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MISSION HOSPITAL REGIONAL MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MISSION HOSPITAL REGIONAL MEDICAL CENTER (EIN 95-1643360)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-11
IRS object ID
201531319349302393
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-11T14:08:52-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14370 LA JOLLA VILLAGE DR SUITE 500AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code92122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951643360EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSION HOSPITAL REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% AARON NEUHARTHInCareOfNm
Business Name ControlMISSBusinessNameControlTxt
Phone9493641400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CENTER ROADAddressLine1
Address Line2SuiteAddressLine2
CityMISSION VIEJOCity
StateCAState
ZIP Code92691ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEILEEN HAUBLPersonNm
Person TitleSR. VICE PRESIDENTPersonTitleTxt
Signature2015-05-05SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEVA NITTAPreparerPersonNm
PTINP01286320PTIN
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENNETH MCFARLANDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CENTER ROADAddressLine1
CityMISSION VIEJOCity
StateCAState
ZIP Code92691ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$512,100,041GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MISSION4HEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1941FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionWE ARE COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY IMPROVING THE HEALTH AND QUALITY OF LIFE IN OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2631TotalEmployeeCnt
Total Volunteers727TotalVolunteersCnt
Total Gross UBI$703,275TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$224,145NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,308,384PYContributionsGrantsAmt
CY Contributions Grants$14,961,825CYContributionsGrantsAmt
PY Program Service Revenue$499,389,716PYProgramServiceRevenueAmt
CY Program Service Revenue$485,540,575CYProgramServiceRevenueAmt
PY Investment Income$12,605,651PYInvestmentIncomeAmt
CY Investment Income$10,490,697CYInvestmentIncomeAmt
PY Other Revenue$890,324PYOtherRevenueAmt
CY Other Revenue$188,438CYOtherRevenueAmt
PY Total Revenue$521,194,075PYTotalRevenueAmt
CY Total Revenue$511,181,535CYTotalRevenueAmt
PY Grants And Similar Paid$7,688,418PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,585,904CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$199,897,513PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$201,858,392CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$65,328PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$92,396CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,093,207CYTotalFundraisingExpenseAmt
PY Other Expenses$255,305,713PYOtherExpensesAmt
CY Other Expenses$248,417,263CYOtherExpensesAmt
PY Total Expenses$462,956,972PYTotalExpensesAmt
CY Total Expenses$457,953,955CYTotalExpensesAmt
PY Revenues Less Expenses$58,237,103PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$53,227,580CYRevenuesLessExpensesAmt
Total Assets BOY$650,427,438TotalAssetsBOYAmt
Total Assets EOY$661,630,451TotalAssetsEOYAmt
Total Liabilities BOY$348,089,184TotalLiabilitiesBOYAmt
Total Liabilities EOY$342,889,976TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$302,338,254NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$318,740,475NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE ARE COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$400,832,613ExpenseAmt
Grant$7,585,904GrantAmt
Revenue$485,540,575RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$400,832,613TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document288IRPDocumentCnt
IRP Document W2 G3IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2631EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAARON NEUHARTHPersonNm
Phone9493647767PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KENNETH MCFARLAND
BOARD MEMBER, CEO & PRESIDENT50.02.0Yes (X)Yes (X)$0$923,641$52,738
ANNETTE WALKER
BOARD MEMBER2.052.0Yes (X)$0$725,321$46,674
BETH SCHIMMEL
BOARD MEMBER2.00.0Yes (X)$0$0$0
ED JORDAN
BOARD MEMBER2.00.0Yes (X)$0$0$0
ELLEN LEWIS MSN FAAN
BOARD MEMBER2.00.0Yes (X)$0$0$0
FARZAD MASSOUDI MD
BOARD MEMBER2.00.0Yes (X)$63,691$0$0
JOSEPH ROBBEN
BOARD MEMBER2.00.0Yes (X)$0$0$0
R CLIFFORD CARPER
BOARD MEMBER2.00.0Yes (X)$0$0$0
ROBERT WINOKUR MD
BOARD CHAIR5.00.0Yes (X)$600$0$0
RUDY MARQUEZ MD
BOARD MEMBER2.00.0Yes (X)$0$0$0
SISTER CECILIA MAGLADRY
BOARD VICE CHAIR2.00.0Yes (X)$0$0$0
SISTER EILEEN MCNERNEY
BOARD MEMBER2.00.0Yes (X)$0$0$0
SISTER MARYANNE HUEPPER
BOARD MEMBER2.00.0Yes (X)$0$0$0
SISTER MARY BETH INGHAM
BOARD MEMBER2.00.0Yes (X)$0$0$0
TODD LEMPERT MD
BOARD MEMBER (PART YEAR)2.00.0Yes (X)$185,620$0$0
WILLIAM AKRAWI MD
BOARD MEMBER4.00.0Yes (X)$7,083$0$0
CYNTHIA MUELLER
VP MISSION INTEGRATION50.00.0Yes (X)$296,066$0$49,264
EILEEN HAUBL
VP & CHIEF FINANCIAL OFFICER50.00.0Yes (X)$401,127$0$47,236
TARA COWELL
VP/ASSOC. GENERAL COUNSEL/SEC.2.052.0Yes (X)$0$314,087$39,671
LINDA JOHNSON
CHIEF CLINICAL OFFICER50.00.0$463,798$0$50,182Yes (X)
MICHAEL BECK
VP, INTEGRATED OPERATIONS50.00.0$265,349$0$54,889Yes (X)
MICHAEL KOHLER
EXEC DIR PERIOPERATIVE SVS50.00.0$176,046$0$31,317Yes (X)
RONALD GALONSKY
CHIEF OPER&INTEGRATION OFFICER50.00.0$411,315$0$20,814Yes (X)
SAMUEL GOMEZ
EXEC DIR NURSING SERVICES50.00.0$160,807$0$17,742Yes (X)
DENNIS HAGHIGHAT
VP MEDICAL AFFAIRS0.050.0$12,013$353,577$24,636Yes (X)
WILLIAM LOSEE
PHARMACIST CLINICAL50.00.0$196,519$0$43,124Yes (X)
VICTORIA MCKINNEY
E.D. MATERNAL/CHILD/MED/SURG50.00.0$203,483$0$20,435Yes (X)
TERRI FOX-COVERT
VP HUMAN RESOURCES50.00.0$286,651$0$54,982Yes (X)
WINIFRED JOHNSON
CHIEF DEVELOPMENT OFFICER50.00.0$199,890$0$24,468Yes (X)
FARAH ZIAII
NUCLEAR MED TECHNOLOGIST -ARSO50.00.0$221,111$0$44,815Yes (X)
SHIRLEY BARNES
FORMER VP HUMAN RESOURCES0.00.0$245,579$0$0Yes (X)
MARGARITA COWLEY
FORMER CHIEF OPERATING OFFICER0.00.0$351,505$0$0Yes (X)
PETER BASTONE
FORMER CEO0.00.0$0$241,852$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,148,253TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,558,478TotReportableCompRltdOrgAmt
Total Other Compensation$622,987TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K311IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
PAIN RECOVERY MEDICAL GROUP INC
21221 SPURNEY LANEHUNTINGTON BEACHCA92646MEDICAL SERVICES$3,637,025
ORTHOPEDIC TRAUMA SPECIALIST INC
26730 CROWN VALLEY PARKWAY SUITE 2MISSION VIEJOCA92691MEDICAL SERVICES$874,903
MISSION TRAUMA SURGICAL GROUP
26732 CROWN VALLEY PARKWAY SUITE 3MISSION VIEJOCA92691MEDICAL SERVICES$1,070,090
PACIFIC HOSPITALIST
510 SUPERIOR AVE STE 290NEWPORT BEACHCA92663MEDICAL SERVICES$881,886
DVA RENAL HEALTHCARE INC
PO BOX 8500-1607PHILADELPHIAPA191781607MEDICAL SERVICES$1,017,094
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$1,937,946FundraisingAmt
Related Organizations$6,464,733RelatedOrganizationsAmt
Government Grants$121,498GovernmentGrantsAmt
All Other Contributions$6,437,648AllOtherContributionsAmt
Noncash Contributions$185,465NoncashContributionsAmt
Total Contributions$14,961,825TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT REVENUE622110$451,759,630$451,759,630$0$0
MOB RENTAL531120$13,323,961$13,323,961$0$0
CAPITATION REVENUE622110$9,638,351$9,638,351$0$0
CHILDREN'S HOSPITAL AT MISSION622110$6,185,783$6,185,783$0$0
NUTRITIONAL SERVICES722310$1,968,753$1,968,753$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,664,097TotalRevenueColumnAmt
Related Or Exempt Func Income$1,960,822RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$703,275UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$485,540,575TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,469,281TotalRevenueColumnAmt
Exclusion$10,469,281ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$185,465SecuritiesAmt
Other$20,429OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$184,478SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$987SecuritiesAmt
Other$20,429OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,416TotalRevenueColumnAmt
Exclusion$21,416ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$290,986FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$1,937,946ContriRptFundraisingEventAmt
Fundraising Direct Expenses$691,278FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$400,292TotalRevenueColumnAmt
Exclusion-$400,292ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$187,509GamingGrossIncomeAmt
Gaming Direct Expenses$42,750GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$144,759TotalRevenueColumnAmt
Exclusion$144,759ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$443,971GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$443,971TotalRevenueColumnAmt
Exclusion$443,971ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$511,181,535TotalRevenueColumnAmt
Related Or Exempt Func Income$484,837,300RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$703,275UnrelatedBusinessRevenueAmt
Exclusion$10,679,135ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$7,542,876TotalAmt
Program Services$7,542,876ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$43,028TotalAmt
Program Services$43,028ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,779,383TotalAmt
Program Services$1,550,405ProgramServicesAmt
Management And General$1,228,978ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$972,245TotalAmt
Program Services$972,245ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$135,536,709TotalAmt
Program Services$125,238,558ProgramServicesAmt
Management And General$8,187,776ManagementAndGeneralAmt
Fundraising$2,110,375FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,630,321TotalAmt
Program Services$8,038,224ProgramServicesAmt
Management And General$484,920ManagementAndGeneralAmt
Fundraising$107,177FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$42,458,785TotalAmt
Program Services$38,761,120ProgramServicesAmt
Management And General$3,240,118ManagementAndGeneralAmt
Fundraising$457,547FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,480,949TotalAmt
Program Services$10,674,322ProgramServicesAmt
Management And General$655,232ManagementAndGeneralAmt
Fundraising$151,395FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$28,550,625TotalAmt
Program Services$22,664,465ProgramServicesAmt
Management And General$5,886,160ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,361,385TotalAmt
Program Services$848,676ProgramServicesAmt
Management And General$1,512,709ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$138,571TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$138,571FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$92,396TotalAmt
Fundraising$92,396FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$58,399,719TotalAmt
Program Services$40,096,862ProgramServicesAmt
Management And General$17,897,886ManagementAndGeneralAmt
Fundraising$404,971FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$970,141TotalAmt
