ST JOSEPH HEALTH SYSTEM FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH HEALTH SYSTEM FOUNDATION (EIN 33-0143024)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-09
IRS object ID
201231309349301808
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-09T13:55:50-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118111 VON KARMAN AVENUE SUITE 1000AddressLine1
CityIRVINECity
StateCAState
ZIP Code92612ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN330143024EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HEALTH SYSTEM FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone7143477500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 S MAIN STREETAddressLine1
CityORANGECity
StateCAState
ZIP Code928684507ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH A PROCTORName
TitlePRESIDENT & CEOTitle
Date Signed2012-04-27DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone9497942300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSISTER JAYNE HELMLINGERNameOfPrincipalOfficerPerson
Gross Receipts27578500GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STJHS.ORG/SJHSPROGRAMS/FOUNDATIONWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionWE PROVIDE FUNDING AND ASSISTANCE FOR IMPROVING THE HEALTH AND WELL- BEING OF THE POOR, AND UTILIZE THE STRENGTH AND DIVERSITY OF OUR NEIGHBORS TO BUILD VIBRANT COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year26263110ContributionsGrantsPriorYear
Contributions Grants Current Year22436200ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year3519987InvestmentIncomePriorYear
Investment Income Current Year5040462InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year29783097TotalRevenuePriorYear
Total Revenue Current Year27476662TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year15758291GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY16347210GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year291860OtherExpensePriorYear
Other Expenses Current Year507199OtherExpensesCurrentYear
Total Expenses Prior Year16050151TotalExpensesPriorYear
Total Expenses Current Year16854409TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13732946RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10622253RevenuesLessExpensesCY
Total Assets BOY75582000TotalAssetsBOY
Total Assets EOY91500280TotalAssetsEOY
Total Liabilities BOY55583TotalLiabilitiesBOY
Total Liabilities EOY286378TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY75526417NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY91213902NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16460904Expense
Grants16347210Grants
Revenue0Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense16460904TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationstrueMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDARRIN MONTALVONamePerson
Telephone Number7143477500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 S MAIN ST 700AddressLine1
CityORANGECity
StateCAState
ZIP Code92868ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
SR JAYNE HELMLINGER
CHAIRPERSON/CEO5.0XX000
TOM MAHOWALD
CFO2.0XX043016842030
SISTER MARIAN SCHUBERT
SECRETARY2.0XX000
DOTTIE ANDREWS
BOARD MEMBER2.0X000
JAIME MUNOZ
BOARD MEMBER2.0X000
DEBORAH PROCTOR
BOARD MEMBER2.0X01727345310878
JO SANDERSFELD
BOARD MEMBER2.0X037889124981
LEAH ERSOYLU
BOARD MEMBER2.0X000
SORA PARK TANJASIRI DRPH
BOARD MEMBER2.0X000
ALICIA LARA
BOARD MEMBER (THRU 02/2011)2.0X000
JASON BARKER
FORMER CFO0.0056473224006X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3101136TotalReportableCompFrmRltdOrgs
Total Other Compensation401895TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations22436200RelatedOrganizations
Total Contributions22436200TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5106600TotalRevenueColumn
Exclusion$5,106,600ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other35700Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other101838Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-66138Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-66138TotalRevenueColumn
Exclusion-$66,138ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27476662TotalRevenueColumn
Exclusion$5,040,462ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total16117210Total
Program Services16117210ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total230000Total
Program Services230000ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total348504Total
Management And General348504ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7166Total
Program Services7166ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total144545Total
Program Services106528ProgramServices
Management And General38017ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6984Total
Management And General6984ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16854409Total
Program Services16460904ProgramServices
Management And General393505ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1649136BOY
EOY3858794EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY178847BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis39972LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec0LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY94105BOY
EOY39972EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY70445621BOY
EOY82820248EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3214291BOY
EOY4781266EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY75582000BOY
EOY91500280EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY8378EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY55583BOY
EOY278000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY55583BOY
EOY286378EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY75516830BOY
EOY91204315EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9587BOY
EOY9587EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75526417BOY
EOY91213902EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75582000BOY
EOY91500280EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10622253ReconcilationRevenueExpenses
Reconcilation Other Changes5065232ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21338867CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14966583CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3323181CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26263110CurrentTaxYearMinus1Year
Current Tax Year22436200CurrentTaxYear
Total88327941Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21338867CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14966583CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3323181CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26263110CurrentTaxYearMinus1Year
Current Tax Year22436200CurrentTaxYear
Total88327941Total
FieldValueIRS element (for citing)
Public Support Total17088327941PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7571023CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4033193CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3519987CurrentTaxYearMinus1Year
Current Tax Year5106600CurrentTaxYear
Total20230803Total
FieldValueIRS element (for citing)
Total Support108558744TotalSupport
Gross Receipts From Admissions Etc0GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.81364PublicSupportPertcentage170
Public Support Pertcent Prior Year0.80474PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

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

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis39972InvestmentCostOrOtherBasis
Depreciation0Depreciation
Book Value39972BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings39972TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
INTEREST RECEIVABLE1208
INTERCOMPANY AFFILIATES4780058
FieldValueIRS element (for citing)
Total Book Value Other Assets4781266TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierCONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740)Identifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationACCOUNTING 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

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Grants To Orgs Outside US GrantsToOrgsOutsideUS (5 entries)

RegionRegionPurpose Of GrantPurposeOfGrantAmount Of Cash GrantAmountOfCashGrantManner Of Cash DisbursementMannerOfCashDisbursement
Cent. America/CaribbeanCHOLERA TREATMENT AND PREVENTION-HAITI40000CHECK
Cent. America/CaribbeanCHOLERA TREATMENT AND PREVENTION-HAITI60000CHECK
Middle East/North AfricaMEDICAL CLINICS SERVING FLOOD VICTIMS - PAKISTAN30000CHECK
East Asia/PacificEMERGENCY RELIEF-JAPAN EARTHQUAKE25000CHECK
Cent. America/CaribbeanMALNOURISHMENT TREATMENT PROGRAM-HAITI75000CHECK
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs5TotalNumberOf501c3Orgs
Total Number Of Other Orgs0TotalNumberOfOtherOrgs
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSSchedule F, Part I, LINE 2FOUNDATION STAFF TAKES REASONABLE STEPS TO INVESTIGATE A POTENTIAL GRANTEE'S CAPABILITY OF AND COMMITMENT TO EXECUTING THE PURPOSE OF THE GRANT. GRANTEES ARE REQUIRED TO PROVIDE MID YEAR AND END OF YEAR REPORTS ON THE GRANT'S FINANCIAL STATUS AND PROGRESS ON ACCOMPLISHING THE GRANT'S PURPOSES.
