FURP.ORG / PUBLIC DATA EXPLORER

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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-13T17:55:41-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118111 VON KARMAN AVENUE SUITE 1000AddressLine1
CityIRVINECity
StateCAState
ZIP Code92612ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951914489EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST MARY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% SHAWN CURTIS DIR OF FINANCEInCareOfName
Name ControlSTMANameControl
Phone7602422311Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line118300 HIGHWAY 18AddressLine1
CityAPPLE VALLEYCity
StateCAState
ZIP Code92307ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameALAN H GARRETTName
TitlePRESIDENT/CEOTitle
Date Signed2013-05-10DateSigned

Preparer Preparer

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

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALAN H GARRETTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line118300 HIGHWAY 18AddressLine1
CityAPPLE VALLEYCity
StateCAState
ZIP Code92307ZIPCode
FieldValueIRS element (for citing)
Gross Receipts305796667GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STMARYAPPLEVALLEY.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1953YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1904TotalNbrEmployees
Total Nbr Volunteers232TotalNbrVolunteers
Total Gross UBI10325TotalGrossUBI
Net Unrelated Business Txbl Income-333NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1912620ContributionsGrantsPriorYear
Contributions Grants Current Year3166343ContributionsGrantsCurrentYear
Program Service Revenue Prior Year285858558ProgramServiceRevenuePriorYear
Program Service Revenue CY299582933ProgramServiceRevenueCY
Investment Income Prior Year4792693InvestmentIncomePriorYear
Investment Income Current Year2713735InvestmentIncomeCurrentYear
Other Revenue Prior Year140716OtherRevenuePriorYear
Other Revenue Current Year145504OtherRevenueCurrentYear
Total Revenue Prior Year292704587TotalRevenuePriorYear
Total Revenue Current Year305608515TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3121856GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1861610GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year133982243SalariesEtcPriorYear
Salaries Etc Current Year134456679SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year902832TotalFundrsngExpCurrentYear
Other Expense Prior Year115766457OtherExpensePriorYear
Other Expenses Current Year126969202OtherExpensesCurrentYear
Total Expenses Prior Year252870556TotalExpensesPriorYear
Total Expenses Current Year263287491TotalExpensesCurrentYear
Revenues Less Expenses Prior Year39834031RevenuesLessExpensesPriorYear
Revenues Less Expenses CY42321024RevenuesLessExpensesCY
Total Assets BOY262302057TotalAssetsBOY
Total Assets EOY288172385TotalAssetsEOY
Total Liabilities BOY103538865TotalLiabilitiesBOY
Total Liabilities EOY85616543TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY158763192NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY202555842NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense231646382Expense
Grants1861610Grants
Revenue299582933Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense231646382TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096337NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1904NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSHAWN CURTIS DIR OF FINANCENamePerson
Telephone Number7609468742TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118300 HIGHWAY 18AddressLine1
CityAPPLE VALLEYCity
StateCAState
ZIP Code92307ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ALAN H GARRETT
PRESIDENT/CEO50.0XX089513851223
VINCENT AJANWACHUKU MD
BOARD OF DIRECTOR (PART YEAR)2.0X000
VIRGIL BARNES
BOARD OF DIRECTOR2.0X000
ROSELLA BERNAL
BOARD OF DIRECTOR2.0X000
BROTHER STEPHEN DE LA ROSA
BOARD OF DIRECTOR2.0X000
STEVE GILBERT
BOD/VP CONSTRUCTION(PART YEAR)2.0X058995051969
SISTER MARTHA ANN FITZPATRICK
BOARD OF DIRECTOR2.0X000
HENRY GONZALEZ MD
BOARD OF DIRECTOR2.0X000
SISTER THERESA LAMETTEREY
BOARD OF DIRECTOR2.0X000
JOHN HULTERSTROM
BOARD OF DIRECTOR2.0X000
DIANA CARLONI O'MALLEY
BOARD OF DIRECTOR2.0X000
ROB TURNER
BOARD OF DIRECTOR2.0X000
WANDA WILBURN MD
BOARD OF DIRECTOR (PART YEAR)2.0X000
BROTHER PETER GELFER
BOARD OF DIRECTOR (PART YEAR)2.0X000
ERIC MORENO
BOARD OF DIRECTOR2.0X000
KEVIN MURPHY
BOARD OF DIRECTOR2.0X034127041922
SYED RAZA MD
BOARD OF DIRECTOR (PART YEAR)2.0X000
BROTHER IGNATIUS SUDOL
BOARD OF DIRECTOR2.0X000
DAVID VARGAS MD
BOARD OF DIRECTOR2.0X000
VODUR REDDY MD
BOARD OF DIRECTOR2.0X000
DAVID O'BRIEN
CHIEF OPERATING OFFICER50.0X591362022327
JOHN PERRING-MULLIGAN
SEC/VP MISSION INTEGRATION50.0X260885023134
PITT CALKIN
TOP FINANCIAL OFFICIAL50.0X000
JAMES KYLE
VP MEDICAL AFFAIRS50.0438015022913X
STEPHEN ECKBERG
VP HUMAN RESOURCES50.0337500039204X
MARILYN DRONE
CHIEF NURSING OFFICER50.0289465025559X
RANDY BEVILACQUA
VP COMMUNICATIONS50.0269545026081X
LARRY WOODARD
VP FOUNDATION50.0215173017746X
VANBOTRA HUANG
DIRECTOR OF PHARMACY50.0199275020453X
EDWARD MEDINA
PACS/RIS COORDINATOR50.0188315036549X
NORMAN SOTTO
STAFF RN - PER DIEM III50.017616708807X
RACHADA COURTIER
STAFF RN50.0174701017161X
LEE GARDNER
MANAGER CLINICAL PHARMACY50.0165742024743X
DONALD MILLER
VP FINANCE/CFO049855639008X
EDWARD WONG
VP FINANCE/CFO0.0521047054745X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3827192TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2324914TotalReportableCompFrmRltdOrgs
Total Other Compensation523544TotalOtherCompensation
Number Individuals GT100 K222NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INTELISTAF TRAVEL
901 YAMATO ROAD STE 110BOCA RATONFL33431NURSING REGISTRY7515308
UNIVERSAL HOSPITAL SERVICES
9853 PACIFIC HEIGHTS BLVD STE ESAN DIEGOCA92121RENTAL SERVICES1040674
MS ILBEIGI AND ASSOC MD INC
18300 HIGHWAY 18APPLE VALLEYCA92307MEDICAL SERVICES1013547
INLAND CARDIOTHORACIC SURGICAL
401 E HIGHLAND AVE STE 251SAN BERNARDINOCA92404MEDICAL SERVICES1000049
HOSPITALIST MEDICINE PHYSICIANS
4535 DRESSLER ROAD NWCANTONOH44718MEDICAL SERVICES932441
FieldValueIRS element (for citing)
Number Of Contractors GT100 K147NumberOfContractorsGT100K
Fundraising Events73795FundraisingEvents
Related Organizations1064690RelatedOrganizations
Government Grants702920GovernmentGrants
All Other Contributions1324938AllOtherContributions
Total Contributions3166343TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE622110278837325278837325
CAPITATION PREMIUM REVENUE6221101930155319301553
CAFETERIA722110532330532330
MOB RENTAL531120109068109068
LABORATORY6215001032510325

