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JOSEPH HEALTH SYSTEM HAS CONDUCTED AN ADVOCACY EFFORT WHICH INCLUDED MINIMAL LOBBYING ACTIVITY. THESE INCLUDED MEETING WITH LOCAL, STATE, AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS; AND COMMUNICATIONS TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION. 5940633 597471 8300 6529804 7423607 150000 -1583488 49486 5940633 0.99620 0.00000 0.00380 false false 6457972 6457972 360057993 86079841 273978152 11204111 8827204 2376907 190578198 136085305 54492893 54731171 54731171 392037095 0 INTERCOMPANY WITH HEALTH SYS-BONDS 240855790 PAYABLE TO THIRD PARTY PAYORS 6427514 OTHER LIABILITIES 1942926 ASBESTOS REMOVAL LIABILITY 2135113 LEASE INCENTIVE OBLIGATION 2157536 253518879 SCHEDULE D, PART V THE ENDOWMENT FUNDS PROVIDE INCOME THAT IS USED FOR THE ST. 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OUTPATIENT SVC COSTS WERE ESTIMATED USING COST-TO-CHARGE RATIO OF PATIENT POPULATION OF THE PROGRAM BEING ADDRESSED. THE COST-TO-CHARGE RATIO COSTING METHODOLOGY WAS USED FOR CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, WHILE COSTS IN "OTHER BENEFITS" WERE ACTUAL COSTS AS POSTED IN THE G/L. THE COST-TO-CHARGE RATIO USED WAS DERIVED FROM IRS WORKSHEET 2. SUBSIDIZED HEALTH SERVICES COSTS DO NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. BAD DEBT EXPENSE OF $23,190,546 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. A COST-TO-CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT IN LINE 2. AS A CATHOLIC HEALTH CARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S COMMUNITY BENEFIT REPORTING GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE AS A COMMUNITY BENEFIT. Medicare allowable costs were derived from the hospital's Medicare cost report, which is submitted annually to Centers for Medicare and Medicaid (CMS). Total hospital costs are allocated in the cost report based on a step-down methodology using statistics. General service costs are allocated to both inpatient routine and ancillary service cost centers. Allowable costs pertaining to Medicare are then determined based on Medicare utilization as follows: For routine service costs, Medicare utilization is based on patient days. Medicare patient days are multiplied by per diem amounts to calculate Medicare costs. For ancillary service costs, Medicare utilization is based on charges. Medicare charges are multiplied by cost-to-charge ratio to calculate Medicare costs. 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. THE HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS AND ASSET ASSESSMENT EVERY THREE YEARS TO PROVIDE DIRECTION FOR ITS COMMUNITY BENEFIT PLAN. