ST JOSEPH HOSPITAL OF EUREKA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH HOSPITAL OF EUREKA (EIN 94-1156596)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201311349349306111
Schema version
2011v1.5
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)
Timestamp2013-05-14T15:49:44-04:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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% MICH RICCIONIInCareOfName
Name ControlSTJONameControl
Phone7072694259Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMICH RICCIONIName
TitleCFOTitle
Date Signed2013-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameKARA ADAMSName
Phone9497942300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts202919693GrossReceipts
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 Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1307TotalNbrEmployees
Total Nbr Volunteers265TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year6218958ContributionsGrantsPriorYear
Contributions Grants Current Year4255135ContributionsGrantsCurrentYear
Program Service Revenue Prior Year191639497ProgramServiceRevenuePriorYear
Program Service Revenue CY198440384ProgramServiceRevenueCY
Investment Income Prior Year463614InvestmentIncomePriorYear
Investment Income Current Year-112274InvestmentIncomeCurrentYear
Other Revenue Prior Year72996OtherRevenuePriorYear
Other Revenue Current Year42232OtherRevenueCurrentYear
Total Revenue Prior Year198395065TotalRevenuePriorYear
Total Revenue Current Year202625477TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1009782GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY476111GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year83805816SalariesEtcPriorYear
Salaries Etc Current Year86660576SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year10580TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY1680TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year660342TotalFundrsngExpCurrentYear
Other Expense Prior Year98151238OtherExpensePriorYear
Other Expenses Current Year97416648OtherExpensesCurrentYear
Total Expenses Prior Year182977416TotalExpensesPriorYear
Total Expenses Current Year184555015TotalExpensesCurrentYear
Revenues Less Expenses Prior Year15417649RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18070462RevenuesLessExpensesCY
Total Assets BOY201324495TotalAssetsBOY
Total Assets EOY252407120TotalAssetsEOY
Total Liabilities BOY93419283TotalLiabilitiesBOY
Total Liabilities EOY131213842TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY107905212NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY121193278NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense169692325Expense
Grants476111Grants
Revenue198440384Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense169692325TotalProgramServiceExpense
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 AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
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 ArtfalseDeductibleContributionsOfArt
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 With1096205NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1307NumberOfEmployees
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 Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
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 PersonMICH RICCIONINamePerson
Telephone Number7074458121TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12630 HARRISON AVENUEAddressLine1
CityEUREKACity
StateCAState
ZIP Code95501ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JOHN ARYANPUR MD
BOARD MEMBER/BOARD CHAIR4.0X000
CHRISTOPHER CODY MD
BOARD MEMBER2.0X520000
JOANNE CENTER
BOARD MEMBER (PART YEAR)2.0X000
JOHN DALBY
BOARD MEMBER2.0X000
RONALD DILUIGI
BOARD MEMBER2.0X042586340396
BRUCE EMAD
VICE CHAIR/BOARD CHAIR4.0X000
NEAL FEUERMAN MD
BOARD MEMBER2.0X01625000
SISTER JAYNE HELMLINGER CSJ
BOARD MEMBER (PART YEAR)2.0X000
JOHN GIEREK JR
BOARD MEMBER2.0X000
SISTER PAT HAYHURST CSJ
BOARD MEMBER2.0X000
SISTER DIANE HEJNA CSJ
BOARD MEMBER2.0X000
RON JONES MD
BOARD MEMBER (PART YEAR)2.0X01098750
DENNIS LEONARDI
BOARD MEMBER/VICE CHAIR4.0X000
RODNEY MAPLES
BOARD MEMBER2.0X000
JOSEPH MARK
BOARD MEMBER/CEO27.0X054381038413X
BRUCE KESSLER MD
BOARD MEMBER (PART YEAR)2.0X000
ROLLIN RICHMOND PHD
BOARD MEMBER2.0X000
SISTER MARIAN SCHUBERT CSJ
VP MISSION INTEGRATION2.0X000X
SISTER ANN MARIE STEFFEN CSJ
BOARD MEMBER2.0X000
KUSUM STOKES MD
BOARD MEMBER2.0X000
VICTOR WALLENKAMPF MD
BOARD MEMBER2.0X000
HERBERT WOOD
BOARD MEMBER2.0X000
JIM STRONG
VP, CFO/COO27.06399800X
WILLIAM SAGEMAN
VP, MEDICAL AFFAIRS/CMO40.0374143036622X
JUDY BEGLEY
VP, CNO40.0227419018894X
LAURIE WATSON-STONE
VP, ANCILLARY & SUPPORT SVCS40.0198398039725X
LINDA COOK
VP, HUMAN RESOURCES40.0220042028420X
PHILIP SAMS
PHARMACIST40.0182658033934X
JOSEPH LIBRIZZI
LEAD CARDIOVASCULAR IMAG TECH52.017093509584X
MICHAEL GOODWILL
PHYSICIST40.0190856026339X
NIKKI COLLIER
RN FIRST ASSIST55.0207397028044X
LISA SHIRK
DIRECTOR ORG. EXCELLENCE40.0180038026296X
S ANDREW RYBOLT
VP, CFO/COO (FORMER OFFICER)0.026304501421X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2284129TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1242048TotalReportableCompFrmRltdOrgs
Total Other Compensation328088TotalOtherCompensation
Number Individuals GT100 K123NumberIndividualsGT100K
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 840721DALLASTX752840721NURSE STAFFING7423619
QUANTUM HEALTHCARE MEDICAL ASSO INC
PO BOX 634850CINCINNATIOH452634850HOSPITALIST SERVICES1552560
REDWOOD ANESTHESIA SERVICES
PO BOX 7070EUREKACA95502ANESTHESIA SERVICES1481663
HEALTHCARE CODING CONSULTING SVCS
8270 COLLEGE PARKWAY SUITE 101-103FORT MYERSFL33919TRANSCRIPTION SVCS871989
JLG MEDICAL TRANSCRIPTION SVCS INC
PO BOX 25374TAMPAFL336225374TRANSCRIPTION SVCS730720
FieldValueIRS element (for citing)
Number Of Contractors GT100 K97NumberOfContractorsGT100K
Fundraising Events57596FundraisingEvents
Related Organizations2582758RelatedOrganizations
Government Grants611204GovernmentGrants
All Other Contributions1003577AllOtherContributions
Noncash Contributions57596NoncashContributions
Total Contributions4255135TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE622110196778428196778428
EHR REVENUE900099766820766820
