MISSION HOSPITAL REGIONAL MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MISSION HOSPITAL REGIONAL MEDICAL CENTER (EIN 95-1643360)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-04
IRS object ID
201131249349301218
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-04T20:48:22-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118111 VON KARMAN AVENUE SUITE 1000AddressLine1
CityIRVINECity
StateCAState
ZIP Code92612ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951643360EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MISSION HOSPITAL REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMISSNameControl
Phone9493644299Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CENTER ROADAddressLine1
CityMISSION VIEJOCity
StateCAState
ZIP Code92691ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENNETH MCFARLANDPETER BASTONEName
TitleCFOTitle
Date Signed2011-05-04DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone9497942300Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPETER BASTONENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CENTER ROADAddressLine1
CityMISSION VIEJOCity
StateCAState
ZIP Code92691ZIPCode
FieldValueIRS element (for citing)
Gross Receipts501902919GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web SiteWWW.MISSION4HEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1941YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionWE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees2796TotalNbrEmployees
Total Nbr Volunteers800TotalNbrVolunteers
Total Gross UBI983254TotalGrossUBI
Net Unrelated Business Txbl Income-45149NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7709045ContributionsGrantsPriorYear
Contributions Grants Current Year8137207ContributionsGrantsCurrentYear
Program Service Revenue Prior Year408569618ProgramServiceRevenuePriorYear
Program Service Revenue CY479677805ProgramServiceRevenueCY
Investment Income Prior Year-8469249InvestmentIncomePriorYear
Investment Income Current Year12651948InvestmentIncomeCurrentYear
Other Revenue Prior Year213116OtherRevenuePriorYear
Other Revenue Current Year516391OtherRevenueCurrentYear
Total Revenue Prior Year408022530TotalRevenuePriorYear
Total Revenue Current Year500983351TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4955951GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY9045005GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year170921254SalariesEtcPriorYear
Salaries Etc Current Year203279685SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY100000TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year5254285TotalFundrsngExpCurrentYear
Other Expense Prior Year213923560OtherExpensePriorYear
Other Expenses Current Year238064345OtherExpensesCurrentYear
Total Expenses Prior Year389800765TotalExpensesPriorYear
Total Expenses Current Year450489035TotalExpensesCurrentYear
Revenues Less Expenses Prior Year18221765RevenuesLessExpensesPriorYear
Revenues Less Expenses CY50494316RevenuesLessExpensesCY
Total Assets BOY469833465TotalAssetsBOY
Total Assets EOY562450482TotalAssetsEOY
Total Liabilities BOY249055699TotalLiabilitiesBOY
Total Liabilities EOY285733129TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY220777766NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY276717353NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense370242924Expense
Grants9045005Grants
Revenue478694551Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense370242924TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096261NumberFormsTransmittedWith1096
Number W2 G Included3NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2796NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonAARON NEUHARTHNamePerson
Telephone Number9493647767TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CTR ROADAddressLine1
CityMISSION VIEJOCity
StateCAState
ZIP Code92691ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
PETER BASTONE
CEO/BOARD MEMBER50.0XX079679156936
WILLIAM MURIN
BOARD MEMBER2.0X077974417374
SISTER KAREN CLOCK
BOARD MEMBER2.0X000
SISTER CLAUDETTE DES FORGES
BOARD MEMBER2.0X000
SISTER CECILIA MAGLADRY
BOARD MEMBER2.0X000
WILLIAM ELDIEN
BOARD CHAIR5.0X000
OSCAR FLORES
BOARD VICE CHAIR4.0X000
SISTER JAYNE HELMLINGER
BOARD MEMBER2.0X000
PAT KELLY
BOARD MEMBER2.0X000
MELINDA MASSON
BOARD MEMBER2.0X000
SHERRI MEDINA
BOARD MEMBER2.0X000
MICHELE STAUNTON MD
BOARD MEMBER2.0X000
R CLIFFORD CARPER
BOARD MEMBER2.0X000
CHRISTOPHER NOLAN MD
BOARD MEMBER2.0X1100000
RICHARD KOZAK MD
BOARD MEMBER2.0X2400000
MARGARITA COWLEY
EVP, CHIEF OPERATING OFFICER50.0X577985040020
KENNETH MCFARLAND
SVP, CHIEF FINANCIAL OFFICER50.0X577538043297
CYNTHIA MUELLER
VP MISSION INTEGRATION50.0X259087042442
DENNIS HAGHIGHAT
VP MEDICAL AFFAIRS50.0409842025534X
LINDA JOHNSON
VP PATIENT CARE SERVICES50.0396072038347X
SHIRLEY BARNES
SR VP HUMAN RESOURCES50.0395544025344X
PAULA SERIOS
VP MARKETING/COMMUNICATIONS50.0341517025845X
WINIFRED JOHNSON
VP FOUNDATION/FUND RAISING50.0309154042595X
LISA WEAVER
VP BUSINESS DEVELOPMENT50.0291343041500X
MICHAEL BECK
VP OPERATIONS - LAGUNA BEACH50.0264880054457X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3857962TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1576535TotalReportableCompFrmRltdOrgs
Total Other Compensation453691TotalOtherCompensation
Number Individuals GT100 K299NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PAIN RECOVERY MEDICAL GROUP INC
21221 SPURNEY LANEHUNTINGTON BEACHCA926467243DEPENDENCY MGMT2498764
MARLA FENNELL INC
2542 CALLE JADESAN CLEMENTECA92673TRANSCRIPTION SVC1877352
CLINICAL STAFFING
24375 MIRA VERDE BLDG D SUITE 104LAGUNA NIGUELCA92677REGISTRY SERVICE1570921
HEALTHCARE SECURITY SERVICES OF CA
900 S BROADWAY 100DENVERCO80209SECURITY SERVICE1223764
JOHNSON GRAY ADVERTISING
15375 BARRANCA PKWY F101IRVINECA92618ADVERTISEMENT1150516
FieldValueIRS element (for citing)
Number Of Contractors GT100 K91NumberOfContractorsGT100K
Federated Campaigns13500FederatedCampaigns
Fundraising Events1437863FundraisingEvents
Related Organizations1856858RelatedOrganizations
Government Grants193092GovernmentGrants
All Other Contributions4635894AllOtherContributions
Noncash Contributions500939NoncashContributions
Total Contributions8137207TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REV.622110457810804457810804
MOB RENTAL5311201062751810627518
CHILDREN HOSPITAL AT MISSION62211069889006988900
NUTRITIONAL SERVICES72231021087812108781
PATHOLOGY REVENUE621511840939840939

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1300863TotalRevenueColumn
Related Or Exempt Function Income1158548RelatedOrExemptFunctionIncome