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS CONDUCTED EVERY THREE YEARS TO PROVIDE THE BASIS FOR ST. JUDE MEDICAL CENTER (SJMC) AND ST. JUDE HERITAGE HEALTHCARE (SJHH) TO DEVELOP PRIORITIES FOR OUR COMMUNITY BENEFIT PLAN AND TO MEET THE LEGAL REQUIREMENTS OF SB 697. THIS INFORMATION PROVIDES A FOUNDATION FOR SJMC AND SJHH TO CARRY OUT OUR MISSION OF IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES THAT WE SERVE. THE NEEDS ASSESSMENT IS REVIEWED AND APPROVED BY THE ST. JUDE MEDICAL CENTER BOARD OF TRUSTEES COMMUNITY BENEFIT COMMITTEE. THIS COMMITTEE IS COMPOSED OF A MAJORITY OF COMMUNITY MEMBERS WHO REPRESENT THE GEOGRAPHIC AREA AND DIVERSITY OF THE COMMUNITIES SERVED BY THE MEDICAL CENTER. 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. THE SERVICE AREAS OF ST. JUDE MEDICAL CENTER REACH 1.68 MILLION PEOPLE. THE MEDICAL CENTER'S GEOGRAPHICAL AREA OF FOCUS FOR COMMUNITY BENEFIT PROGRAMS ARE THE CITIES OF BREA, BUENA PARK, FULLERTON, LA HABRA, PLACENTIA AND YORBA LINDA. THE SOCIO-DEMOGRAPHIC DATA FOR THE SIX AREAS SERVED BY SJMC COMMUNITY BENEFIT DEMONSTRATE WIDE DISPARITIES IN RACIAL/ETHNIC AND ECONOMIC INDICATORS. LA HABRA IS THE CITY WITH THE LOWEST MEDIAN INCOME AND THE GREATEST RACIAL/ETHNIC DIVERSITY WHILE YORBA LINDA HAS THE HIGHEST INCOME AND LEAST RACIAL/ETHNIC DIVERSITY. WITHIN EACH CITY, WITH THE EXCEPTION OF YORBA LINDA, THERE ARE NEIGHBORHOODS THAT HAVE A HIGHER PERCENTAGE OF DISPROPORTIONATE UNMET HEALTH NEEDS POPULATIONS. HIGHEST NEED NEIGHBORHOODS HAD HIGHEST RATES OF POVERTY, UNEMPLOYMENT AND LOWEST INCOMES. THE MEDICAL CENTER'S GOVERNING BODY IS COMPOSED OF A MAJORITY OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHSYICIANS IN THE COMMUNITY FOR MOST DEPARTMENTS. THE MEDICAL CENTER BY POLICY DEVOTES TEN PERCENT OF ITS NET INCOME TO BE USED BY CARE FOR THE POOR PROGRAMS. THESE FUNDS SUPPORT THE MEDICAL CENTER'S COMMUNITY CLINICS AND OTHER CRITICAL PROGRAMS FOR THE UNDERSERVED. IN ADDITION, THE MEDICAL CENTER BUDGETS 1.5% OF TOTAL EXPENSES FOR COMMUNITY HEALTH AND HEALTHY COMMUNITIES PROGRAMS. THE MEDICAL CENTER ALSO RECEIVES GRANTS AND CONTRACTS TO SUPPORT COMMUNITY HEALTH PROGRAMS APPLYING ALL THE FUNDS TO DIRECT SERVICES FOR THE COMMUNITY. THE MEDICAL CENTER HAS A STRATEGIC GOAL TO WORK TOWARDS ITS COMMUNITIES BEING IN THE TOP 10% IN HEALTH STATUS IN THE UNITED STATES. THIS EFFORT HAS BEEN UNDERTAKEN IN PARTNERSHIP WITH LOCAL COMMUNITY COLLABORATIVES WHERE THE MEDICAL CENTER COMMUNITY BENEFIT STAFF PROVIDE LEADERSHIP AND SUPPORT. THESE COLLABORATIVES INCLUDE: FULLERTON COLLABORATIVE, PLACENTIA FAMILIES FIRST COLLABORATIVE, LA HABRA COLLABORATIVE, BUENA PARK COLLABORATIVE AND THE ORANGE COUNTY NUTRITION AND PHYSICAL ACTIVITY COLLABORATIVE. IN ADDITION, THE MEDICAL CENTER IS A LEADER IN THE CALIFORNIA KIDS COLLABORATIVE, PROVIDING ACCESS TO CARE FOR THE UNINSURED AND THE HEALTHY FOR LIFE COLLABORATIVE FOCUSED ON CHILDHOOD OBESITY REDUCTION IN THE SCHOOL SETTING. THE MEDICAL CENTER ALSO PARTICIPATES IN THE UCI COMMUNITY ACTION PARTNERSHIP GROUP TO FURTHER COMMUNITY-CAMPUS RESEARCH BASED PARTNERSHIPS. THE MEDICAL CENTER IS A HUB