2011-05-12T12:16:00-05:00 2010-06-30 ERNST & YOUNG US LLP 18111 VON KARMAN AVENUE SUITE 1000 IRVINE CA 92612 990 2009-07-01 941156596 ST JOSEPH HOSPITAL OF EUREKA STJO 7072694259 2700 DOLBEER STREET EUREKA CA 95501 JOSEPH MARK 2011-05-10 9497942300 2009 2016-02-24 21:20:13Z JOSEPH MARK 2700 DOLBEER STREET EUREKA CA 95501 185841093 false 0928 X www.stjosepheureka.org X 1942 CA SEE SCHEDULE O 22 14 1226 301 0 0 4336416 6397684 162629058 178136955 -358587 1180464 55306 108622 166662193 185823725 505000 1367900 0 0 72618446 74226200 252600 9760 565546 88798966 93747413 162175012 169351273 4487181 16472452 137626125 188051285 51341238 82040216 86284887 106011069 SEE SCHEDULE O false false 160382465 1367900 178136955 See Schedule O 160382465 true true false true false false false false false true false true false false false false false true true false true true false true false false false false false false false true false false false false false true true false false true 230 0 true 1226 true false false false false false true true false false false 22 14 false false true false true true true true true false false true true true true true true true true false CA X RONALD YAW 7074458121 2630 HARRISON AVENUE EUREKA CA 95501 JOHN ARYANPUR MD 5.0 X 0 0 0 JOANNE CENTER 2.0 X 0 0 0 JOHN DALBY 2.0 X 0 0 0 RONALD DILUIGI 2.0 X 0 404197 37628 BRUCE EMAD 2.0 X 0 0 0 SR MARIE JEANNE GAILLAC CSJ 2.0 X 0 0 0 SR DIANE HEJNA CSJ 2.0 X 0 0 0 RON JONES MD 2.0 X 25000 80550 0 DENNIS LEONARDI 4.0 X 0 0 0 RODNEY MAPLES 2.0 X 0 0 0 JEFF NELSON 4.0 X 0 0 0 THOMAS RYDZ MD 2.0 X 18000 0 0 SR MARIAN SCHUBERT CSJ 2.0 X 0 0 0 SR ANN MARIE STEFFEN CSJ 2.0 X 0 0 0 KUSUM STOKES MD 2.0 X 87083 0 0 VICTOR WALLENKAMPF MD 2.0 X 0 0 0 HERBERT WOOD 2.0 X 0 0 0 SR JOANNE EANNARENO CSJ 2.0 X X 0 0 0 JOHN GIEREK JR 2.0 X 0 0 0 SARIE TOSTE 2.0 X 0 0 0 JOSEPH MARK 43.6 X X 0 489577 33720 SUSAN WHITTAKER 2.0 X X 0 701508 57073 S ANDREW RYBOLT 43.6 X 287558 0 26114 LAURIE WATSON-STONE 50.0 X 177704 0 38915 WILLIAM SAGEMAN 50.0 X 120543 0 5392 JUAN MUNOZ 50.0 X 232934 0 46031 NIKKI COLLIER 40.0 X 202996 0 25432 MICHAEL GOODWILL 40.0 X 182400 0 7087 STEVEN LINDHOLM 40.0 X 174969 0 34926 KATE CRUZ 40.0 X 172358 0 37646 ROBERT BRANNIGAN 0.0 X 327749 0 27510 ROBERT SAMPSON 0.0 X 251196 0 29052 JOANNE WARZYNSKI 0.0 X 175767 0 19957 2436257 1675832 426483 82 true true false MEDICAL STAFFING NETWORK INC PO BOX 840721 DALLAS TX 752840721 NURSE STAFFING 4590015 REDWOOD ANESTHESIA SERVICES PO BOX 7070 EUREKA CA 95502 ANESTHESIA SERVICES 1433979 QUANTUM HEALTHCARE MEDICAL ASSO INC PO BOX 634850 CINCINATTI OH 452634850 HOSPITALIST SERVICES 1229681 NORTH COAST EMERGENCY PHYSICIANS PO BOX 577 FORTUNA CA 95540 EMERGENCY MD SVCS 937605 PETER BELAK PO BOX 3654 EUREKA CA 95502 REPAIR & MAINTENANCE 730108 30 18245 4278249 274869 1826321 6397684 NET PATIENT REVENUE 622110 177358019 177358019 CAFETERIA 722310 545965 545965 MOB REVENUE 531120 145243 145243 ALL OTHER PROGRAM SERVICE REVENUE 900099 87728 87728 178136955 148099 148099 0 0 969147 63218 0 0 969147 63218 1032365 1032365 125990 18245 17368 108622 108622 0 0 0 185823725 178136955 0 1289086 1367900 1367900 0 0 0 2183488 950583 1232905 273096 273096 47247202 46002414 1029627 215161 2947548 2740022 192628 14898 17347401 16436094 829905 81402 4227465 3993272 209520 24673 3467594 3192675 274919 347324 347324 155812 155812 24389 24389 9760 9760 0 19160212 17793010 1225577 141625 398948 346802 40854 11292 39437827 38446233 956052 35542 3494820 3305703 189117 0 3336864 3330425 6319 120 307884 175960 113353 18571 0 0 159580 159580 0 7991536 7840976 141259 9301 1642373 1601373 41000 PROVISION FOR BAD DEBT 10114532 10114532 All other expenses 3707718 2560522 1143995 3201 169351273 160382465 8403262 565546 1716295 14401857 23048027 23302441 280348 832115 4389942 3898349 1170458 1241842 216864806 87788838 96209098 129075968 360795 400936 627001 1806031 8613835 7254273 1210326 5837473 137626125 188051285 15017264 14036694 36323974 68003522 51341238 82040216 X 84805498 102761329 852388 1467888 627001 1781852 86284887 106011069 137626125 188051285 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 24389 24389 false LOBBYING ACTIVITIES Schedule C, PART II-B PORTION OF THE DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING. DURING THE PAST YEAR, THE ST. 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. 4843950 4843950 60560041 31433785 29126256 1098457 506689 591768 73078015 55848364 17229651 77284343 0 77284343 129075968 0 PAYABLE TO THIRD PARTIES 5400825 OTHER LIABILITIES 1880637 INTERCO. WITH HEALTH SYSTEM-BONDS 60722060 68003522 GOLF TOURNAMENT 122507 15399 107108 14197 PETER CTNTAIL 21728 2846 18882 3171 0 144235 18245 125990 17368 17368 108622 true true X true X true X 500. true true false true true 7564 2117569 0 2117569 0.01330 33894 26197975 17571522 8626453 0.05420 5168 6423445 3677194 2746251 0.01730 46626 34738989 21248716 13490273 0.08480 8 29758 792917 47652 745265 0.00470 4 4038 844780 33000 811780 0.00510 2 50738 1451946 0 1451946 0.00910 8 6803 99312 0 99312 0.00060 22 91337 3188955 80652 3108303 0.01950 22 137963 37927944 21329368 16598576 0.10430 1 230 33172 0 33172 0.00020 2 290 59929 0 59929 0.00040 1 2713 26094 0 26094 0.00020 3 3569 592638 0 592638 0.00370 7 6802 711833 0 711833 0.00450 true 2612584 266484 64752629 78945633 -14193004 X true true ST JOSEPH HOSPITAL OF EUREKA

