPENED TO PATIENT CARE. THE GENERAL HOSPITAL CAMPUS IS LOCATED A FEW BLOCKS FROM THE ST. JOSEPH HOSPITAL AND OFFERS THE COMMUNITY A MEDICAL REHABILITATION CENTER, OCCUPATIONAL MEDICINE, OUTPATIENT LABORATORY SERVICES, A SLEEP DISORDER CLINIC AND OUTPATIENT REHABILITATION SERVICES. THE CAMPUS ALSO HOUSES MANY OF THE SUPPORT SERVICES NEEDED BY THE MAIN CAMPUS INCLUDING PATIENT REVENUE CYCLE SERVICES, CLINICAL EDUCATION, INFORMATION TECHNOLOGY, THE SJE FOUNDATION, PASO A PASO, AND HEALTHY KIDS HUMBOLDT. WITH OVER 1,000 EMPLOYEES COMMITTED TO REALIZING THE MISSION, SJE IS ONE OF THE LARGEST EMPLOYERS IN THE NORTH COAST REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, SJE IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. 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 SJE IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 1) SACRED ENCOUNTERS, 2) PERFECT CARE AND 3) HEALTHIEST COMMUNITIES. EVERY INTERACTION WILL BE EXPERIENCED AS A SACRED ENCOUNTER. THE GOAL OF SACRED ENCOUNTER HAS A DIRECT CONNECTION TO THE OVERALL MISSION. OUR VALUE OF DIGNITY CALLS FOR US TO RESPECT EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE. WE STRIVE TO DO THIS BY KEEPING AT THE FOREFRONT OF OUR MINDS THE UNDERSTANDING OF THE IMPACT WE CAN HAVE ON ONE ANOTHER WITH EVERY ACTION WE TAKE. THE LOW INCOME LATINO POPULATION OF HUMBOLDT COUNTY IS ONE THAT IS GROWING BUT IS STILL LIVING ON THE FRINGES OF SOCIETY. OFTEN STRONG IN FAITH, BUT ISOLATED BECAUSE OF LANGUAGE AND CULTURAL BARRIERS, MONO-LINGUAL FAMILIES SUFFER DUE TO A LACK OF MENTAL HEALTH RESOURCES AVAILABLE IN THEIR PRIMARY LANGUAGE. SJE'S COMMUNITY BENEFIT COMMITTEE VOTED TO HAVE MENTAL HEALTH SERVICES FOR THE LATINO COMMUNITY AS ONE OF TWO AREAS THAT COMMUNITY PARTNERS COULD APPLY FOR FUNDING, THUS PROVIDING THE OPPORTUNITY FOR A GROUP OF MARGINALIZED PEOPLE TO HAVE SOME DIGNITY. ALSO PROVIDING SACRED ENCOUNTERS WITH SPANISH-SPEAKING FAMILIES ARE THE STAFF AT HEALTHY KIDS HUMBOLDT. THEIR PRIMARY ROLE IS TO WORK ONE ON ONE WITH FAMILIES TO ENROLL THEM IN ELIGIBLE SERVICES, SUCH AS HEALTH INSURANCE, BUT THEY OFTEN GO FAR BEYOND JUST ENROLLING FAMILIES. THEY GET TO KNOW THE FAMILIES ON A PERSONAL LEVEL AND ASSIST THEM WITH A VARIETY OF ISSUES; MEETING THE PERSON WHERE THEY ARE AT AND PROVIDING THE SERVICE AND CARE NEEDED AT THE TIME. 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. THE SUCCESS OF THE CARE TRANSITION PROGRAM AT SJE CONTINUES TO SURPASS ALL TARGETS SET WHEN THIS PROGRAM BEGAN. THE TEAM OF A SOCIAL WORKER AND A NURSE WORK WITH HOSPITAL STAFF TO TRANSITION THE HOMELESS PATIENT FROM THE ACUTE CARE SETTING TO A SAFE ENVIRONMENT FOR HEALING. THE TEAM HAS PARTNERED WITH THE COMMUNITY BENEFIT DEPARTMENT AND THE EUREKA COMMUNITY RESOURCE CENTER, A DEPARTMENT OF ST. JOSEPH HEALTH, REDWOOD MEMORIAL HOSPITAL, TO IDENTIFY THE INDIVIDUALS MOST IN NEED OF THE CARE AND PROVIDE THAT CARE IN ONE OF TWO HOUSING UNITS RENTED FOR THIS PURPOSE. OVER TIME, THE TEAMS HAVE ADDED FOOD, TRANSPORTATION, CLOTHING AND MEDICATION TO THE SUPPORT OFFERED TO THE PATIENT. THE