CAFETERIA722310658877658877
MOB REVENUE5311203485134851
ALL OTHER PROGRAM SERVICE REVENUE900099201408201408
FieldValueIRS element (for citing)
Total Program Service Revenue198440384TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column107081TotalRevenueColumn
Exclusion$107,081ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities38422Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other257777Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities38422Securities
Other-257777Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-219355TotalRevenueColumn
Exclusion-$219,355ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events78671GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events57596CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses36439FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column42232TotalRevenueColumn
Exclusion$42,232ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column202625477TotalRevenueColumn
Related Or Exempt Function Income198440384RelatedOrExemptFunctionIncome
Exclusion-$70,042ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total476111Total
Program Services476111ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2175542Total
Program Services1031880ProgramServices
Management And General1143662ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total470800Total
Program Services264466ProgramServices
Management And General206334ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total51739637Total
Program Services49524191ProgramServices
Management And General1948803ManagementAndGeneral
Fundraising266643Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3486036Total
Program Services3181375ProgramServices
Management And General285157ManagementAndGeneral
Fundraising19504Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total23868598Total
Program Services22225359ProgramServices
Management And General1536082ManagementAndGeneral
Fundraising107157Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4919963Total
Program Services4576871ProgramServices
Management And General306956ManagementAndGeneral
Fundraising36136Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total7641549Total
Program Services7384257ProgramServices
Management And General256692ManagementAndGeneral
Fundraising600Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total348114Total
Management And General348114ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total133716Total
Management And General133716ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total24024Total
Program Services24024ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total1680Total
Fundraising1680Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total26954160Total
Program Services24265095ProgramServices
Management And General2597167ManagementAndGeneral
Fundraising91898Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total321077Total
Program Services283215ProgramServices
Management And General14067ManagementAndGeneral
Fundraising23795Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4310949Total
Program Services4100606ProgramServices
Management And General131541ManagementAndGeneral
Fundraising78802Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2066057Total
Program Services1676894ProgramServices
Management And General380514ManagementAndGeneral
Fundraising8649Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3281249Total
Program Services3056524ProgramServices
Management And General224090ManagementAndGeneral
Fundraising635Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total150625Total
Program Services92845ProgramServices
Management And General51312ManagementAndGeneral
Fundraising6468Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1039521Total
Program Services1039521ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7413506Total
Program Services7274750ProgramServices
Management And General129455ManagementAndGeneral
Fundraising9301Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1237140Total
Program Services1237140ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES2559921125598884327
REPAIRS AND MAINTENANCE45551254514094378423189
ALL OTHER EXPENSES12340625786422344705175885

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total184555015Total
Program Services169692325ProgramServices
Management And General14202348ManagementAndGeneral
Fundraising660342Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2357886BOY
EOY141603EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY22378478BOY
EOY21978201EOY

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)
BOY1107732BOY
EOY1062731EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3416628BOY
EOY3888821EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1121457BOY
EOY1074050EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis294607949LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec89485069LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY164303210BOY
EOY205122880EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY478706BOY
EOY471257EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1575630BOY
EOY2024953EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1347143BOY
EOY808286EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3237625BOY
EOY15834338EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY201324495BOY
EOY252407120EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15041969BOY
EOY21186683EOY

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)
BOY78377314BOY
EOY110027159EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY93419283BOY
EOY131213842EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY104923305BOY
EOY117674106EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1755456BOY
EOY1825748EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1226451BOY
EOY1693424EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY107905212BOY
EOY121193278EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY201324495BOY
EOY252407120EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses18070462ReconcilationRevenueExpenses
Reconcilation Other Changes-4782396ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$24,024OtherActivitiesAmount
Total Lobbying Expenditures IIB24024TotalLobbyingExpendituresIIB