2700 DOLBEER STREET EUREKA CA 95501

X X X INPATIENT REHABILITATION CENTER

2200 HARRISON AVENUE EUREKA CA 95501

REHAB. CENTER OUTPATIENT IMAGING CENTER

2330 BUHNE STREET EUREKA CA 95501

IMAGING CENTER AMBULATORY AND HOME INFUSION PROGRAM

2612 HARISON AVENUE EUREKA CA 95501

AMBULATORY/HOME INF. NORTHCOAST SURGERY CENTER

2705 HARRIS AVENUE EUREKA CA 95501

SURGERY CENTER OUTPATIENT REHABILITATION

2024 HARRISON AVENUE EUREKA CA 95501

REHAB. CENTER THE COSTING METHODOLOGY WAS DERIVED BY TAKING TOTAL COST (INDIRECT AND DIRECT COST) DIVIDED BY TOTAL CHARGES TO GET THE COST TO CHARGE RATIO. THIS WAS DONE USING WORKSHEET 2 FROM THE IRS INSTRUCTIONS. BAD DEBT EXPENSE OF $10,114,532 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE OF NET COMMUNITY BENEFIT. 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 CONTINUALLY MONITORS AND ADJUSTS THE RESERVES ASSOCIATED WITH RECEIVABLES. THE ORGANIZATION ESTIMATES BAD DEBT EXPENSE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL COLLECTION EXPERIENCE. COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 IS AS FOLLOWS: TOTAL PROVISION FOR BAD DEBT EXPENSE ($10,114,532) MULTIPLIED BY COST TO CHARGE RATIO CALCULATED USING THE IRS WORKSHEETS, BASED ON GROSS PATIENT REVENUE AND TOTAL OPERATING EXPENSES (25.83%) = $2,612,584. COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 3 IS AS FOLLOWS: BAD DEBT EXPENSE AT COST ($2,612,584) MULTIPLIED BY PERCENTAGE OF CHARITY CARE AS COMPARED TO TOTAL OPERATING EXPENSES (10.2%) = $266,484. 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. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS AS FOLLOWS: THE COST-TO-CHARGE RATIO (25.83%) AS CALCULATED FOR FY10, BASED ON GROSS PATIENT REVENUE AND TOTAL OPERATING EXPENSES. THE AMOUNT COMES FROM THE THE MEDICARE COST REPORT. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMS AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIES FOR CHARITY CARE. ALL ACCOUNTS ARE SCREENED FOR CHARITY CARE ELIGIBILTY USING CRITERIA THAT CONSIDERS INSURANCE COVERAGE, CREDIT RATING, PAYMENT ACTIVITY, AND VALID SOCIAL SECURITY NUMBER AND/OR ACCURATE RESIDENCE ADDRESS. ST. JOSEPH HEALTH SYSTEM - HUMBOLDT COUNTY COMPLETED A NEEDS ASSESSMENT IN 2008. THE COMMUNITY BENEFITS PROGRAM ACTIVITIES ARE SET ACCORDING TO THE IDENTIFIED PRIORITIES OF THE CITIZENS OF THE AREAS SERVED. THE ASSESSMENT CONTINUED THE REVIEW OF AREAS FROM PRIOR ASSESSMENTS TO TRACK CHANGES AND COMMUNITY MEMBERS' PERCEPTIONS OF NEEDS. THE ASSESSMENT FOUND GROWING CONCERNS OF CITIZENS AND ORGANIZATIONS ALIKE ON THE ISSUE OF OBESITY, INCLUDING THE LACK OF EXERCISE AMOUNG THE AREA'S CHILDREN. FY 2010 CONTINUED THE ECONOMIC DOWNTURN FOR THE AREA AND FOOD INSECURITY THROUGHOUT THE COUNTY. THESE ARE TREMENDOUS PROBLEMS AND ARE COUPLED WITH THE CONSTANT OF HIGH POVERTY AND UNEMPLOYMENT RATES. FOOD FOR PEOPLE, THE LOCAL FOOD BANK FOR ALL OF HUMBOLDT COUNTY, REPORTS THAT MANY INDIVIDUALS WHO IN PRIOR YEARS VOLUNTEERED TO ASSIST WITH FOOD DISTRIBUTIONS ARE NOW IN LINE TO RECEIVE ASSISTANCE. FOOD FOR PEOPLE ASSISTS BETWEEN 10,000 AND 12,000 INDIVIDUALS EACH MONTH, INCLUDING 35-40% CHILDREN, WITH COMODITIES AND FOOD BOX DISTRIBUTIONS, AS WELL AS THE BACKPACK FOR CHILDREN WEEKEND FOOD DISTRIBUTIONS. IN HUMBOLDT COUNTY SCHOOLS, 53.2% OF ALL THE ENROLLED CHILDREN RECEIVE FREE OR REDUCED MEALS FROM THE SCHOOL, FLUCTUATING FROM A RATE OF 10% AT SOME SCHOOLS TO A HIGH OF 85% AT OTHERS. FOR MANY, THE MEALS FROM THE SCHOOL ARE THE COMPLETE NUTRITION FOR THE DAY, AS 22% OF ALL THE SCHOOL AGED CHILDREN LIVE IN POVERTY. 