Unrelated Business Revenue142315UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue479677805TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12653898TotalRevenueColumn
Exclusion$12,653,898ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities219750Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities221700Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1950Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1950TotalRevenueColumn
Exclusion-$1,950ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events626214GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1437863CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses656278FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-30064TotalRevenueColumn
Exclusion-$30,064ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming169519GrossIncomeGaming
Gaming Direct Expenses41590GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column127929TotalRevenueColumn
Exclusion$127,929ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory418526GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column418526TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column500983351TotalRevenueColumn
Related Or Exempt Function Income478694551RelatedOrExemptFunctionIncome
Unrelated Business Revenue983254UnrelatedBusinessRevenue
Exclusion$12,749,813ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total9038612Total
Program Services9038612ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total6393Total
Program Services6393ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2399996Total
Program Services1726854ProgramServices
Management And General673142ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total9600Total
Program Services9600ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total138255537Total
Program Services106275634ProgramServices
Management And General30119695ManagementAndGeneral
Fundraising1860208Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9310618Total
Program Services7226046ProgramServices
Management And General1955894ManagementAndGeneral
Fundraising128678Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total41830414Total
Program Services34293753ProgramServices
Management And General7109483ManagementAndGeneral
Fundraising427178Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11473520Total
Program Services8993261ProgramServices
Management And General2350319ManagementAndGeneral
Fundraising129940Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6310776Total
Program Services2713634ProgramServices
Management And General3597142ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total274509Total
Program Services182022ProgramServices
Management And General85871ManagementAndGeneral
Fundraising6616Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total266595Total
Program Services0ProgramServices
Management And General251931ManagementAndGeneral
Fundraising14664Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total100000Total
Fundraising100000Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total35376Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising35376Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total44702666Total
Program Services35894326ProgramServices
Management And General8160666ManagementAndGeneral
Fundraising647674Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total4570956Total
Program Services3594663ProgramServices
Management And General897673ManagementAndGeneral
Fundraising78620Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total78451703Total
Program Services68854216ProgramServices
Management And General9546779ManagementAndGeneral
Fundraising50708Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7647067Total
Program Services7647067ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total23636193Total
Program Services18384411ProgramServices
Management And General4911051ManagementAndGeneral
Fundraising340731Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total234048Total
Program Services115745ProgramServices
Management And General94046ManagementAndGeneral
Fundraising24257Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total346846Total
Program Services72723ProgramServices
Management And General121939ManagementAndGeneral
Fundraising152184Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total12468003Total
Program Services12468003ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21167434Total
Program Services17976468ProgramServices
Management And General3184989ManagementAndGeneral
Fundraising5977Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2742439Total
Program Services2613939ProgramServices
Management And General128500ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT293442052934420500
ALL OTHER EXPENSES5865529281134918027061251474

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total450489035Total
Program Services370242924ProgramServices
Management And General74991826ManagementAndGeneral
Fundraising5254285Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY549933BOY
EOY11107671EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY68109544BOY
EOY55263800EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY5021885BOY
EOY3847472EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY49078439BOY
EOY64144285EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4112308BOY
EOY4228122EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1698112BOY
EOY2017607EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis441555388LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec114702547LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY258609399BOY
EOY326852841EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY39864672BOY
EOY48110038EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY14164834BOY
EOY23966257EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY14284675BOY
EOY13717072EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14339664BOY
EOY9195317EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY469833465BOY
EOY562450482EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY60985226BOY
EOY54065430EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY188070473BOY
EOY231667699EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY249055699BOY
EOY285733129EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY179062007BOY
EOY231062011EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY41715759BOY
EOY45655342EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY220777766BOY
EOY276717353EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY469833465BOY
EOY562450482EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$49,948OtherActivitiesAmount
