ST MARY MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST MARY MEDICAL CENTER (EIN 95-1914489)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-13
- IRS object ID
- 201341339349304749
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-13T17:55:41-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18111 VON KARMAN AVENUE SUITE 1000 | AddressLine1 |
| City | IRVINE | City |
| State | CA | State |
| ZIP Code | 92612 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951914489 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % SHAWN CURTIS DIR OF FINANCE | InCareOfName |
| Name Control | STMA | NameControl |
| Phone | 7602422311 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18300 HIGHWAY 18 | AddressLine1 |
| City | APPLE VALLEY | City |
| State | CA | State |
| ZIP Code | 92307 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALAN H GARRETT | Name |
| Title | PRESIDENT/CEO | Title |
| Date Signed | 2013-05-10 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9497942300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ALAN H GARRETT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18300 HIGHWAY 18 | AddressLine1 |
| City | APPLE VALLEY | City |
| State | CA | State |
| ZIP Code | 92307 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 305796667 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STMARYAPPLEVALLEY.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1953 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1904 | TotalNbrEmployees |
| Total Nbr Volunteers | 232 | TotalNbrVolunteers |
| Total Gross UBI | 10325 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -333 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1912620 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3166343 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 285858558 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 299582933 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4792693 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2713735 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 140716 | OtherRevenuePriorYear |
| Other Revenue Current Year | 145504 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 292704587 | TotalRevenuePriorYear |
| Total Revenue Current Year | 305608515 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 3121856 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1861610 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 133982243 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 134456679 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 902832 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 115766457 | OtherExpensePriorYear |
| Other Expenses Current Year | 126969202 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 252870556 | TotalExpensesPriorYear |
| Total Expenses Current Year | 263287491 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 39834031 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 42321024 | RevenuesLessExpensesCY |
| Total Assets BOY | 262302057 | TotalAssetsBOY |
| Total Assets EOY | 288172385 | TotalAssetsEOY |
| Total Liabilities BOY | 103538865 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 85616543 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 158763192 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 202555842 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 231646382 | Expense |
| Grants | 1861610 | Grants |
| Revenue | 299582933 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 231646382 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 337 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1904 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SHAWN CURTIS DIR OF FINANCE | NamePerson |
| Telephone Number | 7609468742 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18300 HIGHWAY 18 | AddressLine1 |
| City | APPLE VALLEY | City |
| State | CA | State |
| ZIP Code | 92307 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (35 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| ALAN H GARRETT | |||||||||
| PRESIDENT/CEO | 50.0 | X | X | 0 | 895138 | 51223 | |||
| VINCENT AJANWACHUKU MD | |||||||||
| BOARD OF DIRECTOR (PART YEAR) | 2.0 | X | 0 | 0 | 0 | ||||
| VIRGIL BARNES | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| ROSELLA BERNAL | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| BROTHER STEPHEN DE LA ROSA | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| STEVE GILBERT | |||||||||
| BOD/VP CONSTRUCTION(PART YEAR) | 2.0 | X | 0 | 589950 | 51969 | ||||
| SISTER MARTHA ANN FITZPATRICK | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| HENRY GONZALEZ MD | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| SISTER THERESA LAMETTEREY | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| JOHN HULTERSTROM | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| DIANA CARLONI O'MALLEY | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| ROB TURNER | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| WANDA WILBURN MD | |||||||||
| BOARD OF DIRECTOR (PART YEAR) | 2.0 | X | 0 | 0 | 0 | ||||
| BROTHER PETER GELFER | |||||||||
| BOARD OF DIRECTOR (PART YEAR) | 2.0 | X | 0 | 0 | 0 | ||||
| ERIC MORENO | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| KEVIN MURPHY | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 341270 | 41922 | ||||
| SYED RAZA MD | |||||||||
| BOARD OF DIRECTOR (PART YEAR) | 2.0 | X | 0 | 0 | 0 | ||||
| BROTHER IGNATIUS SUDOL | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| DAVID VARGAS MD | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| VODUR REDDY MD | |||||||||
| BOARD OF DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||||
| DAVID O'BRIEN | |||||||||
| CHIEF OPERATING OFFICER | 50.0 | X | 591362 | 0 | 22327 | ||||
| JOHN PERRING-MULLIGAN | |||||||||
| SEC/VP MISSION INTEGRATION | 50.0 | X | 260885 | 0 | 23134 | ||||
| PITT CALKIN | |||||||||
| TOP FINANCIAL OFFICIAL | 50.0 | X | 0 | 0 | 0 | ||||
| JAMES KYLE | |||||||||
| VP MEDICAL AFFAIRS | 50.0 | 438015 | 0 | 22913 | X | ||||
| STEPHEN ECKBERG | |||||||||
| VP HUMAN RESOURCES | 50.0 | 337500 | 0 | 39204 | X | ||||
| MARILYN DRONE | |||||||||
| CHIEF NURSING OFFICER | 50.0 | 289465 | 0 | 25559 | X | ||||
| RANDY BEVILACQUA | |||||||||
| VP COMMUNICATIONS | 50.0 | 269545 | 0 | 26081 | X | ||||
| LARRY WOODARD | |||||||||
| VP FOUNDATION | 50.0 | 215173 | 0 | 17746 | X | ||||
| VANBOTRA HUANG | |||||||||
| DIRECTOR OF PHARMACY | 50.0 | 199275 | 0 | 20453 | X | ||||
| EDWARD MEDINA | |||||||||
| PACS/RIS COORDINATOR | 50.0 | 188315 | 0 | 36549 | X | ||||
| NORMAN SOTTO | |||||||||
| STAFF RN - PER DIEM III | 50.0 | 176167 | 0 | 8807 | X | ||||
| RACHADA COURTIER | |||||||||
| STAFF RN | 50.0 | 174701 | 0 | 17161 | X | ||||
| LEE GARDNER | |||||||||
| MANAGER CLINICAL PHARMACY | 50.0 | 165742 | 0 | 24743 | X | ||||
| DONALD MILLER | |||||||||
| VP FINANCE/CFO | 0 | 498556 | 39008 | X | |||||
| EDWARD WONG | |||||||||