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column792332TotalRevenueColumn
Related Or Exempt Function Income792332RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue299582933TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2713735TotalRevenueColumn
Exclusion$2,713,735ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events333656GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events73795CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses188152FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column145504TotalRevenueColumn
Exclusion$145,504ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column305608515TotalRevenueColumn
Related Or Exempt Function Income299572608RelatedOrExemptFunctionIncome
Unrelated Business Revenue10325UnrelatedBusinessRevenue
Exclusion$2,859,239ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1861610Total
Program Services1861610ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3827187Total
Program Services1901224ProgramServices
Management And General1710791ManagementAndGeneral
Fundraising215172Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total90199167Total
Program Services86004635ProgramServices
Management And General3999462ManagementAndGeneral
Fundraising195070Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4979335Total
Program Services4517328ProgramServices
Management And General427406ManagementAndGeneral
Fundraising34601Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total27484049Total
Program Services24664416ProgramServices
Management And General2685689ManagementAndGeneral
Fundraising133944Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7966941Total
Program Services7238165ProgramServices
Management And General697721ManagementAndGeneral
Fundraising31055Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15774233Total
Program Services14775376ProgramServices
Management And General998857ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3698939Total
Program Services20ProgramServices
Management And General3698919ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total264789Total
Program Services15360ProgramServices
Management And General249429ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total67500Total
Program Services67500ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total37172359Total
Program Services32845708ProgramServices
Management And General4138155ManagementAndGeneral
Fundraising188496Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total153242Total
Management And General153242ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5971539Total
Program Services5818521ProgramServices
Management And General134764ManagementAndGeneral
Fundraising18254Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total240123Total
Program Services235848ProgramServices
Management And General4222ManagementAndGeneral
Fundraising53Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2160448Total
Program Services1938231ProgramServices
Management And General218226ManagementAndGeneral
Fundraising3991Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total247669Total
Program Services130617ProgramServices
Management And General109488ManagementAndGeneral
Fundraising7564Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total61503Total
Program Services45318ProgramServices
Management And General14239ManagementAndGeneral
Fundraising1946Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1958349Total
Program Services1958349ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9099823Total
Program Services4075178ProgramServices
Management And General5019191ManagementAndGeneral
Fundraising5454Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2003403Total
Management And General2003403ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES3960631539606315
CAPITATION REINSURANCE284739284739
ALL OTHER EXPENSES82042293661924447507367232