Total Lobbying Expenditures IIB49948TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B, Line 1iIdentifier
Return ReferenceOTHER ACTIVITIESReturnReference
ExplanationThe amount on Line 1i is the 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 SOME 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

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

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1300000InvestmentCostOrOtherBasis
Other Cost Or Other Basis34894212OtherCostOrOtherBasis
Book Value36194212BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis269718596OtherCostOrOtherBasis
Depreciation47769145Depreciation
Book Value221949451BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis16682570OtherCostOrOtherBasis
Depreciation6443086Depreciation
Book Value10239484BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis111863278OtherCostOrOtherBasis
Depreciation60467114Depreciation
Book Value51396164BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7096732OtherCostOrOtherBasis
Depreciation23202Depreciation
Book Value7073530BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings326852841TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
INTERCO. WITH HEALTH SYSTEM-BONDS$192,656,931
INTERCOMPANY PAYABLE$30,926,610
THIRD PARTY PAYABLES$3,683,803
OTHER LIABILITIES$4,400,355
FieldValueIRS element (for citing)
Total Of Amounts231667699TotalOfAmounts

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualWKM PRODUCTIONSNameOfIndividual
ActivityEVENT PRODUCTIONActivity
Fundraiser Control Of FundsfalseFundraiserControlOfFunds
Gross Receipts145035GrossReceipts
Amount Retained By Contractor100000AmountRetainedByContractor
Net To Organization45035NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts145035TotalGrossReceipts
Total Retained By Contractors100000TotalRetainedByContractors
Total Net To Organization45035TotalNetToOrganization

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLFNameOfEvent1
Gross Receipts Event1309541GrossReceiptsEvent1
Charitable Contributions Event1245065CharitableContributionsEvent1
Gross Revenue Event164476GrossRevenueEvent1
Rent Facility Costs Event152895RentFacilityCostsEvent1
Food And Beverage Event123186FoodAndBeverageEvent1
Other Direct Expenses Event110061OtherDirectExpensesEvent1
Name Of Event2GALANameOfEvent2
Gross Receipts Event2887680GrossReceiptsEvent2
Charitable Contributions Event2549795CharitableContributionsEvent2
Gross Revenue Event2337885GrossRevenueEvent2
Rent Facility Costs Event237123RentFacilityCostsEvent2
Food And Beverage Event2100853FoodAndBeverageEvent2
Entertainment Event233145EntertainmentEvent2
Other Direct Expenses Event278626OtherDirectExpensesEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events866856GrossReceiptsOtherEvents
Charitable Contrib Other Events643003CharitableContribOtherEvents
Gross Revenue Other Events223853GrossRevenueOtherEvents
Rent Facility Costs Other Events28817RentFacilityCostsOtherEvents
Food And Beverage Other Events61299FoodAndBeverageOtherEvents
Other Direct Expenses Other Events230273OtherDirectExpensesOtherEvents
Gross Receipts Total2064077GrossReceiptsTotal
Charitable Contributions Total1437863CharitableContributionsTotal
Gross Revenue Total Events626214GrossRevenueTotalEvents
Rent Facility Costs Total Events118835RentFacilityCostsTotalEvents
Food And Beverage Total Events185338FoodAndBeverageTotalEvents
Entertainment Total Events33145EntertainmentTotalEvents
Other Direct Expenses Total Events318960OtherDirectExpensesTotalEvents
Direct Expense Summary Events656278DirectExpenseSummaryEvents
Net Income Summary-30064NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Volunteer Labor BingotrueVolunteerLaborBingo
Gross Revenue Other Gaming169519GrossRevenueOtherGaming
Cash Prizes Other Gaming3750CashPrizesOtherGaming
Non Cash Prizes Other Gaming37840NonCashPrizesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming169519GrossRevenueTotalGaming
Cash Prizes Total Gaming3750CashPrizesTotalGaming
Non Cash Prizes Total Gaming37840NonCashPrizesTotalGaming
Direct Expense Summary Gaming41590DirectExpenseSummaryGaming
Net Gaming Income Summary127929NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConducted
LicensedfalseLicensed
Explanation If NoSEE SCHEDULE OExplanationIfNo
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonWINIFRED JOHNSONNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CENTER ROADAddressLine1
CityMISSION VIEJOCity
StateCAState
ZIP Code92691ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonWINIFRED JOHNSONGamingManagerNamePerson
Gaming Manager Compensation15458GamingManagerCompensation
Gaming Manager Services ProvidedVP FOUNDATION/FUNDRAISINGGamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib RequiredtrueCharitableDistribRequired
Amount Distributed152567AmountDistributed

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense5524756TotalCommunityBenefitExpense
Net Community Benefit Expense5524756NetCommunityBenefitExpense
Percent Of Total Expense0.01310PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense33977092TotalCommunityBenefitExpense
Direct Offsetting Revenue15348008DirectOffsettingRevenue
Net Community Benefit Expense18629084NetCommunityBenefitExpense
Percent Of Total Expense0.04420PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense12238413TotalCommunityBenefitExpense
Direct Offsetting Revenue10560858DirectOffsettingRevenue
Net Community Benefit Expense1677554NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense51740261TotalCommunityBenefitExpense
Direct Offsetting Revenue25908866DirectOffsettingRevenue
Net Community Benefit Expense25831394NetCommunityBenefitExpense
Percent Of Total Expense0.06130PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5336118TotalCommunityBenefitExpense
Direct Offsetting Revenue21245DirectOffsettingRevenue
Net Community Benefit Expense5314873NetCommunityBenefitExpense
Percent Of Total Expense0.01260PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense288025TotalCommunityBenefitExpense
Direct Offsetting Revenue37721DirectOffsettingRevenue
Net Community Benefit Expense250304NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1030133TotalCommunityBenefitExpense
Net Community Benefit Expense1030133NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense318452TotalCommunityBenefitExpense
Net Community Benefit Expense318452NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense6972728TotalCommunityBenefitExpense
Direct Offsetting Revenue58966DirectOffsettingRevenue
Net Community Benefit Expense6913762NetCommunityBenefitExpense
Percent Of Total Expense0.01640PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense58712989TotalCommunityBenefitExpense
