2016-05-12T16:29:23-05:00 2015-06-30 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2014-07-01 941384665 REDWOOD MEMORIAL HOSPITAL % JONI MURPHY REDW 7072694259 3300 RENNER DRIVE FORTUNA CA 95540 MICH RICCIONI CFO 7072694259 2016-05-12 true KARA ADAMS P00023315 9497942300 2014 2016-08-17 19:52:53Z DR DAVID O'BRIEN 3300 RENNER DRIVE FORTUNA CA 95540 55571484 false 0928 X WWW.REDWOODMEMORIAL.ORG X 1954 CA TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH & QUALITY OF LIFE OF PEOPLE IN THE COMM WE SERVE. 16 12 218 40 0 300000 352500 40068336 51500666 3479202 3718318 0 0 43847538 55571484 521900 279600 0 0 19844116 20330560 0 0 269603 15678513 17463156 36044529 38073316 7803009 17498168 74155505 86175942 9556727 10581451 64598778 75594491 X REDWOOD MEMORIAL HOSPITAL IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. false false 35982162 279600 51500666 SEE SCHEDULE O 35982162 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 89 0 true 218 true false false false false false false false false false false X 16 12 false false false false true true true true true false false true true true true true true false true false CA X JONI MURPHY 7074458121 2700 DOLBEER ST EUREKA CA 95509 DONALD BAIRD MD BOARD MEMBER 2.0 2.0 X 39800 0 0 PATRICK CLEARY BOARD MEMBER 2.0 2.0 X 0 0 0 SISTER KAREN CLOCK BOARD MEMBER 2.0 2.0 X 0 0 0 RONALD DILUIGI BOARD MEMBER 2.0 52.0 X 0 476556 44874 BECKY GIACOMINI BOARD MEMBER 2.0 2.0 X 0 0 0 JOHN GIEREK JR BOARD CHAIR 5.0 4.0 X 0 0 0 SISTER PAT HAYHURST CSJ BOARD MEMBER 2.0 2.0 X 0 0 0 RON JONES MD BOARD MEMBER 2.0 2.0 X 2750 0 0 DENNIS LEONARDI BOARD VICE CHAIRMAN 4.0 6.0 X 0 0 0 ELLEN MAHONEY MD BOARD MEMBER 2.0 2.0 X 1338 0 0 JEFF NELSON BOARD MEMBER 2.0 2.0 X 0 0 0 DAVID O'BRIEN MD PRESIDENT/CEO 7.0 43.0 X X 0 760274 41815 SCOTT SAGEMAN MD BOARD MEMBER 2.0 2.0 X 0 0 0 MEGAN SMITH-ZAGONE MD BOARD MEMBER 2.0 2.0 X 0 0 0 SR MARY THERESE SWEENEY CSJ BOARD MEMBER 2.0 2.0 X 0 0 0 SISTER LISA TURAY CSJ BOARD MEMBER 2.0 2.0 X 0 0 0 SISTER DIANE HEJNA CSJ BOARD MEMBER (PART YEAR) 2.0 2.0 X 0 0 0 WILLIAM KILGORE MD BOARD MEMBER (PART YEAR) 2.0 2.0 X 0 36000 0 RODNEY MAPLES BOARD MEMBER (PART YEAR) 2.0 2.0 X 0 0 0 SISTER ANN MARIE STEFFEN CSJ BOARD MEMBER (PART YEAR) 2.0 2.0 X 0 0 0 VICTOR WALLENKAMPF MD BOARD MEMBER (PART YEAR) 2.0 2.0 X 0 0 0 HERBERT WOOD BOARD MEMBER (PART YEAR) 2.0 2.0 X 0 0 0 MICH RICCIONI REGIONAL CFO 2.0 48.0 X 0 507769 46666 ROBYNN VAN PATTEN SECRETARY 2.0 52.0 X 0 507946 43431 JOSEPH ROGERS VP, COO 7.0 43.0 X 287425 0 3411 KEVIN KLOCKENGA REGIONAL EVP 2.0 48.0 X 0 879223 40946 JAYNIE BOREN N CA REG VP - STRATEGIC SVCS 10.0 49.0 X 0 387992 32906 ROBERT EISEN REGIONAL VP OF HUMAN RESOURCES 2.0 48.0 X 0 290577 31914 CAROL REEDER VP, CNO 7.0 43.0 X 0 337485 15345 LINDA COOK VP HUMAN RESOURCES 7.0 43.0 X 0 254755 28987 MATTHEW MILLER MD VP, MEDICAL AFFAIRS/CMO 7.0 43.0 X 0 241489 20316 LAURIE WATSON-STONE VP ANCILLARY & SUPPORT SRVCS 7.0 43.0 X 0 237836 42761 JOSHUA ALLEE VP, MISSION INTEGRATION 7.0 43.0 X 0 220912 12179 NEIL PALMER MANAGER, PHARMACY 40.0 0.0 X 177341 0 37980 LAURIE GARRISON DIRECTOR OF NURSING SERVICES 40.0 0.0 X 172567 0 24514 ROBERT MORRIS PHARMACIST 32.0 0.0 X 155022 0 24438 PAMELA CASSADY ADMIN SUPERVISOR 36.0 0.0 X 145833 0 34328 LINDA BIONDINI NURSE MANAGER 40.0 0.0 X 145112 0 35203 1127188 5138814 562014 36 false true false MEDICAL STAFFING NETWORK HEALTHCARE PO BOX 840292 DALLAS TX 75284 REGISTRY 859032 STAFF CARE INC PO BOX 281923 ATLANTA GA 30384 REGISTRY 378287 CHASE DENNIS MEDICAL GROUP INC PO BOX 634850 CINNCINNATI OH 45263 PHYSICIAN SERVICES 361215 ST JOSEPH HERITAGE HEALTHCARE 500 S MAIN ST - SUITE 1000 ORANGE CA 92868 PHYSICIAN SERVICES 312279 SONOMA IMAGING MEDICAL ASSOCIATION PO BOX 3222 NAPA CA 94558 PHYSICIAN SERVICES 248400 11 0 352500 0 352500 NET PATIENT REVENUE 622110 51365428 51365428 0 0 CAFETERIA REVENUE 722310 79545 79545 0 0 MOB REVENUE 531120 55693 55693 0 0 51500666 22265 