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JOSEPH HEALTH SYSTEM HAS CONDUCTED AN ADVOCACY EFFORT WHICH INCLUDED MINIMAL 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. 6529804 1468385 8300 7989889 5940633 597471 8300 6529804 7423607 150000 -1583488 49486 5940633 0.99690 0.00000 0.00310 false false 8558117 8558117 357757793 94966315 262791478 11204111 9088878 2115233 205689732 150471562 55218170 83041766 0 83041766 411724764 0 INTERCOMPANY WITH HS BONDS 236027021 PAYABLE TO THIRD PARTY PAYORS 6953023 OTHER LIABILITIES 2294192 LEASE INCENTIVE OBLIGATION 1977742 247251978 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS PROVIDE INCOME THAT IS USED FOR THE ST. JUDE MEDICAL CENTER'S CONTINUING NEEDS AND MISSION. SCHEDULE D, 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 1929983 0 0 0 0 1929983 1929983 true false false false false false ACCOUNTING METHOD SCHEDULE F, PART I, LINE 3, COLUMN F THE ACCRUAL METHOD OF ACCOUNTING WAS USED TO DETERMINE THE AMOUNT IN COLUMN F. 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OUTPATIENT SVC RADIATION THERAPY

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OUTPATIENT SVC ST JUDE CTR REHAB & WELLNESS

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OUTPATIENT SVC IMAGING CENTER

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OUTPATIENT SVC BREAST CENTER

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OUTPATIENT SVC OPEN MRI

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OUTPATIENT SVC OUTPATIENT SVC

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OUTPATIENT SVC CARDIAC REHAB

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OUTPATIENT SVC PART I, LINE 7 THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO, WHICH WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. PART I, LINE 7G SUBSIDIZED HEALTH SERVICES NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. PART III, LINE 4 THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITONAL 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. SELF-PAY ACCOUNTS ARE GRANTED A DISCOUNT OF 35% OF CHARGES FOR INPATIENT (I/P) SERVICES AND 20% OF CHARGES FOR OUTPATIENT (O/P) SERVICES. IF THE SELF-PAY PATIENT CHOOSES TO PAY IN ONE LUMP-SUM AMOUNT, ADDITIONAL DISCOUNT IS GRANTED AS FOLLOWS: 10% FOR I/P AND 15% FOR O/P. 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. THE BAD DEBT AMOUNT REPORTED WAS CALCULATED USING A COST-TO-CHARGE RATIO. 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 THE ORGANIZATION'S 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 VI, LINE 2 NEEDS ASSESSMENT THE HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS AND ASSET ASSESSMENT EVERY THREE YEARS TO PROVIDE DIRECTION FOR ITS COMMUNITY BENEFIT PLAN. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS CONDUCTED EVERY THREE YEARS TO PROVIDE THE BASIS FOR ST. JUDE HOSPITAL, INC. dba ST. JUDE MEDICAL CENTER (SJMC) AND ST. JUDE HERITAGE HEALTHCARE (SJHH) TO DEVELOP PRIORITIES FOR OUR COMMUNITY BENEFIT PLAN AND TO MEET THE LEGAL REQUIREMENTS OF SB 697. THIS INFORMATION PROVIDES A FOUNDATION FOR SJMC AND SJHH TO CARRY OUT OUR MISSION OF IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES THAT WE SERVE. THE NEEDS ASSESSMENT IS REVIEWED AND APPROVED BY THE ST. JUDE MEDICAL CENTER BOARD OF TRUSTEES COMMUNITY BENEFIT COMMITTEE. THIS COMMITTEE IS COMPOSED OF A MAJORITY OF COMMUNITY MEMBERS WHO REPRESENT THE GEOGRAPHIC AREA AND DIVERSITY OF THE COMMUNITIES SERVED BY THE MEDICAL CENTER. INPUT ON THE NEEDS ASSESSMENT