| VP FINANCE/CFO | 0.0 | 521047 | 0 | 54745 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3827192 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2324914 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 523544 | TotalOtherCompensation |
| Number Individuals GT100 K | 222 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| INTELISTAF TRAVEL | |||||
| 901 YAMATO ROAD STE 110 | BOCA RATON | FL | 33431 | NURSING REGISTRY | 7515308 |
| UNIVERSAL HOSPITAL SERVICES | |||||
| 9853 PACIFIC HEIGHTS BLVD STE E | SAN DIEGO | CA | 92121 | RENTAL SERVICES | 1040674 |
| MS ILBEIGI AND ASSOC MD INC | |||||
| 18300 HIGHWAY 18 | APPLE VALLEY | CA | 92307 | MEDICAL SERVICES | 1013547 |
| INLAND CARDIOTHORACIC SURGICAL | |||||
| 401 E HIGHLAND AVE STE 251 | SAN BERNARDINO | CA | 92404 | MEDICAL SERVICES | 1000049 |
| HOSPITALIST MEDICINE PHYSICIANS | |||||
| 4535 DRESSLER ROAD NW | CANTON | OH | 44718 | MEDICAL SERVICES | 932441 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 147 | NumberOfContractorsGT100K |
| Fundraising Events | 73795 | FundraisingEvents |
| Related Organizations | 1064690 | RelatedOrganizations |
| Government Grants | 702920 | GovernmentGrants |
| All Other Contributions | 1324938 | AllOtherContributions |
| Total Contributions | 3166343 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | 278837325 | 278837325 | |
| CAPITATION PREMIUM REVENUE | 622110 | 19301553 | 19301553 | |
| CAFETERIA | 722110 | 532330 | 532330 | |
| MOB RENTAL | 531120 | 109068 | 109068 | |
| LABORATORY | 621500 | 10325 | 10325 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 792332 | TotalRevenueColumn |
| Related Or Exempt Function Income | 792332 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 299582933 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2713735 | TotalRevenueColumn |
| Exclusion | $2,713,735 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 333656 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 73795 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 188152 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 145504 | TotalRevenueColumn |
| Exclusion | $145,504 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 305608515 | TotalRevenueColumn |
| Related Or Exempt Function Income | 299572608 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 10325 | UnrelatedBusinessRevenue |
| Exclusion | $2,859,239 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1861610 | Total |
| Program Services | 1861610 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3827187 | Total |
| Program Services | 1901224 | ProgramServices |
| Management And General | 1710791 | ManagementAndGeneral |
| Fundraising | 215172 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90199167 | Total |
| Program Services | 86004635 | ProgramServices |
| Management And General | 3999462 | ManagementAndGeneral |
| Fundraising | 195070 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4979335 | Total |
| Program Services | 4517328 | ProgramServices |
| Management And General | 427406 | ManagementAndGeneral |
| Fundraising | 34601 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27484049 | Total |
| Program Services | 24664416 | ProgramServices |
| Management And General | 2685689 | ManagementAndGeneral |
| Fundraising | 133944 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7966941 | Total |
| Program Services | 7238165 | ProgramServices |
| Management And General | 697721 | ManagementAndGeneral |
| Fundraising | 31055 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15774233 | Total |
| Program Services | 14775376 | ProgramServices |
| Management And General | 998857 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3698939 | Total |
| Program Services | 20 | ProgramServices |
| Management And General | 3698919 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 264789 | Total |
| Program Services | 15360 | ProgramServices |
| Management And General | 249429 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67500 | Total |
| Program Services | 67500 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37172359 | Total |
| Program Services | 32845708 | ProgramServices |
| Management And General | 4138155 | ManagementAndGeneral |
| Fundraising | 188496 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153242 | Total |
| Management And General | 153242 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5971539 | Total |
| Program Services | 5818521 | ProgramServices |
| Management And General | 134764 | ManagementAndGeneral |
| Fundraising | 18254 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 240123 | Total |
| Program Services | 235848 | ProgramServices |
| Management And General | 4222 | ManagementAndGeneral |
| Fundraising | 53 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2160448 | Total |
| Program Services | 1938231 | ProgramServices |
| Management And General | 218226 | ManagementAndGeneral |
| Fundraising | 3991 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 247669 | Total |
| Program Services | 130617 | ProgramServices |
| Management And General | 109488 | ManagementAndGeneral |
| Fundraising | 7564 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61503 | Total |
| Program Services | 45318 | ProgramServices |
| Management And General | 14239 | ManagementAndGeneral |
| Fundraising | 1946 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1958349 | Total |
| Program Services | 1958349 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9099823 | Total |
| Program Services | 4075178 | ProgramServices |
| Management And General | 5019191 | ManagementAndGeneral |
| Fundraising | 5454 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2003403 | Total |
| Management And General | 2003403 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 39606315 | 39606315 | ||
| CAPITATION REINSURANCE | 284739 | 284739 | ||
| ALL OTHER EXPENSES | 8204229 | 3661924 | 4475073 | 67232 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263287491 | Total |
| Program Services | 231646382 | ProgramServices |
| Management And General | 30738277 | ManagementAndGeneral |
| Fundraising | 902832 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23199277 | BOY |
| EOY | 5600960 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36430743 | BOY |
| EOY | 31623899 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 947400 | BOY |
| EOY | 987600 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38893617 | BOY |
| EOY | 52303576 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1443925 | BOY |
| EOY | 2191634 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2958239 | BOY |
| EOY | 3315985 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 577110 | BOY |
| EOY | 328991 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 212266748 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 91948757 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102652366 | BOY |
| EOY | 120317991 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48672815 | BOY |
| EOY | 47915471 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6526565 | BOY |
| EOY | 23586278 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262302057 | BOY |