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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis58933284OtherCostOrOtherBasis
Depreciation33682833Depreciation
Book Value25250451BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1098457OtherCostOrOtherBasis
Depreciation604639Depreciation
Book Value493818BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis70686194OtherCostOrOtherBasis
Depreciation55197597Depreciation
Book Value15488597BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis159046064OtherCostOrOtherBasis
Book Value159046064BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings205122880TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
HOSPITAL FEE RECEIVABLE12940075
MISC RECEIVABLES1341179
BOARD DESIGNATED ASSETS924989
DEFERRED FINANCING COSTS628095
FieldValueIRS element (for citing)
Total Book Value Other Assets15834338TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
INTERCO. WITH HEALTH SYSTEM-BONDS$60,789,389
INTERCOMPANY PAYABLES$23,430,717
MELLON LOC PAYABLE$16,005,115
PAYABLE TO THIRD PARTIES$9,435,380
OTHER LIABILITIES$366,558
FieldValueIRS element (for citing)
Total Of Amounts110027159TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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, 2012 OR 2011.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedCAPTIVE INSURANCESpecificServicesProvided
Total Expenditures811685TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent811685SubtotalAmountSpent
Total Amount Spent811685TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierACCOUNTING METHODIdentifier
Return ReferenceSCHEDULE F, PART I, LINE 3, COLUMN (F)ReturnReference
ExplanationTHE ACCRUAL METHOD OF ACCOUNTING WAS USED TO DETERMINE THE AMOUNT IN COLUMN (F).Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1107022GrossReceiptsEvent1
Charitable Contributions Event152690CharitableContributionsEvent1
Gross Revenue Event154332GrossRevenueEvent1
Other Direct Expenses Event131154OtherDirectExpensesEvent1
Name Of Event2PETER CTNTAILNameOfEvent2
Gross Receipts Event229245GrossReceiptsEvent2
Charitable Contributions Event24906CharitableContributionsEvent2
Gross Revenue Event224339GrossRevenueEvent2
Other Direct Expenses Event25285OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total136267GrossReceiptsTotal
Charitable Contributions Total57596CharitableContributionsTotal
Gross Revenue Total Events78671GrossRevenueTotalEvents
Other Direct Expenses Total Events36439OtherDirectExpensesTotalEvents
Direct Expense Summary Events36439DirectExpenseSummaryEvents
Net Income Summary42232NetIncomeSummary

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 Expense8298000TotalCommunityBenefitExpense
Direct Offsetting Revenue5986856DirectOffsettingRevenue
Net Community Benefit Expense2311144NetCommunityBenefitExpense
Percent Of Total Expense0.01250PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense40626818TotalCommunityBenefitExpense
Direct Offsetting Revenue40921848DirectOffsettingRevenue
Net Community Benefit Expense-295030NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense9945138TotalCommunityBenefitExpense
Direct Offsetting Revenue4868726DirectOffsettingRevenue
Net Community Benefit Expense5076412NetCommunityBenefitExpense
Percent Of Total Expense0.02750PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense58869956TotalCommunityBenefitExpense
Direct Offsetting Revenue51777430DirectOffsettingRevenue
Net Community Benefit Expense7092526NetCommunityBenefitExpense
Percent Of Total Expense0.03850PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense679810TotalCommunityBenefitExpense
Direct Offsetting Revenue19552DirectOffsettingRevenue
Net Community Benefit Expense660258NetCommunityBenefitExpense
Percent Of Total Expense0.00360PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1246849TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1246849NetCommunityBenefitExpense
Percent Of Total Expense0.00680PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1530519TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1530519NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense876244TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense876244NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4333422TotalCommunityBenefitExpense
Direct Offsetting Revenue19552DirectOffsettingRevenue
Net Community Benefit Expense4313870NetCommunityBenefitExpense
Percent Of Total Expense0.02340PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense63203378TotalCommunityBenefitExpense
Direct Offsetting Revenue51796982DirectOffsettingRevenue
Net Community Benefit Expense11406396NetCommunityBenefitExpense
Percent Of Total Expense0.06190PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense24878TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense24878NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense358439TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense358439NetCommunityBuildingExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense54647TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense54647NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense437964TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense437964NetCommunityBuildingExpense
Percent Of Total Expense0.00230PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$9,341,143BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare65155269AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare91623227CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-26467958MedicareSurplusOrShortfall

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)
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
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
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 HARISON 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 (15 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 7THE AMOUNTS REPORTED IN THE TABLE WERE DERIVED FROM VARIOUS SOURCES INCLUDING THE GENERAL LEDGER, THE COST ACCOUNTING SYSTEM, OR CALCULATED USING A COST-TO-CHARGE RATIO. IRS WORKSHEET 2, SCHEDULE H WAS NOT USED. THE COST ACCOUNTING SYSTEM ADDRESSES PATIENTS BY PAYOR AND ADDRESSES INPATIENT AND OUTPATIENT PATIENT SEGMENTS.