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total263287491Total
Program Services231646382ProgramServices
Management And General30738277ManagementAndGeneral
Fundraising902832Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY23199277BOY
EOY5600960EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY36430743BOY
EOY31623899EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY947400BOY
EOY987600EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY38893617BOY
EOY52303576EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1443925BOY
EOY2191634EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2958239BOY
EOY3315985EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY577110BOY
EOY328991EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis212266748LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec91948757LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY102652366BOY
EOY120317991EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY48672815BOY
EOY47915471EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6526565BOY
EOY23586278EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY262302057BOY
EOY288172385EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31800409BOY
EOY26788208EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY71738456BOY
EOY58828335EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY103538865BOY
EOY85616543EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY152376460BOY
EOY196780794EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6386732BOY
EOY5775048EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY158763192BOY
EOY202555842EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY262302057BOY
EOY288172385EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses42321024ReconcilationRevenueExpenses
Reconcilation Other Changes1471626ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$67,500OtherActivitiesAmount
Total Lobbying Expenditures IIB67500TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYINGIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1iReturnReference
ExplanationA 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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance530889BeginningOfYearBalance
Investment Earnings Or Losses21881InvestmentEarningsOrLosses
Grants Or Scholarships3000GrantsOrScholarships
End Of Year Balance549770EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance473913BeginningOfYearBalance
Investment Earnings Or Losses59976InvestmentEarningsOrLosses
Grants Or Scholarships3000GrantsOrScholarships
End Of Year Balance530889EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance420803BeginningOfYearBalance
Investment Earnings Or Losses56110InvestmentEarningsOrLosses
Grants Or Scholarships3000GrantsOrScholarships
End Of Year Balance473913EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance485207BeginningOfYearBalance
Investment Earnings Or Losses-61404InvestmentEarningsOrLosses
Grants Or Scholarships3000GrantsOrScholarships
End Of Year Balance420803EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis30612878OtherCostOrOtherBasis
Book Value30612878BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis98100948OtherCostOrOtherBasis
Depreciation44817806Depreciation
Book Value53283142BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis328078OtherCostOrOtherBasis
Depreciation182466Depreciation
Book Value145612BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis61936588OtherCostOrOtherBasis
Depreciation46948485Depreciation
Book Value14988103BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21288256OtherCostOrOtherBasis
Book Value21288256BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings120317991TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM MEDI-CAL20142520
PHYSICIAN LOAN RECEIVABLE1658573
OTHER RECEIVABLE437234
FUND ENDOWMENT MELLON BANK549770
DEFERRED FINANCING COST442376
DUE FROM FOUNDATION336577
RENT RECEIVABLE18260
OTHER MISC ASSETS968
FieldValueIRS element (for citing)
Total Book Value Other Assets23586278TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
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
FieldValueIRS element (for citing)
Total Of Amounts58828335TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDS USESchedule D, Part V, lINE 4ENDOWMENT FUNDS WERE DESIGNATED TO PROVIDE SCHOLARSHIP FUNDS FOR NURSING STUDENTS.
CONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740)SCHEDULE D, PART X, LINE 2ACCOUNTING 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

