ST JOSEPH HOSPITAL OF EUREKA: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH HOSPITAL OF EUREKA (EIN 94-1156596)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201411359349307741
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T16:56:02-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118111 VON KARMAN AVENUE SUITE 1000AddressLine1
CityIRVINECity
StateCAState
ZIP Code92612ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941156596EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL OF EUREKABusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JONI MURPHYInCareOfName
Name ControlSTJONameControl
Phone7072694259Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 DOLBEER STREETAddressLine1
Address Line2SuiteAddressLine2
CityEUREKACity
StateCAState
ZIP Code95501ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICH RICCIONIName
TitleREGIONAL CFOTitle
Date Signed2014-05-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone9497942300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDR DAVID O'BRIENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12700 DOLBEER STREETAddressLine1
CityEUREKACity
StateCAState
ZIP Code95501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts201211912GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STJOSEPHEUREKA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1942YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionWE 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 IN THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1321TotalNbrEmployees
Total Nbr Volunteers239TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year4255135ContributionsGrantsPriorYear
Contributions Grants Current Year1870720ContributionsGrantsCurrentYear
Program Service Revenue Prior Year198440384ProgramServiceRevenuePriorYear
Program Service Revenue CY198498427ProgramServiceRevenueCY
Investment Income Prior Year-112274InvestmentIncomePriorYear
Investment Income Current Year723244InvestmentIncomeCurrentYear
Other Revenue Prior Year42232OtherRevenuePriorYear
Other Revenue Current Year80039OtherRevenueCurrentYear
Total Revenue Prior Year202625477TotalRevenuePriorYear
Total Revenue Current Year201172430TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year476111GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1051694GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year86660576SalariesEtcPriorYear
Salaries Etc Current Year83626911SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year1680TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year512020TotalFundrsngExpCurrentYear
Other Expense Prior Year97416648OtherExpensePriorYear
Other Expenses Current Year103707463OtherExpensesCurrentYear
Total Expenses Prior Year184555015TotalExpensesPriorYear
Total Expenses Current Year188386068TotalExpensesCurrentYear
Revenues Less Expenses Prior Year18070462RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12786362RevenuesLessExpensesCY
Total Assets BOY252407120TotalAssetsBOY
Total Assets EOY258511265TotalAssetsEOY
Total Liabilities BOY131213842TotalLiabilitiesBOY
Total Liabilities EOY134938979TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY121193278NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY123572286NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense168056077Expense
Grants1005950Grants
Revenue199126333Revenue
DescriptionSEE SCHEDULE O.Description
Total Program Service Expense168056077TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096204NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1321NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJONI MURPHYNamePerson
Telephone Number7075255300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1141 STONY CIRCLEAddressLine1
CitySANTA ROSACity
StateCAState
ZIP Code95409ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
SISTER DIANE HEJNA CSJ
BOARD MEMBER2.00.0X000
DENNIS LEONARDI
BOARD MEMBER2.04.0X000
RODNEY MAPLES
BOARD MEMBER2.00.0X000
ROLLIN RICHMOND PHD
BOARD MEMBER2.00.0X000
SISTER MARIAN SCHUBERT CSJ
BRD MB/VP MISSN INTEG(PART YR)2.00.0X000X
SISTER ANN MARIE STEFFEN CSJ
BOARD MEMBER2.00.0X000
KUSUM STOKES MD
BOARD MEMBER (PART YEAR)2.02.0X000
VICTOR WALLENKAMPF MD
BOARD MEMBER2.00.0X000
HERBERT WOOD
BOARD MEMBER2.00.0X000
SISTER KAREN CLOCK
BOARD MEMBER2.00.0X000
WILLIAM KILGORE MD
BOARD MEMBER/CHIEF OF STAFF2.00.0X780000
JEFF NELSON
BOARD MEMBER2.00.0X000
DAVID O'BRIEN MD
PRESIDENT43.07.0X058678523434X
TOM MCCONNELL
PRESIDENT/CEO (THRU 3/2013)46.04.0X03895200X
JOHN ARYANPUR MD
BOARD CHAIR (PART YEAR)2.04.0X000
CHRISTOPHER CODY MD
BOARD MEMBER (PART YEAR)2.00.0X3780000
JOHN DALBY
BOARD MEMBER (PART YEAR)2.00.0X000
RONALD DILUIGI
BOARD MEMBER2.00.0X038779241708
BRUCE EMAD
BOARD CHAIRMAN4.00.0X000
NEAL FEUERMAN MD
BOARD MEMBER2.04.0X000
JOHN GIEREK JR
BOARD MEMBER/VICE CHAIR4.00.0X000
SISTER PAT HAYHURST CSJ
BOARD MEMBER2.00.0X000
JIM STRONG
VP, CFO/COO13.027.0389900012285X
MICH RICCIONI
REGIONAL CFO12.038.0050765144578X
LAURIE WATSON-STONE
VP, ANCILLARY & SUPPORT SVCS50.00.0203055043210X
LINDA COOK
VP, HUMAN RESOURCES50.00.0201801029151X
MATTHEW MILLER
VP, MEDICAL AFFAIRS/CMO50.00.0254692017980X
CAROL REEDER
INTERIM VP/CNO50.00.052233900X
JAYNIE BOREN
N. CA REG VP - STRATEGIC SVCS10.040.0037241019130X
PHILIP SAMS
PHARMACIST40.00.0176014034317X
MICHAEL GOODWILL
PHYSICIST40.00.0191737027699X
NIKKI COLLIER
RN FIRST ASSISTANT52.00.0195518026729X
ANDREA PFAFF
ADMINISTRATIVE SUPERVISOR40.00.0165086028624X
JESSICA GEMMEL
CLINICAL INFORMATICS PHARM.40.00.0163218033416X
JOSEPH MARK
BOARD MEMBER/CEO (THRU 6/2012)0.00.0072996523207X
WILLIAM SAGEMAN
VP, MED AFFAIRS/CMO(Former KE)0.00.016792101981X
JUDY BEGLEY
VP, CNO (FORMER KE)0.00.021145302792X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2888334TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2974123TotalReportableCompFrmRltdOrgs
Total Other Compensation410241TotalOtherCompensation
Number Individuals GT100 K121NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEDICAL STAFFING NETWORK INC
PO BOX 203000DALLASTX753203000REGISTRY6948191
ST JOSEPH HERITAGE HEALTHCARE
500 S MAIN STREET STE 1000ORANGECA92868PHYSICIAN SERVICES2936723
QUANTUM HEALTHCARE MEDICAL ASSOC IN
PO BOX 634850CINCINNATIOH452634850MEDICAL SERVICES1758916
NAVIGANT CONSULTING INC
4511 PAYSPHERE CIRCLECHICAGOIL60674CONSULTING SERVICES1004150
SOYRING CONSULTING
PO BOX 602094CHARLOTTENC282602094STAFFING832598
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Fundraising Events27088FundraisingEvents
Related Organizations320000RelatedOrganizations
Government Grants201000GovernmentGrants
All Other Contributions1322632AllOtherContributions
Noncash Contributions27088NoncashContributions
Total Contributions1870720TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NET PATIENT REVENUE6221101964792471964792470$0
EHR REVENUE722310150119715011970$0