| EOY | 288172385 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31800409 | BOY |
| EOY | 26788208 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71738456 | BOY |
| EOY | 58828335 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103538865 | BOY |
| EOY | 85616543 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152376460 | BOY |
| EOY | 196780794 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6386732 | BOY |
| EOY | 5775048 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158763192 | BOY |
| EOY | 202555842 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262302057 | BOY |
| EOY | 288172385 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 42321024 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1471626 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $67,500 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 67500 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING | Identifier |
| Return Reference | SCHEDULE C, PART II-B, LINE 1i | ReturnReference |
| Explanation | A PORTION OF THE DUES PAID TO HOSPITAL ASSOCIATIONS ARE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 530889 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 21881 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 3000 | GrantsOrScholarships |
| End Of Year Balance | 549770 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 473913 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 59976 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 3000 | GrantsOrScholarships |
| End Of Year Balance | 530889 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 420803 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 56110 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 3000 | GrantsOrScholarships |
| End Of Year Balance | 473913 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 485207 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -61404 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 3000 | GrantsOrScholarships |
| End Of Year Balance | 420803 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30612878 | OtherCostOrOtherBasis |
| Book Value | 30612878 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 98100948 | OtherCostOrOtherBasis |
| Depreciation | 44817806 | Depreciation |
| Book Value | 53283142 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 328078 | OtherCostOrOtherBasis |
| Depreciation | 182466 | Depreciation |
| Book Value | 145612 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 61936588 | OtherCostOrOtherBasis |
| Depreciation | 46948485 | Depreciation |
| Book Value | 14988103 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21288256 | OtherCostOrOtherBasis |
| Book Value | 21288256 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 120317991 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (8 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM MEDI-CAL | 20142520 |
| PHYSICIAN LOAN RECEIVABLE | 1658573 |
| OTHER RECEIVABLE | 437234 |
| FUND ENDOWMENT MELLON BANK | 549770 |
| DEFERRED FINANCING COST | 442376 |
| DUE FROM FOUNDATION | 336577 |
| RENT RECEIVABLE | 18260 |
| OTHER MISC ASSETS | 968 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 23586278 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY WITH HEALTH SYSTEM BONDS | $34,861,824 |
| PAYABLE TO AFFILIATES | $12,809,035 |
| DUE TO 3RD PARTY PAYORS | $9,738,110 |
| CAPITAL LEASE | $1,416,326 |
| SECURITY DEPOSIT | $3,040 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 58828335 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ENDOWMENT FUNDS USE | Schedule D, Part V, lINE 4 | ENDOWMENT FUNDS WERE DESIGNATED TO PROVIDE SCHOLARSHIP FUNDS FOR NURSING STUDENTS. |
| CONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740) | SCHEDULE D, PART X, LINE 2 | ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY OR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2012 OR 2011. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConducted |
| Specific Services Provided | CAPTIVE INSURANCE | SpecificServicesProvided |
| Total Expenditures | 1690633 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 1690633 | SubtotalAmountSpent |
| Total Amount Spent | 1690633 | TotalAmountSpent |
| Transfer To Foreign Corp | true | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | false | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ACCOUNTING METHOD | Identifier |
| Return Reference | SCHEDULE F, PART I, LINE 3, COLUMN (F) | ReturnReference |
| Explanation | THE ACCRUAL METHOD OF ACCOUNTING WAS USED TO DETERMINE THE AMOUNT IN COLUMN (F). | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNUAL GALA | NameOfEvent1 |
| Gross Receipts Event1 | 317410 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 67095 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 250315 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 5049 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 58117 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 31000 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 69078 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF TRNMNT | NameOfEvent2 |
| Gross Receipts Event2 | 52115 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 6160 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 45955 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 3988 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 3954 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 5546 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 3650 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 515 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 37926 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 540 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 37386 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 1156 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 2858 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 2093 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 50 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 1098 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 407451 | GrossReceiptsTotal |
| Charitable Contributions Total | 73795 | CharitableContributionsTotal |
| Gross Revenue Total Events | 333656 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 5144 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 11861 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 65756 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 34700 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 70691 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 188152 | DirectExpenseSummaryEvents |