FOR STUDENT PLACEMENTS, INCLUDING STUDENTS IN NURSING, PUBLIC HEALTH, SOCIAL WORK, GERONTOLOGY, AND ANCILLARY SERVICES. SPECIAL NEEDS HIGH SCHOOL STUDENTS ARE PROVIDED A VOCATIONAL EXPERIENCE AT THE HOSPITAL. IN ADDITION, THE MEDICAL CENTER IS A SITE FOR HUNDREDS OF COMMUNITY VOLUNTEERS WHO ASSIST IN EVERY MAJOR DEPARTMENT OF THE HOSPITAL. FINALLY, THE MEDICAL CENTER IS A HEALTH CARE PROVIDER FOR THE UNDERSERVED BOTH AT THE PRIMARY CARE, SECONDARY CARE AND TERTIARY CARE LEVELS THROUGH ITS COMMUNITY CLINICS, ANCILLARY SERVICES AND CHARITY CARE INPATIENT SERVICES. EACH YEAR MORE THAN 125 PHYSICIANS, NURSES AND SUPPORT STAFF VOLUNTEER TO PROVIDE FREE SURGERIES TO UNINSURED PATIENTS IN PARTNERHSIP WITH ACCESS OC. THE MEDICAL CENTER LIVES ITS MISSION TO EXTEND 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. 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 ST JOSEPH HERITAGE HEALTHCARE FOUNDATION 279 E IMPERIAL HIGHWAY FULLERTON CA 92835 330185031 501(C)(3) 56529 PROGRAM SUPPORT OCCCO 310 W BROADWAYANAHEIM CA 92805 ANAHEIM CA 92805 953196836 501(C)(3) 22500 HEALTHY NEGHBORHOOD INITIATIVE COMM SVC SOLIDARITY PO BOX 220 PLACENTIA CA 92871 510490821 501(C)(3) 15115 HEALTHY NEIGHBORHOOD INITIATIVE COMM SVC THE FULLERTON COLLABORATIVE 1401 W VALENCIA DR FULLERTON CA 92883 201222056 501(C)(3) 43700 HEALTHY NEIGHBORHOOD INITIATIVE COMM SVC ST JOSEPH HEALTH SYSTEM FOUNDATION 500 S MAIN STREET ORANGE CA 92868 330143024 501(C)(3) 6194800 CARE FOR THE POOR Meals on Wheels 223 W AMERIGE FULLERTON CA 92832 330472661 501(c)(3) 12748 COST FOOD SUPPLIES Program Support Children & Family Commission of Orange County 17320 REDHILL AVE 200 Irvine CA 92614 956000928 GOVT 55411 Bridge II Program Prop 10 Pediatric Clinic 7 0 DESCRIBE THE PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. FORM 990, SCHEDULE I, PART I, LINE 2 EXPENSES ARE MONITORED ON A MONTHLY/QUARTERLY BASIS BY THE VICE-PRESIDENT OF HEALTHY COMMUNITIES. true true false false false false false true false LEE PENROSE 0 396358 0 134587 0 121532 0 17066 0 23177 0 692720 0 0 DOREEN DANN 43639 0 28773 0 578208 0 10135 0 1410 0 662165 0 194634 0 BRIAN HELLELAND 305532 0 75750 0 76649 0 8571 0 26699 0 493201 0 0 0 MARK JABLONSKI 235826 0 58381 0 140436 0 21905 0 20294 0 476842 0 18432 0 BARRY ROSS 166811 0 43601 0 89977 0 20893 0 32918 0 354200 0 22411 0 EDUARDO SALVADOR 217263 0 40716 0 51676 0 0 0 26571 0 336226 0 0 0 MICHAEL MARINO 235923 0 43935 0 50779 0 0 0 5161 0 335798 0 0 0 CLAIRE HANKS 215452 0 52643 0 45085 0 9569 0 8462 0 331211 0 0 0 KAREN CANNIZZARO 159783 0 39552 0 53541 0 17083 0 17995 0 287954 0 0 0 KEVIN MURPHY PHD 0 206357 0 59545 0 48674 0 12034 0 29809 0 356419 0 0 ROBERT FRASCHETTI 0 0 0 0 0 145346 0 0 0 779 0 146125 0 0 KEVIN MANEMANN 187552 0 62975 0 63596 0 9751 0 26210 0 350084 0 0 0 SUSAN SMITH 180316 0 44824 0 56276 0 15907 0 18199 0 315522 0 0 0 DRU ANN COPPING 153034 0 