Direct Offsetting Revenue25967832DirectOffsettingRevenue
Net Community Benefit Expense32745156NetCommunityBenefitExpense
Percent Of Total Expense0.07770PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served798PersonsServed
Total Community Building Expense45711TotalCommunityBuildingExpense
Net Community Building Expense45711NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served5305PersonsServed
Total Community Building Expense17258TotalCommunityBuildingExpense
Net Community Building Expense17258NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served6103PersonsServed
Total Community Building Expense62969TotalCommunityBuildingExpense
Net Community Building Expense62969NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$6,536,885BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare86528083AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare107125782CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-20597699MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
MECC-SEE SCHEDULE O
PHYSICIAN OFFICE&CONF ED CTR0.500000.50000
MAS - SEE SCHEDULE O
OUTPATIENT SURGERY CENTER0.400000.59000

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
MISSION HOSPITAL REGIONAL MEDICAL CENTER
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691XXX
MISSION HOSPITAL LAGUNA BEACH
31872 COAST HIGHWAYLAGUNA BEACHCA92651XXX

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnST. JOSEPH HEALTH SYSTEM SUBMITS A CONSOLIDATED REPORT WHICH INCLUDES ALL HOSPITAL MINISTRIES.AnnualCommunityBenefitExpln
Costing Method UsedA COST-TO-CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COST OF ALL REPORTED CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST. IT INCLUDED ALL PATIENT TYPES (I.E. INPATIENT, OUTPATIENT, EMERGENCY ROOM), AND WOULD ONLY INCLUDE CHARGES OR RELATED COSTS THAT PERTAIN TO EACH RESPECTIVE AREA (I.E. CHARITY, MEDICAID, MANAGED CARE, PRIVATE INSURANCE, SELF PAY, UNINSURED, ETC.). FOR UNREIMBURSED COSTS, THAT WOULD BE THE DIFFERENCE BETWEEN THE DETERMINED COST UTILIZING THE COST-TO-CHARGE RATIO LESS ANY PAYMENTS RECEIVED FOR THAT PARTIAL PAYOR GROUP. THE COST-TO-CHARGE RATIO USED WAS NOT DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.CostingMethodUsed
Subsidized Health Services ExplnNONE OF THE REPORTED SUBSIDIZED HEALTH SERVICES INCLUDED ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnBAD DEBT EXPENSE OF $29,344,205 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE OF NET COMMUNITY BENEFIT.PercentOfTotalExpenseExpln
Bad Debt FootnoteFINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT; MISSION HOSPITAL 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. THE AMOUNT IN LINE 2 IS DETERMINED BY USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM.BadDebtFootnote
Shortfall As Community BenefitAS A CATHOLIC HEALTH CARE MINISTRY, MISSION HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S COMMUNITY BENEFIT REPORTING GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE AS A COMMUNITY BENEFIT. THE COSTING METHODOLGY AND SOURCE OF OUR MEDICARE ALLOWABLE COSTS OF CARE REPORTED IN PART III, LINE 6 IS TAKEN DIRECTLY FROM OUR FILED MEDICARE COST REPORT. THE NUMBER PROVIDED IS THE SUM OF OUR TOTAL PROGRAM INPATIENT AND OUTPATIENT COSTS. TOTAL PROGRAM COST IS DERIVED FROM MEDICARE AND MEDICAID PROGRAM STATISTICS COMPARED TO OVERALL STATISTICS FOR THE REPORTING. THE MEDICARE COST TO CHARGE RATIO IS COMPUTED BY TAKING THE TOTAL ALLOWABLE PROGRAM COSTS BY COST CENTER DIVIDED BY PROGRAM GROSS CHARGES BY COST CENTER.ShortfallAsCommunityBenefit
Debt Collection PolicyPRIOR 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 AssessmentMISSION HOSPITAL COMPLETES A NEEDS ASSESSMENT EVERY THREE YEARS OF ITS PRIMARY SERVICE AREA IN ALIGNMENT WITH SB697. THE MOST RECENT HEALTH NEEDS ASSESSMENT THAT GUIDED THE DIRECTION OF THE FY09-11 COMMUNITY BENEFIT PLAN WAS COMPLETED IN FY2008. WHEN MISSION HOSPITAL PURCHASED A SECOND CAMPUS IN LAGUNA BEACH IN FY10, A NEEDS ASSESSMENT WAS CONDUCTED SPECIFICALLY IN THAT COMMUNITY TO HELP IDENTIFY THE MOST PERTINENT HEALTH AND QUALITY OF LIFE NEEDS. BASED ON THESE TWO NEEDS ASSESSMENTS, THE AREAS OF FOCUS FOR MISSION HOSPITAL ARE: AFFORDABLE HOMES, CHILD OBESITY, DEPRESSION, POST-SECONDARY EDUCATION, ACCESS TO PRIMARY CARE, AND YOUTH ALCOHOL PREVENTION.NeedsAssessment
Patient Education AssistanceMISSION HOSPITAL PROVIDES COPIES OF FINANCIAL ASSITANCE MATERIALS TO ALL UNINSURED PATIENTS AND TO INSURED PATIENTS THAT MAY QUALIFY OR REQUEST FINANCIAL ASSISTANCE. MISSION HOSPITAL POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM IN ENGLISH AND SPANISH. 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. 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. AUTOMATED CALLS ARE MADE TO PATIENTS WHICH INSTRUCT THEM ON HOW TO INQUIRE REGARDING QUALIFICATION OF FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY IS UPDATED ANNUALLY AND REVIEWED WITH STAFF AT STAFF MEETINGS. ALL STAFF ARE PROVIDED SUMMARY SHEETS WHICH LIST THE INCOME RANGES FOR THE QUALIFYING FOR FINANCIAL ASSISTANCE TO ASSIST IN DISCUSSING THE POTENTIAL ELIGIBLITY WITH THE PATIENT, AS WELL AS IDENTIFYING ELIGIBILITY FOR OTHER GOVERNMENT ASSISTANCE.PatientEducationAssistance
Community InformationMISSION HOSPITAL'S "COMMUNITY" IS A SERVICE AREA COMPOSED OF SIXTEEN CITIES; MISSION VIEJO, SAN CLEMENTE, SAN JUAN CAPISTRANO, LADERA RANCH, LAGUNA BEACH, LAGUNA NIGUEL, ALISO VIEJO, DANA POINT, RANCHO SANTA MARGARITA, TRABUCO CANYON, CAPISTRANO BEACH, LAGUNA WOODS, FOOTHILL RANCH, SILVERADO, LAGUNA HILLS, AND LAKE FOREST. THIS AREA INCLUDES A POPULATION OF APPROXIMATELY 600,000 PEOPLE. THE AREA HAS SEEN TREMENDOUS GROWTH OVER THE LAST FIVE YEARS AND IT IS ESTIMATED THAT POPULATION WILL CONTINUE TO INCREASE BY 5.5% OVER THE NEXT FIVE YEARS. DEMOGRAPHICALLY, THE AREA IS 70% CAUCASIAN. HISPANICS ARE THE LARGEST MINORITY GROUP AND ACCOUNT FOR 17.3% OF THE POPULATION AND ALSO HAVE THE HIGHEST PROJECTED GROWTH RATE IN THE FUTURE OF ALL ETHNICITIES. THE ASIAN POPULATION REMAINS STABLE AT AROUND 7% OF THE PRIMARY SERVICE AREA. OVERALL, SOUTH ORANGE COUNTY ENJOYS RELATIVE AFFLUENCE. THE AVERAGE HOUSEHOLD INCOME IS $95,537 AND IS EXPECTED TO CONTINUE GROWING. DESPITE THE COUNTY'S AFFLUENCE, THE HOSPITAL'S PRIOR COMMUNITY HEALTH NEEDS ASSESSMENTS OVER THE LAST 10 YEARS CONTINUE TO REVEAL CONCENTRATED AREAS OF POVERTY IN THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO, LAGUNA NIGUEL, MISSION VIEJO, LAKE FOREST AND RANCHO SANTA MARGARITA. THESE AREAS WERE DETERMINED BASED ON KEY DRIVERS FOR COMMUNITY VULNERABILITY. ALTHOUGH HIGH NEEDS WERE IDENTIFIED IN THESE 8 AREAS (LISTED ABOVE), A DECISION