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedCAPTIVE INSURANCESpecificServicesProvided
Total Expenditures1690633TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent1690633SubtotalAmountSpent
Total Amount Spent1690633TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

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

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL GALANameOfEvent1
Gross Receipts Event1317410GrossReceiptsEvent1
Charitable Contributions Event167095CharitableContributionsEvent1
Gross Revenue Event1250315GrossRevenueEvent1
Rent Facility Costs Event15049RentFacilityCostsEvent1
Food And Beverage Event158117FoodAndBeverageEvent1
Entertainment Event131000EntertainmentEvent1
Other Direct Expenses Event169078OtherDirectExpensesEvent1
Name Of Event2GOLF TRNMNTNameOfEvent2
Gross Receipts Event252115GrossReceiptsEvent2
Charitable Contributions Event26160CharitableContributionsEvent2
Gross Revenue Event245955GrossRevenueEvent2
Non Cash Prizes Event23988NonCashPrizesEvent2
Rent Facility Costs Event23954RentFacilityCostsEvent2
Food And Beverage Event25546FoodAndBeverageEvent2
Entertainment Event23650EntertainmentEvent2
Other Direct Expenses Event2515OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events37926GrossReceiptsOtherEvents
Charitable Contrib Other Events540CharitableContribOtherEvents
Gross Revenue Other Events37386GrossRevenueOtherEvents
Non Cash Prizes Other Events1156NonCashPrizesOtherEvents
Rent Facility Costs Other Events2858RentFacilityCostsOtherEvents
Food And Beverage Other Events2093FoodAndBeverageOtherEvents
Entertainment Other Events50EntertainmentOtherEvents
Other Direct Expenses Other Events1098OtherDirectExpensesOtherEvents
Gross Receipts Total407451GrossReceiptsTotal
Charitable Contributions Total73795CharitableContributionsTotal
Gross Revenue Total Events333656GrossRevenueTotalEvents
Non Cash Prizes Total Events5144NonCashPrizesTotalEvents
Rent Facility Costs Total Events11861RentFacilityCostsTotalEvents
Food And Beverage Total Events65756FoodAndBeverageTotalEvents
Entertainment Total Events34700EntertainmentTotalEvents
Other Direct Expenses Total Events70691OtherDirectExpensesTotalEvents
Direct Expense Summary Events188152DirectExpenseSummaryEvents
Net Income Summary145504NetIncomeSummary

Schedule H IRS990ScheduleH

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

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7734082TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense7734082NetCommunityBenefitExpense
Percent Of Total Expense0.02930PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense56987491TotalCommunityBenefitExpense
Direct Offsetting Revenue68657938DirectOffsettingRevenue
Net Community Benefit Expense-11670447NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense64721573TotalCommunityBenefitExpense
Direct Offsetting Revenue68657938DirectOffsettingRevenue
Net Community Benefit Expense-3936365NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4179351TotalCommunityBenefitExpense
Direct Offsetting Revenue953245DirectOffsettingRevenue
Net Community Benefit Expense3226106NetCommunityBenefitExpense
Percent Of Total Expense0.01220PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2843TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2843NetCommunityBenefitExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2256096TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2256096NetCommunityBenefitExpense
Percent Of Total Expense0.00850PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense411875TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense411875NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6850165TotalCommunityBenefitExpense
Direct Offsetting Revenue953245DirectOffsettingRevenue
Net Community Benefit Expense5896920NetCommunityBenefitExpense
Percent Of Total Expense0.02230PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense71571738TotalCommunityBenefitExpense
Direct Offsetting Revenue69611183DirectOffsettingRevenue
Net Community Benefit Expense1960555NetCommunityBenefitExpense
Percent Of Total Expense0.00740PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense7712TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense7712NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense373TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense373NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense28642TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense28642NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense19024TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense19024NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense55751TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense55751NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$7,470,560BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare97605400AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare106369802CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-8764402MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST MARY MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line118300 HIGHWAY 18AddressLine1
CityAPPLE VALLEYCity
StateCAState
ZIP Code92307ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST MARY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent500.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
OUPATIENT SURGERY PAVILLION
18122 US HWY 18APPLE VALLEYCA92307AMBULATORY SURGERY CENTER
WOUND CARE CENTER
16077 KAMANA ROADAPPLE VALLEYCA92307WOUND CARE
HEALTHY BEGINNINGS CLINIC
18977 S OUTER HWY 18 AAPPLE VALLEYCA92307CLINIC
HESPERIA CLINIC
17091 MAIN STREET STE 100HESPERIACA92345CLINIC
ADELANTO CLINIC
11424 CHAMBERLAIN WAY STE 89ADELANTOCA92301CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 7THE 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 7GNO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.SUBSIDIZED HEALTH SERVICES
SCHEDULE H, PART IITHE 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 2THE 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 4FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT: THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, LINE 8THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES (EXCEPT FOR AMOUNTS REPORTED IN PART I, LINE 7) AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT.
SCHEDULE H, PART III, LINE 9BSJHS PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE (100 PERCENT FINANCIAL ASSISTANCE) WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED.
ST. 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 ASSESSMENTTHE 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 ASSISTANCETHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.SCHEDULE H, PART VI, LINE 3
COMMUNITY INFORMATIONTHE 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 HEALTHTHE 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 SYSTEMOUR 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 REPORTREPORTED 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