| Net Income Summary | 145504 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7734082 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7734082 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02930 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 56987491 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 68657938 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -11670447 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 64721573 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 68657938 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -3936365 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4179351 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 953245 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3226106 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01220 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2843 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2843 | NetCommunityBenefitExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2256096 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2256096 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00850 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 411875 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 411875 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6850165 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 953245 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5896920 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02230 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 71571738 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 69611183 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1960555 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00740 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7712 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 7712 | NetCommunityBuildingExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 373 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 373 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 28642 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 28642 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 19024 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 19024 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 55751 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 55751 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $7,470,560 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 97605400 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 106369802 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -8764402 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18300 HIGHWAY 18 | AddressLine1 |
| City | APPLE VALLEY | City |
| State | CA | State |
| ZIP Code | 92307 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 500. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| OUPATIENT SURGERY PAVILLION | ||||
| 18122 US HWY 18 | APPLE VALLEY | CA | 92307 | AMBULATORY SURGERY CENTER |
| WOUND CARE CENTER | ||||
| 16077 KAMANA ROAD | APPLE VALLEY | CA | 92307 | WOUND CARE |
| HEALTHY BEGINNINGS CLINIC | ||||
| 18977 S OUTER HWY 18 A | APPLE VALLEY | CA | 92307 | CLINIC |
| HESPERIA CLINIC | ||||
| 17091 MAIN STREET STE 100 | HESPERIA | CA | 92345 | CLINIC |
| ADELANTO CLINIC | ||||
| 11424 CHAMBERLAIN WAY STE 89 | ADELANTO | CA | 92301 | CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| SCHEDULE H, PART I, LINE 7 | THE AMOUNTS REPORTED IN THE TABLE WERE DERIVED FROM VARIOUS SOURCES INCLUDING THE GENERAL LEDGER AND OUR COST ACCOUNTING SYSTEM. THE MEDICAID EXPENSES WERE OFFSET BY THE HOSPITAL FEE PROGRAM NET REVENUES RECEIVED DURING THE FISCAL YEAR. THE COST ACCOUNTING SYSTEM INCLUDES ALL PATIENT SEGMENTS, I.E. MEDI-CAL, MEDICARE, PRIVATE INSURANCE AND SELF-PAY AND IS ALSO BY SERVICE TYPE, I.E. INPATIENT, OUTPATIENT AND EMERGENCY ROOM. | |
| SCHEDULE H, PART I, LINE 7G | NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. | SUBSIDIZED HEALTH SERVICES |
| SCHEDULE H, PART II | THE HOSPITAL CONTINUES A PARTNERSHIP WITH THE HEALTHY COMMUNITIES DEPARTMENT OF SAN BERNARDINO COUNTY PUBLIC HEALTH TO PROMOTE A "HEALTH IN ALL POLICIES" APPROACH AS PART OF A HEALTHY HIGH DESERT COLLABORATIVE. THE COLLABORATIVE ENGAGING FOUR CITIES IN HEALTH PROMOTION IS THE ONLY ONE OF ITS KIND IN SAN BERNARDINO COUNTY. A HEALTH IN ALL POLICIES IS AN EFFORT TO PREVENT DISEASE BY ADDRESSING "UPSTREAM ISSUES" OF A REGION'S PHYSICAL ENVIRONMENT AND A POPULATION'S ACCESS TO CLEANER AIR, HEALTHIER FOODS AND ADDITIONAL RECREATION AND FITNESS RESOURCES INCLUDING PARKS AND RECREATION AND ACTIVE TRANSPORTATION SYSTEMS. THIS WORK SUPPORTS EFFORTS TO IMPROVE THE POOR PHYSICAL ENVIRONMENT RANKINGS FOR SAN BERNARDINO COUNTY AS REPORTED BY THE COUNTY HEALTH RANKINGS (WWW.COUNTYHEALTHRANKINGS.ORG). THIS WORK INCLUDED COMMUNITY MAPPING OF THE REGION TO UNDERSTAND THE RETAIL FOOD ENVIRONMENT AND THE RATIO OF PARK ACREAGE PER 1,000 RESIDENTS. HOSPITAL STAFF WAS ACTIVE ON FOUR (4) LOCAL HEALTHY CITY CAMPAIGNS LOCATED WITHIN ITS PRIMARY AND SECONDARY SERVICE AREAS INCLUDING ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE. THESE FOUR COMMUNITIES COMPRISE A POPULATION OF 317,000 OF THE HOSPITAL'S TOTAL SERVICE AREA OF APPROXIMATELY 400,000 RESIDENTS. THE HOSPITAL SPONSORED NUMEROUS HEALTH, FITNESS AND EXERCISE EVENTS IN AN EFFORT TO CREATE A CULTURE OF HEALTH IMPROVEMENT. THE RESULT OF THIS MOVE HAS BEEN AN INCREASE IN THE NUMBER OF COMMUNITY PARTNERS USING FITNESS EVENTS FOR FUNDRAISING. THIS WORK ALSO INCLUDED WORKING WITH THE CITY OF ADELANTO AND ADELANTO SCHOOL DISTRICT TO EXPAND JOINT USE AGREEMENTS INCLUDING THE OPENING OF A 5 ACRE PARK. THE CITY OF 32,000 RESIDENTS CURRENTLY HAS NO ORGANIZED PARK AND RECREATION FACILITIES AND HAS THE LOWEST RATIO OF PARK LAND TO RESIDENTS IN THE REGION. THE HOSPITAL ALSO WORKED WITH HEALTHY VICTORVILLE PARTNERS TO COMPLETE THE REGION'S FIRST HEALTHY VENDING MACHINE AUDIT. THIS WORK LEAD TO THE CITY CHANGING ITS CONTRACTUAL REQUIREMENTS LEADING TO HEALTHIER FOODS PLACED IN VENDING MACHINES USED BY THE PUBLIC. THE HOSPITAL PARTNERED WITH INSTITUTE FOR PUBLIC STRATEGIES (IPS) ON PASSAGE OF ONE LOCAL ORDINANCE (PASSED AS PART OF HEALTHY ADELANTO) TO ELIMINATE THE SALE OF SPICE AND BATH SALTS FROM LOCAL MARKETS AND TOBACCO SHOPS. THE HOSPITAL WILL CONTINUE TO SUPPORT IPS EFFORTS TO OBTAIN SIMILAR BANS IN THE COMMUNITIES OF APPLE VALLEY, HESPERIA AND VICTORVILLE. THE HOSPITAL WORKED WITH THE COUNTY OF SAN BERNARDINO TO PLACE SAFE ROUTES TO SCHOOLS POSITION TO THE REGION. THIS POSITION WILL WORK WITH LOCAL SCHOOLS AND ADDRESS STREET SAFETY FOR WALKING AND CYCLING TO SCHOOL PROGRAMS. THE HOSPITAL BEGAN WORKING WITH LOMA LINDA MEDICAL UNIVERSITY ON A HEALTH CAREER PIPELINE WITH A FOCUS ON PUBLIC HEALTH. A GRADUATE STUDENT IN PUBLIC HEALTH IS WORKING IN FOUR (4) LOCAL HIGH SCHOOLS WITH 12 STUDENT INTERNS ON LOCAL PUBLIC HEALTH CONCERNS. | COMMUNITY BUILDING ACTIVITIES |
| SCHEDULE H, PART III, LINE 2 | THE 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. | |
| SCHEDULE H, PART III, LINE 4 | 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 8 | THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES (EXCEPT FOR AMOUNTS REPORTED IN PART I, LINE 7) AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT. | |