ACCOUNTING METHODSCHEDULE F, PART II, LINE 1, COLUMN ETHE ACCRUAL METHOD OF ACCOUNTING WAS USED TO DETERMINE THE AMOUNTS IN COLUMN E.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (73 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ALCOHOL DRUG CARE SERVICES
528 FIFTH STREETEUREKACA95501680218628501(C)(3)46430WELLNESS&PREVENTION
AMERICAN LUNG ASSOCIATION
424 PENDELTON WAYOAKLANDCA94621940362650501(C)(3)25000WELLNESS&PREVENTION
APPLE VALLEY POLICE COMMUNITY LEAGUE
14931 DALE EVANSAPPLE VALLEYCA92307753139382501(C)(3)25000WELLNESS&PREVENTION
BOYS AND GIRLS CLUB OF CAPISTRANO
1 VIA POSITIVASJCCA92675330529575501(C)(3)25000WELLNESS&PREVENTION
BOYS AND GIRLS CLUB OF FULLERTON
348 W COMMONWEALTH AVEFULLERTONCA92832951855645501(C)(3)60000WELLNESS&PREVENTION
BOYS AND GIRLS CLUB OF LAGUANA BEACH
1085 LAGUNA CNYN RDLAGUNA BEACHCA92651951878822501(C)(3)30000PROGRAM SERVICES
CAMINO HEALTH CENTER
30300 CAMINO CAPISTRANOSJCCA92675330574214501(C)(3)75000WELLNESS&PREVENTION
CAPISTRANO UNIFIED SCHOOL DISTRICT
25601 CAMINO DEL AVIONSJCCA92675952321055GOVERNMENT60000WELLNESS&PREVENTION
CHILDREN'S HEALTH INITIATIVE NAPA COUNTY
2160 JEFFERSON STNAPACA94559251924934501(C)(3)25000WELLNESS&PREVENTION
COMMUNITY ACTION OF NAPA VALLEY
2310 LAUREL STREET STE 1NAPACA94559941610851501(C)(3)20000FOOD DISTRIBUTION
COMMUNITY ALLIANCE FOR FAMILY FARMERS
1385 8TH STE BARCATACA95521942914745501(C)(3)10000MATCHING GRANTS
COUNTY OF HUMBOLDT DEPT HLTH & HMN SVCS
825 FIFTH STEUREKACA95501946000513GOVERNMENT56000WELLNESS&PREVENTION
COVENANT HEALTH SYSTEMS
3615 19TH STLUBBOCKTX79410752765566501(C)(3)1928339CARE FOR THE POOR
CREER
PO BOX 1347SAN JUAN CAPISTRANOCA92693330486106501(C)(3)50000WELLNESS&PREVENTION
EUREKA RESCUE MISSION
PO BOX 76EUREKACA95502946138983501(C)(3)10000FOOD DISTRIBUTION
FAMILY ASSISTANCE MINISTRIES
929 CALLE NEGOCIOSAN CLEMENTECA92673330864870501(C)(3)10000FOOD DISTRIBUTION
FAMILY ASSISTANCE MINISTRIES
929 CALLE NEGOCIOSAN CLEMENTECA92673330864870501(C)(3)50000WELLNESS&PREVENTION
FAMILY SERVICE OF NAPA VALLEY
709 FRANKLIN STNAPACA94559941236934501(C)(3)47500WELLNESS&PREVENTION
FOOD FOR THE PEOPLE
307 W 14TH STEUREKACA95501942772549501(C)(3)56252WELLNESS&PREVENTION
FRIENDSHIP SHELTER
PO BOX 4252LAGUNA BEACHCA92652330219404501(C)(3)50000WELLNESS&PREVENTION
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HEALTHY SMILES FOR KIDS OF OC
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HUMBOLDT AREA FOUNDATION
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MARY'S SHELTER
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MISSION BASILICA SAN JUAN CAPISTRANO
31520 CAMINO CAPISTRANOSJCCA92675951904079501(C)(3)10000FOOD DISTIBUTION
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MOMS
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NAPA VALLEY HOSPICE & ADULT DAY SERVICES
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ON THE MOVE
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ONE OC
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ORANGE COUNTY CONGREGATION COMMUNITY
310 W BROADWAYANAHEIMCA92805953196836501(C)(3)75000CBI THIRD YEAR- THE COLLABORATIVE FOR A SAFE SAN JUAN
PEP HOUSING
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REDWOOD EMPIRE FOOD BANK
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REDWOOD EMPIRE FOOD BANK
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SANTA ROSA MEMORIAL HOSPITAL
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SRM ALLIANCE HOSPITAL SERVICES
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ST JOHN OF GOD