AND PRIORITIES FOR OUR COMMUNITY BENEFIT PLAN WERE OBTAINED FROM FOCUS GROUPS WITH BOTH LOW INCOME RESIDENTS AND WITH REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE LOW INCOME RESIDENTS. OVER 120 INDIVIDUALS PARTICIPATED IN PROVIDING FEEDBACK. IN ADDITION, THE ORANGE COUNTY HEALTH NEEDS ASSESSMENT SURVEYED KEY STAKEHOLDERS REGARDING PRIORITIES AND THEIR PERCEPTIONS OF HOW THE MEDICAL CENTER IS PARTNERING WITH THE COMMUNITY. ONE OF THE PRIORITIES IDENTIFIED IN THE NEEDS ASSESSMENT WAS MENTAL HEALTH COUNSELING SERVICES. WHILE THE MEDICAL CENTER SUPPORTS SOME SERVICES AT ITS CLINICS WE DID NOT SELECT THIS AS A PRIORITY IN OUR COMMUNITY BENEFIT PLAN BECAUSE THERE ARE OTHER ORGANIZATIONS IN THE COMMUNITY THAT HAVE GREATER EXPERTISE IN THIS AREA. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION 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. PART VI, LINE 4 COMMUNITY INFORMATION THE SERVICE AREAS OF ST. JUDE MEDICAL CENTER REACH 1.68 MILLION PEOPLE. THE MEDICAL CENTER'S GEOGRAPHICAL AREA OF FOCUS FOR COMMUNITY BENEFIT PROGRAMS ARE THE CITIES OF BREA, BUENA PARK, FULLERTON, LA HABRA, PLACENTIA AND YORBA LINDA. THE SOCIO-DEMOGRAPHIC DATA FOR THE SIX AREAS SERVED BY SJMC COMMUNITY BENEFIT DEMONSTRATE WIDE DISPARITIES IN RACIAL/ETHNIC AND ECONOMIC INDICATORS. LA HABRA IS THE CITY WITH THE LOWEST MEDIAN INCOME AND THE GREATEST RACIAL/ETHNIC DIVERSITY WHILE YORBA LINDA HAS THE HIGHEST INCOME AND LEAST RACIAL/ETHNIC DIVERSITY. WITHIN EACH CITY, WITH THE EXCEPTION OF YORBA LINDA, THERE ARE NEIGHBORHOODS THAT HAVE A HIGHER PERCENTAGE OF DISPROPORTIONATE UNMET HEALTH NEEDS POPULATIONS. HIGHEST NEED NEIGHBORHOODS HAD HIGHEST RATES OF POVERTY, UNEMPLOYMENT AND LOWEST INCOMES. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH THE GOVERNING BODY IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITALS PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS. THE SUB-COMMITTEE OF THE BOARD OF TRUSTEES, KNOWN AS THE COMMUNITY BENEFIT COMMITTEE, 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 ST. JUDE MEDICAL CENTER REGARDING: 1) BUDGETING DECISIONS, 2) COMMUNITY BENEFIT PROGRAM CONTENT, 3) COMMUNITY BENEFIT PROGRAM DESIGN, 4) TARGET GEOGRAPHIC/POPULATION, 5) PROGRAM CONTINUATION OR DISCONTINUATION, 6) FUND DEVELOPMENT SUPPORT, AND 7) COMMUNITY-WIDE ENGAGEMENT. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. GIVING BACK TO THE COMMUNITY IS INTEGRATED INTO EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH SYSTEM, WE PROVIDE FREE AND DISCOUNTED CARE VIA OUR FINANCIAL ASSISTANCE PROGRAM AND HAVE A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. 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 ST. JUDE MEDICAL CENTER, AS A MINISTRY OF ST. JOSEPH HEALTH SYSTEM, HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. ON AN ANNUAL BASIS, TEN PERCENT OF OUR NET INCOME IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR (CARE FOR THE POOR FUNDS). SPECIFICALLY, FUNDS ARE USED FOR OUTREACH PROGRAMS, DEFINED AS THOSE SERVICES THAT ADDRESS A SPECIFIC UNMET HEALTH NEED AND ARE SEPARATE FROM TRADITIONAL ACUTE CARE SERVICES. IN ADDITION TO DEVOTING A PERCENTAGE OF OUR NET INCOME TO COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR VIA CARE FOR THE POOR FUNDS, WE STRIVE TO ANNUALLY BUDGET A PORTION OF OUR TOTAL OPERATING EXPENSES FOR HEALTHY COMMUNITIES AND COMMUNITY HEALTH EFFORTS. DURING THE PAST YEAR, ST. JUDE MEDICAL CENTER DEDICATED $2,951,650 IN CARE FOR THE POOR FUNDS AND $4,327,721 TO HEALTHY COMMUNITIES AND COMMUNITY HEALTH INITIATIVES. THIS FUNDING MADE THE FOLLOWING PROGRAMS POSSIBLE: ST. JUDE NEIGHBORHOOD HEALTH CENTER, ST. JUDE MOBILE FAMILY HEALTH CLINIC, ST. JUDE CHILDREN'S DENTAL CLINIC, RICHMAN CHILDHOOD OBESITY INITIATIVE, HEALTHY COMMUNITIES SERVICES, NURSE ADVICE LINE, CANCER CENTER SUPPORT PROGRAMS, REHABILITATION COMMUNITY PROGRAMS, SENIOR SERVICES, SENIOR TRANSPORTATION, MOTHER BABY ASSESSMENT CENTER, WOMEN'S HEALTH EDUCATION, FAMILY CAREGIVER SUPPORT PROGRAM, ST. JUDE BRAIN INJURY NETWORK AND TAPP. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM ST. JUDE MEDICAL CENTER 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 FOUNDTION 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. PART VI, LINE 7 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 THE FULLERTON COLLABORATIVE 1401 W VALENCIA DR FULLERTON CA 92883 201222056 501(C)(3) 41199 HEALTHY NEIGHBORHOOD INITIATIVE COMM SVC ST JOSEPH HEALTH SYSTEM FOUNDATION 500 S MAIN STREET ORANGE CA 92868 330143024 501(C)(3) 6439200 CARE FOR THE POOR 2 0 MEDICAL SERVICES TO PATIENTS 36 67660 DESCRIBE THE PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. FORM 990, SCHEDULE I, PART I, LINE 2 EXPENSES ARE MONITORED ON A MONTHLY/QUARTERLY BASIS BY THE VICE-PRESIDENT OF HEALTHY COMMUNITIES. WE MONITOR THE USE OF GRANT FUNDS BY REQUIRING REPORTS FROM THE ORGANIZATION GRANTS ARE GIVEN TO. 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THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. DESCRIPTION OF CEO PAID BY EXEMPT PARENT SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM. DESCRIPTION OF SEVERANCE PAYMENTS MADE SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT IN 2010: CLAIRE H HANKS $ 160,368 DOREEN L DANN $ 325,249 DESCRIPTION OF A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. PAYOUT FOR 2010 PARTICIPANTS: DOREEN L DANN $ 255 BARRY ROSS $ 21,749 DESCRIBE ANY NON-FIXED PAYMENTS PROVIDED SCHEDULE J, PART I, LINE 7 A PORTION OF THE EXECUTIVE'S SALARY IS PLACED "AT-RISK" AND IS NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. X 3 72062 COST/SELLING PRICE 0 false true false FORM 990, PART I, LINE 1 & PART III, LINE 1 ORGANIZATION'S MISSION STATEMENT AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, ST. JUDE HOSPITAL, INC. dba ST. JUDE MEDICAL CENTER IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS REALIZING OUR MISSION AS A NOT-FOR-PROFIT, ST. JUDE MEDICAL CENTER HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 54 YEARS. SERVING THE COMMUNITIES OF NORTH ORANGE COUNTY CALIFORNIA, ST. JUDE MEDICAL CENTER IS AN ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF CARDIAC, CANCER, PERINATAL, ORTHOPEDICS, REHABILITATION AND COMMUNITY CLINIC SERVICES. WITH OVER 2,800 EMPLOYEES COMMITTED TO REALIZING THE MISSION, ST. JUDE MEDICAL CENTER IS ONE OF THE LARGEST EMPLOYERS IN THE NORTH ORANGE COUNTY REGION. ST. JUDE MEDICAL CENTER, 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 FLEXIBLITY 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 ST. JUDE MEDICAL CENTER 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. IN THE ST. JUDE MOTHER BABY UNIT A TEAM INITIATED A THOUGHTFUL GOOD-BYE SCENE USING THE TECHNIQUE OF SCENOGRAPHY TO DISCOVER THE EXPERIENCE OF A SACRED ENCOUNTER. REFLECTING ON THE DESIRED TONE OF "BLESSED", THE TEAM DEVELOPED THREE STEPS: REMINDING THE PATIENT OF HOSPITAL SUPPORT BY PROVIDING A BUSINESS CARD SIZE LIST OF RESOURCE PHONE NUMBERS; ACKNOWLEDGED THE SYMBOLISM IN THE CUTTING OF THE BAND FROM THE BABY'S ANKLE BY RECOGNIZING THE SIGNIFICANCE OF THE EVENT; AND PRESENTING A CONGRATULATORY CARD SIGNED BY ALL OF THE PATIENT'S CAREGIVERS. WHEN PATIENTS WERE ASKED HOW THEY FELT WHEN THEY RECEIVED THE CARD, ONE PATIENT SAID: "THEY ARE NOT JUST SIGNING IT BECAUSE YOU ARE ONE OF THEIR PATIENTS, BUT THEY KNEW EXACTLY WHICH PATIENT YOU WERE...SO THAT MEANT A LOT". ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENTS EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. ONE OF THE PERFECT CARE GOALS IS TO ACHIEVE ZERO PREVENTABLE VENTILATOR ASSOCIATED PNEUMONIAS (VAPS). DUE TO ON-GOING WORK BY OUR CRITICAL CARE COLLABORATIVE, IN FY 11, THE MEDICAL CENTER WAS ABLE TO REDUCE THE AMOUNT OF VAP OCCURRENCES TO ZERO. THE COMMUNITIES WE SERVE WILL BE AMONG THE HEALTHIEST IN OUR NATION. WE SEEK TO DEVELOP COMMUNITY HEALTH INITIATIVES THAT IMPACT LONG-TERM HEALTH ACROSS THE ENTIRE COMMUNITY. THE SOUTH FULLERTON HEALTHY WEIGHT INITIATIVE IS A PARTNERSHIP OF ST. JUDE MEDICAL CENTER, THE FULLERTON SCHOOL DISTRICT, FULLERTON BOYS AND GIRLS CLUB AND THE FULLERTON COLLABORATIVE DESIGNED TO PROMOTE HEALTHY LIFESTYLE. KEY COMPONENTS OF THE PROGRAM WHICH IS OFFERED AT THREE LOW INCOME SCHOOLS INCLUDE: PARENT-LED LUNCH RECESS EXERCISE PROGRAMS, ENHANCED PHYSICAL ACTIVITY IN AFTER SCHOOL PROGRAMS, PARENT WALKING GROUPS AND ZUMBA CLASSES, NUTRITION EDUCATION AND COMMUNITY CENTER OFFERED ZUMBA CLASSES. IN ADDITION, THE SJHS HEALTHY FOR LIFE PROGRAM IS OFFERED AT THESE SCHOOLS. OUTCOMES INCLUDE AN INCREASED PERCENTAGE OF 5TH GRADERS IN THE HEALTHY FITNESS ZONE FOR BODY COMPOSITION. PROGRAM SERVICE ACCOMPLISHMENTS NAME: UNPAID COST OF MEDICAID PROGRAMS GOAL: THIS SERVICE REPRESENTS THE DIFFERENCE BETWEEN THE ACTUAL COST OF PROVIDING INPATIENT AND OUTPATIENT SERVICES TO MEDI-CAL PATIENTS AND THE AMOUNT OF REVENUE RECEIVED FROM MEDI-CAL. KEY PARTNERS: MINISTRY BUSINESS OFFICE ACCOMPLISHMENTS: 13,770 PERSONS SERVED AND $20,026,669 IN COSTS NAME: FINANCIAL ASSISTANCE/CHARITY CARE PROGRAM GOAL: WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY, AS A MINISTRY OF ST. JOSEPH HEALTH SYSTEM, ST. JUDE MEDICAL CENTER HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT 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: 16,332 PERSONS SERVED AND $7,218,902 IN COSTS NAME: UNPAID COST OF MEANS-TESTED GOVERNMENT PROGRAMS GOAL: THIS SERVICE REPRESENTS THE DIFFERENCE BETWEEN THE ACTUAL COST OF PROVIDING CARE TO PATIENTS WHO ARE IN THE ORANGE COUNTY MEDICAL SERVICES FOR THE INDIGENT PROGRAM AND THE AMOUNT OF REVENUE RECEIVED FROM THIS PROGRAM. KEY PARTNERS: MINISTRY BUSINESS OFFICE ACCOMPLISHMENTS: 4,612 PERSONS SERVED AND $6,770,647 IN COSTS NAME: CARE FOR THE POOR PROGRAMS GOAL: WE BELIEVE THAT ALL RESIDENTS IN THE COMMUNITY DESERVE ACCESS TO MEDICAL CARE. THAT IS WHY ST. JUDE MEDICAL CENTER, 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 NEIGHBORHOOD HEALTH CLINIC, MOBILE FAMILY HEALTH CLINIC AND CHILDREN'S DENTAL CLINIC WHICH PROVIDE PRIMARY MEDICAL, DENTAL, COUNSELING, HEALTH EDUCATION, AND CASH MANAGEMENT SERVICES TO LOW INCOME UNINSURED AND UNDERINSURED PEOPLE. IT ALSO PROVIDES STAFF AND OTHER COSTS IN SUPPORT OF HEALTHY COMMUNITIES INITIATIVES. KEY PARTNERS: MISSION INTEGRATION, CASE MANAGEMENT, MEDICAL RECORDS ACCOMPLISHMENTS: 6,776 PERSONS SERVED AND $2,370,693 IN COSTS FOR MORE INFORMATION ABOUT ST. JUDE MEDICAL CENTER, PLEASE VISIT WWW.STJUDEMEDICALCENTER.ORG FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJOE.ORG. FORM 990, PART VI, LINE 2 BUSINESS AND FAMILY RELATIONSHIPS DR. ALLISON