22265 0 0 0 0 0 3696053 3696053 3696053 3696053 0 0 0 0 55571484 51500666 0 3718318 X 279600 279600 0 0 0 0 0 0 313624 50623 263001 0 0 0 0 0 13094761 12608391 269423 216947 992781 943179 47293 2309 4908183 4702369 196478 9336 1021211 976677 44263 271 2674375 2571922 102453 0 186450 0 186450 0 0 0 0 0 3997 3997 0 0 0 0 0 0 0 0 6178562 5837549 329737 11276 24391 21065 475 2851 1081884 1059907 16955 5022 616102 580933 30635 4534 0 0 0 0 404741 403000 1666 75 80148 31481 41387 7280 0 0 0 0 16511 16511 0 0 85018 85018 0 0 0 0 0 0 1032454 923744 108710 0 285398 285398 0 0 MEDICAL SUPPLIES 3198550 3198550 0 0 REPAIRS AND MAINTENANCE 562900 561447 1453 0 SVC CONTRACTS EQUIP/SOFTWARE 62408 47115 12533 2760 TAXES AND LICENSES 51482 36540 14942 0 917785 757146 153697 6942 38073316 35982162 1821551 269603 0 0 0 23942481 33086063 0 0 7082970 5767705 0 0 0 0 131969 8311 699829 971098 218723 505466 33796745 22993539 9564113 10803206 31567627 32024741 0 0 0 0 0 0 947793 3009352 74155505 86175942 3555620 3782829 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6001107 6798622 9556727 10581451 X 64525564 75506657 73214 87834 0 0 64598778 75594491 74155505 86175942 X 17498168 -2606239 -3896216 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 3997 3997 false SCHEDULE C, PART II-B, LINE 1I DESCRIPTION OF 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 REDWOOD MEMORIAL HOSPITAL. 36003 36003 12205178 8808573 3396605 17212572 13827392 3385180 4342992 357574 3985418 10803206 0 INTERCO. W/HEALTH SYSTEM-BOND 1995104 PAYABLE TO THIRD PARTIES 4572434 DUE TO AFFILIATES 231084 6798622 X SCHEDULE D, PART X, LINE 2 CONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740) 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 FINANCIALS 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, 2015 OR 2014. true true X true X true true true false true true 521489 521489 0.01370 10820185 15081781 0 230 48 182 11341904 15081829 521671 0.01370 442017 94492 347525 0.00910 71647 71647 0.00190 447362 15 447347 0.01170 961026 94507 866519 0.02270 12302930 15176336 1388190 0.03650 0 0 0 0.00000 0 0 0 0.00000 37110 460 36650 0.00100 0 0 0 0.00000 0 0 0 0.00000 20433 210 20223 0.00050 15327 0 15327 0.00040 19072 0 19072 0.00050 4696 0 4696 0.00010 96638 670 95968 0.00250 false 3336755 14255774 12029477 2226297 X true true 1 1 REDWOOD MEMORIAL HOSPITAL 3300 RENNER DRIVE FORTUNA CA 95540 www.redwoodmemorial.org D-0295172 X X X X Redwood Memorial Hospital false false true X X X X X X X X X 13 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 13 true SEE SCHEDULE H, PART V, SECTION C false false true X 200. 500. X X X X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE SECTION C X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT WAS PROVIDED IN A MULTITUDE OF WAYS, INCLUDING SIX REGIONAL FOCUS GROUPS DONE IN COLLABORATION WITH PUBLIC HEALTH DURING SEPTEMBER AND OCTOBER 2013. AN ADJUNCT FOCUS GROUP WAS DONE WITH THE PROMOTORES GROUP TO LEARN ABOUT HEALTH NEEDS SPECIFIC TO THE HISPANIC POPULATION IN HUMBOLDT COUNTY. ALSO AT THIS TIME, FIRST 5 HUMBOLDT WAS CONDUCTING THEIR ANNUAL SURVEY OF PROGRAM PARTICIPANTS AND AGREED TO INCLUDE QUESTIONS ON NUTRITION AND FOOD SECURITY. MORE THAN FORTY COMMUNITY NEEDS ASSESSMENTS, REPORTS, AND DOCUMENTS WERE USED FOR THIS META-ANALYSIS OF COMMUNITY NEED. NEARLY ALL OF THESE REPORTS INCLUDED COMMUNITY INPUT IN THE FORM OF QUESTIONNAIRES, INTERVIEWS, FOCUS GROUPS AND TOWN HALL MEETINGS. SCHEDULE H, PART V, SECTION B, LINES 6A AND 6B CHNA HOSPITAL FACILITIES ST. JOSEPH HOSPITAL OF EUREKA CHNA OTHER ORGANIZATIONS COUNTY OF HUMBOLDT DEPARTMENT OF HEALTH & HUMAN SERVICES - PUBLIC HEALTH BRANCH SCHEDULE H, PART V, SECTION B, LINE 7A http://www.stjoehumboldt.org/documents/community-benefit/2014-community-he alth-needs-assessment-report.pdf SCHEDULE H, PART V, SECTION B, LINE 10A http://www.stjoehumboldt.org/documents/Community-Benefit/FY15-17-SJE-CB-Pl an-and-IS-Report.pdf