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CATHOLIC CHARITIES
1450 N D STREETSAN BERNARDINOCA92405953516461501(c)(3)45050PROGRAM SUPPORT
ST JOHN OF GOD
13333 PALMDALE RDVICTORVILLECA92392953806996501(c)(3)48000PROGRAM SUPPORT
LORD'S TABLE
15512 6TH STREETVICTORVILLECA92392953293901501(c)(3)15000PROGRAM SUPPORT
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 Michelson Dr STE 100IrvineCA92612330143024501(c)(3)1353500CARE FOR THE POOR
CALIFORNIA HEALTH FOUNDATION TRUST
1215 K Street 800SacramentoCA95814941498697501(c)(3)400060HOSPITAL FEE PROGRAM
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDescription of Organization's Procedures for Monitoring the Use of GrantsIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationCOMMUNITY BENEFIT COMMITTEE OVERSEES/MONITORS GRANT USAGE ON A MONTHLY BASIS.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALAN H GARRETT
040872403280160158398021689029534094636100
STEVE GILBERT
033878201434070107761022022029947064191900
KEVIN MURPHY
0206636082905051729012126029796038319200
DAVID O'BRIEN
37311401196200986280122160101110613689000
EDWARD WONG
30969001145450968120220240327210575792000
JAMES KYLE
275257099063063695096490132640460928000
STEPHEN ECKBERG
2056700744190574110171450220590376704000
MARILYN DRONE
184902065544039019095040160550315024000
RANDY BEVILACQUA
1703690521390470370134420126390295626000
JOHN PERRING-MULLIGAN
163776058635038474086990144350284019000
LARRY WOODARD
144852035409034912000177460232919000
VANBOTRA HUANG
18599901149801778079420125110219728000
EDWARD MEDINA
18468500036300172630192860224864000
NORMAN SOTTO
174491000167608807000184974000
RACHADA COURTIER
1671410007560015260019010191862000
LEE GARDNER
15119807252072920116360131070190485000
DONALD MILLER
0247908024590022605801959901940905375640152453

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental Compensation InformationSCHEDULE J, PART I, LINE 1ATRAVEL 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 3THE 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 4BEXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM THE 457(F) PLAN DURING THE YEAR: DONALD MILLER - $152,453
SCHEDULE J, PART I, LINE 7A 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