CAFETERIA5311204400094400090$0
MOB REVENUE90009936462364620$0
ALL OTHER PROGRAM SERVICE REVENUE41512415120$0
FieldValueIRS element (for citing)
Total Program Service Revenue198498427TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column669574TotalRevenueColumn
Exclusion$669,574ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities53670Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities53670Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column53670TotalRevenueColumn
Exclusion$53,670ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events74151GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events27088CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses39482FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column34669TotalRevenueColumn
Exclusion$34,669ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
CASH PURCHASES AND DISCOUNTS90009931059310590$0
REBATES AND REFUNDS90009914311143110$0
FieldValueIRS element (for citing)
Total Other Revenue45370TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column201172430TotalRevenueColumn
Related Or Exempt Function Income198543797RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$757,913ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1051694Total
Program Services1051694ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1321339Total
Program Services711554ProgramServices
Management And General609785ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total53074112Total
Program Services49821515ProgramServices
Management And General3046987ManagementAndGeneral
Fundraising205610Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3174683Total
Program Services2916295ProgramServices
Management And General239323ManagementAndGeneral
Fundraising19065Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total21220965Total
Program Services20084069ProgramServices
Management And General1057638ManagementAndGeneral
Fundraising79258Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4835812Total
Program Services4541091ProgramServices
Management And General261271ManagementAndGeneral
Fundraising33450Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total8034690Total
Program Services7792462ProgramServices
Management And General242228ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total361526Total
Program Services0ProgramServices
Management And General361526ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total200050Total
Program Services0ProgramServices
Management And General200050ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total23366Total
Program Services23366ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total26307525Total
Program Services23779954ProgramServices
Management And General2410951ManagementAndGeneral
Fundraising116620Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total133210Total
Program Services117196ProgramServices
Management And General13286ManagementAndGeneral
Fundraising2728Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5087436Total
Program Services4908253ProgramServices
Management And General158451ManagementAndGeneral
Fundraising20732Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2854304Total
Program Services2287322ProgramServices
Management And General557189ManagementAndGeneral
Fundraising9793Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3590365Total
Program Services3576990ProgramServices
Management And General13151ManagementAndGeneral
Fundraising224Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total167940Total
Program Services92621ProgramServices
Management And General67673ManagementAndGeneral
Fundraising7646Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total2577579Total
Program Services2577579ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11316986Total
Program Services11226072ProgramServices
Management And General81614ManagementAndGeneral
Fundraising9300Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES27802342278020802620
CA HOSPITAL FEE PROGRAM14499931449993
REPAIRS AND MAINTENANCE1916491189903017253208
TAXES AND LICENSES4270752910741348421159

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11456585Total
Program Services1105867ProgramServices
Management And General10344491ManagementAndGeneral
Fundraising6227Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total188386068Total
Program Services168056077ProgramServices
Management And General19817971ManagementAndGeneral
Fundraising512020Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY141603BOY
EOY2348916EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY272180BOY
EOY749780EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY21978201BOY
EOY23959382EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1062731BOY
EOY887291EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3888821BOY
EOY4678964EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1074050BOY
EOY1204670EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis312877868LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec100364550LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY205122880BOY
EOY212513318EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY471257BOY
EOY523070EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1752773BOY
EOY2024303EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY808286BOY
EOY269429EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15834338BOY
EOY9352142EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY252407120BOY
EOY258511265EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21186683BOY
EOY16802432EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY110027159BOY
EOY118136547EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY131213842BOY
EOY134938979EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY117674106BOY
EOY123572286EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1825748BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1693424BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY121193278BOY
EOY123572286EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY252407120BOY
EOY258511265EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses12786362ReconcilationRevenueExpenses
Reconciliation Unrealized Invest9138ReconciliationUnrealizedInvest
Reconcilation Other Changes-10416492ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Media Advertisements$0MediaAdvertisementsAmount
Mailings MembersfalseMailingsMembers
Mailings Members$0MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Publications Or Broadcast$0PublicationsOrBroadcastAmount
Grants Other OrganizationsfalseGrantsOtherOrganizations
Grants Other Organizations$0GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Direct Contact Legislators$0DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Rallies Demonstrations$0RalliesDemonstrationsAmount
Other ActivitiestrueOtherActivities