SUPPORT SERVICES ARE MAKING AN IMPACT ON THE QUALITY OF LIFE OF THE PATIENTS SERVED AND ARE MOVING US CLOSER TO ACHIEVING OUR GOAL 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. FOOD INSECURITY IN OUR COUNTY IS ESPECIALLY HIGH FOR SINGLE WOMEN WITH CHILDREN MAKING IT DIFFICULT FOR THEM TO ACHIEVE AND MAINTAIN LONG-TERM HEALTH. IN AN EFFORT TO BETTER ADDRESS THESE POPULATIONS' NEEDS, SJE JOINED A COORDINATED EFFORT LED BY THE HUMBOLDT COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES TO INCREASE ACCESS TO CALFRESH FOR ALL THOSE ELIGIBLE FOR THIS SERVICE. HUMBOLDT COUNTY RECEIVED A MULTI-YEAR GRANT TO INCREASE CALFRESH DOLLARS USED BY FAMILIES TO IMPROVE ACCESS TO HEALTHY FOOD FOR THE FAMILY AND TO INCREASE DOLLARS THAT ARE GENERATED BY CALFRESH EXPENDITURES. THE CAMPAIGN HAS BEEN LABELED BY COMMUNITY PARTNER, FOOD FOR PEOPLE, AS 'BRING A MILLION TO HUMBOLDT'. CALIFORNIA STATISTICS SHOW THAT IF ALL PEOPLE IN HUMBOLDT COUNTY THAT ARE ELIGIBLE TO RECEIVE CALFRESH USE THEM, AN ADDITIONAL ONE MILLION DOLLARS IN FOOD REVENUE WILL BE GENERATED. HUMBOLDT COUNTY HAS MANY SMALL FAMILY OWNED FARMS THAT BRING FRESH, NUTRITIOUS FOOD RESOURCES TO THE MULTIPLE COUNTYWIDE FARMER'S MARKETS AND THESE FARMERS ACCEPT CALFRESH DOLLARS. IF THE DOLLARS ARE INCREASED BY ONE MILLION, THE FAMILY FARMS BENEFIT AND THE CIRCLE OF BRINGING HIGH QUALITY, LOCALLY GROWN FOOD TO THE TABLES OF AREA FAMILIES INCREASES AS WELL. SJE PROVIDED CARE FOR THE POOR FUNDING IN FY14 TO NINE (9) LOCAL ORGANIZATIONS TO INCREASE ACCESS TO FOOD RESOURCES. ONE OF THE LARGEST GRANTS WAS GIVEN TO FOOD FOR PEOPLE TO INCREASE ACCESS TO FRUITS AND VEGETABLES FOR LOW INCOME FAMILIES WHO UTILIZE THE FOOD PANTRIES. FOOD FOR PEOPLE PURCHASED THE FRUITS AND VEGETABLES FROM FAMILY FARMS AND HAD SPECIAL EVENTS WHERE THE FRUITS AND VEGETABLES WERE DISPENSED IN A FARMERS MARKET TYPE VENUE. THE EVENTS WERE HELD AT THE MAIN FOOD FOR PEOPLE SITE IN EUREKA AND AT SITES IN THE MORE ISOLATED REGIONS OF THE COUNTY. HUMBOLDT SENIOR RESOURCE CENTER ALSO RECEIVED FUNDING TO SUPPORT THEIR HOME DELIVERED MEAL (HDM) PROGRAM TO HOMEBOUND SENIORS. THE FUNDS PROVIDED ALLOWED THE SENIOR RESOURCE CENTER TO ELIMINATE THEIR WAIT LIST FOR DELIVERED MEALS. AN ADDITIONAL BENEFIT OF THE HDM PROGRAM IS WELLNESS CHECK PROVIDED BY THE DRIVER. THIS IS OFTEN THE ONLY HUMAN INTERACTION IN A DAY FOR ISOLATED SENIORS. PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED FINANCIAL ASSISTANCE PROGRAM, MEDICAID AND OTHER MEANS TESTED PROGRAMS OUR MISSION CALLS US TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS, REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST JOSEPH HOSPITAL EUREKA HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE AND/OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN ADDITION TO THE FINANCIAL ASSISTANCE PROGRAM AND THE UNPAID COST OF MEDICAID AND OTHER MEANS TESTED PROGRAMS, SJE HAS DEVELOPED AND IMPLEMENTED COMMUNITY BENEFIT PROGRAMS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. THE FOLLOWING THREE PROGRAMS LISTED BELOW ARE ORGANIZED