SCHEDULE H, PART V, SECTION B, LINE 11 IN FY15-FY17 REDWOOD MEMORIAL HOSPITAL PRIORITIZED THREE AREAS OF SIGNIFICANT HEALTH NEED AS WAS HEARD IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THEY ARE 1) NUTRITION, HEALTHY FOOD AND FOOD SECURITY, 2) MENTAL AND BEHAVIORAL HEALTH SERVICES, AND 3) CARE COORDINATION AND REFERRAL. BELOW EACH PRIORITY AREA IS SUMMARIZED AND FY15 ACCOMPLISHMENTS REPORTED. NUTRITION, HEALTHY FOOD AND FOOD SECURITY - RMH GRANTED $95,000 TO TEN ORGANIZATIONS THROUGH THE ANNUAL RMH CARE FOR THE POOR COMMUNITY GRANTS TO ADDRESS NEEDS RELATED TO PROVIDING HEALTHY FOOD TO INDIVIDUALS FACING FOOD INSECURITY (IN PARTNERSHIP WITH ST. JOSEPH HOSPITAL). - 44.6% INCREASE IN CALFRESH BENEFICIARIES SINCE 2010 - REDWOOD MEMORIAL HOSPITAL HAS PARTICIPATED IN THE COUNTY-WIDE EFFORT TO INCREASE ENROLLMENT IN CALFRESH IN ORDER TO INCREASE ACCESS TO FRESH PRODUCE AND NUTRITIOUS FOODS FOR LOW INCOME FAMILIES AND INDIVIDUALS. - 21 FREE COMMUNITY DINNERS/EVENTS FEATURING FRESH PRODUCE AND NUTRITIOUS FOODS HOSTED BY ST. JOSEPH AND REDWOOD MEMORIAL HOSPITALS' COMMUNITY BENEFIT PROGRAMS. MENTAL AND BEHAVIOR HEALTH SERVICES - PARTICIPATION IN MAY IS MENTAL HEALTH AWARENESS MONTH WITH THE GOAL OF INCREASING AWARENESS OF AND REDUCING STIGMA ASSOCIATED WITH MENTAL ILLNESS. - PARTICIPATION IN THE BEHAVIORAL HEALTH INTEGRATION NETWORK PLANNING GRANT WITH COMMUNITY PARTNERS. - SUPPORT ACCESS TO MENTAL HEALTH SERVICES FOR UNDERSERVED MONO-LINGUAL SPANISH SPEAKERS VIA USC TELEHEALTH COUNSELING AND ADVOCACY. CARE COORDINATION AND REFERRAL - COMMUNITY COLLABORATION AROUND EMERGENCY DEPARTMENT SUPER UTILIZERS INCLUDES: - 28 NEW OR UPDATED CARE PLANS FOR SUPER UTILIZERS - NOW FLAGGED IN THE ELECTRONIC MEDICAL RECORD. - ATTENDANCE AT THE SUPER UTILIZER CONFERENCE IN PHILADELPHIA. - WEEKLY CARE COORDINATION COMMUNITY HUDDLES AND TWICE MONTHLY CARE IMPROVEMENT MEETINGS. - 6.7% 30-DAY READMISSION RATE FOR PATIENTS - MOST OF WHOM ARE HOMELESS OR VERY LOW INCOME - SERVED BY THE BEHAVIORAL HEALTH OUTREACH RN WHO SUPPORTS HIGH ACUITY BH DISCHARGES TO SKILLED NURSING FACILITIES; FTE INCREASED FROM FIFTY PERCENT TIME TO FULL TIME. ALTHOUGH NO HEALTH CARE FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH COMMUNITY BENEFIT EFFORTS AND BY FUNDING OTHER NON-PROFITS THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE DIRECTLY ADDRESSED THROUGH PROGRAMMING OR FUNDING AND AN EXPLANATION IS PROVIDED BELOW: MOTOR VEHICLE SAFETY: THE HOSPITAL DOES NOT DIRECTLY ADDRESS MOTOR VEHICLE AND PEDESTRIAN SAFETY; HOWEVER WE PARTNER WITH SEVERAL ORGANIZATIONS THAT ADDRESS THIS ISSUE, INCLUDING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, REDWOOD COMMUNITY ACTION AGENCY, LOCAL ORGANIZING COMMITTEES VIA THE HUMBOLDT AREA FOUNDATION AND LOCAL CITY AND COUNTY GOVERNMENT. AFFORDABLE HOUSING: THE HOSPITAL DOES NOT DIRECTLY ADDRESS THE AVAILABILITY OF AFFORDABLE HOUSING - FOR LEASE OR PURCHASE - IN THE COUNTY; HOWEVER THIS IS AN ISSUE BEING ADDRESSED BY SEVERAL ORGANIZATIONS, INCLUDING LOCAL CHAMBERS OF COMMERCE, LOCAL CITY AND COUNTY GOVERNMENT, THE HUMBOLDT HOUSING AND HOMELESS COALITION AND THE VETERANS ASSOCIATION. IN ADDITION, REDWOOD MEMORIAL HOSPITAL WILL COLLABORATE WITH SEVERAL LOCAL ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS. 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 15E 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 16A HTTP://WWW.STJOEHUMBOLDT.ORG/DOCUMENTS/FINANCIAL-ASSISTANCE-POLICY-ENGLISH .PDF SCHEDULE H, PART V, SECTION B, LINE 16B HTTPS://WWW.SYFPHR.OSHPD.CA.GOV SCHEDULE H, PART V, SECTION B, LINE 16C HTTP://WWW.STJOEHUMBOLDT.ORG/DOCUMENTS/PATIENTFINANCIALBROCHENG.PDF 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 22D FOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USES MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES IS USED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED. SCHEDULE H, PART I, LINE 3C IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES, INCLUDING BUT NOT LIMITED TO DISABILITY AND HOMELESSNESS ARE CONSIDERED WHEN DETERMINING ELIGIBILITY. SCHEDULE H, PART I, LINE 7A-I THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. SCHEDULE H, PART I, LINE 7G COSTING METHODOLOGY NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. SCHEDULE H, PART II REDWOOD MEMORIAL HOSPITAL'S COMMUNITY BUILDING ACTIVITIES IN FY15 FOCUS ON THE UNDERLYING OR ROOT CAUSES OF POOR HEALTH OUTCOMES. REDWOOD MEMORIAL HOSPITAL'S PASO A PASO PROGRAM HOSTED SUPPORTIVE COMMUNITY EVENTS TO IMPROVE SOCIAL COHESION AND CELEBRATE CULTURE BY BRINGING THE LATINO COMMUNITY TOGETHER FOR TWO FATHERHOOD PICNICS, A BLUEBERRY FARM FIELD TRIP, BAILE TERAPIA DANCE THERAPY CLASSES AND COMMUNITY FUN RUNS. REDWOOD MEMORIAL HOSPITAL'S HEALTHY KIDS HUMBOLDT STAFF WERE CERTIFIED AS VOLUNTEER TAX PREPARERS UNDER THE VITA PROGRAM AND COMPLETED SEVERAL DOZEN INCOME TAX RETURNS FOR LOW INCOME INDIVIDUALS AND FAMILIES. THE AVERAGE RETURN WAS $2,000 PER FAMILY. REDWOOD MEMORIAL HOSPITAL'S CARE TRANSITIONS PROGRAM HAS PARTICIPATED IN MULTIPLE COMMUNITY COLLABORATIONS AROUND CHRONIC PAIN AND ADVANCED CARE PLANNING WITH REDWOOD MEMORIAL HOSPITAL'S LOCAL HEALTH CLINIC AND INDEPENDENT PRACTICE ASSOCIATION. LOCAL ADVOCACY EFFORTS HAVE CENTERED ON MEETINGS WITH THE DISTRICT ATTORNEY, SHERRIFF AND LOCAL POLICE DEPARTMENTS AROUND AREAS THE LATINO COMMUNITY FACES AS REDWOOD MEMORIAL HOSPITAL'S REGIONS LARGEST MINORITY GROUP. REDWOOD MEMORIAL HOSPITAL HAS HOSTED YOUTH AMBASSADORS TO LEARN ABOUT CAREERS IN HEALTH CARE AND SUPPORTED YOUTH ENTREPRENEURS IN THE LOCAL LEMONADE STAND DAY WHERE YOUTH GET FIRST-HAND EXPERIENCE MAKING A BUSINESS PLAN AROUND LEMONADE SALES. REDWOOD MEMORIAL HOSPITAL'S COMMUNITY RESOURCE CENTERS PROVIDE JOB TRAINING FOR WELFARE RECIPIENTS UNDER THE COUNTY'S WELFARE TO WORK PROGRAM. AND FINALLY, REDWOOD MEMORIAL HOSPITAL'S MANAGEMENT TEAM HAS PARTICIPATED ON NON-PROFIT BOARDS INCLUDING LATINONET, UNION LABOR HEALTH FOUNDATION, SEVA, RED CROSS AND MAKING HEADWAY AS WELL AS LOCAL CHAMBERS AND ROTARY CLUBS. REDWOOD MEMORIAL HOSPITAL'S CEO HAS PARTICIPATED IN A CEO ROUNDTABLE WITH OTHER AREA LEADERS AROUND THE CONCEPT OF CREATING AN ACCOUNTABLE CARE COMMUNITY. SCHEDULE H, PART III, LINE 2 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, 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 RECEIVED A 100 PERCENT WRITE-OFF OF THE BALANCE DUE. 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, LINE 4 PAGE 11 OF THE 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 RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, LINE 8 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, LINE 9B 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 PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNTS FOR PATIENTS WHO 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 NEEDS ASSESSMENT REDWOOD MEMORIAL HOSPITAL ASSESSED THE HEALTH STATUS OF ITS COMMUNITY IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED, IN THE ASSESSMENT OF THE COMMUNITY. 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 REDWOOD MEMORIAL HOSPITAL PROVIDES NORTH COAST COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL IS LOCATED ON THE FAR NORTH COAST IN HUMBOLDT COUNTY - ONE OF THE LARGEST COUNTIES IN CALIFORNIA BY GEOGRAPHY, COVERING 3,568 SQUARE MILES. THE COUNTY IS DENSELY FORESTED, MOUNTAINOUS AND RURAL WITH NEARLY 1.5 MILLION ACRES OF COMBINED PUBLIC AND PRIVATE FORESTS. A LARGE PORTION - 680,000 ACRES - OF REDWOOD FORESTS ARE PROTECTED OR STRICTLY CONSERVED. THE COUNTY IS THE SOUTHERN GATEWAY TO THE PACIFIC NORTHWEST AND IS SURROUNDED BY DEL NORTE COUNTY TO THE NORTH, TRINITY COUNTY TO THE EAST, MENDOCINO COUNTY TO THE SOUTH AND THE PACIFIC OCEAN ON THE WEST. THE COUNTY WAS ESTABLISHED IN MAY OF 1853 AND DERIVES ITS NAME FROM HUMBOLDT BAY, DISCOVERED BY A SEA OTTER HUNTING PARTY IN 1806 AND REDISCOVERED IN 