Other Activities$23,366OtherActivitiesAmount
Total Lobbying Expenditures IIB23366TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSchedule C, PART II-B, LINE 1IReturnReference
ExplanationTHE 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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4843950OtherCostOrOtherBasis
Book Value4843950BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis208753994OtherCostOrOtherBasis
Depreciation37511156Depreciation
Book Value171242838BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1098458OtherCostOrOtherBasis
Depreciation653614Depreciation
Book Value444844BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis85969295OtherCostOrOtherBasis
Depreciation62199780Depreciation
Book Value23769515BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12212171OtherCostOrOtherBasis
Book Value12212171BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings212513318TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
INTERCO. WITH HEALTH SYSTEM-BONDS$60,823,053
INTERCOMPANY PAYABLES$26,788,884
MELLON LOC PAYABLE$9,488,004
PAYABLE TO THIRD PARTIES$12,779,194
OTHER LIABILITIES$355,218
ACCRUED LIABILITIES$4,855,521
MANAGED CARE EXPENSES$3,046,673
FieldValueIRS element (for citing)
Total Of Amounts118136547TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierCONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740)Identifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationACCOUNTING 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, 2013 OR 2012.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1101239GrossReceiptsEvent1
Charitable Contributions Event127088CharitableContributionsEvent1
Gross Revenue Event174151GrossRevenueEvent1
Other Direct Expenses Event139482OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total101239GrossReceiptsTotal
Charitable Contributions Total27088CharitableContributionsTotal
Gross Revenue Total Events74151GrossRevenueTotalEvents
Other Direct Expenses Total Events39482OtherDirectExpensesTotalEvents
Direct Expense Summary Events39482DirectExpenseSummaryEvents
Net Income Summary34669NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense9592000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense9592000NetCommunityBenefitExpense
Percent Of Total Expense0.05090PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense45005521TotalCommunityBenefitExpense
Direct Offsetting Revenue33252511DirectOffsettingRevenue
Net Community Benefit Expense11753010NetCommunityBenefitExpense
Percent Of Total Expense0.06240PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense10328634TotalCommunityBenefitExpense
Direct Offsetting Revenue5325011DirectOffsettingRevenue
Net Community Benefit Expense5003623NetCommunityBenefitExpense
Percent Of Total Expense0.02660PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense64926155TotalCommunityBenefitExpense
Direct Offsetting Revenue38577522DirectOffsettingRevenue
Net Community Benefit Expense26348633NetCommunityBenefitExpense
Percent Of Total Expense0.13990PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1037219TotalCommunityBenefitExpense
Direct Offsetting Revenue25DirectOffsettingRevenue
Net Community Benefit Expense1037194NetCommunityBenefitExpense
Percent Of Total Expense0.00550PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense719152TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense719152NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1636498TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1636498NetCommunityBenefitExpense
Percent Of Total Expense0.00870PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense567293TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense567293NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3960162TotalCommunityBenefitExpense
Direct Offsetting Revenue25DirectOffsettingRevenue
Net Community Benefit Expense3960137NetCommunityBenefitExpense
Percent Of Total Expense0.02100PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense68886317TotalCommunityBenefitExpense
Direct Offsetting Revenue38577547DirectOffsettingRevenue
Net Community Benefit Expense30308770NetCommunityBenefitExpense
Percent Of Total Expense0.16090PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense15040TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense15040NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense505437TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense505437NetCommunityBuildingExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense140286TotalCommunityBuildingExpense
Direct Offsetting Revenue25DirectOffsettingRevenue
Net Community Building Expense140261NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense660763TotalCommunityBuildingExpense
Direct Offsetting Revenue25DirectOffsettingRevenue
Net Community Building Expense660738NetCommunityBuildingExpense
Percent Of Total Expense0.00350PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$12,222,252BadDebtExpenseAmount
Amount Reimbursed By Medicare65585248AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare72006771CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6421523MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL OF EUREKABusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12700 DOLBEER STREETAddressLine1
CityEUREKACity
StateCAState
ZIP Code95501ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.STJOSEPHEUREKA.ORGWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL OF EUREKABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent500.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notified All PatientsXNotifiedAllPatients
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
OUTPATIENT IMAGING CENTER
2330 BUHNE STREETEUREKACA95501IMAGING CENTER
HUMBOLDT HOME INFUSION PROGRAM
2612 HARRISON AVENUEEUREKACA95501AMBULATORY HOME INFUSION CENTER
NORTHCOAST SURGERY CENTER
2705 HARRIS AVENUEEUREKACA95501SURGERY CENTER
INPATIENT REHABILITATION CENTER
2200 HARRISON AVENUEEUREKACA95501REHABILITATION CENTER
OUTPATIENT REHABILITATION
2024 HARRISON AVENUEEUREKACA95501REHABILITATION CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 7a-iTHE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM.
COMMUNITY BUILDING ACTIVITIESTHIS 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 HEALTH EDUCATION, EARLY DETECTION, 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 MEDIA 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 II
SCHEDULE H, PART III, SECTION A, LINE 2THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
SCHEDULE H, PART III, SECTION A, LINE 4PAGE 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.BAD DEBT EXPENSE
SCHEDULE H, PART III, SECTION B, LINE 8THE 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 9BPATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE 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.
