MISSION HOSPITAL REGIONAL MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MISSION HOSPITAL REGIONAL MEDICAL CENTER (EIN 95-1643360)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-10
IRS object ID: 201211319349303301
Schema version: 2010v3.7
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-10T19:52:15-05:00	Timestamp
Tax Period End Date	2011-06-30	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	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	951643360	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MISSION HOSPITAL REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MISS	NameControl
Phone	9493644299	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	27700 MEDICAL CENTER ROAD	AddressLine1
City	MISSION VIEJO	City
State	CA	State
ZIP Code	92691	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ELLEN HAUBL	Name
Title	CFO	Title
Date Signed	2012-05-09	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	9497942300	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KENNETH MCFARLAND	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	SAME AS C ABOVE	AddressLine1
City	MISSION VIEJO	City
State	CA	State
ZIP Code	92691	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	501771580	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.MISSION4HEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1941	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	WE ARE COMMITTED TO EXTENDING THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	2818	TotalNbrEmployees
Total Nbr Volunteers	566	TotalNbrVolunteers
Total Gross UBI	1048664	TotalGrossUBI
Net Unrelated Business Txbl Income	70963	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	8137207	ContributionsGrantsPriorYear
Contributions Grants Current Year	9441550	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	479677805	ProgramServiceRevenuePriorYear
Program Service Revenue CY	482113797	ProgramServiceRevenueCY
Investment Income Prior Year	12651948	InvestmentIncomePriorYear
Investment Income Current Year	8134977	InvestmentIncomeCurrentYear
Other Revenue Prior Year	516391	OtherRevenuePriorYear
Other Revenue Current Year	460468	OtherRevenueCurrentYear
Total Revenue Prior Year	500983351	TotalRevenuePriorYear
Total Revenue Current Year	500150792	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	9045005	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5104532	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	203279685	SalariesEtcPriorYear
Salaries Etc Current Year	211360544	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	100000	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	4506157	TotalFundrsngExpCurrentYear
Other Expense Prior Year	238064345	OtherExpensePriorYear
Other Expenses Current Year	246853007	OtherExpensesCurrentYear
Total Expenses Prior Year	450489035	TotalExpensesPriorYear
Total Expenses Current Year	463318083	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	50494316	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	36832709	RevenuesLessExpensesCY
Total Assets BOY	562450482	TotalAssetsBOY
Total Assets EOY	596739694	TotalAssetsEOY
Total Liabilities BOY	285733129	TotalLiabilitiesBOY
Total Liabilities EOY	278419805	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	276717353	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	318319889	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	358988251	Expense
Grants	5104532	Grants
Revenue	482113797	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	358988251	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
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	false	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	true	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	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	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	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
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	290	NumberFormsTransmittedWith1096
Number W2 G Included	3	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2818	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
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	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	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
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	AARON NEUHARTH	NamePerson
Telephone Number	9493647767	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	27700 MEDICAL CTR ROAD	AddressLine1
City	MISSION VIEJO	City
State	CA	State
ZIP Code	92691	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
WILLIAM ELDIEN
BOARD CHAIR	5.0	X	0	0	0
OSCAR FLORES
BOARD VICE CHAIR	4.0	X	0	0	0
SISTER MARYANNE HUEPPER
BOARD MEMBER	2.0	X	0	0	0
SISTER CECILIA MAGLADRY
BOARD MEMBER	2.0	X	0	0	0
WILLIAM MURIN
BOARD MEMBER	2.0	X	0	858377	16833
SISTER CHRISTINE RAY
BOARD MEMBER	2.0	X	0	0	0
SISTER EILEEN MCNERNEY
BOARD MEMBER	2.0	X	0	0	0
PAT KELLY
BOARD MEMBER	2.0	X	0	0	0
ELLEN LEWIS MSN FAAN
BOARD MEMBER	2.0	X	0	0	0
FARZAD MASSOUDI MD
BOARD MEMBER	2.0	X	0	0	0
MICHELE STAUNTON MD
BOARD MEMBER	2.0	X	0	0	0
R CLIFFORD CARPER
BOARD MEMBER	2.0	X	0	0	0
ROBERT WINOKUR MD
BOARD MEMBER	2.0	X	0	0	0
KENNETH MCFARLAND
BOARD MEMBER, CEO (INTERIM)	50.0	X	580082	0	45018	X
BETH SCHIMMEL
BOARD MEMBER	2.0	X	0	0	0
PETER BASTONE
BOARD MEMBER, CEO (OUTGOING)	50.0	X	0	846397	55724	X
MARGARITA COWLEY
EVP, COO, SECRETARY	50.0		707864	0	43863	X
EILEEN HAUBL
INTERIM CHIEF FIN. OFFICER	50.0		307216	0	30766	X
CYNTHIA MUELLER
VP MISSION INTEGRATION	50.0		255851	0	43881	X
DENNIS HAGHIGHAT
VP MEDICAL AFFAIRS	50.0		395806	0	18699		X
LINDA JOHNSON
VP PATIENT CARE SERVICES	50.0		391030	0	40832		X
SHIRLEY BARNES
SR VP HUMAN RESOURCES	50.0		400968	0	29759			X
WINIFRED JOHNSON
CHIEF DEVELOPMENT OFFICER	50.0		326084	0	44005			X
LISA WEAVER
VP BUSINESS DEVELOPMENT	50.0		325797	0	43675			X
PAULA SERIOS
VP MARKETING/COMMUNICATIONS	50.0		311576	0	26464			X
MICHAEL BECK
VP OPERATIONS - LAGUNA BEACH	50.0		283353	0	58161			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4285627	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1704774	TotalReportableCompFrmRltdOrgs
Total Other Compensation	497680	TotalOtherCompensation
Number Individuals GT100 K	296	NumberIndividualsGT100K
Formers Listed	false	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
PAIN RECOVERY MEDICAL GROUP INC
21221 SPURNEY LANE	HUNTINGTON BEACH	CA	926467243	DEPENDENCY MGMT	4370569
MARLA FENNELL INC
2542 CALLE JADE	SAN CLEMENTE	CA	92673	TRANSCRIPTION SVC	1954997
CLINICAL STAFFING
24375 MIRA VERDE BLDG D SUITE 104	LAGUNA NIGUEL	CA	92677	REGISTRY SERVICE	1654115
TRIAGE CONSULTING GROUP
221 MAIN STREET SUITE 1100	SAN FRANCISCO	CA	94105	COLLECTION SERVICE	1223149
MISSION TRAUMA SURGICAL MEDICAL GRO
26732 CROWN VALLEY PKWY SUITE 351	MISSION VIEJO	CA	92691	MEDICAL SERVICES	914900

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	49	NumberOfContractorsGT100K
Federated Campaigns	61875	FederatedCampaigns
Fundraising Events	1826948	FundraisingEvents
Related Organizations	2052456	RelatedOrganizations
Government Grants	190939	GovernmentGrants
All Other Contributions	5309332	AllOtherContributions
Noncash Contributions	520235	NoncashContributions
Total Contributions	9441550	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REV.	621110	454259633	454259633
MOB RENTAL	531120	15562363	15562363
CHILDREN HOSPITAL AT MISSION	622110	8026143	8026143
NUTRITIONAL SERVICES	722310	2136150	2136150
PATHOLOGY REVENUE	621511	918127	23992	894135

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1211381	TotalRevenueColumn
Related Or Exempt Function Income	1056852	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	154529	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	482113797	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	8144192	TotalRevenueColumn
Exclusion	$8,144,192	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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	993177	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1002392	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-9215	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-9215	TotalRevenueColumn
Exclusion	-$9,215	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	490338	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	1826948	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	576646	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-86308	TotalRevenueColumn
Exclusion	-$86,308	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	165734	GrossIncomeGaming
Gaming Direct Expenses	41750	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	123984	TotalRevenueColumn
Exclusion	$123,984	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	422792	GrossSalesOfInventory
Cost Of Goods Sold	0	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	422792	TotalRevenueColumn
Exclusion	$422,792	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	500150792	TotalRevenueColumn
Related Or Exempt Function Income	481065133	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1048664	UnrelatedBusinessRevenue
Exclusion	$8,595,445	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	5095030	Total
Program Services	5095030	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	9502	Total
Program Services	9502	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2295873	Total
Program Services	1446062	ProgramServices
Management And General	849811	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	89075	Total
Program Services	89075	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	143144627	Total
Program Services	112195336	ProgramServices
Management And General	28853361	ManagementAndGeneral
Fundraising	2095930	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8615753	Total
Program Services	6714250	ProgramServices
Management And General	1780406	ManagementAndGeneral