SCHEDULE H, PART I, LINE 7GNO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
COMMUNITY BUILDING ACTIVITIESCOMMUNITY BUILDING ACTIVITIES BEGIN WHEN A COMMUNITY NEED, AS THE COMMUNITY DEFINES IT, IS PRESENTED TO ST. JOSEPH HEALTH SYSTEM - HUMBOLDT COUNTY, OF WHICH ST. JOSEPH HOSPITAL OF EUREKA IS A MEMBER. AS PART OF THIS PROCESS, THE COMMUNITY BENEFIT PLAN AND THE COMMUNITY BENEFIT REPORT ARE SHARED TO NOTIFY THE COMMUNITY OF THE DESIRE FOR THEIR INPUT. THE COMMUNITY BOARD PARTICIPATION BY ADMINISTRATION AND STAFF, THE INVOLVEMENT ON PERSONAL VOLUNTEER ACTIVITIES AND THE TASK FORCE PARTICIPATION ALL CONTRIBUTE TO THE COMMUNITY BENEFIT PLANNING CONDUCTED EACH YEAR. THIS YEAR COMMUNITY BUILDING ACTIVITIES INCLUDED THE FOLLOWING: LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS BY PROVIDING LEADERSHIP AND ADVOCACY FOR LOCAL NON-PROFITS BY PARTICIPATING ON BOARDS AND COMMITTEES TO HELP ADDRESS THE NEEDS OF THE COMMUNITY (LINE 5); COALITION BUILDING THROUGH COLLABORATING WITH COMMUNITY LEADERS AND ORGANIZATIONS ON 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, LINE 4THE ORGANIZATION RECOGNIZED THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY ARE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT: THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, 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, LINE 9BSJHS PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE (100 PERCENT FINANCIAL ASSISTANCE) WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED.
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 11H
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 PATIENT POPULATION.SCHEDULE H, PART V, SECTION B, LINE 13G
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 19D
NEEDS ASSESSMENTST. JOSEPH HEALTH SYSTEM - HUMBOLDT COUNTY COMPLETED A NEEDS ASSESSMENT IN 2012. 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 2011 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 SYSTEM - 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.SCHEDULE H, PART VI, LINE 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.SCHEDULE H, PART VI, LINE 3
COMMUNITY INFORMATIONHUMBOLDT COUNTY, LOCATED ON THE FAR NORTH COAST, IS ONE OF THE LARGEST COUNTIES IN CALIFORNIA BY GEOGRAPHY, COVERING 3,572 SQUARE MILES. THE COUNTY HAS A POPULATION OF 133,400 OR 35.4 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 OF EUREKA, HAS A POPULATION OF APPROXIMATELY 28,000 RESIDENTS, WITH ADDITIONAL RESIDENTS LIVING IN NEARBY UNINCORPORATED OUTSKIRTS OF THE CITY. APPROXIMATELY HALF OF THE POPULATION LIVES IN THESE INCORPORATED COMMUNITIES AND 43% LIVE IN THE AREA SURROUNDING HUMBOLDT BAY. THIS AREA INCLUDES THE CITIES OF 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. 18.9% OF COMMUNITY'S RESIDENTS LIVE BELOW THE FEDERAL POVERTY GUIDELINES, AND 23% OF THE COMMUNITIES PATIENTS WERE EITHER UNINSURED OR MEDICAID PATIENTS IN FY12.SCHEDULE H, PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTHTHE GOVERNING BODY IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS. THE SUB-COMMITTEE OF THE BOARD OF TRUSTEES, KNOWN AS THE COMMUNITY BENEFIT COMMITTEE, OVERSAW THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT 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 OF 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. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH SYSTEM, WE PROVIDE FREE AND DISCOUNTED CARE VIA OUR FINANCIAL ASSISTANCE PROGRAM AND HAVE A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. THIS FUNDING MADE THE FOLLOWING PROGRAMS POSSIBLE: MULTIPLE COMMUNITY RESOURCE CENTERS, FINANCIAL SUPPORT FOR UNDERFUNDED SCHOOL ACTIVITIES, AND JOB TRAINING AND EDUCATION EVENTS. OUR MISSION IS 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 PEOPLE IN THE COMMUNITIES WE SERVE. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST. JOSEPH HOSPITAL OF EUREKA, AS A MINISTRY OF ST. JOSEPH HEALTH SYSTEM, HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. 