ST. JOSEPH HOSPITAL OF EUREKA (1)A CALL WAS PUT OUT TO COMMUNITY PARTNERS REQUESTING A SHARING OF DOCUMENTS COMPLETED SINCE THE LAST ASSESSMENT IN 2008, BOTH IN WRITTEN REPORTS AND REPORTS OF CITIZEN INPUT THROUGH SURVEYS AND ONE ON ONE CONVERSATION. IN ADDITION, COUNTY HEALTH RANKINGS FOR 2011 WERE REVIEWED TO UNDERSTAND WHERE HUMBOLDT COUNTY RANKED RELATIVE TO HEALTH OUTCOMES (MORBIDITY AND MORTALITY) AND HEALTH FACTORS (WHICH REPRESENT FACTORS THAT INFLUENCE THE HEALTH OF THE COUNTY). A REVIEW OF DATA FROM THE CALIFORNIA CENTER FOR RURAL POLICY WAS ALSO AN INTEGRAL PART OF THIS ASSESSMENT AS THEIR WORK INCLUDES STUDIES AND REPORTS ON MANY ISSUES THAT FACE HUMBOLDT COUNTY. THEIR DATA HAS STRENGTHENED THE DATA REPORTED IN THIS ASSESSMENT. IN ADDITION, A SURVEY WAS CREATED TO ASK COMMUNITY MEMBERS ABOUT ISSUES OR CONCERNS THEY HAD REGARDING THEIR QUALITY OF LIFE, IF THEY USE THEIR LOCAL CRC'S SERVICES, WHICH SERVICES THEY USE, AND IF FUNDING WERE AVAILABLE, WHAT SERVICES THEY WOULD LIKE TO SEE INCLUDED. PUBLIC HEALTH EXPERTS INTERVIEWED: HUMBOLDT COUNTY DEPARTMENT OF PUBLIC HEALTH HEALTH OR OTHER DEPARTMENTS OR AGENCIES INTERVIEWED: CALIFORNIA CENTER FOR RURAL POLICY FOOD POLICY COUNCIL COMMUNITY LEADERS OR REPRESENTATIVES INTERVIEWED: EXECUTIVE DIRECTOR OF FOOD FOR PEOPLE PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY: MCLEAN FOUNDATION CONTRACTED THIRD PARTY: CHRIS MARTINEK CONSULTINGSCHEDULE H, PART V, SECTION B, LINE 3
ST. JOSEPH HOSPITAL OF EUREKA (1)REDWOOD MEMORIAL HOSPITALSCHEDULE H, PART V, SECTION B, LINE 4
ST. JOSEPH HOSPITAL OF EUREKA (1)THE WEB ADDRESS IS: http://www.stjosepheureka.org/documents/SJH-SJE_Community-Needs-Assessment -2011_501r_aligned_FINAL.pdfSCHEDULE H, PART V, SECTION B, LINE 5A
ST. JOSEPH HOSPITAL OF EUREKA (1)NO, THE HOSPITAL FACILITY DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. NEEDS NOT ADDRESSED AND REASONS WHY INCLUDE: 1) INFRASTRUCTURE - THE NEEDS OF THE ISOLATED REGIONS FOR IMPROVED ROADS AND HIGHWAYS ARE OUTSIDE THE SCOPE OF ST. JOSEPH HOSPITAL OF EUREKA AND ARE BEING ADDRESSED BY THE COUNTY OF HUMBOLDT. THIS IS ALSO TRUE FOR THE HIGH FUEL COSTS OF THE REGION; 2) EMPLOYMENT - THE HIGH UNEMPLOYMENT RATE FOR CAREERS BEYOND THE TOURIST INDUSTRY IS BEING ADDRESSED BY LOCAL CHAMBERS OF COMMERCE, HUMBOLDT STATE UNIVERSITY AND COLLEGE OF THE REDWOODS AND IS AN ISSUE OUTSIDE THE MISSION OF ST. JOSEPH HOSPITAL OF EUREKA. FOR FURTHER INFORMATION, PLEASE SEE THE IMPLEMENTATION STRATEGY FOUND AT: http://www.stjosepheureka.org/documents/SJH-SJE_CB_PlanReport_-2011_501r_a ligned_FINAL.pdfSCHEDULE H, PART V, SECTION B, LINE 7
ST. JOSEPH HOSPITAL OF EUREKA (1)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 12H
ST. JOSEPH HOSPITAL OF EUREKA (1)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 14G
ST. JOSEPH HOSPITAL OF EUREKA (1)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 18E
ST. JOSEPH HOSPITAL OF EUREKA (1)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.SCHEDULE H, PART V, SECTION B, LINE 20D
NEEDS ASSESSMENTST. JOSEPH HEALTH - HUMBOLDT COUNTY COMPLETED A NEEDS ASSESSMENT IN 2012 (FY13). THE COMMUNITY BENEFITS PROGRAM ACTIVITIES ARE SET ACCORDING TO THE IDENTIFIED PRIORITIES OF THE CITIZENS OF THE AREAS SERVED. THE ASSESSMENT CONTINUED THE REVIEW OF AREAS FROM PRIOR ASSESSMENTS TO TRACK CHANGES AND COMMUNITY MEMBERS' PERCEPTIONS OF NEEDS. THE ASSESSMENT FOUND GROWING CONCERNS OF CITIZENS AND ORGANIZATIONS ALIKE ON THE ISSUE OF OBESITY, INCLUDING THE LACK OF EXERCISE AMONG THE AREA'S CHILDREN. FY 2013 CONTINUED THE ECONOMIC DOWNTURN FOR THE AREA AND FOOD INSECURITY THROUGHOUT THE COUNTY. THESE ARE TREMENDOUS PROBLEMS AND ARE COUPLED WITH THE CONSTANT OF HIGH POVERTY AND UNEMPLOYMENT RATES. FOOD FOR PEOPLE, THE LOCAL FOOD BANK FOR ALL OF HUMBOLDT COUNTY, REPORTS THAT MANY INDIVIDUALS WHO IN PRIOR YEARS VOLUNTEERED TO ASSIST WITH FOOD DISTRIBUTIONS ARE NOW IN LINE TO RECEIVE ASSISTANCE. FOOD FOR PEOPLE ASSISTS BETWEEN 10,000 AND 12,000 INDIVIDUALS EACH MONTH, INCLUDING 35-40% CHILDREN, WITH COMMODITIES AND FOOD BOX DISTRIBUTIONS, AS WELL AS THE BACKPACK FOR CHILDREN WEEKEND FOR DISTRIBUTIONS. IN HUMBOLDT COUNTY SCHOOLS, 53.2% OF ALL THE ENROLLED CHILDREN RECEIVE FREE OR REDUCED MEALS FROM THE SCHOOL, FLUCTUATING FROM A RATE OF 10% AT SOME SCHOOLS TO A HIGH OF 85% AT OTHERS. FOR MANY, THE MEALS FROM THE SCHOOL ARE THE COMPLETE NUTRITION FOR THE DAY, AS 22% OF ALL THE SCHOOL AGED CHILDREN LIVE IN POVERTY. ST. JOSEPH HEALTH - HUMBOLDT