| SCHEDULE H, PART III, LINE 9B | SJHS PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS 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. MARY MEDICAL CENTER (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. MARY MEDICAL CENTER (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. MARY MEDICAL CENTER (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 ASSESSMENT | THE HOSPITAL COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE PRIMARY AND SECONDARY SERVICE MARKET AREAS. THE ASSESSMENT INCLUDED A PROFESSIONALLY DEVELOPED HEALTH QUESTIONNAIRE. FOUR HUNDRED HOUSEHOLDS WERE SAMPLED AND RESULTS COMPARED WITH COUNTY, STATE, NATIONAL AND WHERE APPROPRIATE, HEALTHY PEOPLE 2020 BENCHMARKS. COMMUNITY FEEDBACK WAS PROVIDED AND THREE PRIORITY AREAS SELECTED: EXPANDING ACCESS TO CARE, PROVIDING DIABETES SELF-CARE AND EDUCATION TO UNINSURED PERSONS AND CHILD OBESITY. | SCHEDULE H, PART VI, LINE 2 |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. | SCHEDULE H, PART VI, LINE 3 |
| COMMUNITY INFORMATION | THE HIGH DESERT REGION OF SAN BERNARDINO COUNTY HAS A POPULATION APPROACHING 400,000. THE REGION IS CHARACTERIZED AS 90% DESERT. THE REGION IS COMPRISED OF FOUR MAJOR COMMUNITIES: ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE AND NUMEROUS SMALLER UNINCORPATED COMMUNITIES. THE REGION IS 40 MILES FROM THE NEXT MAJOR URBAN AREA, SOMEWHAT ISOLATED AND WITHOUT MANY SERVICES FOUND IN COMMUNITIES OF SIMILAR SIZE. THE REGION'S ECONOMY IS DOMINATED BY CONSTRUCTION AND REAL ESTATE DEVELOPMENT WITH LARGE EMPLOYERS BEING SCHOOL SYSTEMS FOLLOWED BY HEALTHCARE. THE AREAS' WORKFORCE IS BLUE COLLAR WITH A GROWING WORKFORCE IN THE SERVICE INDUSTRIES. THE REGION SUFFERS FROM HIGHER THAN STATE AVERAGES IN UNEMPLOYMENT AND POVERTY. THE REGIONS ETHNIC MAKE-UP IS SIMILAR TO THAT OF CALIFORNIA WHERE THE MAJORITY OF THE POPULATION IS HISPANIC FOLLOWED CLOSELY BY WHITE FOLLOWED BY AFRICAN AMERICAN. THE CITY OF ADELANTO, A COMMUNITY OF 32,000 RESIDENTS IS PARTICULARLY UNDERDEVELOPED IN SERVICES LACKING A HOSPITAL OR URGENT CARE CENTER. THE ANNUAL INCOME FOR A FAMILY OF FOUR IS $50,000 PER YEAR. THE COMMUNITY HAS ONE MAJOR COMMUNITY COLLEGE AND SEVERAL SMALLER PRIVATE COLLEGES OPERATING SATELLITE. CAMPUSES. THE REGION LAGS THE STATE IN THE PERCENTAGE OF HIGH SCHOOL STUDENTS EARNING COLLEGE DEGREES. | SCHEDULE H, PART VI, LINE 4 |
| PROMOTION OF COMMUNITY HEALTH | THE GOVERNING BODY IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITALS 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. MARY MEDICAL CENTER 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 PAST FISCAL YEAR OUR HOSPITAL PROMOTED HEALTH AND ACCESS TO CARE BY OPERATION OF THREE FIXED COMMUNITY CLINICS AND A MOBILE MEDICAL VAN. THESE CLINICS SERVICES ARE DIRECTED TO PROVIDING PRIMARY CARE FOR UNINSURED PERSONS IN THE MULTIPLE COMMUNITIES AND IN LOW INCOME NEIGHBORHOODS IDENTIFIED BY THE HOSPITALS NEEDS ASSESSMENTS HAS HAVING MULTIPLE UNMET HEALTH NEEDS AND BARRIERS TO CARE. ADDITIONALLY, THE HOSPITAL WORKED WITH COMMUNITY CLINIC PARTNERS AND THREE CLINICS OPENED SERVING LOW INCOME AND UNINSURED PERSONS IN THE HOSPITALS SERVICE AREA. THE HOSPITAL STARTED FOUR HEALTHY CITY CAMPAIGNS ADDRESSING OBESITY AND UNDERLYING COMMUNITY ISSUES OF LIMITED ACCESS TO FRUITS AND VEGETABLES AND PARK AND RECREATION. | SCHEDULE H, PART VI, LINE 5 |
| AFFILIATED HEALTH CARE SYSTEM | 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. MARY MEDICAL CENTER, 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. MARY MEDICAL CENTER DEDICATED $ 900,000 IN CARE FOR THE POOR FUNDS AND $4,630,000 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: OPERATION OF 3 FIXED CLINICS AND MOBILE MEDICAL VAN. STAFF PROVIDING MATERNAL CHILD CARE, COUNSELING AND EDUCATION TO UNINSURED WOMEN AND THEIR CHILDREN. A DIABETES SELF-CARE PROGRAM DIRECTED TO UNINSURED AND LOW INCOME POPULATIONS WITH NO ACCESS TO THIS SPECIALTY CARE AND MEDICATION. OPERATION OF CHILD OBESITY PROGRAMS IN SEVEN SCHOOLS AS WELL AS FOUR HEALTHY CITY CAMPAIGNS. STAFF ENROLLING UNINSURED PERSONS AND WORKING WITH PHYSICIANS PROVIDING PRO-BONO CARE TO THE UNINSURED. | SCHEDULE H, PART VI, LINE 6 |
| STATE FILING OF COMMUNITY BENEFIT REPORT | REPORTED TO CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697. SCHEDULE H, PART VI, LINE 7K CALIFORNIA HOSPITAL QUALITY ASSURANCE PROGRAM CALIFORNIA LEGISLATION ESTABLISHED A PROGRAM THAT IMPOSES A QUALITY ASSURANCE FEE (QA FEE) ON CERTAIN GENERAL ACUTE CARE HOSPITALS IN ORDER TO MAKE SUPPLEMENTAL AND GRANT PAYMENTS AND INCREASED CAPITATION PAYMENTS (SUPPLEMENTAL PAYMENTS) TO HOSPITALS UP TO THE AGGREGATE UPPER PAYMENT LIMIT FOR VARIOUS PERIODS. THERE HAVE BEEN THREE SUCH PROGRAMS SINCE INCEPTION. THE FIRST TWO PROGRAMS WERE THE 21-MONTH PROGRAM (21-MONTH PROGRAM) COVERING THE PERIOD APRIL 1, 2009 TO DECEMBER 31, 2010, AND THE SIX-MONTH PROGRAM (SIX-MONTH PROGRAM) COVERING THE PERIOD JANUARY 1, 2011 TO JUNE 30, 2011 (THE "ORIGINAL PROGRAMS"), AND THE THIRD, A 30-MONTH PROGRAM COVERING THE PERIOD FROM JULY 1, 2011 TO DECEMBER 31, 2013 (THE 30-MONTH PROGRAM, COLLECTIVELY, THE "PROGRAMS"). THE 30-MONTH PROGRAM WAS SIGNED INTO LAW BY THE GOVERNOR OF CALIFORNIA IN SEPTEMBER 2011. THE PROGRAMS ARE DESIGNED TO MAKE SUPPLEMENTAL INPATIENT AND OUTPATIENT MEDI-CAL PAYMENTS TO PRIVATE HOSPITALS, INCLUDING ADDITIONAL PAYMENTS FOR CERTAIN FACILITIES THAT PROVIDE HIGH-ACUITY CARE AND TRAUMA SERVICES TO THE MEDI-CAL POPULATION. THIS HOSPITAL QA FEE PROGRAM PROVIDES A MECHANISM FOR INCREASING PAYMENTS TO HOSPITALS THAT SERVE MEDI-CAL PATIENTS, WITH NO IMPACT ON THE STATE'S GENERAL FUND (GF). SOME OF THESE PAYMENTS WILL BE MADE DIRECTLY BY THE STATE, WHILE OTHERS WILL BE MADE BY MEDI-CAL MANAGED CARE PLANS, WHICH WILL RECEIVE INCREASED CAPITATION RATES FROM THE STATE IN AMOUNTS EQUAL TO THE SUPPLEMENTAL PAYMENTS. OUTSIDE OF THE LEGISLATION, THE CALIFORNIA HOSPITAL ASSOCIATION (CHA) HAS CREATED A PRIVATE PROGRAM, OPERATED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST (CHFT), WHICH WAS ESTABLISHED TO ALLEVIATE DISPARITIES POTENTIALLY RESULTING FROM THE IMPLEMENTATION OF THE PROGRAMS. DURING THE YEAR ENDED JUNE 30, 2012, UNDER THE SIX-MONTH PROGRAM, ST MARY MEDICAL CENTER RECOGNIZED SUPPLEMENTAL PAYMENT REVENUE IN THE AMOUNT OF $30,178,701 AND A PLEDGE PAYMENT TO CHFT OF $400,060. THE SUPPLEMENTAL PAYMENT IS REPORTED ON LINE 7B, COLUMN (D) OF PART I OF SCHEDULE H. THE UNREIMBURSED MEDICAID PERCENTAGE ON LINE 7B IS 7.01,% WHEN THE SUPPLEMENTAL PAYMENT IS EXCLUDED FROM THE CALCULATION. THE TOTAL FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT PERCENTAGE IS 12.17%, WHEN THE SUPPLEMENTAL PAYMENT IS EXCLUDED FROM THE CALCULATION. | SCHEDULE H, PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| CATHOLIC CHARITIES | |||||||
| 1450 N D STREET | SAN BERNARDINO | CA | 92405 | 953516461 | 501(c)(3) | 45050 | PROGRAM SUPPORT |
| ST JOHN OF GOD | |||||||
| 13333 PALMDALE RD | VICTORVILLE | CA | 92392 | 953806996 | 501(c)(3) | 48000 | PROGRAM SUPPORT |
| LORD'S TABLE | |||||||
| 15512 6TH STREET | VICTORVILLE | CA | 92392 | 953293901 | 501(c)(3) | 15000 | PROGRAM SUPPORT |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | |||||||
| 3345 Michelson Dr STE 100 | Irvine | CA | 92612 | 330143024 | 501(c)(3) | 1353500 | CARE FOR THE POOR |