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. HUMBOLDT COUNTY IS LOCATED IN THE NORTHWESTERN CORNER OF CALIFORNIA AND IS THE MOST POPULOUS OF THE NORTH COASTS' RURAL AND ISOLATED COUNTIES. IT IS WEALTHY IN THE COLLABORATION OF GOVERNMENT AGENCIES, NON-PROFIT ORGANIZATIONS, AND COMMUNITY MEMBERS WHO PARTNER TO DEVELOP A SYSTEM OF SERVICES THAT REACHES ACROSS CLASS AND SOCIAL BARRIERS. ELECTED OFFICIALS, PUBLIC AGENCIES, COMMUNITY PROVIDERS/ORGANIZATIONS, AND CITIZENS COME TOGETHER WITH SJHS-HC TO ACTIVELY ENGAGE IN DESIGNING PROGRAMS, AND SPONSORING ACTIVITIES IDENTIFIED AS PRIORITY NEEDS BY THE COMMUNITY. ST. JOSEPH HOSPITAL, EUREKA, IS LOCATED IN THE CITY OF EUREKA WHICH HAS A POPULATION OF ROUGHLY 27,000. HUMBOLDT COUNTY IN ENTIRETY COMPRISES A POPULATION OVER 129,000, AND IS SPREAD OVER 3,572 SQUARE MILES, ROUGHLY 80% OF WHICH ARE DESIGNATED TO RECREATION AND TIMBERLAND. THE COUNTY HAS A POPULATION DENSITY OF 36 CITIZENS PER SQUARE MILE, COMPARED TO THE STATE RURAL COMMUNITY DEFINITION OF 52 CITIZENS PER SQUARE MILE. FURTHER COMPARISION TO THE STATE AVERAGE OF 217 PERSONS PER SQUARE MILE PROVIDES AN UNDERSTANDING OF THE TRUE ISOLATION OF THE REMOTENESS. THE MAJOR TRANSPORTATION ACCESS FOR THE AREA ARE HIGHWAY 101 (NORTH/SOUTH), AND HIGHWAY 299 (EAST/WEST). SINCE 57% OF THE COUNTIES' POPULATION LIVES IN RURAL, ISOLATED AREAS OF THE COUNTY AND BASED ON THE COUNTY HAVING ONE OF THE HIGHEST AVERAGE GAS PRICES IN THE STATE, A VERY POOR TRANSIT SYSTEM, AND THE HIGH RATE OF POVERTY, FAMILIES FACE DIFFICULTIES EACH TIME THEY NEED TO COME TO THE METROPOLITAN AREAS FOR HEALTH CARE, SOCIAL SERVICE NEEDS AND LOWER FOOD COSTS. THE SIX COMMUNITY RESOURCE CENTERS OF SJHS-HC ARE THE MAIN CONDUIT FOR COMMUNITY OUTREACH AND COMMUNITY BUILDING ACTIVITIES FOR THE MOST RURAL REGIONS OF HUMBOLDT COUNTY. THE CENTERS ARE LOCATED IN THE COMMUNITIES OF RIO DELL, FORTUNA, LOLETA, BLUE LAKE, EUREKA, AND WILLOW CREEK. THE CENTERS PROVIDE SUPPORT AND RESOURCES FOR EACH INDIVIDUAL COMMUNITY AS DEFINED BY COMMUNITY MEMBERS AND, ALTHOUGH ALIKE IN STRUCTURE AND MISSION, ACTIVITIES FOR ONE CENTER TO THE OTHER VARY IN SCOPE AND REACH. COLLECTIVELY, THE CENTERS PROVIDED COMMODITIES TO 5,685 NON-DUPLICATED INDIVIDUALS, OVERSAW THE SUMMER LUNCHES AND WEEKEND BACKPACK DISTRIBUTION FOR FOUR COMMUNITIES AND PROVIDED ACCESS FOR MAIL DISTRIBUTION FOR OVER 275 HOMELESS INDIVIDUALS, ALLOWING THEM TO APPLY AND RECEIVE SERVICES THAT REQUIRE A FIXED, PERMANENT ADDRESS. THESE ARE ONLY A FEW EXAMPLES OF THE MANY SUPPORT SERVICES THE CENTERS OFFERS TO THE CLIENTS THOUGHOUT HUMBOLDT COUNTY. ANOTHER AREA OF COMMUNITY BUILDING ACTIVITIES ARE THE HEALTH ADVOCACY EFFORTS, INCLUDING BUT NOT LIMITED TO COLLABORATING WITH ORGANIZATIONS AND BUSINESSES TO OUTREACH TO FAMILIES/INDIVIDUALS TO ADDRESS THE UNMET HEALTH NEEDS OF OUR COMMUNITIES, INCLUDING ACCESS TO HEALTH INSURANCE FOR CHILDREN, INCREASED FOOD RESOURCES TO THOSE FACING FOOD INSECURITY AND SAFE EXERCISE PROGRAMS AND ACTIVITIES FOR BOTH CHILDREN AND THEIR PARENTS. SJHS-HC ALSO COLLABORATED WITH OPEN DOOR COMMUNITY HEALTH CENTER TO BRING THE DENTAL VAN TO TWO LOW INCOME ELEMENTARY SCHOOLS FOR SCREENING AND TREATMENT FOR ALL THE ENROLLED CHILDREN. TO CONTINUE ST. JOSEPH HOSPITAL OF EUREKA'S MISSION, IN FY2010, ST. JOSEPH HOSPITAL OF EUREKA ASSISTED 3,233 PERSONS IN COMMUNITY BUILDING ACTIVITIES FOR A TOTAL COMMUNITY BUILDING EXPENSE TO THE HOSPITAL OF $119,195. THE COSTS ASSOCIATED WITH THESE PROGRAMS ARE REPORTED ON LINES 5, 6, AND 7 OF PART II. THE HOSPITAL PROVIDED HOUSING AND PATIENT ASSISTANCE TO MEMBERS OF THE COMMUNITY AND MEDICAL, TRAVEL, AND BASIC SUPPLIES TO MEDICAL ALERT AND OTHER PROGRAMS IN THE COMMUNITY. THESE COSTS ASSOCIATED WITH THESE PROGRAMS ARE REPORTED ON LINE 8 OF PART II. OUR MISSION IS FURTHER REALIZED AND EMPHASIZED BY THE BOARD-DESIGNATED COMMUNITY BENEFITS COMMITTEE, WHOSE PURPOSE IT IS TO GUIDE AND PARTICIPATE IN THE PLANNING, DEVELOPMENT, IMPLEMETATION AND EVALUATION OF COMMUNITY BENEFIT ACTIVITIES. THIS COMMITTEE, CHAIRED BY A TRUSTEE, FOLLOWS THE GUIDELINES OF THE "ADVANCING THE ART OF COMMUNITY BENEFIT" AND HAS BOARD APPROVED BY-LAWS, CHARTER AND POLICIES. THE BOARD OF TRUSTEES RECEIVES MONTHLY WRITTEN REPORTS ON COMMUNITY BENEFIT ACTIVITIES AND VERBAL REPORTS FROM THE TRUSTEE COMMITTEE CHAIR, WHO CARRIES FORWARD RECOMMENDATIONS FOR PROGRAMS AND INITIATIVES THAT HAD BEEN APPROVED BY THE FULL COMMUNITY BENEFITS COMMITTEE. THE FULL COMMUNITY BENEFITS COMMITTEE INCLUDES MEMBERSHIP FROM COMMUNITY NON-PROFITS AND TWO LOCAL FOUNDATIONS. ADDITIONALLY, ST. JOSEPH HEALTH SYSTEM - HUMBOLDT COUNTY IDENTIFIES ALL OF HUMBOLDT COUNTY AS ONE WITH DISPROPORTIONATE UNMET HEALTH CARE NEEDS AND SETS THE COMMUNITY BENEFIT ACTIVITIES AND PRIORITIES FOR THE MOST ISOLATED, UNDERSERVED AREAS OF THE COUNTY. THESE ACTIVITIES INCLUDE ADRESSING THE UNMET NEEDS OF THE GROWING HISPANIC POPULATION WITH THE EDUCATION PROGRAMS OF PASO A PASO, PROVIDING COMMUNITY SPECIFIC COMMUNITY RESOURCE CENTERS TO ADDRESS COMMUNITY IDENTIFIED CONCERNS AND PARTNER WITH LIKE ORGANIZATIONS TO EXPAND SJHS-HC OUTREACH TO POPULATIONS WHO HAVE DEFINED UNMET HEALTH NEEDS. GIVING BACK TO THE COMMUNITY PERMEATES EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTHY MINISTRY OF ST. JOSEPH HEALTH SYSTEM, WE HAVE A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. ON AN ANNUAL BASIS, 10 PERCENT OF OUR NET OPERATING INCOME IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR. THE ST. JOSEPH HEALTH SYSTEM FOUNDATION, A MEMBER OF ST. JOSEPH HEALTH SYSTEM, IS CHARGED WITH THE DISTRIBUTION OF THESE FUNDS. IN ADDITION TO DEVOTING A PERCENTAGE OF OUR NET OPERATING INCOME TO COMMUNITY BENEFIT SERVICES FOR THE ECONOMICALLY POOR, WE STRIVE TO ANNUALLY BUDGET A PORTION OF OUR TOTAL OPERATING EXPENSES FOR HEALTHY COMMUNITIES AND COMMUNITY HEALTH EFFORTS. CA true ALCOHOL AND DRUG CARE SERVICES 528 5TH STREET EUREKA CA 95501 680218628 501(C)(3) 20000 PROVIDE HEALTHY MEALS THROUGH ASSISTANCE OF A NUTRITIONIST FOR CLIENTS OF THE ADCS-DETOX. CLIENTS WILL ALSO BE TAUGHT HEALTHY DIETARY PRACTICES. ST VINCENT DE PAUL PO BOX 1386 EUREKA CA 95502 943163269 501(C)(3) 9500 PROVIDES HOUSING AND INTENSIVE SUPPORT FOR FAMILIES WHO ARE HOMELESS. FOOD FOR PEOPLE 304 W 14TH STREET EUREKA CA 95501 942772549 501(C)(3) 12500 ENCOURAGE INCREASED CONSUMPTION OF HIGH FIBER, NUTRIENT-RICH FRESH FRUITS AND VEGETABLES BY PROVIDING INCREASED QUANTITIES OF FRESH PRODUCE TO THE LOW INCOME HOUSEHOLDS SERVED. GOAL IS TO PREVENT OBESITY, DIABETES, AND OTHER HEALTH RELATED ILLNESSES. HUMBOLDT ALL FAITH PARTNERSHIP 701 E STREET EUREKA CA 95501 680348781 501(C)(3) 20000 TO CONTINUE AND/OR EXPAND THE FAMILY WELLNESS PROJ PROJECT (FWP). FWP FOCUSES ON IMPROVING THE AWARENESS AND ADOPTION OF HEALTHY EATING AND PHYSICAL ACTIVITY LEVELS BY FAMILIES, PARTICULARLY BY LOW INCOME CHILDREN AND THEIR FAMILIES. HUMBOLDT COUNTY OFFICE OF EDUCATION 908 7TH STREET EUREKA CA 95501 946000513 Government 5200 ENHANCE AND EXPAND EFFORTS IN PROVIDING EXPERIENTIAL NUTRITION AND FOOD EDUCATION. PROGRAMS WILL BE OFFERED AT PLACES IN THE COUNTY THAT SERVE LOW INCOME FAMILIES-THE MAC, FOOD STAMP OFFICE, FOOD DISTRIBUTION SITES AND FAMILY RESOURCE CENTERS. HUMBOLDT SENIOR RESOURCE CENTER 1910 CALIFORNIA STREET EUREKA CA 95501 942261434 501(C)(3) 20000 DEVELOP A MODEL VOLUNTEER HOME DELIVERED MEAL DELIVERY SYSTEM IN PREPARATION FOR A TRANSITION FROM PAID DRIVERS TO AN ALL VOLUNTARY DELIVERY CORPS. NORTHCOAST CLINICS NETWORK 710 E STREET EUREKA CA 95501 942646370 501(C)(3) 17800 CONTINUE ONGOING EDUCATION RELATED TO HOMELESS ISSUES On POOR NUTRITION, OBESITY, AND UNHEALTHY LIVING. LIFE SKILL CLASSES WILL FOCUS ON HEALTHY EDUCATION OF RELATED ISSUES INCLUDING OBESITY, INCREASE PHYSICAL ACTIVITY, AND NUTRITION. COMMUNITY ALLIANCE FOR FAMILY FARMERS PO BOX 363 DAVIS CA 95617 942914745 501(C)(3) 15000 ENHANCE AND EXPAND EFFORTS IN PROVIDING EXPERIENTIAL NUTRITION AND FOOD EDUCATION. PROGRAMS WILL BE OFFERED AT PLACES IN THE COUNTY THAT SERVE LOW INCOME FAMILIES-THE MAC, FOOD STAMP OFFICE, FOOD DISTRIBUTION SITES, AND FAMILY RESOURCE CENTERS. REDWOOD MEMORIAL HOSPITAL 3300 RENNER DRIVE FORTUNA CA 95540 941384665 501(C)(3) 100000 COMMUNITY BENEFIT PROGRAM ST JOSEPH HEALTH SYSTEM FOUNDATION 500 S MAIN STREET SUITE 1000 ORANGE CA 928684507 330143024 501(C)(3) 1142900 PROGRAM SUPPORT 10 0 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS FORM 990, SCHEDULE I EACH GRANTEE REPORTS ON THE PROGESS OF THE FUNDED PROGRAM ON A BIANNUAL BASIS (EVERY 6 MONTHS) TO THE COMMUNITY BENEFIT COMMITTEE. THE COMMUNITY BENEFIT COMMITTEE REVIEWS DOCUMENTATION TO CONFIRM THAT THE GRANTEE IS COMPATIBLE WITH THE MISSION, VISION, AND VALUES OF THE ST. JOSEPH HEALTH SYSTEM. ALSO THE GRANTEE MUST DEMONSTRATE OPERATIONAL AND MANAGERIAL EFFECTIVENESS, FINANCIAL VIABILITY, AND RESPONSIBLE STEWARDSHIP OF RESOURCES. THEY MUST BE ABLE TO DEMONSTATE COLLABORATION, FLEXIBILITY, AND RESPECT FOR DIVERSE CULTURES WHILE UTILIZING EFFECTIVE STATEGIES AND OUTCOME MEASURES. THE GRANTEE MUST HAVE AN EXISTING GOVERNING AND/OR ADVISORY BOARD WITH SUFFICIENT EXPERTISE AND FAMILIARITY WITH THE PROPOSED PROGRAM/PROJECT. THE GRANTEE MUST BE WILLING TO ACKNOWLEDGE THE SUPPORT OF THE LOCAL HOSPITALS IN EXTERNAL COMMUNICATIONS, INCLUDING WEBSITES. MOST IMPORTANTLY, THE GRANTEE MUST BE A NONPROFIT ORGANIZATION IN CALIFORNIA THAT IS TAX EXEMPT. FUNDS THAT ARE TRANSFERRED TO ST. JOSEPH HEALTH SYSTEM (CARE FOR THE POOR) ARE MONITORED AND DISTRIBUTED BY THE ST. JOSEPH HEALTH SYSTEM, AND ARE NOT MONITORED ON A HOSPITAL LEVEL ONCE THE FUNDS ARE TRANSFERRED. X X true true true true false false false false false true false RONALD DILUIGI 0 245974 0 70342 0 87881 0 16994 0 20634 0 441825 0 0 S ANDREW RYBOLT 207729 0 14616 0 65213 0 9573 0 16541 0 313672 0 0 0 LAURIE WATSON-STONE 120107 0 8894 0 48704 0 10540 0 28375 0 216619 0 0 0 JUAN MUNOZ 199026 0 1000 0 32909 0 16743 0 29288 0 278965 0 0 0 NIKKI COLLIER 179929 0 500 