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ST JUDE HOSPITAL INC
101 E VALENCIA MESA DRFULLERTONCA92835951643325501(C)(3)950900HEALTHY 4 LIFE
ST MARY MEDICAL CENTER
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ST MARY MEDICAL CENTER
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ST VINCENT DE PAUL
528 2ND STEUREKACA95502941573587501(C)(3)10000FOOD DISTRIBUTION
ST VINCENT DE PAUL
528 2ND STEUREKACA95502941573587501(C)(3)75000WELLNESS&PREVENTION
TALLER SAN JOSE
801 N BROADWAYSANTA ANACA92701593816355501(C)(3)50000WELLNESS&PREVENTION
THE INSTITUTE FOR HEALTHCARE ADVANCEMENT
501 S IDAHO ST STE 300LA HABRACA90631330483197501(C)(3)79544CBI BRIDGE FUNDING
VOLUNTEER CENTER ORANGE COUNTY
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YMCA OF OC AQUATIC CENTER
13821 NEWPORT AVE STE 200TUSTINCA92780951644055501(C)(3)10000DIRECTORS FUND FOR AQUATIC CENTER-SANTA ANA
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants57TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationFOUNDATION STAFF TAKES REASONABLE STEPS TO INVESTIGATE A POTENTIAL GRANTEE'S CAPABILITY OF AND COMMITMENT TO EXECUTING THE PURPOSE OF THE GRANT. GRANTEES ARE REQUIRED TO PROVIDE MID YEAR AND END OF YEAR REPORTS ON THE GRANT'S FINANCIAL STATUS AND PROGRESS ON ACCOMPLISHING THE GRANT'S PURPOSES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TOM MAHOWALD
0265826073583090759011445030585047219800
DEBORAH PROCTOR
010431020426987025725602969780139000203822300
JO SANDERSFELD
01890380622600127593016084088970403872050793
JASON BARKER
03167970105138014279709800014206058873800

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 1AST. 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 LE PUY, FRANCE, WHERE THE SISTERS' FIRST CONGREGATION WAS FORMED. THE PURPOSE OF THE PILGRIMAGE IS FOR THE ORGANIZATION'S LEADERS TO DEVELOP A DEEPER UNDERSTANDING OF THE ROOTS AND HERITAGE OF THE ORGANIZATION IN ORDER TO CARRY OUT THE MISSION. COMPANION TRAVEL IS CONSIDERED TO BE AN ESSENTIAL PART OF THIS EXPERIENCE AND THE COMPANION ACTS AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING TRUSTEES AND OFFICERS RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. THE BENEFITS WERE PAID BY ST. JOSEPH HEALTH SYSTEM FOUNDATION'S TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM. JO SANDERSFELD - $6,574
SCHEDULE J, PART I, LINE 3THE CHIEF EXECUTIVE OFFICER OF ST. JOSEPH HEALTH SYSTEM FOUNDATION (SJHSF) IS NOT COMPENSATED BY SJHSF OR ANY OTHER RELATED OR UNRELATED ORGANIZATION FOR HER SERVICES AS CEO OF SJHSF.
SCHEDULE J, PART I, LINE 4BEXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. THE FOLLOWING INDIVIDUAL RECEIVED PAYMENT FROM THE 457(F) PLAN: JO SANDERSFELD - $50,793
SCHEDULE J, PART I, LINE 7SJHSF DID NOT PROVIDE ANY NON-FIXED PAYMENTS TO THE PERSONS LISTED IN PART VII. THEIR COMPENSATION WAS PAID BY RELATED ORGANIZATIONS FOR THEIR SERVICES AS EXECUTIVES OF THOSE ORGANIZATIONS. A PORTION OF ST. JOSEPH HEALTH SYSTEM 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 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 THE AT-RISK-PAY.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1THE MISSION OF THE ST. JOSEPH HEALTH SYSTEM FOUNDATION, AS AN EXTENSION OF CHRIST'S HEALING MINISTRY, IS TO PROVIDE FUNDING AND ASSISTANCE FOR IMPROVING THE HEALTH AND WELL-BEING OF THE ECONOMICALLY POOR, AND UTILIZE THE STRENGTHS AND DIVERSITY OF OUR NEIGHBORS TO BUILD VIBRANT COMMUNITIES. THIS IS ACCOMPLISHED BY MANAGING AND ALLOCATING RESOURCES TO COMMUNITIES AND PARTNERS OF GOODWILL ENGAGED IN INNOVATIVE AND EFFECTIVE INITIATIVES TO SERVE THE COMMON GOOD.