Fundraising	121097	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	45326224	Total
Program Services	36921854	ProgramServices
Management And General	7984412	ManagementAndGeneral
Fundraising	419958	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11888992	Total
Program Services	9443159	ProgramServices
Management And General	2300495	ManagementAndGeneral
Fundraising	145338	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	13100891	Total
Program Services	10349704	ProgramServices
Management And General	2751187	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1090378	Total
Program Services	146687	ProgramServices
Management And General	933366	ManagementAndGeneral
Fundraising	10325	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	263339	Total
Program Services	0	ProgramServices
Management And General	255694	ManagementAndGeneral
Fundraising	7645	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	54036072	Total
Program Services	30842738	ProgramServices
Management And General	22780420	ManagementAndGeneral
Fundraising	412914	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2331469	Total
Program Services	1498	ProgramServices
Management And General	2283261	ManagementAndGeneral
Fundraising	46710	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	79075919	Total
Program Services	68397498	ProgramServices
Management And General	10611105	ManagementAndGeneral
Fundraising	67316	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3416825	Total
Program Services	3416825	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	31713609	Total
Program Services	26043714	ProgramServices
Management And General	5276012	ManagementAndGeneral
Fundraising	393883	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	265950	Total
Program Services	140407	ProgramServices
Management And General	95146	ManagementAndGeneral
Fundraising	30397	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	357562	Total
Program Services	307179	ProgramServices
Management And General	33892	ManagementAndGeneral
Fundraising	16491	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	12348088	Total
Program Services	12180927	ProgramServices
Management And General	167161	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	21094692	Total
Program Services	11166731	ProgramServices
Management And General	9924924	ManagementAndGeneral
Fundraising	3037	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3361436	Total
Program Services	2699800	ProgramServices
Management And General	661636	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
HOSPITAL FEE PROGRAM	20627768	20627768	0	0
LICENSES/TAXES/DUES	772808	406186	362487	4135
DONOR RECOGNITION	334125	0	0	334125
ALL OTHER EXPENSES	2662076	346321	1918899	396856

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	463318083	Total
Program Services	358988251	ProgramServices
Management And General	99823675	ManagementAndGeneral
Fundraising	4506157	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	11107671	BOY
EOY	6423372	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	55263800	BOY
EOY	93093095	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	3847472	BOY
EOY	3131568	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	64144285	BOY
EOY	63396356	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4228122	BOY
EOY	5043978	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2017607	BOY
EOY	2484057	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	457139811	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	135877059	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	326852841	BOY
EOY	321262752	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	48110038	BOY
EOY	56127284	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	23966257	BOY
EOY	23373344	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	13717072	BOY
EOY	13717072	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	9195317	BOY
EOY	8686816	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	562450482	BOY
EOY	596739694	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	54065430	BOY
EOY	50160446	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	231667699	BOY
EOY	228259359	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	285733129	BOY
EOY	278419805	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	231062011	BOY
EOY	268304392	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	45655342	BOY
EOY	50015497	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	276717353	BOY
EOY	318319889	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	562450482	BOY
EOY	596739694	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	36832709	ReconcilationRevenueExpenses
Reconcilation Other Changes	4769827	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	$66,368	OtherActivitiesAmount
Total Lobbying Expenditures IIB	66368	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART II-B, Line 1i	Identifier
Return Reference	OTHER ACTIVITIES	ReturnReference
Explanation	THE AMOUNT ON LINE 1I IS THE PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. DURING THE PAST YEAR, THE ST. JOSEPH HEALTH SYSTEM HAS CONDUCTED AN ADVOCACY EFFORT WHICH INCLUDED SOME LOBBYING ACTIVITY. THESE INCLUDED MEETING WITH LOCAL, STATE, AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS; AND COMMUNICATIONS TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION.	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	0	BeginningOfYearBalance
Contributions	1207312	Contributions
Investment Earnings Or Losses	57912	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	7729	AdministrativeExpenses
End Of Year Balance	1257495	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.00000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1300000	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	35755457	OtherCostOrOtherBasis
Book Value	37055457	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	271646923	OtherCostOrOtherBasis
Depreciation	55090773	Depreciation
Book Value	216556150	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16849308	OtherCostOrOtherBasis
Depreciation	7628938	Depreciation
Book Value	9220370	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	114750463	OtherCostOrOtherBasis
Depreciation	73133124	Depreciation
Book Value	41617339	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16837660	OtherCostOrOtherBasis
Depreciation	24224	Depreciation
Book Value	16813436	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	321262752	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
INTERCO. WITH HEALTH SYSTEM-BONDS	$189,879,843
INTERCOMPANY PAYABLE	$30,884,372
THIRD PARTY PAYABLES	$3,976,489
OTHER LIABILITIES	$3,518,655

Field	Value	IRS element (for citing)
Total Of Amounts	228259359	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	PART X, LINE 2	Identifier
Return Reference	ASC 740 (FIN48) FOOTNOTE	ReturnReference
Explanation	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, 2011 OR 2010.	Explanation

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	2397940	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	2397940	SubtotalAmountSpent
Total Amount Spent	2397940	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	METHOD OF ACCOUNTING	Identifier
Return Reference	PART I, LINE 3, COLUMN (F)	ReturnReference
Explanation	THE AMOUNT IN COLUMN F WAS DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF	NameOfEvent1
Gross Receipts Event1	354140	GrossReceiptsEvent1
Charitable Contributions Event1	275000	CharitableContributionsEvent1
Gross Revenue Event1	79140	GrossRevenueEvent1
Rent Facility Costs Event1	61441	RentFacilityCostsEvent1
Food And Beverage Event1	19454	FoodAndBeverageEvent1
Other Direct Expenses Event1	19217	OtherDirectExpensesEvent1
Name Of Event2	GALA	NameOfEvent2
Gross Receipts Event2	1282363	GrossReceiptsEvent2
Charitable Contributions Event2	998663	CharitableContributionsEvent2
Gross Revenue Event2	283700	GrossRevenueEvent2
Rent Facility Costs Event2	45442	RentFacilityCostsEvent2
Food And Beverage Event2	95875	FoodAndBeverageEvent2
Entertainment Event2	34950	EntertainmentEvent2
Other Direct Expenses Event2	86240	OtherDirectExpensesEvent2
Total Number Of Other Events	5	TotalNumberOfOtherEvents
Gross Receipts Other Events	680783	GrossReceiptsOtherEvents
Charitable Contrib Other Events	553285	CharitableContribOtherEvents
Gross Revenue Other Events	127498	GrossRevenueOtherEvents
Food And Beverage Other Events	136760	FoodAndBeverageOtherEvents
Other Direct Expenses Other Events	77267	OtherDirectExpensesOtherEvents
Gross Receipts Total	2317286	GrossReceiptsTotal
Charitable Contributions Total	1826948	CharitableContributionsTotal
Gross Revenue Total Events	490338	GrossRevenueTotalEvents
Rent Facility Costs Total Events	106883	RentFacilityCostsTotalEvents
Food And Beverage Total Events	252089	FoodAndBeverageTotalEvents
Entertainment Total Events	34950	EntertainmentTotalEvents
Other Direct Expenses Total Events	182724	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	576646	DirectExpenseSummaryEvents
Net Income Summary	-86308	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	165734	GrossRevenueOtherGaming
Cash Prizes Other Gaming	3750	CashPrizesOtherGaming
Non Cash Prizes Other Gaming	38000	NonCashPrizesOtherGaming
Volunteer Labor Other Gaming	true	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	1.00000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	165734	GrossRevenueTotalGaming
Cash Prizes Total Gaming	3750	CashPrizesTotalGaming
Non Cash Prizes Total Gaming	38000	NonCashPrizesTotalGaming
Direct Expense Summary Gaming	41750	DirectExpenseSummaryGaming
Net Gaming Income Summary	123984	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	CA	StatesWhereGamingConducted
Licensed	false	Licensed