BY LARGEST TOTAL EXPENSE. PHYSICIAN TRAUMA SERVICES SJE CONTINUES TO ADDRESS THE NEEDS OF THE PATIENTS SEEN IN THE EMERGENCY ROOM WHO LACK PRIMARY MEDICAL PROVIDERS AND A MEDICAL HOME. FOCUSED EFFORTS BY THE CARE TRANSITION TEAM ON ASSISTING PATIENTS POST DISCHARGE AND BY THE EUREKA COMMUNITY RESOURCE CENTER TO ASSIST PREACUTE HOSPITALIZATION CONTINUES TO MAKE AN IMPACT ON THE POPULATION SEEN THROUGH THE EMERGENCY ROOM. THE TWO TEAMS, WORKING TOGETHER, PROVIDE MEDICATIONS, HOUSING, FOOD AND FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HOSPITAL OF EUREKA. FORM 990, PART VI, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST JOSEPH HOSPITAL OF EUREKA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. JOSEPH HOSPITAL OF EUREKA BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST. JOSEPH HOSPITAL OF EUREKA BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. FORM 990, PART VI, LINE 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 PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 WAS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE MARCH 2015 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING. FORM 990, PART VI, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST 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, LINES 15A & 15B THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. EXECUTIVE COMPENSATION IS APPROVED BY THE ST. JOSEPH HOSPITAL OF EUREKA EXECUTIVE 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 HEALTH 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. JOSEPH HOSPITAL OF EUREKA EXECUTIVE COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTNG FIRM WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION. IN ADDITION, ANNUAL INCENTIVE AWARDS ARE REVIEWED AND APPROVED PRIOR TO PAYMENT CONSISTENT WITH THE MOST RECENT COMPENSATION BIENNIAL REVIEW AND IN ACCORDANCE WITH THE PLAN DOCUMENT. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES WHICH ARE SUBSEQUENTLY APPROVED AT THE COMMITTEE MEETING. FORM 990, PART VI, LINE 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS GOVERINING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990. FORM 990, PART IX, LINE 11G OTHER FEES EXCEEDING 10% REGISTRY/TEMP HELP $ 10,248,243 MED/PHYSICIAN SERVICES $ 9,775,381 PURCHASED SERVICES $ 9,178,687 -------------- TOTAL $ 29,202,311 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE EQUITY TRANSFER ($ 12,514,890) OTHER $ 10,302 ------------ $ 12,504,588 COVENANT HEALTH NETWORK INC 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 461259908 HEALTHCARE CA 501(C)(3) 11, III SJHS true COVENANT HEALTH PARTNERS 3615 19TH STREET LUBBOCK TX 79410 611573313 HEALTHCARE TX 501(C)(3) 11,I CHS true COVENANT HEALTH SYSTEM 3615 19TH STREET LUBBOCK TX 79410 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS true COVENANT HEALTH SYSTEM FOUNDATION 4000 24TH STREET LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS true COVENANT MEDICAL GROUP 3420 22ND PLACE LUBBOCK TX 79410 752743883 HEALTHCARE TX 501(C)(3) 3 CHS true COVENANT PHYSICIAN PARTNERS 3615 