DESCRIPTION OF PROGRAM SERVICESFORM 990, PART III, LINE 4GROUNDED IN OUR COMMITMENT TO COMMUNITY AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), THE ST. JOSEPH HEALTH SYSTEM FOUNDATION IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. WE ARE COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 1) SACRED ENCOUNTERS, 2) PERFECT CARE AND 3) HEALTHIEST COMMUNITIES. MAKING EVERY ENCOUNTER WITH OUR COMMUNITY A SACRED ENCOUNTER 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. PROVIDING OUR PATIENTS IN THE COMMUNITY WITH PERFECT CARE 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. OVER 350 YEARS AGO, THE FOUNDER OF THE CONGREGATION OF THE SISTERS OF ST. JOSEPH CRAFTED A MESSAGE IN A PROPHETIC LETTER TO SPUR THE GROWTH OF A "LITTLE DESIGN." IT WAS TO BE A NEW FORM OF ASSOCIATION OF WOMEN, WHOSE MEMBERS WOULD CONSECRATE THEIR LIVES TO GOD, LIVE TOGETHER IN SMALL GROUPS, AND COMBINE A LIFE OF PRAYER WITH AN ACTIVE MINISTRY TO THE SICK AND THE POOR. TODAY, CARRYING ON FATHER MEDAILLE'S INSPIRATION, WE ARE CULTIVATIING THE SEEDS OF A BOLD CONCEPT IN HEALTHCARE...PERFECT CARE. HIS WORDS ARE AS RELEVANT TO US TODAY AS THEY WERE FOR THE SISTERS IN 1650. "GIVE YOUR FULL ATTENTION TO THE ACTIONS YOU PERFORM, REMOVE FROM THEM THE SLIGHTEST IMPERFECTIONS, AND TRY TO OBSERVE ALL CONDITIONS NECESSARY TO MAKE THEM PERFECT. ONE ACTION DONE WELL IS WORTH A HALF DOZEN DONE HALF-HEARTEDLY." JEAN PIERRE MEDAILLE, SJ-MAXIM 14:4. MAKING THE COMMUNITIES WE SERVE THE HEALTHIEST COMMUNITIES IN THE U.S. HEALTHIEST COMMUNITIES THE COMMUNITIES WE SERVE WILL BE AMONG THE HEALTHIEST IN OUR NATION. WHAT ARE THE STEPS WE ARE TAKING TO REACH THIS GOAL? WE COLLECT AND ANALYZE DATA ON VARIOUS GEOGRAPHIC, SOCIOECONOMIC, MORBIDITY AND HEALTH RELATED BEHAVIORS IN THE COMMUNITIES WE SERVE. BY COLLECTING COMMUNITY HEALTH DATA, WE ARE ABLE TO SHARE OUR FINDINGS WITH OTHER COMMUNITY ORGANIZATIONS AND DEVELOP EVIDENCE-BASED INTIATIVES AND PROGRAMS IN THE COMMUNITIES WE SERVE.
WHO WE ARE AND WHAT WE DOORGANIZATIONAL COMMITMENT WE BELIEVE WE HAVE A SOCIAL RESPONSIBILITY AND A MORAL OBLIGATION TO RESPOND TO THE NEEDS OF LOW-INCOME FAMILIES AND INDIVIDUALS SERVED BY OUR MINISTRIES. IN 1986, THE ST. JOSEPH HEALTH SYSTEM (SJHS) 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 FACILIITES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FREE CARE FOR THOSE IN NEED OF ACUTE CARE SERVICES, SJHS CREATED THE SJHS FOUNDATION TO IMPROVE THE LIVES OF LOW-INCOME INDIVIDUALS RESIDING IN ITS LOCAL COMMUNITIES. POLICY 13 IN ITS FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES THE PROCESS BY WHICH ALL HOSPITAL MINISTRIES CONTRIBUTE 10% OF NET INCOME TO THE SJHS FOUNDATION. OVER THE LAST 24 YEARS, THE FOUNDATION HAS CONTRIBUTED OVER $175 MILLION TOWARD PROGRAMS THAT ADDRESS THE HEALTH AND WELL-BEING OF LOW-INCOME INDIVIDUALS AND FAMILIES IN AREAS SURROUNDING THE HOSPITALS. THROUGH THE FOUNDATION'S STRATEGIC GRANT MAKING PROGRAMS, SIGNIFICANT OUTCOMES HAVE BEEN ACHIEVED IN COMMUNITY HEALTH SETTINGS AND CLINICS, NONPROFIT ORGANIZATIONS, AND LOCAL SJHS HOSPITAL MINISTRIES. THE SJHS FOUNDATION HAS FOUR FUNDING INITIATIVES: DISASTER FUNDING INITIATIVE, WELLNESS AND PREVENTION INITIATIVE, COMMUNITY BUILDING INITIATIVE AND COMMUNITY CLINICS CAPACITY INITIATIVE. BELOW WE OUTLINE THE TOP THREE INTIATIVES AS MEASURED BY PROGRAM EXPENSE. WELLNESS AND PREVENTION INITIATIVE THE SJHS FOUNDATION SEEKS TO PROMOTE THE HEALTH AND WELL-BEING OF LOW-INCOME INDIVIDUALS AND FAMILIES IN AREAS SURROUNDING OUR HOSPITALS THROUGH THE WELLNESS AND PREVENTION INITIATIVE. BY FUNDING PROACTIVE PROGRAMS THROUGH THE GRANT CYCLES OF THE WELLNESS AND PREVENTION INITIATIVE, THE SJHS FOUNDATION SEEKS TO ELIMINATE THE NEED FOR CATASTROPHIC CARE AND ITS ASSOCIATED SOCIAL, EMOTIONAL AND ECONOMIC COSTS. THE TITLE OF THE INITIATIVE DESCRIBES ITS CENTRAL VISION AND STRATEGIC FOCUS. WELLNESS PROGRAMS ADDRESS THE HEALTH AND WELL-BEING OF THE INDIVIDUAL OR COMMUNITY AT RISK OR WITH A PRE-EXISTING HEALTH CONDITION. PREVENTION (I.E., PRIMARY, SECONDARY, AND TERTIARY) PROGRAMS ARE PART OF A COMPREHENSIVE STRATEGY TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE IN OUR LOCAL COMMUNITIES WHILE REDUCING DEMAND FOR HIGH-COST MEDICAL SERVICES. PARTNERING WITH OTHER ORGANIZATIONS TO ADDRESS THE HEALTH AND WELL-BEING OF LOW-INCOME COMMUNITIES IS AT THE CORE OF THE INITIATIVE. AS IN PREVIOUS GRANT CYCLES, SJHS FOUNDATION SEEKS PROPOSALS THAT ADDRESS THE HEALTH AND WELL-BEING OF LOW-INCOME COMMUNITIES IN ALL AREAS