SANTA ROSA MEMORIAL HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SANTA ROSA MEMORIAL HOSPITAL (EIN 94-1231005)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-10
IRS object ID: 201721309349302147
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-10T13:15:29-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18101 VON KARMAN AVE STE 1700	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941231005	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SANTA ROSA MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% NIALL FOLEY	InCareOfNm
Business Name Control	SANT	BusinessNameControlTxt
Phone	7075255300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1165 MONTGOMERY DRIVE	AddressLine1Txt
City	SANTA ROSA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95405	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TODD SALNAS	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	7075255300	PhoneNum
Signature	2017-05-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KARA ADAMS	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TODD SALNAS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1165 MONTGOMERY DRIVE	AddressLine1Txt
City	SANTA ROSA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95405	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$525,271,380	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STJOSEPHHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1948	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2025	TotalEmployeeCnt
Total Volunteers	260	TotalVolunteersCnt
Total Gross UBI	$77,394	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$27,098	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,406,825	PYContributionsGrantsAmt
CY Contributions Grants	$5,460,159	CYContributionsGrantsAmt
PY Program Service Revenue	$492,094,811	PYProgramServiceRevenueAmt
CY Program Service Revenue	$511,165,354	CYProgramServiceRevenueAmt
PY Investment Income	$10,520,123	PYInvestmentIncomeAmt
CY Investment Income	$7,573,883	CYInvestmentIncomeAmt
PY Other Revenue	$403,223	PYOtherRevenueAmt
CY Other Revenue	$781,895	CYOtherRevenueAmt
PY Total Revenue	$511,424,982	PYTotalRevenueAmt
CY Total Revenue	$524,981,291	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,032,600	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,689,049	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$189,373,173	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$207,024,030	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,332,055	CYTotalFundraisingExpenseAmt
PY Other Expenses	$246,349,804	PYOtherExpensesAmt
CY Other Expenses	$256,896,486	CYOtherExpensesAmt
PY Total Expenses	$443,755,577	PYTotalExpensesAmt
CY Total Expenses	$470,609,565	CYTotalExpensesAmt
PY Revenues Less Expenses	$67,669,405	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$54,371,726	CYRevenuesLessExpensesAmt
Total Assets BOY	$468,571,951	TotalAssetsBOYAmt
Total Assets EOY	$475,056,480	TotalAssetsEOYAmt
Total Liabilities BOY	$178,288,303	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$183,772,067	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$290,283,648	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$291,284,413	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$445,219,116	ExpenseAmt
Grant	$6,689,049	GrantAmt
Revenue	$512,060,949	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$445,219,116	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2025	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	NIALL FOLEY	PersonNm
Phone	7075475485	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	141 STONY CIRCLE SUITE 140	AddressLine1Txt
City	SANTA ROSA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PAM CHANTER
BD MBR/SECRETARY (PT YR)	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JEANNETTE CURRIE
BOARD MEMBER/CHIEF OF STAFF	2.0	0.0	Yes (X)		$50,000	$0	$0
HERB DWIGHT
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
TONY GHISHLA
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
SISTER PATRICIA HALEY
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
JAMES HOUSER
BOARD VICE CHAIRPERSON	4.0	0.0	Yes (X)		$0	$0	$0
RICK IGRAM
BOARD MEMBER	2.0	48.0	Yes (X)		$0	$550,744	$39,085
TEEJAY K LOWE
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
KEVIN MCCULLOUGH
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
MARGARET MCEVOY
BOARD MEMBER/COS ELECT	2.0	48.0	Yes (X)		$21,000	$0	$0
SR MARY BERNADETTE MCNULTY
BD MBR/GEN COUNCILOR/TREASURER	4.0	10.0	Yes (X)	Yes (X)	$0	$0	$0
TODD SALNAS
BOARD MEMBER/PRESIDENT, SJH-SC	43.0	7.0	Yes (X)	Yes (X)	$0	$650,942	$50,791
SISTER MARIAN SCHUBERT
BD MBR/EVP MISSION INTEGRATION	2.0	48.0	Yes (X)	Yes (X)	$0	$0	$0
JAN SONANDER
BOARD MEMBER/COS, PAST	2.0	0.0	Yes (X)		$17,150	$0	$0
SISTER ANN MARIE STEFFEN
BOARD MEMBER	2.0	48.0	Yes (X)		$0	$0	$0
GENE TRAVERSO
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
CATHERINE WITTENBERG
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
SHARON WRIGHT
BOARD CHAIR	5.0	0.0	Yes (X)		$0	$0	$0
RITA SCARDACI
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
OLUYEMI ADEYANJU
SECRETARY	4.0	46.0		Yes (X)	$0	$166,281	$2,087
MICHEL RICCIONI
VP/CHIEF FINANCIAL OFFICER	19.0	31.0		Yes (X)	$752,852	$0	$46,110
RICHARD CARVOLTH
VP/CHIEF MEDICAL OFFICER	43.0	7.0			$547,792	$0	$29,604	Yes (X)
MAUREEN DISBOT
REG VP, QUALITY &SAFETY-N.CA	19.0	31.0			$435,398	$0	$23,741	Yes (X)
DAVID ZIOLKOWSKI
CHIEF OPERATING OFFICER	43.0	7.0			$376,494	$0	$38,082	Yes (X)
CATHERINE CAMENGA
VP-PERFORMANCE IMPROVEMENT	43.0	7.0			$319,055	$0	$17,537	Yes (X)
ANDREA LEARNED
VP-FUND DEVELOPMENT	43.0	7.0			$249,083	$0	$21,827	Yes (X)
TERRI DENTE
VP-MISSION INTEGRATION	43.0	7.0			$234,685	$0	$40,865	Yes (X)
KEVIN KLOCKENGA
REGIONAL EVP - NCA	19.0	31.0			$0	$1,021,111	$33,602	Yes (X)
JAYNIE BOREN
NCA REG VP-STRATEGIC SVCS	19.0	31.0			$0	$427,709	$32,872	Yes (X)
ROBERT EISEN
REGIONAL VP, HR NOCAL	19.0	31.0			$0	$338,361	$38,083	Yes (X)
ROBERT JUST III
NCAL REGION, COO	19.0	31.0			$0	$413,056	$47,751	Yes (X)
REBECCA ALTHOFF
STAFF NURSE IV	40.0	0.0			$423,057	$0	$46,675		Yes (X)
ALVIN GORE
DIR, PHYSICIAN ADVISOR	40.0	0.0			$303,387	$0	$30,110		Yes (X)
ROSE BERNON
STAFF NURSE IV - SNA	40.0	0.0			$295,914	$0	$38,572		Yes (X)
RUTH GARCIA
STAFF NURSE III - SNA LEAD	40.0	0.0			$288,273	$0	$29,106		Yes (X)
MARCUS CAYSON
STAFF NURSE IV - SNA LEAD	40.0	0.0			$238,132	$0	$34,345		Yes (X)
TIFFANY OLIVER
FORMER KEY EMPLOYEE	0.0	0.0			$119,561	$0	$14,347			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,671,833	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,568,204	TotReportableCompRltdOrgAmt
Total Other Compensation	$655,192	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	576	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDICAL STAFFING NETWORK
PO BOX 840292	DALLAS	TX	75284	MEDICAL STAFFING	$10,840,705
CARDINAL HEALTH INC
3238 DWIGHT ROAD	ELK GROVE	CA	95758	MEDICAL SUPPLIES	$9,502,453
TRIAGE CONSULTING GROUP
221 MAIN STREET STE 1100	SAN FRANCISCO	CA	94105	COLLECTION SERVICES	$1,667,627
NORTHERN CALIFORNIA MEDICAL ASSOCIA
3536 MENDOCINO AVENUE	SANTA ROSA	CA	95403	MEDICAL STAFFING	$1,245,521
SANTA ROSA ORTHOPAEDIC MEDICAL GROU
1405 MONTGOMERY DRIVE	SANTA ROSA	CA	95405	MEDICAL STAFFING	$764,193

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	62	CntrctRcvdGreaterThan100KCnt
Fundraising	$374,268	FundraisingAmt
Related Organizations	$3,239,592	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$1,846,299	AllOtherContributionsAmt
Noncash Contributions	$964,484	NoncashContributionsAmt
Total Contributions	$5,460,159	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	622110	$508,039,937	$508,039,937	$0	$0
EHR MEANINGFUL USE REVENUE	622110	$492,397	$492,397	$0	$0
CAFETERIA REVENUE	722514	$1,047,886	$1,047,886	$0	$0
MOB REVENUE	900099	$824,493	$824,493	$0	$0
PATHOLOGY AND LABORATORY REVENUE	621500	$77,394	$0	$77,394	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$683,247	TotalRevenueColumnAmt
Related Or Exempt Func Income	$683,247	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$511,165,354	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,469,367	TotalRevenueColumnAmt
Exclusion	$7,469,367	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$210,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$105,484	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$104,516	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$104,516	TotalRevenueColumnAmt
Exclusion	$104,516	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$70,905	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$374,268	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$184,605	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$113,700	TotalRevenueColumnAmt
Exclusion	-$113,700	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CASH PURCHASES AND DISCOUNTS	900099	$858,011	$858,011	$0	$0
REBATES AND REFUNDS	900099	$25,707	$25,707	$0	$0
All other revenue	900099	$11,877	$11,877	$0	$0

Field	Value	IRS element (for citing)
Other Revenue Total	$895,595	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$524,981,291	TotalRevenueColumnAmt
Related Or Exempt Func Income	$511,983,555	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$77,394	UnrelatedBusinessRevenueAmt
Exclusion	$7,460,183	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,689,049	TotalAmt
Program Services	$6,689,049	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,660,386	TotalAmt
Program Services	$2,000,629	ProgramServicesAmt
Management And General	$416,255	ManagementAndGeneralAmt
Fundraising	$243,502	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$143,403,512	TotalAmt
Program Services	$135,754,117	ProgramServicesAmt
Management And General	$7,153,906	ManagementAndGeneralAmt
Fundraising	$495,489	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,893,110	TotalAmt
Program Services	$7,449,079	ProgramServicesAmt
Management And General	$426,739	ManagementAndGeneralAmt
Fundraising	$17,292	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$41,525,754	TotalAmt
Program Services	$39,094,794	ProgramServicesAmt
Management And General	$2,296,229	ManagementAndGeneralAmt
Fundraising	$134,731	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,541,268	TotalAmt
Program Services	$10,924,790	ProgramServicesAmt
Management And General	$576,234	ManagementAndGeneralAmt
Fundraising	$40,244	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$26,318,900	TotalAmt
Program Services	$24,637,108	ProgramServicesAmt
Management And General	$1,681,792	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,790,503	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,786,682	ManagementAndGeneralAmt
Fundraising	$3,821	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$469,227	TotalAmt
Program Services	$11,000	ProgramServicesAmt
Management And General	$458,227	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$38,588	TotalAmt
Program Services	$38,588	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$57,859,324	TotalAmt
Program Services	$54,545,279	ProgramServicesAmt
Management And General	$3,117,018	ManagementAndGeneralAmt
Fundraising	$197,027	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,235,975	TotalAmt
Program Services	$504,872	ProgramServicesAmt
Management And General	$687,276	ManagementAndGeneralAmt
Fundraising	$43,827	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,584,357	TotalAmt
Program Services	$12,063,709	ProgramServicesAmt
Management And General	$431,036	ManagementAndGeneralAmt
Fundraising	$89,612	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,459,649	TotalAmt
Program Services	$5,161,360	ProgramServicesAmt
Management And General	$282,640	ManagementAndGeneralAmt
Fundraising	$15,649	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,263,811	TotalAmt
Program Services	$7,241,422	ProgramServicesAmt
Management And General	$19,889	ManagementAndGeneralAmt
Fundraising	$2,500	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$921,906	TotalAmt
Program Services	$630,922	ProgramServicesAmt
Management And General	$253,543	ManagementAndGeneralAmt
Fundraising	$37,441	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$171,908	TotalAmt
Program Services	$141,755	ProgramServicesAmt
Management And General	$24,573	ManagementAndGeneralAmt
Fundraising	$5,580	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,817,961	TotalAmt
Program Services	$5,817,961	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,744,775	TotalAmt
Program Services	$16,627,295	ProgramServicesAmt
Management And General	$117,480	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,691,466	TotalAmt
Program Services	$1,691,466	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$72,752,654	$72,751,234	$1,420	$0
CA HOSPITAL FEE PROGRAM	$18,742,725	$18,742,725	$0	$0
REPAIRS AND MAINTENANCE	$3,534,172	$3,518,594	$15,287	$291
LICENSES AND TAXES	$941,648	$731,056	$210,592	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,556,937	TotalAmt
Program Services	$18,450,312	ProgramServicesAmt
Management And General	$4,101,576	ManagementAndGeneralAmt
Fundraising	$5,049	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$470,609,565	TotalAmt
Program Services	$445,219,116	ProgramServicesAmt
Management And General	$24,058,394	ManagementAndGeneralAmt
Fundraising	$1,332,055	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,839	BOYAmt
EOY	$8,839	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,105,927	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$74,256,854	BOYAmt
EOY	$70,159,544	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,825,580	BOYAmt
EOY	$6,536,917	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,577,931	BOYAmt
EOY	$4,729,441	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$409,450,217	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$209,654,370	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$189,388,669	BOYAmt
EOY	$199,795,847	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$126,461,889	BOYAmt
EOY	$144,354,979	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$5,019,976	BOYAmt
EOY	$4,976,710	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$49,926,286	BOYAmt