Explanation If No	AS A TAX-EXEMPT HOSPITAL, MISSION HOSPITAL REGIONAL MEDICAL CENTER IS EXEMPT FROM THE CALIFORNIA ATTORNEY GENERAL REGISTRATION AND REPORTING REQUIREMENTS FOR THE RAFFLES.	ExplanationIfNo
License Suspended Etc	false	LicenseSuspendedEtc
Gaming With Nonmembers	false	GamingWithNonmembers
Member Of Other Entity	false	MemberOfOtherEntity
Percentage Of Gaming Own Facility	0.00000	PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility	1.00000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	WINIFRED JOHNSON	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	27700 MEDICAL CENTER ROAD	AddressLine1
City	MISSION VIEJO	City
State	CA	State
ZIP Code	92691	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	false	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	WINIFRED JOHNSON	GamingManagerNamePerson
Gaming Manager Compensation	16304	GamingManagerCompensation
Gaming Manager Services Provided	VP FOUNDATION/FUNDRAISING	GamingManagerServicesProvided
Gaming Manager Is Employee	X	GamingManagerIsEmployee
Charitable Distrib Required	true	CharitableDistribRequired
Amount Distributed	149161	AmountDistributed

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	6742084	TotalCommunityBenefitExpense
Direct Offsetting Revenue	955244	DirectOffsettingRevenue
Net Community Benefit Expense	5786840	NetCommunityBenefitExpense
Percent Of Total Expense	0.01250	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	55018861	TotalCommunityBenefitExpense
Direct Offsetting Revenue	34524128	DirectOffsettingRevenue
Net Community Benefit Expense	20494733	NetCommunityBenefitExpense
Percent Of Total Expense	0.04420	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9887940	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4632207	DirectOffsettingRevenue
Net Community Benefit Expense	5255733	NetCommunityBenefitExpense
Percent Of Total Expense	0.01130	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	71648885	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40111579	DirectOffsettingRevenue
Net Community Benefit Expense	31537306	NetCommunityBenefitExpense
Percent Of Total Expense	0.06800	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3437422	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27422	DirectOffsettingRevenue
Net Community Benefit Expense	3410000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00730	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	110000	TotalCommunityBenefitExpense
Net Community Benefit Expense	110000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1149491	TotalCommunityBenefitExpense
Net Community Benefit Expense	1149491	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2057259	TotalCommunityBenefitExpense
Net Community Benefit Expense	2057259	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6754172	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27422	DirectOffsettingRevenue
Net Community Benefit Expense	6726750	NetCommunityBenefitExpense
Percent Of Total Expense	0.01440	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	78403057	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40139001	DirectOffsettingRevenue
Net Community Benefit Expense	38264056	NetCommunityBenefitExpense
Percent Of Total Expense	0.08240	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	54600	TotalCommunityBuildingExpense
Net Community Building Expense	54600	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	121446	TotalCommunityBuildingExpense
Net Community Building Expense	121446	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	160474	TotalCommunityBuildingExpense
Net Community Building Expense	160474	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	336520	TotalCommunityBuildingExpense
Net Community Building Expense	336520	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$4,605,137	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	87941123	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	114576873	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-26635750	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
MECC-SEE PART VI
PHYSICIAN OFFICE&CONF ED CTR	0.50000	0.50000
MAS - SEE PART VI
OUTPATIENT SURGERY CENTER	0.43000	0.56000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
MISSION HOSPITAL REGIONAL MEDICAL CENTER
1	27700 MEDICAL CENTER ROAD	MISSION VIEJO	CA	92691	X	X	X
MISSION HOSPITAL LAGUNA BEACH
2	31872 COAST HIGHWAY	LAGUNA BEACH	CA	92651	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
MISSION HOSPITAL REGIONAL MEDICAL CENTER
1
MISSION HOSPITAL LAGUNA BEACH
2

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MISSION MEDICAL TOWER
26732 CROWN VALLEY PARKWAY	MISSION VIEJO	CA	92691	WELLNESS CENTER, OUTPATIENT IMAGING CENTER, CARDIAC REHAB, PHYSICAL THERAPY
MISSION AMBULATORY SURGICENTER
27800 MEDICAL CENTER ROAD STE 362	MISSION VIEJO	CA	92691	OUTPATIENT SURGERY CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, LINE 7	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. PART I, LINE 7G NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II	COMMUNITY BUILDING INITIATIVES OUR MISSION CALLS US TO IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. A KEY EMPHASIS IS PUT ON DEVELOPING PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS. KEY ISSUES FOR FISCAL YEAR 2011 CONTINUE TO BE ACCESS TO AFFORDABLE HOMES AND EDUCATION. MISSION HOSPITAL HAS PARTNERED WITH KEY COMMUNITY STAKEHOLDERS TO HELP ADDRESS THESE LONG-TERM ISSUES. ACCESS TO AFFORDABLE HOMES: THE AFFORDABLE HOMES OUTCOME GOAL IS TO INCREASE AFFORDABLE HOMES IN SOUTH ORANGE COUNTY, WITH A SPECIAL FOCUS ON THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO AND MISSION VIEJO. IN 2008, MISSION HOSPITAL PARTNERED WITH OVER A DOZEN AGENCIES TO CREATE THE SOUTH ORANGE COUNTY ALLIANCE FOR HOUSING OUR COMMUNITIES (SOCAHOC). TOGETHER, THE ALLIANCE WORKS TO INCREASING THE NUMBER OF PUBLIC OR PRIVATE POLICIES THAT SUPPORT AFFORDABLE HOMES, INCREASING BROAD-BASED COMMUNITY ADVOCACY ORGANIZATIONS THAT IDENTIFY AND ACT ON AFFORDABLE HOMES AS A PRIORITY, AND COLLABORATING TO CREATE NEW AFFORDABLE HOMES. THREE YEARS AFTER THE STRATEGIC PLAN INITIATION, 121 NEW HOMES (72 RENTAL AND 49 OWNERSHIP) WERE APPROVED FOR HOUSEHOLDS WITH LOW MODERATE INCOME LEVELS IN MISSION VIEJO, SAN JUAN CAPISTRANO, DANA POINT AND SAN CLEMENTE. IN THE LAST YEAR OF THE STRATEGIC PLAN, THE WEIGHTED SCORE FOR NUMBER OF POLICIES PASSED AND ACTIVE INCREASED FROM 54.25% TO 60%. SEVENTY-NINE GROUPS AND ORGANIZATIONS IDENTIFIED AND ACTED ON HOUSING INITIATIVES COMPARED TO 70 IN 2009. AND THE WEIGHTED SCORE FOR NUMBER OF HOUSING INITIATIVES IN THE THREE TARGETED CITIES (BY PHASE COMPLETED) INCREASED FROM 24.3% IN 2009 TO 46.75%. THE HOSPITAL-FACILITATED COALITION, SOCAHOC (SOUTH ORANGE COUNTY ALLIANCE FOR HOUSING OUR COMMUNITIES), SUCCESSFULLY IMPLEMENTED THE COMMUNITY DIALOGUE "OPPORTUNITIES FOR ECONOMIC DEVELOPMENT AND REVITALIZATION: LINKING HOUSING, LAND USE AND TRANSPORTATION" WITH PARTICIPATION FROM OVER 100 ATTENDEES AND 60 ORGANIZATIONS. INCREASING POST SECONDARY EDUCATION OPPORTUNITIES: THE POST-SECONDARY EDUCATION OUTCOME GOAL IS TO INCREASE PARTICIPATION OF YOUTH IN POST-SECONDARY EDUCATION/TRAINING WITHIN THREE YEARS OF GRADUATION, WITH A FOCUS ON STUDENTS IN SAN CLEMENTE, DANA POINT AND SAN JUAN CAPISTRANO. THE STRATEGIES USED FOCUS ON CHANGING EXPECTATIONS ABOUT POST-SECONDARY EDUCATION/ TRAINING CAREERS WITH TEACHERS, STUDENTS, PARENTS AND THE COMMUNITY; INCREASING EXPOSURE TO CAREERS, EDUCATIONAL OPTIONS AND THE PROCESS; AND EMPOWERING STUDENTS TO TAKE CONTROL OF THEIR FUTURES. IN 2009, THE CAPISTRANO PROMOTING ACCESS TO HIGHER EDUCATION (CPATHE) COLLABORATIVE WAS FORMED. THIS COLLABORATIVE REPRESENTS OVER 20 LOCAL AGENCIES DEDICATED TO YOUTH ACHIEVING HIGHER EDUCATION. SEVERAL MAJOR ACCOMPLISHMENTS HAVE BEEN ACHIEVED SINCE 2009 IN OUR EFFORTS TOWARD POST-SECONDARY EDUCATION. THE PERCENT OF GRADUATING YOUTH WHO BELIEVE THEY CAN PURSUE EDUCATION TO REALIZE THEIR POTENTIAL INCREASED BY JUST OVER 3% (95% TO 98.2%). OUR FOCUS ON INCREASING STUDENTS' SENSE OF CONTROL OVER THEIR OWN FUTURES, DEMONSTRATED AN IMPROVEMENT FROM A 2009 BASELINE OF 2.75 RATING AVERAGE (OF A 5 POINT SCALE) FOR ALL 6-12 GRADERS INTERVIEWED TO 3.25 IN 2011. A LARGE CONTRIBUTION TO THESE RESULTS WAS THE IMPLEMENTATION OF THE "CAN'T STOP, WON'T STOP" YOUTH CONFERENCE FOR LEADERSHIP DEVELOPMENT AND YOUTH EMPOWERMENT. THIS PROGRAM WAS IMPLEMENTED WITH MULTIPLE COMMUNITY PARTNERS AND HAD AN ATTENDANCE OF OVER 120 YOUTH AND STAFF AND EDUCATORS FROM 12 FROM LOCAL HIGH SCHOOLS. IN ADDITION, OUR EFFORTS AROUND INCREASING EXPOSURE TO CAREERS, EDUCATIONAL OPTIONS AND PROGRESS SHOWS THAT SINCE OUR BASELINE IN 2009, WE HAVE INCREASED THE NUMBER OF STUDENTS AND PARENTS PARTICIPATING IN THESE PROGRAMS BY 175% (631 IN 2009 TO 1,639 IN 2011). OVER THE LAST THREE YEARS, OUR GOAL HAS BEEN TO INCREASE THE PERCENT OF STUDENTS WHO PARTICIPATE IN POST-SECONDARY EDUCATION WITHIN THREE YEARS OF HIGH SCHOOL GRADUATION. WE HAVE HAD A STRONG PARTNERSHIP WITH CAPISTRANO UNIFIED SCHOOL DISTRICT WHO HAD THE ABILITY TO COLLECT THIS INFORMATION, BUT DUE TO BUDGET AND STAFFING CUTS FACED BY THE DISTRICT, THIS DATA HAS BECOME UNAVAILABLE. IN JANUARY FY11, WE EMBARKED UPON A COLLABORATION WITH SANTA ANA COLLEGE, SADDLEBACK COLLEGE, CUSD, AND UNIVERSITY OF CALIFORNIA, IRVINE TO INITIATE A PILOT PROGRAM, PADRES PROMOTORES, IN SOUTH ORANGE COUNTY. THIS PROGRAM'S FOCUS IS ON PARENT ENGAGEMENT, COMMUNICATION AND EDUCATION. TOGETHER, WE COORDINATED THE FIRST "PADRES PROMOTORES" (PP) VOLUNTEER TRAINING WHERE 40 PARENTS AND 10 SCHOOL LIAISONS COMPLETED A 3-DAY TRAINING. TEN ORGANIZATIONS AND 24 STAFF MEMBERS SUPPORTED THE EVENT. OF THE VOLUNTEERS WHO CONTINUED WITH THE PROGRAM, 134 HOME VISITS HAVE BEEN CONDUCTED TO EDUCATE LOCAL PARENTS AND TWO COMMUNITY FORUMS AT KINOSHITA ELEMENTARY SCHOOL REACHING 112 PARENTS HAVE BEEN HELD.