COUNTY, INCLUDING ST. JOSEPH HOSPITAL OF EUREKA WORKS IN CONJUNCTION WITH HUMBOLDT COUNTY GOVERNMENT TO INCREASE THE NUMBER OF CHILDREN WHO ENTER SCHOOL IN GOOD HEALTH, INCREASE THE NUMBER OF CHILDREN AND FAMILIES WHO BECOME ACTIVE PARTICIPANTS OF THEIR COMMUNITIES, AND TO INCREASE THE INTEGRATION, LINKAGE AND COORDINATION AMONG THE GROUPS THAT SERVE CHILDREN AND FAMILIES. ST. JOSEPH HOSPITAL OF EUREKA WORKS WITH VARIOUS OTHER ASSOCIATIONS TO INCREASE THE AWARENESS OF THE IMPORTANCE OF NUTRITION AND PHYSICAL ACTIVITY. ST. JOSEPH HOSPITAL OF EUREKA WORKS TO INCREASE PREVENTION AND RECOVERY FROM ALCOHOL AND DRUG ABUSE THROUGH MANY ENDEAVORS, INCLUDING THE MULTIPLE COMMUNITY RESOURCE CENTERS. THE SJE CHNA WAS UPDATED IN 2012 TO ALIGN WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PUB. L. 111-148) WHICH ADDED SECTION 501(R) TO THE INTERNAL REVENUE CODE. SECTION 501(R) IMPOSES NEW REQUIREMENTS ON NON-PROFIT HOSPITALS. SECTION 501(R)(3) REQUIRES A HOSPITAL ORGANIZATION TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS AND ADOPT AN IMPLEMENTATION STRATEGY TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH SUCH ASSESSMENT. THE CHNA MUST (1) TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND (2) BE MADE WIDELY AVAILABLE TO THE PUBLIC. SECTION 501(R)(3)(B). ST. JOSEPH HOSPITAL EUREKA ON NOTICE 2011-52: NOTICE AND REQUEST FOR COMMENTS REGARDING THE COMMUNITY HEALTH NEEDS ASSESSMENT REQUIREMENTS FOR TAX-EXEMPT HOSPITALS TO MEET THE REQUIREMENTS.SCHEDULE H, PART VI, LINE 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEOUR 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 3
COMMUNITY INFORMATIONHUMBOLDT COUNTY, LOCATED ON THE FAR NORTH COAST, IS ONE OF THE LARGEST COUNTIES IN CALIFORNIA BY GEOGRAPHY, COVERING 3,568 SQUARE MILES. THE COUNTY HAS A POPULATION OF 134,827 OR 37.8 PEOPLE PER SQUARE MILE. THE STATE OF CALIFORNIA AVERAGES 217.2 RESIDENTS PER SQUARE MILE AND CLASSIFIES A RURAL AREA AS ONE HAVING 52 RESIDENTS PER SQUARE MILE. HUMBOLDT COUNTY HAS SEVEN INCORPORATED CITIES THAT RANGE IN SIZE FROM 400 TO 28,000 RESIDENTS. EUREKA, THE LOCATION OF ST. JOSEPH HOSPITAL, HAS A POPULATION OF APPROXIMATELY 27,000 RESIDENTS, WITH ADDITIONAL RESIDENTS LIVING IN NEARBY UNINCORPORATED OUTSKIRTS OF THE CITY. APPROXIMATELY HALF OF THE POPULATION LIVES IN INCORPORATED COMMUNITIES AND 53% LIVE IN THE AREA SURROUNDING HUMBOLDT BAY. THIS AREA INCLUDES THE CITIES OF MCKINLEYVILLE, ARCATA, FORTUNA, AND EUREKA. HUMBOLDT COUNTY IS AN AREA OF MODERATE TEMPERATURE AND CONSIDERABLE YEARLY PRECIPITATION. TEMPERATURES ALONG THE COASTAL REGIONS OF THE COUNTY VARY ONLY 10 DEGREES FROM SUMMER TO WINTER, WHILE THE TEMPERATURES INLAND VARY CONSIDERABLY. THE CLIMATE AND RAIN IMPACT THE LOCAL ECONOMY DRAMATICALLY AND WHEN WINTER IS AT ITS PEAK, UNEMPLOYMENT IS HIGHEST. FOG IS A CONCERN AT THE ONE LOCAL AIRPORT, MAKING AIR TRAVEL DIFFICULT. THE SEASONAL NATURE OF EMPLOYMENT CAUSED BY THE WEATHER AND ISOLATION IS FURTHER INCREASED BY THE CONSTANT FLUCTUATION OF THE PRICE OF FUEL, WITH HUMBOLDT COUNTY OFTEN HAVING THE HIGHEST FUEL COSTS IN THE STATE. 18.4% OF COMMUNITY'S RESIDENTS LIVE BELOW THE FEDERAL POVERTY GUIDELINES, AND 23% OF THE COMMUNITIES PATIENTS WERE EITHER UNINSURED OR MEDICAID PATIENTS IN 2012. OTHER HOSPITALS IN THE SJE SERVICE AREA INCLUDE: MAD RIVER COMMUNITY HOSPITAL AND REDWOOD MEMORIAL HOSPITAL.SCHEDULE H, PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTHTHE 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 ST. JOSEPH HOSPITAL EUREKA 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 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 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 FY13 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: NURSING INTERN PROGRAM, ADVOCACY EFFORTS FOR THE COMMUNITY, SUPPORT OF THE SEXUAL ASSAULT RESPONSE TEAM (SART), FREE FACILITY USE BY COMMUNITY ORGANIZATIONS AND PARTICIPATION ON BOARDS OF OTHER NON-PROFIT ORGANIZATIONS.SCHEDULE H, PART VI, LINE 5
AFFILIATED HEALTH CARE SYSTEMST. 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 SYSTEM FOUNDATION TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZED A POLICY THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION THEN FUNDS PROGRAMS IN COMMUNITIES SERVED BY SYSTEM HOSPITALS THAT EXEMPLIFY THE FOUR CORE VALUES OF THE ST. JOSEPH HEALTH SYSTEM: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE.SCHEDULE H, PART VI, LINE 6