Program Services$0ProgramServicesAmt
Management And General$965,131ManagementAndGeneralAmt
Fundraising$5,010FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,661,800TotalAmt
Program Services$12,919,875ProgramServicesAmt
Management And General$675,004ManagementAndGeneralAmt
Fundraising$66,921FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,586,278TotalAmt
Program Services$1,586,278ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,127,506TotalAmt
Program Services$28,129,841ProgramServicesAmt
Management And General$1,557,034ManagementAndGeneralAmt
Fundraising$440,631FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$498,997TotalAmt
Program Services$194,514ProgramServicesAmt
Management And General$279,148ManagementAndGeneralAmt
Fundraising$25,335FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$97,703TotalAmt
Program Services$73,814ProgramServicesAmt
Management And General$6,850ManagementAndGeneralAmt
Fundraising$17,039FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,404,857TotalAmt
Program Services$8,238,393ProgramServicesAmt
Management And General$2,166,464ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,841,601TotalAmt
Program Services$20,531,751ProgramServicesAmt
Management And General$2,303,287ManagementAndGeneralAmt
Fundraising$6,563FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,262,008TotalAmt
Program Services$0ProgramServicesAmt
Management And General$4,262,008ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$64,931,459$64,862,741$68,718$0
HOSPITAL FEE PROGRAM$7,233,878$7,233,878$0$0
LICENSES/TAXES/DUES$555,951$173,125$373,844$8,982
ALL OTHER EXPENSES$1,794,784$457,622$1,276,868$60,294

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$457,953,955TotalAmt
Program Services$400,832,613ProgramServicesAmt
Management And General$53,028,135ManagementAndGeneralAmt
Fundraising$4,093,207FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,369,038BOYAmt
EOY$3,484,949EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$81,982,453BOYAmt
EOY$89,564,524EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,324,716BOYAmt
EOY$836,804EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$81,258,090BOYAmt
EOY$80,218,220EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,679,942BOYAmt
EOY$5,874,504EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,201,791BOYAmt
EOY$1,045,840EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$549,669,078LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$205,773,348LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$330,867,220BOYAmt
EOY$343,895,730EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$75,074,493BOYAmt
EOY$87,235,102EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$21,155,126BOYAmt
EOY$18,992,319EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$13,717,072BOYAmt
EOY$13,717,072EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$27,797,497BOYAmt
EOY$16,765,387EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$650,427,438BOYAmt
EOY$661,630,451EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$57,816,779BOYAmt
EOY$61,113,982EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$290,272,405BOYAmt
EOY$281,775,994EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$348,089,184BOYAmt
EOY$342,889,976EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$240,787,500BOYAmt
EOY$239,504,301EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$61,406,531BOYAmt
EOY$77,308,109EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$144,223BOYAmt
EOY$1,928,065EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$302,338,254BOYAmt
EOY$318,740,475EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$650,427,438BOYAmt
EOY$661,630,451EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$53,227,580ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,466,995NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$44,292,354OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$64,074OtherActivitiesAmt
Total Lobbying Expenditures$64,074TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1iFormAndLineReferenceDesc
ExplanationOTHER ACTIVITIES THE AMOUNT ON LINE 1I IS THE PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. DURING THE PAST YEAR, ST. JOSEPH HEALTH SYSTEM CONDUCTED ADVOCACY EFFORTS WHICH INCLUDED SOME LOBBYING ACTIVITIES. THESE INCLUDED MEETING WITH LOCAL, STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS, AND COMMUNICATIONS TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,009,707BeginningYearBalanceAmt
Contributions$2,176,600ContributionsAmt
Investment Earnings Or Losses$421,408InvestmentEarningsOrLossesAmt
Administrative Expenses$34,661AdministrativeExpensesAmt
End Year Balance$4,573,054EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,766,554BeginningYearBalanceAmt
Contributions$102,259ContributionsAmt
Investment Earnings Or Losses$161,946InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$21,052AdministrativeExpensesAmt
End Year Balance$2,009,707EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,257,495BeginningYearBalanceAmt
Contributions$514,556ContributionsAmt
Investment Earnings Or Losses$10,588InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$16,084AdministrativeExpensesAmt
End Year Balance$1,766,555EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
Contributions$1,207,312ContributionsAmt
Investment Earnings Or Losses$57,912InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$7,729AdministrativeExpensesAmt
End Year Balance$1,257,495EndYearBalanceAmt
FieldValueIRS element (for citing)
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
Board Designated Balance EOY0.57840BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.42160PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$250,000InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$35,735,120OtherCostOrOtherBasisAmt
Book Value$35,985,120BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$292,433,430OtherCostOrOtherBasisAmt
Depreciation$80,375,733DepreciationAmt
Book Value$212,057,697BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,787,938OtherCostOrOtherBasisAmt
Depreciation$11,685,319DepreciationAmt
Book Value$8,102,619BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$161,777,111OtherCostOrOtherBasisAmt
Depreciation$113,685,005DepreciationAmt
Book Value$48,092,106BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,685,479OtherCostOrOtherBasisAmt
Depreciation$27,291DepreciationAmt
Book Value$39,658,188BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$343,895,730TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
INTERCO WITH HEALTH SYSTEM - BONDS$180,890,427
INTERCOMPANY PAYABLE$82,153,361
THIRD PARTY PAYABLES$14,715,566
OTHER LIABILITIES$4,016,640
FieldValueIRS element (for citing)
Total Liability$281,775,994TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4INTENDED USE OF ENDOWMENT FUNDS THE USE OF THE RESTRICTED ENDOWMENTS ARE SPECIFIED WHEN PUT IN PLACE BY THE DONORS. LIKE ALL ENDOWMENTS, ONLY THE DISTRIBUTED EARNED INCOME IS AVAILABLE FOR USE. THE UNRESTRICTED ENDOWMENT INCOME IS USED AT THE DISCRETION OF THE EXECUTIVE LEADERSHIP OF THE HOSPITAL FOR CAPITAL/BUILDING AND EQUIPMENT NEEDS.
Schedule D, Part X, Line 2ASC 740 (FIN 48) 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, 2014 OR 2013.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonHARRIS CONNECT LLC BREWSTER NY 10PersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11515 ROUTE 22AddressLine1
CityBREWSTERCity
StateNYState
ZIP Code10509ZIPCode
FieldValueIRS element (for citing)
ActivityTELEPHONE OUTREACHActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Gross Receipts$66,745GrossReceiptsAmt
Retained By Contractor$75,000RetainedByContractorAmt
Net To Organization-$8,255NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$66,745TotalGrossReceiptsAmt
Total Retained By Contractors$75,000TotalRetainedByContractorsAmt
Total Net To Organization-$8,255TotalNetToOrganizationAmt
Licensed StatesCALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GOLFNameOfEvent1Amt
Gross Receipts Event1$373,023GrossReceiptsEvent1Amt
Charitable Contri Event1$315,423CharitableContriEvent1Amt
Gross Revenue Event1$57,600GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$51,477RentFacilityCostsEvent1Amt
Food And Beverage Event1$57,863FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$86,951OtherDirectExpensesEvent1Amt
Name Of Event2GALANameOfEvent2Amt
Gross Receipts Event2$1,232,666GrossReceiptsEvent2Amt
Charitable Contri Event2$1,083,216CharitableContriEvent2Amt
Gross Revenue Event2$149,450GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$0NonCashPrizesEvent2Amt
Rent Facility Costs Event2$0RentFacilityCostsEvent2Amt
Food And Beverage Event2$149,302FoodAndBeverageEvent2Amt
Entertainment Event2$27,000EntertainmentEvent2Amt
Other Direct Expenses Event2$112,803OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$623,243GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$539,307CharitableContriOtherEventsAmt
Gross Revenue Other Events$83,936GrossRevenueOtherEventsAmt
Cash Prizes Other Events$0CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$0NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$2,620RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$89,315FoodAndBeverageOtherEventsAmt
Entertainment Other Events$17,224EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$96,723OthDirectExpnssOtherEventsAmt
Gross Receipts Total$2,228,932GrossReceiptsTotalAmt
Charitable Contributions Tot$1,937,946CharitableContributionsTotAmt
Gross Revenue Total Events$290,986GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$0NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$54,097RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$296,480FoodAndBeverageTotalEventsAmt
Entertainment Total Events$44,224EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$296,477OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$691,278DirectExpenseSummaryEventsAmt
Net Income Summary-$400,292NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$187,509GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$3,750CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming$39,000NonCashPrizesOtherGamingAmt
Rent Fclty Costs Other Gaming$0RentFcltyCostsOtherGamingAmt
Oth Direct Expnss Other Gaming$0OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingYes (true)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$187,509GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$3,750CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$39,000NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming$0RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming$0OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$42,750DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$144,759NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConductedCd
LicensedfalseLicensedInd
Explanation If NoSEE SCHEDULE G, PART IVExplanationIfNoTxt
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersfalseGamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksCATHLEEN A COLLINSIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CENTER ROADAddressLine1
