ST MARY MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: ST MARY MEDICAL CENTER (EIN 95-1914489)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-12
IRS object ID: 201111329349303461
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-12T15:18:50-04:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	18111 VON KARMAN AVENUE SUITE 1000	AddressLine1
City	IRVINE	City
State	CA	State
ZIP Code	92612	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	951914489	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STMA	NameControl
Phone	7602422311	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18300 HIGHWAY 18	AddressLine1
City	APPLE VALLEY	City
State	CA	State
ZIP Code	92307	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Edward Wong	Name
Title	CFO, SVP Finance	Title
Date Signed	2011-05-12	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	9497942300	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JASON L BARKER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	18300 HIGHWAY 18	AddressLine1
City	APPLE VALLEY	City
State	CA	State
ZIP Code	92307	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	269407769	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	WWW.STMARY4HEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1953	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	We are committed to extending the healing ministry of the Sisters of St. Joseph of Orange by continually improving the health and quality of life of people in the communitites we serve.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	1718	TotalNbrEmployees
Total Nbr Volunteers	222	TotalNbrVolunteers
Total Gross UBI	31046	TotalGrossUBI
Net Unrelated Business Txbl Income	9027	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2475043	ContributionsGrantsPriorYear
Contributions Grants Current Year	1211350	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	230759734	ProgramServiceRevenuePriorYear
Program Service Revenue CY	264515588	ProgramServiceRevenueCY
Investment Income Prior Year	-4089018	InvestmentIncomePriorYear
Investment Income Current Year	3384255	InvestmentIncomeCurrentYear
Other Revenue Prior Year	34585	OtherRevenuePriorYear
Other Revenue Current Year	109703	OtherRevenueCurrentYear
Total Revenue Prior Year	229180344	TotalRevenuePriorYear
Total Revenue Current Year	269220896	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	722007	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2437281	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	111602559	SalariesEtcPriorYear
Salaries Etc Current Year	120592440	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	869493	TotalFundrsngExpCurrentYear
Other Expense Prior Year	109236954	OtherExpensePriorYear
Other Expenses Current Year	125300880	OtherExpensesCurrentYear
Total Expenses Prior Year	221561520	TotalExpensesPriorYear
Total Expenses Current Year	248330601	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7618824	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	20890295	RevenuesLessExpensesCY
Total Assets BOY	188782379	TotalAssetsBOY
Total Assets EOY	211973662	TotalAssetsEOY
Total Liabilities BOY	100097859	TotalLiabilitiesBOY
Total Liabilities EOY	100034268	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	88684520	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	111939394	NetAssetsOrFundBalancesEOY
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	227509370	Expense
Grants	2437281	Grants
Revenue	264484542	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	227509370	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	278	NumberFormsTransmittedWith1096
Number W2 G Included	3	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1718	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SHAWN CURTIS DIR OF FINANCE	NamePerson
Telephone Number	7602422311	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	18300 HIGHWAY 18	AddressLine1
City	APPLE VALLEY	City
State	CA	State
ZIP Code	92308	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
VINCENT AJANWACHUKU MD
BOARD OF DIRECTOR	2.0	X	80117	0	0
VIRGIL BARNES
BOARD OF DIRECTOR	2.0	X	0	0	0
ROSELLA BERNAL
BOARD OF DIRECTOR	2.0	X	0	0	0
NANDA BISWAS MD
BOARD OF DIRECTOR	2.0	X	24384	0	0
SISTER MARTHAANN FITZPATRICK
BOARD OF DIRECTOR	2.0	X	0	0	0
BROTHER GARY HILL
BOARD OF DIRECTOR	2.0	X	0	0	0
JOHN HULTERSTROM
BOARD OF DIRECTOR	2.0	X	0	0	0
SISTER KATHLEEN MALONEY
BOARD OF DIRECTOR	2.0	X	0	0	0
DIANA CARLONI O'MALLEY
BOARD OF DIRECTOR	2.0	X	0	0	0
HARBANS SINGH MD
BOARD OF DIRECTOR	2.0	X	0	0	0
ANNETTE WALKER
BOARD OF DIRECTOR/SVP	2.0	X	0	463805	14464
WANDA WILBURN MD
BOARD OF DIRECTOR	2.0	X	15019	0	0
BROTHER PETER GELFER
BOARD OF DIRECTOR	2.0	X	0	0	0
ERIC MORENO
BOARD OF DIRECTOR	2.0	X	0	0	0
SYED RAZA MD
BOARD OF DIRECTOR	2.0	X	63480	0	0
BROTHER IGNATIUS SUDOL
BOARD OF DIRECTOR	2.0	X	0	0	0
STEVE GILBERT
BOARD OF DIRECTOR/VP FACS	2.0	X	0	531789	51983
JASON BARKER
PRESIDENT/CEO	50.0	X	0	544857	25446	X
EDWARD WONG
VP FINANCE	50.0		525973	0	24225	X
DAVID O'BRIEN
CHIEF OPERATING OFFICER	50.0		492265	0	27491	X
JOHN PERRING-MULLIGAN
VP MISSION INTEGRATION	50.0		250506	0	19351	X
JAMES KYLE
VP MEDICAL AFFAIRS	50.0		434827	0	17579		X
STEPHEN ECKBERG
VP HUMAN RESOURCES	50.0		324063	0	33517		X
MARILYN DRONE
VICE PRESIDENT/CNO	50.0		283432	0	9816		X
ROBERT DIEHL
VP PLANNING	50.0		255967	0	27817		X
DAVID PRINGLE
VP ANCILLARY SERVICES	50.0		250375	0	10319		X
RANDY BEVILACQUA
VP COMMUNICATIONS	50.0		230385	0	21608		X
DOREEN HARDY
VP FOUNDATION/FUND RAISING	50.0		209608	0	23823		X
NORMAN SOTTO
STAFF RN - PER DIEM III	36.0		193290	0	7577			X
EDWARD MEDINA
PACS/RIS COORDINATOR	40.0		181534	0	31190			X
LEE GARDNER
MANAGER CLINICAL PHARMACY	40.0		173993	0	22524			X