37234 0 51891 0 9289 0 894 0 252342 0 0 0 MARTHA LOMELI 89670 0 15710 0 133078 0 9914 0 1141 0 249513 0 0 0 TRAVEL FOR COMPANIONS SCHEDULE J, PART I, LINE 1 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 officer received a benefit for companion travel that was intended to be compensation. The benefits were paid by St. Jude Medical Center's tax-exempt parent, St. Joseph Health System. Lee Penrose $4,402 DESCRIPTION OF CEO PAID BY EXEMPT PARENT SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM. DESCRIPTION OF SEVERANCE PAYMENTS MADE SCHEDULE J, PART I, LINE 4A THE FOLLOWING RECEIVED A SEVERANCE PAYMENT IN 2009: DOREEN DANN $293,975 ROBERT FRASCHETTI $142,728 MARTHA LOMELI $53,761 ROBERT FRASCHETTI'S SEVERANCE WAS PAID BY ST. JUDE MEDICAL CENTER'S TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM. DESCRIPTION OF A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. PAYOUT FOR 2009 PARTICIPANTS: DOREEN DANN $194,634 MARK JABLONSKI $18,432 BARRY ROSS $22,411 MARTHA LOMELI $49,811 DESCRIBE ANY NON-FIXED PAYMENTS PROVIDED SCHEDULE J, PART I, LINE 7 A PORTION OF THE EXECUTIVE'S SALARY IS PLACED "AT-RISK" AND IS NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. ST JUDE HERITAGE MEDICAL GROUP SEE SCHEDULE O 753043 PHYSICIAN/DIRECTORS FEES false X 7 93932 FMV 0 false true true SCHEDULE M, PART I, LINE 32A ST. JUDE MEDICAL CENTER USES THE SERVICES OF A BROKER TO SELL DONATED SECURITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 DESCRIBE ORGANIZATION'S MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. FORM 990, PART III, LINES 4A PROGRAM SERVICE ACCOMPLISHMENTS - LIVING OUT OUR MISSION GROUNDED IN OUR COMMITMENT TO COMMUNITY AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), ST. JUDE 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. JUDE 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. PROGRAM SERVICE ACTIVITY 1 -------------------------- GOAL: INCREASE THE TOTAL NUMBER OF DENTAL VISITS PROVIDED BY 100% FROM FY 08 BASELINE OF 2,620 KEY COMMUNITY PARTNERS: BOYS AND GIRLS CLUB OF FULLERTON, CITY OF FULLERTON, HEALTHY SMILES CLINIC, DAMAS DE CARIDAD FY10 ACCOMPLISHMENTS: DENTAL VISITS INCREASED 15.6% FROM FY09 TO 5,623 VISITS, A 114.6% INCREASE FROM BASELINE. THIS IS THE RESULT OF INCREASED DENTAL STAFFING AND THE INTRODUCTION OF DIGITAL RADIOGRAPHY AND ELECTRONIC DENTAL RECORDS. EXPENSES: $673,459 GRANTS: $149,639 REVENUE: $523,820 PROGRAM SERVICE ACTIVITY 2 -------------------------- GOAL: ENHANCE OBESITY PREVENTION IN SCHOOLS. KEY COMMUNITY PARTNERS: FULLERTON, LA HABRA, PLACENTIA, YORBA LINDA AND BUENA PARK DISTRICTS; AMERICAN ACADEMY OF PEDIATRICS, ST. JOSEPH HOSPITAL, MISSION HOSPITAL, ST. JOSEPH HEALTH SYSTEM FOUNDATION. FY10 ACCOMPLISHMENTS: IMPLEMENTED THE HEALTHY FOR LIFE PROGRAM IN 18 SCHOOL CLASSES IN NORTH ORANGE COUNTY. ALMOST 10% OF STUDENTS WHO WERE OVERWEIGHT OR OBESE CHANGED THEIR WEIGHT