CityMISSION VIEJOCity
StateCAState
ZIP Code92691ZIPCode
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonCATHLEEN A COLLINSGamingManagerPersonNm
Gaming Manager Compensation$715GamingManagerCompensationAmt
Gaming Manager Services ProvVICE PRESIDENT AND CHIEF DEVELOPMENT OFFICERGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrYes (true)CharitableDistributionRqrInd
Distributed$168,758DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE G, PART III, LINE 9BFormAndLineReferenceDesc
ExplanationGAMING MISSION HOSPITAL IS A NON-PROFIT ORGANIZATION AND GAMING IS NOT THE PRIMARY FUNDRAISING ACTIVITY; THEY WERE RAFFLES FOR A VEHICLE, PRIZE BASKETS, AND CASH PRIZES TOTALING $3,750.00. AS A TAX-EXEMPT HOSPITAL, MISSION HOSPITAL REGIONAL MEDICAL CENTER IS EXEMPT FROM THE CALIFORNIA ATTORNEY GENERAL REGISTRATION AND REPORTING REQUIREMENTS FOR THE RAFFLES.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,530,728TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,530,728NetCommunityBenefitExpnsAmt
Total Expense0.01410TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,007,810TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,142,418DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,865,392NetCommunityBenefitExpnsAmt
Total Expense0.01270TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,586,973TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,768,121DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,818,852NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,125,511TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,910,539DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,214,972NetCommunityBenefitExpnsAmt
Total Expense0.03290TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,634,562TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$209,675DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,424,887NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$30,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$82,566TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$82,566NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,911,458TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,911,458NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,658,586TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$209,675DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,448,911NetCommunityBenefitExpnsAmt
Total Expense0.01190TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,784,097TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,120,214DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,663,883NetCommunityBenefitExpnsAmt
Total Expense0.04480TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,486TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$81,486NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$38,136TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$38,136NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,262TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$87,262NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,468TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$106,468NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$313,352TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$313,352NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$22,258,969BadDebtExpenseAmt
Reimbursed By Medicare$89,730,361ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$111,118,433CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$21,388,072MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
MECC - SEE PART VI
PHYSICIAN OFFICE&CONF ED CTR0.500000.50000
MAS - SEE PART VI
OUTPATIENT SURGERY CENTER0.397300.60270
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSION HOSPITAL REGIONAL MEDICAL CENBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CENTER ROADAddressLine1
CityMISSION VIEJOCity
StateCAState
ZIP Code92691ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.MISSION4HEALTH.COMWebsiteAddressTxt
State License060000146StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MISSION HOSPITAL REGIONAL MEDICAL CENBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
ResidencyYes (X)ResidencyInd
Other FactorsYes (X)OtherFactorsInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, LINE 3INPUT FROM COMMUNITY REPRESENTATIVES MISSION HOSPITAL GATHERED COMMUNITY INPUT THROUGH THREE MAJOR AVENUES: TELEPHONE SURVEY, STAKEHOLDER PANELS, AND RESIDENT FOCUS GROUPS. TELEPHONE SURVEY: A TELEPHONE SURVEY WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) USING A SYSTEMATIC, DATA DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS AND NEEDS IN DESIGNATED HIGH NEED AREAS. THE INFORMATION FROM THIS SURVEY WAS USED TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS. THE TELEPHONE SURVEY GATHERED A TOTAL OF 763 INTERVIEWS, A SAMPLE THAT IS REPRESENTATIVE OF THE ACTUAL POPULATION DEMOGRAPHICS. STAKEHOLDER PANELS: FOUR (4) PANEL DISCUSSIONS WERE HELD WITH KEY INFORMANTS REPRESENTING A WIDE-VARIETY OF SERVICE PROVIDERS AND LEADERS ACROSS OUR SERVICE AREA. A TOTAL OF 43 COMMUNITY STAKEHOLDERS BROUGHT THEIR FIRST-HAND KNOWLEDGE ABOUT RESIDENTS' NEEDS, SERVICES AVAILABLE, AND CURRENT AND EMERGING COMMUNITY HEALTH AND QUALITY OF LIFE ISSUES. IN ADDITION, WE GAINED FEEDBACK THROUGH THE MISSION HOSPITAL LAGUNA BEACH ADVISORY COUNCIL, A COUNCIL ESTABLISHED BY THE ATTORNEY GENERAL IN 2009 AND COMPRISED OF RESIDENTS AND LEADERS IN LAGUNA BEACH. COUNCIL MEMBERS PROVIDED INPUT THROUGH AN ONLINE SURVEY AND FOCUS GROUP. RESIDENT FOCUS GROUPS: A TOTAL OF 209 RESIDENTS PARTICIPATED IN NINE FORUMS ACROSS SOUTH ORANGE COUNTY. AT EACH FORUM, AREAS OF OPPORTUNITY IDENTIFIED THROUGH THE TELEPHONE SURVEY AND STAKEHOLDER PANELS WERE SHARED WITH PARTICIPANTS TO GET THEIR FEEDBACK AND VALIDATE EARLY FINDINGS. RESIDENTS IDENTIFIED ANY MISSING HEALTH AND QUALITY OF LIFE ISSUES AND PRIORITIZED THE TOP ISSUES ACCORDING TO THEIR CONCERNS. HEALTH NEEDS ASSESSMENT ADVISORY COMMITTEE IN 2013 MISSION HOSPITAL FORMULATED AN ADVISORY COMMITTEE TO ENGAGE LEADERS BEYOND THE COMMUNITY BENEFIT STAFF AND ALLOW FOR A COLLECTIVE ANALYSIS OF THE MANY SOURCES OF DATA AVAILABLE FOR REVIEW AS WELL AS TO NARROW THE LIST OF PRIORITIES FOR THE FY15-17 COMMUNITY BENEFIT PLAN. THE COMMITTEE CONSISTED OF COMMUNITY BENEFIT COMMITTEE MEMBERS, REPRESENTATIVES FROM LOCAL COMMUNITY CLINICS, PUBLIC HEALTH PERSONNEL AND HOSPITAL STAFF FROM A VARIETY OF UNITS. FOR MORE INFORMATION, GO TO WWW.MISSION4HEALTH.COM.
SCHEDULE H, PART V, LINE 5THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: HTTP://WWW.MISSION4HEALTH.COM/DOCUMENTS/COMMUNITY-BENEFIT/2014-COMMUNITY-H EALTH-NEEDS-ASSESSMENT-REPORT.PDF.
SCHEDULE H, PART V, LINE 7NEEDS NOT ADDRESSED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED DURING THE FY14 CHNA PROCESS WILL NOT BE DIRECTLY ADDRESSED THROUGH PROGRAMMING OR FUNDING AND AN EXPLANATION IS PROVIDED BELOW: ACCESS TO SOCIAL SERVICES: ACCESS TO SOCIAL SERVICES WAS IDENTIFIED AS A NEED IN THE RESIDENT FOCUS GROUPS. EFFORTS WILL CONTINUE TO CREATE AWARENESS ABOUT LOCAL SOCIAL SERVICES TO THE COMMUNITY AND MISSION HOSPITAL STAFF WILL SHARE THIS ISSUE WITH LOCAL PARTNERS TO HELP THEIR EFFORTS TO EXPAND AWARENESS OF SERVICES. ACTIVITIES FOR TEENS: SEVERAL AGENCIES DEDICATED TO YOUTH AND TEENS EXIST IN THE COMMUNITY, SUCH AS THE BOYS & GIRLS CLUB, YMCA, ETC. IN ADDITION, MANY LOCAL SCHOOLS OFFER AFTER-SCHOOL ENRICHMENT PROGRAMS AND MAINTAIN A SKILL-SET THAT EXCEEDS OUR OWN. AFFORDABLE HOUSING: WE HAVE CONCENTRATED ON AFFORDABLE HOMES FOR MANY YEARS IN SOUTH ORANGE COUNTY. RESIDENTS SHARE THAT HOUSING COSTS REMAIN UNAFFORDABLE. WITH THE RECENT CHANGES IN REDEVELOPMENT FUNDS AND THE LACK OF LOCAL RESOURCES AND COLLABORATIVE EFFORTS NEEDED TO FOCUS ON THIS ISSUE, THE COMMITTEE FELT OUR MINISTRY RESOURCES COULD BE BETTER UTILIZED IN ANOTHER AREA. DENTAL CARE: WHILE DENTAL CARE WAS IDENTIFIED AS A PRIORITY NEED, OUR PRIORITY PROCESS IDENTIFIED ACCESS TO PRIMARY HEALTH CARE SERVICES AS A GREATER NEED IN THE COMMUNITY. WE WILL WORK COLLABORATIVELY WITH OTHER AGENCIES TO BRING DENTAL SERVICES TO SOUTH ORANGE COUNTY WHENEVER POSSIBLE. DIABETES: CAMINO HEALTH CENTER HAS IDENTIFIED THIS CONDITION AS ONE OF THEIR 16 AREAS OF CLINICAL FOCUS. WE WILL CONTINUE TO WORK COLLABORATIVELY WITH CAMINO TO CONNECT RESIDENTS IN NEED OF MEDICAL SERVICES WITH THEIR CENTER. ECONOMIC BURDEN: THE LACK OF AFFORDABLE JOBS, ABILITY TO PAY FOR CHILD CARE AND OTHER BASIC NEEDS WAS SO BROAD A TOPIC THAT WE DECIDED TO FOCUS OUR EFFORTS ON ISSUES MORE SPECIFIC. WE WILL BRING THIS ISSUE TO OUR ST. JOSEPH HEALTH SYSTEM ADVOCACY BRANCH AND CONTINUE TO ADVOCATE FOR THE NEEDS OF THE POOR TO IMPROVE THEIR QUALITY OF LIFE. EDUCATION: MISSION HOSPITAL WORKED WITH DOZENS OF AGENCIES TO DEVELOP CPATHE: (CAPISTRANO PROMOTING ACCESS TO HIGHER EDUCATION) FROM 2008-2011. THIS COLLABORATIVE STILL EXISTS, PRIMARILY THROUGH PARTNERSHIP BETWEEN UNIVERSITY OF CALIFORNIA, IRVINE AND CAPISTRANO UNIFIED SCHOOL DISTRICT. THE SCHOOL DISTRICT HAS CREATED A SPECIFIC PLAN TO ADDRESS THE EDUCATION GRADUATION GAP AND HAS MADE SIGNIFICANT EFFORTS WITHIN THE TEACHING MODEL. OVERWEIGHT/OBESITY: WE HAVE FOCUSED ON OVERWEIGHT/OBESITY FOR OVER 10 YEARS, AND RECENT RESULTS HAVE DEMONSTRATED THE RATES OF OBESITY, PARTICULARLY CHILDHOOD OBESITY ARE DECLINING IN OUR LOW-INCOME AREAS. WE WILL REMAIN INVOLVED ON A CONSULTATIVE BASIS WITH THE MANY AGENCIES THAT ARE DIRECTLY FOCUSED ON THIS ISSUE AND WILL CONTINUE TO SUPPORT THEM IN THEIR BROAD COMMUNITY EFFORTS. SAFETY: SAFETY WAS IDENTIFIED PRIMARILY THROUGH THE RESIDENT FOCUS GROUPS IN PARTICULAR AREAS, AND RELATED PRIMARILY TO LIGHTING IN NEIGHBORHOOD PARKS. THE COMMITTEE FELT THERE WERE MORE PRESSING COMMUNITY NEEDS THAT REQUIRED OUR RESOURCES. SENIOR/AGING RELATED ISSUES: SOUTH ORANGE COUNTY HAS FIVE SENIOR CENTERS IN THE AREA IN ADDITION TO AGE WELL SENIOR SERVICES, AN AGENCY WHOLLY DEDICATED TO THE NEEDS OF SENIORS. WE WILL CONTINUE TO PARTNER WITH AGE WELL AND COMMUNITY CENTERS AROUND OUR IDENTIFIED PRIORITY AREAS. IN ADDITION, MISSION HOSPITAL WILL COLLABORATE WITH MANY LOCAL ORGANIZATIONS THAT ISOLATED AREAS OF HIGH NEED HAVE BEEN IDENTIFIED IN THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO, LAGUNA NIGUEL, MISSION VIEJO, LAKE FOREST AND RANCHO SANTA MARGARITA. THESE AREAS WERE DETERMINED BASED ON KEY DRIVERS FOR COMMUNITY VULNERABILITY, WHICH INCLUDE MEDIAN HOUSEHOLD INCOME, NUMBER OF PEOPLE LIVING IN A HOME, HEALTH INSURANCE COVERAGE, HIGHEST EDUCATIONAL LEVEL, ETC. ALTHOUGH HIGH NEEDS WERE IDENTIFIED IN THESE 7 AREAS, BASED ON HOSPITAL RESOURCES AND PARTNERSHIPS AND IN AN EFFORT TO SHOW SIGNIFICANT OUTCOMES AT THE END OF THE THREE-YEAR PLAN, A DECISION WAS MADE TO PRIMARILY FOCUS ON THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO, LAGUNA BEACH AND LAKE FOREST. THIS DECISION WAS MADE IN PARTNERSHIP WITH COMMUNITY BENEFIT DEPARTMENT STAFF, THE HOSPITAL EXECUTIVE TEAM AND THE COMMUNITY BENEFIT COMMITTEE. FOR FURTHER INFORMATION, PLEASE SEE THE IMPLEMENTATION STRATEGY FOUND AT HTTP://WWW.MISSION4HEALTH.COM/DOCUMENTS/COMMUNITY-BENEFIT/FY15-17-MISSION- CB-PLAN-AND-IS-REPORT.PDF.