ROSALINA REYES
STAFF RN	36.0		170051	0	18052			X
EVANI TAN
CLINICAL PHARMACIST	40.0		167462	0	3902			X
DONALD MILLER
Former CFO (Former Officer)	0.0		0	511779	20988				X
JUDITH AUSTIN
FORMER VP/CNO/FORMER KE	0.0		226931	0	17451				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4553662	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2052230	TotalReportableCompFrmRltdOrgs
Total Other Compensation	429123	TotalOtherCompensation
Number Individuals GT100 K	191	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
INTELISTAF TRAVEL
901 YAMATO ROAD STE 110	BOCA RATON	FL	33431	Medical Staffing	4730545
US NURSING CORP
6501 S FIDDLERS GREEN CIRCLE STE	GREENWOOD VILLAGE	CO	80111	Staffing Solutions	1081780
INLAND CARDIOTHORACIC SURGICAL
401 E HIGHLAND AVENUE SUITE 251	SAN BERNARDINO	CA	92404	Perfusion Services	1052850
ANGELICA CORPORATION-COLTON
925 S8TH ST	COLTON	CA	92324	Linen & Laundry SVCS	861331
Anesthesia Consultants of the Deser
18300 US HIGHWAY 18	APPLE VALLEY	CA	92307	MEDICAL DIRECTOR SVC	660000

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	74	NumberOfContractorsGT100K
Fundraising Events	104014	FundraisingEvents
Related Organizations	624686	RelatedOrganizations
Government Grants	490593	GovernmentGrants
All Other Contributions	-7943	AllOtherContributions
Noncash Contributions	2500	NoncashContributions
Total Contributions	1211350	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	622110	263734260	263734260
CAFETERIA	722210	500085	500085
FINANCE CHARGES FOR PATIENT A/R	900099	162631	162631
LABORATORY	621511	31046		31046
MOB RENTAL	531120	19323	19323

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	68243	TotalRevenueColumn
Related Or Exempt Function Income	68243	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	264515588	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	314986	TotalRevenueColumn
Exclusion	$314,986	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	3069219	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3069219	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3069269	TotalRevenueColumn
Exclusion	$3,069,269	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	296576	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	104014	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	186873	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	109703	TotalRevenueColumn
Exclusion	$109,703	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

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

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	269220896	TotalRevenueColumn
Related Or Exempt Function Income	264484542	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	31046	UnrelatedBusinessRevenue
Exclusion	$3,493,958	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2437281	Total
Program Services	2437281	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3045010	Total
Program Services	830630	ProgramServices
Management And General	2095242	ManagementAndGeneral
Fundraising	119138	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	79548458	Total
Program Services	76425264	ProgramServices
Management And General	2914530	ManagementAndGeneral
Fundraising	208664	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4370892	Total
Program Services	4030890	ProgramServices
Management And General	318253	ManagementAndGeneral
Fundraising	21749	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	26824430	Total
Program Services	25220095	ProgramServices
Management And General	1478849	ManagementAndGeneral
Fundraising	125486	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6803650	Total
Program Services	6368911	ProgramServices
Management And General	407185	ManagementAndGeneral
Fundraising	27554	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	5572026	Total
Program Services	4041341	ProgramServices
Management And General	1530685	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	790956	Total
Program Services	283807	ProgramServices
Management And General	507149	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	141884	Total
Management And General	141884	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	27040	Total
Program Services	27040	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	31695396	Total
Program Services	27318186	ProgramServices
Management And General	4119465	ManagementAndGeneral
Fundraising	257745	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	434966	Total
Management And General	434966	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	40380499	Total
Program Services	40212704	ProgramServices
Management And General	150972	ManagementAndGeneral
Fundraising	16823	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	268349	Total
Program Services	246793	ProgramServices
Management And General	20983	ManagementAndGeneral
Fundraising	573	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2225349	Total
Program Services	2092508	ProgramServices
Management And General	132841	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	335885	Total
Program Services	249005	ProgramServices
Management And General	76298	ManagementAndGeneral
Fundraising	10582	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	144344	Total
Program Services	141717	ProgramServices
Management And General	582	ManagementAndGeneral
Fundraising	2045	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2613244	Total
Program Services	2613244	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	3447275	Total
Program Services	1482328	ProgramServices
Management And General	1930474	ManagementAndGeneral
Fundraising	34473	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7975437	Total
Program Services	7480047	ProgramServices