STATE FILING OF COMMUNITY BENEFIT REPORTCALIFORNIASCHEDULE H, PART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
HUMBOLDT AREA FOUNDATION
PO BOX 1386EUREKACA95502237310660501(c)(3)44600PROGRAM SUPPORT
FOOD FOR PEOPLE
307 W 14TH STREETEUREKACA95501942772549501(c)(3)23000PROGRAM SUPPORT
HUMBOLDT SENIOR RESOURCE CENTER
1910 CALIFORNIA STREETEUREKACA95501942261434501(c)(3)19950PROGRAM SUPPORT
OPEN DOOR COMMUNITY HEALTH CENTERS
38717 KNEELAND RDBRIDGEVILLECA95526952671433501(c)(3)18000PROGRAM SUPPORT
ST VINCENT DE PAUL
3345 MICHELSON DR STE 100IRVINECA92612941573587501(c)(3)11400HOUSING & SUPP FOR HOMELESS
COMMUNITY ALLIANCE WITH FAMILY FARMERS
3300 RENNER DRFORTUNACA95540942914745501(c)(3)10000PROGRAM SUPPORT
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR STE 100IRVINECA92612330143024501(c)(3)879000CARE FOR THE POOR
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationEACH 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOSEPH MARK
BOARD MEMBER/CEO (THRU 6/2012)0821380175715047211207979015228075317200
WILLIAM SAGEMAN
VP, MED AFFAIRS/CMO(Former KE)145418000225030896010850169902000
JUDY BEGLEY
VP, CNO (FORMER KE)176651000348020952018400214245000
JIM STRONG
VP, CFO/COO29793702444006752300122850402185000
LAURIE WATSON-STONE
VP, ANCILLARY & SUPPORT SVCS1601120791603502701382702938302462650017478
LINDA COOK
VP, HUMAN RESOURCES15941907788034594084860206650230952000
PHILIP SAMS
PHARMACIST175989000250177260165910210331000
MICHAEL GOODWILL
PHYSICIST1906460001091075470201520219436000
NIKKI COLLIER
RN FIRST ASSISTANT19499305000250157150110140222247000
DAVID O'BRIEN MD
PRESIDENT036915101187580988760125000109340610219071974
MICH RICCIONI
REGIONAL CFO031802509506609456001729802728005522290111217
MATTHEW MILLER
VP, MEDICAL AFFAIRS/CMO24420900010483018460161340272672000
CAROL REEDER
INTERIM VP/CNO522339000000000522339000
TOM MCCONNELL
PRESIDENT/CEO (THRU 3/2013)038952000000000038952000
ANDREA PFAFF
ADMINISTRATIVE SUPERVISOR165061000250180150106090193710000
JESSICA GEMMEL
CLINICAL INFORMATICS PHARM.13892401500009294062920271240196634000
RONALD DILUIGI
BOARD MEMBER0254296054751078745017500024208042950000
JAYNIE BOREN
N. CA REG VP - STRATEGIC SVCS024304006327506609500019130039154000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 1ATAX INDEMNIFICATION AND GROSS-UP PAYMENTS ST. JOSEPH HOSPITAL OF EUREKA GROSSES UP PAYMENTS FOR LIMITED APPROVED EXPENDITURES. DISCRETIONARY SPENDING ACCOUNT EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION.
SCHEDULE J, PART I, LINE 3THE ORGANIZATION'S 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 4ATHE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS FOR EITHER PART OR ALL OF THE YEAR: JOSEPH MARK $183,000 WILLIAM SAGEMAN $123,204 JIM STRONG $124,808 JUDY BEGLEY $159,799
SCHEDULE J, PART I, LINE 4BEXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (SERP): DAVID O'BRIEN $71,974 LAURIE WATSON-STONE $17,478 MICH RICCIONI $111,217
SCHEDULE J, PART I, LINE 7A PORTION OF EXECUTIVES SALARIES ARE PLACED "AT RISK" AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. 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

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CEP AMERICA
VICTOR WALLENKAMPF, M.D.441238MEDICAL SERVICESfalse
EUREKA PEDIATRICS
CHRISTOPHER L. CODY, M.D.125748MEDICAL SERVICESfalse
HUMBOLDT MOVING STORAGE
JOHN GIEREK, JR - PRES.216463STORAGEfalse
KUSUM STOKES INC
KUSUM STOKES, MD113075MEDICAL SERVICESfalse

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990700NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XJEWELRY83074COST
XMEALS/FOOD82760COST
XGENERAL MERCHANDISE5220554COST
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierSCHEDULE M, PART I, COLUMN (B)Identifier
ExplanationTHE AMOUNTS IN COLUMN (B) REPRESENT THE NUMBER OF CONTRIBUTIONS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1ST. JOSEPH HOSPITAL OF EUREKA IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4AREALIZING 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 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 THIS 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 FY13 TO SEVEN (7) LOCAL ORGANIZATIONS TO INCREASE ACCESS TO FOOD RESOURCES. THE LARGEST GRANT 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. FOOD FOR PEOPLE ALSO RECEIVED SJE FUNDING FOR THE DOLLAR PER DOLLAR MATCH PROVIDED TO SENIORS AT THE FARMERS MARKETS. FOOD FOR PEOPLE'S SENIOR PROGRAM MATCHES EACH DOLLAR LOW INCOME SENIORS SPEND AT THE MARKETS WITH AN ADDITIONAL DOLLAR TO PURCHASE MORE LOCALLY GROWN ITEMS.
