2011-05-04T20:48:22-04:00 2010-06-30 ERNST & YOUNG US LLP 18111 VON KARMAN AVENUE SUITE 1000 IRVINE CA 92612 990 2009-07-01 951643360 MISSION HOSPITAL REGIONAL MEDICAL CENTER MISS 9493644299 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 KENNETH MCFARLANDPETER BASTONE 2011-05-04 9497942300 2009 2016-02-24 21:20:13Z PETER BASTONE 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 501902919 false 0928 X WWW.MISSION4HEALTH.COM X 1941 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. 14 10 2796 800 983254 -45149 7709045 8137207 408569618 479677805 -8469249 12651948 213116 516391 408022530 500983351 4955951 9045005 0 0 170921254 203279685 0 100000 5254285 213923560 238064345 389800765 450489035 18221765 50494316 469833465 562450482 249055699 285733129 220777766 276717353 SEE SCHEDULE O true false 370242924 9045005 478694551 SEE SCHEDULE O 370242924 true true false true false false false false false true false true false false false false false true true true true true true true false false false false false false true false true false false false false true true false false true 261 3 true 2796 true true true false false false false true true false false false true 14 10 false false true false true true true true true false false true true true true true true true true true true CA X AARON NEUHARTH 9493647767 27700 MEDICAL CTR ROAD MISSION VIEJO CA 92691 PETER BASTONE 50.0 X X 0 796791 56936 WILLIAM MURIN 2.0 X 0 779744 17374 SISTER KAREN CLOCK 2.0 X 0 0 0 SISTER CLAUDETTE DES FORGES 2.0 X 0 0 0 SISTER CECILIA MAGLADRY 2.0 X 0 0 0 WILLIAM ELDIEN 5.0 X 0 0 0 OSCAR FLORES 4.0 X 0 0 0 SISTER JAYNE HELMLINGER 2.0 X 0 0 0 PAT KELLY 2.0 X 0 0 0 MELINDA MASSON 2.0 X 0 0 0 SHERRI MEDINA 2.0 X 0 0 0 MICHELE STAUNTON MD 2.0 X 0 0 0 R CLIFFORD CARPER 2.0 X 0 0 0 CHRISTOPHER NOLAN MD 2.0 X 11000 0 0 RICHARD KOZAK MD 2.0 X 24000 0 0 MARGARITA COWLEY 50.0 X 577985 0 40020 KENNETH MCFARLAND 50.0 X 577538 0 43297 CYNTHIA MUELLER 50.0 X 259087 0 42442 DENNIS HAGHIGHAT 50.0 X 409842 0 25534 LINDA JOHNSON 50.0 X 396072 0 38347 SHIRLEY BARNES 50.0 X 395544 0 25344 PAULA SERIOS 50.0 X 341517 0 25845 WINIFRED JOHNSON 50.0 X 309154 0 42595 LISA WEAVER 50.0 X 291343 0 41500 MICHAEL BECK 50.0 X 264880 0 54457 3857962 1576535 453691 299 false true false PAIN RECOVERY MEDICAL GROUP INC 21221 SPURNEY LANE HUNTINGTON BEACH CA 926467243 DEPENDENCY MGMT 2498764 MARLA FENNELL INC 2542 CALLE JADE SAN CLEMENTE CA 92673 TRANSCRIPTION SVC 1877352 CLINICAL STAFFING 24375 MIRA VERDE BLDG D SUITE 104 LAGUNA NIGUEL CA 92677 REGISTRY SERVICE 1570921 HEALTHCARE SECURITY SERVICES OF CA 900 S BROADWAY 100 DENVER CO 80209 SECURITY SERVICE 1223764 JOHNSON GRAY ADVERTISING 15375 BARRANCA PKWY F101 IRVINE CA 92618 ADVERTISEMENT 1150516 91 13500 1437863 1856858 193092 4635894 500939 8137207 NET PATIENT REV. 622110 457810804 457810804 MOB RENTAL 531120 10627518 10627518 CHILDREN HOSPITAL AT MISSION 622110 6988900 6988900 NUTRITIONAL SERVICES 722310 2108781 2108781 PATHOLOGY REVENUE 621511 840939 840939 1300863 1158548 