| CALIFORNIA HEALTH FOUNDATION TRUST | |||||||
| 1215 K Street 800 | Sacramento | CA | 95814 | 941498697 | 501(c)(3) | 400060 | HOSPITAL FEE PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Organization's Procedures for Monitoring the Use of Grants | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | COMMUNITY BENEFIT COMMITTEE OVERSEES/MONITORS GRANT USAGE ON A MONTHLY BASIS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALAN H GARRETT | |||||||||||||
| 0 | 408724 | 0 | 328016 | 0 | 158398 | 0 | 21689 | 0 | 29534 | 0 | 946361 | 0 | 0 |
| STEVE GILBERT | |||||||||||||
| 0 | 338782 | 0 | 143407 | 0 | 107761 | 0 | 22022 | 0 | 29947 | 0 | 641919 | 0 | 0 |
| KEVIN MURPHY | |||||||||||||
| 0 | 206636 | 0 | 82905 | 0 | 51729 | 0 | 12126 | 0 | 29796 | 0 | 383192 | 0 | 0 |
| DAVID O'BRIEN | |||||||||||||
| 373114 | 0 | 119620 | 0 | 98628 | 0 | 12216 | 0 | 10111 | 0 | 613689 | 0 | 0 | 0 |
| EDWARD WONG | |||||||||||||
| 309690 | 0 | 114545 | 0 | 96812 | 0 | 22024 | 0 | 32721 | 0 | 575792 | 0 | 0 | 0 |
| JAMES KYLE | |||||||||||||
| 275257 | 0 | 99063 | 0 | 63695 | 0 | 9649 | 0 | 13264 | 0 | 460928 | 0 | 0 | 0 |
| STEPHEN ECKBERG | |||||||||||||
| 205670 | 0 | 74419 | 0 | 57411 | 0 | 17145 | 0 | 22059 | 0 | 376704 | 0 | 0 | 0 |
| MARILYN DRONE | |||||||||||||
| 184902 | 0 | 65544 | 0 | 39019 | 0 | 9504 | 0 | 16055 | 0 | 315024 | 0 | 0 | 0 |
| RANDY BEVILACQUA | |||||||||||||
| 170369 | 0 | 52139 | 0 | 47037 | 0 | 13442 | 0 | 12639 | 0 | 295626 | 0 | 0 | 0 |
| JOHN PERRING-MULLIGAN | |||||||||||||
| 163776 | 0 | 58635 | 0 | 38474 | 0 | 8699 | 0 | 14435 | 0 | 284019 | 0 | 0 | 0 |
| LARRY WOODARD | |||||||||||||
| 144852 | 0 | 35409 | 0 | 34912 | 0 | 0 | 0 | 17746 | 0 | 232919 | 0 | 0 | 0 |
| VANBOTRA HUANG | |||||||||||||
| 185999 | 0 | 11498 | 0 | 1778 | 0 | 7942 | 0 | 12511 | 0 | 219728 | 0 | 0 | 0 |
| EDWARD MEDINA | |||||||||||||
| 184685 | 0 | 0 | 0 | 3630 | 0 | 17263 | 0 | 19286 | 0 | 224864 | 0 | 0 | 0 |
| NORMAN SOTTO | |||||||||||||
| 174491 | 0 | 0 | 0 | 1676 | 0 | 8807 | 0 | 0 | 0 | 184974 | 0 | 0 | 0 |
| RACHADA COURTIER | |||||||||||||
| 167141 | 0 | 0 | 0 | 7560 | 0 | 15260 | 0 | 1901 | 0 | 191862 | 0 | 0 | 0 |
| LEE GARDNER | |||||||||||||
| 151198 | 0 | 7252 | 0 | 7292 | 0 | 11636 | 0 | 13107 | 0 | 190485 | 0 | 0 | 0 |
| DONALD MILLER | |||||||||||||
| 0 | 247908 | 0 | 24590 | 0 | 226058 | 0 | 19599 | 0 | 19409 | 0 | 537564 | 0 | 152453 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Compensation Information | SCHEDULE J, PART I, LINE 1A | TRAVEL FOR COMPANIONS ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL TO CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. MEMBERS OF THE BOARD AND EXECUTIVE MANAGEMENT TEAM ARE SELECTED TO PARTICIPATE IN AN ANNUAL PILGRIMAGE TO LE PUY, FRANCE, WHERE THE SISTERS' FIRST CONGREGATION WAS FORMED. THE PURPOSE OF THE PILGRIMAGE IS FOR THE ORGANIZATION'S LEADERS TO DEVELOP A DEEPER UNDERSTANDING OF THE ROOTS AND HERITAGE OF THE ORGANIZATION IN ORDER TO CARRY OUT THE MISSION. COMPANION TRAVEL IS CONSIDERED TO BE AN ESSENTIAL PART OF THIS EXPERIENCE AND THE COMPANION ACTS AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING DIRECTORS/OFFICERS RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. THE FOLLOWING TRUSTEES AND OFFICERS RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. THE BENEFITS WERE PAID BY ST. MARY'S MEDICAL CENTER'S TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM. EDWARD WONG - $3,672 TAX INDEMNIFICATIONS AND GROSS-UP PAYMENTS GIFT CARDS PROVIDED TO EMPLOYEES DURING CHRISTMAS AND THROUGHOUT THE YEAR FOR REWARD AND RECOGNITION ARE GROSSED UP AND TAXES ARE PAID BY THE MINISTRY. DISCRETIONARY SPENDING ACCOUNT EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. |
| SCHEDULE J, PART I, LINE 3 | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON BY A RELATED ORGANIZATION. SEE SCHEDULE O FOR 990, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOESEPH HEALTH SYSTEM. | |
| SCHEDULE J, PART I, LINE 4B | EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM THE 457(F) PLAN DURING THE YEAR: DONALD MILLER - $152,453 | |
| SCHEDULE J, PART I, LINE 7 | A PORTION OF THE EXECUTIVE'S SALARY IS PLACED "AT-RISK" AND IS 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
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | UPLAND ANESTHESIA | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SEE PART V | Relationship |
| Amount Of Transaction | 617778 | AmountOfTransaction |
| Description Of Transaction | ANESTHESIA SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION | Identifier |
| Return Reference | SCHEDULE L, PART IV, LINE (2), COLUMN (b) | ReturnReference |
| Explanation | HENRY GONZALEZ, M.D. SERVES ON THE BOARD OF ST. MARY MEDICAL CENTER AND IS ALSO A BOARD MEMBER AND PARTNER OF UPLAND ANESTHESIA. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | PART I, LINE 1 & PART III, LINE 1 | ST. JOSEPH HEALTH SYSTEM 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. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, ST. MARY MEDICAL CENTER 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. MARY MEDICAL CENTER HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 17 YEARS. SERVING THE COMMUNITIES OF ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE AS WELL NUMEROUS UNINCORPATAED RURAL COMMUNITIES IN SAN BERNARDINO COUNTY, ST. MARY MEDICAL CENTER IS A 210 ACUTE CARE HOSPITAL, PROVIDING QUALITY CARE IN EMERGENCY AND INTENSIVE CARE, HEART AND STROKE, OB, DIABETES AND PEDIATRICS, RADIOLOGY, SURGERY AND RESPIRATORY CARE AND IS DESIGNATED AS BABY FRIENDLY BY THE WORLD HEALTH ORGANIZATION. ST. MARY MEDICAL CARE OPERATES MOBILE MEDICAL AND FIXED COMMUNITY CLINIC SERVICES PROVIDING PRIMARY CARE AND EDUCATION INCLUDING MATERNAL CARE, COUNSELING AND EDUCATION AND DIABETES CARE. THE HOSPITAL PROVIDES OUTREACH ENROLLING THE UNINSURED AND EXPANDING ACCESS TO HEALTH SERVICES IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS. WITH OVER 1,750 EMPLOYEES COMMITTED TO REALIZING THE MISSION, ST. MARY IS ONE OF THE LARGEST EMPLOYERS IN SAN BERNARDINO COUNTY'S HIGH DESERT REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, ST. MARY MEDICAL CENTER IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA 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. MARY MEDICAL CENTER IS COMMITTED TO THREE SYSTEM WIDE MISSION OUTCOMES: EVERY INTERACTION WILL BE EXPERIENCED AS A SACRED ENCOUNTER. THE GOAL OF SACRED ENCOUNTER HAS A DIRECT CONNECTION TO THE OVERALL MISSION. OUR VALUE OF DIGNITY CALLS FOR US TO RESPECT EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE. WE STRIVE TO DO THIS BY KEEPING AT THE FOREFRONT OF OUR MINDS THE UNDERSTANDING OF THE IMPACT WE CAN HAVE ON ONE ANOTHER WITH EVERY ACTION WE TAKE. ST. MARY MEDICAL CENTER CONDUCTS "SPOTLIGHTING" A PROCESS WHERE EXCELLENCE IN PATIENT CARE IS HIGHLIGHTED TO FURTHER ILLUSTRATE THE SACREDNESS OF SERVING PATIENTS WITH MEDICAL CARE. THE SPOTLIGHTING PROCESS IS DEPLOYED IN MULTIPLE HOSPITAL DEPARTMENTS AND THE RECORDED ENCOUNTERS USED FOR EMPLOYEE AND PHYSICIAN EDUCATION. SPOTLIGHTING IS A PROCESS IDENTIFYING SPECIFIC MOMENTS IN PATIENT CARE THAT CAN BE TAUGHT AND REPEATED WITH OTHER PATIENTS. 