WAS MADE TO PRIMARILY FOCUS ON THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO, LAGUNA BEACH AND LAKE FOREST. THIS DECISION WAS MADE IN PARTNERSHIP WITH COMMUNITY BENEFIT DEPARTMENT STAFF, THE HOSPITAL EXECUTIVE TEAM AND THE COMMUNITY BENEFIT COMMITTEE. THESE AREAS CONTINUE TO BE THE FOCUS OF MISSION HOSPITAL'S COMMUNITY BENEFIT PRIORITIES. COMMUNITY BENEFIT GOVERNANCE STRUCTURE MISSION HOSPITAL DEMONSTRATES ORGANIZATIONAL COMMITMENT TO THE COMMUNITY BENEFIT PROCESS THROUGH THE ALLOCATION OF STAFF, FINANCIAL RESOURCES, PARTICIPATION AND COLLABORATION. QUARTERLY PRESENTATIONS ARE MADE TO THE COMMUNITY BENEFIT COMMITTEE TO ALLOW THEM THE OPPORTUNITY TO ASK QUESTIONS AND PROVIDE FEEDBACK ON EACH INITIATIVE'S PROGRESS. THE COMMUNITY WAS ENGAGED IN THE ONGOING COLLABORATIVE WORK CREATED FOR EACH OF MISSION HOSPITAL'S COMMUNITY BENEFIT INITIATIVES. THE COLLABORATIVES HAVE PROVIDED GUIDANCE AND ACTION WITHIN EACH OF THE INITIATIVES AND HELPED FURTHER OUR OUTREACH EFFORTS.CommunityInformation
Community Building ActivitiesOUR MISSION CALLS US TO IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. A KEY EMPHASIS IS PUT ON DEVELOPING PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS. A KEY ISSUE FOR OUR COMMUNITY IS ACCESS TO AFFORDABLE HOMES. THE NEED TO INCREASE AFFORDABLE HOMES IN SOUTH ORANGE COUNTY WAS IDENTIFIED IN THE 2008 HEALTH NEEDS ASSESSMENT. SINCE THEN, MISSION HOSPITAL HAS PARTNERED WITH OVER A DOZEN AGENCIES TO CREATE THE SOUTH ORANGE COUNTY ALLIANCE FOR HOUSING OUR COMMUNITIES (SOCAHOC). TOGETHER, THE ALLIANCE WORKS ON INCREASING THE NUMBER OF POLICIES THAT SUPPORT AFFORDABLE HOMES, INCREASING BROAD-BASED COMMUNITY ADVOCACY ORGANIZATIONS THAT IDENTIFY AND ACT ON AFFORDABLE HOMES AS A PRIORITY, AND COLLABORATING TO CREATE NEW AFFORDABLE HOMES. IN FY10 SOCAHOC HAD 205 ENCOUNTERS WITH ORGANIZATIONS AND WITH 301 INDIVIDUALS. A TOTAL OF 115 UNDUPLICATED ORGANIZATIONS WERE ENGAGED AND ACTED ON HOUSING INITIATIVES. THE COSTS OF THIS ACTIVITY ARE REPORTED ON SCHEDULE H, PART II, LINE 1. OTHER COMMUNITY BUILDING ACTIVITIES INCLUDE PROVIDING FUNDING FOR A LOCAL SOUP KITCHEN TO PROVIDE MEALS TO THE HOMELESS AND A DRUNK-DRIVING PREVENTION PROGRAM AIMED TOWARD TEENS, WHICH IS IMPLEMENTED OUT OF BOTH MISSION HOSPITAL CAMPUSES. THE COSTS OF THIS ACTIVITY ARE REPORTED ON SCHEDULE H, PART II, LINE 3.CommunityBuildingActivities
Other InformationMISSION HOSPITAL'S COMMUNITY BENEFIT PROGRAMS ARE STRONG IN COMMUNITY COLLABORATION. EACH OF OUR SIX INITIATIVES HAS A COMMUNITY COALITION OR TASK FORCE THAT WORK TOGETHER TO DETERMINE ACTIVITIES TO ADDRESS THE RESPECTIVE ISSUE. IN FY10, THESE COALITIONS COMPRISED OVER 150 INDIVIDUALS DEDICATED TO SERVICES IN THE SOUTH ORANGE COUNTY AREA. MISSION HOSPITAL ALSO SUBSIDIZES AN ER HOSPITALIST PROGRAM WHICH PROVIDES A MEDICAL PROVIDER FOR UNINSURED LOW-INCOME PATIENTS WHILE THEY ARE IN THE HOSPITAL. IN FY2010 A TOTAL OF $1,030,000 WAS SPENT ON THE PROGRAM. THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF MEDICAL AND BUSINESS PROFESSIONALS, ALONG WITH SISTERS OF THE ST. JOSEPH HEALTH SYSTEM, MOST OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. ALL BOARD MEMBERS ARE VOLUNTEERS AND NONE OF THE COMMUNITY MEMBERS ARE EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, FUNDRAISING, AND IN GENERAL STEWARDSHIP. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE HOSPITAL UTILIZES SURPLUS FUNDS TO HELP MAINTAIN ACCESS TO PATIENT SERVICES THROUGHOUT THE COMMUNITY, INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: 1) PROCUREMENT OF PATIENT CARE EQUIPMENT AND DEVICES TO AID IN THE DIAGNOSIS OF DISEASE AND TREATMENT OF OUR PATIENTS; 2) TWO FAMILY RESOURCE CENTERS THAT PROVIDE PARENT EDUCATION CLASSES, SUPPORT GROUPS, COUNSELING SERVICES, TEEN PROGRAMS, HEALTH/SAFETY PROGRAMS AND INFORMATION, MANY OF WHICH ARE OFFERED IN SPANISH AND CAN BE PROVIDED IN THE COMMUNITY, AS WELL AS AN ARRAY OF EDUCATIONAL PROGRAMS AND CLASSES THAT PROVIDE INFORMATION AND ASSISTANCE WITH CHILDBIRTH, BREASTFEEDING, CHILDCARE, CHILD SAFETY, DIABETES, NUTRITION AND WELLNESS, HEART HEALTH, JOINT REPLACEMENT PREPAREDNESS, AND MORE; AND 3) FREE FLU SHOT CLINICS OPEN TO THE SURROUNDING COMMUNITY.OtherInformation
Affiliated Health Care SystemMISSION HOSPITAL IS A HEALING MINISTRY OF THE ST. JOSEPH HEALTH SYSTEM. TO ENSURE THAT THE NEEDS OF THE POOR AND VULNERABLE IN THE COMMUNITY ARE BEING MET MISSION HOSPITAL ALLOCATES ON AN ANNUAL BASIS 10% OF NET INCOME AND STRIVES TO ALLOCATE 1.5% OF TOTAL OPERATING EXPENSES. TO HELP FACILITATE THIS PROCESS MISSION HOSPITAL HAS A COMMUNITY BENEFIT COMMITTEE WHICH IS A SUB-COMMITTEE OF THE BOARD OF TRUSTEES. THIS COMMITTEE IS CHARGED WITH ENSURING THAT RESOURCES ARE TARGETED TO MEETING THE NEEDS OF THE COMMUNITY. EVERY THREE YEARS MISSION HOSPITAL CREATES A COMMUNITY BENEFIT PLAN THAT IS REVIEWED ON AN ANNUAL BASIS TO ENSURE KEY PROGRAM OUTCOMES. YEARLY UPDATES ARE SUBMITTED TO THE SJHS CORPORATE OFFICE FOR REVIEW AND SUBMISSION TO OSHPD IN ALIGNMENT WITH SB697. MISSION HOSPITAL IS A PART OF ST. JOSEPH HEALTH SYSTEM OF ORANGE CALIFORNIA. ST. JOSEPH HEALTH SYSTEM (SJHS) IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM PROVIDING A BROAD RANGE OF MEDICAL SERVICES. THE 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, OUTPATIENT SERVICES, SKILLED NURSING FACILITIES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. THE MINISTRIES THAT COMPRISE SJHS OFFER A WIDE VARIETY OF SERVICES WITHIN EACH OF THE THREE REGIONS. FROM WELL-ESTABLISHED ACUTE CARE HOSPITALS TO CLINICS IN NON-TRADITIONAL SETTINGS LIKE CLASS ROOMS, SJHS IS ESTABLISHING A "CONTINUUM OF CARE," THAT IS, A SYSTEM THAT LINKS AND COORDINATES AN ENTIRE SPECTRUM OF HEALTH SERVICES. IN 1986, ST. JOSEPH HEALTH SYSTEM ESTABLISHED THE SJHS FOUNDATION TO ASSIST PEOPLE UNABLE TO AFFORD HEALTH CARE SERVICES BY PROVIDING GRANTS TO NON-PROFIT COMMUNITY SERVICE ORGANIZATIONS. SJHS FOUNDATION FUNDING IS DISTRIBUTED ACCORDING TO THE FOLLOWING FORMULA: - 75 CENTS OF EACH DOLLAR THE FOUNDATION RECEIVES FROM EACH LOCAL FACILITY IS RETURNED DIRECTLY TO FACILITY IT CAME FROM TO SUPPORT THE COMMUNITY BENEFIT PROJECTS IN THEIR COMMUNITIES - 7.5 CENTS IS DISTRIBUTED BY THE SJHS FOUNDATION ENDOWMENT - THE REMAINING 17.5 CENTS COLLECTED SUPPORTS: - WELLNESS & PREVENTION GRANTS - DISASTER GRANTS - COMMUNITY BUILDING INITIATIVE - SJHS BOARD DESIGNATED FUND A MISSION HOSPITAL ANNUAL COMMUNITY BENEFIT REPORT IS SUBMITTED TO ST. JOSEPH HEALTH SYSTEM, AND THEN IS REVIEWED AND SUBMITTED TO THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT IN ALIGNMENT WITH CALIFORNIA SENATE BILL 697.AffiliatedHealthCareSystem