PART III, LINE 4	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. COLLECTION ACTIONS ARE NOT PURSUED ON THESE ACCOUNTS ONCE THEY ARE RECLASSIFIED AS FINANCIAL ASSISTANCE. THERE IS NO OTHER AMOUNT OF BAD DEBT THAT SHOULD BE REPORTED AS FINANCIAL ASSISTANCE. 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. DISCOUNTS ON PATIENT ACCOUNTS IN BAD DEBT: ANY ACCOUNT RETURNED TO THE HOSPITAL FROM A COLLECTION AGENCY THAT HAS DETERMINED THE PATIENT DOES NOT HAVE THE RESOURCES TO PAY HIS OR HER BILL, MAY BE DEEMED ELIGIBLE FOR CHARITY CARE WITHOUT ABSOLUTE REQUIREMENT FOR SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION. ALL OUTSIDE COLLECTION AGENCIES CONTRACTED WITH SJHS TO PERFORM ACCOUNT FOLLOW-UP AND/OR BAD DEBT COLLECTION WILL UTILIZE THE FOLLOWING CRITERIA TO IDENTIFY A STATUS CHANGE FROM BAD DEBT TO CHARITY CARE: - PATIENT ACCOUNTS MUST HAVE NO APPLICABLE INSURANCE (INCLUDING GOVERNMENTAL COVERAGE PROGRAMS OR OTHER THIRD PARTY PAYERS); AND - THE PATIENT MUST HAVE A CREDIT SCORE AND BEHAVIOR RATING WITHIN THE LOWEST 25TH PERCENTILE OF CREDIT SCORES FOR ANY CREDIT EVALUATION METHOD USED; AND - THE PATIENT HAS NOT MADE A PAYMENT WITHIN 150 DAYS OF ASSIGNMENT TO THE COLLECTION AGENCY; AND - THE COLLECTION AGENCY HAS DETERMINED THAT THE PATIENT IS UNABLE TO PAY; AND/OR - THE PATIENT DOES NOT HAVE A VALID SOCIAL SECURITY NUMBER AND/OR AN ACCURATELY STATED RESIDENCE ADDRESS IN ORDER TO DETERMINE A CREDIT SCORE. ALL ACCOUNTS RETURNED FROM A COLLECTION AGENCY FOR RE-ASSIGNMENT FROM BAD DEBT TO CHARITY CARE WILL BE EVALUATED BY HOSPITAL PERSONNEL TO DETERMINE ELIGIBILITY FOR CHARITY CARE OR DISCOUNTED CARE PRIOR TO ANY RE-CLASSIFICATION WITHIN THE HOSPITAL ACCOUNTING SYSTEM AND RECORDS. DOCUMENTATION OF THE PATIENT'S INABILITY TO PAY FOR SERVICES WILL BE MAINTAINED BY THE HOSPITAL. COSTING METHOD FOR LINE 2: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM.
PART III, LINE 8	AS A CATHOLIC HEALTH CARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S COMMUNITY BENEFIT REPORTING GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE AS A COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT SUBMITTED FOR THE FISCAL YEAR USING CMS STANDARD COSTING METHODS. THIS METHOD INCLUDES SPECIFIC STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS.
PART III, LINE 9B	MISSION HOSPITAL REGIONAL MEDICAL CENTER (MHRMC) PATIENT ACCOUNTS ARE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MAKES 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 PERFORMS AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIES FOR CHARITY CARE. ACCOUNTS FOR PATIENTS WHO QUALIFY FOR CHARITY CARE ARE WRITTEN OFF AND COLLECTION EFFORTS ARE NOT PURSUED.
PART IV, COLUMN A	1. MISSION EDUCATION CONFERENCE CENTER, LLC 2. MISSION AMBULATORY SURGICENTER, LTD, DBA MISSION SURGERY CENTER	NAME OF ENTITY
NEEDS ASSESSMENT	MISSION HOSPITAL REGIONAL MEDICAL CENTER CONDUCTED A HNA IN 2008, AGAIN IN 2010 SPECIFIC TO LAGUNA BEACH AND IN 2011. THE NEEDS ASSESSMENT AND RESIDENT FORUMS BROUGHT FORWARD OVER 25 ADDITIONAL HEALTH AND QUALITY OF LIFE ISSUES, INCLUDING CARDIOVASCULAR RISK, DENTAL SERVICES, ALCOHOL AND SUBSTANCE ABUSE, AND JOB TRAINING FOR YOUTH. HOWEVER, BASED UPON HOSPITAL RESOURCES AND THE DESIRE TO FOCUS DEEPLY ON A FEW PRIORITIES VERSUS SPREADING RESOURCES TOO THINLY, MISSION HOSPITAL SELECTED FOUR PRIORITIES FOR ITS COMING FISCAL YEAR 2012-2014 COMMUNITY BENEFIT PLAN, TO INCLUDE: CHILDHOOD OBESITY, MENTAL HEALTH, YOUTH ALCOHOL & SUBSTANCE USE, AND AFFORDABLE HOMES.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	MISSION HOSPITAL REGIONAL MEDICAL CENTER (MHRMC) POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES ARE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES ARE ALSO POSTED AT LOCATIONS WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT CAN OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE, AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATE LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS ARE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND ARE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE.
COMMUNITY INFORMATION	MISSION HOSPITAL PROVIDES SOUTH ORANGE COUNTY COMMUNITIES WITH HEALTH ACCESS THROUGH TWO CONVENIENT LOCATIONS, MISSION VIEJO AND LAGUNA BEACH. THE HOSPITAL'S SERVICE AREA EXTENDS FROM THE JUNCTION OF THE 405 AND 5 FREEWAYS IN THE NORTH TO CAMP PENDLETON IN THE SOUTH. GEOGRAPHICALLY, SOUTH COUNTY IS BORDERED BY THE PACIFIC OCEAN TO THE WEST, THE SANTA ANA MOUNTAINS TO THE NORTH AND EAST, AND THE MARINE BASE CAMP PENDLETON TO THE SOUTH. OUR PRIMARY SERVICE AREA INCLUDES THE CITIES OF MISSION VIEJO, LAGUNA BEACH, LAGUNA NIGUEL, SAN JUAN CAPISTRANO, SAN CLEMENTE, RANCHO SANTA MARGARITA, LAKE FOREST, LAGUNA HILLS, DANA POINT, LADERA RANCH, TRABUCO CANYON, CAPISTRANO BEACH AND ALISO VIEJO. THIS INCLUDES A POPULATION OF APPROXIMATELY 623,000 PEOPLE, AN INCREASE OF 4% FROM THE PRIOR ASSESSMENT. MISSION HOSPITAL'S SECONDARY SERVICE AREA INCLUDES LAGUNA WOODS, IRVINE, FOOTHILL RANCH AND SILVERADO. SOUTH ORANGE COUNTY IS A RELATIVELY AFFLUENT COMMUNITY WITH A MEDIAN HOUSEHOLD INCOME OF $92,124 COMPARED TO THE ORANGE COUNTY MEDIAN HOUSEHOLD INCOME OF $58,605 (US CENSUS QUICK FACTS). THE AVERAGE HOUSEHOLD SIZE IS 2.70 COMPARED TO THE ORANGE COUNTY WIDE HOUSEHOLD SIZE OF 3.00. DEMOGRAPHICALLY, THE AREA IS PRIMARILY CAUCASIAN (78%), WITH THE HISPANIC POPULATION REPRESENTING 19.2%. IN GENERAL, MISSION'S SERVICE AREA REFLECTS A HIGH DEGREE OF HEALTH AND QUALITY OF LIFE. MISSION PROVIDES BROAD COMMUNITY BENEFIT SERVICES TO ITS PRIMARY AND SECONDARY SERVICE AREA. HOWEVER, ISOLATED AREAS OF HIGH NEED HAVE BEEN IDENTIFIED IN THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO, LAGUNA NIGUEL, MISSION VIEJO, LAKE FOREST AND RANCHO SANTA MARGARITA. THESE AREAS WERE DETERMINED BASED ON KEY DRIVERS FOR COMMUNITY VULNERABILITY, WHICH INCLUDE MEDIAN HOUSEHOLD INCOME, NUMBER OF PEOPLE LIVING IN A HOME, HEALTH INSURANCE COVERAGE, HIGHEST EDUCATIONAL LEVEL, ETC. ALTHOUGH HIGH NEEDS WERE IDENTIFIED IN THESE 8 AREAS, BASED ON HOSPITAL RESOURCES AND PARTNERSHIPS AND IN AN EFFORT TO SHOW SIGNIFICANT OUTCOMES AT THE END OF THE THREE-YEAR PLAN, A DECISION WAS MADE TO PRIMARILY FOCUS ON THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO, LAGUNA BEACH AND LAKE FOREST. THIS DECISION WAS MADE IN PARTNERSHIP WITH COMMUNITY BENEFIT DEPARTMENT STAFF, THE HOSPITAL EXECUTIVE TEAM AND THE COMMUNITY BENEFIT COMMITTEE.