142315 479677805 12653898 12653898 0 0 219750 221700 -1950 -1950 -1950 626214 1437863 656278 -30064 -30064 169519 41590 127929 127929 418526 418526 0 500983351 478694551 983254 12749813 9038612 9038612 6393 6393 0 0 2399996 1726854 673142 0 9600 9600 138255537 106275634 30119695 1860208 9310618 7226046 1955894 128678 41830414 34293753 7109483 427178 11473520 8993261 2350319 129940 6310776 2713634 3597142 0 274509 182022 85871 6616 266595 0 251931 14664 0 0 0 0 100000 100000 35376 0 0 35376 44702666 35894326 8160666 647674 4570956 3594663 897673 78620 78451703 68854216 9546779 50708 7647067 7647067 0 0 0 0 0 0 23636193 18384411 4911051 340731 234048 115745 94046 24257 0 0 0 0 346846 72723 121939 152184 12468003 12468003 0 0 0 21167434 17976468 3184989 5977 2742439 2613939 128500 0 BAD DEBT 29344205 29344205 0 0 ALL OTHER EXPENSES 5865529 2811349 1802706 1251474 450489035 370242924 74991826 5254285 549933 11107671 68109544 55263800 5021885 3847472 49078439 64144285 4112308 4228122 1698112 2017607 441555388 114702547 258609399 326852841 39864672 48110038 14164834 23966257 14284675 13717072 14339664 9195317 469833465 562450482 60985226 54065430 188070473 231667699 249055699 285733129 X 179062007 231062011 41715759 45655342 220777766 276717353 469833465 562450482 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 49948 49948 false PART II-B, Line 1i OTHER ACTIVITIES The 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. 1300000 34894212 36194212 269718596 47769145 221949451 16682570 6443086 10239484 111863278 60467114 51396164 7096732 23202 7073530 326852841 0 INTERCO. 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27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691

X X X MISSION HOSPITAL LAGUNA BEACH

31872 COAST HIGHWAY LAGUNA BEACH CA 92651

X X X ST. JOSEPH HEALTH SYSTEM SUBMITS A CONSOLIDATED REPORT WHICH INCLUDES ALL HOSPITAL MINISTRIES. A 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. NONE OF THE REPORTED SUBSIDIZED HEALTH SERVICES INCLUDED ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. BAD 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. FINANCIAL 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. AS 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. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMS AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIES FOR CHARITY CARE. ALL ACCOUNTS ARE SCREENED FOR CHARITY CARE ELIGIBILTY USING CRITERIA THAT CONSIDERS INSURANCE COVERAGE, CREDIT RATING, PAYMENT ACTIVITY, AND VALID SOCIAL SECURITY NUMBER AND/OR ACCURATE RESIDENCE ADDRESS. MISSION 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. MISSION 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. MISSION 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. OUR 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. MISSION 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. MISSION 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. CA true CAMINO HEALTH CENTER 30300 CAMINO CAPISTRANO SJC CA 92675 330574214 501(C)(3) 