EOY	$44,494,203	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$468,571,951	BOYAmt
EOY	$475,056,480	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$28,278,593	BOYAmt
EOY	$30,368,174	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$150,009,710	BOYAmt
EOY	$153,403,893	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$178,288,303	BOYAmt
EOY	$183,772,067	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$285,127,908	BOYAmt
EOY	$286,480,350	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,741,006	BOYAmt
EOY	$3,313,919	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,414,734	BOYAmt
EOY	$1,490,144	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$290,283,648	BOYAmt
EOY	$291,284,413	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$468,571,951	BOYAmt
EOY	$475,056,480	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$54,371,726	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$9,085,081	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$44,285,880	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$38,588	OtherActivitiesAmt
Total Lobbying Expenditures	$38,588	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES DURING THE YEAR, ST. JOSEPH HEALTH SYSTEM CONDUCTED ADVOCACY EFFORTS WHICH INCLUDED SOME LOBBYING ACTIVITIES. THESE ACTIVITIES INCLUDED MEETING WITH LOCAL, STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS, AS WELL AS COMMUNICATION TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION. THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO SANTA ROSA MEMORIAL HOSPITAL.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,195,093	BeginningYearBalanceAmt
Investment Earnings Or Losses	$15,014	InvestmentEarningsOrLossesAmt
End Year Balance	$1,210,107	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,178,034	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$17,059	InvestmentEarningsOrLossesAmt
End Year Balance	$1,195,093	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,034,675	BeginningYearBalanceAmt
Contributions	$10,000	ContributionsAmt
Investment Earnings Or Losses	$133,359	InvestmentEarningsOrLossesAmt
End Year Balance	$1,178,034	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,030,684	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,991	InvestmentEarningsOrLossesAmt
End Year Balance	$1,034,675	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$651,671	BeginningYearBalanceAmt
Contributions	$400,000	ContributionsAmt
Investment Earnings Or Losses	-$20,987	InvestmentEarningsOrLossesAmt
End Year Balance	$1,030,684	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,736,066	OtherCostOrOtherBasisAmt
Book Value	$9,736,066	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$142,785,861	OtherCostOrOtherBasisAmt
Depreciation	$72,129,628	DepreciationAmt
Book Value	$70,656,233	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$102,822,798	OtherCostOrOtherBasisAmt
Depreciation	$53,134,534	DepreciationAmt
Book Value	$49,688,264	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$118,997,522	OtherCostOrOtherBasisAmt
Depreciation	$84,390,208	DepreciationAmt
Book Value	$34,607,314	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,107,970	OtherCostOrOtherBasisAmt
Book Value	$35,107,970	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$199,795,847	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
HOSPITAL FEE	$4,391,470
RESTRICTED ASSETS	$5,056,933
DUE FROM AFFILIATES	$35,045,800

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$44,494,203	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ACCRUED LIABILITIES	$19,481,794
THIRD PARTY PAYABLES	$4,035,794
OTHER NON-CURRENT LIABILITIES	$2,305,576
INTERCO WITH HEALTH SYSTEM-BOND	$122,182,071
INTERCO WITH HEALTH SYSTEM-CASH	$5,398,658

Field	Value	IRS element (for citing)
Total Liability	$153,403,893	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, Part V, LINE 4

INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS THE INTENDED USE OF THE ENDOWMENT FUNDS INCLUDES SCHOLARSHIPS FOR EMPLOYEES WHO WISH TO RETURN TO SCHOOL TO BECOME NURSES, MAINTAIN AND UPGRADE THE CARDIAC CATHERIZATION PROGRAM AND MEET THE NEEDS OF THE HOSPITAL, AS WELL AS THE COMMUNITY'S NEEDIEST INDIVIDUALS.

SCHEDULE D, PART X, LINE 2

FIN 48(ASC740) Footnote ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2016 OR 2015.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	PRO AM	Event1Nm
Gross Receipts Event1	$99,809	GrossReceiptsEvent1Amt
Charitable Contri Event1	$64,109	CharitableContriEvent1Amt
Gross Revenue Event1	$35,700	GrossRevenueEvent1Amt
Cash Prizes Event1	$1,000	CashPrizesEvent1Amt
Non Cash Prizes Event1	$6,603	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$12,500	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$16,409	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$17,034	OtherDirectExpensesEvent1Amt
Event2	GALA	Event2Nm
Gross Receipts Event2	$269,278	GrossReceiptsEvent2Amt
Charitable Contri Event2	$248,878	CharitableContriEvent2Amt
Gross Revenue Event2	$20,400	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$2,475	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$37,298	FoodAndBeverageEvent2Amt
Entertainment Event2	$6,500	EntertainmentEvent2Amt
Other Direct Expenses Event2	$59,298	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$76,086	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$61,281	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$14,805	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$500	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$15,299	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$9,689	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$445,173	GrossReceiptsTotalAmt
Charitable Contributions Tot	$374,268	CharitableContributionsTotAmt
Gross Revenue Total Events	$70,905	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,000	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$6,603	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$15,475	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$69,006	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$6,500	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$86,021	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$184,605	DirectExpenseSummaryEventsAmt
Net Income Summary	-$113,700	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,661,813	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,661,813	NetCommunityBenefitExpnsAmt
Total Expense	0.00990	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$128,103,106	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$94,293,281	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,809,825	NetCommunityBenefitExpnsAmt
Total Expense	0.07180	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$804	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$752	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132,765,723	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$94,293,333	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,472,390	NetCommunityBenefitExpnsAmt
Total Expense	0.08170	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,630,529	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$614,756	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,015,773	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,139	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,139	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,276,800	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,276,800	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,977,468	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$614,756	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,362,712	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$137,743,191	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$94,908,089	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,835,102	NetCommunityBenefitExpnsAmt
Total Expense	0.09090	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$139,442	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,003	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$101,439	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$68,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$207,442	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,003	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$169,439	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$12,120,976	BadDebtExpenseAmt
Reimbursed By Medicare	$140,741,435	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$174,905,885	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$34,164,450	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH BAY ENDOSCOPY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	ENDOSCOPY PROCEDURES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.66667	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.3333	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SANTA ROSA MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1165 MONTGOMERY DRIVE	AddressLine1Txt
City	SANTA ROSA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95405	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.STJOESONOMA.ORG	WebsiteAddressTxt
State License	6933475	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	DESIGNATED TRAUMA CENTER, LEVEL II	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SANTA ROSA MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	THE SANTA ROSA MEMORIAL HOSPITAL AND PETALUMA VALLEY HOSPITAL (SRMH AND PVH) COMMUNITY HEALTH NEEDS ASSESSMENT WAS PERFORMED AS A COMMUNITY COLLABORATIVE AND TOOK INTO ACCOUNT COMMUNITY INPUT THROUGH THREE METHODS: KEY INFORMANT INTERVIEWS WITH LEADERS IN THE COMMUNITY INCLUDING FROM THE COUNTY DEPARTMENT OF HEALTH SERVICES AND LOCAL HEALTH, EDUCATION AND BUSINESS LEADERS, FOCUS GROUPS IN DIFFERENT COMMUNITIES THROUGHOUT THE COUNTY, BALANCED IN TERMS OF GEOGRAPHY AND CULTURE, AND A TELEPHONE SURVEY OF 1,500 PEOPLE. THESE THREE METHODS ALLOWED THE CHIC TO HEAR FROM CONTENT EXPERTS, COMMUNITY LEADERS, AND A BROAD SPECTRUM OF COMMUNITY MEMBERS. KEY INFORMANT INTERVIEWS WITH LOCAL EXPERTS CHNA PROJECT PARTNERS IDENTIFIED A PANEL OF 18 KEY INFORMANTS. KEY INFORMANTS WERE SELECTED FOR THEIR EXPERTISE IN A BROAD VARIETY OF HEALTH AND HEALTH-RELATED DISCIPLINES INCLUDING HOSPITAL AND PRIMARY CARE, PUBLIC HEALTH, MATERNAL AND CHILD HEALTH, HUMAN SERVICES, BUSINESS AND EDUCATION. PROJECT CONSULTANTS INTERVIEWED KEY INFORMANTS INDIVIDUALLY USING A STANDARDIZED SET OF QUESTIONS DESIGNED TO ELICIT INFORMATION ON THE LOCAL HEALTH ISSUES OF GREATEST CONCERN AND PERSPECTIVES ON LOCAL OPPORTUNITIES TO IMPROVE POPULATION HEALTH AND/OR THE HEALTHCARE DELIVERY SYSTEM. COMMUNITY-BASED FOCUS GROUPS SANTA ROSA MEMORIAL HOSPITAL, IN PARTNERSHIP WITH OTHER COMMUNITY HOSPITALS INCLUDING PETALUMA VALLEY HOSPITAL, CONDUCTED A SERIES OF TARGETED, COMMUNITY-BASED FOCUS GROUPS ON BEHALF OF THE PROJECT PARTNERS. THE GOAL OF THE FOCUS GROUP PROCESS WAS TO GATHER INFORMATION FROM RESIDENTS OF LOW-INCOME NEIGHBORHOODS ON THEIR HEALTH CONCERNS, THE CHALLENGES THEY FACE IN MAINTAINING HEALTH AND THEIR IDEAS ON HOW TO IMPROVE THEIR COMMUNITY'S HEALTH AND WELLBEING. FOUR FOCUS GROUPS WERE HELD, AVERAGING 8 PARTICIPANTS PER GROUP. GROUPS WERE FACILITATED IN BOTH SPANISH AND ENGLISH, BASED ON GROUP MAKE-UP. THE GROUPS WERE CONDUCTED IN THE COMMUNITIES OF SONOMA VALLEY, ROHNERT PARK, SANTA ROSA, AND CLOVERDALE AND WERE FACILITATED BY ST. JOSEPH HEALTH STAFF USING STANDARDIZED QUESTIONS APPROVED BY THE CHNA PARTNERSHIP. TELEPHONE SURVEY OF SONOMA COUNTY RESIDENTS THE COLLABORATIVE CONTACTED 1,500 PEOPLE (839 COMPLETED THE SURVEY) USING A SURVEY TOOL INCORPORATING QUESTIONS FROM THE NATIONAL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY. THE SURVEY PROVIDED VALUABLE INFORMATION ON LOCAL HEALTH STATUS, HEALTH BEHAVIORS, EXPERIENCE WITH THE LOCAL HEALTH SYSTEMS AND HIGHLIGHTED THE LINKS BETWEEN SOCIAL DETERMINANTS, PREDOMINANTLY INCOME AND EDUCATIONAL ATTAINMENT, AND DISPARITIES IN HEALTH AND HEALTH CARE ACCESS. ORGANIZATIONS, PUBLIC HEALTH OR OTHER DEPARTMENTS OR AGENCIES, COMMUNITY LEADERS AND REPRESENTATIVES, OTHERS WHICH REPRESENT THE BROAD INTERESTS OF THE COMMUNITY CONSULTED DURING THE CHNA PROCESS INCLUDED SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES, SONOMA COUNTY OFFICE OF EDUCATION, ECONOMIC DEVELOPMENT BOARD, DRUG ABUSE ALTERNATIVE CENTER, SANTA ROSA COMMUNITY HEALTH CENTERS, SONOMA INDIAN HEALTH PROJECT, REDWOOD COMMUNITY HEALTH COALITION, KAISER PERMANENTE PARTNERSHIP HEALTH PLAN OF CALIFORNIA, SONOMA COUNTY ORAL HEALTH ACCESS COALITION. IN AN EFFORT TO GATHER DIVERSE POINTS OF VIEW THOSE INTERVIEWED REPRESENTED THE FOLLOWING SECTORS, SERVICES, ORGANIZATIONS AND AGENCIES: HEALTH AND HUMAN SERVICES, NONPROFIT HOSPITALS, SONOMA COUNTY SCHOOLS, ORAL HEALTH SERVICES, COMMUNITY HEALTH CENTERS, COMMUNITY-BASED ORGANIZATIONS, HEALTH INSURANCE PLANS, ECONOMIC DEVELOPMENT. OVER THE COURSE OF 5 MONTHS (APRIL SEPTEMBER 2012), THE SRMH ALONG WITH CHNA PARTNERS CONDUCTED THE FOLLOWING ACTIVITIES TO CREATE THE 2013 CHNA: - DEVELOPED A DEMOGRAPHIC SUMMARY OF SONOMA COUNTYS CURRENT POPULATION ALONG WITH POPULATION GROWTH PROJECTIONS WHEN AVAILABLE. INFORMATION IS PROVIDED ON A VARIETY OF DEMOGRAPHIC INDICATORS INCLUDING POPULATION DISTRIBUTION, AGE, ETHNICITY, INCOME, HEALTHCARE COVERAGE, EDUCATION AND EMPLOYMENT. - ASSEMBLED SUMMARY DATA FROM A VARIETY OF SECONDARY SOURCES IDENTIFYING HEALTH BEHAVIORS AND CONDITIONS THAT COMPROMISE THE HEALTH AND HEALTHY DEVELOPMENT OF CHILDREN AND CONTRIBUTE MOST PROMINENTLY TO ILLNESS AND INJURY, DISABILITY AND DEATH FOR SONOMA COUNTY ADULTS AND CHILDREN. WHERE KNOWN, INFORMATION ON CONTRIBUTING FACTORS IS PRESENTED ALONG WITH EACH HEALTH INDICATOR. HEALTH DISPARITIES ARE HIGHLIGHTED. - CONDUCTED KEY INFORMANT INTERVIEWS, COMMUNITY-BASED FOCUS GROUPS AND A COUNTYWIDE RANDOM TELEPHONE SURVEY TO GATHER DATA ON HEALTH STATUS AND ELICIT INFORMATION ON COMMUNITY HEALTH ISSUES OF GREATEST CONCERN AND PERSPECTIVES ON LOCAL OPPORTUNITIES TO IMPROVE POPULATION HEALTH AND/OR THE HEALTHCARE DELIVERY SYSTEM.