SCHEDULE H, PART V, LINE 12IOTHER BASIS FOR CALCULATING AMOUNT CHARGED TO PATIENT 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, LINE 14GOTHER METHOD FOR PUBLICIZING POLICIES 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, LINE 18EOTHER EFFORTS MADE BY HOSPITAL FACILITY 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, LINE 20DOTHER METHOD FOR DETERMINING MAXIMUM CHARGED AMOUNT 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.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSION AMBULATORY SURGICENTER LTDBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line126730 CROWN VALLEY PARKWAYAddressLine1
CityMISSION VIEJOCity
StateCAState
ZIP Code92691ZIPCode
FieldValueIRS element (for citing)
FacilityOUTPATIENT SURGERY CENTERFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CIN 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, LINES 7A-ICOST-TO-CHARGE RATIO METHODOLOGY A COST-TO-CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COST OF ALL REPORTED CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST. IT INCLUDED ALL PATIENT TYPES (I.E. INPATIENT OUTPATIENT, EMERGENCY ROOM), AND WOULD ONLY INCLUDE CHARGES OR RELATED COSTS THAT PERTAIN TO EACH RESPECTIVE AREA (I.E. CHARITY, MEDICAID, MANAGED CARE, PRIVATE INSURANCE, SELF-PAY, UNINSURED, ETC.). FOR UNREIMBURSED COSTS, THAT WOULD BE THE DIFFERENCE BETWEEN THE DETERMINED COSTS UTILIZING THE COST-TO-CHARGE RATIO LESS ANY PAYMENTS RECEIVED FOR THAT PARTIAL PAYOR GROUP. THE COST-TO-CHARGE RATIO USED WAS NOT DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
SCHEDULE H, PART I, LINE 7, COLUMN (F)JOINT VENTURE EXPENSES OF $3,643,791 WERE INCLUDED IN THE TOTAL EXPENSE AMOUNT USED TO CALCULATE AMOUNTS IN PART I, LINE 7, COLUMN F.
SCHEDULE H, PART I, LINE 7GSUBSIDIZED HEALTH SERVICES PHARMACY & DME - $24,566 RECUPERATIVE PROGRAMS - $58,000
SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES OUR MISSION CALLS US TO IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. A KEY EMPHASIS IS PUT ON DEVELOPING PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS. KEY ISSUES FOR FISCAL YEAR 2014 CONTINUE TO BE ACCESS TO AFFORDABLE HOMES AND SERVING THE HOMELESS. MISSION HOSPITAL HAS PARTNERED WITH KEY COMMUNITY STAKEHOLDERS TO HELP ADDRESS THESE LONG-TERM ISSUES. ACCESS TO AFFORDABLE HOMES: THE AFFORDABLE HOMES OUTCOME GOAL IS TO INCREASE AFFORDABLE HOMES IN SOUTH ORANGE COUNTY, WITH A SPECIAL FOCUS ON THE CITIES OF SAN CLEMENTE, SAN JUAN CAPISTRANO, LAKE FOREST, AND MISSION VIEJO. IN 2008, MISSION HOSPITAL INITIATED A PARTNERSHIP WITH OVER A DOZEN AGENCIES TO CREATE THE SOUTH ORANGE COUNTY ALLIANCE FOR HOUSING OUR COMMUNITIES (SOCAHOC). TOGETHER, THE ALLIANCE WORKS TO INCREASING THE NUMBER OF PUBLIC OR PRIVATE POLICIES THAT SUPPORT AFFORDABLE HOMES, INCREASING BROAD-BASED COMMUNITY ADVOCACY ORGANIZATIONS THAT IDENTIFY AND ACT ON AFFORDABLE HOMES AS A PRIORITY, AND COLLABORATING TO CREATE NEW AFFORDABLE HOMES. HOMELESS OUTREACH: AFTER PURCHASING THE LAGUNA BEACH CAMPUS, THE LOCAL HEALTH NEEDS ASSESSMENT IDENTIFIED HOMELESS OUTREACH AS A PRIMARY NEED FOR THE COMMUNITY. BEGINNING IN 2009, WE BEGAN COLLABORATING WITH LOCAL RESIDENTS AND AGENCIES WHO SERVE THE HOMELESS TO MEET THEIR NEEDS. MISSION HOSPITAL PROVIDES A NUTRITIONALLY BALANCED LUNCH FOR UP TO 50 HOMELESS PEOPLE STAYING AT THE CITY'S ALTERNATIVE SLEEPING LOCATION 5 DAYS EACH WEEK (REPRESENTING $21,000 ANNUALLY). IN ADDITION, WE PROVIDE $5,000 TO A LOCAL SOUP KITCHEN IN CAPISTRANO BEACH. SAFE RIDES TO TEENS: TO AVOID TRAGEDY DUE TO DRUNK DRIVING, MISSION HOSPITAL SPONSORS AND COORDINATES THE SAFE RIDES PROGRAM, A FREE, ANONYMOUS SERVICE THAT PROVIDES TEENS A SAFE RIDE HOME SHOULD THEY NEED A RIDE ON FRIDAY OR SATURDAY EVENINGS. THIS PROGRAM HAS AN ANNUAL COST OF APPROXIMATELY $17,000.
SCHEDULE H, PART III, LINE 2DISCOUNTS ON PATIENT ACCOUNTS IN BAD DEBT ANY ACCOUNT RETURNED TO THE HOSPITAL FROM A COLLECTION AGENCY THAT HAS DETERMINED THE PATIENT DOES NOT HAVE THE RESOURCES TO PAY HIS OR HER BILL, MAY BE DEEMED ELIGIBLE FOR CHARITY CARE WITHOUT ABSOLUTE REQUIREMENT FOR SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION. ALL OUTSIDE COLLECTION AGENCIES CONTRACTED WITH SJHS TO PERFORM ACCOUNT FOLLOW-UP AND/OR BAD DEBT COLLECTION WILL UTILIZE THE FOLLOWING CRITERIA TO IDENTIFY A STATUS CHANGE FROM BAD DEBT TO CHARITY CARE: - PATIENT ACCOUNTS MUST HAVE NO APPLICABLE INSURANCE (INCLUDING GOVERNMENTAL COVERAGE PROGRAMS OR OTHER THIRD PARTY PAYERS); AND - THE PATIENT MUST HAVE A CREDIT SCORE AND BEHAVIOR RATING WITHIN THE LOWEST 25TH PERCENTILE OF CREDIT SCORES FOR ANY CREDIT EVALUATION METHOD USED; AND - THE PATIENT HAS NOT MADE A PAYMENT WITHIN 150 DAYS OF ASSIGNMENT TO THE COLLECTION AGENCY; AND - THE COLLECTION AGENCY HAS DETERMINED THAT THE PATIENT IS UNABLE TO PAY; AND/OR - THE PATIENT DOES NOT HAVE A VALID SOCIAL SECURITY NUMBER AND/OR AN ACCURATELY STATED RESIDENCE ADDRESS IN ORDER TO DETERMINE A CREDIT SCORE. ALL ACCOUNTS RETURNED FROM A COLLECTION AGENCY FOR RE-ASSIGNMENT FROM BAD DEBT TO CHARITY CARE WILL BE EVALUATED BY HOSPITAL PERSONNEL TO DETERMINE ELIGIBILITY FOR CHARITY CARE OR DISCOUNTED CARE PRIOR TO ANY RE-CLASSIFICATION WITHIN THE HOSPITAL ACCOUNTING SYSTEM AND RECORDS. DOCUMENTATION OF THE PATIENT'S INABILITY TO PAY FOR SERVICES WILL BE MAINTAINED BY THE HOSPITAL.
SCHEDULE H, PART III, SECTION A, LINE 4BAD DEBT EXPENSE 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 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, SECTION B, LINE 8TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT AS A CATHOLIC HEALTH CARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S COMMUNITY BENEFIT REPORTING GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE AS A COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT.
SCHEDULE H, PART III, SECTION C, LINE 9BAPPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE MISSION HOSPITAL REGIONAL MEDICAL CENTER PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE (100 PERCENT FINANCIAL ASSISTANCE) WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED.
SCHEDULE H, PART IV, COLUMN (A)NAME OF ENTITY 1. MISSION EDUCATION CONFERENCE CENTER, LLC 2. MISSION AMBULATORY SURGICENTER, LTD, DBA MISSION SURGERY CENTER
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT MISSION HOSPITAL USED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO MORE FULLY UNDERSTAND THE RISING SIGNIFICANT HEALTH AND QUALITY OF LIFE NEEDS FACING ITS MOST VULNERABLE COMMUNITY MEMBERS. WE EMPLOYED A VARIETY OF METHODS TO GATHER DATA TO ENSURE THE PRIORITIES SELECTED ARE ALIGNED WITH THE GREATEST NEEDS. DURING THIS ASSESSMENT, WE COLLECTED DATA FROM RESIDENTS USING BOTH A TELEPHONE SURVEY AND ENGAGED RESIDENTS IN FOCUS GROUPS ACROSS FIVE (5) CITIES IN SOUTH ORANGE COUNTY. WE ALSO OBTAINED FEEDBACK FROM COMMUNITY SERVICE PROVIDERS TO UNDERSTAND BROADER ISSUES FACING RESIDENTS. SEPARATELY, WE REVIEWED LOCAL SECONDARY SOURCES SUCH AS HOSPITAL DATA, INFORMATION FROM LOCAL NON-PROFIT AGENCIES AND THE ORANGE COUNTY HEALTH CARE AGENCY TO IDENTIFY TRENDS AND SYNERGIES ACROSS IDENTIFIED SIGNIFICANT HEALTH NEEDS. TO ENGAGE A WIDE VARIETY OF PERSPECTIVES IN DETERMINING PRIORITY AREAS, WE CREATED AN ADVISORY COMMITTEE. THIS COMMITTEE MET THROUGHOUT OUR PROCESS TO REVIEW BOTH PRIMARY AND SECONDARY DATA AND NARROW OUR LIST OF POTENTIAL PRIORITIES FOR OUR FY15-17 COMMUNITY BENEFIT PLAN. THE MISSION HOSPITAL COMMUNITY BENEFIT COMMITTEE ALSO REVIEWED INFORMATION AND ACTED AS THE FINAL FILTER TO IDENTIFY AND DECIDE ON THE PRIORITY AREAS FOR MISSION HOSPITAL'S FY15-17 COMMUNITY BENEFIT PLAN.