Reports Filed With StatesCAReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
CAMINO HEALTH CENTER
30300 CAMINO CAPISTRANOSJCCA92675330574214501(C)(3)696426COMMUNITY OUTREACH
BOYS & GIRLS CLUB
1304 CALLE VALLESAN CLEMENTECA92674956111998501(C)(3)10000SPONSORSHIP
ST TIMOTHY'S CATHOLIC CHURCH
29102 CROWN VALLEYLAGUNA NIGUELCA92677953656905501(C)(3)FOOD DONATIONS86498COSTFOOD DONATIONS
LIGA INTERNATIONAL
PO BOX 51985RIALTOCA92376956111639501(C)(3)MEDICAL SUPPLIES62402COSTVAR MED SUPPLIES
DRUG USE IS LIFE ABUSE
28000 MARGUERITESANTA ANACA92702953498487501(c)(3)6000SPONSORSHIP
JSERRA CATHOLIC HIGH SCHOOL
PO BOX 28SAN JUAN CAPISTRANOCA92675330944424501(C)(3)51400SPONSORSHIP
MISSION SAN JUAN CAPISTRANO
26351 JUNIPERO SERRA DRSJCCA92630951904079501(C)(3)7410SPONSORSHIP
SADDLEBACK COLLEGE - NURSING PROGRAM
31414 EL CAMINOMISSION VIEJOCA92692330390547501(C)(3)35000SCHOLARSHIPS
TALLER SAN JOSE
28000 MARGUERITE PRKYSANTA ANACA92701593816355501(C)(3)20500SPONSORSHIP
UC - IRVINE
801 NORTH BROADWAYIRVINECA926975602952226406GOVT110000SPONSORSHIP
ST JOSEPH HEALTH SYSTEM FOUNDATION
500 S MAIN STREETORANGECA928684507330143024501(C)(3)5410300CARE FOR THE POOR
ST JOSEPH HERITAGE HEALTHCARE (MHAP)
279 E IMPERIAL 750FULLERTONCA92635330185031501(C)(3)2448658PROGRAM FUNDING
CITY OF SAN CLEMENTE
100 N CALLE SEVILLESAN CLEMENTECA92672956000775GOVT10000COMMUNITY BENEFIT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants13TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantINDIVIDUAL FUNERALSTypeOfGrant
Number Of Recipients5NumberOfRecipients
Amount Of Cash Grant6393AmountOfCashGrant
Description Of Non Cash AssistanceFUNERAL COSTS ASSIS.DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE I, PART I, LINE 2Identifier
Return ReferenceDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSReturnReference
ExplanationDONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF MISSION HOSPITAL REGIONAL MEDICAL CENTER.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PETER BASTONE
043531401861970175280017116039820085372700
WILLIAM MURIN
04975560154993012719507350010024079711800
MARGARITA COWLEY
2934690118712016580401952102049906180050624010
KENNETH MCFARLAND
2936940125200015864401685502644206208350421480
DENNIS HAGHIGHAT
2451900102215062437095830159510435376000
LINDA JOHNSON
20774701261410621840117610265860434419000
SHIRLEY BARNES
219788077800097956015538098060420888000
PAULA SERIOS
18726701013020529480122330136120367362000
WINIFRED JOHNSON
1589690664000837850192740233210351749000
LISA WEAVER
1673520668000571910184110230890332843000
MICHAEL BECK
1385150636460627190179780364790319337000
CYNTHIA MUELLER
1489830538000563040242740181680301529000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL COMPENSATION INFORMATIONIdentifier
ExplanationPART 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 TWO INDIVIDUALS WHO RECEIVED 457(F) DISTRIBUTIONS WERE: KENNETH MCFARLAND $42,148 MARGARITA COWLEY $62,401 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJOHN SHAVER MDNamePerson
FieldValueIRS element (for citing)
RelationshipSPOUSE OF BOARD MEMBERRelationship
Amount Of Transaction75950AmountOfTransaction
Description Of TransactionCOMPENSATION FOR SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9900NoncashContribsRptdF990

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99029240NoncashContribsRptdF990
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions7NumberOfContributions
Noncash Contribs Rptd F990221699NoncashContribsRptdF990
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial

Real Estate Other RealEstateOther

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990250000NoncashContribsRptdF990
Method Of Determining RevenuesEXPERT OPINIONSMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionGIFTS IN KINDDescription
Number Of Contributions732NumberOfContributions
Noncash Contribs Rptd F9900NoncashContribsRptdF990
Method Of Determining Revenues0MethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 5 - CLOTHING AND HOUSEHOLD GOODSCLOTHING AND HOUSEHOLD GOODS WERE DONATED TO THE HOSPITAL THRIFT N' GIFT PROGRAM. $418,526 WAS RECOGNIZED FROM THE SALE OF SUCH ITEMS IN FY10, THE AMOUNT BEING DETERMINED BY THE SELLING PRICE. REVENUE FROM THE SALE OF THE DONATED ITEMS IS REPORTED ON FORM 990, PART VIII, LINE 10A. PART I, LINE 25 - OTHER GIFTS IN KIND WITH AN ESTIMATED VALUE OF $527,796 WERE RECEIVED DURING THE YEAR AND WERE NOT INCLUDED ON THE BOOKS. VALUE WAS ESTIMATED FROM DONOR'S APPROXIMATION OF VALUE. REVENUE FROM THE SALE OF THESE ITEMS IS INCLUDED IN FUNDRAISING REVENUE ON FORM 990, PART VIII, LINE 8A.
PART I, LINE 32AMISSION HOSPITAL USES THE SERVICES OF MERRILL LYNCH TO SELL SECURITIES THAT HAVE BEEN GIFTED BY VARIOUS DONORS AND BENEFACTORS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART I, LINE 1 AND PART III, LINE 1ORGANIZATION'S MISSIONAS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), MISSION HOSPITAL 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.
FORM 990, PART III, LINE 2DESCRIPTION OF NEW SERVICEMISSION HOSPITAL ACQUIRED LAGUNA BEACH HOSPITAL. THIS ACQUISITION ENABLES LAGUNA BEACH HOSPITAL TO SERVE A BROADER POPULATION OF SOUTH ORANGE COUNTY.
FORM 990, PART III, LINE 4PROGRAM SERVICE ACCOMPLISHMENTSGROUNDED IN OUR COMMITMENT TO COMMUNITY AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), MISSION HOSPITAL 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 MISSION HOSPITAL 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. MISSION HOSPITAL PROVIDES SOUTH ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING THROUGH TWO CONVENIENT LOCATIONS, MISSION VIEJO AND LAGUNA BEACH. MISSION HOSPITAL IN MISSION VIEJO IS AN ACUTE CARE, FULL-SERVICE FACILITY THAT HOUSES THE REGION'S DESIGNATED TRAUMA CENTER, ONE OF ONLY THREE IN THE COUNTY. A COMPLETE ARRAY OF TOP-QUALITY HEALTHCARE SERVICES ARE OFFERED INCLUDING 24-HOUR EMERGENCY CARE, IMAGING, CARDIAC, STROKE, MATERNITY SERVICES; AND MISSION WOMEN'S WELLNESS CENTER OFFERING COMPREHENSIVE BREAST, HEART AND PELVIC CARE. MISSION HOSPITAL ALSO OFFERS THE HIGHEST LEVEL OF CARE IN ORTHOPEDICS, REHABILITATION, CANCER, SPINE AND VASCULAR SERVICES. MISSION HOSPITAL LAGUNA BEACH'S HEALTHCARE SERVICES INCLUDE 24-HOUR EMERGENCY, INTENSIVE AND MEDICAL-SURGICAL CARE AS WELL AS BEHAVIORAL HEALTH AND CHEMICAL AND PAIN MEDICATION DEPENDENCY TREATMENT. THE HOSPITAL HAS A MEDICAL STAFF OF 786 PHYSICIANS REPRESENTING 50 SPECIALTIES AND SUB-SPECIALTIES. CURRENTLY THERE ARE MORE THAN 2,600 EMPLOYEES AND OVER 800 VOLUNTEERS. AS THE LARGEST MEDICAL CENTER IN SOUTH ORANGE COUNTY, LICENSED FOR 552 BEDS, MISSION HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION. SINCE 1980, THE HOSPITAL HAS HOUSED THE REGION'S DESIGNATED TRAUMA CENTER THAT SERVED 931 PATIENTS THIS PAST FISCAL YEAR. 