1849, AND THE STATE'S SECOND LARGEST NATURAL BAY. THE COUNTY HAS A POPULATION OF 136,375 OR 38.2 PEOPLE PER SQUARE MILE. NEIGHBORING, TRINITY COUNTY, POPULATION 13,526 HAS ONLY 4.3 PEOPLE PER SQUARE MILE (COVERING 3,179 SQUARE MILES). CALIFORNIA AVERAGES 239.1 RESIDENTS PER SQUARE MILE AND CLASSIFIES RURAL COUNTIES AS UP TO 52 RESIDENTS PER SQUARE MILE. HUMBOLDT COUNTY IS CLASSIFIED AS A RURAL COUNTY AND TRINITY COUNTY IS CONSIDERED FRONTIER, BASED ON THIS PEOPLE PER SQUARE MILE AVERAGE. SEVEN PERCENT OF HUMBOLDT COUNTY HOUSEHOLDS ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, WHICH IS HIGHER THAN BOTH THE STATE AND NATIONAL LEVEL. IN SOME POCKETS OF HUMBOLDT COUNTY, MORE THAN A QUARTER OF HOUSEHOLDS ARE LIVING IN POVERTY. THE REGION'S ECONOMICALLY POOR RESIDENTS HAVE BEEN SEVERELY IMPACTED BY THE RECESSION AND THE ELIMINATION OF PROGRAMS AND SERVICES THAT LOCAL GOVERNMENTS ARE NO LONGER ABLE TO FUND. THE GROWING GAP IN NEEDED SERVICES HAS PLACED AT RISK THE HEALTH OF THOUSANDS OF UNDERSERVED INDIVIDUALS AND FAMILIES. HEALTH INSURANCE OPTIONS FOR LOCAL RESIDENTS HAVE INCREASED WITH MEDICAL EXPANSION AND OPENING OF THE STATE HEALTH INSURANCE EXCHANGE, COVERED CALIFORNIA. HOWEVER, THE COUNTY LACKS PROVIDERS TO CARE FOR THE REGIONS' NEWLY INSURED. HUMBOLDT COUNTY IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA AND AREAS ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (GARBERVILLE/REDWAY, NORTH COASTAL, MCKINLEYVILLE, ARCATA, FERNDALE AND WILLOW CREEK). ATTRACTING AND RETAINING PRIMARY CARE AND SPECIALTY PHYSICIANS AS WELL AS OTHER HEALTH PROFESSIONALS IS AN ONGOING CHALLENGE FOR THIS RURAL COMMUNITY. ACCESS TO AFFORDABLE HEALTHCARE AND BASIC NEEDS HAS ELEVATED TO A CRITICAL LEVEL FOR PEOPLE LIVING IN HUMBOLDT COUNTY. TO RESPOND EFFECTIVELY REQUIRES COLLABORATIVE PROBLEM SOLVING AT THE COMMUNITY LEVEL. NONPROFIT HEALTH PROVIDERS - LARGE AND SMALL - MUST WORK TOGETHER TO LEVERAGE RESOURCES AND MAXIMIZE HEALTH ASSETS IN INNOVATIVE WAYS TO RESTORE WHAT HAS BEEN LOST, ENHANCE WHAT STILL EXISTS AND ENSURE SUSTAINABLE HEALTH PROGRAMS AND SERVICES ARE AVAILABLE OVER THE LONG-TERM TO POPULATIONS THAT NEED THEM THE MOST. COMMUNITY-BASED COLLABORATION HAS BEEN A PRIORITY FOR HUMBOLDT COUNTY NONPROFIT ORGANIZATIONS, AND WILL CONTINUE TO DRIVE THIS HOSPITAL'S COMMUNITY BENEFIT EFFORTS IN THE FUTURE. TWO OTHER HOSPITALS SERVE COMMUNITIES IN HUMBOLDT COUNTY: THEY ARE MAD RIVER COMMUNITY HOSPITAL IN ARCATA AND GERALD PHELPS COMMUNITY HOSPITAL IN GARBERVILLE. SUTTER COAST HOSPITAL SERVES DEL NORTE COUNTY TO THE NORTH. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH REALIZING OUR MISSION REDWOOD MEMORIAL HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE PEOPLE IN THE LOCAL COMMUNITY FOR OVER 55 YEARS. SERVING THE COMMUNITIES OF FORTUNA, FERNDALE, LOLETA RIO DELL AND THROUGHOUT THE EEL RIVER VALLEY AND INTO SOUTHERN HUMBOLDT COUNTY, REDWOOD MEMORIAL HOSPITAL IS A CRITICAL CARE ACCESS HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF EMERGENCY MEDICINE, HOLISTIC AND PATIENT CENTERED CARE, DIAGNOSTIC IMAGING, CANCER PROGRAM AND OBSTETRICS AS WELL AS COMMUNITY-BASED PROGRAMS AND RESOURCE CENTERS FOCUSED ON PREVENTION, HEALTH PROMOTION, OUTREACH, CARE COORDINATION AND COMMUNITY BUILDING. WITH OVER 240 EMPLOYEES COMMITTED TO REALIZING THE MISSION, REDWOOD MEMORIAL HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE HUMBOLDT REGION. REDWOOD MEMORIAL HOSPITAL IS 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 OUR COMMUNITY BENEFIT PROGRAMS WHICH ARE PARTLY FUNDED BY CARE FOR THE POOR DOLLARS. REDWOOD MEMORIAL HOSPITAL IS A HEALING MINISTRY 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 REDWOOD MEMORIAL HOSPITAL 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: BASIC NEEDS DONATIONS THROUGH THE REDWOOD MEMORIAL HOSPITAL'S FIVE COMMUNITY RESOURCE CENTERS (CRCS) LOCATED IN GEOGRAPHICALLY DIVERSE AREAS OF OUR COUNTY, THE BASIC NEEDS OF INDIVIDUALS