696426 COMMUNITY OUTREACH BOYS & GIRLS CLUB 1304 CALLE VALLE SAN CLEMENTE CA 92674 956111998 501(C)(3) 10000 SPONSORSHIP ST TIMOTHY'S CATHOLIC CHURCH 29102 CROWN VALLEY LAGUNA NIGUEL CA 92677 953656905 501(C)(3) 86498 COST FOOD DONATIONS FOOD DONATIONS LIGA INTERNATIONAL PO BOX 51985 RIALTO CA 92376 956111639 501(C)(3) 62402 COST VAR MED SUPPLIES MEDICAL SUPPLIES DRUG USE IS LIFE ABUSE 28000 MARGUERITE SANTA ANA CA 92702 953498487 501(c)(3) 6000 SPONSORSHIP JSERRA CATHOLIC HIGH SCHOOL PO BOX 28 SAN JUAN CAPISTRANO CA 92675 330944424 501(C)(3) 51400 SPONSORSHIP MISSION SAN JUAN CAPISTRANO 26351 JUNIPERO SERRA DR SJC CA 92630 951904079 501(C)(3) 7410 SPONSORSHIP SADDLEBACK COLLEGE - NURSING PROGRAM 31414 EL CAMINO MISSION VIEJO CA 92692 330390547 501(C)(3) 35000 SCHOLARSHIPS TALLER SAN JOSE 28000 MARGUERITE PRKY SANTA ANA CA 92701 593816355 501(C)(3) 20500 SPONSORSHIP UC - IRVINE 801 NORTH BROADWAY IRVINE CA 926975602 952226406 GOVT 110000 SPONSORSHIP ST JOSEPH HEALTH SYSTEM FOUNDATION 500 S MAIN STREET ORANGE CA 928684507 330143024 501(C)(3) 5410300 CARE FOR THE POOR ST JOSEPH HERITAGE HEALTHCARE (MHAP) 279 E IMPERIAL 750 FULLERTON CA 92635 330185031 501(C)(3) 2448658 PROGRAM FUNDING CITY OF SAN CLEMENTE 100 N CALLE SEVILLE SAN CLEMENTE CA 92672 956000775 GOVT 10000 COMMUNITY BENEFIT 13 0 INDIVIDUAL FUNERALS 5 6393 FUNERAL COSTS ASSIS. SCHEDULE I, PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS DONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF MISSION HOSPITAL REGIONAL MEDICAL CENTER. false true false false false false false true false PETER BASTONE 0 435314 0 186197 0 175280 0 17116 0 39820 0 853727 0 0 WILLIAM MURIN 0 497556 0 154993 0 127195 0 7350 0 10024 0 797118 0 0 MARGARITA COWLEY 293469 0 118712 0 165804 0 19521 0 20499 0 618005 0 62401 0 KENNETH MCFARLAND 293694 0 125200 0 158644 0 16855 0 26442 0 620835 0 42148 0 DENNIS HAGHIGHAT 245190 0 102215 0 62437 0 9583 0 15951 0 435376 0 0 0 LINDA JOHNSON 207747 0 126141 0 62184 0 11761 0 26586 0 434419 0 0 0 SHIRLEY BARNES 219788 0 77800 0 97956 0 15538 0 9806 0 420888 0 0 0 PAULA SERIOS 187267 0 101302 0 52948 0 12233 0 13612 0 367362 0 0 0 WINIFRED JOHNSON 158969 0 66400 0 83785 0 19274 0 23321 0 351749 0 0 0 LISA WEAVER 167352 0 66800 0 57191 0 18411 0 23089 0 332843 0 0 0 MICHAEL BECK 138515 0 63646 0 62719 0 17978 0 36479 0 319337 0 0 0 CYNTHIA MUELLER 148983 0 53800 0 56304 0 24274 0 18168 0 301529 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION 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 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. JOHN SHAVER MD SPOUSE OF BOARD MEMBER 75950 COMPENSATION FOR SERVICES false X 0 X 1 29240 COST/SELLING PRICE X 7 221699 COST/SELLING PRICE X 1 250000 EXPERT OPINIONS X GIFTS IN KIND 732 0 0 0 false true true PART I, LINE 5 - CLOTHING AND HOUSEHOLD GOODS CLOTHING 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 32A MISSION HOSPITAL USES THE SERVICES OF MERRILL LYNCH TO SELL SECURITIES THAT HAVE BEEN GIFTED BY VARIOUS DONORS AND BENEFACTORS. FORM 