Management And General	493257	ManagementAndGeneral
Fundraising	2133	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1997294	Total
Management And General	1997294	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Bad Debt expense	19796033	19796033
Capitation Reinsurance	92846	92846
All other expenses	7362057	6118700	1200829	42528

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	248330601	Total
Program Services	227509370	ProgramServices
Management And General	19951738	ManagementAndGeneral
Fundraising	869493	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	16091429	BOY
EOY	18142741	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	9961508	BOY
EOY	23649084	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2668625	BOY
EOY	366000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	31474339	BOY
EOY	34075243	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1295263	BOY
EOY	1351932	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3037815	BOY
EOY	3402591	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	496209	BOY
EOY	612972	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	182047018	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	89058657	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	91951082	BOY
EOY	92988361	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	30752992	BOY
EOY	34127707	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1053117	BOY
EOY	3257031	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	188782379	BOY
EOY	211973662	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	26838121	BOY
EOY	31139950	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	73259738	BOY
EOY	68894318	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	100097859	BOY
EOY	100034268	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	83082639	BOY
EOY	107877131	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5601881	BOY
EOY	4062263	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	88684520	BOY
EOY	111939394	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	188782379	BOY
EOY	211973662	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$27,040	OtherActivitiesAmount
Total Lobbying Expenditures IIB	27040	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITIES	Identifier
Return Reference	PART II-B, LINE 1I	ReturnReference
Explanation	PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. DURING THE PAST YEAR, THE ST. JOSEPH HEALTH SYSTEM HAS CONDUCTED AN ADVOCACY EFFORT WHICH INCLUDED 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.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	420803	BeginningOfYearBalance
Investment Earnings Or Losses	53110	InvestmentEarningsOrLosses
End Of Year Balance	473913	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	485207	BeginningOfYearBalance
Investment Earnings Or Losses	-64404	InvestmentEarningsOrLosses
End Of Year Balance	420803	EndOfYearBalance

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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	30576944	OtherCostOrOtherBasis
Book Value	30576944	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	81082633	OtherCostOrOtherBasis
Depreciation	36890673	Depreciation
Book Value	44191960	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	179867	OtherCostOrOtherBasis
Depreciation	130204	Depreciation
Book Value	49663	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	66644973	OtherCostOrOtherBasis
Depreciation	52037780	Depreciation
Book Value	14607193	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3562601	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	3562601	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	92988361	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
DUE TO 3RD PARTY PAYORS	$12,083,810
ASBESTOS REMOVAL LIABILITY	$379,794
PAYABLE TO AFFILIATES	$19,233,730
INTERCO WITH HEALTH SYSTEM BONDS	$35,776,464
CAPITAL LEASE	$1,420,520

Field	Value	IRS element (for citing)
Total Of Amounts	68894318	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	ENDOWMENT FUNDS USE	Identifier
Return Reference	SCHEDULE D PART V	ReturnReference
Explanation	ENDOWMENT FUNDS WERE DESIGNATED TO PROVIDE SCHOLARSHIP FUNDS FOR NURSING STUDENTS.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	ANNUAL GALA	NameOfEvent1
Gross Receipts Event1	272691	GrossReceiptsEvent1
Charitable Contributions Event1	92510	CharitableContributionsEvent1
Gross Revenue Event1	180181	GrossRevenueEvent1
Non Cash Prizes Event1	2775	NonCashPrizesEvent1
Rent Facility Costs Event1	4586	RentFacilityCostsEvent1
Food And Beverage Event1	46451	FoodAndBeverageEvent1
Entertainment Event1	28000	EntertainmentEvent1
Other Direct Expenses Event1	56379	OtherDirectExpensesEvent1
Name Of Event2	GOLF TOURNAMENT	NameOfEvent2
Gross Receipts Event2	61859	GrossReceiptsEvent2
Charitable Contributions Event2	5834	CharitableContributionsEvent2
Gross Revenue Event2	56025	GrossRevenueEvent2
Non Cash Prizes Event2	1082	NonCashPrizesEvent2
Rent Facility Costs Event2	5990	RentFacilityCostsEvent2
Food And Beverage Event2	6079	FoodAndBeverageEvent2
Other Direct Expenses Event2	19815	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	66040	GrossReceiptsOtherEvents
Charitable Contrib Other Events	5670	CharitableContribOtherEvents
Gross Revenue Other Events	60370	GrossRevenueOtherEvents
Non Cash Prizes Other Events	212	NonCashPrizesOtherEvents
Food And Beverage Other Events	10563	FoodAndBeverageOtherEvents
Other Direct Expenses Other Events	4941	OtherDirectExpensesOtherEvents
Gross Receipts Total	400590	GrossReceiptsTotal
Charitable Contributions Total	104014	CharitableContributionsTotal
Gross Revenue Total Events	296576	GrossRevenueTotalEvents