PROMOTION OF COMMUNITY HEALTH	THE GOVERNING BODY IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS. THE SUB-COMMITTEE OF THE BOARD OF TRUSTEES, KNOWN AS THE COMMUNITY BENEFIT COMMITTEE, OVERSEES 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 MISSION HOSPITAL REGARDING: 1) BUDGETING DECISIONS, 2) COMMUNITY BENEFIT PROGRAM CONTENT, 3) COMMUNITY BENEFIT PROGRAM DESIGN, 4) TARGET GEOGRAPHIC/POPULATION, 5) PROGRAM CONTINUATION OR DISCONTINUATION, 6) FUND DEVELOPMENT SUPPORT, AND 7) COMMUNITY-WIDE ENGAGEMENT. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. GIVING BACK TO THE COMMUNITY IS INTEGRATED INTO EVERY ASPECT OF OUR ORGANIZATION. 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. OUR MISSION IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS, REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY MISSION HOSPITAL, 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, MISSION HOSPITAL DEDICATED $1,967,000 IN CARE FOR THE POOR FUNDS AND $ 5,786,000 TO HEALTHY COMMUNITIES AND COMMUNITY HEALTH INITIATIVES. THIS FUNDING MADE THE FOLLOWING PROGRAMS POSSIBLE: SUSTAINABILITY OF CAMINO HEALTH CENTER, THE ONE COMMUNITY CLINIC LOCATED IN SOUTH ORANGE COUNTY OUTSIDE OF LAGUNA BEACH; FIVE COUNTY-WIDE INITIATIVES FOCUSED ON 1) CHILDHOOD OBESITY, 2) INCREASING SERVICES FOR DEPRESSION, 3) CREATING AFFORDABLE HOMES, 4) YOUTH ALCOHOL & SUBSTANCE USE PREVENTION, 5) IMPROVING THE RATES OF POST-SECONDARY EDUCATION FOR AT-RISK YOUTH; AS WELL AS THE OPERATION OF TWO FAMILY RESOURCE CENTERS.
AFFILIATED HEALTH CARE SYSTEM	MISSION HOSPITAL IS A HEALING MINISTRY OF ST. JOSEPH HEALTH SYSTEM, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION OF IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH SYSTEM CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FREE CARE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES A PROCESS THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION FUNDS PROGRAMS THAT EXEMPLIFY THE FOUR CORE VALUES OF ST. JOSEPH HEALTH SYSTEM: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE.
STATE FILING OF COMMUNITY BENEFIT REPORT	CALIFORNIA MINISTRIES REPORT TO CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697.
STATE FILING OF COMMUNITY BENEFIT REPORT	CA,	990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
AQUINAS INSTITUTE OF THEOLOGY
23 SOUTH SPRING AVE	ST LOUIS	MO	63108	431233794	501(C)(3)	12500	PROGRAM SUPPORT
DRUG USE IS LIFE ABUSE
PO BOX 28	SANTA ANA	CA	92702	953498487	501(C)(3)	12000	PROGRAM SUPPORT
JSERRA CATHOLIC HIGH SCHOOL
26351 JUNIPERO SERRA DRIVE	SJC	CA	92675	330944424	501(C)(3)	12500	PROGRAM SUPPORT
ST TIMOTHY'S CATHOLIC CHURCH
29102 CROWN VALLEY	LAGUNA NIGUEL	CA	92677	953656905	501(C)(3)		FOOD DONATIONS	75975	COST	FOOD DONATIONS
ST KILIAN CHURCH
26872 ESTANCIERO	MISSION VIEJO	CA	92691	952659054	501(c)(3)		FOOD DONATIONS	5566	COST	FOOD DONATIONS
SUSAN KOMEN FOR THE CURE
3191-A AIRPORT LOOP	COSTA MESA	CA	92626	757835298	501(C)(3)	5150	PROGRAM SUPPORT
TALLER SAN JOSE
801 NORTH BROADWAY	SANTA ANA	CA	92701	593816355	501(C)(3)	10000	PROGRAM SUPPORT
UC - IRVINE
555 ADMINISTRATION BLDG	IRVINE	CA	92697	952226406	GOVT	115000	PROGRAM SUPPORT
WEST COAST SPORTS MEDICINE
1200 ROSECRANS	MANHATTAN BEACH	CA	90266	954497009	501(C)(3)	33500	PROGRAM SUPPORT
CAMINO HEALTH CENTER
30300 CAMINO CAPISTRANO	SJC	CA	92675	330574214	501(C)(3)	698045	COMMUNITY OUTREACH
ST JOSEPH HEALTH SYSTEM FOUNDATION
500 S MAIN ST	ORANGE	CA	92868	330143024	501(C)(3)	4065800	CARE FOR THE POOR

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	11	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	PAYMENT FOR MEDICAL SERVICES	TypeOfGrant
Number Of Recipients	21	NumberOfRecipients
Amount Of Cash Grant	9502	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE I, PART I, LINE 2	Identifier
Return Reference	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS	ReturnReference
Explanation	MISSION HOSPITAL HAS AN AFFILIATION AGREEMENT WITH CAMINO HEALTH CENTER THAT CALLS FOR THE STEERING COMMITTEE, WHICH INCLUDES AN OFFICER FROM THE HOSPITAL, TO PROVIDE OVERSIGHT OF FUNDS GRANTED TO CAMINO BY THE HOSPITAL. THE CARE FOR THE POOR FUNDS GIVEN TO THE ST. JOSEPH HEALTH SYSTEM IS GOVERNED BY THE HEALTH SYSTEM FOUNDATION. THE DISBURSEMENT OF FUNDS FOLLOWS SPECIFICS SET FORTH BY THE HEALTH SYSTEM POLICY "CARE FOR THE POOR PROGRAM ACCOUNTING".	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Account	X	DiscretionarySpendingAccount
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	false	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 (13 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
WILLIAM MURIN
0	482546	0	163542	0	212289	0	7350	0	9483	0	875210	0	0
KENNETH MCFARLAND
285258	0	89466	0	205358	0	16520	0	28498	0	625100	0	40484	0
PETER BASTONE
0	422410	0	162636	0	261351	0	17149	0	38575	0	902121	0	37980
MARGARITA COWLEY
284330	0	89466	0	334068	0	22035	0	21828	0	751727	0	177006	0
EILEEN HAUBL
162707	0	50346	0	94163	0	21723	0	9043	0	337982	0	0	0
CYNTHIA MUELLER
144506	0	45678	0	65667	0	24329	0	19552	0	299732	0	0	0
DENNIS HAGHIGHAT
241681	0	74468	0	79657	0	9614	0	9085	0	414505	0	0	0
LINDA JOHNSON
201669	0	63809	0	125552	0	12194	0	28638	0	431862	0	42392	0
SHIRLEY BARNES
218260	0	66150	0	116558	0	19435	0	10324	0	430727	0	0	0
WINIFRED JOHNSON
174649	0	56420	0	95015	0	19434	0	24571	0	370089	0	0	0
LISA WEAVER
176802	0	62248	0	86747	0	19295	0	24380	0	369472	0	0	0
PAULA SERIOS
176160	0	63294	0	72122	0	12241	0	14223	0	338040	0	0	0
MICHAEL BECK
142698	0	48773	0	91882	0	19592	0	38569	0	341514	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATION	PART I, LINE 1A	ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL FOR CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TREATED AS 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 LEPUY, FRANCE, WHERE THE SISTER'S 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 OFFICERS RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. THE BENEFITS WERE PAID BY MISSION HOSPITAL REGIONAL MEDICAL CENTER'S TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM. KENNETH MCFARLAND $7,094 MARGARITA COWLEY $6,881 EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION.
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 INDIVIDUALS WHO RECEIVED 457(F) DISTRIBUTIONS WERE: KENNETH MCFARLAND $40,484 PETER BASTONE $37,980 MARGARITA COWLEY $177,006 LINDA JOHNSON $42,392
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 (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
JOHN SHAVER MD
SPOUSE OF M. STAUNTON, MD	89075	COMPENSATION FOR SERVICES	false
MISSION VIEJO EMERGENCY MEDICAL ASS
SEE PART V	102419	PROF FEES PAID TO MVEMA	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS RELATIONSHIPS	Identifier
Return Reference	SCHEDULE L, PART IV, LINE 2	ReturnReference
Explanation	ROBERT WINOKUR, M.D. SERVES ON THE BOARD OF MISSION HOSPITAL REGIONAL MEDICAL CENTER AND ALSO HAS A GREATER THAN 5% OWNERSHIP IN MISSION VIEJO EMERGENCY MEDICAL ASSOCIATION (MVEMA), MAKING MVEMA AN INTERESTED PERSON FOR SCHEDULE L REPORTING PURPOSES.	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990

Cars And Other Vehicles CarsAndOtherVehicles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	22940	NoncashContribsRptdF990
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	14	NumberOfContributions
Noncash Contribs Rptd F990	497295	NoncashContribsRptdF990
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	GIFTS IN KIND	Description
Number Of Contributions	732	NumberOfContributions
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990
Method Of Determining Revenues	0	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifier	ExplanationExplanation
PART I, LINE 5 - CLOTHING AND HOUSEHOLD GOODS	CLOTHING AND HOUSEHOLD GOODS WERE DONATED TO THE HOSPITAL THRIFT N' GIFT PROGRAM. $422,792 WAS RECOGNIZED FROM THE SALE OF SUCH ITEMS IN FY11, THE AMOUNT BEING DETERMINED BY THE SELLING PRICE. REVENUE FROM THE SALE OF THE DONATED ITEMS IS REPORTED ON FORM 990, PART VIII, LINE 10A.
