2016-05-12T11:11:54-05:00 2015-06-30 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2014-07-01 951643327 HOAG MEMORIAL HOSPITAL PRESBYTERIAN % ANDREW GUARNI HOAG 9497644624 ONE HOAG DRIVE BOX 6100 NEWPORT BEACH CA 926586100 ANDREW GUARNI CFO 9497644624 2016-05-10 true KARA ADAMS P00023315 9497942300 2014 2016-08-17 19:52:53Z ROBERT BRAITHWAITE ONE HOAG DRIVE BOX 6100 NEWPORT BEACH CA 926586100 1578618925 false X WWW.HOAG.ORG X 1944 CA OUR MISSION AS A NOT-FOR-PROFIT, FAITH- BASED HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO THE COMMUNITIES WE SERVE. 19 17 5484 1550 3664572 0 15255606 15714646 620457115 882909370 36971059 31054085 21856334 32832269 694540114 962510370 5368560 8582024 0 0 268821260 362388354 0 0 0 335447407 473386573 609637227 844356951 84902887 118153419 2480819862 2652277649 692482634 768092907 1788337228 1884184742 X OUR MISSION AS A NOT-FOR-PROFIT, FAITH-BASED HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES TO THE COMMUNITIES WE SERVE. false false 516866423 8582024 910763461 SEE SCHEDULE O 516866423 true true false true false false false false false true true true false false true true false true false false true false false false false false true true true true true false false false false false false true false false false false false true true true true false false true 658 0 true 5484 true true true false false false false false false false false false X 19 17 true false false false true true true true true false false true true true true true true false true true true CA X X ANDREW GUARNI 9497644448 ONE HOAG DRIVE BOX 6100 NEWPORT BEACH CA 92663 Dennis J Gilmore Board Member 2.0 0.0 X 0 0 0 Dick P Allen Board Member 2.0 0.0 X 0 0 0 Raymond Ricci MD Board Member 2.0 0.0 X 0 0 0 Weston G Chandler MD Board Member 2.0 0.0 X 0 0 0 Jake Easton III Board Member 2.0 0.0 X 14180 0 0 Max Hampton Board Member 2.0 0.0 X 0 0 0 Jeffrey H Margolis Board Member 2.0 0.0 X 0 0 0 Michael D Stephens Board Member 2.0 0.0 X 0 0 0 Karen Linden Chair-Elect 4.0 0.0 X X 0 0 0 Virginia Ueberroth Board Member 2.0 0.0 X 0 0 0 Yulun Wang PhD Board Member 2.0 0.0 X 0 0 0 Pam Massey Board Member 2.0 0.0 X 0 0 0 Roger Kirwan Bd Member/Chair HHF/Bd MBR HCS 2.0 6.0 X 0 0 0 Cindy Stokke Board Member 2.0 3.0 X 0 0 0 George H Wood Board Member 2.0 0.0 X 0 0 0 Margarita Pereyda MD Board Member 2.0 0.0 X 0 0 0 Gary S McKitterick Chair/Board Member HHF 5.0 2.0 X X 0 0 0 John L Benner Secretary 4.0 0.0 X X 0 0 0 Miles Chang MD Board Member 2.0 0.0 X 0 0 0 Robert Braithwaite CEO-Hoag, Reg VP-S CA Region 50.0 4.0 X 0 952049 39288 Andrew Guarni CFO 50.0 0.0 X 305802 0 27932 Jack Cox SVP & Chief Quality Officer 50.0 0.0 X 1967158 0 144561 Richard Martin SVP & Chief Nursing Officer 50.0 0.0 X 502371 0 49905 Jennifer Mitzner SVP, CFO-S CA Region 20.0 30.0 X 974558 289003 46889 Sanford Smith SVP Real Estate & Facilities 50.0 0.0 X 454639 0 68443 Timothy C L Moore SVP & Chief Info Officer 50.0 0.0 X 476856 0 54140 Cynthia Perazzo SVP Strategic & Business Dvpmt 50.0 0.0 X 452841 0 40638 Flynn Andrizzi SVP/Pres. HHF/Board Member HCS 2.0 51.0 X 472620 0 49104 Jan Blue SVP Human Resources 50.0 0.0 X 399203 0 30855 Kris Iyer MD VP SR & CAO HMTS 10.0 40.0 X 543200 0 14572 Nina Robinson VP Marketing and Corp Comm. 50.0 0.0 X 522430 0 13930 Gwyn Parry Director of Community Medicine 50.0 0.0 X 310326 0 31213 Terri Cammarano VP Legal 50.0 0.0 X 913532 0 22510 Michael Brand-Zawadzki Executive Medical Director COE 50.0 0.0 X 563869 0 30841 Randal Ray Director of Revenue Cycle 50.0 0.0 X 360443 0 8122 Richard Afable MD Fmr Pres,CEO,BM/BM HHF/SJH EVP 0.0 54.0 X 0 1154319 35627 9234028 2395371 708570 735 true true false Deloitte Touche LLP 17360 Brookhurst Fountain Valley CA 92708 consulting services 13827996 Pacific Hospitalist Associates 510 Superior Ave Suite 290 Newport Beach CA 92663 medical services 5814518 Newport Critical Care 17 Emerald Terrace ALISO VIEJO CA 92656 technology services 5527632 Allscripts 8529 Six Forks Road RALEIGH NC 27615 software systems 3660699 Emerald Textiles 1725 Dornoch Court Ste 101 San Diego CA 92154 Textile Rental 2476658 88 0 15714646 0 15714646 Patient Services 734272305 734272305 0 0 HMO Capitated Payment 622110 87985965 87985965 0 0 MOB Rental Income 531190 24605403 24605403 0 0 Cafeteria Sales 722212 3493009 3493009 0 0 Refunds and Rebates 532299 2135514 2135514 0 0 30417174 30417174 0 0 882909370 15364573 15364573 0 82524 82524 0 0 0 631751664 46403 616036094 72461 15715570 -26058 15689512 15689512 0 0 0 INCOME FROM PARTNERSHIPS 525990 21306614 21280101 26513 0 MISC HOI SERVICES 561110 9180597 6085374 3095223 0 CHILD CARE PROGRAM 624410 1231082 0 0 1231082 1031452 488616 542836 32749745 962510370 910763461 3664572 32367691 X 8571293 8571293 10731 10731 0 0 0 0 9105110 600937 8504173 0 85932 85932 0 0 282510400 190533831 91976569 0 14850776 3302340 11548436 0 35507005 18026828 17480177 0 20329131 13504836 6824295 0 0 0 0 0 2838854 270 2838584 0 120483 120483 0 33656 0 33656 0 0 0 3869539 0 3869539 0 122610025 61979570 60630455 1503924 394 1503530 0 9584288 1600808 7983480 0 9534213 201359 9332854 0 0 0 0 0 45456280 17692988 27763292 0 137072 40099 96973 0 0 0 0 0 608035 239067 368968 0 16286681 16123814 162867 0 0 0 0 0 74208000 22093573 52114427 0 6119429 4713387 1406042 0 MEDICAL SUPPLIES 110697687 109307084 1390603 0 QA CA HOSPITAL FEE 45881633 45881633 0 0 ABANDONED PROPERTY 4386987 0 4386987 0 AFFILIATION EXPENSE 4374177 0 4374177 0 15135610 2355649 12779961 844356951 516866423 327490528 0 0 108064391 161624544 139196813 139131690 0 0 79734170 79258447 1500000 0 0 0 1194898 3555095 5531211 6700672 12711459 11097052 1625711331 729853414 871509320 895857917 453954807 198391084 708780977 985859289 55870739 69416549 0 1304323 42771077 100080987 2480819862 2652277649 99910336 113336141 0 0 1636092 0 0 0 0 0 0 0 0 0 0 0 590936206 654756766 692482634 768092907 X 1788326510 1884099885 10718 84857 0 0 1788337228 1884184742 2480819862 2652277649 X 118153419 -3656743 -213855 -18435307 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 33656 33656 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I 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 HOAG MEMORIAL HOSPITAL PRESBYTERIAN. 133533623 17412921 3480058 19213684 135212918 124062748 4178547 12817040 7524712 133533623 116691866 2165921 12524800 7319839 124062748 107000015 4471403 13721800 8501352 116691866 113283821 3879161 901766 11064733 107000015 0.21000 0.49000 0.30000 false true true 0 77330825 77330825 894152852 325088620 569064232 115075573 39797234 75278339 467193579 364967560 102226019 71958502 71958502 895857917 U.S. GOVERNMENT AGENCY&TREAS. 21719117 F Debt Securities 145025014 F Equity Securities 122880791 F Equity Commingled Funds 324166451 F Hedge Funds 250488755 F Private Equity 64946108 F Real Assets 56633053 F 985859289 0 Interco with Health System-Bonds 534205569 Third Party Settlement 3332594 Other Long-term liabilities 15272717 Other Current Liabilities 54388936 Accrued Capitation Liability 14536199 SELF INSURED LIABILITIES 33020751 654756766 X SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) 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, 2015 OR 2014. Central America and the Caribbean Investments 322129959 East Asia and the Pacific Investments 727 Europe (Including Iceland and Greenland) Investments 4178911 North America Investments 972 326310569 326310569 true false true true true false SCHEDULE F, PART I, LINE 3, COLUMN F ACCOUNTING METHOD THE AMOUNTS REPORTED IN PART I, LINE 3, COLUMN F REPRESENT THE MARKET VALUES OF THE INVESTMENTS IN THE IDENTIFIED REGIONS AS OF THE ORGANIZATION'S FISCAL YEAR ENDED JUNE 30, 2015. true true X true X true X true true false true true 5456078 5456078 0.00620 68138323 46250767 21702933 0.02470 6402385 63430 6338955 0.00720 79996786 46314197 33497966 0.03810 7780879 0 7780879 0.00890 303127 0 303127 0.00030 725962 0 725962 0.00080 2745659 0 2745659 0.00310 11555627 0 11555627 0.01320 91552413 46314197 45053593 0.05130 27700 27700 0.00000 10000 10000 0.00000 37700 37700 0.00000 false 17890458 147060518 223679193 -76618675 X true true Hoag Ortho Inst Specialty Hospital 0.51000 0.49000 Main St Spec Surgery Outpatient Surgery Center 0.42360 0.14660 Hoag Outpatient Ctr Endoscopy Center 0.25630 0.74370 Nwpt Bch Radiosrgry Surgery Center 0.50000 0.50000 Nwpt Surgical Prtns Surgery Center 0.15000 0.60000 Nwpt Bch Endoscopy Endoscopy Center 0.25630 0.74370 Nwpt Bay Surgery Ctr Surgery Center 0.20000 0.80000 2 1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN ONE HOAG DRIVE BOX 6100 NEWPORT BEACH CA 92658 WWW.HOAG.ORG C0194920 X X X X A 2 Hoag Orthopedic Institute 16250 Sand Canyon Ave Irvine CA 92618 http://orthopedichospital.com/ 200835010044 X Orthopedic Hospital A A 12 false false true X X X X X X X X X 14 true true false true X SEE PART V, SECTION C X true 14 true SEE PART V, SECTION C false false true X 200. 400. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM COMMUNITY REPRESENTATIVES TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY HOAG MEMORIAL HOSPITAL PRESBYTERIAN; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 151 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED BELOW: ONLINE KEY INFORMANT SURVEY PARTICIPATION KEY INFORMANT TYPE NUMBER INVITED NUMBER PARTICIPATING PHYSICIANS 11 6 PUBLIC HEALTH EXPERTS 16 7 OTHER HEALTH PROVIDERS 59 22 SOCIAL SERVICE PROVIDERS 157 82 BUSINESS & COMM. LEADERS 60 34 THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS, OR OTHER MEDICALLY UNDERSERVED POPULATIONS: MINORITY POPULATIONS REPRESENTED: AFRICAN-AMERICANS, AMERICAN INDIAN/ALASKAN NATIVE, ASIANS, BLIND/LOW VISION, CAMBODIANS, CAUCASIANS, CHILDREN, CHILDREN OF PRISONERS, CHINESE, DISABLED, ELDERLY, ESL, FAMILIES, FILIPINOS, FOSTER CHILDREN, HARD-TO-REACH, HISPANICS, HOMELESS, IMMIGRANTS, IRANIANS, JAPANESE, JEWISH, KENYAN, KOREAN, LGBT, LOW-INCOME, MARSHALLESE, MEDICAL, MEDICARE, MENTALLY-IIL, MIDDLE CLASS, MIDDLE EASTERN, MULTIRACIAL, NON-ENGLISH-SPEAKING, OTHER ETHNIC DEMOGRAPHICS, PACIFIC ISLANDER, PERSIAN, POLITICAL REFUGEES, PREGNANT WOMEN, SOMALIAN, TEEN PARENTS, THE UNDERSERVED, THE UNDOCUMENTED, UNINSURED/UNDERINSURED, VETERANS, VICTIMS OF ABUSE, VIETNAMESE, WOMEN, AND YOUNG ADULTS. MEDICALLY UNDERSERVED POPULATIONS REPRESENTED: AFRICAN-AMERICANS, THOSE WITH ALZHEIMER'S/DEMENTIA, ASIANS, BLIND/LOW-VISION, CAMBODIANS, CAUCASIANS, CHILDREN, CHILDREN OF PRISONERS, DIABETICS, DISABLED, ELDERLY, ELIGIBLE PUBLIC PROGRAM RECIPIENTS, FAMILIES, FOSTER CHILDREN, HIGH-RISK FOR UNPROTECTED SEXUAL ACTIVITY, HISPANIC, HOMEBOUND, HOMELESS, IMMIGRANTS, KOREANS, LGBT, LOW EDUCATION LEVEL, LOW-INCOME, MEDICAID, MEDICAL, MEDICARE, MENTALLY ILL, MIDDLE EASTERN, MSI, NEWLY-INSURED, NON-ENGLISH-SPEAKING, NON-SENIORS (DON'T QUALIFY FOR SSD), PREGNANT WOMEN, SEVERE TRAUMATIC HISTORIES, SUBSTANCE ABUSERS, TEENAGERS, UNDOCUMENTED, UNEMPLOYED, UNINSURED/UNDERINSURED, VETERANS, "WORKING-POOR" FAMILIES, AND YOUNG ADULTS. PARTICIPANTS INCLUDE REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS: 211 AIDS SERVICES FOUNDATION ORANGE COUNTY ALZHEIMER'S ASSOCIATION ALZHEIMER'S FAMILY SERVICES CENTER AMERICAN DIABETES ASSOCIATION AMERICAN ON TRACK BOYS & GIRLS CLUB OF SANTA ANA CARE CONNECTIONS NETWORK CASA TERESA INC. CITY OF IRVINE CORDULA CARES FAMILIES FORWARD HCA HOAG MEMORIAL HOSPITAL PRESBYTERIAN HOAG MENTAL HEALTH CENTER ILLUMINATION FOUNDATION IRVINE CHILDREN'S FUND IRVINE PUBLIC SCHOOLS FOUNDATION KID HEALTHY LAGUNA BEACH SENIORS LATINO HEALTH ACCESS LOCAL LAW ENFORCEMENT MARCH OF DIMES MOMS ORANGE COUNTY NEWPORT-MESA UNIFIED SCHOOL DISTRICT ORANGE COAST UNITARIAN UNIVERSALIST ORANGE COUNTY HEALTH CARE AGENCY, PUBLIC HEALTH SVCS PROVIDENCE SPEECH AND HEARING CENTER SENECA FAMILY OF AGENCIES SENIORSERV SCHEDULE H, PART V, SECTION B, LINE 6A HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND HOAG ORTHOPEDIC INSTITUTE CONDUCTED A COMBINED CHNA. SCHEDULE H, PART V, SECTION B, LINE 7A FACILITY 1 http://www.hoag.org/documents/2015-Community-Health-Needs-Assessment-Repor t-Hoag-Hospital.pdf FACILITY 2 http://www.orthopedichospital.com/documents/2015-Hoag-CHNA.pdf SCHEDULE H, PART V, SECTION B, LINE 10A FACILITY 1 http://www.hoag.org/documents/Community-Benefit-Reports/Implementation-Str ategy-Hoag-2015-2018.pdf FACILITY 2 http://www.hoag.org/documents/Community-Benefit-Reports/Implementation-Str ategy-HOI-2015-2018.pdf SCHEDULE H, PART V, SECTION B, LINE 11 ON MAY 27, 2015, A TOTAL OF 37 COMMUNITY STAKEHOLDERS MET TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY, BASED ON FINDINGS OF THE 2015 PRC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS GROUP INCLUDED BOTH HEALTH PROVIDERS AND REPRESENTATIVES OF VARIOUS COMMUNITY ORGANIZATIONS. PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH. FOLLOWING THE DATA REVIEW, PRC ANSWERED ANY QUESTIONS AND FACILITATED A GROUP DIALOGUE, ALLOWING PARTICIPANTS TO ADVOCATE FOR ANY OF THE HEALTH ISSUES DISCUSSED. PARTICIPANTS WERE THEN PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS (I.E., AREAS OF OPPORTUNITY), A WIRELESS AUDIENCE RESPONSE SYSTEM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS USING A SMALL REMOTE KEYPAD. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: - SCOPE & SEVERITY - THE FIRST RATING WAS TO GAUGE THE MAGNITUDE OF THE PROBLEM IN CONSIDERATION OF THE FOLLOWING: HOW MANY PEOPLE ARE AFFECTED? HOW DOES THE LOCAL COMMUNITY DATA COMPARE TO STATE OR NATIONAL LEVELS, OR HEALTHY PEOPLE 2020 TARGETS? TO WHAT DEGREE DOES EACH HEALTH ISSUE LEAD TO DEATH OR DISABILITY, IMPAIR QUALITY OF LIFE, OR IMPACT OTHER HEALTH ISSUES? RATINGS WERE ENTERED ON A SCALE OF 1 (NOT VERY PREVALENT AT ALL, WITH ONLY MINIMAL HEALTH CONSEQUENCES) TO 10 (EXTREMELY PREVALENT, WITH VERY SERIOUS HEALTH CONSEQUENCES). - ABILITY TO IMPACT - A SECOND RATING WAS DESIGNED TO MEASURE THE PERCEIVED LIKELIHOOD OF THE HOSPITAL HAVING A POSITIVE IMPACT ON EACH HEALTH ISSUE, GIVEN AVAILABLE RESOURCES, COMPETENCIES, SPHERES OF INFLUENCE, ETC. RATINGS WERE ENTERED ON A SCALE OF 1 (NO ABILITY TO IMPACT) TO 10 (GREAT ABILITY TO IMPACT). INDIVIDUALS' RATINGS FOR EACH CRITERIA WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS: 1. MENTAL HEALTH 2. DIABETES 3. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 4. HEART DISEASE & STROKE 5. ACCESS TO HEALTHCARE SERVICES 6. DEMENTIAS, INCLUDING ALZHEIMER'S DISEASE 7. CANCER 8. SUBSTANCE ABUSE 9. IMMUNIZATION & INFECTIOUS DISEASES 10. TOBACCO WHILE THE HOSPITALS WILL LIKELY NOT IMPLEMENT STRATEGIES FOR ALL OF THESE HEALTH ISSUES, THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF THE HOSPITALS' IMPLEMENTATION STRATEGIES TO ADDRESS THE TOP HEALTH NEEDS OF THE COMMUNITY IN THE COMING YEARS. THIS PROCESS YIELDED THE FOLLOWING PRIORITIES FOR HOAG MEMORIAL HOSPITAL PRESBYTERIAN TO ADDRESS IN IMPROVING THE HEALTH OF THE COMMUNITY: 1. ACCESS TO CARE FOR VULNERABLE POPULATIONS 2. CHRONIC DISEASE MANAGEMENT 3. MENTAL HEALTH 4. PREVENTATIVE HEALTH IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, HOAG MEMORIAL HOSPITAL PRESBYTERIAN DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED, AND MOST WITHIN ITS ABILITY TO INFLUENCE. HEALTH PRIORITIES NOT CHOSEN FOR ACTION SUBSTANCE ABUSE: SUBSTANCE ABUSE TREATMENT FOR THE VULNERABLE POPULATION IS CURRENTLY BEING ADDRESSED ON A LIMITED SCALE BY THE CHEMICAL DEPENDENCY PROGRAM AT HOAG. IN 2016, HOAG PLANS TO EXPAND THE SERVICES TO INCLUDE ADOLESCENCE THROUGH THE ASPIRE PROGRAM. THIS INTENSIVE OUTPATIENT PROGRAM PROVIDES PSYCHOTHERAPY, PSYCHIATRY, AND SOCIALIZATION FOR CLIENTS WITH A HIGHER MENTAL HEALTH DISORDER ACUITY. THE FOLLOWING OUTLINES HOAG'S PRIORITY HEALTH ISSUES CHOSEN FOR ACTION DURING FY2016-FY2018. ACCESS TO CARE FOR VULNERABLE POPULATIONS STRATEGIES TO ADDRESS NEED PROVIDE FUNDING AND/OR IN KIND SUPPORT TO PRIMARY CARE CLINICS THAT SERVE PEDIATRICS THROUGH SENIORS PROVIDE FUNDING AND/OR IN KIND SUPPORT TO COMMUNITY NON-PROFIT ORGANIZATIONS THAT REDUCES BARRIERS TO ACCESSING CARE PROVIDE FUNDING AND/OR IN KIND SUPPORT TO WOMEN'S HEALTH SPECIALTY SERVICES CHRONIC DISEASE MANAGEMENT STRATEGIES TO ADDRESS NEED PROVIDE CHRONIC DISEASE MANAGEMENT EDUCATION AND SUPPORT GROUPS PROVIDE FUNDING AND/OR IN KIND SUPPORT TO COMMUNITY ORGANIZATIONS FOCUSED ON CHRONIC DISEASE MANAGEMENT MENTAL HEALTH STRATEGIES TO ADDRESS NEED PROVIDE PSYCHOTHERAPY IN INDIVIDUAL, GROUP, FAMILY, AND COUPLE FORMAT THROUGH HOAG'S MENTAL HEALTH CENTER PRIMARILY FOCUSED ON THE LOW INCOME POPULATION. INTEGRATE PSYCHIATRIC SERVICES FOR THE MENTAL HEALTH CENTER PROVIDE FUNDING AND/OR IN KIND SUPPORT TO COMMUNITY ORGANIZATIONS FOCUSED ON MENTAL HEALTH PREVENTATIVE HEALTH STRATEGIES TO ADDRESS NEED PROVIDE INFLUENZA IMMUNIZATION CLINICS FOR THE COMMUNITY PROVIDE HEALTH AND WELLNESS OUTREACH TO FAITH BASED ORGANIZATIONS THROUGH THE HEALTH MINISTRIES PROGRAM. PROVIDE FUNDING AND/OR IN KIND SUPPORT TO OBESITY PREVENTION PROGRAMS PROVIDE FUNDING AND/OR IN KIND SUPPORT TO NUTRITION EDUCATION PROVIDE FUNDING AND/OR IN KIND SUPPORT TO PHYSICAL