990, PART I, LINE 1 AND PART III, LINE 1 ORGANIZATION'S MISSION 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 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 2 DESCRIPTION OF NEW SERVICE MISSION 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 4 PROGRAM SERVICE ACCOMPLISHMENTS GROUNDED 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 4 SIGNIFICANT CHANGES TO THE ORGANIZATIONAL DOCUMENTS THE ORGANIZATION'S BYLAWS WERE UPDATED TO DEFINE AND CLARIFY BOARD DUTIES AND OFFICER ROLES. THE NUMBER OF BOARD SEATS WAS ALSO INCREASED. IN ADDITION, THE LIST OF RESERVED RIGHTS WAS EXPANDED TO INCLUDE PROCESSES LEADING UP TO ACTION ON RESERVED RIGHTS. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF MISSION HOSPITAL. FORM 990, PART VI, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS MISSION 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 7B DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. FORM 990, PART VI, LINE 11 PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 IS THEN REVIEWED BY 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 15B PROCESS USED TO DETERMINE COMPENSATION THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. 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 19 GOVERNING DOCS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STMTS AVAILABLE THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. FORM 990, PART VII HOURS DEVOTED TO RELATED ORGANIZATIONS PETER 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 2C OVERSIGHT OR SELECTION PROCESS THE 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 9B LICENSE TO OPERATE GAMING ACTIVITY AS 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 A NAME OF ENTITY 1. MISSION EDUCATION CONFERENCE CENTER, LLC 2. MISSION AMBULATORY SURGICENTER, LTD, DBA MISSION SURGERY CENTER SCHEDULE R, PART V, LINE 2 METHOD USED TO DETERMINE AMOUNTS THE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2 ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING. SECTION 409A RELIEF UNDER SECTION V.D OF IRS NOTICE 2008-113 OPERATIONAL DEFECTS (A) NAME AND SOCIAL SECURITY NUMBERS OF AFFECTED PARTICIPANTS: NOT APPLICABLE. (B) THE 409A FAILURE OCCURRED WITH RESPECT TO THE ST. JOSEPH HEALTH SYSTEM 457(F) PLAN ("PLAN"). (C) OPERATIONAL DEFECT (1): IN FEBRUARY 2010 IT WAS DISCOVERED THAT THE PLAN FAILED TO COMPLY WITH 409A BECAUSE IT PROVIDED FOR IMPERMISSIBLE ALTERNATIVE PAYMENT SCHEDULES FOR VOLUNTARY AND INVOLUNTARY SEPARATIONS FROM SERVICE AND DID NOT SPECIFY THAT PAYMENT WILL BE MADE ON THE 60TH DAY FOLLOWING VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON-COMPETE AGREEMENT. IN ACCORDANCE WITH VI.B, VII.C AND XI.A OF NOTICE 2010-6, THE PLAN WAS AMENDED EFFECTIVE AS OF JANUARY 1, 2009 TO APPLY THE TIMING RULE APPLICABLE TO INVOLUNTARY TERMINATIONS TO VOLUNTARY TERMINATIONS AND TO PROVIDE THAT PAYMENT WILL BE MADE ON THE 60TH DAY FOLLOWING VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON-COMPETE AGREEMENT. THIS AMENDMENT WAS SIGNED BY THE EMPLOYER ON OCTOBER 6, 