OF HEALTH. AMOUNT GRANTED IN FY 2011: $2,423,785 HEALTHY FOR LIFE INITIATIVE SJHS FOUNDATION CONTINUED TO SUPPORT THE SYSTEMWIDE EXPANSION OF OUR HEALTHY FOR LIFE CAMPAIGN, A COMPREHENSIVE SOCIAL AND HEALTHCARE OUTREACH CAMPAIGN DESIGNED TO FIGHT THE CHILDHOOD OBESITY EPIDEMIC THAT PLAGUES AN ESTIMATED NINE MILLION AMERICAN CHILDREN. HEALTHY FOR LIFE INCLUDES A SCHOOL-BASED PREVENTION/INTERVENTION PHYSICAL EDUCATION PROGRAM AS WELL AS A NUTRITION AND LIFESTYLE COMPONENT. WITH AN EMPHASIS ON REACHING AT-RISK YOUTH AND THEIR COMMUNITIES, THE PROGRAM'S GOAL IS TO PROVIDE PARENTS AND CHILDREN WITH THE TOOLS AND KNOWLEDGE TO HELP THEM CHOOSE A HEALTHIER LIFESTYLE. IN FISCAL YEAR 2011, MORE THAN 100 SCHOOLS AND 3,702 STUDENTS WERE ABLE TO PARTICIPATE IN HEALTHY FOR LIFE, A FREE, CURRICULUM BASED PROGRAM LED BY A PHYSICAL EDUCATION TEACHER AT THE MIDDLE AND HIGH SCHOOL LEVELS AND THE CLASS TEACHER AT THE PRESCHOOL AND ELEMENTARY SCHOOL LEVELS. THE PROGRAM INCLUDES INCREASED PHYSICAL ACTIVITY INTENSITY LESSONS, STRENGTH/WEIGHT TRAINING SESSIONS, KICKBOXING CLASSES AT THE ELEMENTARY, MIDDLE AND HIGH SCHOOL LEVELS AND HEALTHY NUTRITION EDUCATION INFORMATION. SINCE LAUNCHING THE HEALTHY FOR LIFE CAMPAIGN, APPROXIMATELY 39% OF PARTICIPANTS WERE ASSESSED AS OVERWEIGHT OR OBESE. BY THE END OF THE 2011 SCHOOL YEAR, 9.75% OF THOSE STUDENTS IMPROVED THEIR WEIGHT STATUS. THE PROPORTION OF STUDENTS' WAIST CIRCUMFERENCE DECREASED FROM 18.6% AT BASELINE TO 12.1% AT YEAR-END. THE PROPORTION OF STUDENTS WITH LOW SELF-ESTEEM DECREASED FROM 10% TO 9% DURING THE SAME PERIOD. BY YEAR END, 88% OF STUDENTS REPORTED EXERCISING AT LEAST THREE TO SIX TIMES A WEEK AND 85% OF STUDENTS STATED THAT THEY EAT VEGETABLES THREE TO SIX TIMES A WEEK AS WELL AS DECREASED THEIR JUNK FOOD INTAKE. AMOUNT GRANTED IN FY11: $950,900 DISASTER RELIEF FUNDING ST. JOSEPH HEALTH SYSTEM FOUNDATION CONSIDERS NEEDS ARISING FROM THE OCCURRENCE OF DISASTER AND UNFORESEEN EMERGENCY NEEDS NATIONALLY AND THROUGHOUT THE WORLD. THROUGH RESPONSIVE GRANTMAKING, THE FOUNDATION WORKS TO ADDRESS THE POVERTY AND SUFFERING THAT OFTEN FOLLOW CATASTROPHIC EVENTS. DISASTER RELIEF FUNDING WAS PROVIDED TO U.S.-BASED, NON PROFIT ORGANIZATIONS THAT PROVIDE RELIEF EFFORTS IN THE U.S. AND ABROAD. THESE ORGANIZATIONS HAVE PROVEN EXPERTISE IN RECONSTRUCTION, DEVELOPMENT AID AND IN REBUILDING COMMUNITIES. AMOUNT GRANTED IN FY 2011: $250,000 PEOPLE AROUND THE WORLD WERE DEVASTATED BY THE EFFECTS OF CATASTROPHIC NATURAL DISASTERS IN JAPAN AND PAKISTAN DURING FISCAL YEAR 2011. THE SJHS FOUNDATION RESPONDED QUICKLY TO PROVIDE IMMEDIATE RELIEF TO THOSE IN NEED. - JAPANESE TSUNAMI & EARTHQUAKE RELIEF JAPAN WAS STRUCK BY THE MOST POWERFUL EARTHQUAKE TO HIT THE ISLAND NATION IN RECORDED HISTORY LAST MARCH. THE TSUNAMI THAT FOLLOWED THIS DISASTER CAUSED WIDESPREAD DEVASTATION AND LED TO MORE THAN 10,000 KILLED OR MISSING PEOPLE. SJHS FOUNDATION RESPONDED BY GIVING THE AMERICAN RED CROSS A GRANT TO PROVIDE IMMEDIATE EMERGENCY RELIEF FOR THE PEOPLE AFFECTED BY THESE CATASTROPHIC DISASTERS. - PAKISTAN FLOOD RELIEF HEAVY MONSOON RAINS LAST JULY CAUSED MASSIVE FLOODING IN PAKISTAN LEAVING APPROXIMATELY ONE-FIFTH OF THE COUNTRY'S LAND AREA UNDERWATER. THE DISASTER AFFECTED NEARLY 20 MILLION PEOPLE THROUGH EXTENSIVE DAMAGE TO PROPERTY, LIVELIHOOD, CROPS AND INFRASTRUCTURE. SJHS FOUNDATION'S CONTRIBUTION WAS ALLOCATED TO INTERNATIONAL MEDICAL CORPS, WHICH SUPPORTED EMERGENCY MEDICAL CLINICS IN THE MANY REGIONS OF PAKISTAN AFFECTED BY THE FLOODS. - TORNADO IN JOPLIN, MISSOURI IN MAY 2011, THE LARGEST TORNADO IN U.S. HISTORY STRUCK JOPLIN, MISSOURI, CAUSING WIDESPREAD DAMAGE AND DESTRUCTION AND THE DEATHS OF AT LEAST 151 PEOPLE. AN ESTIMATED ONE THIRD OF THE BUILDINGS IN THE TOWN WERE DESTROYED, INCLUDING HOMES, HOSPITALS, SCHOOLS AND CHURCHES, WITH DEBRIS STREWN THROUGHOUT THE COUNTY. SJHS FOUNDATION RESPONDED TO THIS DISASTER WITH A FINANCIAL ALLOCATION TO MERCY HOUSING, A NONPROFIT ORGANIZATION THAT DEVELOPS AFFORDABLE HOUSING FOR LOW-INCOME PEOPLE. FUNDING HELPED PROVIDE HOUSING FOR DISPLACED RESIDENTS AND TORNADO RECOVERY EFFORTS. - HAITI EARTHQUAKE RELIEF SJHS FOUNDATION CONTINUED TO SUPPORT RECOVERY AND REBUILDING EFFORTS IN HAITI, WHICH HAVE BEEN ONGOING SINCE THE NATION'S 2010 CATASTROPHIC EARTHQUAKES. DURING FISCAL YEAR 2011, SJHS FOUNDATION ALLOCATED AN ADDITIONAL $100,000 FOR SUSTAINED IMPROVEMENT AND SUPPORT WHICH FUNDED THE FOLLOWING PROGRAMS: SJHS FOUNDATION PROVIDED FUNDS TO OPERATION USA TO SUPPORT RECOVERY EFFORTS IN