PART I, LINE 25 - OTHER	GIFTS IN KIND WITH AN ESTIMATED VALUE OF $665,951 WERE RECEIVED DURING THE YEAR AND WERE NOT INCLUDED ON THE BOOKS. VALUE WAS ESTIMATED FROM DONOR'S APPROXIMATION OF VALUE. REVENUE FROM THE SALE OF THESE ITEMS IS INCLUDED IN FUNDRAISING REVENUE ON FORM 990, PART VIII, LINE 8A.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART I, LINE 1 AND PART III, LINE 1	ORGANIZATION'S MISSION	AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), MISSION HOSPITAL 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. OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES, AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE.
FORM 990, PART III, LINE 4	PROGRAM SERVICE ACCOMPLISHMENTS	REALIZING OUR MISSION AS A NOT-FOR-PROFIT, MISSION HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 40 YEARS. MISSION HOSPITAL IN MISSION VIEJO IS AN ACUTE CARE, FULL-SERVICE FACILITY THAT HOUSES THE REGION'S DESIGNATED TRAUMA CENTER, ONE OF ONLY THREE IN THE COUNTY. A COMPLETE ARRAY OF TOP-QUALITY HEALTHCARE SERVICES ARE OFFERED INCLUDING 24-HOUR EMERGENCY CARE; IMAGING, CARDIAC REHABILITATION AND CHEST PAIN CENTER; STROKE CENTER, MATERNITY CENTER. MISSION HOSPITAL ALSO OFFERS ORTHOPEDICS, REHABILITATION, CANCER, SPINE AND VASCULAR SERVICES. OUR LAGUNA BEACH HEALTHCARE SERVICES INCLUDE 24-HOUR EMERGENCY, MEDICAL-SURGICAL CARE AS WELL AS BEHAVIORAL HEALTH AND CHEMICAL AND PAIN MEDICATION DEPENDENCY TREATMENT. WITH OVER 2,700 EMPLOYEES COMMITTED TO REALIZING THE MISSION, MISSION HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE SOUTH ORANGE COUNTY REGION. MISSION HOSPITAL, A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 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. TODAY THE ST. JOSEPH HEALTH SYSTEM IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY AND ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES, AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE. THREE MISSION OUTCOMES MISSION HOSPITAL IS COMMITTED TO THREE SYSTEMWIDE 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. SACRED MOMENTS SUPPORTS OUR MISSION OUTCOME OF SACRED ENCOUNTERS BY FOSTERING SACRED ENCOUNTERS THROUGHOUT THE PATIENT JOURNEY OUR SACRED MOMENTS PROGRAM IS A PROACTIVE APPROACH TO 'HEALING BEYOND SCIENCE'. IT ATTEMPTS TO BRING THE SACRED INTO EVERYDAY INTERACTIONS BY PROVIDING A PRACTICAL STRUCTURE FOR FRONTLINE CAREGIVERS TO FOSTER SACRED ENCOUNTERS WITH THEIR PATIENTS, VISITORS, PHYSICIANS AND COLLEAGUES. 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. MISSION HOSPITAL STRIVES TO PROVIDE PERFECT CARE TO ALL OF THE PATIENTS THAT WE SERVE AS PART OF OUR MINISTRY TO CONTINUE THE HEALING MINISTRY OF JESUS. SOME EXAMPLES OF HOW WE HAVE ENDEAVORED TO DELIVER PERFECT CARE ARE LISTED BELOW: 1- INSTITUTED CREW RESOURCE MANAGEMENT TEAM TRAINING TO IMPROVE COMMUNICATION AMONGST ALL CARE TEAM MEMBERS INCLUDING PHYSICIANS IN AN ATTEMPT TO REDUCE COMMUNICATION RELATED MEDICAL ERRORS. 2- THE IMPLEMENTATION OF STANDARDIZED PROCEDURES WHICH HAVE LEAD TO REDUCTIONS IN VENTILATOR ASSOCIATED PNEUMONIA, URINARY CATHETER RELATED INFECTIONS AND CENTRAL LINE ASSOCIATED BLOODSTREAM INFECTIONS. 3- THE IMPLEMENTATION OF SEPSIS SCREENING ON EVERY HOSPITALIZED PATIENT AND THE IMPLEMENTATION OF A RAPID RESPONSE NURSING TEAM THAT CAN BE ACTIVATED BY EITHER ANY STAFF MEMBER, PATIENT OR FAMILY MEMBER TO QUICKLY BRING EXPERT HELP TO A PATIENTS BEDSIDE. 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. FOR THE PAST SEVERAL YEARS, WE HAVE FOCUSED ON CHILDHOOD OBESITY TO CREATE HEALTHIEST COMMUNITIES. THIS INITIATIVE HAS THREE STRATEGIES: WORKING WITH FAMILIES, IMPLEMENTING PROGRAMS & POLICIES AT LOCAL SCHOOLS, AND INCREASING ENVIRONMENTAL OPTIONS. PROGRAM SERVICE ACCOMPLISHMENTS NAME: UNREIMBURSED MEDICAID MEDICAID, ALSO KNOWN AS MEDI-CAL IN CALIFORNIA, IS THE US HEALTH PROGRAM FOR PEOPLE WITH LOW INCOME. IT IS JOINTLY FUNDED BY THE STATE AND FEDERAL GOVERNMENTS, AND IS MANAGED BY THE STATES. ACCOMPLISHMENTS: 11,970 PERSONS SERVED AND $20,494,700 AT COSTS NAME: UNREIMBURSED OTHER-MEANS GOVERNMENT PROGRAM MEDICAL SERVICES INITIATIVE (MSI) IS A FEDERAL, STATE AND COUNTY FUNDED HEALTHCARE PROGRAM THAT PROVIDES A FULL RANGE OF MEDICAL SERVICES FOR COUNTY RESIDENTS 21 - 64 YEARS OF AGE. FINANCIAL ELIGIBILITY IS DETERMINED ON A CASE-BY-CASE BASIS HOWEVER, ONLY PERSONS WITH ANNUAL INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE. IN APPLYING FOR THE PROGRAM, PROOF OF ORANGE COUNTY RESIDENCY AND U.S. CITIZENSHIP OR LEGAL RESIDENCY IS REQUIRED. ACCOMPLISHMENTS: 3,478 PERSON SERVED AND $5,255,700 AT COSTS NAME: FINANCIAL ASSISTANCE PROGRAM GOAL: WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. OUR PATIENT FINANCIAL ASSISTANCE PROGRAM PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. FACTORS USED IN DETERMINING ELIGIBILITY FOR PATIENT FINANCIAL ASSISTANCE INCLUDE INCOME LEVEL, ASSET LEVEL, AND MEDICAL INDIGENCE. KEY PARTNERS: MINISTRY BUSINESS OFFICE ACCOMPLISHMENTS: 8,922 PERSON SERVED AND $5,786,000 AT COST NAME: CARE FOR THE POOR PROGRAMS GOAL: WE BELIEVE THAT ALL RESIDENTS IN THE COMMUNITY DESERVE ACCESS TO MEDICAL CARE. THAT IS WHY MISSION HOSPITAL, AS A MINISTRY OF ST. JOSEPH HEALTH SYSTEM, DEDICATES 10% OF ITS NET INCOME TOWARD CARE FOR THE POOR TO SUPPORT LOCAL PROGRAMS SUCH AS CAMINO HEALTH CENTER, THE LOCAL COMMUNITY CLINIC WHO SERVES SOUTH COUNTY RESIDENTS WHO ARE UNINSURED OR UNDERINSURED; CALIFORNIA KIDS, A LOW-COST HEALTH INSURANCE PROGRAM FOR CHILDREN INELIGIBLE FOR OTHER GOVERNMENT FUNDED PROGRAMS, AND SERVICES FOR THE HOMELESS WHO ARE RECENTLY DISCHARGED FROM THE HOSPITAL TO ENSURE THEY HAVE THE NEEDED MEDICAL SUPPORT TO RETURN THEIR HEALTH TO THE OPTIMAL LEVEL. KEY PARTNERS: BUSINESS OFFICE, MISSION INTEGRATION, CASE MANAGEMENT OFFICE, MEDICAL RECORDS ACCOMPLISHMENTS: 113,870 PERSON SERVED AND $1,966,000 AT COSTS NAME: FAMILY RESOURCE CENTERS GOAL: OUR TWO FAMILY RESOURCE CENTERS ARE CREATED TO PROVIDE EDUCATION, SUPPORT, AND RESOURCES TO ENHANCE THE PROCESS OF FAMILY GROWTH THROUGH THE DEVELOPMENT OF SKILLS THAT PROMOTE THE HEALTH, SELF-SUFFICIENCY, AND QUALITY OF LIFE FOR THE COMMUNITY KEY PARTNERS: RAISE FOUNDATION, CHILDRENS BUREAU, HUMAN OPTIONS ACCOMPLISHMENTS: 8,801 PERSONS SERVED AND $244,800 AT COSTS OUR FAMILY RESOURCE CENTERS PROVIDE SERVICES FOR THE COMMUNITY SUCH AS LOW/NO COST MENTAL HEALTH COUNSELING AND SUPPORT GROUPS, ACCESS TO HEALTHCARE THROUGH MEDI-CAL APPLICATION ASSISTANCE, PARENTING CLASSES, CHILD DEVELOPMENT CLASSES, FINANCIAL ASSISTANCE PROGRAMS INCLUDING SERVICES FROM THE CONSUMER CREDIT COUNSELING OF ORANGE COUNTY. PARTNERS IN OUR FAMILY RESOURCE CENTERS INCLUDE THE RAISE FOUNDATION, CHILDREN'S BUREAU, AND HUMAN OPTIONS. WE JOIN EFFORTS WITH THE LAKE FOREST WOMEN, INFANT & CHILDREN'S CLINIC TO PROVIDE WRAP-AROUND SERVICES FOR THOSE IN NEED. IN SAN JUAN CAPISTRANO, WE COLLABORATE WITH THE MISSION BASILICA TO PROVIDE OUTREACH SERVICES TO THE MOST VULNERABLE AND WORK WITH LOCAL SCHOOL DISTRICTS AND PARENTS TO ENSURE CHILDREN HAVE APPROPRIATE ACCESS TO EDUCATION AND OTHER SUPPORT SERVICES. IN FY11, WE SERVED A TOTAL OF 2,828 PERSONS AT THE TWO SITES AND OVER 32,000 TOTAL CONTACTS. FOR MORE INFORMATION ABOUT MISSION HOSPITAL, PLEASE VISIT WWW.MISSION4HEALTH.COM. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJOE.ORG.