Non Cash Prizes Total Events	4069	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	10576	RentFacilityCostsTotalEvents
Food And Beverage Total Events	63093	FoodAndBeverageTotalEvents
Entertainment Total Events	28000	EntertainmentTotalEvents
Other Direct Expenses Total Events	81135	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	186873	DirectExpenseSummaryEvents
Net Income Summary	109703	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	7527	PersonsServed
Total Community Benefit Expense	7540775	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	7540775	NetCommunityBenefitExpense
Percent Of Total Expense	0.03300	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	15624	PersonsServed
Total Community Benefit Expense	27512603	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25536887	DirectOffsettingRevenue
Net Community Benefit Expense	1975716	NetCommunityBenefitExpense
Percent Of Total Expense	0.00860	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	23151	PersonsServed
Total Community Benefit Expense	35053378	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25536887	DirectOffsettingRevenue
Net Community Benefit Expense	9516491	NetCommunityBenefitExpense
Percent Of Total Expense	0.04160	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	18601	PersonsServed
Total Community Benefit Expense	281643	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1210	DirectOffsettingRevenue
Net Community Benefit Expense	280433	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	400	PersonsServed
Total Community Benefit Expense	20897	TotalCommunityBenefitExpense
Net Community Benefit Expense	20897	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	35257	PersonsServed
Total Community Benefit Expense	3572400	TotalCommunityBenefitExpense
Direct Offsetting Revenue	726245	DirectOffsettingRevenue
Net Community Benefit Expense	2846155	NetCommunityBenefitExpense
Percent Of Total Expense	0.01250	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	3862	PersonsServed
Total Community Benefit Expense	24771	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	24771	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	58120	PersonsServed
Total Community Benefit Expense	3899711	TotalCommunityBenefitExpense
Direct Offsetting Revenue	727455	DirectOffsettingRevenue
Net Community Benefit Expense	3172256	NetCommunityBenefitExpense
Percent Of Total Expense	0.01390	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	81271	PersonsServed
Total Community Benefit Expense	38953089	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26264342	DirectOffsettingRevenue
Net Community Benefit Expense	12688747	NetCommunityBenefitExpense
Percent Of Total Expense	0.05550	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	72596	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	72596	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	244	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	244	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	16323	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	16323	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	5232	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	5232	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	3828	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3828	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	98223	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	98223	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$4,949,008	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	49303268	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	54629560	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-5326292	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

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

Form990 Schedule H Part V Form990ScheduleHPartV (9 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
ST MARY MEDICAL CENTER
18300 HIGHWAY 18	APPLE VALLEY	CA	92307	X	X	X
HEALTHY BEGINNINGS
18977 S OUTER HWY 18 A	APPLE VALLEY	CA	92307				OUTPATIENT SVC
OUTPATIENT SURGERY PAVILLION
18122 US HWY 18	APPLE VALLEY	CA	92307				OUTPATIENT SVC
ADELANTO CLINIC
11424 CHAMBERLAIN WAY STE 89	ADELANTO	CA	92301				OUTPATIENT SVC
HESPERIA CLINIC
17091 MAIN STREET STE 100	HESPERIA	CA	92345				OUTPATIENT SVC
WOUND CARE CENTER
16077 KAMANA ROAD	APPLE VALLEY	CA	92307				OUTPATIENT SVC
APPLE VALLEY COMMUNITY HEALTH CLINIC
18077 Outer Hwy 18 Suite 100	APPLE VALLEY	CA	92307				COMMUNITY CLINIC FOR UNINSURED AND LOW INCOME POPULATION
Adelanto Community Health Clinic
11424 Chamberlaine Way Suite 11	Adelanto	CA	92301				COMMUNITY CLINIC FOR UNINSURED AND LOW INCOME POPULATION
Hesperia-St Mary Community Health CliNIC
17071 Main Street	HESPERIA	CA	92345				COMMUNITY CLINIC FOR UNINSURED AND LOW INCOME POPULATION

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	A COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 FOR CHARITY CARE AND UNREIMBURSED MEDICAID COSTS. ALL OTHER COSTS WERE ACTUALS, INCLUDING DIRECT OFFSETTING REVENUES.	CostingMethodUsed
Percent Of Total Expense Expln	OUR TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) WERE $248,330,601. THE BAD DEBT INCLUDED IN THIS AMOUNT WAS $19,796,033. THIS LEFT US WITH TOTAL EXPENSES OF $228,534,568 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).	PercentOfTotalExpenseExpln
Bad Debt Footnote	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. A 40% DISCOUNT IS PROVIDED TO ALL SELF PAY PATIENTS.	BadDebtFootnote
Shortfall As Community Benefit	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. A COST-TO-CHARGE RATIO WAS DERIVED FROM THE FY09 MEDICARE COST REPORT FILED AND WAS USED IN DETERMINING FY10 MEDICARE COST WITH ADJUSTMENTS TO CHARGES AND COSTS TO DERIVE THE FY10 COST-TO-CHARGE RATIO.	ShortfallAsCommunityBenefit