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. IN ADDITION TO DEVOTING A PERCENTAGE OF OUR NET INCOME TO COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR VIA CARE FOR THE POOR FUNDS, WE STRIVE TO ANNUALLY BUDGET A PORTION OF OUR TOTAL OPERATING EXPENSES FOR HEALTHY COMMUNITIES AND COMMUNITY HEALTH EFFORTS. DURING THE PAST YEAR, ST. JOSEPH HOSPITAL OF EUREKA DEDICATED OVER $300,000 IN CARE FOR THE POOR FUNDS AND OVER $4,000,000 TO HEALTHY COMMUNITIES AND COMMUNITY HEALTH INITIATIVES. THIS FUNDING MADE THE FOLLOWING PROGRAMS THAT PROMOTE HEALTH AND ACCESS TO CARE TO THE LOW-INCOME POSSIBLE: MULTIPLE COMMUNITY RESOURCE CENTERS FOR LOW-INCOME UNDERSERVED, FINANCIAL SUPPORT FOR UNDERFUNDED SCHOOL ACTIVITIES, AND JOB TRAINING AND EDUCATION EVENTS.SCHEDULE H, PART VI, LINE 5
AFFILIATED HEALTH CARE SYSTEMST. JOSEPH HOSPITAL OF 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 SYSTEM 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, FORMALIZES 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 ST. JOSEPH HEALTH HOSPITALS THAT EXEMPLIFY THE FOUR CORE VALUES OF ST. JOSEPH HEALTH SYSTEM: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE.SCHEDULE H, PART VI, LINE 6
STATE FILING OF COMMUNITY BENEFIT REPORTCALIFORNIA MINISTRIES REPORT TO CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697.SCHEDULE H, PART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ST VINCENT DE PAUL
PO BOX 1386EUREKACA95502941573587501(C)(3)50000HOUSING & SUPP FOR
FOOD FOR PEOPLE
307 W 14TH STREETEUREKACA95501942772549501(C)(3)26676PROGRAM SUPPORT
HUMBOLDT SENIOR RESOURCE CENTER
1910 CALIFORNIA STREETEUREKACA95501942261434501(C)(3)19000PROGRAM SUPPORT
BRIDGEVILLE COMMUNITY CENTER
38717 KNEELAND RDBRIDGEVILLECA95526311763137501(C)(3)11200PROGRAM SUPPORT
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR STE 100IRVINECA92612330143024501(C)(3)198500CARE FOR THE POOR
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRFORTUNACA95540941384665501(C)(3)100000COMMUNITY BENEFIT
ALCOHOL DRUG CARE SERVICES INC
528 5TH STEUREKACA95501680218628501(C)(3)22000PROGRAM SUPPORT
COMMUNITY ALLIANCE WITH FAMILY FARMERS
PO BOX 363DAVISCA95617942914745501(C)(3)17000PROGRAM SUPPORT
HUMBOLDT AREA FOUNDATION
373 INDIANOLABAYSIDECA95524237310660501(C)(3)16435COMMUNITY BENEFIT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants
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 THE 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 (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
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
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 (13 entries)

Base 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
RONALD DILUIGI
0244902098529082432016907023489046625900
NEAL FEUERMAN MD
016250000000000016250000
JOSEPH MARK
036899709155708325609774028639058222300
WILLIAM SAGEMAN
286805028859058479097880268340410765000
S ANDREW RYBOLT
18059000244986072506960264466000
JUDY BEGLEY
175605017521034293077730111210246313000
LAURIE WATSON-STONE
1474280142110367590117280279970238123000
LINDA COOK
158590016078045374087290196910248462000
PHILIP SAMS
158000000246580183850155490216592000
JOSEPH LIBRIZZI
158654000122810112094720180519000
MICHAEL GOODWILL
17113600019720072490190900217195000
NIKKI COLLIER
182018000253790166420114020235441000
LISA SHIRK
1387990112310300080106680156280206334000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 1AST. JOSEPH HOSPITAL OF EUREKA GROSSES UP PAYMENTS FOR LIMITED APPROVED EXPENDITURES. EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. ST. JOSEPH HOSPITAL OF EUREKA PAYS MEMBERSHIP DUES OF $5,558 TO LOCAL ORGANIZATIONS FOR JOSEPH MARK. DUES ARE PAID FOR THE BENEFIT OF THE HOSPITAL AND ARE NOT FOR THE EMPLOYEE'S BENEFIT AS IT IS STRICTLY FOR A BUSINESS PURPOSE. JUDY BEGLEY RECEIVED A HOUSING ALLOWANCE, WHICH IS REPORTED AS TAXABLE COMPENSATION TO HER.
SCHEDULE J, PART I, LINE 3THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O FOR 990, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM.
SCHEDULE J, PART I, LINE 4ASEVERANCE PAYMENTS WERE MADE TO S. ANDREW RYBOLT IN THE AMOUNT OF $199,408.