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 HOSPITAL OPERATES A PATIENT CALL BACK PROGRAM TO FOLLOW-UP ON PATIENTS DISCHARGED FROM THE HOSPITAL. THE PROGRAM IS DESIGNED TO SOLICIT PATIENT FEEDBACK ABOUT THE QUALITY OF THEIR HOSPITAL CARE AND THE COORDINATION OF THEIR ONGOING CARE. PATIENT FEEDBACK IS NEED USED BY HOSPITAL STAFF TO IMPROVE 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. THE HOSPITAL IS IMPLEMENTING A CHILD OBESITY PROGRAM DIRECTED AT PREVENTING THE NEXT GENERATION OF OBESE CHILDREN, TEENS AND ADULTS. THE PROGRAM IS IMPLEMENTED IN HEAD START PROGRAMS WHERE LOW INCOME FAMILIES HAVE THEIR YOUNG CHILDREN (AGES 3-5 YEARS) PROVIDED CARE FOR. TEACHERS ARE TRAINED AND PLAY EQUIPMENT PROVIDED TO EXPAND PLAY AND ACTIVITY TIME IN THE CLASSROOM. PARENTS OF CHILDREN ARE PROVIDED MEDICAL NUTRITIONAL COUNSELING THAT ADDRESSES COMMON FOOD ISSUES INCLUDING APPROPRIATE PORTION SIZES THE ADOPTION OF EATING HABITS INCLUDING INCREASING FRUITS AND VEGETABLES AND THE ELIMINATION OF SUGARY BEVERAGES AND THE BENEFITS OF PLAY AND EXERCISE. THE PROGRAM'S DESIGN INCLUDES BASE LINING THE BODY MASS INDEX OF ALL CHILDREN AND WORKING TO SLOW WEIGHT GAIN OF OVERWEIGHT AND OBESE CHILDREN. BODY MASS INDEX MEASURES ARE CONDUCTED AT YEAR END IN ORDER TO DETERMINE THE PERCENTAGE OF CHILDREN WHO MAINTAINED A HEALTH WEIGHT AS WELL AS THE PERCENTAGE OF CHILDREN WHO DROPPED ONE WEIGHT CLASSIFICATION FROM OBESE TO OVERWEIGHT OR HEALTHY WEIGHT. THE PROGRAM IS ACHIEVING HEALTHY PEOPLE 2020 GOALS FOR CHILD OBESITY AND 22% OF THE PROGRAMS OVERWEIGHT OR OBESE CHILDREN DROPPED ONE WEIGHT CLASSIFICATION IN FY12. PROGRAM SERVICE ACCOMPLISHMENTS FINANCIAL ASSISTANCE PROGRAM WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST. MARY MEDICAL CENTER, HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE AND/OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. FACTORS USED IN DETERMINING ELIGIBILITY FOR PATIENT FINANCIAL ASSISTANCE INCLUDE INCOME LEVEL, ASSET LEVEL, AND MEDICAL INDIGENCE. IN FY12 THE HOSPITAL PROVIDED $7,734,081 IN FINANCIAL ASSISTANCE. SERVICES TO VULNERABLE POPULATIONS THE HOSPITAL PROVIDES AN EXTENSIVE CARE TO THE COMMUNITIES UNINSURED AND LOW INCOME POPULATIONS WITH COMMUNITY HEALTH SERVICES DIRECTED TO POOR AND VULNERABLE POPULATIONS. IN FY12 THE HOSPITAL PROVIDED $3,135,002 IN SERVICES TO COMMUNITY HEALTH IMPROVEMENT SERVICES, SUBSIDIZED HEALTH SERVICES, COMMUNITY BUILDING AND COMMUNITY BENEFIT OPERATIONS. SERVICES TO THE BROADER COMMUNITY THE HOSPITAL OPERATES HEALTHY COMMUNITIES PROGRAMS DIRECTED TO AT ASSISTING NEIGHBORING COMMUNITIES TO IMPROVE THE QUALITY OF LIFE FOR THEIR RESIDENTS. INITIATIVES INCLUDE BUT ARE NOT LIMITED TO EXPANDING PARK AND RECREATION PROGRAMS, DEVELOPING JOINT USE AGREEMENTS BETWEEN CITIES AND SCHOOLS THAT EXPAND PUBLIC ACCESS TO RECREATION, SAFE AND COMPLETE STREET PROGRAMS AND IMPLEMENTATION OF HEALTHY VENDING MACHINE STANDARDS. IN FY 12 THE HOSPITAL INVESTED $284,168 IN THESE EFFORTS. FOR MORE INFORMATION ABOUT ST. MARY MEDICAL CENTER, PLEASE VISIT WWW. STMARYAPPLEVALLEY.COM FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG. |
| DESCRIPTION OF DELEGATING CONTROL OVER MANAGEMENT | FORM 990, PART VI, LINE 3 | PITT CALKIN HIRED IN DECEMBER 2011 AS TOP FINANCIAL OFFICER THROUGH A MANAGEMENT AGREEMENT FOR DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECTION OF OFFICERS. SUCH DUTIES INCLUDED HIRING, FIRING, AND SUPERVISION OF HOSPITAL DIRECTORS/MANAGERS OF THE ORGANIZATION. |
| DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS | Form 990, PART VI, LINE 6 | ST JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. MARY MEDICAL CENTER. |
| DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS | FORM 990, PART VI, LINE 7A | ST. MARY MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. MARY MEDICAL CENTER BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST. MARY MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. |
| DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS | Form 990, PART VI, LINE 7B | THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. |
| DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 | FORM 990, PART VI, LINE 11B | THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 WAS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 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. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, LINE 12C | OFFICERS, 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 FINANCE 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. |
| PROCESS USED TO DETERMINE COMPENSATION | FORM 990, PART VI, LINE 15A & 15B | 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 PUBLIC | FORM 990, PART VI, QUESTION 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS AND PHILANTHROPY REPORTS ARE ALSO AVALIABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990. |
| HOURS DEVOTED TO RELATED ORGANIZATIONS | FORM 990, PART VII | CERTAIN 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 THE ENTITY. EFFECTIVE 7/1/11, ED WONG TRANSFERRED TO A RELATED ORGANIZATION OF ST MARY MEDICAL CENTER (SMMC). DURING THE YEAR HE DEVOTED ZERO HOURS PER WEEK TO SMMC AND 50 HOURS PER WEEK TO THE RELATED ORGANIZATION. |
| CHANGES IN NET ASSETS OR FUND BALANCE | FORM 990, PART XI, LINE 5 | SJHH-AV EQUITY TRANSFER ($2,200,000) UNREALIZED LOSS ON INVESTMENTS ($2,121,903) EQUITY TRANSFER TO SJHS ($1,569,706) EQUITY TRANSFER FROM SJHS $7,363,235 ------------ TOTAL $1,471,626 |
| OVERSIGHT OF SELECTION PROCESS | FORM 990, PART XII, LINE 2C | THE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT HEALTH PARTNERS | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 611573313 | HEALTHCARE | TX | 501(C)(3) | 11, I | CHS | true |
| COVENANT HEALTH SYSTEM | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752765566 | HEALTHCARE | TX | 501(C)(3) | 3 | SJHS | true |
| COVENANT HEALTH SYSTEM FOUNDATION | ||||||||||
| 4000 24TH STREET | LUBBOCK | TX | 79410 | 752897026 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | true |
| COVENANT MEDICAL GROUP | ||||||||||
| 3420 22ND PLACE | LUBBOCK | TX | 79410 | 752743883 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | true |
| HOME CARE PARTNERS | ||||||||||
| 1165 MONTGOMERY DR | SANTA ROSA | CA | 95405 | 680318656 | INACTIVE | CA | 501(C)(3) | 3 | SRMH | true |
| HOSPICE OF LUBBOCK | ||||||||||
| 1102 SLIDE ROAD | LUBBOCK | TX | 79414 | 752133781 | HEALTHCARE | TX | 501(C)(3) | 9 | CHS | true |
| LUBBOCK METHODIST HOSPITAL FOUNDATION | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752220963 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | true |
| METHODIST CHILDREN'S HOSPITAL | ||||||||||
| 3610 21ST STREET | LUBBOCK | TX | 79410 | 752428911 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | true |
| METHODIST HOSPITAL LEVELLAND | ||||||||||
| 1900 COLLEGE AVENUE | LEVELLAND | TX | 79336 | 752246348 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | true |