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. IN FY10, A FAMILY & PATIENT ADVISORY COUNCIL WAS CREATED IN OUR CRITICAL CARE UNIT TO HELP US UNDERSTAND AND IMPROVE THE PATIENT EXPERIENCE. THIS COUNCIL WAS CRITICAL IN THE DEVELOPMENT OF PERINATAL COMFORT CARE COMMITTEE THROUGH REVISION OF PERINATAL LOSS MATERIALS. - PROVIDING TO OUR PATIENTS IN THE COMMUNITY WITH PERFECT CARE. IN FY10, CAMINO HEALTH CENTER ACHIEVED A 15.7% INCREASE IN THE NUMBER OF GIRLS AGES 9 - 19 WHO RECEIVED THEIR FINAL VACCINATION AGAINST THE HUMAN PAPILLOMA VIRUS (HPV) WHEN COMARED TO THE FY09 OUTCOMES. - MAKING THE COMMUNITY WE SERVE AMONG THE HEALTHIEST COMMUNITIES IN THE U.S. THE COMMUNITY-BASED "PLAY MORE, EAT BETTER" PROGRAM HELD TOTAL OF 12 BLOCK PARTIES IN FY10 WITH OVER 2,353 ATTENDEES. THIS PROGRAM DEMONSTRATED A 7% DECREASE IN BMI RATES FOR THE CHILDREN WHO RETURNED TO MULTIPLE EVENTS. MISSION HOSPITAL IS AN ACUTE CARE, FULL SERVICE FACILITY, SERVING THE SOUTH ORANGE COUNTY COMMUNITY. DURING FISCAL YEAR 2010, WE INVESTED A TOTAL OF $32,745,000 (7.28% OF OUR TOTAL FUNCTIONAL EXPENSES) IN COMMUNITY BENEFIT (INCLUDING TRADITIONAL CHARITY CARE, UNPAID COST TO STATE AND LOCAL PROGRAMS AND COMMUNITY BENEFIT SERVICES TO THE LOW-INCOME AND BROADER COMMUNITY). THIS EXPENSE DID NOT INCLUDE COMMUNITY BUILDING ACTIVITES OF $63,000. IN ADDITION, OUR UNPAID COST OF MEDICARE PROGRAMS TOTALED $20,597,699. 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, MISSION HOSPITAL PROVIDED $5,525,000 IN CHARITY CARE. ORGANIZATIONAL COMMITMENT AS A VALUES BASED ORGANIZATION, MISSION HOSPITAL HAS A LONG-STANDING COMMITMENT TO THE COMMUNITY. FY 10 COMMUNITY BENEFIT INITIATIVES AND/OR PROGRAMS NAME OF INITIATIVE OR PROGRAM: ACCESS TO PRIMARY CARE SERVICES GOAL: INCREASE ACCESS TO PRIMARY CARE AT CAMINO HEALTH CENTER. FY10 ACCOMPLISHMENTS: IN FY10, CAMINO HEALTH CENTER SERVED 3,557 UNDUPLICATED PATIENTS FROM THE CITIES OF SAN CLEMENTE, DANA POINT, AND SAN JUAN CAPISTRANO. THE NUMBER OF UNDUPLICATED PATIENTS FROM THESE THREE CITIES REPRESENTS AN 8% INCREASE OVER THE NUMBER OF PATIENTS SERVED IN FY09. IN EARLY 2010 CAMINO BEGAN EVALUATING CERTIFIED ELECTRONIC HEALTH RECORD (EHR) SYSTEMS TO ENHANCE CURRENT INFORMATION TECHNOLOGY SYSTEMS THAT WILL MEET CAMINO'S NEEDS AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND ALLOW THE CLINIC TO PARTICIPATE IN THE "MEANINGFUL USE" INCENTIVE PROGRAM AVAILABLE THROUGH THE AMERICAN RECOVERY AND REINVESTMENT ACT (ARRA) OF 2009. NAME OF INITIATIVE OR PROGRAM: CHILDHOOD OBESITY GOAL: TO REDUCE THE PREVALENCE OF OBESITY IN UNDERSERVED CHILDREN 3-11 YEARS OLD KEY COMMUNITY PARTNERS: BOYS & GIRLS CLUBS, YMCAS, NUTRITION & PHYSICAL ACTIVITY COUNCIL OF ORANGE COUNTY, LOCAL SCHOOL DISTRICTS, ECOLOGY CENTER, ORANGE COUNTY HEALTH CARE AGENCY, AND WESTERN YOUTH SERVICES FY10 ACCOMPLISHMENTS: IN FY10 THE SOUTH ORANGE COUNTY CHILDHOOD OBESITY TASKFORCE HELPED TO REDUCE BY 6% (ORIGINAL BASELINE 39%) THE NUMBER OF CHILDREN AGES 3-11 WITH BODY MASS INDEX'S GREATER OR EQUAL TO THE 85TH PERCENTILE. 28 NEW SCHOOL-BASED PROGRAMS WERE STARTED. THE HEALTHY 4 LIFE PROGRAM WAS IMPLEMENTED AT 14 SCHOOLS IN THE MISSION HOSPITAL SERVICE AREA TO INCREASE THE LEVEL OF PHYSICAL ACTIVITY OF SCHOOL AGED CHILDREN. A NEW PARTNERSHIP BETWEEN THE ECOLOGY CENTER, THE BOYS & GIRLS CLUB OF SAN JUAN CAPISTRANO AND MISSION HOSPITAL CREATED THE GARDENS FOR LIFE AFTER-SCHOOL PROGRAM TO ENCOURAGE PHYSICAL ACTIVITY THROUGH GARDENING AND NUTRITION EDUCATION. OF THE CHILDREN CONSIDERED OVERWEIGHT WHEN THIS 10-WEEK PROGRAM INITIATED, 50% OF THESE KIDS LOWERED THEIR BMI TO A HEALTHY WEIGHT. COMMUNITY AEROBICS CLASSES CONTINUED TO EXPAND INTO FOUR SOUTH COUNTY CITIES WITH OVER 10,773 ATTENDEES THROUGHOUT THE YEAR. NAME OF INITIATIVE OR PROGRAM: ACCESS TO SERVICES FOR DEPRESSION GOAL: INCREASE THE NUMBER OF PEOPLE WHO ARE CURRENTLY LIVING BELOW 300% OF THE FEDERAL POVERTY LEVEL FROM SOUTH ORANGE COUNTY WHO ENGAGE IN SERVICES FOR DEPRESSION (SERVICES INCLUDE COUNSELING, SUPPORT SERVICES & MEDICATION). KEY COMMUNITY PARTNERS: CALOPTIMA, WESTERN YOUTH SERVICES, CHILDREN'S BUREAU HUMAN OPTIONS, 4 LOCAL FAITH COMMUNITIES, AND 22 PRIVATE MENTAL HEALTH PROVIDERS FY10 ACCOMPLISHMENTS: IN FY10, THE SOUTH ORANGE COUNTY DEPRESSION COALITION SAW 1,396 CLIENTS AT OR BELOW 300% POVERTY LEVEL FOR DEPRESSION SERVICES. THE COALITION HAD A TOTAL OF 118 PROVIDERS DURING FY2010, 50 OF WHICH WERE FLUENT IN ENGLISH AND SPANISH. A PARTNERSHIP WITH CALOPTIMA LED TO THEIR FIRST CME DINNER IN SOUTH ORANGE COUNTY TITLED, "DEPRESSION IN THE PRIMARY PRACTICE SETTING". TO CONTINUE THE WORK AROUND INCREASING EARLY IDENTIFICATION AND TREATMENT OF DEPRESSION, THE COALITION CREATED THE SOUTH ORANGE COUNTY DEPRESSION RESOURCE GUIDE TO HELP PHYSICIANS DIRECT TARGETED PATIENTS TO LOCAL AGENCIES AND FAITH COMMUNITIES THAT OFFERED LOW-COST PROGRAMS. IN ADDITION, MISSION HOSPITAL'S FAMILY RESOURCE CENTERS PLAN TO IMPROVE THEIR CLINICAL OUTCOMES FOR CLIENTS PRESENTING WITH DEPRESSION. IN THE COMING YEAR, THE TEAM WILL FOCUS ON STRATEGIES AROUND ACCESS TO MEDICATION, ENGAGING CLIENTS IN TREATMENT FOR DEPRESSION, AND IDENTIFYING NEW PROCEDURES TO PROVIDE QUICKER ACCESS TO TREATMENT. FOR MORE INFORMATION ON MISSION HOSPITAL: WWW.MISSION4HEALTH.COM FOR MORE INFORMATION ON THE ST. JOSEPH HEALTH SYSTEM GO TO: WWW.STJOE.ORG
FORM 990, PART VI, LINE 4SIGNIFICANT CHANGES TO THE ORGANIZATIONAL DOCUMENTSTHE 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 6DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF MISSION HOSPITAL.
FORM 990, PART VI, LINE 7ADESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSMISSION HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE MISSION HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS COME FROM THE MISSION HOSPITAL 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 7BDESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSTHE 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 11PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990THE 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 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 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. FORM 990, PART VI, LINE 12C PROCESS FOR MONITORING 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 MISSION HOSPITAL 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 COMMITTEE 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.
FORM 990, PART VI, LINES 15A AND 15BPROCESS USED TO DETERMINE COMPENSATIONTHE 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.