SCHEDULE H, PART V, SECTION B, LINES 6A	THE 2013 SONOMA COUNTY COMMUNITY NEEDS ASSESSMENT (CHNA) IS A COLLABORATIVE EFFORT BY ST. JOSEPH HEALTH-SONOMA COUNTY (SRMH AND PVH), SUTTER MEDICAL CENTER OF SANTA ROSA, KAISER PERMANENTE MEDICAL CENTER SANTA ROSA AND THE SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES TO ASSESS THE HEALTH STATUS OF SONOMA COUNTY RESIDENTS AND TO IDENTIFY CRITICAL AREAS FOR HEALTH IMPROVEMENT IN SONOMA COUNTY. THE 2013 CHNA CONTINUES A SUCCESSFUL COLLABORATION BETWEEEN THE HOSPITAL PARTNERS AND LOCAL HEALTH DEPARTMENT, BEGUN IN 2000, TO IDENTIFY AND JOINTLY ADDRESS SIGNIFICANT COMMUNITY HEALTH ISSUES.
SCHEDULE H, PART V, SECTION B, LINE 6B	THE SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES.
SCHEDULE H, PART V, SECTION B, LINE 7A	HTTP://WWW.STJOESONOMA.ORG/DOCUMENTS/COMMUNITY-BENEFIT/2014-SRMH-COMMUNITY -HEALTH-NEEDS-ASSESSMENT-REPORT.PDF
SCHEDULE H, PART V, SECTION B, LINE 10A	HTTP://WWW.STJOESONOMA.ORG/DOCUMENTS/COMMUNITY-BENEFIT/FY15-FY17-SRMH-CB-A ND-IS-REPORT.PDF
SCHEDULE H, PART V, SECTION B, LINE 11	THE FOLLOWING HEALTH PROMOTION ACTIVITIES WERE PERFORMED IN FY16 IN RESPONSE TO NEEDS IDENTIFIED IN THE CHNA. ACCESS TO HEALTH CARE SERVICES: SRMH AND PVH'S MOBILE MEDICAL CLINIC SERVES SECTION PATIENTS IN THEIR COMMUNITIES AT NO COST. THE PROGRAM SEEKS TO PROVIDE CARE TO THOSE WHO FALL THROUGH THE TRADITIONAL PRIMARY CARE SAFETY NET, AND FOR REASONS RELATED TO TRANSPORTATION, POVERTY, OR OTHER FACTORS, FACE INSURMOUNTABLE BARRIERS TO ACCESSING CARE AT COMMUNITY HEALTH CENTERS OR OTHER MEDICAL HOMES. THE CLINIC OFFERS HEALTH SCREENINGS, TREATMENT OF MINOR MEDICAL PROBLEMS, HEALTH AND NUTRITIONAL EDUCATION, AND INFORMATION AND REFERRALS. IN FY16, THE CLINIC SAW 838 PATIENTS OVER 2,372 ENCOUNTERS AT SEVERAL LOCATIONS COUNTYWIDE, INCLUDING THE CITIES OF SONOMA/BOYES HOT SPRINGS, SANTA ROSA, AND WINDSOR. HEALTHY EATING AND PHYSICAL FITNESS: THE PROMOTORES DE SALUD (HEALTH PROMOTERS) BRIDGE LANGUAGE AND CULTURE, PROVIDING HEALTH INFORMATION AND REFERRALS, CONDUCTING COOKING AND NUTRITION CLASSES, AND TRAINING COMMUNITY VOLUNTEER HEALTH PROMOTERS IN HEART HEALTH. IN FY16, THE PROMOTORES DE SALUD SERVED 580 LOW-INCOME INDIVIDUALS THROUGH 2,090 SERVICE ENCOUNTERS ACROSS SONOMA COUNTY. THE PROGRAM ENCOURAGED PARTICIPANTS TO BE MORE PHYSICALLY ACTIVE, PARTICIPATED IN HEALTH FAIRS, AND TAUGHT HEALTH EDUCATION AND HEALTHY COOKING CLASSES. HEALTHY FOR LIFE IS A SCHOOL-BASED PHYSICAL ACTIVITY AND NUTRITION PROGRAM THAT WORKS TO TEACH HEALTHY BEHAVIORS AT AN EARLY AGE AND ENSURE GOOD HEALTH FOR YEARS TO COME. THIS YEAR, 16 PARTNER SCHOOLS, 24 CHAMPION TEACHERS AND OVER 2,178 STUDENTS AND PARENTS PARTICIPATED IN FITNESS AND NUTRITION COURSES ACROSS 19,540 ENCOUNTERS. GAPS IN ACCESS TO PRIMARY CARE: STRONG PRIMARY CARE SYSTEMS ARE ASSOCIATED WITH IMPROVED HEALTH OUTCOMES AND REDUCED HEALTH CARE COSTS. WHILE MOST SONOMA COUNTY RESIDENTS HAVE A REGULAR SOURCE OF CARE AND CAN ACCESS HEALTH CARE WHEN THEY NEED IT, TOO MANY DO NOT. THOSE WHO ARE UNINSURED, LOW-INCOME, OR ARE MEMBERS OF RACIAL AND ETHNIC MINORITIES ARE LESS LIKELY TO HAVE AN ONGOING SOURCE OF CARE AND MORE LIKELY TO DEFER NEEDED CARE, MEDICINES AND DIAGNOSTICS, OFTEN AT THE COST OF UNNECESSARY SUFFERING AND POOR HEALTH OUTCOMES. INCREASING ACCESS TO AFFORDABLE, PREVENTION-FOCUSED PRIMARY CARE CAN HELP TO ELIMINATE HEALTH DISPARITIES AND PROMOTE HEALTH AND WELLBEING. ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES: CIRCLE OF SISTERS (COS) IS A POSITIVE YOUTH DEVELOPMENT AFTER-SCHOOL PROGRAM FOR GIRLS AGES 9 TO 14 OFFERED AT NO COST. PROGRAM PARTICIPANTS ATTEND SCHOOLS WITH HIGH RATES OF ELIGIBILITY FOR THE FREE AND REDUCED LUNCH PROGRAM. IN FY16, COS SERVED 213 YOUNG WOMEN IN 6,123 ENCOUNTERS COUNTYWIDE. THE PROGRAM HELPS WITH SELF-ESTEEM AND MAKING GOOD CHOICES ABOUT THE FUTURE, AND ADDRESSES MENTAL HEALTH ISSUES SUCH AS SELF-HARM, THE RISKS OF SUBSTANCE USE, AND THE VALUE OF BUILDING STRONG AND RESILIENT RELATIONSHIPS. BARRIERS TO HEALTHY AGING: SRMH AND PVH'S HOUSE CALLS PROGRAM TENDS TO THE PHYSICAL, SPIRITUAL AND EMOTIONAL NEEDS OF FRAIL ELDERLY SENIORS AND ADULTS WITH CHRONIC DISEASES BY PROVIDING PRIMARY MEDICAL CARE AT HOME. ELIGIBLE SENIORS HAVE LIMITED ACCESS TO CARE DUE TO IMPAIRED MOBILITY, UNDER-INSURANCE, AND LACK OF FUNDS. THE HOUSE CALLS TEAM, WHICH INCLUDES NURSE PRACTITIONERS, NURSES, CASE MANAGEMENT, AND HOME HEALTH ASSISTANCE, PROVIDED 6,674 PATIENT ENCOUNTERS DURING FY16, WHICH HELP PREVENT UNNECESSARY EMERGENCY DEPARTMENT VISITS AND TO MORE EFFECTIVELY MANAGE CHRONIC DISEASE FOR 142 INDIVIDUALS. DISPARITIES IN ORAL HEALTH: SRMH AND PVH'S CONTINUUM OF ORAL HEALTH SERVICES INCLUDE A FIXED SITE DENTAL CLINIC LOCATED IN SANTA ROSA THAT SERVES CHILDREN FROM ALL OVER THE COUNTY, THE MOBILE DENTAL CLINIC, THE MIGHTY MOUTH SCHOOL-BASED DENTAL DISEASE PREVENTION PROGRAM, AND MOMMY AND ME, WHICH TEACHES GOOD DENTAL HEALTH PRACTICES TO CHILDREN ZERO TO FIVE YEARS OLD AND THEIR MOTHERS. THE CLINICS PRIORITIZE SERVICE TO CHILDREN AGES 0-16 YEARS, BUT ALSO SERVE ADULTS WITH URGENT NEEDS. THEY PROVIDE BASIC, PREVENTIVE, EMERGENCY AND COMPREHENSIVE DENTAL CARE WITH A STRONG FOCUS ON PREVENTION AND EDUCATION. DURING FY16 5,434 INDIVIDUALS RECEIVED 8,535 SERVICE ENCOUNTERS AT THE SJH DENTAL CLINIC. SRMH AND PVH'S MOBILE DENTAL CLINIC AND MIGHTY MOUTH SCHOOL-BASED PROGRAM SAW 11,702 MOSTLY EDUCATION AND PREVENTION VISITS WITH A TOTAL OF 5,729 PATIENTS. NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUE SRMH AND PVH'S MISSION THROUGH COMMUNITY BENEFIT PROGRAMS AND BY FUNDING OTHER NON-PROFITS THROUGH SRMH AND PVH'S CARE FOR THE PROGRAM MANAGED BY SRMH AND PVH. FURTHERMORE, SRMH AND PVH ENDORSE LOCAL NON-PROFIT ORGANIZATION PARTNERS TO APPLY FOR FUNDING THROUGH THE SJH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES OR RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGH SJH COMMUNITIES. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE DIRECTLY ADDRESSED BY SRMH'S COMMUNITY BENEFIT STRATEGIC PRIORITIES, THOUGH WE ARE PERFORMING THE FOLLOWING RELATED ACTIVITIES. 1. DISPARITIES IN EDUCATIONAL ATTAINMENT: SRMH AND PVH PARTICIPATE IN A NUMBER OF COUNTYWIDE EFFORTS THAT ARE WORKING TO ADDRESS THIS IMPORTANT NEED, INCLUDING SONOMA HEALTH ACTION, WHICH IS A COLLECTIVE ACTION INITIATIVE IN THE COUNTY. TODD SALNAS, PRESIDENT OF SANTA ROSA MEMORIAL HOSPITAL AND PETALUMA VALLEY HOSPITAL, SITS ON THE HEALTH ACTION COUNCIL, AND CRADLE TO CAREER IS ONE KEY INITIATIVE OF HEALTH ACTION AND IS FOCUSED ON EDUCATIONAL ATTAINMENT AND WORKFORCE DEVELOPMENT. 2. CARDIOVASCULAR DISEASE: SRMH AND PVH'S PROMOTORES DE SALUD PROGRAM FOLLOWS A PROVEN MODEL OF PEER EDUCATION, CONNECTING WITH UNDERSERVED COMMUNITIES IN A CULTURALLY APPROPRIATE MANNER. THE YOUR HEART, YOUR LIFE COURSE WE TEACH AT NO COST TO ANYONE WHO CHOOSES TO ENROLL TAKES PLACE OVER 10 WEEKS AND ALLOWS STAFF TO BUILD RELATIONSHIPS WITH PARTICIPANTS, AND LEVERAGE THOSE RELATIONSHIPS TO DRIVE REAL AND SUSTAINED BEHAVIORAL CHANGES. SRMH AND PVH'S PROGRAM IS SUPPORTED BY VOLUNTEERS, MANY OF WHOM ARE COURSE GRADUATES THEMSELVES AND WHOSE LIVES HAVE BEEN DEEPLY AFFECTED BY THE PROGRAM. THEY ARE INSPIRED TO SHARE THAT EXPERIENCE WITH OTHERS AND SHARE THE BENEFITS OF HEALTHY LIVING. 3. ADVERSE CHILDHOOD EXPERIENCES OR EXPOSURE TO STRESS (ACES) IS A POSITIVE PARENTING PROGRAM AND AN INTERNATIONAL EVIDENCE-BASED MODEL THAT IS WIDELY UNDERSTOOD AS AN EFFECTIVE PROGRAM TO HELP PREVENT THE OCCURRENCES OF ACES AND SPREAD POSITIVE AND SUPPORTIVE PARENTING PRACTICES. BY BECOMING CERTIFIED, SRMH'S STAFF MEMBERS WHO WORK DIRECTLY WITH PARENTS CAN OFFER INFORMATION AND BRIEF INTERVENTIONS, EDUCATING ABOUT AND SUPPORTING PARENTS IN MAKING GOOD DECISIONS. 4. TOBACCO USE: WE COLLABORATE WITH AND SUPPORT THROUGH SPONSORSHIPS SEVERAL ORGANIZATIONS THAT PERFORM SCREENING FOR TOBACCO USE AND SMOKING CESSATION, INCLUDING THE PETALUMA HEALTH CENTER, WEST COUNTY HEALTH CENTERS, AND SANTA ROSA COMMUNITY HEALTH CENTERS. SRMH AND PVH ALSO HAS A CB STAFF LIAISON ON THE BOARD, AND PROVIDES CORE FUNDING TO THE HEALTHY COMMUNITIES CONSORTIUM, WHICH IS ACTIVE IN VARIOUS TOBACCO CONTROL INITIATIVES. 5. COORDINATION AND INTEGRATION OF LOCAL HEALTH CARE SYSTEM: SRMH AND PVH PARTICIPATES IN THE HEALTH SYSTEM IMPROVEMENT INITIATIVE OF SONOMA HEALTH ACTION, AND HAVE BEEN ACTIVE IN BOTH THE MY CARE, MY PLAN SPEAK UP SONOMA COUNTY INITIATIVE AS WELL AS THE HEARTS OF SONOMA COUNTY INITIATIVE, BOTH OF WHICH SEEK TO LEVERAGE INTEGRATION AND COORDINATION OF EFFORT. THE FORMER INITIATIVE IS FOCUSED ON ADVANCE CARE PLANNING AND THE LATTER ON CARDIOVASCULAR HEALTH. SRMH AND PVH ALSO SUPPORTED THE SANTA ROSA COMMUNITY HEALTH CENTERS WITH AN $80,600 GRANT TO SUPPORT THE COORDINATION OF CARE FOR UNDERSERVED PATIENTS, CO-LOCATING A STAFF MEMBER OF THEIRS WITHIN SRMH'S FACILITY TO ASSIST WITH TRANSITIONS AND DISCHARGE PLANNING. 6. LUNG, BREAST, AND COLORECTAL CANCER: WE OFFER CHARITY CARE SUPPORT FOR MOBILE MEDICAL PATIENTS WHO REQUIRE CANCER DIAGNOSTICS AND MAKE SIGNIFICANT EFFORTS TO CONNECT PATIENTS TO SPECIALTY CANCER CARE, COORDINATING CARE AND REFERRALS WHEN APPROPRIATE.