THE REGION, INCLUDING THE ESTABLISHMENT OF A FEEDING PROGRAM AT A 400-STUDENT PUBLIC SCHOOL IN JACMEL, HAITI AND THE REBUILDING OF THE DESGRANGES HEALTH CENTER OF PETIT GOAVE, WHICH PROVIDES HEALTH SERVICES TO 60,000 PEOPLE. SJHS FOUNDATION PROVIDED FUNDS TO SUPPORT A CHOLERA EPIDEMIC RESPONSE PROJECT MANAGED BY THE UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE. THROUGH THIS PROJECT, THE UNIVERSITY WILL UTILIZE COMMUNITY HEALTH WORKERS TO IDENTIFY CASES OF CHOLERA AND EDUCATE COMMUNITY MEMBERS ON PREVENTING THE SPREAD OF CHOLERA. TREATMENT CENTERS WILL BE ESTABLISHED TO PROVIDE LIFE-SAVING MEDICAL CARE TO THOSE AFFECTED BY CHOLERA. FOR MORE INFORMATION ON THE SJHS FOUNDATION GO TO: HTTP://WWW.STJHS.ORG/SJHSPROGRAMS/FOUNDATION FOR MORE INFORMATION ON THE ST. JOSEPH HEALTH SYSTEM FOUNDATION GO TO: WWW.STJOE.ORG
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, QUESTION 6ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HEALTH SYSTEM FOUNDATION.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, QUESTION 7AST. JOSEPH HEALTH SYSTEM FOUNDATION HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION BOARD. ALL TRUSTEE APPOINTMENTS COME FROM THE ST. JOSEPH HEALTH SYSTEM FOUNDATION BOARD AS NOMINATIONS AND MUST BE APPROVED BY THE ST. JOSEPH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH SYSTEM MINISTRY, AS THE ORGANIZATIONAL SPONSOR.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, QUESTION 7BTHE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, QUESTION 11BTHE 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 (S) OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS THEN DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE SPRING MEETING. DURING THE BOARD MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE 990 FORM.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, QUESTION 12COFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, DISCLOSURES SHALL BE MADE PROMPTLY ANYTIME 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 ST. JOSEPH HEALTH SYSTEM FOUNDATION BOARD. IF THE CONFLICT INVOLVES A MEMBER OF THE BOARD, THE REMAINING MEMBERS WILL 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 BOARD 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 RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER IN CONSULTATION WITH SJHS GENERAL COUNSEL WILL REVIEW THE BOARD FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE.
WHISTLEBLOWER, DOCUMENT RETENTION AND DESTRUCTION POLICYFORM 990, PART VI, QUESTION 13 AND 14THE ORGANIZATION WILL PRESENT THE POLICIES TO THE BOARD IN THEIR NEXT QUARTERLY MEETING IN APRIL 2012 FOR ADOPTION. THE POLICIES ARE EXPECTED TO BE ADOPTED FOR FY 2012.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 990, PART VI, QUESTION 15ATHE CHIEF EXECUTIVE OFFICER OF ST. JOSEPH HEALTH SYSTEM FOUNDATION (SJHSF) IS NOT COMPENSATED BY SJHSF OR ANY OTHER RELATED OR UNRELATED ORGANIZATION FOR HER SERVICES AS CEO OF SJHSF.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 990, PART VI, QUESTION 15BONE OF THE OFFICERS IS PAID BY A RELATED ORGANIZATION, ST. JOSEPH HEALTH SYSTEM. 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.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, QUESTION 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIISISTER JAYNE HELMLINGER SERVES ON THE BOARD OF ST. JOSEPH HEALTH SYSTEM FOUNDATION (SJHSF), THE RELATED TAX EXEMPT ORGANIZATIONS ST. JOSEPH HOSPITAL OF EUREKA (SJE) AND REDWOOD MEMORIAL HOSPITAL (RMH). SHE IS ALSO AN OFFICER OF THE TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM (SJHS). SHE DEVOTES 50 HOURS PER WEEK TO SJHS AND TWO HOURS PER WEEK TO EACH HOSPITAL. TOM MAHOWALD SERVES ON THE BOARD AND IS AN OFFICER OF SJHSF AS WELL AS AN EMPLOYEE OF SJHS. HE DEVOTES 50 HOURS PER WEEK TO SJHS. SISTER MARIAN SCHUBERT SERVES ON THE BOARD OF SJHSF, SJE, RMH, AND IS AN OFFICER OF THE RELATED TAX EXEMPT ORGANIZATION QUEEN OF THE VALLEY MEDICAL CENTER (QVMC). SHE DEVOTES 50 HOURS PER WEEK TO QVMC AND TWO HOURS PER WEEK TO EACH HOSPITAL. DEBORAH PROCTOR SERVES ON THE BOARD OF SJHSF AND SJE. SHE IS ALSO AN EMPLOYEE OF SJHS. SHE DEVOTES 50 HOURS PER WEEK TO SJHS AND TWO HOURS PER WEEK TO SJE. JO SANDERSFELD SERVES ON THE BOARD OF SJHSF AND IS AN EMPLOYEE OF THE RELATED ORGANIZATION, SANTA ROSA MEMORIAL HOSPITAL (SRMH). SHE DEVOTES 50 HOURS PER WEEK TO SRMH. JASON BARKER IS A FORMER OFFICER OF SJHSF AND IS AN EMPLOYEE OF THE RELATED TAX-EXEMPT ORGANIZATION, ST. MARY MEDICAL CENTER (SMMC). HE DEVOTES 50 HOURS PER WEEK TO SMMC.
