2011-05-05T13:36:13-05:00 2010-06-30 ERNST & YOUNG US LLP 18111 VON KARMAN AVENUE SUITE 1000 IRVINE CA 92612 990 2009-07-01 680331084 ST JOSEPH HOME CARE NETWORK STJO 7147127236 170 PROFESSIONAL CENTER DRIVE B ROHNERT PARK CA 94928 LINDA GLOMP 2011-05-04 9497942300 2009 2016-02-24 21:20:13Z LINDA GLOMP 170 PROFESSIONAL CTR DR B ROHNERT PARK CA 94928 12377763 false X WWW.STJHS.ORG X 1994 CA WE ARE COMMITTED TO EXTENDING THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. 10 0 163 3 0 0 510 72703 12474730 12304713 376 347 0 0 12475616 12377763 21121 15473 0 0 9594620 9793280 0 0 0 2406927 2200418 12022668 12009171 452948 368592 1459965 1448257 1572493 1080070 -112528 368187 SEE SCHEDULE O false false 9659742 15473 12304713 THE PRIMARY SERVICE PROVIDED BY THE AGENCY IS HOME CARE SERVICES IN THE FORM OF NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, SOCIAL WORK AND AIDE SERVICES. 9659742 true true false false false false false false false true false true false false false false false false false false false false true true false false false false false false false false false false false false false true false false false true 0 0 163 true false false false false false false false false false 10 0 false false true false true true true true true false false true true true true true true false false false CA X MICHAEL BRESNAN 7147127149 170 PROFESSIONAL CTR DR B ROHNERT PARK CA 94928 SHIRLEY SLEEKER 50.0 X X 280040 0 40496 RON NAGANO 15.0 X X 207672 0 0 ROBERT BRANNIGAN 2.0 X 0 327749 27509 J MARC GOLAN 2.0 X X 0 499053 39812 KEVIN KLOCKENGA 2.0 X 0 676367 33927 DONALD MILLER 2.0 X 0 511780 20988 WALTER MICKENS 2.0 X 0 410289 3740 MICHEL RICCIONI 2.0 X 0 460478 38685 S ANDREW RYBOLT 2.0 X 0 287558 26114 JO SANDERSFELD 2.0 X X 0 312181 25221 CLYDE WESP 2.0 X 0 613350 18839 487712 4098805 275331 2 false true true 0 25000 47603 100 72703 NET PATIENT SERVICES 622110 12064967 12064967 ALL OTHER REVENUE 900099 239746 239746 12304713 347 347 0 0 0 0 0 0 0 12377763 12304713 0 347 0 15473 15473 0 0 354067 354067 0 6446948 5727768 719180 358933 233518 125415 2155301 1416344 738957 478031 421707 56324 0 61110 61110 16507 16507 0 0 0 925906 833315 92591 8327 8327 358859 322973 35886 0 0 359234 323311 35923 7219 7219 0 25001 7869 17132 17414 17414 0 119097 107187 11910 44608 33823 10785 LICENSES & TAXES 20482 18434 2048 DUES AND SUBSCRIPTIONS 32879 29591 3288 ENTERTAINMENT 7535 7535 RECRUITING 32621 29359 3262 BANK CHARGES 9097 9097 154522 139070 15452 12009171 9659742 2349429 0 2069 2070 11785 48674 1002577 1019645 46699 37474 45788 51131 2060960 1771697 351047 289263 1459965 1448257 645076 697903 167087 73839 760330 308328 1572493 1080070 X -112528 368187 -112528 368187 1459965 1448257 X false true true X false X 255 1510 1195 510 72703 76173 12753338 12631483 12160742 12474730 12304713 62325006 12753593 12632993 12161937 12475240 12377416 62401179 62401179 2020 4274 2157 376 347 9174 2020 4274 2157 376 347 9174 12755613 12637267 12164094 12475616 12377763 62410353 0.99985 0.99985 0.00015 0.00015 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 414260 328976 85284 1563040 1442721 120319 83660 0 83660 289263 0 INTERCOMPANY HEALTH SYSTEM 258154 RESTRICTED USE FUNDS 38232 OTHER LIABILITIES 11424 RESTRICTED FUND LIABILITY 518 308328 true X HIV/AIDS GRANTS 43 15473 Description of Organization's Procedures for Monitoring the Use of Grants Schedule I, Part I THE GRANTS ARE SPECIFIC TO HIV/AIDS CLIENTS AND WE FOLLOW THE GUIDELINES FROM THE CALIFORNIA DEPARTMENT OF AIDS FOR CMP CLIENTS, AS WELL AS HUMBOLDT COUNTY'S GUIDELINES FOR HOPWA (HOUSING OPPORTUNITIES FOR PEOPLE WITH AIDS). THE ADMINISTRATIVE ASSISTANT KEEPS TRACK OF ALL EXPENDITURES FOR EACH CLIENT WHO IS RECEIVING BENEFITS. WE ARE LIMITED TO SERVING A RANGE OF 15 - 25 UNDUPLICATED CLIENTS