SCHEDULE H, PART V, SECTION B, LINE 13H	THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT.
SCHEDULE H, PART V, SECTION B, LINE 16A	HTTP://WWW.STJOESONOMA.ORG/DOCUMENTS/FINANCIAL-ASSISTANCE-POLICY.PDF
SCHEDULE H, PART V, SECTION B, LINE 16B	HTTP://WWW.STJOESONOMA.ORG/DOCUMENTS/SONOMA-FAA-ENGLISH.PDF
SCHEDULE H, PART V, SECTION B, LINE 16C	HTTP://WWW.STJOESONOMA.ORG/PATIENTS-VISITORS/FOR-PATIENTS/BILLING-AND-PAYM ENTS.ASPX
SCHEDULE H, PART V, SECTION B, LINE 16I	THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA.
SCHEDULE H, PART V, SECTION B, LINE 22	FOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USED MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE HOSPITAL FACILITY USED THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
REDWOOD REGIONAL MEDICAL GROUP INC
3555 ROUND BARN CIRCLE	SANTA ROSA	CA	95403	ONCOLOGY SERVICES
SANTA ROSA AMBULATORY SURGERY CENTER
525 DOYLE PARK DRIVE	SANTA ROSA	CA	95401	AMBULATORY SURGERY CENTER
SANTA ROSA MEMORIAL OUTPATIENT LAB
500 DOYLE PARK DRIVE	SANTA ROSA	CA	95405	LABORATORY SERVICES
BEHAVIORAL HEALTH
405 W COLLEGE AVENUE SUITE F	SANTA ROSA	CA	95405	BEHAVIORAL HEALTH SERVICES
OUTPATIENT PHYSICAL THERAPY
1170 MONTGOMERY DRIVE	SANTA ROSA	CA	95405	PHYSICAL THERAPY SERVICES
OUTPATIENT IMAGING CENTER
121 SOTOYOME STREET	SANTA ROSA	CA	95405	IMAGING SERVICES
URGENT CARE - SANTA ROSA
925 CORPORATE CENTER PARKWAY DR ST	SANTA ROSA	CA	95409	URGENT CARE
URGENT CARE CENTER - ROHNERT PARK
1450 MEDICAL CENTER DRIVE	ROHNERT PARK	CA	94928	URGENT CARE
WOULD CARE CLINIC
500 DOYLE DRIVE	SANTA ROSA	CA	95405	WOUND CARE
URGENT CARE - WINDSOR
6580 HEMBREE LANE SUITE 270	WINDSOR	CA	95492	URGENT CARE
NORTH BAY ENDOSCOPY CENTER LLC
1383 NORTH MCDOWELL BOULEVARD	PETALUMA	CA	94954	ENDOSCOPY SERVICES
ST JOSEPH DENTAL CLINICMOBILE VAN
1450 MEDICAL CENTER DRIVE	ROHNERT PARK	CA	94928	DENTAL SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
SCHEDULE H, PART I, LINE 6A	SANTA ROSA MEMORIAL HOSPITAL PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT WWW.STJOESONOMA.ORG.
SCHEDULE H, PART I, LINES 7A 7I	COST-TO-CHARGE RATIO USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES WAS USED TO DETERMINE AMOUNTS ON LINE 7. SCHEDULE H, PART I, LINE 7, COLUMN (F) THE PROPORTIONATE SHARE OF THE ORGANIZATION'S JOINT VENTURE EXPENSES HAVE BEEN INCLUDED IN THE CALCULATION OF THE COMMUNITY BENEFIT EXPENSE PERCENTAGES. SCHEDULE H, PART I, LINE 7G NO COSTS ATTRIBUTED TO PHYSICIAN CLINICS WERE INCLUDED IN SUBSIDIZED HEALTH SERVICES.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES SRMH AND PVH'S COMMUNITY BENEFIT DEPARTMENT INTEGRATES ACTIONS THAT ADDRESS THE POLITICAL, SOCIAL, BEHAVIORAL AND PHYSIOLOGICAL DETERMINANTS OF HEALTH. THE PRIMARY STRATEGIES EMPLOYED TO ADDRESS COMMUNITY NEEDS ARE COMMUNITY CAPACITY BUILDING AND IMPROVING HEALTH OUTCOMES FOR VULNERABLE POPULATIONS. SRMH'S PROGRAMS FOCUS ON BUILDING COMMUNITY CAPACITY AND EMPOWERMENT TO ADDRESS QUALITY OF LIFE CONCERNS IN ADDITION TO COUNTYWIDE COLLABORATION AND PARTNERSHIP DEVELOPMENT. TO SUPPORT THESE ACTIONS, THE NEIGHBORHOOD CARE STAFF (NCS) PROGRAM IS ESPECIALLY FOCUSED ON COMMUNITY BUILDING. THIS PROGRAM IS AN INTEGRAL PART OF THE HOSPITAL'S INITIATIVE TO IMPROVE COMMUNITY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. NCS MENTOR GRASSROOTS RESIDENTS TO ADDRESS LOCAL COMMUNITY HEALTH AND QUALITY OF LIFE ISSUES. NCS MODELS AND MENTORS COMMUNITY REPRESENTATIVES IN THESE KEY FUNCTIONS: THE IDENTIFICATION OF LOCAL ASSETS, PROVIDING FORUMS FOR DIALOGUE, SURFACING AND SUPPORTING LOCAL LEADERS, FACILITATING THE DEVELOPMENT OF SELF-SUSTAINING COMMUNITY GROUPS, FACILITATING COMMUNITY-BASED STRATEGIC PLANNING, HELPING TO BUILD LINKAGES TO AND BETWEEN COMMUNITY RESOURCES, AND ADVOCATING FOR COMMUNITY PARTICIPATION IN THE ISSUES THAT MOST AFFECT IT. IN FY16, NCS WORKED WITH 401 RESIDENTS COUNTYWIDE FROM LOW-INCOME NEIGHBORHOODS WITH DISPROPORTIONATE UNMET HEALTH NEEDS AND ENGAGED IN 7,201 SERVICE ENCOUNTERS WITH THESE INDIVIDUALS. ADDITIONALLY, SRMH AND PVH COLLABORATED WITH OR SUPPORTED THE FOLLOWING COMMUNITY BUILDING INITIATIVES: - A PORTRAIT OF SONOMA COUNTY IS AN IN-DEPTH LOOK AT HOW RESIDENTS OF SONOMA COUNTY ARE FARING IN THREE FUNDAMENTAL AREAS OF LIFE HEALTH, ACCESS TO KNOWLEDGE, AND LIVING STANDARDS. ST. JOSEPH HEALTH STAFF SERVED ON THE PORTRAIT LEADERSHIP TEAM, INTEGRATED THE REPORT INTO THE NEW EMPLOYEE ORIENTATION FOR ALL ST. JOSEPH HEALTH INCOMING EMPLOYEES, FAMILIARIZING STAFF WITH ISSUES RELATED TO DISPARITIES, SOCIAL DETERMINANTS OF HEALTH, AND PLACE-BASED INTERVENTIONS TO IMPROVE OUTCOMES. - SONOMA HEALTH ACTION IS THE FRAMEWORK FOR A COMMUNITY ENGAGEMENT EFFORT TO GET PEOPLE INVOLVED IN CREATING A HEALTHIER SONOMA COUNTY. IT STARTS AT HOME WITH A PERSONAL COMMITMENT. IT CONTINUES AT WORK AND SCHOOL WITH WELLNESS-FOCUS POLICIES AND OPPORTUNITIES THAT ENCOURAGE HEALTHY LIVING. IT CULMINATES IN THE COMMUNITY WITH A SHARED VISION FOR OVERALL GOOD HEALTH. SRMH AND PVH'S PRESIDENT SERVED ON THE HEALTH ACTION COUNCIL, COMMUNITY BENEFIT STAFF PARTICIPATED IN THE ECONOMIC WELLNESS INITIATIVE AND THE HEARTS OF SONOMA COUNTY. CARDIOVASCULAR DISEASE RISK REDUCTION INITIATIVE SUPPORTED COLLECTIVE ACTION PRINCIPLES AND PROVIDED INPUT AND LEADERSHIP IN A VARIETY OF OTHER AREAS. - THE SONOMA COUNTY FUNDERS' CIRCLE HELPS CREATE HEALTHY COMMUNITIES WITH WIDESPREAD EQUITY THROUGH COLLECTIVE INVESTING. ALL MEMBERS ARE COMMITTED TO SOCIAL INVESTMENT FOR SYSTEMIC CHANGE THAT INCLUDES LEADERSHIP IN ADVOCACY, RESEARCH, COLLABORATIVE LEARNING, CAPACITY BUILDING, AND APPLIED PRACTICE. COMMUNITY BENEFIT STAFF CHAIRED THE GOVERNANCE COMMITTEE, PARTICIPATED IN THE FORMULATION OF GOVERNANCE GUIDELINES AND HELPED TO BUILD THE CAPACITY OF THIS COLLABORATIVE WORKGROUP. - THE COMMUNITY ACTIVITY AND NUTRITION COALITION (CAN-C) OF SONOMA COUNTY IS A GROUP OF INDIVIDUALS, PROFESSIONALS AND COMMUNITY BASED ORGANIZATIONS CONCERNED ABOUT THE NUTRITIONAL HEALTH, ACTIVITY LEVEL AND WELL-BEING OF THE RESIDENTS OF SRMH AND PVH'S COMMUNITY. COMMUNITY BENEFIT STAFF SERVED ON THE STEERING COMMITTEE, MADE SEVERAL PRESENTATIONS ON RELATED PROGRAMS AND UPDATES TO CAN-C MEMBERSHIP, ATTENDED REGULAR MEETINGS AND SUBCOMMITTEE MEETINGS FOR HEALTHY STUDENTS INITIATIVE, PHYSICAL ACTIVITY SUBCOMMITTEES. - LOS CIEN LATINO LEADERS DEDICATED TO BUILDING A BETTER FUTURE FOR SONOMA COUNTY. COMMUNITY BENEFIT STAFF PARTICIPATED IN REGULAR MONTHLY MEETINGS OF LOS CIEN AND COMMITTED ONE STAFF MEMBER AS A FORMAL LIAISON TO LOS CIEN, PROVIDING SUPPORT AND ASSISTANCE TO THE GROUP.