FORM 990, PART V, LINE 7H	CONTRIBUTIONS OF CARS OR OTHER VEHICLES	MISSION HOSPITAL RECEIVED A VEHICLE DONATION FOR A FUNDRAISING EVENT. MISSION HOSPITAL WAS NOT REQUIRED TO FILE FORM 1098-C. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF MISSION HOSPITAL.
FORM 990, PART VI, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS	MISSION HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE MISSION HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE MISSION HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR.
FORM 990, PART VI, LINE 7B	DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS	THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, LINE 11	PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990	THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 IS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE MARCH 2012 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING.
FORM 990, PART VI, LINE 12C	PROCESS FOR MONITORING CONFLICTS OF INTEREST	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 EXECUTIVE COMMITTEE. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE OFFICER, TRUSTEE, OR KEY EMPLOYEE MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY.
FORM 990, PART VI, LINES 15A AND 15B	PROCESS USED TO DETERMINE COMPENSATION	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 AND 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 FOUR TIMES A YEAR AND ALL CRITICAL DECISIONS ARE MADE DURING THE WORKLIFE COMMITTEE MEETINGS OR 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 SEPTEMBER 2011.
FORM 990, PART VI, LINE 19	GOVERNING DOCS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STMTS AVAILABLE	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 AVAILABLE ON THE SJHS INTERNET SITE.
FORM 990, PART VII	HOURS DEVOTED TO RELATED ORGANIZATIONS	WILLIAM MURIN SERVES ON THE BOARD OF MISSION HOSPITAL REGIONAL MEDICAL CENTER (MHRMC) AND IS AN EMPLOYEE OF ST JOSEPH HEALTH SYSTEM (SJHS). HE DEVOTES 50 HOURS PER WEEK TO SJHS AND 2 HOURS PER WEEK TO MHRMC. PETER BASTONE SERVED AS CEO OF MHRMC UNTIL MAY 2011. ALTHOUGH HE IS COMPENSATED BY THE TAX-EXEMPT PARENT, SJHS, HE DEVOTES 50 HOURS PER WEEK TO MHRMC AND NO HOURS TO SJHS. SISTER MARYANNE HUEPPER SERVES ON THE BOARD OF MHRMC AND ST. JUDE MEDICAL CENTER (SJMC). SHE DEVOTES 2 HOURS PER WEEK TO MHRMC AND 2 HOURS PER WEEK TO SJMC. SISTER CHRISTINE RAY SERVES ON THE BOARD OF MHRMC, SANTA ROSA MEMORIAL HOSPITAL (SRMH) AND SRM ALLIANCE HOSPITAL SERVICES (PVH). SHE DEVOTES 2 HOURS PER WEEK TO MHRMC, 2 HOURS PER WEEK TO SRMH, AND 2 HOURS PER WEEK TO PVH. SISTER EILEEN MCNERNEY SERVES ON THE BOARD OF MHRMC AND SJHS. SHE DEVOTES 2 HOURS PER WEEK TO MHRMC AND 2 HOURS PER WEEK TO SJHS.
FORM 990, PART XI, LINE 5	OTHER CHANGES IN NET ASSETS	INVESTMENT UNREALIZED GAIN/LOSS $7,127,530 ST. JOSEPH HEALTH SYSTEM EQUITY ADJUSTMENT 3,192,030 CAPITAL CONTRIBUTION TO HERITAGE FOUNDATION (5,248,360) INCOME FROM SUBSIDIARIES 1,976,795 ADJ. FOR CFP BOOKED IN ASSET/LIABILITY ACCTS (2,002,456) CFP ADJUSTMENT RELATED TO CASH BASIS REPORTING (209,700) OTHER ADJUSTMENT RELATED TO CASH BASIS REPORTING 58,737 FUNDRAISING REVENUE RE-CLASSED FROM NET ASSETS (123,984) ROUNDING (765) ---------- TOTAL $4,769,827 ===========
FORM 990, PART XII, LINE 2C	OVERSIGHT OF SELECTION PROCESS	THE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT.
SECTION 409A DOCUMENT CORRECTION UNDER SECTION VI.B, VII.C AND XI.A	OF IRS NOTICE 2010-6 DOCUMENT DEFECTS	1) NAME AND SOCIAL SECURITY NUMBERS OF AFFECTED PARTICIPANTS: NOT APPLICABLE. 2) THE 409A FAILURE OCCURRED WITH RESPECT TO THE ST. JOSEPH HEALTH SYSTEM 457(F) PLAN ("PLAN"). 3) THE 409A PLAN FAILURES ARE ELIGIBLE FOR CORRECTION UNDER THE TERMS OF SECTION VI.B, VII.C AND XI.A OF IRS NOTICE 2010-6. THE EMPLOYER HAS TAKEN ALL ACTIONS REQUIRED BEFORE DECEMBER 31, 2010, AND OTHERWISE MET ALL REQUIREMENTS FOR SUCH CORRECTION. NO PARTICIPANT IS REQUIRED TO REPAY ANY AMOUNT TO THE PLAN IN A SUBSEQUENT TAX YEAR, NOR IS ANY AMOUNT REQUIRED TO BE INCLUDED IN INCOME UNDER SECTION 409A AS PART OF THE CORRECTION. THE CORRECTIVE AMENDMENT WAS SIGNED ON OCTOBER 6, 2010. THE DATE OF THE EVENT CAUSING THE AFFECTED PARTICIPANT TO INCLUDE HIS PLAN ACCOUNT IN GROSS INCOME WAS HIS VOLUNTARY TERMINATION DATE. 4) DESCRIPTION OF EACH FAILURE: THIS EMPLOYER DID NOT HAVE ANY EMPLOYEES WHO VOLUNTARILY TERMINATED AND WERE DUE A DISTRIBUTION. THEREFORE NO EMPLOYEE WAS AFFECTED BY THIS DEFECT IN THE PLAN'S WRITTEN TERMS. Therefore no employee was affected by this defect in the Plan's written terms.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (32 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
CAMINO HEALTH CENTER
30300 CAMINO CAPISTRANO	SAN JUAN CAPISTRANO	CA	92675	330574214	HEALTHCARE	CA	501(C)(3)	7	MHRMC
COVENANT HEALTH PARTNERS
3615 19TH STREET	LUBBOCK	TX	79410	611573313	HEALTHCARE	TX	501(C)(3)	11, I	CHS
COVENANT HEALTH SYSTEM
3615 19TH STREET	LUBBOCK	TX	79410	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS
COVENANT HEALTH SYSTEM FOUNDATION
4000 24TH STREET	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS
COVENANT MEDICAL GROUP
3420 22ND PLACE	LUBBOCK	TX	79410	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS
HOME CARE PARTNERS
1165 MONTGOMERY DR	SANTA ROSA	CA	95405	680318656	INACTIVE	CA	501(C)(3)	3	SRMH
HOSPICE OF LUBBOCK
1102 SLIDE ROAD	LUBBOCK	TX	79414	752133781	HEALTHCARE	TX	501(C)(3)	9	CHS
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREET	LUBBOCK	TX	79410	752220963	HEALTHCARE	TX	501(C)(3)	7	CHS
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREET	LUBBOCK	TX	79410	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUE	LEVELLAND	TX	79336	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROAD	PLAINVIEW	TX	79072	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS
MISSION HOSPITAL REG MED CTR FDN
27700 MEDICAL CENTER ROAD	MISSION VIEJO	CA	92691	330406118	HEALTHCARE	CA	501(C)(3)	7	MHRMC
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREET	NAPA	CA	94558	941243669	HEALTHCARE	CA	501(C)(3)	3	SJHS