Debt Collection Policy	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.	DebtCollectionPolicy
Needs Assessment	EVERY THREE YEARS ST. MARY MEDICAL CENTER CONDUCTS A COMPREHENSIVE NEEDS ASSESSMENT. THE ASSESSMENT IS DESIGNED AND COMPLETED WITH ASSISTANCE OF OUTSIDE ORGANIZATIONS INCLUDING A CONTRACTED HEALTH CONSULTING FIRM. THE HOSPITAL DEVELOPS A NEEDS ASSESSMENT PROCESS IN COLLABORATION WITH OTHER LOCAL HOSPITALS, COMMUNITY ORGANIZATIONS AND THE COUNTY DEPARTMENT OF PUBLIC HEALTH IN AN EFFORT TO ADVANCE COUNTY-LEVEL HEALTH INITIATIVES SUCH AS CARDIAC DISEASE AND ACCESS TO CARE. HEALTH AND SOCIOECONOMIC DATA IS COLLECTED AND ASSESSED FOR COMMUNITIES WITHIN THE HOSPITAL'S PRIMARY AND SECONDARY MARKETS AND MAPPING IS CONDUCTED AT THE ZIP CODE AND, WHERE POSSIBLE, THE BLOCK GROUP LEVEL. COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES ARE THEN TARGETED TO NEIGHBORHOODS AND/OR POPULATIONS IDENTIFIED WITH THE GREATEST NEEDS. THE HOSPITAL'S COMMUNITY BENEFITS COMMITTEE REVIEWS THE PROCESS FOR COLLECTING HEALTH DATA, PRIORITIZING NEEDS AND APPROVES KEY COMMUNITY BENEFIT PROGRAMS. ALL HOSPITAL NEEDS ASSESSMENT ARE PLACED ON THE HOSPITAL'S INTERNET SITE FOR PUBLIC USE. NEEDS ASSESSMENTS ARE PROVIDED TO COMMUNITY ORGANIZATIONS TO ASSIST IN GRANT WRITING AND ADVOCACY. PRIORITY FINDINGS FROM NEEDS ASSESSMENT RESULTED IN THE HOSPITAL DEVELOPING PROGRAMS IN EXPANDING ACCESS TO CARE FOR THE UNINSURED, PROGRAMS DIRECTED TOWARD CHILDHOOD OBESITY, CONDUCTING COMMUNITY BUILDING EFFORTS TO IMPROVE PUBLIC ACCESS TO HEALTHIER FOODS AND INCREASED PHYSICAL ACTIVITY, ENROLLING UNINSURED CHILDREN, ASSISTING PERSONS IN ECONOMIC CRISIS AND OPERATING A HEALTH CAREER ACADEMY.	NeedsAssessment
Patient Education Assistance	THE ORGANIZATION POSTS NOTICES INFORMING THE PUBLIC OF THE FINANACIAL 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 IS OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE.	PatientEducationAssistance
Community Information	THE HOSPITAL'S SERVICE AREA COVERS A PORTION OF THE HIGH DESERT REGION OF SAN BERNARDINO COUNTY AND IS THE FIFTH LARGEST COUNTY BY POPULATION IN CALIFORNIA. THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES: 92301, 92307, 92308, 92311, 92344, 92345, 92356, 92392, 92394 AND 92395. IN 2009 THE POPULATION WAS ESTIMATED AT 390,933 WITH A PROJECTED GROWTH OF 463,000 RESIDENTS BY 2014. THE LARGEST ETHNIC GROUP (48%) IS HISPANIC. MEDIAN HOUSEHOLD INCOME IS $48,911. APPROXIMATELY 25% OF THE POPULATION EARNS LESS THAN $25,000 AND 40% OF THE POPULATION IS BETWEEN THE AGES OF 25-54. MOST RECENT ECONOMIC DATA INDICATES THE AREA'S UNEMPLOYMENT RATE IS 14%. THE COMMUNITY IS SERVED BY TWO FOR-PROFIT AND TWAO NOT-FOR-PROFIT HOSPITALS. IN CALIFORNIA, SAN BERNARDINO COUNTY HAS THE HIGHEST DEATH RATE FROM HEART DISEASE AS COMPARED TO OTHER REGIONS IN THE STATE. DEATH CAUSED BY HEART DISEASES ACCOUNT FOR 30% OF ALL DEATHS IN THE COUNTY. THE HOSPITAL OFFERS COMPLETE CARDIAC CARE INCLUDING FULL-SERVICE DIAGNOSTIC AND TREATMENT PROGRAMS AND IS DESIGNATED BY SAN BERNARDINO COUNTY AS A SEGMENT ELEVATION MYOCARDIAL INFRACTION (STEMI) RECEIVING CENTER. IN RESPONSE TO HEALTH DATA INDICATING HIGH OBESITY RATES, THE HOSPITAL'S FOUNDATION HAS BEEN RAISING FUNDS AND THE HOSPITAL IMPLEMENTING OBESITY PROGRAMS TARGETED TO YOUNG FAMILIES. ADDITIONALLY, THE HOSPITAL HAS COORDINATED A HEALTHY HIGH DESERT CAMPAIGN IN REGIONAL EFFORT PROMOTING THE ADOPTION OF HEALTHIER EATING AND MORE ACTIVE LIFESTYLES. THE HOSPITAL OPERATES THREE COMMUNITY CLINICS AND A MOBILE MEDICAL VAN TO ASSIST UNINSURED PATIENT'S WHERE THE BARRIERS OF NO TRANSPORTATION OR INSURANCE LIMITS ACCESS TO CARE. THE NUMBER OF UNINSURED CHILDREN, ESTIMATED AT 34,000 IN SAN BERNARDINO COUNTY, RANKS AS THE FIFTH LARGEST IN CALIFORNIA. IT IS ESTIMATED THAT 75% OF UNINSURED CHILDREN ARE ELIGIBLE FOR LOW COST HEALTH INSURANCE PROGRAMS. THE HOSPITAL PARTICIPATES IN A COUNTY-WIDE COLLABORATION ENROLLING UNINSURED CHILDREN IN PARTNERSHIP WITH SCHOOLS AND CHURCHES. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN A COUNTY CLINIC COLLABORATIVE TO INCREASE THE NUMBER OF COMMUNITY CLINICS PROVIDING PRIMARY CARE SERVICES TO LOW INCOME POPULATIONS.	CommunityInformation
Community Building Activities	THE HOSPITAL IS ENGAGED IN NUMEROUS COMMUNITY BUILDING EFFORTS. THE HOSPITAL SPONSORS A CAREER DEVELOPMENT PROGRAM FOR HIGH SCHOOL STUDENTS INTERESTED IN CLINICAL AND ADMINISTRATION HEALTHCARE CAREERS. THE HOSPITAL IS A MEMBER OF A COUNTY-WIDE INITIATIVE - THE ALLIANCE FOR EDUCATION, SPONSORED BY SAN BERNARDINO COUNTY DEPARTMENT OF EDUCATION. THESE PROGRAMS ARE IN RESPONSE TO DATA INDICATING SAN BERNARDINO LAGS NEIGHBORING COUNTIES IN THE PERCENTAGE OF STUDENTS GRADUATING HIGH SCHOOL AND ENTERING COLLEGE. IN RESPONSE TO DATA INDICATING OBESITY IS A PRIMARY UNDERLYING CAUSE TO HEART DISEASE, THE HOSPITAL IS LEADING REGIONAL AND CITY COLLABORATIONS PROMOTING HEALTHIER FOOD OPTIONS, INCREASED ACCESS TO RECREATION AND POLICY ADVOCACY WHEREBY HEALTH PROMOTION/HEALTHY COMMUNITY PRINCIPLES ARE INCORPORATED INTO GENERAL PLANS. THIS EFFORT HAS RESULTED IN ONE CITY PASSING ITS FIRST NON-MOTORIZED TRANSPORTATION PLAN AND A SECOND CREATING RECREATION AND SPORTS PROGRAMS FOR ITS RESIDENTS. THE HOSPITAL'S ADVOCACY WORK HAS SUCCESSFULLY ASSISTED A LEADING MANAGED CARE PROVIDER TO OPEN A PRIMARY CARE CLINIC IN A COMMUNITY WITH VIRTUALLY NO HEALTHCARE PROVIDERS. THE HOSPITAL'S ADVOCACY WORK HAS ALSO BEEN DIRECTED TO BRING FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) TO THE REGION. CURRENTLY NO FQHC CENTERS OPERATE IN THE HOSPITAL'S SERVICE AREA. THE AVAILABILITY OF LOCAL FQHC CENTERS COULD ASSIST TO FIND MEDICAL HOMES FOR UNINSURED PATIENTS CURRENTLY RELYING ON HOSPITAL EMERGENCY ROOMS FOR THEIR URGENT CARE NEEDS. THE COSTS OF THESE PROGRAMS ARE REPORTED ON SCHEDULE H, PART II, LINES 3, 4, 5, 6 AND 9.	CommunityBuildingActivities