PROGRAM SERVICE ACCOMPLISHMENTS CONTINUEDFINANCIAL ASSISTANCE PROGRAM, MEDICAID AND OTHER MEANS TESTED PROGRAMS OUR MISSION CALLS US TO PROVIDE QUALITY CARE TO ALL OUT 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 CLOTHING TO HELP MEET THE DAILY NEEDS OF THE INDIVIDUAL PATIENTS. IN ADDITION, FORMAL AGREEMENTS WITH OPEN DOOR COMMUNITY HEALTH CENTER TO PROVIDE A MEDICAL HOME FOR THE PATIENTS HAS BEEN SIGNED AND WILL ALLOW INCREASED COMMUNICATION BETWEEN THE ST. JOSEPH HOSPITAL EUREKA EMERGENCY ROOM AND THE OPEN DOOR COMMUNITY HEALTH CENTER WHICH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). IN FY13, A TOTAL OF 39,104 ENCOUNTERS WERE PROVIDED, AND 19,552 UNDUPLICATED PERSONS SERVED. PHYSICIAN RECRUITMENT FOR THE UNDERSERVED SJE IS LOCATED IN A PRIMARY CARE HEALTH PROFESSION SHORTAGE AREA. ST. JOSEPH HOSPITAL EUREKA SUPPORTS MD RECRUITMENT EFFORTS TO SERVE THE UNDERSERVED HUMBOLDT COUNTY AREA. NURSING INTERN PROGRAM FOR HEALTH CAREERS STAFF FROM SJE PROVIDED ONE ON ONE MENTORING TO STUDENTS FROM COLLEGE OF THE REDWOODS NURSING PROGRAM, AS WELL AS INTERNSHIPS FOR STUDENTS FROM HUMBOLDT STATE UNIVERSITY AND LOCAL HIGH SCHOOLS. MENTORING OCCURRED THROUGHOUT HOSPITAL DEPARTMENTS INCLUDING THE LAB, THE NURSING UNITS, THE REHABILITATION DEPARTMENT, THE CARE TRANSITION TEAM AND THE IMAGING CENTER. THERE WERE 209 INDIVIDUAL NURSING STUDENTS MENTORED OVER 13,203 HOURS. FOR MORE INFORMATION ABOUT SJE, PLEASE VISIT WWW.STJOSEPHEUREKA.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG
SIGNIFICANT CHANGES TO GOVERNING DOCUMENTSFORM 990, PART VI, QUESTION 4THE ORGANIZATION'S BYLAWS WERE AMENDED TO INCLUDE THE POSITION OF PRESIDENT AS AN OFFICER OF THE ORGANIZATION.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, QUESTION 6ST JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HOSPITAL OF EUREKA.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, QUESTION 7AST. JOSEPH HOSPITAL OF EUREKA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. JOSEPH HOSPITAL OF EUREKA BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST. JOSEPH HOSPITAL OF EUREKA BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, QUESTION 7BTHE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, QUESTION 11BTHE 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 2014 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.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, QUESTION 12COFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, 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. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE ST. JOSEPH HOSPITAL OF EUREKA BOARD COMMITTEE. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE OFFICER, TRUSTEE, OR KEY EMPLOYEE MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUNFORM 990, PART VI, QUESTIONS 15A AND 15BTHE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. THE SJHS EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO FULFILL THEIR RESPONSIBILITY, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE WORKLIFE COMMITTEE IS COMPRISED OF SEVERAL INDEPENDENT MEMBERS OF THE BOARD. THEY MEET AT LEAST 3 TIMES A YEAR AND MAKE ALL CRITICAL DECISIONS IN EXECUTIVE SESSION. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PERFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN JUNE 2013.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, QUESTION 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART IX, LINE 11GOTHER FEES EXCEEDING 10%PURCHASED SERVICES $ 9,692,917 PROFESSIONAL FEES & MEDICAL PHYSICIANS 8,647,471 MEDICAL THERAPISTS 2,986,729 REGISTRIES 2,163,783 MEDICAL PURCHASED SERVICES 1,451,772 OTHER CONTRACT SERVICES 2,318,497 CONSULTING & TENANT FEES 496,349 --------- TOTAL $27,757,518
OTHER CHANGES IN NET ASSETS OR FUND BALANCEFORM 990, PART XI, LINE 9EQUITY TRANSFER ($10,688,581) PPE FUNDS TRANSFER 274,027 MISCELLANEOUS (1,938) ------------- TOTAL ($10,416,492)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
COVENANT HEALTH NETWORK INC
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COVENANT HEALTH PARTNERS
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COVENANT HEALTH SYSTEM
3615 19TH STREETLUBBOCKTX79410752765566HEALTHCARETX501(C)(3)3SJHStrue
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACELUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHStrue
COVENANT MEDICAL GROUP
3420 22ND PLACELUBBOCKTX79410752743883HEALTHCARETX501(C)(3)3CHStrue
HOAG CHARITY SPORTS
3920 BIRCH ST STE 105NEWPORT BEACHCA92660452982422SUPPORTCA501(C)(3)7HHFtrue
HOAG HOSPITAL FOUNDATION
1 HOAG DR BOX 6100NEWPORT BEACHCA92663953222343FUNDRAISINGCA501(C)(3)7HMHPtrue
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG DR BOX 6100NEWPORT BEACHCA92663951643327HEALTHCARECA501(C)(3)3SJHStrue
HOME CARE PARTNERS
1165 MONTGOMERY DRSANTA ROSACA95405680318656INACTIVECA501(C)(3)3SRMHtrue
HOSPICE OF LUBBOCK
1102 SLIDE ROADLUBBOCKTX79414752133781HEALTHCARETX501(C)(3)9CHStrue
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREETLUBBOCKTX79410752220963HEALTHCARETX501(C)(3)7CHStrue
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREETLUBBOCKTX79410752428911HEALTHCARETX501(C)(3)3CHStrue
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUELEVELLANDTX79336752246348HEALTHCARETX501(C)(3)3CHStrue