SCHEDULE H, PART VI, LINE 3PATIENT 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 4COMMUNITY INFORMATION MISSION HOSPITAL PROVIDES SOUTH ORANGE COUNTY COMMUNITIES WITH HEALTH ACCESS THROUGH TWO CONVENIENT LOCATIONS, MISSION VIEJO AND LAGUNA BEACH. THE HOSPITAL'S SERVICE AREA EXTENDS FROM THE JUNCTION OF THE 405 AND 5 FREEWAYS IN THE NORTH TO CAMP PENDLETON IN THE SOUTH. GEOGRAPHICALLY, SOUTH COUNTY IS BORDERED BY THE PACIFIC OCEAN TO THE WEST, THE SANTA ANA MOUNTAINS TO THE NORTH AND EAST, AND THE MARINE BASE CAMP PENDLETON TO THE SOUTH. OUR PRIMARY SERVICE AREA INCLUDES THE CITIES OF MISSION VIEJO, LAGUNA BEACH, LAGUNA NIGUEL, SAN JUAN CAPISTRANO, SAN CLEMENTE, RANCHO SANTA MARGARITA, LAKE FOREST, LAGUNA HILLS, DANA POINT, LADERA RANCH TRABUCO CANYON, CAPISTRANO BEACH AND ALISO VIEJO. THIS INCLUDES A POPULATION OF APPROXIMATELY 623,000 PEOPLE, AN INCREASE OF 4% FROM THE PRIOR ASSESSMENT. MISSION HOSPITAL'S SECONDARY SERVICE AREA INCLUDES LAGUNA WOODS, IRVINE, FOOTHILL RANCH AND SILVERADO. SOUTH ORANGE COUNTY IS A RELATIVELY AFFLUENT COMMUNITY WITH A MEDIAN HOUSEHOLD INCOME OF $95,506 COMPARED TO THE ORANGE COUNTY MEDIAN HOUSEHOLD INCOME OF $79,132 (2000 US CENSUS QUICK FACTS). THE AVERAGE HOUSEHOLD SIZE IS 2.70 COMPARED TO THE ORANGE COUNTY WIDE HOUSEHOLD SIZE OF 3.06. DEMOGRAPHICALLY, THE AREA IS PRIMARILY CAUCASIAN (69.7%), WITH THE HISPANIC POPULATION REPRESENTING 17.9%. OUR SERVICE AREA INCLUDES DANA POINT, A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA. THE FOLLOWING NON-PROFIT HOSPITALS ARE WITHIN THE MISSION HOSPITAL SERVICE AREA: SADDLEBACK MEMORIAL-LAGUNA HILLS, SADDLEBACK MEMORIAL, SAN CLEMENTE, CHOC CHILDREN'S HOSPITAL OF ORANGE COUNTY AT MISSION.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH GOVERNING BODY IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS. THE SUB-COMMITTEE OF THE BOARD OF TRUSTEES, KNOWN AS THE COMMUNITY BENEFIT COMMITTEE, OVERSAW THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORT EVERY THREE YEARS, AS WELL AS AN ANNUAL COMMUNITY BENEFIT REPORT. THE COMMITTEE ALSO PROVIDED GENERAL DIRECTION TO MISSION HOSPITAL REGARDING: 1) BUDGETING DECISIONS, 2) COMMUNITY BENEFIT PROGRAM CONTENT, 3) COMMUNITY BENEFIT PROGRAM DESIGN, 4) TARGET GEOGRAPHIC/POPULATION, 5) PROGRAM CONTINUATION OR DISCONTINUATION, 6) FUND DEVELOPMENT SUPPORT, AND 7) COMMUNITY-WIDE ENGAGEMENT. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. GIVING BACK TO THE COMMUNITY IS HARDWIRED INTO EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH, WE PROVIDE FREE AND DISCOUNTED CARE VIA OUR FINANCIAL ASSISTANCE PROGRAM AND HAVE A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. OUR COMMITMENT TO COMMUNITY IS FURTHER DEMONSTRATED THROUGH OUR STRATEGIC COMMUNITY INVESTMENTS. ON AN ANNUAL BASIS, TEN PERCENT OF OUR NET INCOME IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR (CARE FOR THE POOR FUNDS). SPECIFICALLY, FUNDS ARE USED FOR OUTREACH PROGRAMS, DEFINED AS THOSE SERVICES THAT ADDRESS A SPECIFIC UNMET HEALTH NEED AND ARE SEPARATE FROM TRADITIONAL ACUTE CARE SERVICES. THE FOLLOWING PROGRAMS IN FY14 WERE MADE POSSIBLE THROUGH CARE FOR THE POOR FUNDS AND EXEMPLIFY OUR COMMITMENT TO PROMOTE HEALTH AND ACCESS TO CARE TO THE LOW-INCOME: CAMINO HEALTH CENTER: PROVIDES ESSENTIAL MEDICAL SERVICES TO SOUTH ORANGE COUNTY RESIDENTS WHO ARE UNINSURED OR UNDERINSURED. SERVICES INCLUDE PRIMARY HEALTH CARE, DENTAL CARE SERVICES FOR PREGNANT WOMEN AND CHILDREN, SEVERAL WOMEN, INFANT & CHILDREN (WIC) CLINICS THROUGHOUT SOUTH COUNTY, AND TWO MOBILE VANS THAT PROVIDE ESSENTIAL ACCESS TO HEALTH CARE FOR THOSE WITHOUT TRANSPORTATION OPTIONS. RECUPERATIVE CARE PROJECT: A COUNTY-WIDE PROJECT TO SUPPORT HOMELESS RESIDENTS WHO HAVE EXPERIENCED A HOSPITAL STAY TO PROVIDE THEM WITH TEMPORARY HOUSING AND RECUPERATIVE SERVICES TO ENSURE THEY ARE AT A HEALTHY STATE PRIOR TO RETURNING TO THEIR NORMAL LIVING ENVIRONMENT. HELPING HANDS PROGRAM: OFFERS ONE-TIME ASSISTANCE TO PATIENTS WHO NEED FINANCIAL SUPPORT FOR MEDICAL EQUIPMENT OR PHARMACEUTICAL NEEDS. THIS PROGRAM IS CONDUCTED THROUGH THE CARE MANAGEMENT TEAM WHO CONSIDERS A PATIENT'S SOCIO-ECONOMIC AND MEDICAL NEEDS PRIOR TO DISCHARGE. WE ARE ALSO COMMITTED TO PROMOTING HEALTH AND ACCESS TO CARE FOR THE BROADER COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING PROGRAMS: CHILDHOOD OBESITY PROGRAM: ONE OF OUR COMMUNITY BENEFIT PRIORITY AREAS IN FY14 WAS TO ADDRESS CHILDHOOD OBESITY ACROSS SOUTH ORANGE COUNTY. OUR GOAL IS TO REDUCE THE PREVALENCE OF YOUTH AGED 3-11 YEARS WHO ARE OVERWEIGHT OR OBESE. YOUTH ALCOHOL PREVENTION PROGRAM: IDENTIFIED AS A SIGNIFICANT NEED IN THE LAGUNA BEACH NEEDS ASSESSMENT AND SELECTED AS A COMMUNITY BENEFIT PRIORITY AREA, MISSION HOSPITAL FACILITATES THE LAGUNA BEACH COMMUNITY COALITION TO ADDRESS YOUTH ALCOHOL & SUBSTANCE USE PREVENTION THROUGH A VARIETY OF APPROACHES. THE GOAL IS TO REDUCE 9TH GRADE YOUTH WHO REPORT CONSUMING ALCOHOL WITHIN 30 DAYS. MISSION HOSPITAL BREAST CARE CENTER: OFFERED ON THE CAMPUS OF MISSION VIEJO, MISSION HOSPITAL'S BREAST CARE CENTER OFFERS COMPREHENSIVE SERVICES TO BOTH PREVENT AND TREAT BREAST CANCER. STATE OF THE ART DIAGNOSTIC SERVICES ARE AVAILABLE AS WELL AS NURSE NAVIGATOR ASSISTANCE FOR THOSE WITH A POSITIVE DIAGNOSIS. IN ADDITION, PREVENTION EDUCATION IS CONDUCTED IN THE COMMUNITY TO REACH RESIDENTS IN THEIR OWN NEIGHBORHOODS. FOR DETAILED INFORMATION ABOUT THESE PROGRAMS, PLEASE VISIT OUR WEBSITE AT WWW.MISSION4HEALTH.COM.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM MISSION HOSPITAL IS A HEALING MINISTRY OF 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. 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 COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH 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 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 ALIGN WITH OUR MISSION AND EXEMPLIFY THE FOUR CORE VALUES OF ST. JOSEPH HEALTH: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE.
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIRVINECA92612330143024501(c)(3)$5,363,300CARE FOR THE POOR
CAMINO HEALTH CENTER
30300 CAM CAPISTRANOCAPISTRANOCA92675330574214501(c)(3)$1,888,906PROGRAM SUPPORT
NATIONAL HEALTH FOUNDATION
515 S FIGUEROA 1300LOS ANGELESCA90071237314808501(c)(3)$58,000PROGRAM SUPPORT$0
ST JOSEPH HOSPITAL OF ORANGE
1100 W STEWART STREETORANGECA92868951643359501(c)(3)$10,000PROGRAM SUPPORT
ST MARGARET'S EPISCOPAL SCHOOL
31641 LA NOVIASJ CAPSITRANOCA92675953408913501(c)(3)$9,150PROGRAM SUPPORT
MARCH OF DIMES
2222 MARTIN ST 155IRVINECA92612131846366501(c)(3)$30,000PROGRAM SUPPORT
CHILDREN HOSPITAL OF ORANGE COUNTY FDN
455 S MAIN STORANGECA92868952321786501(c)(3)$10,000PROGRAM SUPPORT
UCI FOUNDATION
UCI SB 431IRVINECA92697952540117501(c)(3)$18,333PROGRAM SUPPORT
SUSAN KOMEN FOR THE CURE
3191-A AIRPORT LOOP DRCOSTA MESACA92626752844659501(c)(3)$10,000PROGRAM SUPPORT
ST TIMOTHY'S CATHOLIC CHURCH
29102 CROWN VALLEYLAGUNA NIGUELCA92677953656905501(c)(3)PROGRAM SUPPORT$82,864OTHERFOOD BANK DONATION
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
RECUPERATION-HELPING HANDS-ON BEHALF OF PATIENTS17$24,566
INDIVIDUAL FUNERALS9$12,158
MAMMOGRAMS11$2,710
HOME CARE80$3,594

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE I, PART I, LINE 2DESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS MISSION HOSPITAL HAS AN AFFILIATION AGREEMENT WITH CAMINO HEALTH CENTER THAT CALLS FOR THE STEERING COMMITTEE, WHICH INCLUDES AN OFFICER FROM THE HOSPITAL, TO PROVIDE OVERSIGHT OF FUNDS GRANTED TO CAMINO BY THE HOSPITAL. THE CARE FOR THE POOR FUNDS GIVEN TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION IS GOVERNED BY THE HEALTH SYSTEM FOUNDATION. THE DISBURSEMENT OF THE FUNDS FOLLOWS SPECIFICS SET FORTH BY THE HEALTH SYSTEM POLICY "CARE FOR THE POOR PROGRAM ACCOUNTING." THERE IS NO MONITORING DONE IN THE OTHER GRANTS.