SCHEDULE H, PART III, SECTION A, LINE 2	COSTING METHODOLOGY THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
SCHEDULE H, PART III, SECTION A, LINE 3	THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, SECTION A, LINE 4	FOOTNOTE FROM FINANCIAL STATEMENTS THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT CREDIT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED PAYORS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION REGULARLY ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, SECTION B, LINE 8	COMMUNITY BENEFITS THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING CMS STANDARD COSTING METHODS. THIS INCLUDES STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION ACTIVITY PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
SCHEDULE H, PART VI, LINE 2	NEED ASSESSMENT IN ADDITION TO CONDUCTING A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT, ST. JOSEPH HEALTH STAFF SERVED ON THE DEVELOPMENT OF THE PORTRAIT OF SONOMA COUNTY LEADERSHIP TEAM. A PORTRAIT OF SONOMA COUNTY IS AN IN-DEPTH LOOK AT HOW RESIDENTS OF SONOMA COUNTY ARE FARING IN THREE FUNDAMENTAL AREAS OF LIFE: HEALTH, ACCESS TO KNOWLEDGE, AND LIVING STANDARDS. ST. JOSEPH HEALTH STAFF INTEGRATED THE PORTRAIT OF SONOMA COUNTY REPORT INTO SRMH AND PVHS NEW EMPLOYEE ORIENTATION FOR ALL INCOMING EMPLOYEES, FAMILIARIZING STAFF WITH ISSUES RELATED TO DISPARITIES, SOCIAL DETERMINANTS OF HEALTH, AND PLACE-BASED INTERVENTIONS TO IMPROVE OUTCOMES.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION THE COLLABORATIVE CHNA PROCESS AND DATA GATHERING ADDRESSES SONOMA COUNTY. SONOMA COUNTY IS A LARGE, URBAN-RURAL COUNTY ENCOMPASSING 1,575 SQUARE MILES. THE COUNTY'S TOTAL POPULATION IS CURRENTLY ESTIMATED AT 487,011 ACCORDING TO PROJECTIONS FROM THE CALIFORNIA DEPARTMENT OF FINANCE. COUNTY POPULATION IS PROJECTED TO GROW BY 8.3% TO 546,204 IN 2020. THIS RATE OF GROWTH IS LESS THAN THAT PROJECTED FOR CALIFORNIA AS A WHOLE (10.1%). SONOMA COUNTY RESIDENTS INHABIT NINE CITIES AND A LARGE UNINCORPORATED AREA, INCLUDING MANY GEOGRAPHICALLY ISOLATED COMMUNITIES. THE MAJORITY OF THE COUNTY'S POPULATION RESIDES WITHIN ITS CITIES, THE LARGEST OF WHICH ARE CLUSTERED ALONG THE HIGHWAY 101 CORRIDOR. SANTA ROSA IS THE LARGEST CITY WITH A POPULATION OF 168,841 AND IS THE SERVICE HUB FOR THE ENTIRE COUNTY AND THE LOCATION OF THE COUNTY'S THREE MAJOR HOSPITALS. SINCE 2006, THE COUNTY POPULATION HAS GROWN AT AN OVERALL RATE OF 1.8% WITH THE CITIES OF SONOMA, SANTA ROSA AND WINDSOR EXPERIENCING THE FASTEST GROWTH RATES. SONOMA COUNTY'S UNINCORPORATED AREAS ARE HOME TO 146,739 RESIDENTS, 30.1% OF THE TOTAL POPULATION. A SIGNIFICANT NUMBER OF THESE INDIVIDUALS LIVE IN LOCATIONS THAT ARE VERY RURAL AND GEOGRAPHICALLY REMOTE. RESIDENTS OF THESE AREAS MAY EXPERIENCE SOCIAL ISOLATION AND SIGNIFICANT BARRIERS IN ACCESSING BASIC SERVICES AND SUPPORT SUCH AS TRANSPORTATION, HEALTH CARE, NUTRITIOUS FOOD AND OPPORTUNITIES TO SOCIALIZE. LOW-INCOME AND SENIOR POPULATIONS LIVING IN REMOTE AREAS MAY FACE SPECIAL CHALLENGES IN MAINTAINING HEALTH AND QUALITY OF LIFE. OF THE COUNTY'S TOTAL SENIOR POPULATION, AGE 60 AND OLDER, 12,144 (12%) ARE CONSIDERED "GEOGRAPHICALLY ISOLATED" AS DEFINED BY THE OLDER AMERICANS ACT (SOURCE: CALIFORNIA DEPT. OF AGING, CALIFORNIA AGING POPULATION DEMOGRAPHIC PROJECTIONS FOR INTRASTATE FUNDING FORMULA (2011)). RACE AND ETHNICITY: WHITE, NON-HISPANICS CURRENTLY REPRESENT 64.2% OF THE COUNTY'S POPULATION WHILE HISPANICS ACCOUNT FOR 25.6%. OTHER ETHNIC GROUPS INCLUDE ASIAN/PACIFIC ISLANDER (5.2%), AFRICAN AMERICANS (1.7%), AMERICAN INDIANS (1.0%), AND PERSONS REPORTING TWO OR MORE RACES (2.3%). WHILE THE COUNTY'S POPULATION IS LESS DIVERSE THAN THAT OF CALIFORNIA AS A WHOLE, THIS IS CHANGING BY 2020. SONOMA'S HISPANIC POPULATION, CURRENTLY ESTIMATED AT 129,057, IS EXPECTED TO GROW TO 168,290 AND ACCOUNT FOR 31% OF THE TOTAL POPULATION. OTHER ETHNIC GROUPS ARE PROJECTED TO EXPERIENCE LESS DRAMATIC GROWTH (SOURCE: CALIFORNIA DEPT. OF FINANCE, E-5 POPULATION AND HOUSING ESTIMATES FOR CITIES, COUNTIES, AND THE STATE (2011-2012)). WHILE THE MAJORITY OF THE COUNTY'S ETHNIC POPULATIONS ARE ENGLISH-PROFICIENT, THE 2010 CENSUS ESTIMATES THAT 50,236 RESIDENTS, AGE 5 AND OLDER, OR 11.26% OF TOTAL POPULATION, ARE "LINGUISTICALLY ISOLATED" IE: SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAKING ENGLISH LESS THAN "VERY WELL." AGE AND GENDER: SONOMA COUNTY IS SLIGHTLY OLDER THAN CALIFORNIA AS A WHOLE, WITH A MEDIAN AGE OF 39.5 YEARS, AS COMPARED WITH 34.9 YEARS. SONOMA COUNTY SENIORS, AGE 60 AND OVER, REPRESENT 20.4% OF THE TOTAL POPULATION AS COMPARED WITH A STATEWIDE FIGURE OF 16.9%. OF NOTE IS THE DISPARITY IN AGE BETWEEN THE COUNTY'S OLDER WHITE POPULATION AND ITS MORE YOUTHFUL HISPANIC POPULATION. OVER 30% OF SONOMA COUNTY HISPANICS ARE AGE 12 AND UNDER, AS COMPARED TO 12% FOR WHITES. AT THE OTHER END OF THE SPECTRUM, 26.6% OF WHITES ARE SENIORS (AGE 60 AND ABOVE) AS COMPARED WITH 7.1% OF HISPANICS. SENIORS ARE THE COUNTY'S FASTEST GROWING POPULATION AGE GROUP. THIS POPULATION IS PROJECTED TO GROW FROM 102,639 IN 2012 TO 128,589 IN 2020, WITH THE GREATEST GROWTH IN THE 70-74 AGE GROUP THE BABY BOOM "AGE WAVE". THIS AGE WAVE, COMBINED WITH INCREASED LONGEVITY, WILL CONTINUE TO DRIVE GROWTH IN SENIOR POPULATIONS, ESPECIALLY IN THE 75 AND OVER AGE GROUP. SENIORS AGE 75 OVER CURRENTLY REPRESENT ABOUT 9% OF THE TOTAL POPULATION AT 44,813. FEMALES SIGNIFICANTLY OUTNUMBER MALES IN THIS AGE GROUP (62%/38%). INCOME AND WEALTH FROM 2006-2010: THE MEDIAN INCOME OF SONOMA COUNTY'S 184,000 HOUSEHOLDS WAS $63,274, SLIGHTLY HIGHER THAN THE CALIFORNIA AVERAGE. DURING THIS PERIOD, 17.7% OF SONOMA COUNTY HOUSEHOLDS HAD INCOMES OF LESS THAN $25,000. AT THE UPPER END OF THE SCALE, 28% OF HOUSEHOLDS EARNED OVER $100,000 ANNUALLY. THE IMPACT OF THE RECESSION ON INCOME AND WEALTH HAS BEEN SIGNIFICANT. WHILE LOCAL DATA ARE NOT AVAILABLE, A NATIONAL SURVEY OF CONSUMER FINANCE SHOWED THAT, BETWEEN 2007 AND 2010, THE MEDIAN NET WORTH OF AMERICAN FAMILIES PLUNGED MORE THAN 38% (SOURCE: BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM, SURVEY OF CONSUMER FINANCES 2010). INCOME STATUS VARIES SIGNIFICANTLY BY GENDER. DURING 2006-2010, MEDIAN INCOME FOR SONOMA COUNTY MALES WAS $ 44,973 AS COMPARED WITH $31,960 FOR FEMALES. THIS DIFFERENTIAL EXPANDS WITH EDUCATIONAL ATTAINMENT, MEDIAN INCOME FOR MALES WITH GRADUATE DEGREES ($85,470) WAS SIGNIFICANTLY HIGHER THAN FOR FEMALES AT THE SAME EDUCATIONAL LEVEL ($55,272) (SOURCE: US CENSUS BUREAU, 2006-2010 ACS (REPORTED IN 2010 INFLATION ADJUSTED DOLLARS)). SONOMA COUNTY HOUSEHOLD INCOMES ALSO VARY SIGNIFICANTLY BY BOTH EDUCATIONAL ATTAINMENT AND ETHNICITY. 