0 22568 0 16189 0 9243 0 228428 0 0 0 MICHAEL GOODWILL 161056 0 10000 0 11344 0 0 0 7087 0 189487 0 0 0 STEVEN LINDHOLM 157990 0 0 0 16978 0 12346 0 22580 0 209895 0 0 0 KATE CRUZ 145655 0 0 0 26703 0 9022 0 28624 0 210004 0 0 0 JOSEPH MARK 0 369217 0 28920 0 91440 0 9772 0 23948 0 523297 0 0 SUSAN WHITTAKER 0 427203 0 135628 0 138677 0 22036 0 35037 0 758581 0 0 ROBERT SAMPSON 119237 0 11117 0 120842 0 8878 0 20174 0 280248 0 41842 0 ROBERT BRANNIGAN 207356 0 15425 0 104968 0 10790 0 16720 0 355259 0 12989 0 JOANNE WARZYNSKI 57053 0 0 0 118714 0 3513 0 16444 0 195724 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 1A ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL FOR CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. MEMBERS OF THE BOARD AND EXECUTIVE MANAGEMENT TEAM ARE SELECTED TO PARTICIPATE IN AN ANNUAL PILGRIMAGE TO 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 HOSPITAL OF EUREKA'S TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM. ROBERT BRANNIGAN - $4,565 ST. JOSEPH HOSPITAL OF EUREKA PAYS MEMBERSHIP DUES TO LOCAL ORGANIZATIONS FOR JOSEPH MARK; DUES ARE PAID FOR THE BENEFIT OF THE HOSPITAL AND ARE NOT FOR THE EMPLOYEE'S BENEFIT. JUDY BEGLEY RECEIVED $2,000 AS A HOUSING ALLOWANCE, WHICH WAS INCLUDED IN HER GROSS INCOME. 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 FOR 990, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS WERE MADE TO JOANN WARZYNSKI IN THE AMOUNT OF $118,714 AND JUAN MUNOZ IN THE AMOUNT OF $13,572. 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. THE FOLLOWING INDIVIDUALS INCLUDED IN FORM FORM 990, PART VII RECEIVED DISTRIBUTIONS FROM THE 457(F) PLAN DURING THE YEAR: ROBERT SAMPSON - $41,842 ROBERT BRANNIGAN - $12,989 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 ENCOUNTERES, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. NORTHCOAST EMERGENCY PHYSICIANS VICTOR WALLENKAMPF, PTNR 602993 ED coverage/Medical Dir fees false SHN ENGINEERING JEFF NELSON, OWNER 792063 SEE SCHEDULE O false ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 AND PART III, LINE 1 AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), ST. JOSEPH HOSPITAL OF EUREKA IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THE MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. BUT THE ROOTS OF ST. JOSEPH HOSPITAL OF EUREKA AND THE LESSONS TO SERVE OUR DEAR NEIGHBORS DATE BACK TO THE YEAR 1650 WHEN THE SISTERS' FIRST CONGREGATION WAS FORMED IN LE PUY, FRANCE. SINCE THAT TIME, THE PEOPLE OF OUR ORGANIZATION CONTINUE TO ASSESS THE NEEDS OF THE COMMUNITIES WE SERVE, BUILD COLLABORATIVE PARTNERSHIPS WITH LOCAL RESIDENTS, BUSINESS AND COMMUNITY NOT-FOR-PROFITS, AND TOGETHER THROUGH THOSE PARTNERSHIPS, MEET COMMUNITY NEEDS. THE HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS--NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO - AND CONSISTS OF 14 ACUTE CARE HOSPITALS, AS WELL AS HOME HEALTH AGENCIES, HOSPICE CARE, OUT-PATIENT SERVICES, SKILLED NURSING FACILITIES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4 WHO WE ARE AND WHAT WE DO ST. JOSEPH HOSPITAL OF EUREKA CONSISTS OF TWO CAMPUSES IN EUREKA, EMPLOYING OVER 1,100 INDIVIDUALS. THE FULL SERVICE ACUTE CARE HOSPITAL IS ONE OF THE MOST ADVANCED IN FAR NORTHERN CALIFORNIA AND IS THE LEADER IN FURNISHING HEALTH CARE TO THE NORTH COAST. THE SERVICES PROVIDED INCLUDE OPEN HEART SURGERY, INTERVENTIONAL CARDIOLOGY, TOTAL JOINT REPLACEMNTS, COMPLEX EYE SURGERY, PEDIATRIC CARE, URGENT CARE AND A FULL RANGE OF WOMEN AND CHILDREN'S HEALTH CARE. SJE OFFERS COMPRHENSIVE ONCOLOGY CARE THROUGH AN ACCREDITED CANCER PROGRAM, AS WELL AS EMERGENCY MEDIICINE BOARD CERTIFIED PHYSICIANS FOR THE HOSPITAL'S FULL SERVICE EMERGENCY ROOM. THE HOSPITAL PROVIDES THE COMMUNITY WITH BOTH AN OUTPATIENT SURGERY AND AN OUTPATIENT IMAGING CENTER. ALL OF THESE SERVICES WILL BE ENHANCED IN 2011 WITH THE OPENING OF THE NEW INPATIENT TOWER. THE GENERAL HOSPITAL CAMPUS IS LOCATED ONLY BLOCKS FROM THE SJE CAMPUS AND OFFERS THE COMMUNITY A MEDICAL REHABILITATION CENTER, OCCUPATIONAL MEDICINE, OUTPATIENT LABORATORY SERVICES, A SLEEP DISORDER CLINIC AND OUTPATIENT REHABILITATION SERVICES. THE CAMPUS ALSO HOUSES MANY SUPPORT SERVICES NEEDED BY SJHS-HC INCLUDING PATIENT ACCOUNTS, CLINICAL EDUCATION, IMPROVING PERFORMANCE THE HUMBOLDT WAY TEAM MEMBERS, THE SJE FOUNDATION OFFICES AND PASO A PASO'S EDUCATIONAL PROGRAMS FOR HISPANIC FAMILIES. AS A MINISTRY OF THE ST. JOSEPH HEALTH SYSTEM WE ARE COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: - MAKING EVERY ENCOUNTER WITH OUR COMMUNITY A SACRED ENCOUNTER THE WILLOW CREEK COMMUNITY RESOURCE CENTER SERVES AS A PLACEMENT LOCATION FOR ON THE JOB TRAINING THROUGH THE 'WELFARE TO WORK' PROGRAM. A YOUNG MOTHER