AND FAMILIES ARE MET. OUR CRCS PROVIDE CONCRETE SUPPORT - SUCH AS FOOD, CLOTHING, TRANSPORTATION, SCHOOL SUPPLIES, AND MEDICATION ASSISTANCE - IN TIMES OF NEED. BY MEETING BASIC NEEDS, WE HAVE THE OPPORTUNITY MEET PEOPLE WHERE THEY ARE AND BEGIN TO BUILD TRUST, AN IMPORTANT FIRST STEP TOWARDS OUR MISSION OUTCOMES OF SACRED ENCOUNTERS AND HEALTHIEST COMMUNITIES. CASH DONATIONS OR SPONSORSHIP FOR THE POOR THROUGHOUT FY15, REDWOOD MEMORIAL HOSPITAL MADE SEVERAL CASH DONATIONS TO SUPPORT ORGANIZATIONS, PROGRAMS OR ACTIVITIES TARGETED FOR POOR AND VULNERABLE PERSONS LIVING IN THE EEL RIVER VALLEY AND LARGER HUMBOLDT COUNTY. A FEW EXAMPLES OF DONATIONS INCLUDE SUPPORTING LATINONET, A NON-PROFIT PARTNER THAT SUPPORTS ACCESS TO CARE AND SERVICES FOR THE UNDERSERVED LATINO POPULATION; A DONATION TO THE LOLETA COMMUNITY GARDEN LOCATED AT THE LOLETA ELEMENTARY SCHOOL CAMPUS WHICH HAS A FREE AND REDUCED PRICE LUNCH RATE OF 95%; DONATIONS TO SUPPORT HEART OF THE REDWOODS HOSPICE IN RURAL SOUTHERN HUMBOLDT, THE VOLUNTEER INCOME TAX ASSISTANCE PROGRAM (VITA) AND THE PURCHASE OF A USED DENTAL VAN TO SERVICE SOUTHERN HUMBOLDT. WE ALSO MADE A CASH DONATION TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT GRANT INITIATIVES TARGETED AT IMPROVING THE HEALTH CONDITIONS OF LOW-INCOME AND UNDER SERVED RESIDENTS LIVING IN THE COMMUNITIES WE SERVE. PHYSICIAN RECRUITMENT REDWOOD MEMORIAL HOSPITAL IS LOCATED IN A REGION DESIGNATED AS A HEALTH PROFESSIONALS SHORTAGE AREA AND A MEDICALLY UNDERSERVED AREA. WE HAVE AN AGING PHYSICIAN WORK FORCE WITH FEW NEW PHYSICIANS MOVING TO THE AREA TO PRACTICE MEDICINE. OUR HOSPITAL WORKS EXTENSIVELY WITH COMMUNITY PARTNERS AND PRIVATE PRACTICE TO RECRUIT QUALIFIED PRIMARY CARE AND SPECIALTY PHYSICIANS TO THE AREA. THIS IS A TOP PRIORITY FOR OUR HOSPITAL AS IT IS CRITICAL TO INSURING ACCESS TO CARE FOR ALL MEMBERS OF OUR RURAL COMMUNITY. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM REDWOOD MEMORIAL HOSPITAL IS A HEALING MINISTRY 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. 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 FY15, RMH CONTRIBUTED $ 279,600 TO THE SJH CPF AND THE SJH CPF RECEIVED A TOTAL OF $31M. 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 NON-PROFIT 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 NON-PROFITS TO PROMOTE SOCIAL GOOD AND THE DEVELOPMENT OF HEALTHIER COMMUNITIES. IN FY15, A TOTAL OF $9.4 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. LEARN MORE ABOUT SJH COMMUNITY BENEFIT TO STJHS.ORG. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA true ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DRIVE 100 IRVINE CA 92612 330143024 501(c)(3) 279600 0 CARE FOR THE POOR 1 SCHEDULE I, PART I, LINE 2 DESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS FUNDS THAT ARE TRANSFERRED TO ST. JOSEPH HEALTH SYSTEM (CARE FOR THE POOR) ARE MONITORED AND DISTRIBUTED BY THE ST. JOSEPH HEALTH SYSTEM, AND ARE NOT MONITORED ON A HOSPITAL LEVEL ONCE THE FUNDS ARE TRANSFERRED. X true false true true false false false false false true false RONALD DILUIGI BOARD MEMBER 0 272238 0 79277 0 125041 0 20673 0 24201 0 521430 0 0 DAVID O'BRIEN MD PRESIDENT/CEO 0 404682 0 243805 0 111787 0 18200 0 23615 0 802089 0 0 MICH RICCIONI REGIONAL CFO 0 356046 0 76838 0 74885 0 17993 0 28673 0 554435 0 0 KEVIN KLOCKENGA REGIONAL EVP 0 546506 0 176842 0 155875 0 13000 0 27946 0 920169 0 0 JAYNIE BOREN N CA REG VP - STRATEGIC SVCS 0 274761 0 69937 0 43294 0 10400 0 22506 0 420898 0 0 ROBERT EISEN REGIONAL VP OF HUMAN RESOURCES 0 213469 0 44562 0 32546 0 6512 0 25402 0 322491 0 0 ROBYNN VAN PATTEN SECRETARY 0 353239 0 100569 0 54138 0 10400 0 33031 0 551377 0 0 CAROL REEDER VP, CNO 0 177429 0 50333 0 109723 0 6270 0 9075 0 352830 0 0 LINDA COOK VP HUMAN RESOURCES 0 171564 0 72705 0 10486 0 11839 0 17148 0 283742 0 0 MATTHEW MILLER MD VP, MEDICAL AFFAIRS/CMO 0 205276 0 0 0 36213 0 6201 0 14115 0 261805 0 0 LAURIE WATSON-STONE