MANAGEMENT FEESFORM 990, PART IX, LINE 11AA MANAGEMENT FEE PAID TO ST. JOSEPH HEALTH SYSTEM (SJHS) INCLUDES TIME FOR AN EXECUTIVE DIRECTOR, GRANT MANAGER AND A PROGRAM OFFICER. ALL ARE ON THE PAYROLL OF SJHS.
OTHER CHANGES IN NET ASSETS OR FUND BALANCEFORM 990, PART XI, LINE 5UNREALIZED GAIN OF $5,065,232 NOT INCLUDED IN REVENUE.
OVERSIGHT OF SELECTION PROCESSFORM 990, PART XII, LINE 2CTHE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CAMINO HEALTH CENTER
30300 CAMINO CAPISTRANOSAN JUAN CAPISTRANOCA92675330574214HEALTHCARECA501(C)(3)7MHRMC
COVENANT HEALTH PARTNERS
3615 19TH STREETLUBBOCKTX79410611573313HEALTHCARETX501(C)(3)11, ICHS
COVENANT HEALTH SYSTEM
3615 19TH STREETLUBBOCKTX79410752765566HEALTHCARETX501(C)(3)3SJHS
COVENANT HEALTH SYSTEM FOUNDATION
4000 24TH STREETLUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHS
COVENANT MEDICAL GROUP
3420 22ND PLACELUBBOCKTX79410752743883HEALTHCARETX501(C)(3)3CHS
HOME CARE PARTNERS
1165 MONTGOMERY DRSANTA ROSACA95405680318656INACTIVECA501(C)(3)3SRMH
HOSPICE OF LUBBOCK
1102 SLIDE ROADLUBBOCKTX79414752133781HEALTHCARETX501(C)(3)9CHS
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREETLUBBOCKTX79410752220963HEALTHCARETX501(C)(3)7CHS
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREETLUBBOCKTX79410752428911HEALTHCARETX501(C)(3)3CHS
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUELEVELLANDTX79336752246348HEALTHCARETX501(C)(3)3CHS
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROADPLAINVIEWTX79072752426010HEALTHCARETX501(C)(3)3CHS
MISSION HOSPITAL REG MED CTR FDN
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691330406118HEALTHCARECA501(C)(3)7MHRMC
MISSION HOSPITAL REGIONAL MEDICAL CENTER
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691951643360HEALTHCARECA501(C)(3)3SJHS
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREETNAPACA94558941243669HEALTHCARECA501(C)(3)3SJHS
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVEFORTUNACA95540942779313FOUNDATIONCA501(C)(3)7RMH
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVEFORTUNACA95540941384665HEALTHCARECA501(C)(3)3SJHS
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVESANTA ROSACA95405941231005HEALTHCARECA501(C)(3)3SJHS
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)1NA
SRM ALLIANCE HOSPITAL SERVICES
400 NORTH MCDOWELL BLVDPETALUMACA94954680395200HEALTHCARECA501(C)(3)3SRMH
ST JOSEPH HEALTH FDN OF N CALIFORNIA
PO BOX 552SANTA ROSACA95405680338070INACTIVECA501(C)(3)11, ISRMH
ST JOSEPH HEALTH MINISTRY
500 S MAIN STREET SUITE 400ORANGECA92868271666576RELIGIOUS ORGCA501(C)(3)1SSJO
ST JOSEPH HEALTH SYSTEM
500 S MAIN STREET SUITE 700ORANGECA92868953589356HEALTHCARECA501(C)(3)11, ISJHM
ST JOSEPH HOME CARE NETWORK
170 PROFESSIONAL CENTER DR BROHNERT PARKCA94928680331084HEALTHCARECA501(C)(3)9SJHS
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREETEUREKACA95501941156596HEALTHCARECA501(C)(3)3SJHS
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVEORANGECA92868951643359HEALTHCARECA501(C)(3)3SJHS
ST JUDE HOSPITAL YORBA LINDA
279 E IMPERIAL HWY 750FULLERTONCA92835330185031HEALTHCARECA501(C)(3)3SJHS
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVEFULLERTONCA92635951643325HEALTHCARECA501(C)(3)3SJHS
ST JUDE MEMORIAL FOUNDATION
1440 N HARBOR BLVD 200FULLERTONCA92835953607229HEALTHCARECA501(C)(3)11, ISJMC
ST MARY MEDICAL CENTER
18300 HIGHWAY 18APPLE VALLEYCA92307951914489HEALTHCARECA501(C)(3)3SJHS
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREETLUBBOCKTX79410751653181HEALTHCARETX501(C)(3)7CHS
TALLER SAN JOSE
801 NORTH BROADWAYSANTA ANACA92701593816355WORKFORCE DEVCA501(C)(3)2SSJO

Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)

Primary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
ST JOSEPH HLTH SYS HOME HLTH