FieldValueIRS element (for citing)
Name PersonUPLAND ANESTHESIANamePerson
FieldValueIRS element (for citing)
RelationshipSEE PART VRelationship
Amount Of Transaction617778AmountOfTransaction
Description Of TransactionANESTHESIA SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierRELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATIONIdentifier
Return ReferenceSCHEDULE L, PART IV, LINE (2), COLUMN (b)ReturnReference
ExplanationHENRY 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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONPART I, LINE 1 & PART III, LINE 1ST. 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 ACCOMPLISHMENTSForm 990, Part III, Line 4ST. 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 MANAGEMENTFORM 990, PART VI, LINE 3PITT 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 STOCKHOLDERSForm 990, PART VI, LINE 6ST JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. MARY MEDICAL CENTER.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, LINE 7AST. 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 RIGHTSForm 990, PART VI, LINE 7BTHE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11BTHE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 WAS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 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 POLICYFORM 990, PART VI, LINE 12COFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION, OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE 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 COMPENSATIONFORM 990, PART VI, LINE 15A & 15BTHE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. THE SJHS EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO FULFILL THEIR RESPONSIBILITY, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE WORKLIFE COMMITTEE IS COMPRISED OF SEVERAL INDEPENDENT MEMBERS OF THE BOARD. THEY MEET AT LEAST 3 TIMES A YEAR AND MAKE ALL CRITICAL DECISIONS IN EXECUTIVE SESSION. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PERFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN JUNE 2012.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, QUESTION 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS AND PHILANTHROPY REPORTS ARE ALSO AVALIABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIICERTAIN EXECUTIVES AND BOARD MEMBERS OF THIS ORGANIZATION ALSO DEVOTED TIME TO OTHER ENTITIES RELATED TO THE FILING ORGANIZATION. THE HOURS DEVOTED TO THE RELATED ORGANIZATIONS ARE NOT GENERALLY TRACKED BY 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 BALANCEFORM 990, PART XI, LINE 5SJHH-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 PROCESSFORM 990, PART XII, LINE 2CTHE 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
COVENANT HEALTH PARTNERS
3615 19TH STREETLUBBOCKTX79410611573313HEALTHCARETX501(C)(3)11, ICHStrue
COVENANT HEALTH SYSTEM
3615 19TH STREETLUBBOCKTX79410752765566HEALTHCARETX501(C)(3)3SJHStrue
COVENANT HEALTH SYSTEM FOUNDATION
4000 24TH STREETLUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHStrue
COVENANT MEDICAL GROUP
3420 22ND PLACELUBBOCKTX79410752743883HEALTHCARETX501(C)(3)3CHStrue
HOME CARE PARTNERS
1165 MONTGOMERY DRSANTA ROSACA95405680318656INACTIVECA501(C)(3)3SRMHtrue
HOSPICE OF LUBBOCK
1102 SLIDE ROADLUBBOCKTX79414752133781HEALTHCARETX501(C)(3)9CHStrue
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREETLUBBOCKTX79410752220963HEALTHCARETX501(C)(3)7CHStrue
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREETLUBBOCKTX79410752428911HEALTHCARETX501(C)(3)3CHStrue
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUELEVELLANDTX79336752246348HEALTHCARETX501(C)(3)3CHStrue
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROADPLAINVIEWTX79072752426010HEALTHCARETX501(C)(3)3CHStrue
MISSION HOSPITAL REG MED CTR FDN
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691330406118HEALTHCARECA501(C)(3)7MHRMCtrue
MISSION HOSPITAL REGIONAL MEDICAL CENTER
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691951643360HEALTHCARECA501(C)(3)3SJHStrue
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREETNAPACA94558941243669HEALTHCARECA501(C)(3)3SJHStrue
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVEFORTUNACA95540942779313FOUNDATIONCA501(C)(3)7RMHtrue
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVEFORTUNACA95540941384665HEALTHCARECA501(C)(3)3SJHStrue
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVESANTA ROSACA95405941231005HEALTHCARECA501(C)(3)3SJHStrue
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)1NAfalse
SRM ALLIANCE HOSPITAL SERVICES
400 NORTH MCDOWELL BLVDPETALUMACA94954680395200HEALTHCARECA501(C)(3)3SRMHtrue
ST JOSEPH HEALTH FDN OF N CALIFORNIA
PO BOX 552SANTA ROSACA95405680338070INACTIVECA501(C)(3)11, ISRMHtrue
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DR STE 100IRVINECA92612271666576RELIGIOUS ORGCA501(C)(3)1SSJOfalse
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DR STE 100IRVINECA92612953589356HEALTHCARECA501(C)(3)11, ISJHMfalse
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR STE 100IRVINECA92612330143024HEALTHCARECA501(C)(3)7SJHStrue
ST JOSEPH HOME CARE NETWORK
170 PROFESSIONAL CENTER DR BROHNERT PARKCA94928680331084HEALTHCARECA501(C)(3)9SJHStrue
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREETEUREKACA95501941156596HEALTHCARECA501(C)(3)3SJHStrue
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVEORANGECA92868951643359HEALTHCARECA501(C)(3)3SJHStrue
ST JUDE HOSPITAL YORBA LINDA
279 E IMPERIAL HWY 750FULLERTONCA92835330185031HEALTHCARECA501(C)(3)3SJHStrue
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVEFULLERTONCA92835951643325HEALTHCARECA501(C)(3)3SJHStrue
ST JUDE MEMORIAL FOUNDATION
1440 N HARBOR BLVD 200FULLERTONCA92835953607229HEALTHCARECA501(C)(3)11, ISJMCtrue
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREETLUBBOCKTX79410751653181HEALTHCARETX501(C)(3)7CHStrue
TALLER SAN JOSE
801 NORTH BROADWAYSANTA ANACA92701593816355WORKFORCE DEVCA501(C)(3)2SSJOtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (10 entries)