SCHEDULE I, PART III, LINE 1, COLUMNE BCALCULATION OF NUMBER OF RECIPIENTS - RECUPERATION - HELPING HANDS WE ESTIMATE 80 NUMBER OF RECIPIENTS BY LOOKING AT 90% OF INVOICES AND ESTIMATED REMAINING AT AN AVERAGE OF 4 PATIENTS PER INVOICE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH MCFARLAND
BOARD MEMBER, CEO & PRESIDENT$0$480,652$0$187,331$0$255,658$0$20,068$0$32,670$0$976,379$0$158,344
ANNETTE WALKER
BOARD MEMBER$0$519,458$0$137,665$0$68,198$0$12,750$0$33,924$0$771,995$0$0
TODD LEMPERT MD
BOARD MEMBER (PART YEAR)$0$0$0$0$185,620$0$0$0$0$0$185,620$0$0$0
CYNTHIA MUELLER
VP MISSION INTEGRATION$199,914$0$69,297$0$26,855$0$26,867$0$22,397$0$345,330$0$749$0
EILEEN HAUBL
VP & CHIEF FINANCIAL OFFICER$271,262$0$88,694$0$41,171$0$24,752$0$22,484$0$448,363$0$0$0
TARA COWELL
VP/ASSOC. GENERAL COUNSEL/SEC.$0$230,892$0$53,574$0$29,621$0$16,482$0$23,189$0$353,758$0$0
LINDA JOHNSON
CHIEF CLINICAL OFFICER$293,447$0$96,758$0$73,593$0$17,613$0$32,569$0$513,980$0$21,475$0
MICHAEL BECK
VP, INTEGRATED OPERATIONS$177,526$0$59,080$0$28,743$0$19,986$0$34,903$0$320,238$0$0$0
MICHAEL KOHLER
EXEC DIR PERIOPERATIVE SVS$153,102$0$19,899$0$3,045$0$8,946$0$22,371$0$207,363$0$0$0
RONALD GALONSKY
CHIEF OPER&INTEGRATION OFFICER$237,610$0$31,250$0$142,455$0$0$0$20,814$0$432,129$0$0$0
SAMUEL GOMEZ
EXEC DIR NURSING SERVICES$135,096$0$22,967$0$2,744$0$4,957$0$12,785$0$178,549$0$0$0
WILLIAM LOSEE
PHARMACIST CLINICAL$195,594$0$0$0$925$0$18,295$0$24,829$0$239,643$0$0$0
VICTORIA MCKINNEY
E.D. MATERNAL/CHILD/MED/SURG$172,004$0$23,753$0$7,726$0$9,595$0$10,840$0$223,918$0$0$0
TERRI FOX-COVERT
VP HUMAN RESOURCES$195,919$0$65,797$0$24,935$0$21,484$0$33,498$0$341,633$0$0$0
WINIFRED JOHNSON
CHIEF DEVELOPMENT OFFICER$107,921$0$55,888$0$36,081$0$10,134$0$14,334$0$224,358$0$0$0
FARAH ZIAII
NUCLEAR MED TECHNOLOGIST -ARSO$219,711$0$500$0$900$0$20,314$0$24,501$0$265,926$0$0$0
DENNIS HAGHIGHAT
VP MEDICAL AFFAIRS$10,008$272,555$1,009$62,361$996$18,661$506$12,859$422$10,849$12,941$377,285$0$0
MARGARITA COWLEY
FORMER CHIEF OPERATING OFFICER$0$0$0$0$351,505$0$0$0$0$0$351,505$0$0$0
PETER BASTONE
FORMER CEO$0$0$0$0$0$241,852$0$0$0$0$0$241,852$0$0
SHIRLEY BARNES
FORMER VP HUMAN RESOURCES$0$0$0$0$245,579$0$0$0$0$0$245,579$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aTRAVEL FOR COMPANIONS ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL TO CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. MEMBERS OF THE BOARD AND EXECUTIVE MANAGEMENT TEAM ARE SELECTED TO PARTICIPATE IN AN ANNUAL PILGRIMAGE TO LE PUY, FRANCE, WHERE THE SISTERS' FIRST CONGREGATION WAS FORMED. THE PURPOSE OF THE PILGRIMAGE IS FOR THE ORGANIZATION'S LEADERS TO DEVELOP A DEEPER UNDERSTANDING OF THE ROOTS AND HERITAGE OF THE ORGANIZATION IN ORDER TO CARRY OUT THE MISSION. COMPANION TRAVEL IS CONSIDERED TO BE AN ESSENTIAL PART OF THIS EXPERIENCE AND THE COMPANION ACTS AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING INDIVIDUAL LISTED ON PART VII RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. TERRI FOX-COVERT - $5,236 DISCRETIONARY SPENDING ACCOUNT EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION.
Schedule J, Part I, Line 3DESCRIPTION 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 THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM.
Schedule J, Part I, Line 4aSEVERANCE PAYMENT OR CHANGE OF CONTROL PAYMENT THE FOLLOWING INDIVIDUALS RECEIVED SERVERANCE PAYMENTS FOR EITHER PART OR ALL OF THE YEAR: PETER BASTONE - $241,853 MARGARITA COWLEY - $351,505 SHIRLEY BARNES - $245,579
Schedule J, Part I, Line 4bDESCRIPTION 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. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (SERP): KENNETH MCFARLAND - $158,344 CYNTHIA MULLER - $749 LINDA JOHNSON - $21,475
Schedule J, Part I, Line 7DESCRIBE ANY NON-FIXED PAYMENTS PROVIDED A PORTION OF EXECUTIVE SALARIES ARE PLACED 'AT-RISK' AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE 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 PAY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
COAST RDLGY IMAGING INTERVENTION
SEE PART V$245,060RADIOLOGY PROF COVERAGEfalse
ORANGE COUNTY NEUROSURGERY ASSOC
SEE PART V$972,245ER CALL/PHYS. ASST. AGREEMENTfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IV, LINE (1), COLUMN (B)FormAndLineReferenceDesc
ExplanationRELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION DR. LEMPERT IS A BOARD MEMBER (TERM EXPIRED DEC 2013) AND HAS A GREATER THAN 5% INTEREST IN COAST RADIOLOGY IMAGING & INTERVENTION, INC. WHICH HAS AN AGREEMENT FOR PROFESSIONAL SERVICES WITH THE HOSPITAL. DR. MASSOUDI IS A BOARD MEMBER AND HAS A GREATER THAN 5% INTEREST IN ORANGE COUNTY NEUROSURGICAL ASSOCIATES WHICH HAS AN AGREEMENT FOR PROFESSIONAL SERVICES WITH THE HOSPITAL.ExplanationTxt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution11ContributionCnt
Noncash Contributions Rpt F990$185,465NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescGIFTS IN KINDDesc
Contribution813ContributionCnt
Noncash Contributions Rpt F990$0NoncashContributionsRptF990Amt
Method Of Determining RevenuesSEE PART IIMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE M, PART I, COLUMN (B)AMOUNTS IN THIS COLUMN WERE BASED ON THE NUMBER OF CONTRIBUTIONS.