A MINIMUM OF $585.50 PER YEAR. X true false false true false false false false false true false SHIRLEY SLEEKER 161681 0 14171 0 104187 0 5662 0 34834 0 320536 0 0 RON NAGANO 207672 0 0 0 0 0 0 0 0 0 207672 0 0 0 ROBERT BRANNIGAN 0 207356 0 15425 0 104968 0 10789 0 16720 0 355258 0 12989 J MARC GOLAN 0 321979 0 92381 0 84693 0 9294 0 30518 0 538865 0 0 KEVIN KLOCKENGA 0 345171 0 102689 0 228507 0 5908 0 28019 0 710294 0 0 DONALD MILLER 0 262544 0 81786 0 167449 0 19382 0 1606 0 532768 0 89956 WALTER MICKENS 0 273094 0 85750 0 51446 0 1624 0 2117 0 414030 0 37295 MICHEL RICCIONI 0 252176 0 86863 0 121438 0 12042 0 26642 0 499162 0 13019 S ANDREW RYBOLT 0 207729 0 14616 0 65213 0 9573 0 16541 0 313672 0 0 JO SANDERSFELD 0 167923 0 59242 0 85017 0 16229 0 8992 0 337402 0 0 CLYDE WESP 0 397759 0 123981 0 91609 0 9173 0 9666 0 632189 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 1A THE EXECUTIVE DIRECTOR OF THE AGENCY RECEIVES SUPPLEMENTAL COMPENSATION FOR HOUSING AND RELATED LIVING EXPENSES WHICH TOTALED $104,187 FOR THE YEAR. SHE RECEIVES A MONTHLY ALLOWANCE AS APPROVED IN HER COMPENSATION AGREEMENT. THE MONTHLY ALLOWANCE IS TAXABLE INCOME TO THE RECIPIENT AND IS REPORTED IN COLUMN B(III) ON PART II OF SCHEDULE J. ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL FOR CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. MEMBERS OF THE BOARD AND EXECUTIVE MANAGEMENT TEAM ARE SELECTED TO PARTICIPATE IN AN ANNUAL PILGRIMAGE TO LE PUY, FRANCE, WHERE THE SISTERS' FIRST CONGREGATION WAS FORMED. THE PURPOSE OF THE PILGRIMAGE IS FOR THE ORGANIZATION'S LEADERS TO DEVELOP A DEEPER UNDERSTANDING OF THE ROOTS AND HERITAGE OF THE ORGANIZATION IN ORDER TO CARRY OUT THE MISSION. COMPANION TRAVEL IS CONSIDERED TO BE AN ESSENTIAL PART OF THIS EXPERIENCE AND THE COMPANION ACTS AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING TRUSTEES AND OFFICERS RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. THE BENEFITS WERE PAID BY ST. JOSEPH HOME CARE NETWORK'S TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM. ROBERT BRANNIGAN - $4,565 DONALD MILLER - $4,213 SHIRLEY SLEEKER - $6,391 SCHEDULE J, PART I, LINE 3 THE BOARD CHAIR IN CONSULTATION WITH HEALTH SYSTEM HUMAN RESOURCES ANNUALLY REVIEWS MARKET INFORMATION FROM VARIOUS SOURCES TO SET EXECUTIVE DIRECTOR COMPENSATION. DESCRIPTION OF A SUPPLEMENTAL NONQUALIFED 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. THE FOLLOWING INDIVIDUALS INCLUDED IN FORM 990, PART VII RECEIVED DISTRIBUTIONS FROM THE 457(F) PLAN DURING THE YEAR: DONALD MILLER - $89,956 MICHEL RICCIONI - $13,019 ROBERT BRANNIGAN - $12,989 WALTER MICKENS - $37,295 NON FIXED PAYMENTS SCHEDULE J PART I, Line 7 A PORTION OF THE EXECUTIVE DIRECTOR'S SALARY IS PLACED "AT RISK" AND IS NOT AWARDED UNLESS SPECIFIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK PLAN IS DESIGNED TO MOTIVATE AND REWARD THE EXECUTIVE FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HOME CARE NETWORK. THE BOARD CHAIR IN CONSULTATION WITH HEALTH SYSTEM HUMAN RESOURCES ANNUALLY REVIEWS PERFORMANCE AND THE ACHIEVEMENT OF THE GOALS WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. COMPENSATION BY UNRELATED ORGANIZATION RON NAGANO, TRUSTEE AND CFO OF ST. JOSEPH HOME CARE NETWORK (SJHCN), IS PAID BY KALA CONSULTING, AN UNRELATED ORGANIZATION FOR HIS SERVICES AT SJHCN, ST JOSEPH HOME CARE SERVICES AND ST JOSEPH HOME HEALTH AGENCY. ORGANIZATION'S MISSION FORM 990, PART I, LINE I & PART III, LINE 1 LIVING OUT OUR MISSION AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), THE ST. JOSEPH HOME CARE NETWORK 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. ST. JOSEPH HOME CARE NETWORK WAS ESTABLISHED FOR THE PURPOSE OF DELIVERING HOME HEALTH SERVICES TO THE PEOPLE OF HUMBOLDT, SONOMA AND NAPA COUNTIES AND THE SURROUNDING AREAS REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 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. DESCRIPTION OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 THE CORPORATE MEMBERS FOR ST. JOSEPH HOME CARE NETWORK ARE ST. JOSEPH HOSPITAL OF EUREKA, REDWOOD MEMORIAL HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. DESCRIPTION OF CLASSES OF PERSON AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A ALL NOMINEES SHALL BE APPOINTED TO THE CORPORATION'S BOARD OF TRUSTEES BY THE CORPORATE MEMBERS, SUBJECT TO THE APPROVAL OF ST. JOSEPH HEALTH SYSTEM, EXCEPT THOSE NOMINEES WHO ARE MEMBERS OF THE SISTERS OF ST. JOSEPH OF ORANGE WHO SHALL BE NOMINATED BY THE CORPORATE MEMBER OF ST. JOSEPH HEALTH SYSTEM AND SHALL REQUIRE NO FURTHER APPROVAL. DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE CORPORATE MEMBERS 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. THE CORPORATE MEMBERS FOR ST. JOSEPH HOME CARE NETWORK ARE ST. JOSEPH HOSPITAL OF EUREKA, REDWOOD MEMORIAL HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. PROCESS USED BY MANAGEMENT AND/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 MARCH 2011 MEETING. DURING THE BOARD FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE BOARD FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C Officers, Trustees, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON 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 JOSEPH HOME CARE NETWORK BOARD 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 COMMITEE CONDUCTS ITS 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. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, LINE 15A THE BOARD CHAIR IN CONSULTATION WITH HEALTH SYSTEM HUMAN RESOURCES ANNUALLY REVIEWS MARKET INFORMATION FROM VARIOUS SOURCES TO SET EXECUTIVE DIRECTOR COMPENSATION. 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 RON NAGANO, THE CFO OF ST. JOSEPH HOME CARE NETWORK (SJHCN), IS ALSO THE CFO OF ST. JOSEPH HOME CARE SERVICES (SJHCS) AND ST. JOSEPH HOME HEALTH AGENCY (SJHHA) AND AS SUCH DEVOTES 15 HOURS TO SJHCN AND 35 HOURS PER WEEK TO SJHCS AND SJHHA COMBINED. ROBERT BRANNIGAN, TRUSTEE OF ST. JOSEPH HOME CARE NETWORK, IS THE VP, COO AND CNO OF ST. JOSEPH HOSPITAL OF EUREKA (SJE) AND AS SUCH DEVOTES 50 HOURS PER WEEK TO HIS POSITION AT SJE. J MARC GOLAN, TRUSTEE OF ST. JOSEPH HOME CARE NETWORK, IS A VP OF ST. JOSEPH HEALTH SYSTEM (SJHS) AND AS SUCH DEVOTES 50 HOURS PER WEEK TO HIS POSITION AT SJHS. KEVIN KLOCKENGA, TRUSTEE OF ST. JOSEPH HOME CARE NETWORK, IS THE CEO OF SANTA ROSA MEMORIAL HOSPITAL (SRM) AND AS SUCH DEVOTES 50 HOURS PER WEEK TO HIS POSITION AT SRMH. DONALD MILLER, TRUSTEE OF ST. JOSEPH HOME CARE NETWORK, IS THE VP OF FINANCE AND CFO OF QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) AND AS SUCH DEVOTES 50 HOURS PER WEEK TO HIS POSITION AT QVMC. WALTER MICKENS, TRUSTEE OF ST. JOSEPH HOME CARE NETWORK, IS THE COO OF QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) AND AS SUCH DEVOTES 50 HOURS PER WEEK TO HIS POSITION AT QVMC. MICHEL RICCIONI, TRUSTEE OF ST. JOSEPH HOME CARE NETWORK, IS THE CFO OF SANTA ROSA MEMORIAL HOSPITAL (SRM) AND AS SUCH DEVOTES 50 HOURS PER WEEK TO HIS POSITION AT SRMH. S ANDREW RYBOLT, TRUSTEE OF ST. JOSEPH HOME CARE NETWORK, IS THE VP OF FINANCE/TREASURER OF ST. JOSEPH HOSPITAL OF EUREKA (SJE) AND AS SUCH DEVOTES 50 HOURS PER WEEK TO HIS POSITION AT SJE. JO SANDERSFELD, TRUSTEE OF ST. JOSEPH HOME CARE NETWORK, IS THE VP OF MINISTRIES / SECRETARY OF SANTA ROSA MEMORIAL HOSPITAL (SRM) AND AS SUCH DEVOTES 50 HOURS PER WEEK TO HER POSITION AT SRM. CLYDE WESP, TRUSTEE OF ST. JOSEPH HOME CARE NETWORK, IS THE SVP, CMO AND CMIO OF ST. JOSEPH HEALTH SYSTEM (SJHS) AND AS SUCH DEVOTES 50 HOURS PER WEEK TO HIS POSITION AT SJHS. 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