FORM 990, PART VI, LINE 19GOVERNING DOCS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STMTS AVAILABLETHE 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 VIIHOURS DEVOTED TO RELATED ORGANIZATIONSPETER BASTONE SERVES AS CEO OF MISSION HOSPITAL REGIONAL MEDICAL CENTER (MHRMC). ALTHOUGH HE IS COMPENSATED BY THE TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, HE DEVOTES 50 HOURS PER WEEK TO MHRMC AND NO HOURS TO SJHS. WILLIAM MURIN SERVES ON THE BOARD OF MHRMC AND IS AN EMPLOYEE OF SJHS. HE DEVOTES 50 HOURS PER WEEK TO SJHS AND 2 HOURS PER WEEK TO MHRMC.
FORM 990, PART XI, LINE 2COVERSIGHT OR SELECTION PROCESSTHE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT.
SCHEDULE G, PART I, LINE 3 AND PART III, LINE 9BLICENSE TO OPERATE GAMING ACTIVITYAS A TAX-EXEMPT HOSPITAL, MISSION HOSPITAL REGIONAL MEDICAL CENTER IS EXEMPT FROM THE CALIFORNIA ATTORNEY GENERAL REGISTRATION AND REPORTING REQUIREMENTS FOR THE RAFFLES.
SCHEDULE H, PART IV, COLUMN ANAME OF ENTITY1. MISSION EDUCATION CONFERENCE CENTER, LLC 2. MISSION AMBULATORY SURGICENTER, LTD, DBA MISSION SURGERY CENTER
SCHEDULE R, PART V, LINE 2METHOD USED TO DETERMINE AMOUNTSTHE 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 2008-113OPERATIONAL 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 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. MISSION HOSPITAL REGIONAL 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 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. MISSION HOSPITAL 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 A VOLUNTARY SEPARATION FROM SERVICE, BUT WITHIN 60 DAYS FOLLOWING THE VOLUNTARY SEPARATION FROM SERVICE. HOWEVER, IF THE 60TH DAY FALLS IN THE SUBSEQUENT TAX YEAR, PAYMENT WILL BE MADE IN THE SUBSEQUENT TAX YEAR. THE PLAN'S ADMINISTRATIVE PROCEDURES HAVE BEEN CHANGED TO PAY PLAN ACCOUNTS IMMEDIATELY FOLLOWING A PARTICIPANT'S INVOLUNTARY SEPARATION FROM SERVICE (CURRENTLY THE STATUS QUO) AND WITHIN 60 DAYS FOLLOWING A VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON-COMPETE AGREEMENT AND SUBJECT TO THE REQUIREMENT THAT IF THE 60TH DAY FALLS IN THE SUBSEQUENT TAX YEAR THEN PAYMENT WILL BE MADE IN THE SUBSEQUENT TAX YEAR. (E) THESE OPERATIONAL FAILURES ARE ELIGIBLE FOR THE CORRECTION UNDER THE TERMS OF IRS NOTICE 2008-113 AND THE EMPLOYER HAS TAKEN ALL ACTIONS REQUIRED, AND OTHERWISE MET ALL REQUIREMENTS, FOR SUCH CORRECTION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ST JOSEPH HEALTH SYSTEM
500 S MAIN STREET SUITE 700ORANGECA92868953589356HEALTHCARECA501(C)(3)11, IN/A
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREETNAPACA94558941243669HEALTHCARECA501(C)(3)3SJHS
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVESANTA ROSACA95405941231005HEALTHCARECA501(C)(3)3SJHS
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREETEUREKACA95501941156596HEALTHCARECA501(C)(3)3SJHS
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVEFORTUNACA95540941384665HEALTHCARECA501(C)(3)3SJHS
ST JUDE MEDICAL CENTER
101 EAST VALENCIA MESA DRIVEFULLERTONCA92835951643325HEALTHCARECA501(C)(3)3SJHS
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVEORANGECA92868951643359HEALTHCARECA501(C)(3)3SJHS
ST MARY MEDICAL CENTER
18300 HIGHWAY 18APPLE VALLEYCA92307951914489HEALTHCARECA501(C)(3)3SJHS
COVENANT HEALTH SYSTEM
3615 19TH STREETLUBBOCKTX79410752765566HEALTHCARETX501(C)(3)3SJHS
ST JOSEPH HEALTH SYSTEM FOUNDATION
500 S MAIN STREET SUITE 1000ORANGECA92868330143024HEALTHCARECA501(C)(3)7SJHS
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)1N/A
ST JOSEPH HEALTH MINISTRY
500 S MAIN STREET SUITE 400ORANGECA92868271666576RELIGIOUS ORGCA501(C)(3)1N/A
CAMINO HEALTH CENTER
30300 CAMINO CAPISTRANOSAN JUAN CAPISTRANOCA92675330574214HEALTHCARECA501(C)(3)7N/A
MISSION HOSPITAL REGIONAL MED CTR FOUND
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691330406118FOUNDATIONCA501(C)(3)7N/A
ST JOSEPH HOME CARE NETWORK
170 PROFESSIONAL CENTER DR BROHNERT PARKCA94928680331084HEALTHCARECA501(C)(3)9SJHS
ST JOSEPH HERITAGE HEALTHCARE FDN
279 E IMPERIAL HIWY 750FULLERTONCA92635330185031HEALTHCARECA501(C)(3)3SJHS
AUXILIARY OF MISSION HOSP LAGUNA BEACH
31872 COAST HWYLAGUNA BEACHCA92651956050019SUPPORTCA501(C)(3)11, III-ON/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
ST JOSEPH PROF SVCS ENTERPRISES INC
500 S MAIN STREET SUITE 700ORANGECA928684507330155323HEALTHCARE SVCSCASJHSC-CORP000.00000
ST JOSEPH DIVERSIFIED VENTURES INC
500 S MAIN STREET SUITE 700ORANGECA928684507330148989HEALTHCARE SVCSCASJHSC-CORP000.00000
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCESJHSC-CORP000.0000058 PAR-LA-VILLE ROADHAMILTON HM HXBDBD
MISSION VIEJO MEDICAL VENTURES INC
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARE SVCSCANAC-CORP393333384521.00000
MISSION MEDICAL CENTER ASSOCIATION
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330201044PROP MGMTCANAC-CORP001.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ST JOSEPH HEALTH SYSTEM FOUNDATION
B5410300
ST JOSEPH HEALTH SYSTEM FOUNDATION
C1794910
AUXILIARY OF MISSION HOSP LAGUNA BEACH
C56948
QUEEN OF THE VALLEY MEDICAL CENTER
0
SANTA ROSA MEMORIAL HOSPITAL
0
CAMINO HEALTH CENTER
0
ST JOSEPH HOSPITAL OF EUREKA
0
REDWOOD MEMORIAL HOSPITAL
0
ST JUDE MEDICAL CENTER
0
ST JOSEPH HOSPITAL OF ORANGE
0
ST MARY MEDICAL CENTER
0
COVENANT HEALTH SYSTEM
0
ST JOSEPH HOME CARE NETWORK
0
ST JOSEPH HERITAGE HEALTHCARE FDN
0
ST JOSEPH PROF SVCS ENTERPRISES INC
0
ST JOSEPH DIVERSIFIED VENTURES INC
0
AMERICAN UNITY GROUP LTD
0
MISSION VIEJO MEDICAL VENTURES INC
0
MISSION MEDICAL CENTER ASSOCIATION
0
MISSION HOSPITAL REGIONAL MED CTR FDN
0

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