2012-05-10T19:52:15-05:00 2011-06-30 ERNST & YOUNG US LLP 18111 VON KARMAN AVENUE SUITE 1000 IRVINE CA 92612 990 2010-07-01 951643360 MISSION HOSPITAL REGIONAL MEDICAL CENTER MISS 9493644299 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 ELLEN HAUBL 2012-05-09 9497942300 2010 2016-02-24 21:20:13Z KENNETH MCFARLAND SAME AS C ABOVE MISSION VIEJO CA 92691 501771580 false 0928 X WWW.MISSION4HEALTH.COM X 1941 CA WE ARE COMMITTED TO EXTENDING THE TRADITION OF THE SISTERS OF ST. 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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. 0 1207312 57912 0 0 7729 1257495 1.00000 0.00000 0.00000 false false 1300000 35755457 37055457 271646923 55090773 216556150 16849308 7628938 9220370 114750463 73133124 41617339 16837660 24224 16813436 321262752 0 INTERCO. WITH HEALTH SYSTEM-BONDS 189879843 INTERCOMPANY PAYABLE 30884372 THIRD PARTY PAYABLES 3976489 OTHER LIABILITIES 3518655 228259359 PART X, LINE 2 ASC 740 (FIN48) FOOTNOTE 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. Central America and the Caribbean 0 0 Program Services CAPTIVE INSURANCE 2397940 0 0 0 0 0 0 2397940 2397940 true false false false false false METHOD OF ACCOUNTING PART I, LINE 3, COLUMN (F) THE AMOUNT IN COLUMN F WAS DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING. GOLF 354140 275000 79140 61441 19454 19217 GALA 1282363 998663 283700 45442 95875 34950 86240 5 680783 553285 127498 136760 77267 2317286 1826948 490338 106883 252089 34950 182724 576646 -86308 165734 3750 38000 true 1.00000 165734 3750 38000 41750 123984 CA false AS A TAX-EXEMPT HOSPITAL, MISSION HOSPITAL REGIONAL MEDICAL CENTER IS EXEMPT FROM THE CALIFORNIA ATTORNEY GENERAL REGISTRATION AND REPORTING REQUIREMENTS FOR THE RAFFLES. false false false 0.00000 1.00000 WINIFRED JOHNSON 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 false WINIFRED JOHNSON 16304 VP FOUNDATION/FUNDRAISING X true 149161 true true X true X true X 500. true true true false true true 6742084 955244 5786840 0.01250 55018861 34524128 20494733 0.04420 9887940 4632207 5255733 0.01130 71648885 40111579 31537306 0.06800 3437422 27422 3410000 0.00730 110000 110000 0.00020 1149491 1149491 0.00250 2057259 2057259 0.00440 6754172 27422 6726750 0.01440 78403057 40139001 38264056 0.08240 54600 54600 0.00010 121446 121446 0.00030 160474 160474 0.00030 336520 336520 0.00070 true 4605137 0 87941123 114576873 -26635750 X true true MECC-SEE PART VI PHYSICIAN OFFICE&CONF ED CTR 0.50000 0.50000 MAS - SEE PART VI OUTPATIENT SURGERY CENTER 0.43000 0.56000 2 1 MISSION HOSPITAL REGIONAL MEDICAL CENTER

27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691

X X X 2 MISSION HOSPITAL LAGUNA BEACH

31872 COAST HIGHWAY LAGUNA BEACH CA 92651

X X X MISSION HOSPITAL REGIONAL MEDICAL CENTER 1 MISSION HOSPITAL LAGUNA BEACH 2 2 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 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 NAME OF ENTITY 1. MISSION EDUCATION CONFERENCE CENTER, LLC 2. MISSION AMBULATORY SURGICENTER, LTD, DBA MISSION SURGERY CENTER 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 990 SCHEDULE H, PART VI CA, true 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) 75975 COST FOOD DONATIONS FOOD DONATIONS ST KILIAN CHURCH 26872 ESTANCIERO MISSION VIEJO CA 92691 952659054 501(c)(3) 5566 COST FOOD DONATIONS 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 11 0 PAYMENT FOR MEDICAL SERVICES 21 9502 SCHEDULE I, PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS 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". X true false false true false false false false false true false 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 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. 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 BUSINESS RELATIONSHIPS SCHEDULE L, PART IV, LINE 2 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. X 0 X 1 22940 COST/SELLING PRICE X 14 497295 COST/SELLING PRICE X GIFTS IN KIND 732 0 0 0 false true false 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. 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. 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