VP ANCILLARY & SUPPORT SRVCS 0 168376 0 36889 0 32571 0 13830 0 28931 0 280597 0 0 JOSHUA ALLEE VP, MISSION INTEGRATION 0 163137 0 32263 0 25512 0 1600 0 10579 0 233091 0 0 JOSEPH ROGERS VP, COO 83067 0 20362 0 183996 0 1218 0 2193 0 290836 0 0 0 NEIL PALMER MANAGER, PHARMACY 142033 0 18000 0 17308 0 17313 0 20667 0 215321 0 0 0 LAURIE GARRISON DIRECTOR OF NURSING SERVICES 148079 0 20553 0 3935 0 14973 0 9541 0 197081 0 0 0 ROBERT MORRIS PHARMACIST 155022 0 0 0 0 0 12480 0 11958 0 179460 0 0 0 PAMELA CASSADY ADMIN SUPERVISOR 145833 0 0 0 0 0 10382 0 23946 0 180161 0 0 0 LINDA BIONDINI NURSE MANAGER 120640 0 13178 0 11294 0 13524 0 21679 0 180315 0 0 0 SCHEDULE J, PART I, LINE 1A SUPPLEMENTAL COMPENSATION INFORMATION EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. SCHEDULE J, PART I, LINE 3 DESCRIPTION OF CEO PAID BY EXEMPT PARENT 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 4A SEVERANCE OR CHANGE OF CONTROL PAYMENT THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS FOR EITHER PART OR ALL OF THE YEAR: JOSEPH ROGERS $ 183,996 SCHEDULE J, PART I, LINE 4B DESCRIPTION OF A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. SCHEDULE J, PART I, LINE 7 DESCRIBE ANY NON-FIXED PAYMENTS PROVIDED A PORTION OF EXECUTIVES 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 OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK AT-RISK PAY. FORM 990, PART III, LINE 4 PROGRAM SERVICE ACCOMPLISHMENTS REALIZING OUR MISSION REDWOOD MEMORIAL HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE PEOPLE IN THE LOCAL COMMUNITY FOR OVER 55 YEARS. SERVING THE COMMUNITIES OF FORTUNA, FERNDALE, LOLETA RIO DELL AND THROUGHOUT THE EEL RIVER VALLEY AND INTO SOUTHERN HUMBOLDT COUNTY, REDWOOD MEMORIAL HOSPITAL IS A CRITICAL CARE ACCESS HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF EMERGENCY MEDICINE, HOLISTIC AND PATIENT CENTERED CARE, DIAGNOSTIC IMAGING, CANCER PROGRAM AND OBSTETRICS AS WELL AS COMMUNITY-BASED PROGRAMS AND RESOURCE CENTERS FOCUSED ON PREVENTION, HEALTH PROMOTION, OUTREACH, CARE COORDINATION AND COMMUNITY BUILDING. WITH OVER 240 EMPLOYEES COMMITTED TO REALIZING THE MISSION, REDWOOD MEMORIAL HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE HUMBOLDT REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH, REDWOOD 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 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 NEIGHBORS" AND MINISTER 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 TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBLITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. PATIENT FINANCIAL ASSISTANCE PROGRAM REDWOOD MEMORIAL HOSPITAL BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY REDWOOD MEMORIAL HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY15, REDWOOD MEMORIAL HOSPITAL PROVIDED $521,489 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM REDWOOD MEMORIAL HOSPITAL PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY15, REDWOOD MEMORIAL HOSPITAL PROVIDED -$4,261,596 IN MEDICAID SHORTFALL DUE TO RECEIVING $8,399,000 FROM THE CALIFORNIA HOSPITAL FEE PROGRAM WHICH IS AIMED AT HELPING NON-PROFITS IMPROVE ACCESS TO CARE FOR SOME OF CALIFORNIA'S MOST VULNERABLE PERSONS. IN FY15 REDWOOD MEMORIAL HOSPITAL WOULD HAVE PROVIDED $4,137,403 IN MEDICAID SHORTFALL WITHOUT HOSPITAL FEE IMPACT. PROGRAM SERVICE ACCOMPLISHMENTS BASIC NEEDS DONATIONS THROUGH THE REDWOOD MEMORIAL HOSPITAL'S FIVE COMMUNITY RESOURCE CENTERS (CRCs) LOCATED IN GEOGRAPHICALLY DIVERSE AREAS OF OUR COUNTY, THE BASIC NEEDS OF INDIVIDUALS AND FAMILIES ARE MET. OUR CRCs PROVIDE CONCRETE SUPPORT - SUCH AS FOOD, CLOTHING, TRANSPORTATION, SCHOOL SUPPLIES, MEDICATION ASSISTANCE - IN TIMES OF NEED. BY MEETING BASIC NEEDS, WE HAVE THE OPPORTUNITY MEET PEOPLE WHERE THEY ARE AND BEGIN TO BUILD TRUST, AN IMPORTANT FIRST STEP TOWARDS OUR MISSION OUTCOMES OF SACRED ENCOUNTERS AND HEALTHIEST COMMUNITIES. CASH DONATIONS OR SPONSORSHIP