ACTIVITY PROGRAMS PROVIDE SMOKING CESSATION CLASSES SCHEDULE H, PART V, SECTION B, LINE 13H HOAG PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE FAMILY INCOME LEVELS OF UP TO 400% THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES. HOAG GIVES CONSIDERATION TO ELIGIBLE PATIENTS WITH INSURANCE IF THEY INCUR HIGH MEDICAL COSTS AS DEFINED BY CALIFORNIA LAW, AND ALSO HAVE FAMILY INCOMES UP TO 400% OF THE FPL. HMHP AND HOI'S POLICY ALSO PROVIDES FOR DISCRETIONARY DETERMINATION OF CHARITY CARE TAKING INTO CONSIDERATION INDIVIDUAL FACTS AND CIRCUMSTANCES. SCHEDULE H, PART V, SECTION B, LINE 15E PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE PROGRAM (FAP) APPLICATION. APPLICATIONS CAN BE FOUND ON THE HOAG.ORG WEBSITE, VIA FINANCIAL COUNCILORS, BY MAIL, AND BY CONTACTING HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER AT (949) 764-8400. SCHEDULE H, PART V, SECTION B, LINE 16A Facility 1 http://www.hoag.org/Patients-Visitors/Billing-Information/Financial-Assist ance-Charity-Care.aspx Facility 2 http://www.orthopedichospital.com/For-Patients/After-Your-Visit/Financial- Assistance.aspx SCHEDULE H, PART V, SECTION B, LINE 16B Facility 1 http://www.hoag.org/documents/Hoag-Charity-Care-Application_030415.pdf Facility 2 http://www.orthopedichospital.com/documents/Charity-Care-Application.pdf SCHEDULE H, PART V, SECTION B, LINE 16I THE POLICY IS COMMUNICATED VIA OUR WEBSITE, ON THE BACK OF THE PATIENT STATEMENTS, IN THE LOBBY OF EACH FACILITY, AND VIA OUR FINANCIAL COUNSELORS. 4 Main St Specialty Surgery Center 280 Main St 100 Orange CA 92868 Outpatient Surgery Center Orthopedic Surgery Center of Orange Co 22 Corporate Plaza Dr Suite 150 Newport Beach CA 92660 Outpatient orthopedic surgery center Newport Imaging Center 260 San Miguel Newport Beach CA 92660 Imaging Center NEWPORT BEACH RADIOSURGERY 1605 AVOCADO AVE NEWPORT BEACH CA 92660 OUTPATIENT SURGERY CENTER 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 6A HOAG MEMORIAL HOSPITAL PRESBYTERIAN PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT http://www.hoag.org/documents/Community-Benefit-Reports/2015-Community-Ben efit-Report.pdf SCHEDULE H, PART I, LINE 7A-I COST ACCOUNTING SYSTEM WAS USED TO DERIVE THE COST-TO-CHARGE RATIO. OUR TOTAL COSTS (DIRECT AND INDIRECT) AND TOTAL CHARGES WERE $674,336,552 AND $2,259,246,997, RESPECTIVELY. THIS RESULTED IN A COST-TO-CHARGE RATIO OF APPROXIMATELY 29.85% WHICH WAS USED TO CALCULATE CHARITY CARE AT COST (GROSS PATIENT CHARGES WRITTEN OFF ON THE P&L TIMES COST-TO-CHARGE RATIO). THE COST ACCOUNTING SYSTEM ADDRESSES INPATIENT, OUTPATIENT AND VARIOUS PAYOR TYPES. FOR THE SECTIONS OF LINE 7 AS APPLICABLE, WORKSHEET 2 WAS NOT USED WHILE THE COST TO CHARGE RATIO WAS USED. SCHEDULE H, PART I, LINE 7G NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES THE PRIMARY PURPOSE OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN'S (HOAG OR HOAG HOSPITAL) COMMUNITY BUILDING ACTIVITIES IS TO IMPROVE LOCAL HEALTH IN ORANGE COUNTY THROUGH A COLLABORATIVE PROCESS WITH OTHER NON-PROFIT ORGANIZATIONS AND HEALTH CARE DELIVERY SYSTEMS IN PROVIDING FUNDING OPPORTUNITIES FOR HEALTH RELATED COMMUNITY INITIATIVES. HOAG PARTICIPATES IN A VARIETY OF COMMUNITY BUILDING SUCH AS SUPPORTING THE HEALTH FUNDERS PARTNERSHIP OF ORANGE COUNTY ($10,000). THE GOAL OF THE PARTNERSHIP IS TO IMPROVE LOCAL HEALTH BY ENHANCING THE IMPACT AND EFFICIENCY OF HEALTH PHILANTHROPY AND HEALTH SERVICE DELIVERY IN ORANGE COUNTY. THE PARTNERSHIP ADDRESSES THIS GOAL BY IDENTIFYING STRATEGIC ISSUES FOR COLLABORATIVE FUNDING AND THE POTENTIAL TO LEVERAGE COMMUNITY RESOURCES. HOAG ALSO ASSISTS WITH COMMUNITY DISASTER PREPAREDNESS PLANNING ($27,700). SCHEDULE H, PART III, LINE 2 METHODOLOGY FOR CALCULATING BAD DEBT 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 4 THE FOLLOWING FOOTNOTE COMES FROM THE CONSOLIDATED ST. JOSEPH HEALTH SYSTEM AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDING 6/30/15. PAGE 11 OF THE AUDITED 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 SUBJECT TO DIFFERING ECONOMIC CONDITIONS AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. 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, LINE 8 TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT THE ORGANIZATION DOES NOT TREAT THE SHORTFALL FROM MEDICARE AS A COMMUNITY BENEFIT. MEDICARE COSTING METHODOLOGY MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. SCHEDULE H, PART III, LINE 9B PATIENT ACCOUNTS MANAGEMENT IS RESPONSIBLE FOR THE COLLECTION OF PATIENT ACCOUNTS AFTER DISCHARGE. PROCEDURES ARE FOLLOWED IN ACCORDANCE WITH THE FAIR DEBT COLLECTION PRACTICES ACT. ACCOUNTS UNPAID AFTER ONE HUNDRED TWENTY (150) DAYS MAY BE RECOMMENDED FOR ASSIGNMENT TO AN OUTSIDE COLLECTION AGENCY. ALL APPROPRIATE EFFORTS TO COLLECT AND/OR RESOLVE THE BALANCES DUE WITH THE PATIENT, GUARANTOR OR THIRD PARTY PAYOR MUST BE EXHAUSTED PRIOR TO RECOMMENDATION TO COLLECTORS. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT IN THE SPRING OF 2015, HOAG CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS TO IDENTIFY AND ADDRESS THE KEY HEALTH ISSUES OF OUR COMMUNITY. THIS ASSESSMENT WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). PRC IS A NATIONALLY-RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS IN COMMUNITIES ACROSS THE UNITED STATES SINCE 1994. TO ACCESS THE 2015 CHNA REPORT IN ITS ENTIRETY, PLEASE VISIT: HOAG MEMORIAL HOSPITAL PRESBYTERIAN http://www.hoag.org/documents/2015-Community-Health-Needs-Assessment-Repor t-Hoag-Hospital.pdf HOAG ORTHOPEDIC INSTITUTE http://www.orthopedichospital.com/documents/2015-Hoag-CHNA.pdf THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF RESIDENTS IN THE SERVICE AREA OF HOAG. SUBSEQUENTLY, THIS INFORMATION MAY BE USED TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS. A CHNA PROVIDES INFORMATION SO THAT COMMUNITIES MAY IDENTIFY ISSUES OF GREATEST CONCERN AND DECIDE TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. THIS CHNA WILL SERVE AS A TOOL TOWARD REACHING THREE BASIC GOALS: - TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE. A HEALTHY COMMUNITY IS NOT ONLY ONE WHERE ITS RESIDENTS SUFFER LITTLE FROM PHYSICAL AND MENTAL ILLNESS, BUT ALSO ONE WHERE ITS RESIDENTS ENJOY A HIGH QUALITY OF LIFE. - TO REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS. BY GATHERING DEMOGRAPHIC INFORMATION ALONG WITH HEALTH STATUS AND BEHAVIOR DATA, IT WILL BE POSSIBLE TO IDENTIFY POPULATION SEGMENTS THAT ARE MOST AT-RISK FOR VARIOUS DISEASES AND INJURIES. INTERVENTION PLANS AIMED AT TARGETING THESE INDIVIDUALS MAY THEN BE DEVELOPED TO COMBAT SOME OF THE SOCIO-ECONOMIC FACTORS WHICH HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON RESIDENTS' HEALTH. - TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. MORE ACCESSIBLE PREVENTIVE SERVICES WILL PROVE BENEFICIAL IN ACCOMPLISHING THE FIRST GOAL (IMPROVING HEALTH STATUS, INCREASING LIFE SPANS, AND ELEVATING THE QUALITY OF LIFE), AS WELL AS LOWERING THE COSTS ASSOCIATED WITH CARING FOR LATE-STAGE DISEASES RESULTING FROM A LACK OF PREVENTIVE CARE. THIS ASSESSMENT INCORPORATES DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH (THE PRC COMMUNITY HEALTH SURVEY) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE QUANTITATIVE COMPONENTS ALLOW FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY. THE SURVEY INSTRUMENT WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND PRC. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY HOAG MEMORIAL HOSPITAL PRESBYTERIAN; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 151 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, AS OUTLINED BELOW: ONLINE KEY INFORMANT SURVEY PARTICIPATION KEY INFORMANT TYPE NUMBER INVITED NUMBER PARTICIPATING PHYSICIANS 11 6 PUBLIC HEALTH EXPERTS 16 7 OTHER HEALTH PROVIDERS 59 22 SOCIAL SERVICE PROVIDERS 157 82 BUSINESS & COMM. LEADERS 60 34 THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS, OR OTHER MEDICALLY UNDERSERVED POPULATIONS: MINORITY POPULATIONS REPRESENTED: AFRICAN-AMERICANS, AMERICAN INDIAN/ALASKAN NATIVE, ASIANS, BLIND/LOW VISION, CAMBODIANS, CAUCASIANS, CHILDREN, CHILDREN OF PRISONERS, CHINESE, DISABLED, ELDERLY, ESL, FAMILIES, FILIPINOS, FOSTER CHILDREN, HARD-TO-REACH, HISPANICS, HOMELESS, IMMIGRANTS, IRANIANS, JAPANESE, JEWISH, KENYAN, KOREAN, LGBT, LOW-INCOME, MARSHALLESE, MEDICAL, MEDICARE, MENTALLY-IIL, MIDDLE CLASS, MIDDLE EASTERN, MULTIRACIAL, NON-ENGLISH-SPEAKING, OTHER ETHNIC DEMOGRAPHICS, PACIFIC ISLANDER, PERSIAN, POLITICAL REFUGEES, PREGNANT WOMEN, SOMALIAN, TEEN PARENTS, THE UNDERSERVED, THE UNDOCUMENTED, UNINSURED/UNDERINSURED, VETERANS, VICTIMS OF ABUSE, VIETNAMESE, WOMEN, AND YOUNG ADULTS. MEDICALLY UNDERSERVED POPULATIONS REPRESENTED: AFRICAN-AMERICANS, THOSE WITH ALZHEIMER'S/DEMENTIA, ASIANS, BLIND/LOW-VISION, CAMBODIANS, CAUCASIANS, CHILDREN, CHILDREN OF PRISONERS, DIABETICS, DISABLED, ELDERLY, ELIGIBLE PUBLIC PROGRAM RECIPIENTS, FAMILIES, FOSTER CHILDREN, HIGH-RISK FOR UNPROTECTED SEXUAL ACTIVITY, HISPANIC, HOMEBOUND, HOMELESS, IMMIGRANTS, KOREANS, LGBT, LOW EDUCATION LEVEL, LOW-INCOME, MEDICAID, MEDICAL, MEDICARE, MENTALLY ILL, MIDDLE EASTERN, MSI, NEWLY-INSURED, NON-ENGLISH-SPEAKING, NON-SENIORS (DON'T QUALIFY FOR SSD), PREGNANT WOMEN, SEVERE TRAUMATIC HISTORIES, SUBSTANCE ABUSERS, TEENAGERS, UNDOCUMENTED, UNEMPLOYED, UNINSURED/UNDERINSURED, VETERANS, "WORKING-POOR" FAMILIES, AND YOUNG ADULTS. A VARIETY OF EXISTING (SECONDARY) DATA SOURCES WAS CONSULTED TO COMPLEMENT THE RESEARCH QUALITY OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT. DATA FOR THE SERVICE AREA WERE OBTAINED FROM THE FOLLOWING SOURCES: - CALIFORNIA DEPARTMENT OF PUBLIC HEALTH - CENTERS FOR DISEASE CONTROL & PREVENTION - NATIONAL CENTER FOR HEALTH STATISTICS - STATE OF CALIFORNIA DEPARTMENT OF JUSTICE - US CENSUS BUREAU - US DEPARTMENT OF HEALTH AND HUMAN SERVICES - US DEPARTMENT OF JUSTICE, FEDERAL BUREAU OF INVESTIGATION NOTE THAT SECONDARY DATA REFLECT COUNTY-LEVEL DATA (ORANGE COUNTY). ON MAY 27, 2015, A TOTAL OF 37 COMMUNITY STAKEHOLDERS MET TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY, BASED ON FINDINGS OF THE 2015 PRC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS GROUP INCLUDED BOTH HEALTH PROVIDERS AND REPRESENTATIVES OF VARIOUS COMMUNITY ORGANIZATIONS. PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH. FOLLOWING THE DATA REVIEW, PRC ANSWERED ANY QUESTIONS AND FACILITATED A GROUP DIALOGUE, ALLOWING PARTICIPANTS TO ADVOCATE FOR ANY OF THE HEALTH ISSUES DISCUSSED. PARTICIPANTS WERE THEN PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS (I.E., AREAS OF OPPORTUNITY), A WIRELESS AUDIENCE RESPONSE SYSTEM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS USING A SMALL REMOTE KEYPAD. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: - SCOPE & SEVERITY - THE FIRST RATING WAS TO GAUGE THE MAGNITUDE OF THE PROBLEM IN CONSIDERATION OF THE FOLLOWING: HOW MANY PEOPLE ARE AFFECTED? HOW DOES THE LOCAL COMMUNITY DATA COMPARE TO STATE OR NATIONAL LEVELS, OR HEALTHY PEOPLE 2020 TARGETS? TO WHAT DEGREE DOES EACH HEALTH ISSUE LEAD TO DEATH OR DISABILITY, IMPAIR QUALITY OF LIFE, OR IMPACT OTHER HEALTH ISSUES? RATINGS WERE ENTERED ON A SCALE OF 1 (NOT VERY PREVALENT AT ALL, WITH ONLY MINIMAL HEALTH CONSEQUENCES) TO 10 (EXTREMELY PREVALENT, WITH VERY SERIOUS HEALTH CONSEQUENCES). - ABILITY TO IMPACT - A SECOND RATING WAS DESIGNED TO MEASURE THE PERCEIVED LIKELIHOOD OF THE HOSPITAL HAVING A POSITIVE IMPACT ON EACH HEALTH ISSUE, GIVEN AVAILABLE RESOURCES, COMPETENCIES, SPHERES OF INFLUENCE, ETC. RATINGS WERE ENTERED ON A SCALE OF 1 (NO ABILITY TO IMPACT) TO 10 (GREAT ABILITY TO IMPACT). INDIVIDUALS' RATINGS FOR EACH CRITERIA WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS: 1. MENTAL HEALTH 2. DIABETES 3. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 4. HEART DISEASE & STROKE 5. ACCESS TO HEALTHCARE SERVICES 6. DEMENTIAS, INCLUDING ALZHEIMER'S DISEASE 7. CANCER 8. SUBSTANCE ABUSE 9. IMMUNIZATION & INFECTIOUS DISEASES 10. TOBACCO SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE HOAG PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE FAMILY INCOME LEVELS OF UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES. HOAG GIVES CONSIDERATION TO ELIGIBLE PATIENTS WITH INSURANCE IF THEY INCUR HIGH MEDICAL COSTS AS DEFINED BY CALIFORNIA LAW, AND ALSO HAVE FAMILY INCOMES UP TO 400% OF THE FPL. HOAG INFORMS AND EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE IN THE FOLLOWING WAYS: - FINANCIAL ASSISTANCE NOTICES PRINTED IN ENGLISH AND SPANISH ARE ALSO PLACED IN THE PUBLIC ADMISSION AREAS AT HOAG HOSPITALS. - STATEMENTS MAILED TO THE PATIENT INCLUDE A CLEAR AND CONSPICUOUS NOTICE ADVISING THE PATIENT OF HOAG FINANCIAL ASSISTANCE PROGRAM AND THE APPROPRIATE CONTACT INFORMATION. - PATIENT CAN ALSO VISIT PATIENT FINANCIAL SERVICES TO MEET WITH A FINANCIAL COUNCILOR OR BY CONTACTING HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER TO ANSWER ANY ADDRESS QUESTIONS REGARDING FINANCIAL ASSISTANCE OPTIONS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION HOAG'S COMMUNITY, AS DEFINED FOR THE PURPOSE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDED EACH OF THE 56 RESIDENTIAL ZIP CODES COMPRISING THE HOSPITAL'S SERVICE AREA. THIS COMMUNITY DEFINITION WAS DETERMINED BECAUSE A MAJORITY OF HOAG'S PATIENTS ORIGINATE FROM THIS AREA. THE POPULATION OF THE HOSPITAL'S SERVICE AREA IS ESTIMATED AT 1,874,329 PEOPLE. THE AGE DISTRIBUTION OF OUR POPULATION IS SIMILAR TO THAT OF A NATION AS A WHOLE, BUT OUR AREA IS RACIALLY AND ETHNICALLY MUCH MORE DIVERSE, WITH NON-HISPANIC WHITE RESIDENTS COMPRISING ONLY A NARROW MAJORITY OF RESIDENTS. FOR MORE DETAILS ON THIS INFORMATION, PLEASE REFER TO THE 2015 COMMUNITY BENEFIT REPORT AT HTTP://WWW.HOAG.ORG/WHY-HOAG/PAGES/COMMUNITY-BENEFIT/REPORTS.ASPX OTHER HOSPITALS IN THE AREA INCLUDE, BUT ARE NOT LIMITED TO: - AHMC ANAHEIM REGIONAL MEDICAL CENTER - ANAHEIM - ANAHEIM GENERAL HOSPITAL (ANAHEIM, BUENA PARK) - CHAPMAN MEDICAL CENTER - ORANGE - CHILDREN'S HOSPITAL AT MISSION - MISSION VIEJO - CHILDREN'S HOSPITAL OF ORANGE COUNTY - ORANGE - FOUNTAIN VALLEY RGNL HOSP AND MED CTR -FOUNTAIN VALLEY - GARDEN GROVE HOSPITAL AND MEDICAL CENTER - GARDEN GROVE - HUNTINGTON BEACH HOSPITAL - HUNTINGTON BEACH - KAISER PERMANENTE (IRVINE, ANAHEIM) - KINDRED HOSPITAL (SANTA ANA, WESTMINSTER) - LA PALMA INTERCOMMUNITY HOSPITAL - LA PALMA - MISSION HOSPITAL LAGUNA BEACH - LAGUNA BEACH - MISSION HOSPITAL REGIONAL MEDICAL CENTER - MISSION VIEJO - ORANGE COAST MEMORIAL MEDICAL CENTER - FOUNTAIN VALLEY - SADDLEBACK MEMORIAL MEDICAL CENTER (LAGUNA HILLS/SAN CLEMENTE) - ST. JOSEPH HOSPITAL - ORANGE - ORANGE - ST. JUDE MEDICAL CENTER - FULLERTON - UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER - ORANGE - WESTERN MEDICAL CENTER - SANTA ANA SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH - COMMUNITY BENEFIT STAFF CONTINUOUSLY ASSESS THE HEALTH NEEDS OF THE COMMUNITY BY SERVING ON BOARD OF DIRECTORS AND COMMITTEES OF NON PROFIT ORGANIZATIONS WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AND PROVIDE SUPPORT AND STRATEGIC DIRECTION. - HOAG CONTINUES TO COLLABORATE WITH THE DEPARTMENT OF EDUCATION IN SUPPORT OF A FULL-TIME SCHOOL-BASED COUNTY PHYSICIAN TO SERVE THE PUBLIC SCHOOL SYSTEM IN ORANGE COUNTY. HOAG PROVIDES THE MAJORITY FUNDING FOR THIS POSITION. - HOAG HOSPITAL HAS A RELATIONSHIP WITH LOCAL COLLEGES AND UNIVERSITIES TO INVEST IN THE EDUCATION OF VARIOUS HEALTH PROFESSIONS ESPECIALLY WITH THE GROWING NEED OF BILINGUAL AND BICULTURAL HEALTH PROFESSIONALS IN ORANGE COUNTY. - HOAG HOSPITAL AND SHARE OUR SELVES (SOS) CLINIC HAVE NURTURED A UNIQUE PARTNERSHIP SINCE 1984 TO PROVIDE HEALTH CARE TO THE LOW INCOME, UNINSURED, AND UNDERINSURED INDIVIDUALS RESIDING IN THE COMMUNITY. THE SOS AND HOAG COLLABORATION INCLUDES MORE THAN 150 VOLUNTEER HEALTHCARE SPECIALISTS AVAILABLE TO PROVIDE CARE TO SOS PATIENTS BY PROVIDING DIAGNOSTIC TESTS, PROCEDURES, HOSPITALIZATIONS AND ER VISITS FOR SOS PATIENTS. IN ADDITION, SOS HAS ACQUIRED A PEDIATRIC CLINIC FROM THE CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC). HOAG IS CURRENTLY BUILDING A PHYSICAL SITE FOR THIS CLINIC WHICH WILL SERVE PRIMARILY LOW INCOME FAMILIES FROM THE COSTA MESA AND NEWPORT BEACH COMMUNITIES. - HOAG HOSPITAL ALSO MAINTAINS A UNIQUE RELATIONSHIP WITH THE ALZHEIMER'S FAMILY RESOURCE CENTER (AFSC) WHICH IS COMMITTED TO THE MISSION OF IMPROVING THE QUALITY OF LIFE FOR FAMILIES CHALLENGED BY ALZHEIMER'S DISEASE OR ANOTHER DEMENTIA THROUGH SERVICES TAILORED TO MEET INDIVIDUAL NEEDS. HOAG HOSPITAL OWNS THE AFSC FACILITY AND PROVIDES IT AT NO CHARGE, INCLUDING MAINTENANCE SERVICES AS SPECIFIED IN THE LEASE, TO THE AGENCY. ADDITIONALLY, THE HOSPITAL PROVIDES ANNUAL OPERATING AND TRANSPORTATION GRANTS, AND IN-KIND SERVICES SUCH AS CONSULTATION IN NURSING AND COMPLIANCE-RELATED ISSUES TO THE CENTER. - HOAG'S MENTAL HEALTH CENTER (MHC) PROVIDES BICULTURAL SERVICES ON A SLIDING SCALE TO PEOPLE WHO OTHERWISE COULD NOT OBTAIN MENTAL HEALTH SERVICES. DURING FY 2015, THE CENTER PROVIDED MENTAL HEALTH SERVICES TO 746 CLIENTS IN THE FORM OF PSYCHOTHERAPY, RESOURCE BROKERING, AND/OR CASE MANAGEMENT. IN ADDITION, THE PROGRAM OFFERED PSYCHOTHERAPEUTIC AND PSYCHO EDUCATIONAL GROUPS TO 897 PARTICIPANTS. - THROUGH THE HOAG HEALTH MINISTRIES PROGRAM, THE FAITH COMMUNITY NURSE'S (FCN'S) ADMINISTERED 7,373 FLU VACCINE DOSES TO FAITH MEMBERS AND OTHER COMMUNITY MEMBERS. - IN COLLABORATION WITH HOAG'S NEUROSCIENCES INSTITUTE AND THE ALZHEIMER'S FAMILY SERVICES CENTER, HOAG COMMUNITY BENEFIT SPONSORED THE 2015 SPIRITUALITY CONFERENCE - "GROWING IN LIFE'S TRANSITIONS". THE CONFERENCE WAS ATTENDED BY 175 COMMUNITY CLERGY, HEALTH CARE PROFESSIONALS AND CAREGIVERS. - HOAG HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY THROUGH A CREDENTIALING PROCESS. MEMBERSHIP AND PRIVILEGES ARE GRANTED TO QUALIFIED MD'S, DO'S, AND OTHER ALLIED HEALTH PROFESSIONALS BY THE MEDICAL STAFF AND HOAG HOSPITAL BOARD OF DIRECTORS. - AS A NOT-FOR-PROFIT INSTITUTION, GOVERNANCE IS PROVIDED BY A VOLUNTEER BOARD OF DIRECTORS COMPRISED OF 19 VOTING MEMBERS. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS. - THE BOARD OF DIRECTORS ALLOCATE A SIGNIFICANT PORTION OF THE NET OPERATING INCOME TO PROMOTING THE HEALTH OF THE COMMUNITY, SPECIFICALLY SERVING THE NEEDS OF THE UNINSURED AND LOW INCOME COMMUNITIES THROUGH CHARITY CARE AND A VARIETY OF FREE OR LOW COST SERVICES AND PROGRAMS PROVIDED BY THE DEPARTMENT OF COMMUNITY HEALTH. - IN AN EFFORT TO INCREASE THE COMMUNITY POOL OF AVAILABLE TRAINED AND EDUCATED HEALTH PROFESSIONALS, HOAG INVESTS ANNUALLY IN HEALTH PROFESSIONAL TRAINING AND DEVELOPMENT. THE HOSPITAL CURRENTLY WORKS WITH A NUMBER OF PROFESSIONAL GROUPS IN THIS ENDEAVOR, INCLUDING NURSES, PHYSICAL THERAPISTS, PHARMACISTS, LABORATORY PROFESSIONALS, SOCIAL WORKERS, AND CLINICAL CARE EXTENDERS. - HOAG PROVIDES UNCOMPENSATED CARE (CHARITY) TO PATIENTS WHO ARE UNABLE TO PAY FOR THE FULL COST OF THEIR CARE. HOAG'S CHARITY CARE AND SELF PAY DISCOUNT POLICY STATES THAT SELF-PAY AND UNINSURED PATIENTS WHO ARE UNABLE TO PAY FOR THE FULL COST OF THEIR CARE MAY QUALIFY FOR CHARITY OR DISCOUNTS ON A SLIDING SCALE FOR INCOMES UP TO 400% OF THE FEDERAL POVERTY LEVEL. TOTAL QUANTIFIABLE COMMUNITY BENEFIT EXPENDITURES (EXCLUDING MEDICARE COST OF UNREIMBURSED CARE) FOR FY2015 AMOUNTED TO OVER $40 MILLION. - HOAG'S DEPARTMENT OF COMMUNITY HEALTH IS CURRENTLY DEVELOPING THE CENTER FOR HEALTHY LIVING, A UNIQUE COLLABORATIVE ENDEAVOR COMPRISING MANY OF ORANGE COUNTY'S LEADING NONPROFIT PROVIDERS OF HEALTH, MENTAL AND SPIRITUAL SERVICES. THE CENTER PLANS TO PROVIDE CULTURALLY SENSITIVE SERVICES AND RESOURCES THAT ENABLE PREVENTION, ADDRESS THE ROOT CAUSES OF DISEASE AND IMPROVE HEALTH OUTCOMES. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM HOAG HOSPITAL IS A NONPROFIT REGIONAL HEALTHCARE DELIVERY NETWORK CONSISTING OF TWO ACUTE-CARE HOSPITALS, FIVE URGENT CARE CENTERS AND SEVEN HEALTH CENTERS. IN 2013, HOAG HOSPITAL BECAME AFFILIATED WITH ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. 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, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. IN 1986, ST. JOSEPH HEALTH SYSTEM 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 FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES A POLICY THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION THEN FUNDS PROGRAMS IN COMMUNITIES SERVED BY ST. JOSEPH HEALTH HOSPITALS THAT EXEMPLIFY THE FOUR CORE VALUES OF ST. JOSEPH HEALTH SYSTEM: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA true Academy of International Dance 2025 South Main St Santa Ana CA 92707 262657759 501(c)(3) 15000 HEALTHY LIFE STYLES Access California Services 2180 W Crescent AveC Anaheim CA 92801 330826205 501(c)(3) 45000 Expansion of Mental Health Program and other programs Access Orange County 1505 E17th St 209 Santa Ana CA 92705 455011901 501(c)(3) 40000 OUTPATIENT SURGERY PROGRAM Age Well Senior Services (S County Sr Svc) 24300 El Toro Rd BldgA 2000 Laguna Woods CA 92637 931163563 501(c)(3) 163165 Senior Transportation, Operations of programs, Mobile Meals AID Service Foundation 17982 Sky Park Circle J Irvine CA 92614 330126481 501(c)(3) 25000 PROGRAM DEVELOPMENT Alzheimer's Family Services Center 9451 Indianapolis Ave Huntington Beach CA 92646 953463978 501(c)(3) 1441230 OPERATIONS, MATCHING GRTS, MISC GRANTS American Lung Association 1570 E 17th St F Santa Ana CA 92705 950362650 501(c)(3) 20000 ASTHMA EDUCATIONAL PROGRAMS American Red Cross 601 N Golden Circle Santa Ana CA 92705 530196605 501(c)(3) 10000 PILOT EDUCATIONAL PROGRAM America on Track 600 W Santa Ana 701 Santa Ana CA 92701 330724044 501(c)(3) 20000 HEALTH AND NUTRITION PROGRAMS Boys & Girls Club Santa Ana 250 N Golden Circle 104 Santa Ana CA 92705 951893417 501(c)(3) 25000 MIND, BODY AND SOUL PROGRAM Cambodian Family 1626 E 4th St Santa Ana CA 92701 953854831 501(c)(3) 50000 HEALTHY CHANGE PROGRAM Casa Teresa Inc 123 West Maple Ave Orange CA 92866 953251986 501(c)(3) 25000 Expansion of Education and Career Development Development Center Orange County LGBT 1605 N Spurgeon St Santa Ana CA 92701 952934041 501(c)(3) 20000 MENTAL HEALTH SVCS Charitable Ventures of Orange County Inc 1505 E 17th St 101 Santa Ana CA 92705 208756660 501(c)(3) 250000 Develop OC Women's Health Project's Operating Infrastructure Childrens Hospital Orange County (CHOC) 455 S Main St Orange CA 92868 952321786 501(c)(3) 640000 Pediatric Diabetes Services at Allen Diabetes Center CHOC Foundation 455 S Main St Orange CA 92868 956097416 501(c)(3) 200000 IUSD/CHOC Athletic Program, Pledge CVICU/NICU City of Huntington Beach Council on Aging 1706 Orange Ave Huntington Beach CA 92648 510179431 501(c)(3) 180000 Senior Transportation, Meals, & Project Self Sufficiency for HB Senior Center City of Irvine PO Box 19575 Irvine CA 92623 952759391 govt 45000 MENTAL HEALTH City of Newport Beach PO Box 1768 Newport Beach CA 92658 956000751 govt 106000 Oasis Senior Center Transportation Services Orange County Fire Chief's Association PO Box 3080 Rev Div Newport Beach CA 92658 330027276 501(c)(3) 50685 Orange County Alternate Destination Pilot program program Community Senior Serv 1200 N Knollwood Cir Anaheim CA 92801 952771715 501(c)(3) 10000 Support Nutritional programs Council on Aging OC 1971 East 4th St 200 Santa Ana CA 92705 952874089 501(c)(3) 10000 Just Imagine Luncheon City of Costa Mesa PO Box 1200 Costa Mesa CA 92628 956005030 govt 106710 New ownership of Costa Mesa Senior Center, Senior Transportation Costa Mesa Senior Center 695 West 19th St Costa Mesa CA 92627 338265009 501(c)(3) 46175 Senior Transportation and program development Crohn's & Colitis Foundation of America Inc 3972 Barranca PkwyJ276 Irvine CA 92606 136193105 501(c)(3) 25000 Bowel Disease Education program EMS Safety Services 1046 Calle Recodo K San Clemente CA 92673 330604523 5452 AED Provided to churches Epilepsy Support Network 9114 Adams Ave 288 Huntington Beach CA 92646 270681680 501(c)(3) 25000 PROGRAM SUPPORT Families Forward 8 Thomas Irvine CA 92618 330086043 501(c)(3) 20000 Community Cares Program Girls Incorporated of Orange County 1815 Anaheim Ave Costa Mesa CA 92627 951810150 501(c)(3) 30000 Community programs - Fit Girls and Families Goodwill Orange County 410 N Fairview Santa Ana CA 92703 951644018 501(c)(3) 20000 Fitness Center Healing Heart Camp Erin 3130 S Harbor Blvd 250 Santa Ana CA 92704 861098602 501(c)(3) 25000 Help and support programs for grieving children children Healthy Smiles 10602 Chapman Ave 200 Garden Grove CA 92840 383675065 501(c)(3) 16000 Provide children's dental services at Oakview District in Huntington Bch Human Options Inc PO Box 53745 Irivne CA 92619 953667817 501(c)(3) 125000 Grant Support for programs Infection Disease Association of California PO Box 66751 Los Angeles CA 90006 954106813 501(c)(3) 15000 Sponsorship: Educational Conference Illumination Foundation 2691 Richter Ave 107 Irvine CA 92606 711047686 501(c)(3) 15000 Healthcare & Outreach Irvine Adult Day Health Services 20 Lake Road Irvine CA 92604 330599371 501(c)(3) 121469 Expansion of Educational programs and Senior Transportation Transportation Irvine Childrens Fund 14301 Yale Ave Irvine CA 92604 330177921 501(c)(3) 45000 Provides Before and After School Child Care Scholarships Scholarships Irvine Community Drug Prevention Coalition 19 Mariposa Ivine CA 92604 330084831 501(c)(3) 20000 Drug Prevention program Irvine Public Schools Foundation 18552 MacArthur Blvd 2300 Irvine CA 92612 330733191 501(c)(3) 100000 