STATUS IN A POSITIVE DIRECTION. EXPENSES: $126,841 REVENUE: $126,841 PROGRAM SERVICE ACTIVITY 3 -------------------------- GOAL: REDUCE INAPPROPRIATE USE OF EMERGENCY DEPARTMENT KEY COMMUNITY PARTNERS: COALITION OF ORANGE COUNTY COMMUNITY HEALTH CENTERS. FY10 ACCOMPLISHMENTS: THE NURSE ADVICE LINE PROVIDED ADVICE TO THE COMMUNITY ON HOW TO CARE FOR AN ILLNESS OR INJURY AT HOME OR GUIDANCE ABOUT WHETHER AND WHERE TO SEE A HEALTHCARE PROVIDER, IN ADDITION, IT SERVED AS THE AFTER HOURS RESOURCE FOR SIX COMMUNITY CLINICS IN ORANGE COUNTY THROUGH THE AFTER HOURS CLINIC COLLABORATIVE FUNDED BY MEASURE H. THE ADVICE LINE PROVIDED PHONE ADVICE TO 29,311 CALLERS IN FY10 MANAGING 42,220 CALLS. THE MAJORITY OF CALLERS DID NOT REQUIRE REFERRAL TO THE EMERGENCY DEPARTMENT. EXPENSES: $1,507,352 GRANTS: $ 23,490 REVENUE: $1,483,862 OTHER PROGRAM SERVICE ACTIVITY ------------------------------ WHO WE ARE AND WHAT WE DO: ST.JUDE MEDICAL CENTER IS A 384 BED HOSPITAL WITH CENTERS OF EXCELLENCE IN CARDIAC, ONCOLOGY, REHABILITATION AND WOMEN AND CHILDREN'S SERVICES. THE MEDICAL CENTER OFFERS AN EXTENSIVE CONTINUUM OF INPATIENT AND OUTPATIENT SERVICES INCLUDING ACUTE, TRANSITIONAL AND REHABILITATION CARE, OUTPATIENT SURGERY, DIAGNOSTIC AND IMAGING SERVICES, THE CENTER FOR REHABILITATION AND WELLNESS, SENIOR SERVICES, AND COMMUNITY CLINICS FOR THE UNDERSERVED. THE MEDICAL CENTER HAS 2,902 EMPLOYEES AND 718 MEDICAL STAFF. EXPENSES: $383,052,219 GRANTS: $ 6,159,515 REVENUE: $460,894,354 THREE MISSION OUTCOMES: AS A MINISTRY OF THE ST. JOSEPH HEALTH SYSTEM WE ARE COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES. 1. MAKING EVERY ENCOUNTER WITH OUR COMMUNITY A SACRED ENCOUNTER. THE MEDICAL CENTER HAS BEEN WORKING WITH IDEO CONSULTING FIRM TO IMPROVE THE PATIENT EXPERIENCE USING THE CONCEPT OF SCENOGRAPHY, WHERE SPECIFIC SCENES ARE DEFINED IN THEIR OPTIMAL STATE. THE "THOUGHTFUL GOOD-BYE" SCENE HAS BEEN IMPLEMENTED IN THE MOTHER BABY UNIT. THE TONE THAT THE TEAM IS CREATING FOR THE NEW MOTHER GOING HOME WITH HER CHILD IS "BLESSED." THROUGH THIS PROCESS, THE PATIENT EXPERIENCE THAT IS CREATED CELEBRATES THE SACREDNESS OF A NEW MOTHER GOING HOME WITH HER BABY. 2. PROVIDING TO OUR PATIENTS IN THE COMMUNITY WITH PERFECT CARE. THE MEDICAL CENTER HAS EXCEEDED ITS TARGETS FOR THE CMS-19 FAILURE RATE. ST. JUDE MEDICAL CENTER WAS AWARDED THE 2010 DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE, AN HONOR WHICH RECOGNIZES THE TOP FIVE PERCENT OF HOSPITALS IN THE COUNTY. AWARDED BY HEALTHGRADES, THE LEADING HEALTHCARE RATINGS ORGANIZATION, THE HONOR WAS GIVEN TO ONLY 270 HOSPITALS IN THE NATION. DESIGNATING THE BEST IN OVERALL CLINICAL QUALITY, ST. JUDE IS ALSO THE RECIPIENT OF THESE AWARDS OF EXCELLENCE FROM HEALTHGRADES: JOINT REPLACEMENT EXCELLENCE AWARD 2010, PROSTATECTOMY EXCELLENCE AWARD 2010, STROKE CARE EXCELLENCE AWARD 2008-2010. 