SCHEDULE M, PART I, LINE 25GIFTS IN KIND WITH AN ESTIMATED VALUE OF $443,499 WERE RECEIVED DURING THE YEAR AND WERE NOT INCLUDED ON THE BOOKS. VALUE WAS ESTIMATED FROM DONOR'S APPROXIMATION OF VALUE. REVENUE FROM THE SALE OF THESE ITEMS IS INCLUDED IN FUNDRAISING REVENUE ON FORM 990, PART VIII, LINE 8A.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4APROGRAM SERVICE ACCOMPLISHMENTS REALIZING OUR MISSION MISSION HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 40 YEARS. SERVING THE COMMUNITIES OF SOUTH ORANGE COUNTY, MISSION HOSPITAL IS AN ACUTE CARE, FULL SERVICE FACILITY THAT HOUSES THE REGION'S DESIGNATED TRAUMA CENTER, ONE OF ONLY THREE IN THE COUNTY. A COMPLETE ARRAY OF TOP-QUALITY HEALTHCARE SERVICES ARE OFFERED INCLUDING 24-HOUR EMERGENCY CARE; IMAGING, CARDIAC REHABILITATION AND CHEST PAIN CENTER; STROKE CENTER, MATERNITY CENTER. MISSION HOSPITAL ALSO OFFERS ORTHOPEDICS, REHABILITATION, CANCER, SPINE AND VASCULAR SERVICES. OUR LAGUNA BEACH HEALTHCARE SERVICES INCLUDE 24-HOUR EMERGENCY, MEDICAL-SURGICAL CARE AS WELL AS BEHAVIORAL HEALTH AND CHEMICAL AND PAIN MEDICATION DEPENDENCY TREATMENT. WITH OVER 2,700 EMPLOYEES COMMITTED TO REALIZING THE MISSION, MISSION HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE SOUTH ORANGE COUNTY REGION. AS A MEMBER OF ST. JOSEPH HEALTH, MISSION HOSPITAL IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR 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 FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH MINISTRY. THREE MISSION OUTCOMES STRATEGICALLY GUIDE OUR MINISTRY WORK MISSION HOSPITAL IS COMMITTED TO THREE SYSTEM WIDE MISSION OUTCOMES: 1) SACRED ENCOUNTERS, 2) PERFECT CARE, AND 3) HEALTHIEST COMMUNITIES. 1) EVERY INTERACTION WILL BE EXPERIENCED AS A SACRED ENCOUNTER THE GOAL OF SACRED ENCOUNTER HAS A DIRECT CONNECTION TO THE OVERALL MISSION. OUR VALUE OF DIGNITY CALLS FOR US TO RESPECT EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE. WE STRIVE TO DO THIS BY KEEPING AT THE FOREFRONT OF OUR MINDS THE UNDERSTANDING OF THE IMPACT WE CAN HAVE ON ONE ANOTHER WITH EVERY ACTION WE TAKE. SACRED MOMENTS SUPPORT OUR MISSION OUTCOME OF SACRED ENCOUNTERS BY FOSTERING SACRED ENCOUNTERS THROUGHOUT THE PATIENT JOURNEY. OUR SACRED MOMENTS PROGRAM IS A PROACTIVE APPROACH TO 'HEALING BEYOND SCIENCE'. IT ATTEMPTS TO BRING THE SACRED INTO EVERYDAY INTERACTIONS BY PROVIDING A PRACTICAL STRUCTURE FOR FRONTLINE CAREGIVERS TO FOSTER SACRED ENCOUNTERS WITH THEIR PATIENTS, VISITORS, PHYSICIANS AND COLLEAGUES. EMPLOYEES ACROSS THE MINISTRY HAVE EACH PARTICIPATED IN 12-HOURS OF SACRED MOMENTS DESIGNS IN THEIR UNIT, AND HAVE ATTENDED A 90-MINUTE SACRED MOMENTS DEVELOPMENT SESSION. 2) ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENT'S EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. IN FY14, MISSION HOSPITAL ADOPTED A DAILY ROUNDING SYSTEM THROUGHOUT THE ORGANIZATION TO INCREASE COMMUNICATION AT ALL LEVELS OF THE ORGANIZATION AS WELL AS IMPLEMENTING A "CATCH OF THE DAY" PROGRAM WHERE FRONT-LINE STAFF IDENTIFY AREAS WITHIN A PRACTICE THAT COULD LEAD TO A NEGATIVE PATIENT OUTCOME. THIS PROCESS ENABLES CLINICIANS TO SPEAK OPENLY ABOUT HOW A PROCEDURE COULD BE IMPROVED TO CONTINUALLY IMPROVE OUR EFFORTS TOWARD PERFECT CARE. 3) THE COMMUNITIES WE SERVE WILL BE AMONG THE HEALTHIEST IN OUR NATION WE SEEK TO DEVELOP COMMUNITY HEALTH INITIATIVES THAT IMPACT LONG-TERM HEALTH ACROSS THE ENTIRE COMMUNITY. SINCE 2010, WE HAVE WORKED IN THE LAGUNA BEACH COMMUNITY TO REDUCE YOUTH ALCOHOL & SUBSTANCE USE, AS OVER 35% OF 9TH GRADERS REPORTED USING ALCOHOL WITHIN 30 DAYS IN 2008 (SOURCE: LAGUNA BEACH UNIFIED SCHOOL DISTRICT CALIFORNIA HEALTHY KIDS SURVEY 2008 RESULTS). OUR STRATEGIES WERE MULTI-FACETED, USING THE FOLLOWING THREE STRATEGIES: 1) INCREASE A CHILD'S OWN PROBLEM-SOLVING SKILLS; 2) INCREASE CARING RELATIONSHIPS AT HOME; AND 3) REDUCING ACCESS TO ALCOHOL. IN JULY 2012, WE BROUGHT ON A COMMUNITY DEVELOPMENT SPECIALIST TO SUPPORT THE LAGUNA BEACH COMMUNITY COALITION AND OUR EFFORTS AROUND YOUTH ALCOHOL USE PREVENTION. THE COALITION'S 20 MEMBERS SUPPORTED LAGUNA BEACH UNIFIED SCHOOL DISTRICT IN CHANGING THE SCHOOL CURRICULUM TO ADDRESS RISKY BEHAVIORS THROUGH IMPLEMENTING THE EVIDENCED-BASED BOTVIN LIFE SKILLS CURRICULUM. THIS CURRICULUM HAS A SPECIAL FOCUS TO IMPROVE PROBLEM-SOLVING SKILLS TO STUDENTS IN VARIOUS GRADE LEVELS. FY14 WAS DEDICATED TO EDUCATING PARENTS AND INCREASING POSITIVE RELATIONSHIPS FOR YOUTH AT HOME. THIS YEAR'S PROGRAM WAS FOCUSED ON PARENTS OF 4TH & 5TH GRADE STUDENTS GETTING THEM READY FOR MIDDLE SCHOOL. A 5-WEEK SERIES AIMED AT HELPING PARENTS UNDERSTAND IF THEIR CHILDREN WERE SURVIVING OR THRIVING USING THE 40 DEVELOPMENTAL ASSETS CURRICULUM. OTHER TOPICS INCLUDED POSITIVE PARENTING AND COMMUNICATION, SETTING BOUNDARIES, PLANNING AND DECISION-MAKING. ADDITIONAL RESULTS OF LOCAL EFFORTS FROM COALITION MEMBER AGENCIES INCLUDED: - THE CONTINUATION OF THE CATALYST CLUB BY YOUTH AT LAGUNA BEACH HIGH SCHOOL, WHERE STUDENTS WHO DON'T DRINK OR USE DRUGS FEEL SUPPORTED. THEY PLANNED AND IMPLEMENTED MONTHLY OUTINGS AND EVENTS TO SHOW THAT YOUTH CAN HAVE FUN AND MAKE FRIENDS IN A SAFE AND HEALTHY ENVIRONMENT. - THE LAGUNA BEACH PRESCRIPTION DRUG AWARENESS PROGRAM CONDUCTED 2 NATIONAL TAKE BACK PRESCRIPTION DRUG EVENTS THIS YEAR AND WORKED WITH THE CITY COUNCIL TO SET UP A PERMANENT PRESCRIPTION DRUG DROP BOX AT THE LAGUNA BEACH POLICE DEPARTMENT. - THE LAGUNA BEACH POLICE DEPARTMENT CONTINUES TO CONDUCT THE DECOY SHOULDER TAP PROGRAM TO DETER ADULTS FROM FURNISHING ALCOHOL TO MINORS OF STORES AND THE MINOR DECOY PROGRAM TO REDUCE THE NUMBER OF RETAIL STORES FROM SELLING ALCOHOL TO MINORS. THEY ARE ALSO PROVIDING RESPONSIBLE BEVERAGE SERVICE TRAINING FOR LOCAL RESTAURANTS AND BARS. - IN ADDITION, THE COALITION SUPPORTED HIGH SCHOOL PARENT AWARENESS WORKSHOPS WHICH INCLUDED INTRODUCTION TO THE 40 DEVELOPMENTAL ASSETS, INTERNET SAFETY, DRUG & ALCOHOL TRENDS, AND REVIEWING RESULTS OF THE CALIFORNIA HEALTHY KIDS SURVEY. OVER 500 PARENTS ATTENDED THESE PRESENTATIONS DURING FY14. THE NATIONAL INSTITUTE FOR DRUG AWARENESS HAS CONCLUDED THAT PREVENTION PROGRAMS AIMED AT KEY TRANSITION POINTS FOR YOUTH CAN PRODUCE RESULTS, EVEN IN HIGH RISK FAMILIES. MISSION HOSPITAL PROVIDED TRANSITIONAL PARENT MEETINGS FOR 120 PARENTS OF 5TH & 8TH GRADERS TO PREPARE THEM FOR THEIR CHILDREN TRANSITIONING INTO DIFFERENT SCHOOL SETTINGS. PROGRAM SERVICE ACCOMPLISHMENTS FINANCIAL ASSISTANCE PROGRAM WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY MISSION HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE AND/OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. FACTORS USED IN DETERMINING ELIGIBILITY FOR PATIENT FINANCIAL ASSISTANCE INCLUDE INCOME LEVEL, ASSET LEVEL, AND MEDICAL INDIGENCE. MEDICAID AND OTHER MEANS TESTED PROGRAMS MEDICAID, ALSO KNOWN AS MEDI-CAL IN CALIFORNIA, IS THE US HEALTH PROGRAM FOR PEOPLE WITH LOW INCOME. IT IS JOINTLY FUNDED BY THE STATE AND FEDERAL GOVERNMENTS, AND IS MANAGED BY THE STATES. MEDICAL SERVICES INITIATIVE (MSI) IS A FEDERAL, STATE AND COUNTY-FUNDED HEALTHCARE PROGRAM THAT PROVIDES A FULL RANGE OF MEDICAL SERVICES FOR PERSONS AGED 21 - 64 YEARS. FINANCIAL ELIGIBILITY IS BASED ON A CASE-BY-CASE BASIS; HOWEVER ONLY PERSONS WHOSE ANNUAL INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE. IN APPLYING FOR THE PROGRAM, PROOF OF ORANGE COUNTY RESIDENCY AND U.S. CITIZENSHIP OR LEGAL RESIDENCY IS REQUIRED. MISSION HOSPITAL PARTICIPATES IN BOTH THE STATE AND COUNTY GOVERNMENT PROGRAMS. FOR A BREAK OUT ON EXPENSES FOR THESE PROGRAMS LISTED ABOVE REFER TO SCHEDULE H, PART I, LINES 7A, 7B, AND 7C. CARE FOR THE POOR PROGRAMS WE BELIEVE THAT ALL RESIDENTS IN THE COMMUNITY DESERVE ACCESS TO MEDICAL CARE. THAT IS WHY MISSION HOSPITAL DEDICATES 10% OF ITS NET INCOME TOWARD CARE FOR THE POOR TO SUPPORT LOCAL PROGRAMS SUCH AS CAMINO HEALTH CENTER, THE LOCAL FEDERALLY-QUALIFIED HEALTH CENTER THAT SERVES SOUTH COUNTY RESIDENTS WHO ARE UNINSURED OR UND
FORM 990, PART VI, LINE 6DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE CORPORATE MEMBERS OF MISSION HOSPITAL.
FORM 990, PART VI, LINE 7ADESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS MISSION HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE MISSION HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE MISSION HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS A CORPORATE MEMBER, AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD.
FORM 990, PART VI, LINE 7BDESCR CLASSES OF PERSONS, DECISIONS REQ APPR & TYPE OF VOTING RIGHTS 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 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 BYLAWS. ST. JOSEPH HEALTH SYSTEM RESERVES THE RIGHT TO APPROVE AMENDMENTS TO ARTICLES.
FORM 990, PART VI, LINE 11BDESCRIBE 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 AS APPLICABLE. THE FORM 990 WAS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 2015 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 12CDESCRIPTION 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.