Pledge for matching funds Generation Wall Hoag Irvine Jewish Federation & Family Services 1 Federation Way Suite 220 Irvine CA 92603 952407026 501(c)(3) 40000 Sponsorship: Chicken Soup for the Silver Soul JDRF international 179922 Mitchell S Ste 100 Irvine CA 92614 231907729 501(c)(3) 41000 program development Laguna Beach Senior Center 380 Third St Laguna Beach CA 92651 952983350 501(c)(3) 24000 Feeling the Blues Latino Health Access 1701 N Main St 200 Santa Ana CA 92706 330562943 501(c)(3) 135000 Grants for Latino Health problems, Diabetes, etc Laurel House One Hope Dr Tustin CA 92782 300611748 501(c)(3) 15000 Home for Teens Mariposa Women and Family Center 812 W Town Country Rd Orange CA 92866 953626580 501(c)(3) 25000 Community Counseling Program MOMS Orange County 1128 W Santa Ana Santa Ana CA 92703 330518078 501(c)(3) 95000 Support educational programs National Kidney Foundation 15490 Ventura Blvd 210 Sherman Oaks CA 91403 951998472 501(c)(3) 25000 OC Kidney Walk Newport -Mesa Unified School District 2985 A Bear St Costa Mesa CA 92626 952417783 GOVT 642376 Expansion of 13 programs for the HOPE Clinic Oakview Renewal Partnership PO Box 3476 Huntington Beach CA 92505 611495237 501(c)(3) 200000 Sustaining Fund ONE OC 1901 E Fouth St 100 Santa Ana CA 92705 952021700 501(c)(3) 200000 Grants & Contributions to other Non-profit service organizations Orange County Dept of Ed 200 Kalmus Dr Costa Mesa CA 92628 956000943 501(c)(3) 120000 Addresses student success & wellness Orange County Human Relations 1300 S Grand Ave Bldg B Santa Ana CA 92705 330438086 501(c)(3) 57500 Bridges School Inter Group Relations & Violence Prevention programs Orange County United Way 180125 Mitchell Ave South Irvine CA 92614 330047994 501(c)(3) 52719 Loan Exec. Program Pediatric Adolescent Diabetes Research 455 South Main St Orange CA 92868 330099451 501(c)(3) 106072 Diabetes Education Planned Parenthood Orange & San Bernardino 700 S Tustin Street Orange CA 92866 956152773 501(c)(3) 100000 Renovation of Costa Mesa Health Center Providence Speech & Hearing Center 1301 Providence Ave Orange CA 92868 956154473 501(c)(3) 135000 Low income subsidy program and El Sol Clinic Collaborative Save Our Youth 661 Hamilton 180 Costa Mesa CA 92627 330585600 501(c)(3) 25000 Operating support Seneca Family of Agencies 18302 Irvine Blvd 300 Tustin CA 92780 942971761 501(c)(3) 20000 Mental Health Clinics Serve the People Health Center 1206 E 17th St 101 Santa Ana CA 92701 270421556 501(c)(3) 25000 DentaL Care Share Our Selves Clinic 1550 Superior Ave Costa Mesa CA 92627 953222316 501(c)(3) 1926460 Bridge funding Someone Cares Soup Kitchen 720 W 19th St Costa Mesa CA 92627 330279080 501(c)(3) 10000 Supports programs to feed the underserved St Joachim Catholic Church 1964 Orange Ave Costa Mesa CA 92627 953855154 501(c)(3) 10000 Priest provides services for Hoag Hospital Strength in Support (SIS) 23046 Aven dela Carlota Laguna Hills CA 92653 461896501 501(c)(3) 25000 Mental Health services to Veterans Susan G Komen Breast Cancer Foundation 3191 A Airport Loop Dr Costa Mesa CA 92626 330487943 501(c)(3) 50000 Breast Health Screening for Latinas/African Americans Sweet Success Express Program PO Box 9705 Fountain Valley CA 92728 342044369 501(c)(3) 15000 Diabetes Education Youth Employment Services 114 East 19th St Costa Mesa CA 92627 952704522 501(c)(3) 20000 Provide pre-employemnt training, job counseling to young people 2 1 1 Orange County POBox 14277 Irvine CA 92623 330063532 501(c)(3) 50000 211 Information/Referral Call Centger operating support support 66 1 Freedom from Smoking 1 6000 FMV CPR Training 1 4731 FMV SCHEDULE I, PART I, LINE 2 DESCR OF ORGANIZATIONS PROCEDURES FOR MONITORING THE USE OF GRANTS IN ORDER TO BE ELIGIBLE FOR A COMMUNITY BENEFIT GRANT, AN APPLICANT ORGANIZATION (OR FISCAL AGENT) MUST BE DESIGNATED BY THE IRS AS A TAX EXEMPT NON-PROFIT AND SUBMIT A COPY OF THEIR EXEMPT STATUS FOR VERIFICATION. THE ORGANIZATION MUST HAVE AN EXECUTIVE DIRECTOR AND AN ESTABLISHED BOARD OF DIRECTORS THAT MEETS REGULARLY. PRIOR TO FUNDING, RESEARCH IS CONDUCTED REGARDING THE REPUTATION AND PERFORMANCE OF THE ORGANIZATION. Applicants must apply for a grant each year through the CB Grants Program. REQUESTS MUST INCLUDE W-9, tax exempt verification, PREVIOUS AND CURRENT YEAR BUDGETS, PROJECT BUDGETS, LIST OF BOARD OF DIRECTORS, PROGRAM GOALS AND OBJECTIVES, AND MEASURABLE OUTCOMES FOR THE SPECIFIED PROGRAM THAT IS BEING FUNDED. AN INTERVIEW WITH THE EXECUTIVE DIRECTOR AND ONE OR MORE BOARD MEMBERS MAY BE CONDUCTED AS WELL AS A SITE VISIT IN ORDER TO FAMILIARIZE OURSELVES WITH THE ORGANIZATION AND THE PROGRAMS OFFERED. DEPARTMENT STAFF MAY ACTIVELY PARTICIPATE WITH THE ORGANIZATION BY PROVIDING IN-KIND SERVICES AND BOARD PARTICIPATION. ONCE A GRANT REQUEST HAS BEEN APPROVED AND FUNDED, WE REQUIRE A 6-MONTH PROGRESS REPORT AND A FINAL REPORT ON THE IMPLEMENTATION STRATEGY AND MEASURABLE OUTCOMES. THROUGHOUT THE FUNDING PERIOD OF A SPECIFIED PROGRAM, THERE MAY BE OCCASIONAL MEETINGS WITH THE DIRECTOR AND PROGRAM PERSONNEL TO RECEIVE REPORTS ON PROGRESS AND UPDATES OF THE ACTIVITIES CONDUCTED AS WELL AS THE NUMBER OF INDIVIDUALS SERVED. THIS PROCESS ALLOWS US TO MONITOR THAT THE GRANT FUNDS ARE BEING USED FOR THE INTENDED PURPOSEs. X true true true true false false false false false false false Robert Braithwaite CEO-Hoag, Reg VP-S CA Region 0 556186 0 295295 0 100568 0 4230 0 35058 0 991337 0 0 Jack Cox SVP & Chief Quality Officer 422904 0 57786 0 1486468 0 135769 0 8792 0 2111719 0 1424464 0 Richard Martin SVP & Chief Nursing Officer 436576 0 62932 0 2863 0 41487 0 8418 0 552276 0 0 0 Jennifer Mitzner SVP, CFO-S CA Region 261283 241652 510754 0 202521 47351 33820 799 0 12270 1008378 302072 200488 0 Sanford Smith SVP Real Estate & Facilities 394870 0 56906 0 2863 0 58841 0 9602 0 523082 0 0 0 Timothy C L Moore SVP & Chief Info Officer 418171 0 55542 0 3143 0 28212 0 25928 0 530996 0 0 0 Cynthia Perazzo SVP Strategic & Business Dvpmt 394870 0 56906 0 1065 0 24770 0 15868 0 493479 0 0 0 Flynn Andrizzi SVP/Pres. HHF/Board Member HCS 387191 0 79421 0 6008 0 23176 0 25928 0 521724 0 0 0 Jan Blue SVP Human Resources 344424 0 49648 0 5131 0 22137 0 8718 0 430058 0 0 0 Kris Iyer MD VP SR & CAO HMTS 385424 0 100712 0 57064 0 13000 0 1572 0 557772 0 0 0 Nina Robinson VP Marketing and Corp Comm. 246141 0 274301 0 1988 0 13000 0 930 0 536360 0 0 0 Gwyn Parry Director of Community Medicine 284953 0 19737 0 5636 0 16900 0 14313 0 341539 0 0 0 Terri Cammarano VP Legal 100130 0 289531 0 523871 0 15525 0 6985 0 936042 0 0 0 Michael Brand-Zawadzki Executive Medical Director COE 428435 0 106975 0 28459 0 13660 0 17181 0 594710 0 0 0 Randal Ray Director of Revenue Cycle 59621 0 28385 0 272437 0 5534 0 2588 0 368565 0 0 0 Richard Afable MD Fmr Pres,CEO,BM/BM HHF/SJH EVP 0 734253 0 282505 0 137561 0 3069 0 32558 0 1189946 0 0 Andrew Guarni CFO 234998 0 68120 0 2684 0 15626 0 12306 0 333734 0 0 0 SCHEDULE J, PART I, LINE 1A SUPPLEMENTAL COMPENSATION INFORMATION THE PREVIOUS CHIEF QUALITY OFFICER (JACK COX) WAS PROVIDED WITH A RELOCATION LOAN IN ACCORDANCE WITH HIS EMPLOYMENT CONTRACT. EACH YEAR THERE IS IMPUTED INCOME THAT IS GROSSED UP FOR TAX PURPOSES WHICH IS REPORTED AS TAXABLE INCOME TO THE EXECUTIVE AND INCLUDED IN COLUMN B (III) OF PART II. THE RELOCATION LOAN WAS SUBSEQUENTLY PAID IN FULL AND THERE WAS NO OUTSTANDING BALANCE AT THE END OF TAX YEAR 2014. 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 THAT IS COMPLETED BY ST. JOSEPH HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4A TERRI CAMMARANO RECEIVED A $523,463 SEVERANCE PAYMENT. RANDAL RAY RECEIVED A $248,734 SEVERANCE PAYMENT. NINA ROBINSON RECEIVED A $246,397 CHANGE IN CONTROL PAYMENT AS A RESULT OF THE AFFILIATION WITH ST. JOSEPH HEALTH SYSTEM. JENNIFER MITZNER RECEIVED A $315,976 CHANGE IN CONTROL PAYMENT AS A RESULT OF THE AFFILIATION WITH ST. JOSEPH HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A SERP PLAN ON BEHALF OF CERTAIN MEMBERS OF SENIOR MANAGEMENT IN ACCORDANCE WITH THEIR EMPLOYMENT CONTRACTS. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM THE SERP PLAN DURING THE YEAR: JENNIFER MITZNER - $200,488. JACK COX - $1,424,464. THE ORGANIZATION MAINTAINS A LEGACY DEFERRED COMPENSATION PLAN THAT IS FROZEN (NO NEW CONTRIBUTION CAN BE MADE). 