2010. THEREFORE, THE DATE ON WHICH THE FAILURE OCCURRED WAS THE 60TH DAY FOLLOWING THE 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. ST JOSEPH HEALTH SYSTEM 500 S MAIN STREET SUITE 700 ORANGE CA 92868 953589356 HEALTHCARE CA 501(C)(3) 11, I N/A QUEEN OF THE VALLEY MEDICAL CENTER 1000 TRANCAS STREET NAPA CA 94558 941243669 HEALTHCARE CA 501(C)(3) 3 SJHS SANTA ROSA MEMORIAL HOSPITAL 1165 MONTGOMERY DRIVE SANTA ROSA CA 95405 941231005 HEALTHCARE CA 501(C)(3) 3 SJHS ST JOSEPH HOSPITAL OF EUREKA 2700 DOLBEER STREET EUREKA CA 95501 941156596 HEALTHCARE CA 501(C)(3) 3 SJHS REDWOOD MEMORIAL HOSPITAL 3300 RENNER DRIVE FORTUNA CA 95540 941384665 HEALTHCARE CA 501(C)(3) 3 SJHS ST JUDE MEDICAL CENTER 101 EAST VALENCIA MESA DRIVE FULLERTON CA 92835 951643325 HEALTHCARE CA 501(C)(3) 3 SJHS ST JOSEPH HOSPITAL OF ORANGE 1100 WEST STEWART DRIVE ORANGE CA 92868 951643359 HEALTHCARE CA 501(C)(3) 3 SJHS ST MARY MEDICAL CENTER 18300 HIGHWAY 18 APPLE VALLEY CA 92307 951914489 HEALTHCARE CA 501(C)(3) 3 SJHS COVENANT HEALTH SYSTEM 3615 19TH STREET LUBBOCK TX 79410 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS ST JOSEPH HEALTH SYSTEM FOUNDATION 500 S MAIN STREET SUITE 1000 ORANGE CA 92868 330143024 HEALTHCARE CA 501(C)(3) 7 SJHS SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ORANGE CA 92868 951643383 RELIGIOUS ORG CA 501(C)(3) 1 N/A ST JOSEPH HEALTH MINISTRY 500 S MAIN STREET SUITE 400 ORANGE CA 92868 271666576 RELIGIOUS ORG CA 501(C)(3) 1 N/A CAMINO HEALTH CENTER 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 330574214 HEALTHCARE CA 501(C)(3) 7 N/A MISSION HOSPITAL REGIONAL MED CTR FOUND 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 330406118 FOUNDATION CA 501(C)(3) 7 N/A ST JOSEPH HOME CARE NETWORK 170 PROFESSIONAL CENTER DR B ROHNERT PARK CA 94928 680331084 HEALTHCARE CA 501(C)(3) 9 SJHS ST JOSEPH HERITAGE HEALTHCARE FDN 279 E IMPERIAL HIWY 750 FULLERTON CA 92635 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS AUXILIARY OF MISSION HOSP LAGUNA BEACH 31872 COAST HWY LAGUNA BEACH CA 92651 956050019 SUPPORT CA 501(C)(3) 11, III-O N/A ST JOSEPH PROF SVCS ENTERPRISES INC 500 S MAIN STREET SUITE 700 ORANGE CA 928684507 330155323 HEALTHCARE SVCS CA SJHS C-CORP 0 0 0.00000 ST JOSEPH DIVERSIFIED VENTURES INC 500 S MAIN STREET SUITE 700 ORANGE CA 928684507 330148989 HEALTHCARE SVCS CA SJHS C-CORP 0 0 0.00000 AMERICAN UNITY GROUP LTD 58 PAR-LA-VILLE ROAD HAMILTON HM HX BD CAPTIVE INSURANCE BD SJHS C-CORP 0 0 0.00000 MISSION VIEJO MEDICAL VENTURES INC 27800 MEDICAL CENTER RD 354 MISSION VIEJO CA 92691 330212905 HEALTHCARE SVCS CA NA C-CORP 39333 338452 1.00000 MISSION MEDICAL CENTER ASSOCIATION 27800 MEDICAL CENTER RD 354 MISSION VIEJO CA 92691 330201044 PROP MGMT CA NA C-CORP 0 0 1.00000 false true true false false false false false false false false false false false false false false false ST JOSEPH HEALTH SYSTEM FOUNDATION B 5410300 ST JOSEPH HEALTH SYSTEM FOUNDATION C 1794910 AUXILIARY OF MISSION HOSP LAGUNA BEACH C 56948 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