Primary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerEINEIN
ST JOSEPH HLTH SYS HOME HLTH
HOME HEALTHCANAN/A00false$0false
ST JOSEPH HLTH SYS HOME CARE
HOME HEALTHCANAN/A00false$0false330307672
METHODIST DIAGNOSTIC IMAGING
HEALTHCARE SVCSTXNAN/A00false$0false752343261
SHA LLC
HEALTHCARE SVCSTXNAN/A00false$0false752569094
LUBBOCK SURGERY CENTER LTD
HEALTHCARE SVCSTXNAN/A00false$0false752177401
COVENANT LONG-TERM CARE LP
HEALTHCARE SVCSTXNAN/A00false$0false205033419
HERITAGE INVESTMENT GROUP
INVESTMENTCANAN/A00false$0false
MISSION AMBULATORY SURGICENTER
HEALTHCARE SVCSCANAN/A00false$0false330355575
COMPREHENSIVE IMAGING PARTNERS
HEALTHCARE SVCSCANAN/A00false$0false264591502
ST JOSEPH PHYSICIAN VENTURES
REAL ESTATECANAN/A00false$0false

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
ST JOSEPH PROF SVCS ENTERPRISES INC
3345 MICHELSON DR STE 100IRVINECA92612330155323HEALTHCARE SVCSCANAC-CORP000.00000
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCENAC-CORP000.0000058 PAR-LA-VILLE ROADHAMILTONHMBDHXBD
ALLIANCE PHYSICIAN SERVICES
INACTIVECANAC CORP000.00000
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARE SVCSCANAC CORP000.00000
MISSION MEDICAL CENTER ASSOCIATION
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330201044HEALTHCARE SVCSCANAC CORP000.00000
ST JOSEPH YORBA PARK
330201044INACTIVECANAC CORP000.00000
LUBBOCK METHODIST HOSP SVCS
PO BOX 1201LUBBOCKTX79410752118585HEALTHCARE SVCSTXNAC CORP000.00000
LUBBOCK METHODIST HOSP PRACTICE MGMT
PO BOX 1201LUBBOCKTX79410752578995INACTIVETXNAC CORP000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST JOSEPH HEALTH SYSTEM
O18920991ACCRUAL
ST JOSEPH HEALTH SYSTEM
L9466165ACCRUAL
ST JOSEPH HEALTH SYSTEM
Q2664959ACCRUAL
ST JOSEPH HERITAGE HEALTH FOUNDATION
B2200000ACCRUAL
AMERICAN UNITY GROUP LTD
Q1690633ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
B1353500ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
C887691ACCRUAL
REVENUE COLLECTION SERVICES
O185771ACCRUAL
ST JOSEPH HERITAGE HEALTH FOUNDATION
P42238ACCRUAL
ST JOSEPH HOSPITAL OF ORANGE
K30860ACCRUAL

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIPIdentifier
Return ReferenceSCHEDULE R, PART IIIReturnReference
ExplanationST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100 ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183 AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 3345 MICHELSON DR, STE 100 IRVINE, CA 92612 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE. 362 MISSION VIEJO, CA 92691 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY, LLC EIN: 26-4591502 ADDRESS: ONE CITY BOULEVARD WEST, SUITE 1100 ORANGE, CA 92868 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE ORANGE, CA 92868Explanation