FOLEY AND DR. JAMES BENOIT HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JUDE HOSPITAL, INC. (DBA ST. JUDE MEDICAL CENTER). FORM 990, PART VI, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST JUDE MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. JUDE MEDICAL CENTER BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST JUDE MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL & 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 11B 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 APRIL 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, LINES 12A, 13 AND 14 IN JANUARY 2012, THE ST. JUDE MEDICAL CENTER BOARD OF TRUSTEES APPROVED AND ADOPTED THE FOLLOWING POLICIES: A) CONFLICT OF INTEREST; B) WHISTLEBLOWER; C) DOCUMENT RETENTION AND DESTRUCTION. THE POLICIES HAVE BEEN IN PLACE AND WERE FOLLOWED PRIOR TO FORMAL ADOPTION BY THE BOARD. FORM 990, PART VI, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR 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. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE BOARD CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE BOARD DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE BOARD WILL EVALUATE AND RECOMMED CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER IN CONSULTATION WITH THE SJHS GENERAL COUNSEL WILL REVIEW THE BOARD FINDINGS, RECOMMENDATIONS AND MITIGATION STRATEGIES AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. FORM 990, PART VI, LINE 15A & 15B PROCESS FOR DETERMINING 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 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC 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 SPENT FOR THE ORGANIZATION LEE PENROSE IS THE CEO/PRESIDENT OF ST. JUDE MEDICAL CENTER (SJMC) AND A BOARD MEMBER OF ST. JOSEPH HERITAGE HEALTH FOUNDATION (HHF). ALTHOUGH HE IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM (SJHS), HE DEVOTES 50 HOURS PER WEEK TO SJMC AND 2 HOURS TO HHF. JAMES BENOIT, M.D SERVES ON THE BOARD OF SJMC AND ALSO SERVES ON THE BOARD OF HHF. HE DEVOTES 2 HOURS PER WEEK TO SJMC AND 2 HOURS PER WEEK TO HHF. SISTER MARIE JEANNE GAILLAC SERVES ON THE BOARD OF SJMC, AS WELL AS SJHS, ST. JOSEPH EUREKA (SJE) AND REDWOOD MEMORIAL HOSPITAL (RMH). SHE DEVOTES 2 HOURS PER WEEK TO SJHS, SJE AND RMH. EDUARDO SALVADOR IS THE CHIEF FINANCIAL OFFICER OF SJMC AND ALSO SERVES ON THE BOARD OF ST. JUDE MEDICAL FOUNDATION (SJMF) AND ON THE MANAGEMENT COMMITTEE OF HHF. HE DEVOTES 50 HOURS PER WEEK TO SJMC AND 2 HOURS PER WEEK TO SJMF AND HFF. SISTER CLAUDETTE DESFORGES IS THE VP OF MISSION INTEGRATION AT SJMC AND SERVES ON THE BOARD OF SJHS AND HHF. SHE DEVOTES 50 HOURS PER WEEK TO SJMC, 2 HOURS PER WEEK TO SJHS AND 2 HOURS PER WEEK TO HHF. KEVIN MURPHY, PHD SERVES ON THE BOARD OF SJMC AND ALSO WORKS FOR SJHS. HE DEVOTES 2 HOURS PER WEEK TO SJMC AND 50 HOURS PER WEEK TO SJHS AS VP OF VALUE INTEGRATION. SISTER MARYANNE HUEPPER SERVES ON THE BOARD OF SJMC AND ALSO SERVES ON THE BOARD OF MISSION HOSPITAL REGIONAL MEDICAL CENTER (MHRMC). SHE DEVOTES 2 HOURS PER WEEK TO SJMC AND 2 HOURS PER WEEK TO MHRMC. FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS UNREALIZED GAINS $ 26,017,950 ============ FORM 990, PART XII, LINE 2C OVERSIGHT OR 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) NAMES 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 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 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. 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