FORM 990, PART VI, LINES 15A & 15BOFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN THE CHIEF EXECUTIVE OFFICER OF MISSION HOSPITAL IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM, MISSION HOSPITAL'S TAX EXEMPT PARENT. EXECUTIVE COMPENSATION IS APPROVED BY THE MISSION HOSPITAL EXECUTIVE COMPENSATION 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 HEALTH 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 2013. DURING THE YEAR, THE MISSION HOSPITAL EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTING 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 19AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FINANCIAL STMTS 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. FOR MISSION HOSPITAL, AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART IX, LINE 11GOTHER FEES EXCEED 10% PURCHASED SERVICES - $ 33,644,820 PROFESSIONAL FEES/PHYSICIAN FEES - $ 11,530,562 REGISTRIES - $ 5,435,700 PURCHASED SERVICES BIOMED - $ 5,354,853 MEDICAL PURCHASED SERVICES - $ 1,613,825 CONSULTING/MANAGEMENT FEES - $ 819,959 -------------- TOTAL $ 58,399,719 ==============
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCE $ (2,200,000) - MIMG ACQUISITION IN FY13 $ (24,303,164) - CAPITAL CONTRIBUTION TO HERITAGE $ 334,166 - CHANGES IN INVESTMENTS IN SUBSIDIARIES & MINORITY INTERESTS $ (17,931,076) - NET ASSET TRANSFER TO ST. JOSEPH HEALTH SYSTEM $ (97,000) - INTERCOMPANY TRANSFERS TO MISSION FOUNDATION $ (103,425) - OTHER FUND ADJUSTMENTS $ 8,147 - OTHER GRANT ADJUSTMENTS $ (2) - ROUNDING -------------- $ (44,292,354) - TOTAL ==============

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
COVENANT HEALTH NETWORK INC
3345 MICHELSON DRIVE STE 100IRVINECA92612461259908HEALTHCARECA501(C)(3)11, IIISJHSYes (true)
COVENANT HEALTH PARTNERS
3615 19TH STREETLUBBOCKTX79410611573313HEALTHCARETX501(C)(3)11, ICHSYes (true)
COVENANT HEALTH SYSTEM
3615 19TH STREETLUBBOCKTX79410752765566HEALTHCARETX501(C)(3)3SJHSYes (true)
COVENANT HEALTH SYSTEM FOUNDATION
4000 24TH STREETLUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHSYes (true)
COVENANT MEDICAL GROUP
3420 22ND PLACELUBBOCKTX79410752743883HEALTHCARETX501(C)(3)3CHSYes (true)
COVENANT PHYSICIAN PARTNERS
3615 19TH STREETLUBBOCKTX79410463516417HEALTHCARETX501(C)(3)3CHSYes (true)
HOAG CHARITY SPORTS
3920 BIRCH STREET SUITE 105NEWPORT BEACHCA92660452982422SUPPORTCA501(C)(3)7HHFYes (true)
HOAG HOSPITAL FOUNDATION
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92663953222343FUNDRAISINGCA501(C)(3)7HMHPYes (true)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92663951643327HEALTHCARECA501(C)(3)3CHNYes (true)
HOME CARE PARTNERS
1165 MONTGOMERY DRSANTA ROSACA95405680318656INACTIVECA501(C)(3)3SRMHYes (true)
HOSPICE OF LUBBOCK
1102 SLIDE ROADLUBBOCKTX79414752133781HEALTHCARETX501(C)(3)9CHSYes (true)
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREETLUBBOCKTX79410752220963HEALTHCARETX501(C)(3)7CHSYes (true)
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREETLUBBOCKTX79410752428911HEALTHCARETX501(C)(3)3CHSYes (true)
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUELEVELLANDTX79336752246348HEALTHCARETX501(C)(3)3CHSYes (true)
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROADPLAINVIEWTX79072752426010HEALTHCARETX501(C)(3)3CHSYes (true)
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREETNAPACA94558941243669HEALTHCARECA501(C)(3)3SJHSYes (true)
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVEFORTUNACA95540942779313HEALTHCARECA501(C)(3)7RMHYes (true)
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVEFORTUNACA95540941384665HEALTHCARECA501(C)(3)3SJHSYes (true)
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRSANTA ROSACA95405941231005HEALTHCARECA501(C)(3)3SJHSYes (true)
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)1NAfalse
SRM ALLIANCE HOSPITAL SERVICES
400 NORTH MCDOWELL BLVDPETALUMACA94954680395200HEALTHCARECA501(C)(3)3SRMHYes (true)
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DRIVE STE 100IRVINECA92612271666576RELIGIOUS ORGCA501(C)(3)1SSJOfalse
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DRIVE STE 100IRVINECA92612953589356HEALTHCARECA501(C)(3)11, ISJHMfalse
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE STE 100IRVINECA92612330143024HEALTHCARECA501(C)(3)7SJHSYes (true)
ST JOSEPH HOME CARE NETWORK
170 PROFESSIONAL CENTER DR BROHNERT PARKCA94928680331084HEALTHCARECA501(C)(3)9SJHSYes (true)
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREETEUREKACA95501941156596HEALTHCARECA501(C)(3)3SJHSYes (true)
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVEORANGECA92868951643359HEALTHCARECA501(C)(3)3CHNYes (true)
ST JUDE HOSPITAL YORBA LINDA
500 S MAIN STREET STE 1000ORANGECA92868330185031HEALTHCARECA501(C)(3)3SJHSYes (true)
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVEFULLERTONCA92635951643324HEALTHCARECA501(C)(3)3CHNYes (true)
ST MARY MEDICAL CENTER
18300 HIGHWAY 18APPLE VALLEYCA92307951914489HEALTHCARECA501(C)(3)3CHNYes (true)
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREETLUBBOCKTX79410751653181HEALTHCARETX501(C)(3)7CHSYes (true)
TALLER SAN JOSE
801 NORTH BROADWAYSANTA ANACA92701593816355WORKFORCE DEVCA501(C)(3)2SSJOYes (true)
AUXILIARY OF MISSION HOSP LAGUNA BEACH
31872 COAST HWYLAGUNA BEACHCA92651956050019SUPPORTCA501(C)(3)11, III-ONAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
ST JOSEPH HLTH SYS HOME HLTH
SEE PART VIIORANGECA928682012330282945HOME HEALTHCANAN/A
ST JOSEPH HLTH SYS HOME CARE
SEE PART VIIORANGECA928682012330307672HOME HEALTHCANAN/A
METHODIST DIAGNOSTIC IMAGING
SEE PART VIILUBBOCKTX79410752343261HEALTHCARE SVCSTXNAN/A
SHA LLC
SEE PART VIIAUSTINTX78750752569094INSURANCETXNAN/A
LUBBOCK SURGERY CENTER LTD
SEE PART VIILUBBOCKTX79410752177401HEALTHCARE SVCSTXNAN/A
COVENANT LONG-TERM CARE LP
SEE PART VIILUBBOCKTX79410205033419HEALTHCARE SVCSTXNAN/A
HERITAGE INVESTMENT GROUP
SEE PART VIIORANGECA92868271000061INVESTMENTSCANAN/A
MISSION AMBULATORY SURGICENTER
SEE PART VIIMISSION VIEJOCA92691330355575HEALTHCARE SVCSCAMHRMCRELATED$982,505$2,005,669false$0false0.43312
COMPREHENSIVE IMAGING PARTNERS
SEE PART VIIORANGECA92868264591502HEALTHCARE SVCSCANAN/A
ST JOSEPH PHYSICIAN VENTURES
SEE PART VIIORANGECA92868454521884REAL ESTATECANAN/A
ADVANCED SURGERY INSTITUTE LLC
SEE PART VIISANTA ROSACA95404262299255HEALTHCARE SVCSCANAN/A
HOAG OUTPATIENT CENTERS
SEE PART VIINEWPORT BEACHCA92658453587572HEALTHCARE SVCSCANAN/A
NEWPORT IMAGING CENTER
SEE PART VIINEWPORT BEACHCA92660330191776HEALTHCARE SVCSCANAN/A
HOAG ORTHOPEDIC INSTITUTE
SEE PART VIINEWPORT BEACHCA92658611588294HEALTHCARE SVCSCANAN/A
MAIN ST SPECIALTY SURGERY CNTR
SEE PART VIIORANGECA92868954813223HEALTHCARE SVCSCANAN/A
ORTHOPEDIC SURGERY CNTR OF OC
SEE PART VIINEWPORT BEACHCA92660330841806HEALTHCARE SVCSCANAN/A
THE INSTITUTE FOR INNOVATION
SEE PART VIIMISSION VIEJOCA92691203132592HEALTHCARE SVCSDENAN/A
HEALTHCARE DESIGN & CONSTRUCT
SEE PART VIILA PALMACA906231052900745066REAL ESTATEDENAN/A
NORTH BAY ENDOSCOPY CENTER
SEE PART VIILA PALMACA906231052462611662HEALTHCARE SVCSCANAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityCountryForeignAddress/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
ST JOSEPH PROF SVCS ENTERPRISES INC
3345 MICHELSON DRIVE SUITE 100IRVINECA92612330155323HEALTHCARE SVCSCANAC-CORP
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCENAC-CORP58 PAR-LA-VILLE ROADHAMILTON HM HXBDBD
ALLIANCE PHYSICIAN SERVICES
INACTIVECANAC-CORP
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARE SVCSCAMHRMCC-CORP$23,234$283,4851.00000Yes (true)
ST JOSEPH YORBA PARK
INACTIVECANAC-CORP
LUBBOCK METHODIST HOSPITAL SVCS
PO BOX 1201LUBBOCKTX79410752118585HEALTHCARE SVCSTXNAC-CORP
LUBBOCK METHODIST HOSP PRACTICE MGMT
2107 OXFORD STREET STE 300LUBBOCKTX79410752578995INACTIVETXNAC-CORP
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330731587HEALTHCARE SVCSCANAC-CORP
COASTAL MANAGEMENT SERVICES ORGANIZATION
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330676831HEALTHCARE SVCSCANAC-CORP
HMTS INC FKA HOAG MEDICAL FOUNDATION
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658453583707HEALTHCARE SVCSCANAC-CORP
ST JOSEPH HEALTH SOURCE INC
3345 MICHELSON DRIVE SUITE 100IRVINECA92612461900168HEALTHCARE SVCSCANAC-CORP
DATU HEALTH INC
16150 MAIN CIRCLE DR SUITE 250CHESTERFIELDMO63017463070062IT SVCSMONAC-CORP
ST JOSEPH HEALTH
3345 MICHELSON DR SUITE 100IRVINECA92612462340232HOLDING COMPANYCANAC-CORP
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
b$5,363,300ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
c$6,342,968ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
b$26,639,501ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
j$498,466ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
k$194,216ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
l$3,356,462ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
q$57,137ACCRUAL

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIIFormAndLineReferenceDesc
ExplanationIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100, ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 2301 QUAKER, LUBBOCK, TX 79410 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 3345 MICHELSON DRIVE, STE. 100, IRVINE, CA 92612 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE. 362, MISSION VIEJO, CA 92691 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY, LLC EIN: 26-4591502 ADDRESS: ONE CITY BOULEVARD WEST, SUITE 1100, ORANGE, CA 92868 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 HOAG OUTPATIENT CENTERS EIN: 45-3587572 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 MAIN ST SPECIALTY SURGERY CENTER EIN: 95-4813223 ADDRESS: 280 MAIN STREET, STE 100, ORANGE, CA 92868 ORTHOPEDIC SURGERY CENTER OF OC, LLC EIN: 33-0841806 ADDRESS: 22 CORPORATE PLAZA, NEWPORT BEACH, CA 92660 THE INSTITUTE FOR INNOVATION, LLC EIN: 90-0745066 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 HEALTHCARE DESIGN AND CONSTRUCTION EIN: 46-2611662 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954ExplanationTxt