80% OF SONOMA COUNTY HOUSEHOLDS WITH GRADUATE EDUCATION EARNED ABOVE $66,150 ANNUALLY AS COMPARED WITH ONLY 42.9% OF HOUSEHOLDS WITH HIGH SCHOOL OR LESS EDUCATION AND, WHILE 68.6% OF WHITE, NON-HISPANICS HAD ANNUAL HOUSEHOLD INCOME IN EXCESS OF $66,150 ONLY 34.5% OF HISPANICS DID (SOURCE US CENSUS BUREAU, 2010 ACS 1-YEAR ESTIMATE). WHILE MANY SONOMA COUNTY RESIDENTS ENJOY FINANCIAL SECURITY, 10.27% OF COUNTY RESIDENTS REPORTED ANNUAL INCOMES BELOW FEDERAL POVERTY LEVEL. IN 2010 THE 2010 FEDERAL POVERTY LEVEL (FPL) WAS $10,830 IN ANNUAL INCOME FOR AN INDIVIDUAL OR $22,050 FOR A FAMILY OF FOUR. THE FEDERAL POVERTY GUIDELINES ARE NOT SCALED TO REFLECT SIGNIFICANT REGIONAL VARIATIONS IN THE COST OF LIVING. GIVEN THE HIGH COST OF LIVING IN SONOMA COUNTY, IT IS GENERALLY ACCEPTED THAT AN ANNUAL INCOME UNDER 200% OF FPL ($21,660 FOR AN INDIVIDUAL) IS INADEQUATE TO MEET BASIC NEEDS FOR FOOD, CLOTHING, SHELTER, TRANSPORTATION, HEALTH CARE AND OTHER NECESSITIES. POVERTY RATES VARY SIGNIFICANTLY BY ETHNICITY. SIGNIFICANT DISPARITIES EXIST, ESPECIALLY FOR SONOMA COUNTY HISPANICS, WHO EXPERIENCE A MUCH HIGHER RATE OF POVERTY (21.8%) THAN WHITES OR ASIANS. THE COUNTY'S YOUNGEST RESIDENTS ARE MOST SIGNIFICANTLY IMPACTED BY POVERTY, WITH NEARLY 17% OF CHILDREN UNDER AGE 6 LIVING BELOW 100% FEDERAL POVERTY LEVEL. AMONG SONOMA COUNTY SENIORS AGE 75 AND OVER, OVER 2,000 LIVE IN HOUSEHOLDS WITH HOUSEHOLD INCOME BELOW 100% FPL AND AN ADDITIONAL 6,000 HAVE INCOME UNDER 200% OF FPL. POVERTY STATUS IS ALSO LINKED TO FAMILY CONFIGURATION. AMONG AN ESTIMATED 116,699 SONOMA COUNTY FAMILIES, THOSE OF MARRIED COUPLES EXPERIENCE THE LOWEST POVERTY RATES (3.8%) THE FAMILIES OF SINGLE, FEMALE HOUSEHOLDERS EXPERIENCE THE HIGHEST RATES, WITH SIGNIFICANT DISPARITY BY ETHNICITY. AMONG HISPANIC FAMILIES WITH A FEMALE SINGLE HEAD-OF-HOUSEHOLD, 29.2% ARE LIVING BELOW FPL AS COMPARED WITH 12.5% FOR WHITES IN THIS CATEGORY. AMONG SENIORS, THOSE WHO ARE MARRIED HAVE A LOWER POVERTY RATE (1.9%) THAN DO FEMALE SENIORS LIVING AS SINGLE, HEADS-OF-HOUSEHOLD (2.4%). IN SOME PARTS OF SOUTHWEST SANTA ROSA, THE RUSSIAN RIVER CORRIDOR, SONOMA VALLEY AND UNINCORPORATED AREAS IN THE NORTHWEST AND NORTHEAST, POVERTY RATES FOR CHILDREN UNDER AGE 18 EXCEED 40%. BASED ON NEIGHBORHOOD CONDITIONS, RESIDENTS IN THESE COMMUNITIES MAY HAVE LIMITED ACCESS TO SAFE PLACES TO PLAY, SAFE ROUTES TO WALK AND BIKE TO SCHOOL, GROCERY STORES THAT OFFER AFFORDABLE, FRESH FRUITS AND VEGETABLES OR PREVENTION-FOCUSED HEALTH AND DENTAL SERVICES. THE COUNTY'S LOWEST INCOME SENIOR POPULATIONS ARE CLUSTERED AROUND SANTA ROSA, THE SONOMA VALLEY AND THE RUSSIAN RIVER. SIMILARLY, LOW-INCOME SENIORS MAY FACE BARRIERS IN ACCESSING AFFORDABLE TRANSPORTATION, NUTRITIOUS FOOD, SAFE PLACES TO EXERCISE AND OPPORTUNITIES TO SOCIALIZE WITH OTHERS.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH SANTA ROSA MEMORIAL HOSPITAL AND PETALUMA VALLEY HOSPITAL HAVE BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 60 YEARS. SERVING THE COMMUNITIES OF SONOMA COUNTY, THE MINISTRY'S CORE FACILITIES ARE PVH, AN 80-BED ACUTE CARE HOSPITAL, AND SRMH, A FULL-SERVICE 278-BED ACUTE CARE HOSPITAL THAT INCLUDES A LEVEL II TRAUMA CENTER FOR THE COASTAL REGION FROM SAN FRANCISCO TO THE OREGON BORDER. MAJOR PROGRAMS AND SERVICES INCLUDE CARDIAC CARE, CRITICAL CARE, DIAGNOSTIC IMAGING, AND A WIDE RANGE OF SPECIALTY SERVICES, EMERGENCY MEDICINE AND OBSTETRICS. SRMH AND PVH ARE COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE OF ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: THERE IS A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION, AN OPEN MEDICAL STAFF, AND THROUGH SRMH AND PVH'S COMMUNITY BENEFIT PROGRAMS WHICH ARE PARTLY FUNDED BY CARE FOR THE POOR DOLLARS. SRMH AND PVH ARE HEALING MINISTRIES OF ST. JOSEPH HEALTH SYSTEM. AN INTEGRATED HEALTHCARE DELIVERY SYSTEM, ST. JOSEPH HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPITAL CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE PEOPLE IN THE COMMUNITIES WE SERVE. LOCAL COMMUNITY BENEFIT COMMITTEE: THE ROLE OF THE SRMH AND PVH'S COMMUNITY BENEFIT COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMITTEE ACTS IN ACCORDANCE WITH A BOARD-APPROVED CHARTER. THE COMMUNITY BENEFIT COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS IDENTIFIED NEEDS IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS, AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY BENEFIT COMMITTEE HAS A MINIMUM OF EIGHT MEMBERS INCLUDING THREE MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES THREE MEMBERS OF THE BOARD OF TRUSTEES AND EIGHT COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE GENERALLY MEETS BI-MONTHLY. COMMUNITY BENEFIT INVESTMENT: THIS IS DEMONSTRATED THROUGH THE FOLLOWING KEY PROGRAMS: - SRMHS CONTINUUM OF ORAL HEALTH SERVICES INCLUDE A FIXED SITE DENTAL CLINIC LOCATED IN SANTA ROSA THAT SERVES CHILDREN FROM THROUGHOUT THE COUNTY, THE MOBILE DENTAL CLINIC, THE MIGHTY MOUTH SCHOOL-BASED DENTAL DISEASE PREVENTION PROGRAM, AND MOMMY AND ME, WHICH TEACHES GOOD DENTAL HEALTH PRACTICES TO VERY YOUNG CHILDREN ZERO TO FIVE YEARS OLD AND THEIR MOTHERS. THE CLINICS PRIORITIZE SERVICE TO CHILDREN AGES 0-16 YEARS, BUT ALSO SERVE ADULTS WITH URGENT NEEDS. THEY PROVIDE BASIC, PREVENTIVE, EMERGENCY AND COMPREHENSIVE DENTAL CARE WITH A STRONG FOCUS ON PREVENTION AND EDUCATION. DURING FY16, 5,202 PATIENTS WERE SERVED OVER 8,090 ENCOUNTERS AT THE SJH DENTAL CLINIC. OUR MOBILE DENTAL CLINIC AND MIGHTY MOUTH SCHOOL-BASED PREVENTION PROGRAM SERVED 5,546 PATIENTS AND COMPLETED 11,359 ENCOUNTERS COUNTYWIDE. OF THE MOMMY AND ME PARTICIPANTS THROUGHOUT THE COUNTY, THERE WAS A 1% DECAY RATE AMONG ONE-YEAR OLDS, COMPARED TO 5% DECAY RATE AMONG PATIENTS IN THE CLINIC WHO DID NOT PARTICIPATE IN THE PROGRAM. WE SAW A 13% DECAY RATE AMONG RETURNING 2-5 YEAR-OLDS IN MOMMY AND ME PROGRAM, COMPARED TO NON-PARTICIPATING CHILDREN IN THE SAME AGE GROUP WITH 22% DECAY RATE. - SRMHS MOBILE MEDICAL CLINIC SERVES PATIENTS IN THEIR COMMUNITIES AT NO COST. THE PROGRAM SEEKS TO PROVIDE CARE TO THOSE WHO FALL THROUGH THE TRADITIONAL PRIMARY CARE SAFETY NET, AND FOR REASONS RELATED TO TRANSPORTATION, POVERTY, OR OTHER FACTORS, FACE INSURMOUNTABLE BARRIERS TO ACCESSING CARE AT COMMUNITY HEALTH CENTERS OR OTHER MEDICAL HOMES. THE CLINIC OFFERS HEALTH SCREENINGS, TREATMENT OF MINOR MEDICAL PROBLEMS, HEALTH AND NUTRITIONAL EDUCATION, AND INFORMATION AND REFERRALS. IN FY 16, IN THE SRMH SERVICE AREA, THE CLINIC SERVED 834 PATIENTS OVER 2,367 ENCOUNTERS AT SEVERAL LOCATIONS, INCLUDING THE CITIES OF SONOMA/BOYES HOT SPRINGS, SANTA ROSA, AND WINDSOR. - SRMHS HOUSE CALLS PROGRAM TENDS TO THE PHYSICAL, SPIRITUAL AND EMOTIONAL NEEDS OF FRAIL ELDERLY SENIORS AND ADULTS WITH CHRONIC DISEASES BY PROVIDING PRIMARY MEDICAL CARE AT HOME. ELIGIBLE SENIORS HAVE LIMITED ACCESS TO CARE DUE TO IMPAIRED MOBILITY, UNDER-INSURANCE, AND LACK OF FUNDS. THE PROGRAM TEAM, WHICH INCLUDES NURSE PRACTITIONERS, NURSES, CASE MANAGEMENT, AND HOME HEALTH ASSISTANCE, PROVIDED SERVICE TO 135 PATIENTS AND COMPLETED OVER 6,340 ENCOUNTERS COUNTYWIDE, HELPING TO PREVENT UNNECESSARY EMERGENCY DEPARTMENT VISITS AND TO MORE EFFECTIVELY MANAGE CHRONIC DISEASE.