WHO HAD NEVER WORKED BEFORE CAME TO THE CENTER NERVOUS AND UNSURE OF HER ABILITY TO BE EMPLOYED. AT THE END OF HER ASSIGNMENT SHE REPORTED THE CARING OF HER CO-WORKERS AND THE SUPPORT THEY PROVIDED TO HER EACH DAY HAS GIVEN HER THE COURAGE TO SEEK PAID EMPLOYMENT. WHILE SHE SEARCHES FOR WORK, SHE VOLUNTEERS AT THE CENTER TO MAINTAIN CONTACT WITH THE SUPPORT THE ENCOUNTERS GIVE TO HER. NAME OF INITIATIVE OR PROGRAM: PHYSICIAN SERVICES FOR THE UNDERSERVED COMMUNITY GOAL: RURAL AREAS OF THE COMMUNITY WILL HAVE ACCESS TO CARE FOR THE VULNERABLE, UNDERINSURED COMMUNITY MEMBERS FY10 ACCOMPLISHMENTS: SJE PROVIDES THE ONLY 24 HOUR FULL SERVICES EMERGENCY SERVICES FOR THE NORTH COAST AND THE COMMUNITIES OF HUMBOLDT COUNTY. THERE WERE 21,339 UNDERINSURED PATIENTS SEEN BY THE EMERGENCY ROOM PHYSICIANS IN FY 2010, 49% OF THE TOTAL OF PATIENTS SEEN FOR OUTPATIENT TRAUMA CARE. SJE ALSO ASSISTS THE UNDERSERVED WITH PHYSICIAN COVERAGE FOR IN-PATIENTS THROUGH THE HOSPITALIST PROGRAM. FOR FY 2010, 2,111 UNDERINSURED IN-PATIENTS WERE SEEN, 29% OF THE TOTAL PATIENT POPULATION SERVED BY THIS PROGRAM. NAME OF INITIATIVE OR PROGRAM: PROGRAMS FOR HEALTH CAREER EDUCATION GOAL: THERE WILL BE INCREASED CAPACITY FOR HEALTH CAREER EDUCATION FOR HUMBOLDT COUNTY CITIZENS, LEADING TO IMPROVED HEALTH CARE ACCESS FOR COMMUNITY MEMBERS AND INCREASED ECONOMIC GROWTH FOR THE AREA KEY COMMUNITY PARTNERS: HUMBOLDT STATE UNIVERSITY, TOURO UNIVERSITY, ROBERT WOODS JOHNSON FOUNDATION, COLLEGE OF THE REDWOODS, HUMBOLDT COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, PUBLIC HEALTH BRANCH FY10 ACCOMPLISHMENTS: THERE WERE 18,018 HOURS DEVOTED TO MENTORING STUDENTS IN FY 2010. THESE HOURS INCLUDED STUDENT NURSES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, SOCIAL WORKERS, PHYSICIANS AND THE SENIOR NURSING AND SOCIAL WORK STUDENTS INVOLVED WITH CARE TRANSITIONS. DURING THE SAME TIME PERIOD, HUMBOLDT STATE NURSING PROGRAM WAS PLACED IN JEOPARDY BY FUNDING CONSTRAINTS. SJE ADMINISTRATION JOINED OTHER INTERESTED COMMUNITY MEMBERS TO FORM AN ADVISORY COMMITTEE TO WORK WITH THE UNIVERSITY TO ASSURE THE CONTINUANCE OF THIS VITAL EDUCATION PROGRAM. NAME OF INITIATIVE OR PROGRAM: DONATIONS TO ADDRESS THE NEEDS OF THE UNDERSERVED GOAL: INCREASE THE CAPACITY OF RESIDENTS TO OBTAIN HEALTHFUL FOODS AND INCREASE EXERCISE TO DECREASE OBESITY AND OBESITY RELATED ILLNESSES KEY COMMUNITY PARTNERS: FOOD FOR PEOPLE, HUMBOLDT COUNTY OFFICE OF EDUCATION, BOYS AND GIRLS CLUB, LOLETA AND LOLETA ELEMENTARY SCHOOLS FY10 ACCOMPLISHMENTS: ONE INITIATIVE INVOLVED THE TRAINING OF OUR COMMUNITY PARTNERS TO ASSIST WITH AN AFTER SCHOOL ACTIVITY AND NUTRITION ENHANCEMENT PROGRAM FOR TWO OF OUR LOCAL LOW INCOME SCHOOLS. THE EQUIPMENT, TRAINING COSTS AND PROGRAM COMPONENTS WERE PURCHASED BY SJE FOR THE BEGINNING STEP OF A MULTIYEAR PARTNERSHIP TO ADDRESS OBESITY IN OUR RURAL SCHOOLS. IN ADDITION, SEVEN (7) COMMUNITY NON-PROFIT ORGANIZATIONS WERE AWARDED FUNDING FROM SJE FOR FOOD DISTRIBUTION AND EXERCISE COMPONENTS OF THEIR OWN PROGRAMS. CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, QUESTION 4 THE ORGANIZATION'S BYLAWS WERE UPDATED TO DEFINE AND CLARIFY BOARD DUTIES AND OFFICER ROLES. THE NUMBER OF BOARD SEATS WAS ALSO INCREASED. IN ADDITION, THE LIST OF RESERVED RIGHTS WAS EXPANDED TO INCLUDE PROCESSES LEADING UP TO ACTION ON RESERVED RIGHTS. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HOSPITAL OF EUREKA. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A ST. JOSEPH HOSPITAL OF EUREKA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. JOSEPH HOSPITAL OF EUREKA BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST. JOSEPH HOSPITAL OF EUREKA BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B 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. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11 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(S) OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS THEN DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 2011 MEETING. DURING THE BOARD FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE BOARD FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C 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 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 SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE COMPLIANCE COMMITTEE. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE 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 COMMITTEE CONDUCTS IS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER IN CONSULTATION WITH SJHS GENERAL COUNSEL WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A & 15B 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 HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO FULFILL THEIR RESPONSIBILITY, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE WORKLIFE COMMITTEE IS COMPRISED OF SEVERAL INDEPENDENT MEMBERS OF THE BOARD. THEY MEET AT LEAST 3 TIMES A YEAR AND MAKE ALL CRITICAL DECISIONS IN EXECUTIVE SESSION. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PERFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN JUNE 2010. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 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. HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII RONALD DILUIGI SERVES ON THE BOARD OF ST. JOSEPH HOSPITAL OF EUREKA (SJE) AND IS THE VP OF ADVOCACY OF ST. JOSEPH HEALTH SYSTEM (SJHS), THE TAX-EXEMPT PARENT OF SJE. HE DEVOTES 50 HOURS PER WEEK TO SJHS AND 2 HOURS PER WEEK TO SJE. SUSAN WHITTAKER SERVES ON THE BOARD OF SJE AND IS THE SVP AND CAO OF SJHS, THE TAX-EXEMPT PARENT OF SJE. SHE DEVOTES 50 HOURS PER WEEK TO SJHS AND 2 HOURS PER WEEK TO SJE. JOSEPH MARK IS THE CEO OF SJE AND REDWOOD MEMORIAL HOSPITAL (RMH) AND IS PAID BY SJHS, THE TAX-EXEMPT PARENT OF SJE. HE DEVOTES 43.60 HOURS PER WEEK TO SJE AND 6.40 HOURS TO RMH AND NO HOURS TO SJHS. S. ANDREW RYBOLT IS THE VICE PRESIDENT OF FINANCE OF SJE AND RMH. HE DEVOTES 43.60 HOURS PER WEEK TO SJE AND 6.40 HOURS TO RMH. RON JONES RECEIVED COMPENSATION FOR PROFESSIONAL SERVICES PROVIDED TO SJE, NOT FOR HIS BOARD MEMBER SERVICE. HE DEVOTES 6 HOURS PER WEEK TO SJE AND 50 HOURS PER WEEK TO RMH FOR ON-CALL SERVICES. KUSUM STOKES RECEIVED COMPENSATION FOR PROFESSIONAL SERVICES PROVIDED TO SJE, NOT FOR HER BOARD MEMBER SERVICE. SHE DEVOTED 28 HOURS PER WEEK TO SJE. THOMAS RYDZ, MD, RECEIVED COMPENSATION FOR PROFESSIONAL SERVICES PROVIDED TO SJE, NOT FOR HIS BOARD MEMBER SERVICE. HE DEVOTED 2 HOURS PER WEEK TO SJE. OVERSIGHT OR SELECTION PROCESS FORM 990, PART XI, LINE 2C THE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. BUSINESS TRANSACTIONS WITH INTERESTED PERSONS FORM 990, SCHEDULE L, PART IV JEFF NELSON, THE VICE CHAIRMAN AND BOARD MEMBER OF ST. JOSEPH OF EUREKA (SJE) IS ALSO THE OWNER OF SHN ENGINEERING. SJE CONTRACTED WITH SHN ENGINEERING TO CONSTRUCT THE NEW PATIENT TOWER. THE COSTS WERE PAID BY ST. JOSEPH HEALTH SYSTEM, THE TAX-EXEMPT PARENT, AND REIMBURSED BY SJE. THE COSTS ARE INCLUDED AS EXPENSES IN PART IX OF FORM 990. TRANSACTIONS WITH RELATED ORGANIZATIONS FORM 990, SCHEDULE R, PART V, LINE 2 THE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2 ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING. SECTION 409A RELIEF UNDER SECTION V.D OF IRS NOTICE 2008-113 OPERATIONAL DEFECTS (A) NAMES AND SOCIAL SECURITY NUMBERS OF AFFECTED PARTICIPANTS: SEE (C) BELOW. NONE OF THE AFFECTED PARTICIPANTS ARE INSIDERS. (B) THE 409A FAILURE OCCURRED WITH RESPECT TO THE ST. JOSEPH HEALTH SYSTEM 457(F) PLAN ("PLAN"). (C) OPERATIONAL DEFECT (1): IN FEBRUARY 2010 IT WAS DISCOVERED THAT THE PLAN FAILED TO COMPLY WITH 409A BECAUSE IT PROVIDED FOR IMPERMISSIBLE ALTERNATIVE PAYMENT SCHEDULES FOR VOLUNTARY AND INVOLUNTARY SEPARATIONS FROM SERVICE AND DID NOT SPECIFY THAT PAYMENT WILL BE MADE ON THE 60TH DAY FOLLOWING VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON-COMPETE AGREEMENT. IN ACCORDANCE WITH VI.B, VII.C AND XI.A OF NOTICE 2010-6, THE PLAN WAS AMENDED EFFECTIVE AS OF JANUARY 1, 2009 TO APPLY THE TIMING RULE APPLICABLE TO INVOLUNTARY TERMINATIONS TO VOLUNTARY TERMINATIONS AND TO PROVIDE THAT PAYMENT WILL BE MADE ON THE 60TH DAY FOLLOWING VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON-COMPETE AGREEMENT. THIS AMENDMENT WAS SIGNED BY THE EMPLOYER ON OCTOBER 6, 2010. THEREFORE, THE DATE ON WHICH THE FAILURE OCCURRED WAS THE 60TH DAY FOLLOWING THE PARTICIPANT SEPARATION FROM SERVICE DATE FOR THE FOLLOWING PARTICIPANTS WHO VOLUNTARILY TERMINATED IN 2009 OR 2010. (BECAUSE THE FORM 990 IS OPEN TO PUBLIC INSPECTION AND THE THREAT OF IDENTITY THEFT, SSNS WILL BE PROVIDED UPON REQUEST) NAME/SOCIAL SECURITY NUMBER: ROBERT SAMPSON DATE OF WHEN THE FAILURE OCCURRED: 12/06/2009 12/31/2009 ACCOUNT BALANCE: $100,726 PAYMENT DATE: 12/17/2010 GROSS AMOUNT DISTRIBUTED*: $100,726 NAME/SOCIAL SECURITY NUMBER: ROBERT BRANNIGAN DATE OF WHEN THE FAILURE OCCURRED: 05/18/2010 12/31/2009 ACCOUNT BALANCE: $32,903 PAYMENT DATE: 12/17/2010 GROSS AMOUNT DISTRIBUTED*: $32,903 * DISTRIBUTIONS DID NOT INCLUDE ANY INTEREST EARNED AFTER DECEMBER 31, 2009 FOR PARTICIPANTS WHO TERMINATED IN 2009. OPERATIONAL DEFECT (2): IN 2010 IT WAS DISCOVERED THAT 3 PARTICIPANTS EMPLOYED BY OTHER PARTICIPATING EMPLOYERS WERE NOT TIMELY PAID THEIR PLAN ACCOUNTS FOLLOWING INVOLUNTARY TERMINATIONS IN 2009, AS REQUIRED BY THE PLAN. USUALLY, SUCH DISTRIBUTIONS ARE MADE WITHIN 30 DAYS FOLLOWING THE INVOLUNTARY TERMINATION