HOME HEALTHCANAN/A00false$0false0.00000
ST JOSEPH HLTH SYS HOME CARE
HOME HEALTHCANAN/A00false$0false0.00000
METHODIST DIAGNOSTIC IMAGING
HEALTHCARE SVCSTXNAN/A00false$0false0.00000
SHA LLC
HEALTHCARE SVCSTXNAN/A00false$0false0.00000
LUBBOCK SURGERY CENTER LTD
HEALTHCARE SVCSTXNAN/A00false$0false0.00000
COVENANT LONG-TERM CARE LP
HEALTHCARE SVCSTXNAN/A00false$0false0.00000
HERITAGE INVESTMENT GROUP
INVESTMENTCANAN/A00false$0false0.00000
MISSION AMBULATORY SURGICENTER
HEALTHCARE SVCSCANAN/A00false$0false0.00000
COMPREHENSIVE IMAGING PARTNERS
HEALTHCARE SVCSCANAN/A00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
ST JOSEPH PROF SVCS ENTERPRISES INC
500 S MAIN STREET SUITE 700ORANGECA92868330155323HEALTHCARE SVCSCANAC-CORP000.00000
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCENAC-CORP000.0000058 PAR-LA-VILLE ROADHAMILTON HM HXBDBD
ALLIANCE PHYSICIAN SERVICES
INACTIVECANAC CORP000.00000
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARE SVCSCANAC CORP000.00000
MISSION MEDICAL CENTER ASSOCIATION
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330201044HEALTHCARE SVCSCANAC CORP000.00000
ST JOSEPH YORBA PARK
INACTIVECANAC CORP000.00000
LUBBOCK METHODIST HOSPITAL SVCS
PO BOX 1201LUBBOCKTX79410752118585HEALTHCARE SVCSTXNAC CORP000.00000
LUBBOCK METHODIST HOSP PRACTICE MGMT
2107 OXFORD STREET SUITE 300LUBBOCKTX79410752578995INACTIVETXNAC CORP000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (53 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
CAMINO HEALTH CENTER
B75000
REDWOOD MEMORIAL HOSPITAL
B250000
ST JOSEPH HOSPITAL OF EUREKA
B250000
ST MARY MEDICAL CENTER
B862657
SANTA ROSA MEMORIAL HOSPITAL
B992438
QUEEN OF THE VALLEY MEDICAL CENTER
B1320460
COVENANT HEALTH SYSTEM
B1928339
MISSION HOSPITAL REGIONAL MEDICAL CENTER
B2052456
ST JOSEPH HOSPITAL OF ORANGE
B2347290
ST JUDE HOSPITAL INC
B3514320
REDWOOD MEMORIAL HOSPITAL
C308900
ST JOSEPH HOSPITAL OF EUREKA
C350400
QUEEN OF THE VALLEY MEDICAL CENTER
C1563900
ST MARY MEDICAL CENTER
C1636600
SANTA ROSA MEMORIAL HOSPITAL
C1864800
ST JOSEPH HOSPITAL OF ORANGE
C2651100
COVENANT HEALTH SYSTEM
C3555500
MISSION HOSPITAL REGIONAL MEDICAL CENTER
C4065800
ST JUDE HOSPITAL INC
C6439200
ALLIANCE PHYSICIAN SERVICES
0
AMERICAN UNITY GROUP LTD
0
COMPREHENSIVE IMAGING PARTNERS OF OC LLC
0
COVENANT HEALTH PARTNERS
0
COVENANT HEALTH SYSTEM FOUNDATION
0
COVENANT LONG-TERM CARE LP
0
COVENANT MEDICAL GROUP
0
HERITAGE INVESTMENT GROUP I LLC
0
HOME CARE PARTNERS
0
HOSPICE OF LUBBOCK
0
LUBBOCK METHODIST HOSPITAL FOUNDATION
0
LUBBOCK METHODIST HOSPITAL PRACTICE MGMT
0
LUBBOCK METHODIST HOSPITAL SERVICES
0
LUBBOCK SURGERY CENTER LTD
0
METHODIST CHILDREN'S HOSPITAL
0
METHODIST DIAGNOSTIC IMAGING
0
METHODIST HOSPITAL LEVELLAND
0
METHODIST HOSPITAL PLAINVIEW
0
MISSION AMBULATORY SURGICENTER
0
MISSION HOSPITAL REG MED CTR FDN
0
MISSION MEDICAL CENTER ASSOCIATION
0
MISSION VIEJO MEDICAL VENTURES
0
REDWOOD MEMORIAL FOUNDATION
0
SHA LLC
0
SRM ALLIANCE HOSPITAL SERVICES
0
ST JOSEPH HEALTH FDN OF N CALIFORNIA
0
ST JOSEPH HEALTH SYSTEM HOME CARE SERVICES
0
ST JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY
0
ST JOSEPH HOME CARE NETWORK
0
ST JOSEPH PROF SVCS ENTERPRISES INC
0
ST JOSEPH YORBA PARK
0
ST JUDE HOSPITAL YORBA LINDA
0
ST JUDE MEMORIAL FOUNDATION
0
ST MARY OF THE PLAINS HOSPITAL FDN
0

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIPIdentifier
Return ReferenceSCHEDULE R, PART IIIReturnReference
ExplanationST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100 ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183 AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 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 92868Explanation

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