FOR THE POOR THROUGHOUT FY15, REDWOOD MEMORIAL HOSPITAL MADE SEVERAL CASH DONATIONS TO SUPPORT ORGANIZATIONS, PROGRAMS OR ACTIVITIES TARGETED FOR POOR AND VULNERABLE PERSONS LIVING IN THE EEL RIVER VALLEY AND LARGER HUMBOLDT COUNTY. A FEW EXAMPLES OF DONATIONS INCLUDE SUPPORTING LATINONET, A NON-PROFIT PARTNER THAT SUPPORTS ACCESS TO CARE AND SERVICES FOR THE UNDERSERVED LATINO POPULATION; A DONATION TO THE LOLETA COMMUNITY GARDEN LOCATED AT THE LOLETA ELEMENTARY SCHOOL CAMPUS WHICH HAS A FREE AND REDUCED PRICE LUNCH RATE OF 95%; DONATIONS TO SUPPORT HEART OF THE REDWOODS HOSPICE IN RURAL SOUTHERN HUMBOLDT, THE VOLUNTEER INCOME TAX ASSISTANCE PROGRAM (VITA) AND THE PURCHASE OF A USED DENTAL VAN TO SERVICE SOUTHERN HUMBOLDT. WE ALSO MADE A CASH DONATION TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT GRANT INITIATIVES TARGETED AT IMPROVING THE HEALTH CONDITION OF LOW-INCOME AND UNDER SERVED RESIDENTS LIVING IN THE COMMUNITIES WE SERVE. PHYSICIAN RECRUITMENT REDWOOD MEMORIAL HOSPITAL IS LOCATED IN A REGION DESIGNATED AS A HEALTH PROFESSIONALS SHORTAGE AREA AND A MEDICALLY UNDERSERVED AREA. WE HAVE AN AGING PHYSICIAN WORK FORCE WITH FEW NEW PHYSICIANS MOVING TO THE AREA TO PRACTICE MEDICINE. OUR HOSPITAL WORKS EXTENSIVELY WITH COMMUNITY PARTNERS AND PRIVATE PRACTICE TO RECRUIT QUALIFIED PRIMARY CARE AND SPECIALTY PHYSICIANS TO THE AREA. THIS IS A TOP PRIORITY FOR OUR HOSPITAL AS IT IS CRITICAL TO INSURING ACCESS TO CARE FOR ALL MEMBERS OF OUR RURAL COMMUNITY. FOR MORE INFORMATION ABOUT REDWOOD MEMORIAL HOSPITAL PLEASE VISIT WWW.STJOEHUMBOLDT.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG. FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS ST JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF REDWOOD MEMORIAL HOSPITAL. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS REDWOOD MEMORIAL HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE REDWOOD MEMORIAL HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE REDWOOD 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 DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS 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 2016 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 DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST 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 AND 15B OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN 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 REDWOOD MEMORIAL HOSPITAL EXECUTIVE 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 2015. DURING THE YEAR, THE REDWOOD MEMORIAL HOSPITAL EXECUTIVE 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, LINE 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990. FORM 990, PART IX, LINE 11G OTHER FEES EXCEEDING 10% REGISTRY $ 1,188,614 MED/PHYSICIAN SERVICES $ 3,367,173 PURCHASED SERVICES $ 1,622,775 --------------- TOTAL $ 6,178,562 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE EQUITY TRANSFER ($4,010,181) CHANGE IN GRANT FUNDS $ 113,965 ------------ TOTAL ($3,896,216) COVENANT HEALTH NETWORK INC 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 461259908 HEALTHCARE CA 501(C)(3) 11,III SJHS true COVENANT ACO 3615 19TH STREET LUBBOCK TX 79410 611573313 HEALTHCARE TX 501(C)(3) 11,I CHS true COVENANT HEALTH SYSTEM 3615 19TH STREET LUBBOCK TX 79410 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS true COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS true COVENANT MEDICAL GROUP 3420 22ND PLACE LUBBOCK TX 79410 752743883 HEALTHCARE TX 501(C)(3) 3 CHS true COVENANT HEALTH PARTNERS 3615 19TH STREET LUBBOCK TX 79410 463516417 HEALTHCARE TX 501(C)(3) 11,I CHS true HOAG CHARITY SPORTS 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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 TOTAL HEALTH ENVIRONMENT EIN: 46-4807513 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 ADVANCED SURGERY INSTITUTE LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954