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. THERE WERE NO 457(F) PAYOUTS DURING FY12.
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 (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CEP AMERICA
VICTOR WALLENKAMPF, MD657422MEDICAL SERVICESfalse
EUREKA OBGYN
KUSUM STOKES, MD131000MEDICAL SERVICESfalse

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F9905390NoncashContribsRptdF990
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenues
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
XJEWELRY71547COST/SELLING PRICE
XMEALS/FOOD289188COST/SELLING PRICE
XGENERAL MERCHANDISE15541471COST/SELLING PRICE
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 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 ACCOMPLISHMENTS FORM 990, PART III, LINE 4 ST. JOSEPH HOSPITAL OF EUREKA HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 100 YEARS. SERVING THE COMMUNITIES OF HUMBOLDT COUNTY, ST. JOSEPH HOSPITAL OF EUREKA IS A FULL-SERVICE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF SURGERY, EMERGENCY AND CRITICAL CARE, AN URGENT CARE FACILITY, DIAGNOSTIC IMAGING, INPATIENT AND OUTPATIENT LABORATORY AND REHABILITATION, ENDOSCOPY, AND MANY OTHER SERVICES. WITH OVER 1000 EMPLOYEES COMMITTED TO REALIZING THE MISSION, ST. JOSEPH HOSPITAL OF EUREKA IS ONE OF THE LARGEST EMPLOYERS IN HUMBOLDT COUNTY. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, ST. JOSEPH HOSPITAL OF EUREKA IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA 100 YEARS AGO. THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORS" AND MINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. THREE MISSION OUTCOMES STRATEGICALLY GUIDE OUR MINISTRY WORK ST. JOSEPH HOSPITAL OF EUREKA 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, THIS POPULATION SUFFERS FROM A LACK OF MENTAL HEALTH RESOURCES. 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 TEAM PROJECT AT SJE CONTINUES TO SURPASS ALL TARGETS SET WHEN THIS PROJECT 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 UNDERSTAND THE CAUSES OF THIS FOOD INSECURITY, SJE PARTNERED WITH THE CALIFORNIA CENTER FOR RURAL POLICY, FOOD FOR PEOPLE, AND REDWOOD MEMORIAL HOSPITAL'S COMMUNITY RESOURCE CENTERS TO SURVEY LOW INCOME FAMILIES WHO ACCESSED FOOD BANKS THROUGH OUT THE COUNTY. THIS IS A FIRST STEP IN SJE'S EFFORT TO DEVELOP A LONG-TERM PLAN TO DECREASE FOOD INSECURITY IN HUMBOLDT COUNTY. SJE ALSO PARTNERED WITH HUMBOLDT COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES TO INCREASE THE NUMBER OF FAMILIES ENROLLED IN CALFRESH AND THUS LAYING THE FOUNDATION FOR OUR COMMUNITY TO BE ONE OF THE HEALTHIEST IN OUR NATION. PROGRAM SERVICE ACCOMPLISHMENTS PROGRAM ONE, NURSING INTERN PROGRAM FOR HEALTH CAREERS: STAFF FROM ST. JOSEPH HOSPITAL OF EUREKA (SJE) PROVIDED ONE ON ONE MENTORING TO STUDENTS FROM BOTH HUMBOLDT STATE UNIVERSITY AND COLLEGE OF THE REDWOODS NURSING PROGRAM, AS WELL AS INTERNSHIPS FOR STUDENTS FROM LOCAL HIGH SCHOOLS. MENTORING OCCURRED THROUGHOUT THE HOSPITAL INCLUDING THE LAB, THE NURSING UNITS, THE REHABILITATION DEPARTMENT, THE CARE TRANSITION TEAM AND THE IMAGING CENTER. THERE WERE 335 INDIVIDUAL NURSING STUDENTS MENTORED OVER 25,274 HOURS. THE CARE TRANSITION TEAM WORKED WITH HUMBOLDT STATE TO PROVIDE INTERNSHIPS FOR SENIOR NURSING STUDENTS TO WORK ONE ON ONE WITH MEDICALLY NEEDY INDIVIDUALS DISCHARGED FROM THE