SCHEDULE H, PART VI, LINE 6	SANTA ROSA MEMORIAL HOSPITAL AND PETALUMA VALLEY HOSPITAL ARE HEALING MINISTRIES OF ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. ST. JOSEPH HEALTH IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPITAL CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE PEOPLE IN THE COMMUNITIES WE SERVE. SJH COMMUNITY PARTNERSHIP FUND (FORMERLY THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) IN 1986, ST. JOSEPH HEALTH (SJH) CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FREE CARE. FOR THOSE IN NEED OF ACUTE SERVICES, SJH CREATED THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND (FORMERLY THE ST. JOSEPH HEALTH FOUNDATION) TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. EVERY YEAR, EACH ST. JOSEPH HEALTH HOSPITAL MINISTRY CONTRIBUTES 10 PERCENT OF ITS NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. IN FY16, SANTA ROSA MEMORIAL CONTRIBUTED $6.6 MILLION TO THE SJH COMMUNITY PARTNERSHIP FUND (SJH CPF). 75% OF THE CONTRIBUTIONS ARE USED TO SUPPORT CARE FOR THE POOR PROGRAMS THAT ARE SELECTED LOCALLY BY EACH HOSPITAL. 17.5% IS USED TO SUPPORT COMMUNITY PARTNERSHIP FUND INITIATIVES, SUCH AS THE WELLNESS AND PREVENTION INITIATIVE, AND THE COMMUNITY BUILDING INITIATIVE. THE REMAINING 7.5% IS DESIGNATED TOWARD THE ENDOWMENT, WHICH HELPS ENSURE THE FUND'S ABILITY TO SUSTAIN PROGRAMS INTO THE FUTURE THAT ASSIST LOW-INCOME AND UNDERSERVED POPULATIONS. COMMUNITY INVESTMENT FUND ST. JOSEPH HEALTH FURTHER RECOGNIZES THAT THE HEALTH OF ANY COMMUNITY DEPENDS ON THE MAINTENANCE AND CREATION OF STRONG STRUCTURES-BOTH PHYSICAL AND SOCIAL-THAT CONTRIBUTE TO THE LONG-TERM WELL-BEING OF PEOPLE. THAT PHILOSOPHY INSPIRED THE INITIATION OF THE COMMUNITY INVESTMENT FUND-AN EFFORT TO ENABLE NONPROFIT 501(C)(3) ORGANIZATIONS TO ACHIEVE THEIR FULL POTENTIAL AND PLAY A MAJOR ROLE IN THE GROWTH OF THEIR COMMUNITIES. THE COMMUNITY INVESTMENT FUND PROVIDES CAPITAL IN THE FORM OF LOANS, DEPOSITS OR OTHER SUPPORT TO NONPROFITS TO PROMOTE SOCIAL GOOD AND THE DEVELOPMENT OF HEALTHIER COMMUNITIES. IN FY16, A TOTAL OF $11.2 MILLION WAS INVESTED INTO THE COMMUNITY THROUGH LOANS AND LINES OF CREDIT. FUNDED NON-PROFITS INCLUDE THOSE THAT SERVE THE HOMELESS, PROVIDE AFFORDABLE HOUSING, PROVIDE ACCESS TO PRIMARY MEDICAL CARE, AND ADDRESS YOUTH DEVELOPMENT. TO LEARN MORE ABOUT ST. JOSEPH HEALTH GO TO STJHS.ORG.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN RED CROSS
1663 MARKET STREET	SAN FRANCISCO	CA	94103	530196605	501(c)(3)	$21,250	PROGRAM SUPPORT
AMERICAN HEART ASSOCIATION
PO BOX 50085	PRESCOTT	AZ	86304	135613797	501(c)(3)	$6,375	PROGRAM SUPPORT
THE LEUKEMIA & LYMPHOMA SOCIETY
2455 BENNETT VLY RD	SANTA ROSA	CA	95404	135644916	501(c)(3)	$12,750	PROGRAM SUPPORT
CENTER FOR WELL-BEING
101 BROOKWOOD AV STE A	SANTA ROSA	CA	95404	931144835	501(c)(3)	$18,500	PROGRAM SUPPORT
COMMUNITY FOUNDATION SONOMA COUNTY
120 STONY POINT STE220	SANTA ROSA	CA	95401	680003212	501(c)(3)	$13,875	PROGRAM SUPPORT
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR 100	IRVINE	CA	92612	330143024	501(C)(3)	$6,616,299	CARE FOR THE POOR

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF SANTA ROSA MEMORIAL HOSPITAL. WE DO NOT MONITOR DONATIONS MADE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
OLUYEMI ADEYANJU
SECRETARY	$0	$124,704	$0	$30,000	$0	$11,577	$0	$0	$0	$2,087	$0	$168,368	$0	$0
RICK IGRAM
BOARD MEMBER	$0	$351,139	$0	$151,730	$0	$47,875	$0	$23,235	$0	$15,850	$0	$589,829	$0	$0
TODD SALNAS
BOARD MEMBER/PRESIDENT, SJH-SC	$0	$403,846	$0	$199,653	$0	$47,443	$0	$13,250	$0	$37,541	$0	$701,733	$0	$0
MICHEL RICCIONI
VP/CHIEF FINANCIAL OFFICER	$374,936	$0	$141,096	$0	$236,820	$0	$18,347	$0	$27,763	$0	$798,962	$0	$181,755	$0
RICHARD CARVOLTH
VP/CHIEF MEDICAL OFFICER	$366,310	$0	$143,116	$0	$38,366	$0	$10,210	$0	$19,394	$0	$577,396	$0	$0	$0
MAUREEN DISBOT
REG VP, QUALITY &SAFETY-N.CA	$296,147	$0	$109,625	$0	$29,626	$0	$4,396	$0	$19,345	$0	$459,139	$0	$0	$0
REBECCA ALTHOFF
STAFF NURSE IV	$417,969	$0	$5,000	$0	$88	$0	$28,106	$0	$18,569	$0	$469,732	$0	$0	$0
DAVID ZIOLKOWSKI
CHIEF OPERATING OFFICER	$259,049	$0	$95,835	$0	$21,610	$0	$10,407	$0	$27,675	$0	$414,576	$0	$0	$0
CATHERINE CAMENGA
VP-PERFORMANCE IMPROVEMENT	$218,686	$0	$80,660	$0	$19,709	$0	$8,332	$0	$9,205	$0	$336,592	$0	$0	$0
ALVIN GORE
DIR, PHYSICIAN ADVISOR	$268,074	$0	$31,124	$0	$4,189	$0	$10,585	$0	$19,525	$0	$333,497	$0	$0	$0
ROSE BERNON
STAFF NURSE IV - SNA	$290,626	$0	$5,000	$0	$288	$0	$18,550	$0	$20,022	$0	$334,486	$0	$0	$0
RUTH GARCIA
STAFF NURSE III - SNA LEAD	$282,985	$0	$5,000	$0	$288	$0	$10,600	$0	$18,506	$0	$317,379	$0	$0	$0
ANDREA LEARNED
VP-FUND DEVELOPMENT	$180,261	$0	$45,165	$0	$23,657	$0	$12,639	$0	$9,188	$0	$270,910	$0	$0	$0
MARCUS CAYSON
STAFF NURSE IV - SNA LEAD	$233,094	$0	$5,000	$0	$38	$0	$11,814	$0	$22,531	$0	$272,477	$0	$0	$0
TERRI DENTE
VP-MISSION INTEGRATION	$167,813	$0	$46,616	$0	$20,256	$0	$13,434	$0	$27,431	$0	$275,550	$0	$0	$0
KEVIN KLOCKENGA
REGIONAL EVP - NCA	$0	$626,686	$0	$314,627	$0	$79,798	$0	$13,250	$0	$20,352	$0	$1,054,713	$0	$0
JAYNIE BOREN
NCA REG VP-STRATEGIC SVCS	$0	$289,266	$0	$110,871	$0	$27,572	$0	$10,600	$0	$22,272	$0	$460,581	$0	$0
ROBERT EISEN
REGIONAL VP, HR NOCAL	$0	$233,095	$0	$85,863	$0	$19,403	$0	$8,793	$0	$29,290	$0	$376,444	$0	$0
TIFFANY OLIVER
FORMER KEY EMPLOYEE	$110,341	$0	$0	$0	$9,220	$0	$4,428	$0	$9,919	$0	$133,908	$0	$0	$0
ROBERT JUST III
NCAL REGION, COO	$0	$272,669	$0	$105,558	$0	$34,829	$0	$18,550	$0	$29,201	$0	$460,807	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	TRAVEL FOR COMPANIONS ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL TO CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. MEMBERS OF THE BOARD AND EXECUTIVE MANAGEMENT TEAM ARE SELECTED TO PARTICIPATE IN AN ANNUAL PILGRIMAGE TO LE PUY, FRANCE, WHERE THE SISTERS' FIRST CONGREGATION WAS FORMED. THE PURPOSE OF THE PILGRIMAGE IS FOR THE ORGANIZATION'S LEADERS TO DEVELOP A DEEPER UNDERSTANDING OF THE ROOTS AND HERITAGE OF THE ORGANIZATION IN ORDER TO CARRY OUT THE MISSION. COMPANION TRAVEL IS CONSIDERED TO BE AN ESSENTIAL PART OF THIS EXPERIENCE AND THE COMPANION ACTS AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING INDIVIDUAL RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION: RICK IGRAM $4,572. SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY ST. JOSEPH HEALTH SYSTEM.
SCHEDULE J, PART I, LINE 4B	BEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR AGE 65 VESTING SCHEDULE. EXECUTIVES PREVIOUSLY PARTICIPATED IN ANOTHER NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT WAS FROZEN EFFECTIVE DECEMBER 2007, AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED. THIS FROZEN PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. THE FOLLOWING INDIVIDUAL RECEIVED 457(F) PAYMENTS DURING THE YEAR: MICHEL RICCIONI: $181,755
SCHEDULE J, PART I, LINE 7	A PORTION OF EXECUTIVE SALARIES ARE PLACED AT-RISK AND ARE 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 STRATEGIC OBJECTIVES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JAMES HOUSER	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$139,418	TransactionAmt
Transaction	SEE PART V	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF BUSINESS TRANSACTIONS WITH INTERESTED PERSONS: JAMES HOUSER IS THE VICE CHAIRPERSON OF SANTA ROSA MEMORIAL HOSPITAL'S BOARD. SANTA ROSA MEMORIAL HOSPITAL PURCHASED CONSULTING SERVICES FROM HOUSER AND COMPANY LLC. JAMES HOUSER OWNS GREATER THAN 35% OF HOUSER AND COMPANY LLC.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp

Real Estate Residential RealEstateResidentialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$950,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	RAFFLE ITEMS	Desc
Contribution	21	ContributionCnt
Noncash Contributions Rpt F990	$14,484	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	AMOUNTS IN THIS COLUMN WERE BASED ON THE NUMBER OF ITEMS RECEIVED. SCHEDULE M, PART I, LINE 32B ARTISAN SOTHEBY'S INTERNATIONAL REALTY IS A THIRD PARTY USED TO SELL NONCASH CONTRIBUTIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 & PART III, LINE 1	ORGANIZATION'S MISSION STATEMENT AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, SANTA ROSA MEMORIAL 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.
FORM 990, PART III, LINE 4A	REALIZING OUR MISSION SANTA ROSA MEMORIAL HOSPITAL (SRMH) HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 60 YEARS. SERVING THE COMMUNITIES OF SONOMA COUNTY, SRMH IS A FULL-SERVICE 278-BED ACUTE CARE HOSPITAL THAT INCLUDES A LEVEL II TRAUMA CENTER FOR THE COASTAL REGION FROM SAN FRANCISCO TO THE OREGON BORDER AREA. MAJOR PROGRAMS AND SERVICES INCLUDE CARDIAC CARE, CRITICAL CARE, DIAGNOSTIC IMAGING, AND A WIDE RANGE OF SPECIALTY SERVICES, EMERGENCY MEDICINE AND OBSTETRICS. WITH OVER 2025 EMPLOYEES COMMITTED TO REALIZING THE MISSION, SANTA ROSA MEMORIAL HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN SONOMA COUNTY. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, SANTA ROSA MEMORIAL HOSPITAL IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORSMINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS IN ORDER TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. PATIENT FINANCIAL ASSISTANCE PROGRAM SANTA ROSA MEMORIAL HOSPITAL BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY SRMH HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY16, SRMH PROVIDED $4.6M IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM SANTA ROSA MEMORIAL HOSPITAL PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY16, SRMH PROVIDED $33.8M IN MEDICAID SHORTFALL. PROGRAM SERVICE ACCOMPLISHMENTS - CONTINUUM OF ORAL HEALTH SERVICES INCLUDE A FIXED SITE DENTAL CLINIC LOCATED IN SANTA ROSA THAT SERVES CHILDREN FROM THROUGHOUT THE COUNTY, THE MOBILE DENTAL CLINIC, THE MIGHTY MOUTH SCHOOL-BASED DENTAL DISEASE PREVENTION PROGRAM, AND MOMMY AND ME, WHICH TEACHES GOOD DENTAL HEALTH PRACTICES TO VERY YOUNG CHILDREN (ZERO TO FIVE YEARS OLD) AND THEIR MOTHERS. THE CLINICS PRIORITIZE SERVICE TO CHILDREN AGES 0-16 YEARS, BUT ALSO SERVE ADULTS WITH URGENT NEEDS. THEY PROVIDE BASIC, PREVENTIVE, EMERGENCY AND COMPREHENSIVE DENTAL CARE WITH A STRONG FOCUS ON PREVENTION AND EDUCATION. DURING FY16, 5,434 PATIENTS WERE SERVED OVER 8,535 ENCOUNTERS AT THE SJH DENTAL CLINIC. OUR MOBILE DENTAL CLINIC AND MIGHTY MOUTH SCHOOL-BASED PREVENTION PROGRAM SERVED 5,729 PATIENTS AND COMPLETED 11,702 ENCOUNTERS COUNTYWIDE. OF THE MOMMY AND ME PARTICIPANTS THROUGHOUT THE COUNTY, THERE WAS A 1% DECAY RATE AMONG ONE-YEAR OLDS, COMPARED TO 5% DECAY RATE AMONG PATIENTS IN THE CLINIC WHO DID NOT PARTICIPATE IN THE PROGRAM. WE SAW A 13% DECAY RATE AMONG RETURNING 2-5 YEAR-OLDS IN MOMMY AND ME PROGRAM, COMPARED TO NON-PARTICIPATING CHILDREN IN THE SAME AGE GROUP WITH 22% DECAY RATE. - MOBILE MEDICAL CLINIC SERVES PATIENTS IN THEIR COMMUNITIES AT NO COST. THE PROGRAM SEEKS TO PROVIDE CARE TO THOSE WHO FALL THROUGH THE TRADITIONAL PRIMARY CARE SAFETY NET, AND FOR REASONS RELATED TO TRANSPORTATION, POVERTY, OR OTHER FACTORS, FACE INSURMOUNTABLE BARRIERS TO ACCESSING CARE AT COMMUNITY HEALTH CENTERS OR OTHER MEDICAL HOMES. THE CLINIC OFFERS HEALTH SCREENINGS, TREATMENT OF MINOR MEDICAL PROBLEMS, HEALTH AND NUTRITIONAL EDUCATION, AND INFORMATION AND REFERRALS. IN FY 16, IN THE SRMH SERVICE AREA, THE CLINIC SERVED 838 PATIENTS OVER 2,372 ENCOUNTERS AT SEVERAL LOCATIONS, INCLUDING THE CITIES OF SONOMA/BOYES HOT SPRINGS, SANTA ROSA, AND WINDSOR. - HOUSE CALLS PROGRAM TENDS TO THE PHYSICAL, SPIRITUAL AND EMOTIONAL NEEDS OF FRAIL ELDERLY SENIORS AND ADULTS WITH CHRONIC DISEASES BY PROVIDING PRIMARY MEDICAL CARE AT HOME. ELIGIBLE SENIORS HAVE LIMITED ACCESS TO CARE DUE TO IMPAIRED MOBILITY, UNDER-INSURANCE, AND LACK OF FUNDS. THE PROGRAM TEAM, WHICH INCLUDES NURSE PRACTITIONERS, NURSES, CASE MANAGEMENT, AND HOME HEALTH ASSISTANCE, PROVIDED SERVICE TO 142 PATIENTS AND COMPLETED OVER 6,674 ENCOUNTERS COUNTYWIDE, HELPING TO PREVENT UNNECESSARY EMERGENCY DEPARTMENT VISITS AND TO MORE EFFECTIVELY MANAGE CHRONIC DISEASE. FOR MORE INFORMATION ABOUT SANTA ROSA MEMORIAL HOSPITAL PLEASE VISIT WWW.STJOESONOMA.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG.