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVE	FORTUNA	CA	95540	942779313	FOUNDATION	CA	501(C)(3)	7	RMH
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVE	FORTUNA	CA	95540	941384665	HEALTHCARE	CA	501(C)(3)	3	SJHS
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVE	SANTA ROSA	CA	95405	941231005	HEALTHCARE	CA	501(C)(3)	3	SJHS
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIA	ORANGE	CA	92868	951643383	RELIGIOUS ORG	CA	501(C)(3)	1	NA
SRM ALLIANCE HOSPITAL SERVICES
400 NORTH MCDOWELL BLVD	PETALUMA	CA	94954	680395200	HEALTHCARE	CA	501(C)(3)	3	SRMH
ST JOSEPH HEALTH FDN OF N CALIFORNIA
PO BOX 552	SANTA ROSA	CA	95405	680338070	INACTIVE	CA	501(C)(3)	11, I	SRMH
ST JOSEPH HEALTH MINISTRY
500 S MAIN STREET SUITE 400	ORANGE	CA	92868	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO
ST JOSEPH HEALTH SYSTEM
500 S MAIN STREET SUITE 700	ORANGE	CA	92868	953589356	HEALTHCARE	CA	501(C)(3)	11, I	SJHM
ST JOSEPH HEALTH SYSTEM FOUNDATION
500 S MAIN STREET SUITE 1000	ORANGE	CA	92868	330143024	HEALTHCARE	CA	501(C)(3)	7	SJHS
ST JOSEPH HOME CARE NETWORK
170 PROFESSIONAL CENTER DR B	ROHNERT PARK	CA	94928	680331084	HEALTHCARE	CA	501(C)(3)	9	SJHS
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREET	EUREKA	CA	95501	941156596	HEALTHCARE	CA	501(C)(3)	3	SJHS
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVE	ORANGE	CA	92868	951643359	HEALTHCARE	CA	501(C)(3)	3	SJHS
ST JUDE HOSPITAL YORBA LINDA
279 E IMPERIAL HWY 750	FULLERTON	CA	92835	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVE	FULLERTON	CA	92835	951643325	HEALTHCARE	CA	501(C)(3)	3	SJHS
ST JUDE MEMORIAL FOUNDATION
1440 N HARBOR BLVD 200	FULLERTON	CA	92835	953607229	HEALTHCARE	CA	501(C)(3)	11, I	SJMC
ST MARY MEDICAL CENTER
18300 HIGHWAY 18	APPLE VALLEY	CA	92307	951914489	HEALTHCARE	CA	501(C)(3)	3	SJHS
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREET	LUBBOCK	TX	79410	751653181	HEALTHCARE	TX	501(C)(3)	7	CHS
TALLER SAN JOSE
801 NORTH BROADWAY	SANTA ANA	CA	92701	593816355	WORKFORCE DEV	CA	501(C)(3)	2	SSJO
AUXILIARY OF MISSION HOSP LAGUNA BEACH
31872 COAST HWY	LAGUNA BEACH	CA	92651	956050019	SUPPORT	CA	501(C)(3)	11, III-O	NA

Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	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	Percentage OwnershipPercentageOwnership
ST JOSEPH HLTH SYS HOME HLTH
SEE PART VII	MISSION VIEJO	CA	92691	330355575	HOME HEALTH	CA	NA	N/A	0	0	false	$0	false	0.00000
ST JOSEPH HLTH SYS HOME CARE
					HOME HEALTH	CA	NA	N/A	0	0	false	$0	false	0.00000
METHODIST DIAGNOSTIC IMAGING
					HEALTHCARE SVCS	TX	NA	N/A	0	0	false	$0	false	0.00000
SHA LLC
					HEALTHCARE SVCS	TX	NA	N/A	0	0	false	$0	false	0.00000
LUBBOCK SURGERY CENTER LTD
					HEALTHCARE SVCS	TX	NA	N/A	0	0	false	$0	false	0.00000
COVENANT LONG-TERM CARE LP
					HEALTHCARE SVCS	TX	NA	N/A	0	0	false	$0	false	0.00000
HERITAGE INVESTMENT GROUP
					INVESTMENT	CA	NA	N/A	0	0	false	$0	false	0.00000
MISSION AMBULATORY SURGICENTER
					HEALTHCARE SVCS	CA	MVMV	RELATED	1452295	3258915	false	$0	false	0.40600
COMPREHENSIVE IMAGING PARTNERS
					HEALTHCARE SVCS	CA	NA	N/A	0	0	false	$0	false	0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 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	Legal Domicile Foreign CountryLegalDomicileForeignCountry
ST JOSEPH PROF SVCS ENTERPRISES INC
500 S MAIN STREET SUITE 700	ORANGE	CA	92868	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	HX	BD	BD
MISSION VIEJO MEDICAL VENTURES INC
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE SVCS	CA	NA	C-CORP	36634	320857	1.00000
MISSION MEDICAL CENTER ASSOCIATION
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330201044	HEALTHCARE SVCS	CA	NA	C-CORP	0	0	1.00000
2 CHARITABLE REMAINDER UNITRUSTS
					HOSPITAL SUPPORT	CA	NA	TRUST	0	0	0.00000
ALLIANCE PHYSICIAN SERVICES
					INACTIVE	CA	NA	C-CORP	0	0	0.00000
ST JOSEPH YORBA PARK
					INACTIVE	CA	NA	C-CORP	0	0	0.00000
LUBBOCK METHODIST HOSPITAL SERVICES
PO BOX 1201	LUBBOCK	TX	79410	752118585	HEALTHCARE SVCS	TX	NA	C-CORP	0	0	0.00000
LUBBOCK METHODIST HOSPITAL PRACTICE MGMT
2107 OXFORD STREET SUITE 300	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	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	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 (46 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
ST JUDE HOSPITAL YORBA LINDA
B	5248360
ST JOSEPH HEALTH SYSTEM FOUNDATION
B	4065800
ST JOSEPH HEALTH SYSTEM FOUNDATION
C	2052456
AMERICAN UNITY GROUP
Q	2397940
CAMINO HEALTH CENTER
B	698045
COVENANT HEALTH PARTNERS
	0
COVENANT HEALTH SYSTEM
	0
COVENANT HEALTH SYSTEM FOUNDATION
	0
COVENANT MEDICAL GROUP
	0
HOME CARE PARTNERS
	0
HOSPICE OF LUBBOCK
	0
LUBBOCK METHODIST HOSPITAL FOUNDATION
	0
METHODIST CHILDREN'S HOSPITAL
	0
METHODIST HOSPITAL LEVELLAND
	0
METHODIST HOSPITAL PLAINVIEW
	0
MISSION HOSPITAL REG MED CTR FDN
	0
QUEEN OF THE VALLEY MEDICAL CENTER
	0
REDWOOD MEMORIAL FOUNDATION
	0
REDWOOD MEMORIAL HOSPITAL
	0
SANTA ROSA MEMORIAL HOSPITAL
	0
SRM ALLIANCE HOSPITAL SERVICES
	0
ST JOSEPH HEALTH FDN OF N CALIFORNIA
	0
ST JOSEPH HOME CARE NETWORK
	0
ST JOSEPH HOSPITAL OF EUREKA
	0
ST JOSEPH HOSPITAL OF ORANGE
	0
ST JUDE HOSPITAL INC
	0
ST JUDE MEMORIAL FOUNDATION
	0
ST MARY MEDICAL CENTER
	0
ST MARY OF THE PLAINS HOSPITAL FOUNDATION
	0
ST JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY
	0
ST JOSEPH HEALTH SYSTEM HOME CARE SERVICES
	0
METHODIST DIAGNOSTIC IMAGING
	0
SHA LLC
	0
LUBBOCK SURGERY CENTER LTD
	0
COVENANT LONG-TERM CARE LP
	0
HERITAGE INVESTMENT GROUP I LLC
	0
MISSION AMBULATORY SURGICENTER LTD
	0
COMPREHENSIVE IMAGING PARTNERS LLC
	0
ST JOSEPH PROF SVCS ENTERPRISES INC
	0
ALLIANCE PHYSICIAN SERVICES
	0
MISSION VIEJO MEDICAL VENTURES
	0
MISSION MEDICAL CENTER ASSOCIATION
	0
ST JOSEPH YORBA PARK
	0
LUBBOCK METHODIST HOSPITAL SERVICES
	0
LUBBOCK METHODIST HOSPITAL PRACTICE MGMT
	0
2 CHARITABLE REMAINDER UNITRUSTS
	0

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: 500 S. MAIN STREET STE. 1000 ORANGE, CA 92868 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	Explanation