Other Information	THE HOSPITAL IS ACTIVE WITH A RANGE OF HEALTH ADVOCACY INCLUDING STATE LEVEL SUPPORT OF THE HEALTHY FAMILIES HEALTH INSURANCE PROGRAM FOR CHILDREN. WORKING IN COLLABORATION WITH OTHER HEALTH AGENCIES THE HOSPITAL HAS ORGANIZED A LOCAL CHILDREN'S HEALTH COALITION. THE PURPOSE OF THE COALITION IS TO ENROLL UNINSURED CHILDREN AT LOCAL SCHOOLS AND CHURCHES. HOSPITAL LEADERS CONTINUE WORKING WITH THE CALIFORNIA HOSPITAL ASSOCIATION TO DEVELOP AND MAINTAIN A SUCCESSFUL HOSPITAL FEE PROGRAM THEREBY ENABLING THE STATE OF CALIFORNIA TO SECURE ADDITIONAL FEDERAL MEDI-CAL DOLLARS TO MAINTAIN THE PROGRAM. THE HOSPITAL HAS BEEN WORKING ON A SAN BERNARDINO COUNTY-WIDE EFFORT LEAD BY THE HEALTH DEPARTMENT AND LOCAL HOSPITAL ASSOCIATION TO COLLABORATE ON CONDUCTING COMMUNITY NEEDS ASSESSMENTS AND IMPLEMENTING COMMUNITY BENEFIT INITIATIVES AROUND KEY LAGGING HEALTH INDICATORS INCLUDING HEART DISEASE, STROKE AND OBESITY. THE HOSPITAL HAS BEEN WORKING WITH SAN BERNARDINO COUNTY PUBLIC HEALTH OFFICIALS ON OPENING TRAUMA SERVICES TO THE COMMUNITY PRESENTLY NONE EXIST. THE HOSPITAL IS THE LARGEST LOCAL FUNDER OF SERVICE ORGANIZATIONS PROVIDING FOOD, HOUSING AND UTILITY ASSISTANCE TO THE AREA'S HOMELESS AND UNEMPLOYED. THE HOSPITAL SUBSIDIZES A CALL PANEL TO ENSURE UNINSURED PATIENTS ARE PROVIDED HEALTH CARE BY PHYSICIANS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF, A BOARD COMPRISED OF LOCAL RESIDENTS, HOSPITAL OFFICERS AND SYSTEM OFFICE EMPLOYEES. SURPLUS FUNDS ARE PUT BACK INTO THE HOSPITAL THROUGH CAPITAL INVESTMENT AND 10% IS TITHED ANNUALLY WHICH ARE FUNDS USED TO PROVIDE SERVICES TO THE POOR AND BROADER COMMUNITIES.	OtherInformation
Affiliated Health Care System	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.	AffiliatedHealthCareSystem
Reports Filed With States	CA	ReportsFiledWithStates

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
CATHOLIC CHARITIES
1450 N D STREET	SAN BERNARDINO	CA	92405	953516461	501(c)(3)	36600	PROGRAM SUPPORT
ST JOHN OF GOD
13333 PALMDALE RD	VICTORVILLE	CA	92392	953806996	501(c)(3)	48000	PROGRAM SUPPORT
St Joseph Health System Foundation
500 S Main Street	Orange	CA	928684507	330143024	501(c)(3)	2350181	CARE FOR THE POOR

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS	Identifier
Return Reference	FORM 990, SCHEDULE I	ReturnReference
Explanation	COMMUNITY BENEFIT COMMITTEE OVERSEES/MONITORS GRANT USAGE ON A MONTHLY BASIS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DONALD MILLER
0	262544	0	81786	0	167449	0	19382	0	1606	0	532767	0	89956
ANNETTE WALKER
0	302031	0	94806	0	66968	0	9610	0	4854	0	478269	0	0
STEVE GILBERT
0	336774	0	96417	0	98598	0	22000	0	29983	0	583772	0	0
JASON BARKER
0	319841	0	130787	0	94229	0	9800	0	15646	0	570303	0	8011
EDWARD WONG
307040	0	103504	0	115429	0	22033	0	2192	0	550198	0	0	0
DAVID O'BRIEN
321801	0	108087	0	62377	0	9793	0	17698	0	519756	0	0	0
JAMES KYLE
271440	0	89511	0	73876	0	6179	0	11400	0	452406	0	0	0
STEPHEN ECKBERG
202388	0	67241	0	54434	0	17054	0	16463	0	357580	0	0	0
MARILYN DRONE
180516	0	59224	0	43692	0	9687	0	129	0	293248	0	0	0
ROBERT DIEHL
154265	0	52537	0	49165	0	8431	0	19386	0	283784	0	9413	0
JOHN PERRING-MULLIGAN
160595	0	52980	0	36931	0	8322	0	11029	0	269857	0	0	0
DAVID PRINGLE
55676	0	53642	0	141057	0	3785	0	6534	0	260694	0	0	0
RANDY BEVILACQUA
143361	0	47110	0	39914	0	11501	0	10107	0	251993	0	0	0
JUDITH AUSTIN
0	0	0	0	226931	0	0	0	17451	0	244382	0	0	0
DOREEN HARDY
119138	0	46998	0	43472	0	10732	0	13091	0	233431	0	1130	0
NORMAN SOTTO
186598	0	0	0	6692	0	7577	0	0	0	200867	0	0	0
EDWARD MEDINA
176956	0	0	0	4578	0	16530	0	14660	0	212724	0	0	0
LEE GARDNER
161379	0	6587	0	6027	0	12022	0	10502	0	196517	0	0	0
ROSALINA REYES
158901	0	0	0	11150	0	13267	0	4785	0	188103	0	0	0
EVANI TAN
145798	0	10000	0	11664	0	0	0	3902	0	171364	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	SCHEDULE J, PART I, LINE 1A	ReturnReference
Explanation	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. MARY MEDICAL CENTER'S TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM. JASON BARKER - $4,225 DONALD MILLER - $4,213 ANNETTE WALKER - $6,757 DESCRIPTION TAX INDEMNIFICATION THE ORGANIZATION PROVIDED GIFT CARDS FOR GROSS-UP PAYMENTS OF $25 FOR CERTAIN EMPLOYEES. THE AMOUNT WAS INCLUDED IN COMPENSATION REPORTED. DESCRIPTION OF CEO PAID BY EXEMPT PARENT SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM. DESCRIPTION OF SEVERANCE PAYMENT OR CONTROL PAYMENT SCHEDULE J, PART I, LINE 4A THIS INCLUDES SEVERANCE PAY TO THE FOLLOWING: JUDITH AUSTIN, FORMER CHIEF NURSING OFFICER WAS PAID $226,931 IN SEVERANCE PAY. DESCRIPTION OF A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. AMOUNTS PAID OUT: ROBERT DIEHL: $ 9,413 DOREEN HARDY: $ 1,130 DONALD MILLER: $89,956 JASON BARKER: $ 8,011 DESCRIBE ANY NON-FIXED PAYMENTS PROVIDED SCHEDULE J, PART I, LINE 7 A PORTION OF THE EXECUTIVE'S SALARY IS PLACED "AT-RISK" AND IS NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED 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.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIBE ORGANIZATION'S MISSION	PART I, LINE 1 & PART III, LINE 1	AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), ST. MARY MEDICAL CENTER IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES, AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE.