3. MAKING THE COMMUNITY WE SERVE AMONG THE HEALTHIEST COMMINITIES IN THE U.S. THE MEDICAL CENTER HAS FOCUSED ITS HEALTHY COMMUNITIES EFFORTS ON REDUCING CHILDHOOD OBESITY. THE HEALTHY FOR LIFE PRGRAM WAS IMPLEMENTED IN EIGHTEEN SCHOOLS IN NORTH ORANGE COUNTY. RESULTS FROM ALL SCHOOLS IN THE PROGRAM SHOWED THAT AFTER NINE MONTHS OF IMPLEMENTATION ALMOST 10% OF CHILDREN WHO WERE OVERWEIGHT OR OBESE CHANGED THEIR WEIGHT STATUS IN A POSITIVE DIRECTION. THE ST. JUDE MEDICAL CENTER IS A HOSPITAL SERVING THE GREATER NORTH ORANGE COUNTY REGION. DURING FISCAL YEAR 2010, WE INVESTED A TOTAL OF $33,023,000 (7.7% OF OUR TOTAL OPERATING EXPENSES) IN COMMUNITY BENEFIT (INCLUDING TRADITIONAL CHARITY CARE, UNPAID COST OF STATE AND LOCAL PROGRAMS AND COMMUNITY BENEFIT SERVICES TO THE LOW-INCOME AND BROADER COMMUNITY), IN ALIGNMENT WITH CATHOLIC HEALTH ASSOCIATION GUIDELINES. IN ADDITION, OUR UNPAID COST OF MEDICARE PROGRAMS TOTALED $23,924,370. FORM 990, PART VI, LINE 2 BUSINESS AND FAMILY RELATIONSHIPS DR JAMES BENOIT AND DR RUBEN CABRAL HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES TO THE ORGANIZATIONAL DOCUMENTS 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. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JUDE HOSPITAL, INC. (DBA ST. JUDE MEDICAL CENTER). FORM 990, PART VI, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JUDE MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. JUDE MEDICAL CENTER BOARD. ALL TRUSTEE APPOINTMENTS COME FROM THE ST. JUDE 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. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. FORM 990, PART VI, LINE 11A PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 IS THEN REVIEWED BY THE CFO OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS THEN DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 2010 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. FORM 990, PART VI, LINES 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL 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 ST. JUDE MEDICAL CENTER BOARD. IF THE CONFLICT INVOLVES A MEMBER OF THAT BOARD, THE REMAINING BOARD MEMBERS WILL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE OFFICER, TRUSTEE, OR KEY EMPLOYEE MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE BOARD CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE BOARD CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE BOARD DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE BOARD WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER IN CONSULTATION WITH SJHS GENERAL COUNSEL WILL REVIEW THE BOARD FINDINGS, RECOMMENDATIONS AND MITIGATION STRATEGIES AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. FORM 990, PART VI, LINE 15A & 15B PROCESS FOR DETERMINING COMPENSATION THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD -APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. SJHS'S 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 