0 ALEXANDER EASTON SEE PART V 13753 SEE PART V false MELISSA DICKERSON SEE PART V 81423 SEE PART V false NEWPORT EMERGENCY MEDICAL GROUP SEE PART V 268500 SEE PART V false HOAG MEDICAL GROUP SEE PART V 151568 SEE PART V false SCHEDULE L, PART IV BUSINESS RELATIONSHIPS LINE (1) - JAKE EASTON III, BOARD MEMBER, IS THE FATHER OF ALEXANDER EASTON WHO WORKS AT HOAG IN THE EMERGENCY DEPARTMENT. LINE (2) - TIMOTHY MOORE, SVP & CHIEF INFORMATION OFFICER, IS THE FATHER-IN-LAW OF MELISSA DICKERSON WHO IS AN EMPLOYEE OF HOAG. LINE (3) - RAYMOND RICCI, BOARD MEMBER OF HMHP, IS THE OWNER, PRESIDENT AND PRACTICING PHYSICIAN OF NEWPORT EMERGENCY MEDICAL GROUP INC., A MEDICAL GROUP THAT PROVIDES EMERGENCY SERVICES AND MEDICAL DIRECTORSHIP (RAYMOND AS A CHIEF OF SERVICE) TO HOAG. LINE (4) - KRIS IYER, KEY EMPLOYEE OF HMHP, IS THE OWNER OF HOAG MEDICAL GROUP (HMG). HMG IS A PHYSICIAN GROUP THAT PROVIDES VARIOUS PROFESSIONAL SERVICES TO HOAG. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS EXECUTIVE SUMMARY THE COMMUNITY HEALTH DEPARTMENT AT HOAG MEMORIAL HOSPITAL PRESBYTERIAN (HOAG) WAS ESTABLISHED IN 1995. SINCE ITS BEGINNING THE PROGRAM HAS FOCUSED ON TWO PRINCIPAL STRATEGIES: - PROVIDE NECESSARY HEALTHCARE-RELATED SERVICES WHICH ARE UNDUPLICATED IN THE COMMUNITY. - PROVIDE FINANCIAL SUPPORT TO EXISTING COMMUNITY BASED NOT-FOR-PROFIT ORGANIZATIONS WHICH ALREADY PROVIDE EFFECTIVE HEALTHCARE AND RELATED SOCIAL SERVICES TO MEET COMMUNITY HEALTH NEEDS. THE DEPARTMENT OF COMMUNITY HEALTH, LED BY ITS DIRECTOR, GWYN PARRY, MD, IS RESPONSIBLE FOR THE COORDINATION OF HOAG'S COMMUNITY BENEFIT REPORTING, AND PROVIDES FREE PROGRAMS TO ASSIST THE UNDERSERVED IN THE COMMUNITY. THESE INCLUDE MENTAL HEALTH SERVICES, COMMUNITY CASE MANAGEMENT AND HEALTH MINISTRIES COORDINATION. IN ADDITION TO THESE SERVICES, MANY OTHER HOAG DEPARTMENTS PROVIDE COMMUNITY HEALTH SERVICES INCLUDING EDUCATION AND SUPPORT GROUPS WHICH ARE FREE TO THE COMMUNITY. HOAG ALSO HAS SUBSTANTIAL RELATIONSHIPS WITH LOCAL COLLEGES AND UNIVERSITIES TO INVEST IN THE EDUCATION OF VARIOUS HEALTH PROFESSIONS. COMMUNITY BENEFIT GRANTS SUPPORT HOAG HEALTH ASSOCIATES- ORGANIZATIONS THAT PROVIDE A BROAD RANGE OF SERVICES, INCLUDING THE FOLLOWING: - FREE MEDICAL AND DENTAL CARE - ADULT DAY CARE AND EDUCATION FOR PERSONS WHO SUFFER FROM ALZHEIMER'S DISEASE OR MILD DEMENTIA, WITH SUPPORT AND EDUCATION FOR THEIR CAREGIVERS AND FAMILIES - TRANSPORTATION SERVICES FOR LOCAL SENIOR CENTERS INTRODUCTION THE HOAG MEMORIAL HOSPITAL PRESBYTERIAN COMMUNITY BENEFIT PROGRAM WAS FORMALIZED IN 1995 AND HAS GROWN SIGNIFICANTLY SINCE THAT TIME. WE HAVE SERVED OVER 80 NONPROFIT COMMUNITY ORGANIZATIONS IN A VARIETY OF HEALTH AND SOCIAL SERVICE CATEGORIES. WE CONTINUE TO EMPHASIZE THE DEVELOPMENT OF SUSTAINED COLLABORATIVE RELATIONSHIPS AND THE PROVISION OF UNDUPLICATED SERVICES TO DISADVANTAGED RESIDENTS IN OUR COMMUNITY AS CORE ELEMENTS OF THE PROGRAM. HOAG'S NONPROFIT REGIONAL HEALTH CARE DELIVERY NETWORK CONSISTS OF TWO ACUTE-CARE HOSPITALS - HOAG HOSPITAL NEWPORT BEACH, WHICH OPENED IN 1952, AND HOAG HOSPITAL IRVINE, WHICH OPENED IN 2010 - IN ADDITION TO EIGHT URGENT CARE CENTERS AND SIX HEALTH CENTERS, AND HAS DELIVERED A LEVEL OF PERSONALIZED CARE THAT IS UNSURPASSED AMONG ORANGE COUNTY'S HEALTH CARE PROVIDERS. RENOWNED FOR ITS EXCELLENCE, SPECIALIZED HEALTH CARE SERVICES AND EXCEPTIONAL PHYSICIANS AND STAFF, HOAG IS ADMIRED AS ONE OF CALIFORNIA'S LEADING HOSPITALS. IT IS ONE OF THE COUNTY'S LARGEST EMPLOYERS WITH APPROXIMATELY 5,000 EMPLOYEES AND MORE THAN 2,000 VOLUNTEERS. HOAG'S NETWORK OF MORE THAN 1,500 PHYSICIANS REPRESENTS 52 DIFFERENT SPECIALTIES. HOAG IS A DESIGNATED MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) AND IS FULLY ACCREDITED BY DNV. IN 2013, HOAG ENTERED INTO AN ALLIANCE WITH ST. JOSEPH HEALTH TO FURTHER EXPAND HEALTH CARE SERVICES IN THE ORANGE COUNTY COMMUNITY, KNOWN AS ST. JOSEPH HOAG HEALTH. HOAG OFFERS A VARIETY OF HEALTH CARE SERVICES TO TREAT VIRTUALLY ANY ROUTINE OR COMPLEX MEDICAL CONDITION. THROUGH ITS MEDICAL STAFF, STATE-OF-THE-ART EQUIPMENT AND MODERN FACILITIES, HOAG PROVIDES A FULL SPECTRUM OF HEALTH CARE SERVICES INCLUDING FIVE INSTITUTES THAT PROVIDE SPECIALIZED SERVICES IN THE FOLLOWING AREAS: CANCER, HEART AND VASCULAR, NEUROSCIENCES, WOMEN'S HEALTH, AND ORTHOPEDICS THROUGH HOAG'S AFFILIATE, HOAG ORTHOPEDIC INSTITUTE, WHICH CONSISTS OF AN ORTHOPEDIC HOSPITAL AND TWO AMBULATORY SURGICAL CENTERS. TO FURTHER HOAG'S COMMITMENT TO PROVIDE COMPREHENSIVE CARE TO THE COMMUNITIES WE SERVE, HOAG MEDICAL GROUP WAS ESTABLISHED IN 2012 WITH THE CORE VALUES OF EXCELLENCE, INNOVATION AND COMPASSION. THE PHYSICIAN GROUP COMPRISES SPECIALISTS AND SUBSPECIALISTS IN INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS, GERIATRICS, ENDOCRINOLOGY, GENETICS, RHEUMATOLOGY, DIABETES, ALLERGY & IMMUNOLOGY, HIV AND ADDICTION MEDICINE. HOAG HAS BEEN NAMED ONE OF THE BEST REGIONAL HOSPITALS IN THE U.S. NEWS & WORLD REPORT METRO EDITION. THE ORGANIZATION RANKED HIGH-PERFORMING IN GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, AND GYNECOLOGY. NATIONAL RESEARCH CORPORATION HAS ENDORSED HOAG AS ORANGE COUNTY'S MOST PREFERRED HOSPITAL FOR THE PAST 20 CONSECUTIVE YEARS, AND FOR AN UNPRECEDENTED 20 YEARS, RESIDENTS OF ORANGE COUNTY HAVE CHOSEN HOAG AS ONE OF THE COUNTY'S BEST HOSPITALS IN A NEWSPAPER SURVEY BY THE ORANGE COUNTY REGISTER. HISTORY HOAG OPENED IN 1952 AS A COMMUNITY PARTNERSHIP BETWEEN THE ASSOCIATION OF PRESBYTERIAN MEMBERS AND THE GEORGE HOAG FAMILY FOUNDATION, A PRIVATE CHARITABLE FOUNDATION. THE GEORGE HOAG FAMILY FOUNDATION AND THE ASSOCIATION OF PRESBYTERIAN MEMBERS REPRESENT THE TWO FOUNDING ORGANIZATIONS OF THE HOSPITAL AND CONTINUE TO PROVIDE LEADERSHIP AS CORPORATE MEMBERS OF THE HOAG CORPORATION. THESE MEMBERS ANNUALLY ELECT THE BOARD OF DIRECTORS, WHICH CONSISTS OF 17 MEMBERS WITH REPRESENTATIVES FROM THE HOAG COMMUNITY AND MEDICAL STAFF. THE HOSPITALS' CHIEF EXECUTIVE OFFICER IS ALSO SEATED ON THE BOARD AS A VOTING MEMBER. AN ANNUAL MEETING AT THE END OF THE FISCAL YEAR PROVIDES THE CORPORATE MEMBERS THE OPPORTUNITY FOR THE ELECTION/RE-ELECTION OF DIRECTORS FOR THE ENSUING YEAR. SINCE ITS FOUNDING THE HOSPITAL HAS WELDED A STRONG COMMITMENT TO THE COMMUNITY THAT IT SERVES, INCLUDING THE PROVISION OF SERVICES FOR THOSE WHO CONSTITUTE A MORE VULNERABLE, AT-RISK POPULATION. SUCH CARE, FOR BOTH INPATIENTS AND OUTPATIENTS, IS OFTEN ONLY PARTIALLY COMPENSATED. WITH EXCELLENCE OF MANAGEMENT AND THE DILIGENT STEWARDSHIP OF FUNDS, HOAG HAS BEEN ABLE TO SUSTAIN ITS FINANCIAL STRENGTH. AS A RESULT, HOAG HAS BEEN ABLE TO MAINTAIN A CONTINUING COMMITMENT TO QUALITY OF CARE WHILE DEVELOPING AND EXPANDING COMMUNITY PROGRAMS AND PARTNERSHIPS. MOST OF THE FUNDS EXPENDED UPON HOAG'S COMMUNITY BENEFIT PROGRAM ARE FROM OPERATING INCOME. PROGRAM ACCOMPLISHMENTS MENTAL HEALTH CENTER THE MENTAL HEALTH CENTER WAS CREATED TO PROVIDE BILINGUAL BICULTURAL SERVICES TO PEOPLE WHO OTHERWISE COULD NOT OBTAIN MENTAL HEALTH SERVICES. THE MAJORITY OF THE PROGRAM'S CLIENTS ARE LOW-INCOME, UNINSURED AND HIGHLY VULNERABLE AND PRESENT WITH A MILD TO MODERATE LEVEL OF DISTRESS/SYMPTOMATOLOGY. THESE CLIENTS HAVE LIMITED HEALTH INSURANCE WITH NO MENTAL HEALTH/BEHAVIORAL HEALTH BENEFITS OR THEY HAVE BENEFITS BUT CANNOT AFFORD THE CO-PAYMENTS AND/OR DEDUCTIBLES. DURING FY 2015, THE PROGRAM EMPLOYED SEVEN FULL-TIME BILINGUAL MASTER'S PREPARED SOCIAL WORKERS, 6 OF THE STAFF ARE LICENSED. THESE SOCIAL WORKERS PROVIDED MENTAL HEALTH SERVICES TO 746 CLIENTS IN THE FORM OF PSYCHOTHERAPY, RESOURCE BROKERING, AND/OR CASE MANAGEMENT. IN ADDITION, THE PROGRAM OFFERED PSYCHOTHERAPEUTIC AND PSYCHO EDUCATIONAL GROUPS TO 897 PARTICIPANTS. ALL SERVICES WERE OFFERED ON A VOLUNTARY BASIS. SERVICES WERE OFFERED ON A LOW-COST SLIDING SCALE. THE SLIDING SCALE STARTS AT ZERO (FREE SERVICES) AND INCREASES ACCORDING TO THE INDIVIDUAL'S SELF-REPORTED ANNUAL INCOME LEVEL. THE VAST MAJORITY OF PEOPLE WERE SEEN AT NO CHARGE OR AT A NOMINAL FEE PER SESSION. A REVIEW OF CLIENT DEMOGRAPHICS FOUND THAT THE MAJORITY OF THE CLIENTS SEEN THROUGH THE MENTAL HEALTH CENTER WERE FEMALE, HISPANIC, AND INDICATED A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY LANGUAGE. THE AVERAGE CLIENT AGE FOR OUR ADULT POPULATION WAS 38.9 YEARS OF AGE AND THE AVERAGE AGE OF THE MINOR POPULATION WAS 14.8 YEARS OF AGE. 44% PERCENT OF THE ADULT CLIENTS AND 45% OF MINOR CLIENTS REPORTED HAVING AN ANNUAL HOUSEHOLD INCOME BELOW $20,000. THE PROGRAM HAS PROVEN TO BE HIGHLY EFFICIENT AND EFFECTIVE. THE MENTAL HEALTH CENTER ALSO PROVIDED A SUPERVISED CLINICAL INTERNSHIP TRAINING PROGRAM FOR 14 MSW (MASTER OF SOCIAL WORK) STUDENTS. THE CENTER COLLABORATES WITH THE UNIVERSITY