DATE. THEREFORE, THE DATE ON WHICH THE FAILURE OCCURRED WAS THE 30TH DAY FOLLOWING THE INVOLUNTARY TERMINATION DATE. THE PLAN'S ADMINISTRATIVE PROCEDURES HAVE BEEN REVIEWED TO ASSURE THAT IN THE FUTURE PLAN BENEFITS ARE PAID PROMPTLY AFTER ALL INVOLUNTARY TERMINATIONS. ST. JOSEPH HOSPITAL OF EUREKA DID NOT HAVE ANY EMPLOYEES WHO WERE INVOLUNTARILY TERMINATED AND NOT TIMELY PAID THEIR PLAN BENEFIT. (D) THE PLAN QUALIFIED FOR RELIEF UNDER VI.B, VII.C AND XI.A OF IRS NOTICE 2010-6 AND ON OCTOBER 6, 2010, A PLAN AMENDMENT WAS SIGNED. THE AMENDMENT PROVIDES THAT EFFECTIVE AS OF JANUARY 1, 2009, ALL BENEFITS WILL BE PAID IMMEDIATELY UPON AN INVOLUNTARY SEPARATION FROM SERVICE (CURRENTLY THE STATUS QUO) AND ON THE 60TH DAY FOLLOWING VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON COMPETE AGREEMENT. ANY PARTICIPANT WHO VOLUNTARILY SEPARATED FROM SERVICE ON OR AFTER JANUARY 1, 2009 AND ON OR BEFORE DECEMBER 31, 2009 WAS PAID HIS CURRENT PLAN ACCOUNT BALANCE AFTER THE DATE THE AMENDMENT WAS SIGNED, BUT REDUCED FOR ANY INTEREST EARNED IN 2010 (IF ANY). AS ALLOWED BY NOTICE 2010-80, THE EMPLOYER SIGNED AN AMENDMENT ON DECEMBER 20, 2010 TO PROVIDE THAT PAYMENT WILL NO LONGER BE REQUIRED ON THE 60TH DAY FOLLOWING A VOLUNTARY SEPARATION FROM SERVICE, BUT WITHIN 60 DAYS FOLLOWING THE VOLUNTARY SEPARATION FROM SERVICE. HOWEVER, IF THE 60TH DAY FALLS IN THE SUBSEQUENT TAX YEAR, PAYMENT WILL BE MADE IN THE SUBSEQUENT TAX YEAR. THE PLAN'S ADMINISTRATIVE PROCEDURES HAVE BEEN CHANGED TO PAY PLAN ACCOUNTS IMMEDIATELY FOLLOWING A PARTICIPANT'S INVOLUNTARY SEPARATION FROM SERVICE (CURRENTLY THE STATUS QUO) AND WITHIN 60 DAYS FOLLOWING A VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON-COMPETE AGREEMENT AND SUBJECT TO THE REQUIREMENT THAT IF THE 60TH DAY FALLS IN THE SUBSEQUENT TAX YEAR THEN PAYMENT WILL BE MADE IN THE SUBSEQUENT TAX YEAR. (E) THESE OPERATIONAL FAILURES ARE ELIGIBLE FOR THE CORRECTION UNDER THE TERMS OF IRS NOTICE 2008-113 AND THE EMPLOYER HAS TAKEN ALL ACTIONS REQUIRED, AND OTHERWISE MET ALL REQUIREMENTS, FOR SUCH CORRECTION. ST JOSEPH HEALTH SYSTEM 500 S MAIN STREET SUITE 700 ORANGE CA 92868 953589356 HEALTHCARE CA 501(c)(3) 11, I NA REDWOOD MEMORIAL HOSPITAL 3300 RENNER DRIVE FORTUNA CA 95540 941384665 HEALTHCARE CA 501(c)(3) 3 SJHS ST JOSEPH HEALTH MINISTRY 500 S MAIN STREET SUITE 400 ORANGE CA 92868 271666576 RELIGIOUS ORG CA 501(c)(3) 1 NA QUEEN OF THE VALLEY MEDICAL CENTER 1000 TRANCAS STREET NAPA CA 94558 941243669 HEALTHCARE CA 501(c)(3) 3 SJHS SANTA ROSA MEMORIAL HOSPITAL 1165 MONTGOMERY DRIVE SANTA ROSA CA 95405 941231005 HEALTHCARE CA 501(c)(3) 3 SJHS ST JUDE MEDICAL CENTER 101 E VALENCIA MESA DRIVE FULLERTON CA 92835 951643325 HEALTHCARE CA 501(c)(3) 3 SJHS ST JOSEPH HOSPITAL OF ORANGE 1100 WEST STEWART DRIVE ORANGE CA 92868 951643359 HEALTHCARE CA 501(c)(3) 3 SJHS MISSION HOSPITAL REGIONAL MEDICAL CENTER 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 951643360 HEALTHCARE CA 501(c)(3) 3 SJHS ST MARY MEDICAL CENTER 18300 HIGHWAY 18 APPLE VALLEY CA 92307 951914489 HEALTHCARE CA 501(c)(3) 3 SJHS COVENANT HEALTH SYSTEM 3615 19TH STREET LUBBOCK TX 79410 752765566 HEALTHCARE TX 501(c)(3) 3 SJHS ST JOSEPH HEALTH SYSTEM FOUNDATION 500 S MAIN STREET SUITE 1000 ORANGE CA 92868 330143024 FOUNDATION CA 501(C)(3) 7 SJHS SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ORANGE CA 92868 951643383 RELIGIOUS ORG CA 501(C)(3) 1 na ST JOSEPH HOME CARE NETWORK 170 PROFESSIONAL CENTER DR B ROHNERT PARK CA 94928 680331084 HEALTHCARE CA 501(C)(3) 9 SJHS ST JOSEPH HERITAGE HEALTHCARE 279 EAST IMPERIAL HIGHWAY FULLERTON CA 92835 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS ST JOSEPH PROF SVCS ENTERPRISES INC 500 S MAIN STREET 700 ORANGE CA 92868 330155323 HEALTHCARE SV CA SJHS C-CORP 0 0 0.00000 ST JOSEPH DIVERSIFIED VENTURES INC 500 S MAIN STREET 700 ORANGE CA 92868 330148989 HEALTHCARE SV CA SJHS C-CORP 0 0 0.00000 AMERICAN UNITY GROUP LTD 58 PAR-LA-VILLE ROAD HAMILTON HM HX BD CAPTIVE INSURANCE BD SJHS C-CORP 0 0 0.00000 false true true false false false false false false false false false false true true true true false REDWOOD MEMORIAL HOSPITAL B 100000 ST JOSEPH HEALTH SYSTEM FOUNDATION B 1142900 ST JOSEPH HEALTH SYSTEM FOUNDATION C 510000 REDWOOD MEMORIAL HOSPITAL N 9669597 REDWOOD MEMORIAL HOSPITAL O 140700 REDWOOD MEMORIAL HOSPITAL P 240815 QUEEN OF THE VALLEY MEDICAL CENTER 0 SANTA ROSA MEMORIAL HOSPITAL 0 ST JUDE MEDICAL CENTER 0 ST JOSEPH HOSPITAL OF ORANGE 0 MISSION HOSPITAL REGIONAL MEDICAL CENTER 0 ST MARY MEDICAL CENTER 0 CONVENANT HEALTH SYSTEM 0 ST JOSEPH PROFESSIONAL SERVICES ENTERPRISES 0 ST JOSEPH DIVERSIFIED VENTURES INC 0 AMERICAN UNITY GROUP LTD 0 ST JOSEPH HERITAGE HEALTHCARE 0 ST JOSEPH HOME CARE NETWORK 0