COMMTTEE PREFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN JUNE 2010. FORM 990, PART VI, LINE 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. FORM 990, PART VII / SCHEDULE J-2 HOURS SPENT FOR THE ORGANIZATION LEE PENROSE IS THE CEO/PRESIDENT OF ST. JUDE MEDICAL CENTER (SJMC). ALTHOUGH HE IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM (SJHS), HE DEVOTES 50 HOURS PER WEEK TO SJMC AND NO HOURS TO SJHS. KEVIN MURPHY SERVES ON THE BOARD OF ST. JUDE MEDICAL CENTER (SJMC) AND IS THE VP OF MISSION INTEGRATION OF ST. JOSEPH HEALTH SYSTEM (SJHS). HE DEVOTES 50 HOURS PER WEEK TO SJHS AND 2 HOURS PER WEEK TO SJMC. ROBERT FRASCHETTI WAS FORMERLY THE CEO OF ST. JUDE MEDICAL CENTER (SJMC) UNTIL APRIL 2008. HE RECEIVED OTHER REPORTABLE COMPENSATION RELATED TO HIS PRIOR EMPLOYMENT FROM ST. JOSEPH HEALTH SYSTEM (SJHS) AND DEVOTED NO HOURS TO SJMC OR SJHS. FORM 990, PART XI, LINE 2C OVERSIGHT OR SELECTION PROCESS THE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. FORM 990, SCHEDULE L, PART IV, COLUMN (B) RELATIONSHIP TO ORGANIZATION JAMES BENOIT, MD AND ALLISON FOLEY, MD, BOARD MEMBERS OF SJMC, ARE OFFICERS OF ST. JUDE HERITAGE MEDICAL GROUP. FORM 990, SCHEDULE R, PART V, LINE 2 DETERMINATION OF AMOUNTS ON SCHEDULE R, PART V THE AMOUNTS REPORTED IN SCHEDULE R, PART V, LINE 2 WERE 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: 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 PARTICIPANT SEPARATION FROM SERVICE DATE FOR THE FOLLOWING PARTICIPANTS WHO VOLUNTARILY TERMINATED ON OR AFTER JANUARY 1, 2009 AND ON OR BEFORE DECEMBER 31, 2009. THE PLAN COVERS ELIGIBLE EMPLOYEES OF PARTICIPATING CONTROLLED GROUP MEMBERS. ST. JUDE MEDICAL CENTER PARTICIPATES IN THE PLAN. HOWEVER, NONE OF ITS EMPLOYEES VOLUNTARILY TERMINATED IN 2009 OR 2010. OPERATIONAL DEFECT (2): IN 2010 IT WAS DISCOVERED THAT THREE PARTICIPANTS, TWO EMPLOYED BY ST. JUDE MEDICAL CENTER, WERE NOT TIMELY PAID THEIR PLAN ACCOUNTS FOLLOWING THEIR 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. (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: DOREEN DANN DATE OF WHEN THE FAILURE OCCURRED: 03/02/2009 12/31/2009 ACCOUNT BALANCE: $194,890 PAYMENT DATE: 12/31/2009 GROSS AMOUNT DISTRIBUTED*: $194,634 NAME/SOCIAL SECURITY NUMBER: JOAN TAYLOR DATE OF WHEN THE FAILURE OCCURRED: 10/31/2009 12/31/2009 ACCOUNT BALANCE: $28,548 PAYMENT DATE: 12/31/2009 GROSS AMOUNT DISTRIBUTED*: $27,445 *GROSS AMOUNT OF DISTRIBUTION DID NOT INCLUDE INTEREST EARNED FROM INVOLUNTARY TERMINATION DATE TO DECEMBER 31, 2009. INTEREST EARNED IN 2010 WAS FORFEITED. (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 FOR ANY VOLUNTARY SEPARATION FROM SERVICE ON THE 60TH DAY FOLLOWING 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) THIS OPERATIONAL FAILURE IS 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. 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