OF SOUTHERN CALIFORNIA, CALIFORNIA STATE UNIVERSITY AT FULLERTON AND CALIFORNIA STATE UNIVERSITY AT LONG BEACH. EACH INTERN WAS PROVIDED WITH WEEKLY ONE HOUR LONG SUPERVISION AND ONE AND A HALF HOUR LONG GROUP SUPERVISION FOR A TOTAL OF 572.5 DIRECT CLINICAL SUPERVISION HOURS PROVIDED TO THE GROUP. HEALTH MINISTRIES HOAG HEALTH MINISTRIES CELEBRATES ITS TWENTY-EIGHTH YEAR OF SERVING ORANGE COUNTY FAITH COMMUNITIES THROUGH THE FAITH COMMUNITY NURSING (FCN) PROGRAM. THE PROGRAM HAS GROWN TO 64 VOLUNTEER FCN'S WHO DEDICATE THEIR TIME AND SERVICE TO THOSE IN NEED AT 33 CONGREGATIONS THROUGHOUT ORANGE COUNTY. ALL DENOMINATIONS ARE WELCOME TO PARTICIPATE IN THIS SPIRITUALLY CENTERED WELLNESS PROGRAM, WHICH SEEKS TO INCORPORATE A BALANCE OF THE MIND, BODY AND SPIRIT. EACH FCN WORKS INDEPENDENTLY WITHIN THEIR CONGREGATION IN CREATING INDIVIDUAL AND POPULATION HEALTH BASED PREVENTIVE HEALTH PROGRAMS SPECIFIC TO THE NEEDS, BELIEFS AND PRACTICES UNIQUE TO THEIR FAITH TRADITIONS. DURING FY 2015, HEALTH MINISTRIES - COMPRISED OF 9 DENOMINATIONS AMONGST THE 33 FAITH BASED PARTNERSHIPS - DONATED 8,000 VOLUNTEER RN HOURS AT THE LOCAL, NATIONAL AND INTERNATIONAL LEVEL - TOUCHED THE LIVES OF MORE THAN 45,000 CONGREGANTS - ADMINISTERED 7,373 FLU VACCINE DOSES TO FORM 990, PART VI, LINE 2 FAMILY OR BUSINESS RELATIONSHIPS - OFFICERS ROBERT BRAITHWAITE, JOHN L. BENNER (BOARD SECRETARY OF HMHP), GARY MCKITTERICK (BOARD CHAIR OF HMHP) AND BOARD MEMBER MICHAEL D. STEPHENS, AND KEY EMPLOYEE JENNIFER MITZNER HAVE A BUSINESS RELATIONSHIP. - BOARD MEMBERS DENNIS GILMORE AND VIRGINIA UEBERROTH HAVE A BUSINESS RELATIONSHIP. - OFFICER ROBERT BRAITHWAITE, AND KEY EMPLOYEES JENNIFER MITZNER AND KRIS IYER HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS THE MEMBERS OF THE CORPORATION CONSIST OF THE FOLLOWING: I. COVENANT HEALTH NETWORK INC. II. THE GEORGE HOAG FAMILY FOUNDATION ("GHF FOUNDATION") III. THE CONSTITUENT CHURCHES OF THE LOS RANCHOS PRESBYTERY OF THE PRESBYTERIAN CHURCH (USA) (THE "APM"), AND IV. SUCH INDIVIDUAL MEMBERS AS MAY BE APPOINTED BY THE GHF FOUNDATION OR THE APM UP TO A MAXIMUM OF FORTY-EIGHT (48) INDIVIDUAL MEMBERS TO BE DIVIDED EQUALLY BETWEEN THE GHF FOUNDATION AND THE APM. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS HOAG HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE HOAG BOARD. ALL APPOINTMENTS THAT COME FROM THE HOAG BOARD AS NOMINATIONS MUST BE APPROVED BY AFFIRMATIVE VOTE OF AT LEAST A MAJORITY OF THE VOTES ENTITLED TO BE CAST BY THE GHF FOUNDATION, THE APM, AND THE INDIVIDUAL MEMBERS, (IF ANY), AT SUCH ANNUAL MEETING OF THE MEMBERS, SUBJECT TO FINAL APPROVAL BY REQUESITE VOTE OF THE CHN BOARD OF DIRECTORS. IF SUCH ANNUAL MEETING IS NOT HELD OR DIRECTORS ARE NOT ELECTED THEREAT, THE DIRECTORS MAY BE ELECTED AT ANY SPECIAL MEETING OF THE MEMBERS CALLED FOR THAT PURPOSE BY THE SAME VOTE AS IS REQUIRED AT ANY ANNUAL MEETING, BUT SUBJECT IN ALL INSTANCES TO FINAL APPROVAL BY THE REQUISITE VOTE OF THE CHN BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE PRELIMINARY APPROVAL BY THE COVENANT HEALTH NETWORK, INC. BOARD AND FINAL APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF ADOPTION OR CHANGES TO STATEMENT OF COMMON VALUE, FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, AND SALE OR DISPOSITION OF REAL PROPERTY. A SUPERMAJORITY OF THE COVENANT HEALTH NETWORK, INC. BOARD IS REQUIRED TO APPROVE ANY MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF HOAG BOARD OF DIRECTORS, APPOINTMENT AND REMOVAL OF HOAG CEO, ADOPTION OR AMENDMENT OF BYLAWS AND ARTICLES. THE POWERS AND RESPONSIBILITIES OF THE MEMBERS OF THE CORPORATION INCLUDE, BUT ARE NOT LIMITED TO: (A) TO ASSURE THE BOARD OF DIRECTORS CARRIES OUT THE CORPORATION'S MISSION; (B) TO CONSIDER THE QUALIFICATIONS OF DIRECTORS TO BE ELECTED TO THE BOARD OF DIRECTORS; (C) TO APPROVE ANY AMENDMENT, MODIFICATION OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (D) TO APPROVE THE ELECTION, APPOINTMENT OR REMOVAL OF ANY DIRECTOR OF THE CORPORATION; AND (E) TO APPROVE ANY SALE, TRANSFER CONVEYANCE OR OTHER DISPOSITION OF ALL, SUBSTANTIALLY ALL OR A MATERIAL PORTION OF THE ASSETS OF THE CORPORATION, OR ANY MERGER, CONSOLIDATION, AFFILIATION OR DISSOLUTION OF THE CORPORATION. FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE FORM 990 THE ORGANIZATION'S BOARD OF DIRECTORS HAS DELEGATED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD THE REVIEW OF THE FORM 990 PRIOR TO ISSUANCE. MANAGEMENT, INCLUDING AN OFFICER OF THE ORGANIZATION, PREPARES AND REVIEWS THE FORM 990. THE AUDIT AND COMPLIANCE COMMITTEE IS PROVIDED WITH A DRAFT FORM 990 AND IS PROVIDED AMPLE TIME TO READ THE DOCUMENT AND DEVELOP QUESTIONS. THE AUDIT AND COMPLIANCE COMMITTEE THEN CONVENES PRIOR TO THE ISSUANCE OF THE FORM 990 TO REVIEW AND DISCUSS THE DRAFT FORM 990 WITH MANAGEMENT AND EXTERNAL EXPERTS HIRED BY MANAGEMENT. AN ELECTRONIC VERSION OF THE FORM 990 IS POSTED TO A SECURE WEBSITE AVAILABLE TO ALL OF THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, LINE 12C MONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE ORGANIZATION HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY. OFFICERS, DIRECTORS, NON-DIRECTOR MEMBERS OF BOARD COMMITTEES, AND SENIOR EXECUTIVES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. RESPONSES TO THE QUESTIONNAIRE ARE REVIEWED BY THE CHAIR AND CEO AND MATTERS ARE DISCUSSED AT THE APPROPRIATE LEVEL AS APPLICABLE GIVEN THE SITUATION. INDIVIDUAL TRANSACTIONS THAT OCCUR BETWEEN THE ANNUAL QUESTIONNAIRES ARE REVIEWED BY THE CORPORATION'S LEGAL AND COMPLIANCE OFFICERS FOR POTENTIAL CONFLICTS OF INTEREST. ANY DIRECTOR WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT SHALL REFRAIN FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTIONS OR ARRANGEMENT, OR BE EXCUSED FROM ANY MEEING WHERE THE PROPOSED CONTRACT IS DISCUSSED. FORM 990, PART VI, LINE 15A PROCESS FOR DETERMINING COMPENSATION: THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION DURING TAX YEAR ENDING 6-30-15. ST. JOSEPH HEALTH SYSTEM'S EXECUTIVE COMPENSATION PROGRAM DESIGN AND ADMINISTRATION IS GOVERNED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND 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 SJHS 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 NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. FORM 990, PART VI, LINE 15B PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION OF THE CFO AND ALL SENIOR VICE PRESIDENTS (KEY EMPLOYEES) ARE REVIEWED BY THE COMPENSATION COMMITTEE OF HOAG'S BOARD OF DIRECTORS, COMPRISED SOLELY OF INDEPENDENT DIRECTORS. THE COMPENSATION COMMITTEE RECEIVES A STUDY PERFORMED BY AN INDEPENDENT CONSULTING FIRM THAT REVIEWS LEVELS OF COMPENSATION AT COMPARABLE ORGANIZATIONS FOR COMPARABLE POSITIONS WHEN SETTING COMPENSATION OF THE KEY EXECUTIVES. THE COMPENSATION COMMITTEE'S RECOMMENDATIONS RELATIVE TO EXECUTIVE COMPENSATION ARE REVIEWED AND APPROVED BY THE COMMITTEE, WHOSE MINUTES DOCUMENT THAT THE APPROVED COMPENSATION IS DEEMED REASONABLE. THIS PROCESS OF USING COMPARABLE DATA TO ESTABLISH LEVELS OF COMPENSATION HAS BEEN IN PLACE FOR IN EXCESS OF 37 YEARS. THIS PROCESS WAS LAST COMPLETED IN 2015. FORM 990, PART VI, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC HOAG'S CODE OF CONDUCT IS POSTED ON ITS PUBLIC WEBSITE (HHTP://WWW.HOAG.ORG/DOCUMENTS/CODEOFCONDUCT_2014.PDF). THE CODE OF CONDUCT PROVIDES READERS WITH AN UNDERSTANDABLE REVIEW OF THE CODE OF CONDUCT THAT MUST BE ADHERED TO BY ALL EMPLOYEES, DIRECTORS, AND VENDORS. THE CORPORATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990. FORM 990, PART XI, LINE 9 CHANGES IN NET ASSETS OR FUND BALANCE EQUITY TRANSFER TO HERITAGE (18,248,330) EXCLUDED SERVICES PER SJH AFFILIATION 84,857 UBI GAIN FROM PARTNERSHIPS/LLC'S (26,513) UNCOLLECTIBLE PLEDGES (245,321) ============= TOTAL (18,435,307) FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEE TOTAL FEES:22895580 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICE TOTAL FEES:57862082 FORM 990 PART IX LINE 11G DESCRIPTION:HMO PURCHASED SERVICE TOTAL FEES:41852363 Newport Healthcare Center LLC One hoag Drive Box 6100 Newport Beach CA 92663 331127904 Medical Bldg CA 12995319 156743516 HMHP Hoag Outpatient Therapies One Hoag Drive Newport Beach CA 92663 471467227 Outpat therap CA 538000 947500 HMHP Hoag Neurobehavioral Health LLC One Hoag Drive Newport Beach CA 92663 473282694 Medical Svcs CA 0 0 HMHP 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 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