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROADPLAINVIEWTX79072752426010HEALTHCARETX501(C)(3)3CHStrue
MISSION HOSPITAL REGIONAL MEDICAL CENTER
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691951643360HEALTHCARECA501(C)(3)3SJHStrue
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREETNAPACA94558941243669HEALTHCARECA501(C)(3)3SJHStrue
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVEFORTUNACA95540942779313FOUNDATIONCA501(C)(3)7RMHtrue
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVEFORTUNACA95540941384665HEALTHCARECA501(C)(3)3SJHStrue
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVESANTA ROSACA95405941231005HEALTHCARECA501(C)(3)3SJHStrue
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)1NAfalse
SRM ALLIANCE HOSPITAL SERVICES
400 NORTH MCDOWELL BLVDPETALUMACA94954680395200HEALTHCARECA501(C)(3)3SRMHtrue
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DR STE 100IRVINECA92612271666576RELIGIOUS ORGCA501(C)(3)1SSJOfalse
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DR STE 100IRVINECA92612953589356HEALTHCARECA501(C)(3)11, ISJHMfalse
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR STE 100IRVINECA92612330143024FOUNDATIONCA501(C)(3)7SJHStrue
ST JOSEPH HOME CARE NETWORK
170 PROFESSIONAL CENTER DR BROHNERT PARKCA94928680331084HEALTHCARECA501(C)(3)9SJHStrue
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVEORANGECA92868951643359HEALTHCARECA501(C)(3)3SJHStrue
ST JUDE HOSPITAL YORBA LINDA
500 S MAIN STREET STE 1000ORANGECA92868330185031HEALTHCARECA501(C)(3)3SJHStrue
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVEFULLERTONCA92635951643325HEALTHCARECA501(C)(3)3SJHStrue
ST MARY MEDICAL CENTER
18300 HIGHWAY 18APPLE VALLEYCA92307951914489HEALTHCARECA501(C)(3)3SJHStrue
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREETLUBBOCKTX79410751653181HEALTHCARETX501(C)(3)7CHStrue
TALLER SAN JOSE
801 NORTH BROADWAYSANTA ANACA92701593816355WORKFORCE DEVCA501(C)(3)2SSJOtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
ST JOSEPH HLTH SYS HOME HLTH
SEE PART VIIORANGECA928682012330282945HOME HEALTHCANAN/A
ST JOSEPH HLTH SYS HOME CARE
SEE PART VIIORANGECA928682012330307672HOME HEALTHCANAN/A
METHODIST DIAGNOSTIC IMAGING
SEE PART VIILUBBOCKTX79410752343261HEALTHCARE SVCSTXNAN/A
SHA LLC
SEE PART VIIAUSTINTX78750752569094HEALTHCARE SVCSTXNAN/A
LUBBOCK SURGERY CENTER LTD
SEE PART VIILUBBOCKTX79410752177401HEALTHCARE SVCSTXCHSN/A
COVENANT LONG-TERM CARE LP
SEE PART VIILUBBOCKTX79410205033419HEALTHCARE SVCSTXNAN/A
HERITAGE INVESTMENT GROUP
SEE PART VIIIRVINECA92612271000061INVESTMENTCANAN/A
MISSION AMBULATORY SURGICENTER
SEE PART VIIMISSION VIEJOCA92691330355575HEALTHCARE SVCSCANAN/A
COMPREHENSIVE IMAGING PARTNERS
SEE PART VIIORANGECA92868264591502HEALTHCARE SVCSCANAN/A
ST JOSEPH PHYSICIAN VENTURES
SEE PART VIIORANGECA92868454521884REAL ESTATECANAN/A
NEWPORT IMAGING CENTER
HEALTHCARE SVCSCANAN/A
HOAG ORTHOPEDIC INSTITUTE
HEALTHCARECANAN/A
MAIN ST SPECIALTY SURGERY CNTR
HEALTHCARE SVCSCANAN/A
ORTHOPEDIC SURGERY CNTR OF OC
HEALTHCARE SVCSCANAN/A
ADVANCED SURGERY INSTITUTE LLC
HEALTHCARE SVCSCANAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
ST JOSEPH PROF SVCS ENTERPRISES INC
3345 MICHELSON DR STE 100IRVINECA92612330155323HEALTHCARE SVCSCANAC CORPfalse
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCENAC CORPfalse58 PAR-LA-VILLE ROADHAMILTONHM HXBDBD
ALLIANCE PHYSICIAN SERVICES
INACTIVECANAC CORPfalse
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARE SVCSCANAC CORPfalse
MISSION MEDICAL CENTER ASSOCIATION
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330201044HEALTHCARE SVCSCANAC CORPfalse
ST JOSEPH YORBA PARK
INACTIVECANAC CORPfalse
LUBBOCK METHODIST HOSP SVCS
PO BOX 1201LUBBOCKTX79410752118585HEALTHCARE SVCSTXNAC CORPfalse
LUBBOCK METHODIST HOSP PRACTICE MGMT
2107 OXFORD STREET SUITE 300LUBBOCKTX79410752578995INACTIVETXNAC CORPfalse
ST JOSEPH HEALTH SOURCE INC
3345 MICHELSON DR STE 100IRVINECA92612461900168HEALTHCARE SVCSCANAC CORPfalse
HOAG MANAGEMENT SERVICES INC
1 HOAG DR BOX 6100NEWPORT BEACHCA92658330731587HEALTHCARE SVCSCANAC CORPfalse
COASTAL MANAGEMENT SERVICES ORG
1 HOAG DR BOX 6100NEWPORT BEACHCA92658330676831HEALTHCARE SVCSCANAC CORPfalse
DATU HEALTH INC
16150 MAIN CIRCLE DR STE 250CHESTERFIELDMO63017463070062IT SVCSMONAC CORPfalse
HOAG MEDICAL FOUNDATION
1 HOAG DR BOX 6100NEWPORT BEACHCA92663453583707HEALTHCARE SVCSCANAC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
REDWOOD MEMORIAL HOSPITAL
o1289178ACCRUAL
REDWOOD MEMORIAL HOSPITAL
p3518307ACCRUAL
REDWOOD MEMORIAL HOSPITAL
q1086132ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
b879000ACCRUAL
STJOSEPH HEALTH SYSTEM FOUNDATION
c320000ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
b3808628ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
c10688581ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
q3646635ACCRUAL

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIPIdentifier
Return ReferenceSCHEDULE R, PART IIIReturnReference
ExplanationST. 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 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, ST 100, ORANGE, CA 92868 ORTHOPEDIC SURGERY CENTER OF OC, LLC EIN: 33-0841806 ADDRESS: 22 CORPORATE PLAZA, NEWPORT BEACH, CA 92660 ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404Explanation

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