ACUTE CARE SETTING. THE ONE ON ONE RELATIONSHIPS ESTABLISHED BY THE NURSING STUDENTS WAS SUCCESSFUL IN REDUCING READMISSIONS FOR THE TARGET POPULATION. UNFORTUNATELY, THE NURSING DEPARTMENT OF HUMBOLDT STATE CLOSED ITS DOORS TO NEW STUDENTS AT THE END OF THE SCHOOL YEAR. COLLEGE OF THE REDWOODS NURSING DEPARTMENT CONTINUES TO THRIVE AND IN SCHOOL YEAR 2012, SJE INCREASED THE FOCUS ON THIS POPULATION OF STUDENTS TO CONTINUE TO PROVIDE HEALTH EDUCATION CAREERS FOR THIS ISOLATED REGION OF THE NORTH COAST. PROGRAM 2, PHYSICIAN TRAUMA SERVICES: THERE WERE 26,063 PATIENTS SEEN IN THE EMERGENCY ROOM AND URGENT CARE WHO WERE UNDERINSURED OR LACKED INSURANCE IN FY 2012, 49.9% OF ALL THE PATIENTS SEEN. THESE PATIENTS HAD APPROXIMATELY 52,125 ENCOUNTERS WITH EMERGENCY ROOM MEDICAL PROVIDERS. SJE CONTINUES TO ADDRESS THE NEEDS OF THE PATIENTS SEEN IN THE EMERGENCY ROOM WHO LACK PRIMARY MEDICAL PROVIDERS AND A MEDICAL HOME. CONCENTRATION 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 THE DAILY NEEDS OF THE INDIVIDUAL PATIENTS. IN ADDITION, FORMAL AGREEMENTS WITH AN OPEN DOOR COMMUNITY HEALTH CENTER TO PROVIDE A MEDICAL HOME FOR THE PATIENTS HAS BEEN SIGNED AND WILL ALLOW INCREASED COMMUNICATION BETWEEN THE EMERGENCY ROOM AND THIS FEDERALLY QUALIFIED HEALTH CENTER (FQHC). FINALLY, SJE HAS SIGNED AN AGREEMENT WITH A LOCAL SKILLED NURSING FACILITY TO PROVIDE NEEDED FOLLOW UP MEDICAL CARE FOR HIGH NEED PATIENTS WHO HAVE NO HOME TO GO TO FOR FOLLOW UP CARE. THE HOSPITAL HAD A DIFFICULT TIME PLACING THESE HIGH NEED PATIENTS AS THE SKILLED FACILITY DID NOT HAVE THE STAFF TRAINED TO DEAL WITH THEIR MENTAL HEALTH NEEDS AS WELL AS THEIR MEDICAL NEEDS. SJE IS PARTNERING WITH THE FACILITY FOR THE FACILITY TO PROVIDE THE BED, THE MEDICAL CARE AND SUPPORT AND SJE WILL PROVIDE A MENTAL HEALTH PROVIDER TO ASSIST WITH ADDRESSING THESE DIFFICULT PATIENT NEEDS. PROGRAM 3, PHYSICIAN SERVICES: THERE WERE 4,599 LOW INCOME PATIENTS SEEN BY THE HOSPITALIST PROGRAM IN FY 2012 OR 32% OF ALL PATIENTS SEEN BY THIS GROUP OF PHYSICIANS. THE HOSPITALIST PROGRAM PROVIDED 13,797 ENCOUNTERS FOR THIS GROUP. LACK OF A MEDICAL HOME INCREASES A PERSON'S RISK FOR POOR HEALTH OUTCOMES, ESPECIALLY WHEN A PERSON HAS A CHRONIC CONDITION. THE SJE CARE TRANSITION TEAM AND THE REDWOOD EUREKA COMMUNITY RESOURCE CENTER TEAMS ARE WORKING TOGETHER TO ASSIST THE PATIENTS IN LOCATING A PRIMARY CARE HOME TO DECREASE THE PROBABILITY OF READMISSIONS AND SUBSEQUENTLY REDUCE PAIN AND SUFFERING. AN AGREEMENT HAS BEEN FORMALIZED WITH OPEN DOOR COMMUNITY HEALTH CENTERS TO ALLOW THE HOSPITALISTS AND EMERGENCY ROOM PHYSICIANS TO ACCESS THE ODCHC ELECTRONIC MEDICAL RECORD TO INCREASE COMMUNICATION BETWEEN THE FQHC AND THE ACUTE CARE FACILITY. THIS AGREEMENT WILL PROVIDE THE ACUTE CARE PHYSICIANS WITH IMMEDIATE COMMUNICATION WITH THE FQHC TO DECREASE DUPLICATION OF TESTING AND SERVICES AND TO ENHANCE THE ABILITY OF THE PATIENT TO BE SEEN BY THE ODCHC PHYSICIANS AND ESTABLISH A MEDICAL HOME. FOR MORE INFORMATION ABOUT ST. JOSEPH HOSPITAL OF EUREKA, PLEASE VISIT WWW.STJOSEPHEUREKA.ORG FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 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, LINE 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 PERSON, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, LINE 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.
PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 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 24, 2013 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, LINE 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 EXECUTIVE 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, LINES 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 2012.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, LINE 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.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIICERTAIN EXECUTIVES AND BOARD MEMBERS OF THIS ORGANIZATION ALSO DEVOTED TIME TO OTHER ENTITIES RELATED TO THE FILING ORGANIZATION. THE HOURS DEVOTED TO THE RELATED ORGANIZATIONS ARE NOT GENERALLY TRACKED BY ENTITY.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESFORM 990, PART XI, LINE 5PPE FUND TRANSFERS $ 1,375,854 UNREALIZED LOSSES $ (62,952) EQUITY TRANSFERS $(6,952,685) ADJUSTMENTS IN GRANTS $ 431,772 ADJUSTMENTS IN FOUNDATION FUNDS $ 424,064 ROUNDING $ 1,551 ----------- TOTAL $(4,782,396)
OVERSIGHT OF SELECTION PROCESSFORM 990, PART XII, LINE 2CTHE ST. JOSEPH HEALTH SYSTEM BOARD APPROVED THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
COVENANT HEALTH PARTNERS
3615 19TH STREETLUBBOCKTX79410611573313HEALTHCARETX501(C)(3)11, ICHStrue
COVENANT HEALTH SYSTEM
3615 19TH STREETLUBBOCKTX79410752765566HEALTHCARETX501(C)(3)3SJHStrue
COVENANT HEALTH SYSTEM FOUNDATION
4000 24TH STREETLUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHStrue
COVENANT MEDICAL GROUP
3420 22ND PLACELUBBOCKTX79410752743883HEALTHCARETX501(C)(3)3CHStrue
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 REG MED CTR FDN
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691330406118HEALTHCARECA501(C)(3)7MHRMCtrue
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 FDN OF N CALIFORNIA
PO BOX 552SANTA ROSACA95405680338070INACTIVECA501(C)(3)11, ISRMHtrue
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 100IRVINECA92612330143024HEALTHCARECA501(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
279 E IMPERIAL HWY 750FULLERTONCA92835330185031HEALTHCARECA501(C)(3)3SJHStrue
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVEFULLERTONCA92835951643325HEALTHCARECA501(C)(3)3SJHStrue
ST JUDE MEMORIAL FOUNDATION
1440 N HARBOR BLVD 200FULLERTONCA92835953607229HEALTHCARECA501(C)(3)11, ISJMCtrue
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 (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
ST JOSEPH HLTH SYS HOME HLTH AGENCY
1845 W ORANGEWOOD AVENUE STE 200ORANGECA928682012330282945HOME HEALTHCANAN/A
ST JOSEPH HLTH SYS HOME CARE SVCS
1845 W ORANGEWOOD AVE STE 100ORANGECA928682012330307672HOME HEALTHCANAN/A
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOCKTX79410752343261HEALTHCARE SVCSTXNAN/A
SHA LLC
12940 NORTH HIGHWAY 183AUSTINTX78750752569094HEALTHCARE SVCSTXNAN/A
LUBBOCK SURGERY CENTER LTD
4000 24TH STREETLUBBOCKTX79410752177401HEALTHCARE SVCSTXNAN/A
COVENANT LONG-TERM CARE LP
4000 24TH STREETLUBBOCKTX79410205033419HEALTHCARE SVCSTXNAN/A
HERITAGE INVESTMENT GROUP
3345 MICHELSON DR STE 100IRVINECA92612271000061INVESTMENTCANAN/A
MISSION AMBULATORY SURGICENTER LTD
26730 CROWN VALLEY PKWY 1 ST FLMISSION VIEJOCA92691330355575HEALTHCARE SVCSCANAN/A
COMPREHENSIVE IMAGING PARTNERS OF OCLLC
1 CITY BOULEVARD WEST 1110ORANGECA92868264591502HEALTHCARE SVCSCANAN/A
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVEORANGECA92868454521884REAL ESTATECANAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
ST JOSEPH PROF SVCS ENTERPRISES INC
3345 MICHELSON DR STE 100IRVINECA92612330155323HEALTHCARE SVCSCANAC-CORP
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCENAC-CORP58 PAR-LA-VILLE ROADHAMILTON HM HXBDBD
ALLIANCE PHYSICIAN SERVICES
INACTIVECANAC-CORP
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARE SVCSCANAC-CORP
MISSION MEDICAL CENTER ASSOCIATION
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330201044HEALTHCARE SVCSCANAC-CORP
ST JOSEPH YORBA PARK
INACTIVECANAC-CORP
LUBBOCK METHODIST HOSPITAL SVCS
PO BOX 1201LUBBOCKTX79410752118585HEALTHCARE SVCSTXNAC-CORP
LUBBOCK METHODIST HOSP PRACTICE MGMT
2107 OXFORD STREET SUITE 300LUBBOCKTX79410752578995INACTIVETXNAC-CORP
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
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 (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
AMERICAN UNITY GROUP LTD
Q811685ACCRUAL
REDWOOD MEMORIAL HOSPITAL
N960262ACCRUAL
REDWOOD MEMORIAL HOSPITAL
O3775266ACCRUAL
REDWOOD MEMORIAL HOSPITAL
P1235961ACCRUAL
REDWOOD MEMORIAL HOSPITAL
B100000ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
B198500ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
C350000ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
B3225000ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
P3257215ACCRUAL

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: 4000 24TH STREET 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 DR, 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 92868Explanation

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