| METHODIST HOSPITAL PLAINVIEW | ||||||||||
| 2601 DIMMITT ROAD | PLAINVIEW | TX | 79072 | 752426010 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | true |
| MISSION HOSPITAL REG MED CTR FDN | ||||||||||
| 27700 MEDICAL CENTER ROAD | MISSION VIEJO | CA | 92691 | 330406118 | HEALTHCARE | CA | 501(C)(3) | 7 | MHRMC | true |
| MISSION HOSPITAL REGIONAL MEDICAL CENTER | ||||||||||
| 27700 MEDICAL CENTER ROAD | MISSION VIEJO | CA | 92691 | 951643360 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| QUEEN OF THE VALLEY MEDICAL CENTER | ||||||||||
| 1000 TRANCAS STREET | NAPA | CA | 94558 | 941243669 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| REDWOOD MEMORIAL FOUNDATION | ||||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 942779313 | FOUNDATION | CA | 501(C)(3) | 7 | RMH | true |
| REDWOOD MEMORIAL HOSPITAL | ||||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 941384665 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| SANTA ROSA MEMORIAL HOSPITAL | ||||||||||
| 1165 MONTGOMERY DRIVE | SANTA ROSA | CA | 95405 | 941231005 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| SISTERS OF ST JOSEPH OF ORANGE | ||||||||||
| 480 S BATAVIA | ORANGE | CA | 92868 | 951643383 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | NA | false |
| SRM ALLIANCE HOSPITAL SERVICES | ||||||||||
| 400 NORTH MCDOWELL BLVD | PETALUMA | CA | 94954 | 680395200 | HEALTHCARE | CA | 501(C)(3) | 3 | SRMH | true |
| ST JOSEPH HEALTH FDN OF N CALIFORNIA | ||||||||||
| PO BOX 552 | SANTA ROSA | CA | 95405 | 680338070 | INACTIVE | CA | 501(C)(3) | 11, I | SRMH | true |
| ST JOSEPH HEALTH MINISTRY | ||||||||||
| 3345 MICHELSON DR STE 100 | IRVINE | CA | 92612 | 271666576 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | SSJO | false |
| ST JOSEPH HEALTH SYSTEM | ||||||||||
| 3345 MICHELSON DR STE 100 | IRVINE | CA | 92612 | 953589356 | HEALTHCARE | CA | 501(C)(3) | 11, I | SJHM | false |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||||||||||
| 3345 MICHELSON DR STE 100 | IRVINE | CA | 92612 | 330143024 | HEALTHCARE | CA | 501(C)(3) | 7 | SJHS | true |
| ST JOSEPH HOME CARE NETWORK | ||||||||||
| 170 PROFESSIONAL CENTER DR B | ROHNERT PARK | CA | 94928 | 680331084 | HEALTHCARE | CA | 501(C)(3) | 9 | SJHS | true |
| ST JOSEPH HOSPITAL OF EUREKA | ||||||||||
| 2700 DOLBEER STREET | EUREKA | CA | 95501 | 941156596 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| ST JOSEPH HOSPITAL OF ORANGE | ||||||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 951643359 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| ST JUDE HOSPITAL YORBA LINDA | ||||||||||
| 279 E IMPERIAL HWY 750 | FULLERTON | CA | 92835 | 330185031 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| ST JUDE HOSPITAL INC | ||||||||||
| 101 EAST VALENCIA MESA DRIVE | FULLERTON | CA | 92835 | 951643325 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | true |
| ST JUDE MEMORIAL FOUNDATION | ||||||||||
| 1440 N HARBOR BLVD 200 | FULLERTON | CA | 92835 | 953607229 | HEALTHCARE | CA | 501(C)(3) | 11, I | SJMC | true |
| ST MARY OF THE PLAINS HOSPITAL FDN | ||||||||||
| 4000 24TH STREET | LUBBOCK | TX | 79410 | 751653181 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | true |
| TALLER SAN JOSE | ||||||||||
| 801 NORTH BROADWAY | SANTA ANA | CA | 92701 | 593816355 | WORKFORCE DEV | CA | 501(C)(3) | 2 | SSJO | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (10 entries)
| Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | EINEIN |
|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH HLTH SYS HOME HLTH | |||||||||
| HOME HEALTH | CA | NA | N/A | 0 | 0 | false | $0 | false | |
| ST JOSEPH HLTH SYS HOME CARE | |||||||||
| HOME HEALTH | CA | NA | N/A | 0 | 0 | false | $0 | false | 330307672 |
| METHODIST DIAGNOSTIC IMAGING | |||||||||
| HEALTHCARE SVCS | TX | NA | N/A | 0 | 0 | false | $0 | false | 752343261 |
| SHA LLC | |||||||||
| HEALTHCARE SVCS | TX | NA | N/A | 0 | 0 | false | $0 | false | 752569094 |
| LUBBOCK SURGERY CENTER LTD | |||||||||
| HEALTHCARE SVCS | TX | NA | N/A | 0 | 0 | false | $0 | false | 752177401 |
| COVENANT LONG-TERM CARE LP | |||||||||
| HEALTHCARE SVCS | TX | NA | N/A | 0 | 0 | false | $0 | false | 205033419 |
| HERITAGE INVESTMENT GROUP | |||||||||
| INVESTMENT | CA | NA | N/A | 0 | 0 | false | $0 | false | |
| MISSION AMBULATORY SURGICENTER | |||||||||
| HEALTHCARE SVCS | CA | NA | N/A | 0 | 0 | false | $0 | false | 330355575 |
| COMPREHENSIVE IMAGING PARTNERS | |||||||||
| HEALTHCARE SVCS | CA | NA | N/A | 0 | 0 | false | $0 | false | 264591502 |
| ST JOSEPH PHYSICIAN VENTURES | |||||||||
| REAL ESTATE | CA | NA | N/A | 0 | 0 | false | $0 | false | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH PROF SVCS ENTERPRISES INC | |||||||||||||||||
| 3345 MICHELSON DR STE 100 | IRVINE | CA | 92612 | 330155323 | HEALTHCARE SVCS | CA | NA | C-CORP | 0 | 0 | 0.00000 | ||||||
| AMERICAN UNITY GROUP LTD | |||||||||||||||||
| CAPTIVE INSURANCE | NA | C-CORP | 0 | 0 | 0.00000 | 58 PAR-LA-VILLE ROAD | HAMILTON | HM | BD | HX | BD | ||||||
| ALLIANCE PHYSICIAN SERVICES | |||||||||||||||||
| INACTIVE | CA | NA | C CORP | 0 | 0 | 0.00000 | |||||||||||
| MISSION VIEJO MEDICAL VENTURES | |||||||||||||||||
| 27800 MEDICAL CENTER RD 354 | MISSION VIEJO | CA | 92691 | 330212905 | HEALTHCARE SVCS | CA | NA | C CORP | 0 | 0 | 0.00000 | ||||||
| MISSION MEDICAL CENTER ASSOCIATION | |||||||||||||||||
| 27800 MEDICAL CENTER RD 354 | MISSION VIEJO | CA | 92691 | 330201044 | HEALTHCARE SVCS | CA | NA | C CORP | 0 | 0 | 0.00000 | ||||||
| ST JOSEPH YORBA PARK | |||||||||||||||||
| 330201044 | INACTIVE | CA | NA | C CORP | 0 | 0 | 0.00000 | ||||||||||
| LUBBOCK METHODIST HOSP SVCS | |||||||||||||||||
| PO BOX 1201 | LUBBOCK | TX | 79410 | 752118585 | HEALTHCARE SVCS | TX | NA | C CORP | 0 | 0 | 0.00000 | ||||||
| LUBBOCK METHODIST HOSP PRACTICE MGMT | |||||||||||||||||
| PO BOX 1201 | LUBBOCK | TX | 79410 | 752578995 | INACTIVE | TX | NA | C CORP | 0 | 0 | 0.00000 | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ST JOSEPH HEALTH SYSTEM | ||
| O | 18920991 | ACCRUAL |
| ST JOSEPH HEALTH SYSTEM | ||
| L | 9466165 | ACCRUAL |
| ST JOSEPH HEALTH SYSTEM | ||
| Q | 2664959 | ACCRUAL |
| ST JOSEPH HERITAGE HEALTH FOUNDATION | ||
| B | 2200000 | ACCRUAL |
| AMERICAN UNITY GROUP LTD | ||
| Q | 1690633 | ACCRUAL |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||
| B | 1353500 | ACCRUAL |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||
| C | 887691 | ACCRUAL |
| REVENUE COLLECTION SERVICES | ||
| O | 185771 | ACCRUAL |
| ST JOSEPH HERITAGE HEALTH FOUNDATION | ||
| P | 42238 | ACCRUAL |
| ST JOSEPH HOSPITAL OF ORANGE | ||
| K | 30860 | ACCRUAL |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP | Identifier |
| Return Reference | SCHEDULE R, PART III | ReturnReference |
| Explanation | ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100 ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183 AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 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 92868 | Explanation |