19TH STREET LUBBOCK TX 79410 463516417 HEALTHCARE TX 501(C)(3) 3 CHS true HOAG CHARITY 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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 true ST JOSEPH HOME CARE NETWORK 170 PROFESSIONAL CENTER DR B ROHNERT PARK CA 94928 680331084 HEALTHCARE CA 501(C)(3) 9 SJHS true ST JOSEPH HOSPITAL OF ORANGE 1100 WEST STEWART DRIVE ORANGE CA 92868 951643359 HEALTHCARE CA 501(C)(3) 3 CHN true ST JUDE HOSPITAL YORBA LINDA 500 S MAIN STREET STE 1000 ORANGE CA 92868 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JUDE HOSPITAL INC 101 EAST VALENCIA MESA DRIVE FULLERTON CA 92635 951643324 HEALTHCARE CA 501(C)(3) 3 CHN true ST MARY MEDICAL CENTER 18300 HIGHWAY 18 APPLE VALLEY CA 92307 951914489 HEALTHCARE CA 501(C)(3) 3 CHN true ST MARY OF THE PLAINS HOSPITAL FDN 4000 24TH STREET LUBBOCK TX 79410 751653181 HEALTHCARE TX 501(C)(3) 7 CHS true TALLER SAN JOSE 801 NORTH BROADWAY SANTA ANA CA 92701 593816355 WORKFORCE DEV CA 501(C)(3) 2 SSJO true ST JOSEPH HLTH SYS HOME HLTH SEE PART VII ORANGE CA 928682012 330282945 HOME HEALTH CA NA N/A ST JOSEPH HLTH SYS HOME CARE SEE PART VII ORANGE CA 928682012 330307672 HOME HEALTH CA NA N/A METHODIST DIAGNOSTIC IMAGING SEE PART VII LUBBOCK TX 79410 752343261 HEALTHCARE SVCS TX NA N/A SHA LLC SEE PART VII AUSTIN TX 78750 752569094 INSURANCE TX NA N/A LUBBOCK SURGERY CENTER LTD SEE PART VII LUBBOCK TX 79410 752177401 HEALTHCARE SVCS TX NA N/A COVENANT LONG-TERM CARE LP SEE PART VII LUBBOCK TX 79410 205033419 HEALTHCARE SVCS TX NA N/A HERITAGE INVESTMENT GROUP SEE PART VII IRVINE CA 92612 271000061 INVESTMENTS CA NA N/A MISSION AMBULATORY SURGICENTER SEE PART VII MISSION VIEJO CA 92691 330355575 HEALTHCARE SVCS CA NA N/A COMPREHENSIVE IMAGING PARTNERS SEE PART VII ORANGE CA 92868 264591502 HEALTHCARE SVCS CA NA N/A ST JOSEPH PHYSICIAN VENTURES SEE PART VII ORANGE CA 92868 454521884 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 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JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100, ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 2301 QUAKER, LUBBOCK, TX 79410 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 3345 MICHELSON DRIVE, STE. 100, IRVINE, CA 92612 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE. 362, MISSION VIEJO, CA 92691 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY, LLC EIN: 26-4591502 ADDRESS: ONE CITY BOULEVARD WEST, SUITE 1100, ORANGE, CA 92868 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 17349 4TH STREET, SANTA ROSA, CA 95404 HOAG OUTPATIENT CENTERS EIN: 45-3587572 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 MAIN ST SPECIALTY SURGERY CENTER EIN: 95-4813223 ADDRESS: 280 MAIN STREET, STE 100, ORANGE, CA 92868 ORTHOPEDIC SURGERY CENTER OF OC, LLC EIN: 33-0841806 ADDRESS: 22 CORPORATE PLAZA, NEWPORT BEACH, CA 92660 THE INSTITUTE FOR INNOVATION, LLC EIN: 90-0745066 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 HEALTHCARE DESIGN AND CONSTRUCTION EIN: 46-2611662 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954