PROGRAM SERVICE ACCOMPLISHMENTS	PART III, LINES 4A-D	GROUNDED IN OUR COMMITMENT TO COMMUNITY AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), ST. MARY MEDICAL CENTER IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THAT 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. MARY MEDICAL CENTER 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. WHO WE ARE AND WHAT WE DO ST. MARY MEDICAL CENTER IS A 190 BED ACUTE CARE HOSPITAL, SERVING THE HIGH-DESERT REGION OF SAN BERNARDINO COUNTY. DURING FISCAL YEAR 2010, WE SAW INCREASED DEMANDS FROM LOCAL RESIDENTS WITHIN OUR COMMUNITIES FOR COMMUNITY BENEFIT PROGRAMS AND CHARITY CARE CONTRIBUTIONS THAT OUR ORGANIZATION MAKES EACH YEAR. IN SPITE OF THE MANY FINANCIAL CHALLENGES WITHIN OUR ORGANIZATION AND THE NATION DUE TO THE ECONOMIC DOWNTURN, WE CONTINUED TO MEET THE NEEDS OF LOCAL RESIDENTS WHO FOUND THEMSELVES UNEMPLOYED AND IN MANY CASES ALSO UNINSURED AND IN NEED OF HEALTHCARE AND OTHER COMMUNITY-BASED SERVICES. IN FISCAL YEAR 2010, WE INVESTED A TOTAL OF $16,954,000 (7.6% OF OUR TOTAL OPERATING EXPENSES) IN COMMUNITY BENEFIT (INCLUDING CHARITY CARE, UNPAID COST TO STATE AND LOCAL PROGRAMS AND COMMUNITY BENEFIT SERVICES TO THE LOW-INCOME AND BROADER COMMUNITY), IN ALIGNMENT WITH CATHOLIC HEALTH ASSOCIATION GUIDELINES. IN ADDITION, UNPAID COST OF MEDICARE PROGRAMS TOTALED $5,412,500. THREE MISSION OUTCOMES 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, ST. MARY MEDICAL CENTER IS LARGEST LOCAL FUNDING PROVIDER TO PARTNERS SERVING THE HOMELESS AND HUNGRY AT A TIME WHEN LOCAL UNEMPLOYMENT RATE EXCEEDED 14% AND REPORTS FOR ASSISTANCE FOOD AND HOUSING ASSISTANCE SOARED. - PROVIDING TO OUR PATIENTS IN THE COMMUNITY WITH PERFECT CARE, AND ST. MARY MEDICAL CENTER IS BUILDING ON ITS BABY FRIENDLY DESIGNATION BY IMPROVING THE PERCENTAGE OF WOMEN IN THE COMMUNITY WHO ARE PROVIDING BREAST MILK TO THEIR INFANTS IN THE FIRST SIX MONTHS OF LIFE. - MAKING THE COMMUNITY WE SERVE AMONG THE HEALTHIEST COMMUNITIES IN THE U.S. ST. MARY MEDICAL CENTER IS LEADING A LARGE HEALTH COLLABERATIVE KNOWN AS "HEALTHY HIGH DESERT" WHICH, IN TURN, HAS CREATED THREE HEALTH CITY CAMPAIGNS ADDRESSING THE PROBLEMS OF OBESITY, UNHEALTHY FOOD AND LIMITED ACCESS TO PHYSICAL ACTIVITY. FINANCIAL ASSISTANCE POLICY (TRADITIONAL CHARITY CARE) Our mission is to provide quality care to all our patients, regardless of ability to pay. We believe that no one should delay seeking needed medical care because they lack health insurance. That is why St. Joseph Health System has a Patient Financial Assistance Program that provides free or discounted services to eligible patients. In FY 10, St. Mary Medical Center, 11,708,000 charity care. ORGANIZATIONAL COMMITMENT AS A VALUES BASED ORGANIZATION, ST. MARY MEDICAL CENTER HAS A LONG-STANDING COMMITMENT TO THE COMMUNITY. FY 10 COMMUNITY BENEFIT INITIATIVES AND/OR PROGRAMS NAME OF INITIATIVE OR PROGRAM: EXPANDING HEALTH ACCESS TO UNINSURED PERSONS GOAL: INCREASE UNINSURED ACCESS TO PRIMARY HEALTH CARE SERVICES KEY COMMUNITY PARTNERS: SEVEN SCHOOL DISTRICTS, THREE PHYSICAN VOLUNTEERS, MULTIPLE LOCAL CHURHCES, SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH, FIRST 5 OF SAN BERNARDINO COUNTY FY10 ACCOMPLISHMENTS: 28,695 PATIENTS SERVED. 29% INCREASE IN PATIENTS USING HOSPITAL'S MOBILE VAN PROGRAM. DOUBLING OF PATIENTS (10,873) PROVIDED CANCER DETECTION SERVICES QUANTIFIABLE COMMUNITY BENEFIT 28,695 PATIENTS NAME OF INITIATIVE OR PROGRAM: CHILDREN'S HEALTH INSURANCE ENROLLMENT GOAL: INSURE UNINSURED CHILDREN INTO SAFETY NET HEALTH INSURANCE PROGRAMS KEY COMMUNITY PARTNERS: SEVEN SCHOOL DISTRICTS, CHURCHES, PHYSICANS, INLAND EMPIRE HEALTH PLAN, FIRST FIVE OF SAN BERNARDINO COUNTY, MOLINA HEALTH CARE FY10 ACCOMPLISHMENTS: ENROLLED 689 CHILDREN. RECRUITED ONE PHYSICAN PARTNER OFFERING HEALTH SERVICES TO UNINSURED. SECURED ADDITIONAL FUNDING TO CONTINUE COUNTY-WIDE COLLABERATIVE ON CHILDREN'S ACCESS TO HEALTH CARE QUANTIFIABLE COMMUNITY BENEFIT: 689 CHILDREN ENROLLED INTO SAFETY NET HEALTH INSURANCE NAME OF INITIATIVE OR PROGRAM: ASSISTING PERSONS IN CRISIS GOAL: STABILIZE FAMILIES IN ECONOMIC CRISIS AS RESULT OF UNEMPLOYMENT AND/OR HOMELESSNESS KEY COMMUNITY PARTNERS: ST. JOHN OF GOD, CATHOLIC CHARITIES OF SAN BERNARDINO/RIVERSIDE COUNTIES, COMMUNITY TOOLBOX, THE LORD'S TABLE FY10 ACCOMPLISHMENTS: THE HOSPITAL PROVIDED $86,500 IN HOUSING, FOOD AND UTILITY ASSISTANCE AND ASSISTED PARTNERS IN SECURING AN ADDITIONAL $100,000 GRANT TO SERVE PERSONS IN ECONOMIC CRISIS. NAME OF INITIATIVE OR PROGRAM: CHILDHOOD OBESITY GOAL: REDUCE PREVELENCE OF CHILDHOOD OBESITY IN HIGH DESERT KEY COMMUNITY PARTNERS: SJHS, FIRST 5 OF SAN BERNARDINO COUNTY, SAN BERNARDINO COUNTY HEAD START/PRE SCHOOL DEPARTMENT, HIGH DESERT PRIMARY CARE, HIGH DESERT VALLEY PEDIATRICS, ALLIANCE PHYSICANS, SAN BERNARDINO COUNTY HEALTH CITY INTIAITIVE, TOWN OF APPLE VALLEY, CITY OF ADELANTO, CITY OF VICTORVILLE. ADELANTO SCHOOL DISTRICT FY10 ACCOMPLISHMENTS: SECURED $90,000 FUNDS AWARDED TO THREE CITIES TO BEGIN ADDRESSING CHILDHOOD OBESITY THROUGH INCREASED PHYSICAL ACTIVITY AND IMPROVED PUBLIC ACCESS TO HEALTHIER FOODS. STARTED VICTOR VALLEY COLLABERATIVE NAMED HEALTHY HIGH DESERT. SECURED $186,000 IN FUNDING TO HELP RESIDENTS ADVOCATE FOR FRESH PRODUCE AND INCREASED ACCESS TO PHYSICAL ACTIVITY. SUCCESSFULLY ADVOCATED FOR CITY OF VICTORVILLE PASSAGE OF FIRST NON-MOTORIZED TRAILWAY SYSTEM (73 MILES) IN CITY OF OVER 100,000 RESIDENTS. ASSISTED CITY OF ADELANTO IN FORMATION OF ITS FIRST PARK AND RECREATION MASTER PLAN AND OPENING OF REGION'S FIRST BICYCLE-SKATEPARK. IN FY 10 ST. MARY MEDICAL CENTER CONTRIBUTED OVER $18 MILLION IN UNSPONSORED QUANTIFIABLE COMMUNITY BENEFIT: TRADITIONAL CHARITY CARE $7,540,775 UNREIMBURSED MEDICAID $1,975,716 UNREIMBURSED COSTS - OTHER MEANS TESTED GOVERNMENT PROGRAMS $0 COMMUNITY SERVICES FOR THE LOW-INCOME $12,448,255 COMMUNITY SERVICES FOR THE BROADER COMMUNITY $338,642 *IN ALIGNMENT WITH CATHOLIC HEALTH ASSOCIATION COMMUNITY BENEFIT REPORTING GUIDELINES UNPAID COST FOR MEDICARE PATIENTS $5,412,500 FOR MORE INFORMATION ON ST. MARY MEDICAL CENTER: WWW.STMARYAPPLEVALLEY.COM FOR MORE INFORMATION ON THE ST. JOSEPH HEALTH SYSTEM GO TO: WWW.STJOE.ORG
CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PART VI, LINE 4	THE ORGANIZATION'S BYLAWS WERE UPDATED TO DEFINE AND CLARIFY BOARD DUTIES AND OFFICER ROLES. 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, LINE 6 ST JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. MARY MEDICAL CENTER. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A ST. MARY MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. MARY MEDICAL CENTER BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST. MARY MEDICAL CENTER BOARD AS NOMINATIONS AND 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, LINE 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, LINE 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 FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST	Form 990, Part VI, Line 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, Lines 15a & b	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, LINE 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	ANNETTE WALKER SERVES ON THE BOARD OF DIRECTORS OF ST. MARY MEDICAL CENTER (SMMC) AND IS AN EMPLOYEE OF ST. JOSEPH HEALTH SYSTEM (SJHS), THE TAX-EXEMPT PARENT OF SMMC. SHE DEVOTES 50 HOURS PER WEEK TO HER ROLE AS SVP OF STRATEGIC PLANNING AT SJHS. STEVE GILBERT SERVES ON THE BOARD OF DIRECTORS OF ST. MARY MEDICAL CENTER (SMMC) AND IS AN EMPLOYEE OF ST. JOSEPH HEALTH SYSTEM (SJHS), THE TAX-EXEMPT PARENT OF SMMC. HE DEVOTES 40 HOURS PER WEEK TO HIS ROLE AS VP OF FACILITIES AT SJHS. JASON BARKER SERVES AS CEO OF ST. MARY MEDICAL CENTER (SMMC). ALTHOUGH HE IS COMPENSATED BY THE TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM (SJHS), HE DEVOTES 50 HOURS PER WEEK TO SMMC AND NO HOURS TO SJHS. DONALD MILLER, FORMER CFO OF ST. MARY MEDICAL CENTER (SMMC) IS VP OF FINANCE AND CFO OF QUEEN OF THE VALLEY MEDICAL CENTER (QVMC), A BROTHER/SISTER ORGANIZATION OF SMMC. HE DEVOTES 50 HOURS PER WEEK TO HIS ROLE AS VP OF FINANCE AND CFO TO QVMC.
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.
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) NAME AND SOCIAL SECURITY NUMBERS OF AFFECTED PARTICIPANTS: NOT APPLICABLE. (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 SEPARATION FROM SERVICE DATE FOR PARTICIPANTS WHO VOLUNTARILY TERMINATED ON OR AFTER JANUARY 1, 2009 AND ON OR BEFORE DECEMBER 31, 2009. THE PLAN COVERS ELIGIBLE EMPLOYEES OF PARTICIPATING EMPLOYERS. ST. MARY REGIONAL MEDICAL CENTER PARTICIPATES IN THE PLAN AND HAD ONE EMPLOYEE WHO VOLUNTARILY TERMINATED IN 2009. NAME: DAVID PRINGLE DATE OF WHEN THE FAILURE OCCURRED: 07/02/2010 12/31/2009 ACCOUNT BALANCE: $45,826 PAYMENT DATE: 12/17/2010 GROSS AMOUNT DISTRIBUTED: $45,826 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. MARY REGIONAL MEDICAL CENTER 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 INVOLUNTARY SEPARATION FROM SERVICE, BUT WITHIN 60 DAYS FOLLOWING SEPARATION FROM SERVICE. HOWEVER, IF THE 60TH DAY FALLS IN THE SECOND TAX YEAR, PAYMENT WILL BE MADE IN THE SECOND 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 SECOND TAX YEAR THEN PAYMENT WILL BE MADE IN THE SECOND 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (14 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
ST JOSEPH HEALTH SYSTEM
500 S MAIN STREET SUITE 700	ORANGE	CA	928684507	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 STE 400	ORANGE	CA	92868	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	NA
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIA	ORANGE	CA	92868	951643383	RELIGIOUS ORG	CA	501(C)(3)	1	NA
ST JUDE MEDICAL CENTER
101 EAST VALENCIA MESA DRIVE	FULLERTON	CA	92835	951643325	HEALTHCARE	CA	501(C)(3)	3	SJHS
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 JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREET	EUREKA	CA	95501	941156596	HEALTHCARE	CA	501(C)(3)	3	SJHS
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVE	ORANGE	CA	92868	951643359	HEALTHCARE	CA	501(C)(3)	3	SJHS
MISSION HOSPITAL REGIONAL MEDICAL CENTER
27700 MEDICAL CENTER ROAD	MISSION VIEJO	CA	92691	951643360	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	928684507	330143024	HEALTHCARE	CA	501(c)(3)	7	SJHS
ST JOSEPH HOME CARE NETWORK
170 PROFESSIONAL CENTER DRIVE B	ROHNERT PARK	CA	94928	680331084	HEALTHCARE	CA	501(C)(3)	9	SJHS
ST JOSEPH HERITAGE HEALTHCARE
279 E IMPERIAL HIGHWAY	FULLERTON	CA	92835	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country
ST JOSEPH PROF SRVS ENTERPRISES INC
500 S MAIN STREET SUITE 700	ORANGE	CA	92868	330155323	MEDICAL SERVICES	CA	SJHS	C CORP	0	0	0.00000
ST JOSEPH DIVERSIFIED VENTURES INC
500 S MAIN STREET SUITE 700	ORANGE	CA	92868	330148989	MEDICAL SERVICES		SJHS	C-CORP	0	0	0.00000	BD
American Unity Group Ltd
					Captive Insurance		SJHS	C Corp	0	0	0.00000	BD	58 Par La-Villa Rd	Hamilton	HX	BD

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
ST JOSEPH HEALTH SYSTEM FOUNDATION
B	2350181
ST JOSEPH HEALTH SYSTEM FOUNDATION
C	624686
Queen of the Valley Medical Center
	0
Santa Rosa Memorial Hospital
	0
St Joseph Hospital of Eureka
	0
Redwood Memorial Hospital
	0
St Jude Medical Center
	0
St Joseph Hospital of Orange
	0
Mission Hospital Regional Medical Center
	0
Covenant Health System
	0
St Joseph Professional Services Enterprises
	0
St Joseph Diversified Ventures Inc
	0
American Unity Group Ltd
	0
ST JOSEPH HOME CARE NETWORK
	0
ST JOSEPH HERITAGE HEALTHCARE
	0