FORM 990, PART V, LINE 1	ST. JOSEPH HEALTH SYSTEM (SJHS) PAYS ALL VENDORS FOR SJH ENTITIES UNDER SJH AP SHARED SERVICES. THEREFORE, SJHS ISSUES FORM 1099-MISC UNDER ITS TAX ID. SJHS COMPLIES WITH BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS.
FORM 990, PART VI, LINE 6	DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF SANTA ROSA MEMORIAL HOSPITAL.
FORM 990, PART VI, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS SANTA ROSA MEMORIAL HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE SANTA ROSA MEMORIAL HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE SANTA ROSA MEMORIAL HOSPITAL BOARD AS NOMINATIONS 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 REQ 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 11B	DESCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE APRIL 2017 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING.
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST POLICY OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN CONNECTION WITH THAT INDIVIDUAL SATISFYING THEIR FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WITH GUIDANCE FROM THE ST. JOSEPH HEALTH SYSTEM CHIEF COMPLIANCE OFFICER (CCO), THE CHIEF EXECUTIVE AND/OR THE GOVERNING BOARD CHAIRPERSON, AS APPROPRIATE, CONSIDERS THE MATTER INITIALLY. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL, THE MATTER IS ESCALATED TO THE CCO. THE CCO, IN CONSULTATION WITH THE ST. JOSEPH HEALTH SYSTEM GENERAL COUNSEL, REVIEWS THE MATTER AND PRESENTS RECOMMENDATIONS TO THE GOVERNING BOARD AND/OR BOARD COMMITTEE, AS APPROPRIATE, FOR DISCUSSION AND VOTE. THE INDIVIDUAL WHOSE POTENTIAL CONFLICT IS BEING REVIEWED MAY BE REQUESTED TO BE PRESENT DURING ANY MEETING IN WHICH THE BOARD OR BOARD COMMITTEE CONDUCTS ITS EVALUATION BUT SHALL BE EXCUSED FOR ANY DISCUSSION OR VOTE. 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 & 15B	PROCESS USED TO DETERMINE COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. EXECUTIVE COMPENSATION IS APPROVED BY THE EXECUTIVE MANAGEMENT COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE REVIEWS COMPARABILITY DATA PREPARED FOR AND COMPILED BY THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE, A COMMITTEE OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES COMPRISED OF INDEPENDENT MEMBERS. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE ACTS IN ACCORDANCE WITH A COMMITTEE CHARTER APPROVED BY THE ST. JOSEPH HEATLH SYSTEM BOARD OF TRUSTEES AND AN EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER DIRECTS THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND TO APPROVE PROGRAM CHANGES, AS NECESSARY, TO ENSURE ALIGNMENT WITH THE STATED PHILOSOPHY AND ENSURE CONTINUED COMPLIANCE WITH FEDERAL AND STATE REGULATIONS ON BEHALF OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS RETENTION OF KEY MANAGEMENT TALENT. THE EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF FOR PROFIT AND NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. ST. JOSEPH HEALTH SYSTEM PROVIDES COMPENSATION TO ITS EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO ENSURE COMPENSATION PHILOSOPHY ADHERENCE AND GENERAL FAIR MARKET VALUE COMPENSATION, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA AND ENGAGES LEGAL COUNSEL AND CONSULTING SUPPORT, AS NEEDED. THEY USE THIS INFORMATION TO SUPPORT ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE MEETS AT LEAST 3 TIMES A YEAR AND TAKES ACTION IN EXECUTIVE SESSION. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. A FULL COMPENSATION REVIEW IS CONDUCTED ON A BIENNIAL BASIS AND THE LAST REVIEW WAS PERFORMED IN JUNE 2016. DURING THE YEAR, THE EXECUTIVE MANAGEMENT COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTNG FIRM WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION. IN ADDITION, ANNUAL INCENTIVE AWARDS ARE REVIEWED AND APPROVED PRIOR TO PAYMENT CONSISTENT WITH THE MOST RECENT COMPENSATION BIENNIAL REVIEW AND IN ACCORDANCE WITH THE PLAN DOCUMENT. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES WHICH ARE SUBSEQUENTLY APPROVED AT THE COMMITTEE MEETING.
FORM 990, PART VI, LINES 19	AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE ORGANIATION 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. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS EQUITY TRANSFER ($44,285,881) ROUNDING 1 ------------- TOTAL ($44,285,880)
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:15840684
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES TOTAL FEES:24264237
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:17754403

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
COVENANT HEALTH NETWORK INC
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	461259908	HEALTHCARE	CA	501(C)(3)	11,III	SJHS	Yes (true)
COVENANT ACO
3615 19TH STREET	LUBBOCK	TX	79410	611573313	HEALTHCARE	TX	501(C)(3)	11,I	CHS	Yes (true)
COVENANT HEALTH SYSTEM
3615 19TH STREET	LUBBOCK	TX	79410	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (true)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
COVENANT MEDICAL GROUP
3420 22ND PLACE	LUBBOCK	TX	79410	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
COVENANT HEALTH PARTNERS
3615 19TH STREET	LUBBOCK	TX	79410	463516417	HEALTHCARE	TX	501(C)(3)	11,I	CHS	Yes (true)
HMTS INC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(C)(3)	11,I	HMHP	Yes (true)
HOAG CHARITY SPORTS
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (true)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (true)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
HOME CARE PARTNERS
1165 MONTGOMERY DR	SANTA ROSA	CA	95405	680318656	INACTIVE	CA	501(C)(3)	3	SRMH	Yes (true)
HOSPICE OF LUBBOCK
3702 21ST STREET	LUBBOCK	TX	79410	752133781	HEALTHCARE	TX	501(C)(3)	9	CHS	Yes (true)
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREET	LUBBOCK	TX	79410	752220963	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
METHODIST CHILDREN'S HOSPITAL
4015 22ND PLACE	LUBBOCK	TX	79410	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUE	LEVELLAND	TX	79336	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROAD	PLAINVIEW	TX	79072	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
MISSION HOSPITAL REGIONAL MEDICAL CTR
27700 MEDICAL CENTER ROAD	MISSION VIEJO	CA	92691	951643360	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREET	NAPA	CA	94558	941243669	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVE	FORTUNA	CA	95540	942779313	HEALTHCARE	CA	501(C)(3)	7	RMH	Yes (true)
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVE	FORTUNA	CA	95540	941384665	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIA	ORANGE	CA	92868	951643383	RELIGIOUS ORG	CA	501(C)(3)	1	NA	false
SRM ALLIANCE HOSPITAL SERVICES (PVH)
400 NORTH MCDOWELL BLVD	PETALUMA	CA	94954	680395200	HEALTHCARE	CA	501(C)(3)	3	SRMH	Yes (true)
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	false
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	953589356	HEALTHCARE	CA	501(C)(3)	11, I	SJHM	false
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	7	SJHS	Yes (true)
ST JOSEPH HOME CARE NETWORK
1111 SONOMA STE 308	SANTA ROSA	CA	95405	680331084	HEALTHCARE	CA	501(C)(3)	9	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREET	EUREKA	CA	95501	941156596	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVE	ORANGE	CA	92868	951643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST JUDE HOSPITAL YORBA LINDA
200 WEST CENTER ST PROMENADE	ANAHEIM	CA	92805	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVE	FULLERTON	CA	92635	951643324	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST MARY MEDICAL CENTER
18300 HIGHWAY 18	APPLE VALLEY	CA	92307	951914489	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREET	LUBBOCK	TX	79410	751653181	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
TALLER SAN JOSE
801 NORTH BROADWAY	SANTA ANA	CA	92701	593816355	WORK DEVELOPM	CA	501(C)(3)	2	SSJO	Yes (true)
SANTA ROSA MEMORIAL HOSPITAL AUXILIARY
PO BOX 522	SANTA ROSA	CA	95402	946104507	SUPPORT	CA	501(C)(3)	11,III	SRMH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	EINEIN
COVENANT LONG-TERM CARE LP
HEALTHCARE	TX	NA	N/A
HERITAGE INVESTMENT GROUP
INVESTMENTS	CA	NA	N/A
HOAG ORTHOPEDIC INSTITUTE
HEALTHCARE	CA	NA	N/A
LUBBOCK SURGERY CENTER LTD
HEALTHCARE	TX	NA	N/A
METHODIST DIAGNOSTIC IMAGING
HEALTHCARE	TX	NA	N/A
MISSION AMBULATORY SURGICENTER
HEALTHCARE	CA	NA	N/A
NEWPORT IMAGING CENTER
HEALTHCARE	CA	NA	N/A
SHA LLC
HEALTHCARE	TX	NA	N/A
ST JOSEPH PHYSICIAN VENTURES
REAL ESTATE	CA	NA	N/A
ST JOSEPH HLTH SYS HOME CARE
HOME HEALTH	CA	NA	N/A
ST JOSEPH HLTH SYS HOME HLTH
HOME HEALTH	CA	NA	N/A
THE INNOVATION INSTITUTE
HEALTHCARE	CA	NA	N/A
NORTH BAY ENDOSCOPY CENTER
HEALTHCARE	CA	SRMH	RELATED	$28,296	$2,537,202	false	$0	Yes (true)	0.66667
MISSN VIEJO PHSCN PRTNRS I LLC
HEALTHCARE	CA	NA	N/A							471559873
ADVANCED SURGERY INSTITUTE LLC
HEALTHCARE	CA	SRMH	RELATED	$660,504	$888,081	false	$0	false	0.51000	262299255

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
AMERICAN UNITY GROUP LTD
90 PITTS BAY ROAD	PEMBROKE	BD	HM08	CAPTIVE INSURANCE	BD	NA	C-CORP
COASTAL MANAGEMENT SERVICES ORGANIZATION
				HEALTHCARE		NA	C-CORP	1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831	CA
DATU HEALTH INC
				IT SVCS		NA	C-CORP	16150 MAIN CIRCLE DR SUITE 250	CHESTERFIELD	MO	63017	463070062	DE
HOAG MANAGEMENT SERVICES INC
				HEALTHCARE		NA	C-CORP	1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	CA
LUBBOCK METHODIST HOSP PRACTICE MGMT
				INACTIVE		NA	C-CORP	2107 OXFORD STREET STE 300	LUBBOCK	TX	79410	752578995	TX
LUBBOCK METHODIST HOSPITAL SVCS
				HEALTHCARE		NA	C-CORP	PO BOX 1201	LUBBOCK	TX	79410	752118585	TX
MISSION VIEJO MEDICAL VENTURES
				HEALTHCARE		NA	C-CORP	27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	CA
ST JOSEPH HEALTH
				HOLDING COMPANY		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	462340232	CA
ST JOSEPH HEALTH SOURCE INC
				HEALTHCARE		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	461900168	CA
ST JOSEPH PROF SVCS ENTERPRISES INC
				HEALTHCARE		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330155323	CA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
c	$3,239,592	ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
b	$6,616,299	ACCRUAL
SRM ALLIANCE HOSPITAL SERVICES
q	$8,700,000	CASH
ST JOSEPH HOSPITAL ORANGE
r	$299,522	CASH
ST JOSEPH HOSPITAL ORANGE
s	$117,448	CASH
ST JOSEPH HOSPITAL EUREKA
q	$2,439,483	ACCRUAL
ST JOSEPH HOSPITAL EUREKA
p	$402,014	ACCRUAL
QUEEN OF THE VALLEY MEDICAL CENTER
q	$2,272,218	ACCRUAL
QUEEN OF THE VALLEY MEDICAL CENTER
p	$778,951	ACCRUAL
ST JOSEPH HOME CARE NETWORK
q	$1,293,944	ACCRUAL
ST JOSEPH HOME CARE NETWORK
p	$181,496	ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
q	$5,105,447	ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
p	$11,680,925	ACCRUAL

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III	FormAndLineReferenceDesc
Explanation	IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 500 S. MAIN STREET, STE 1000, ORANGE, CA 92868 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE 362, MISSION VIEJO, CA 92691 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE 100, ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE 200 ORANGE, CA 92868-2012 THE INNOVATION INSTITUTE EIN: 90-0745066 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954 MISSION VIEJO PHYSICIAN PARTNERS I LLC EIN: 47-1559873 ADDRESS: 27700 MEDICAL CENTER ROAD, MISSION VIEJO, CA 92691 ADVANCED SURGERY INSTITUTE LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404	ExplanationTxt