ST MARY MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ST MARY MEDICAL CENTER (EIN 95-1914489)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201431349349307953
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T17:28:09-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	18111 VON KARMAN AVENUE SUITE 1000	AddressLine1
City	IRVINE	City
State	CA	State
ZIP Code	92612	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	951914489	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% SHAWN CURTIS DIR OF FINANCE	InCareOfName
Name Control	STMA	NameControl
Phone	7602422311	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18300 HIGHWAY 18	AddressLine1
Address Line2	Suite	AddressLine2
City	APPLE VALLEY	City
State	CA	State
ZIP Code	92307	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	TRACY FERNANDEZ	Name
Title	CFO	Title
Date Signed	2014-05-01	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	9497942300	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ALAN H GARRETT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	18300 HIGHWAY 18	AddressLine1
City	APPLE VALLEY	City
State	CA	State
ZIP Code	92307	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	288621416	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.STMARYAPPLEVALLEY.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1953	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	SEE SCHEDULE O	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	1907	TotalNbrEmployees
Total Nbr Volunteers	204	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3166343	ContributionsGrantsPriorYear
Contributions Grants Current Year	5835121	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	299582933	ProgramServiceRevenuePriorYear
Program Service Revenue CY	274185520	ProgramServiceRevenueCY
Investment Income Prior Year	2713735	InvestmentIncomePriorYear
Investment Income Current Year	7941415	InvestmentIncomeCurrentYear
Other Revenue Prior Year	145504	OtherRevenuePriorYear
Other Revenue Current Year	99826	OtherRevenueCurrentYear
Total Revenue Prior Year	305608515	TotalRevenuePriorYear
Total Revenue Current Year	288061882	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1861610	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	99750	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	134456679	SalariesEtcPriorYear
Salaries Etc Current Year	135859970	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	47317	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	996185	TotalFundrsngExpCurrentYear
Other Expense Prior Year	126969202	OtherExpensePriorYear
Other Expenses Current Year	132383707	OtherExpensesCurrentYear
Total Expenses Prior Year	263287491	TotalExpensesPriorYear
Total Expenses Current Year	268390744	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	42321024	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	19671138	RevenuesLessExpensesCY
Total Assets BOY	288172385	TotalAssetsBOY
Total Assets EOY	271349420	TotalAssetsEOY
Total Liabilities BOY	85616543	TotalLiabilitiesBOY
Total Liabilities EOY	88743784	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	202555842	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	182605636	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	243070049	Expense
Grants	99750	Grants
Revenue	274240796	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	243070049	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	true	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	312	NumberFormsTransmittedWith1096
Number W2 G Included	3	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1907	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SHAWN CURTIS DIR OF FINANCE	NamePerson
Telephone Number	7609468742	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	18300 HIGHWAY 18	AddressLine1
City	APPLE VALLEY	City
State	CA	State
ZIP Code	92307	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ALAN H GARRETT
PRESIDENT/CEO	50.0	0.0	X	X	0	922166	47161
VIRGIL BARNES
BOARD OF DIRECTOR	2.0	0.0	X		0	0	0
ROSELLA BERNAL
BOARD OF DIRECTOR	2.0	0.0	X		0	0	0
BROTHER STEPHEN DE LA ROSA
BOARD OF DIRECTOR	2.0	0.0	X		0	0	0
SISTER MARTHA ANN FITZPATRICK
BOARD OF DIRECTOR	2.0	0.0	X		0	0	0
HENRY GONZALEZ MD
BOARD OF DIRECTOR	2.0	0.0	X		0	0	0
JOHN HULTERSTROM
BOARD OF DIRECTOR	2.0	0.0	X		0	0	0
SISTER THERESA LAMETTEREY
BOARD OF DIRECTOR	2.0	0.0	X		0	0	0
KEVIN MURPHY
BOARD OF DIRECTOR	2.0	50.0	X		0	310064	44862
ERIC MORENO
BOARD OF DIRECTOR	2.0	0.0	X		0	0	0
DIANA CARLONI O'MALLEY
BOARD OF DIRECTOR	2.0	0.0	X		0	0	0
VODUR REDDY MD
BOARD OF DIRECTOR	2.0	0.0	X		11000	0	0
BROTHER IGNATIUS SUDOL
BOARD OF DIRECTOR	2.0	0.0	X		0	0	0
ROB TURNER
BOARD OF DIRECTOR	2.0	0.0	X		0	0	0
DAVID VARGAS MD
BOARD OF DIRECTOR	2.0	0.0	X		7800	0	0
TRACY FERNANDEZ
SVP/CFO	50.0	0.0		X	44514	0	45670
JOHN PERRING-MULLIGAN
VP MISSION INTEGRATION	50.0	0.0		X	263824	0	23750
PITT CALKIN
TOP FIN OFFICER (PART YEAR)	50.0	0.0		X	0	0	0
TARA COWELL
SECRETARY	50.0	0.0		X	348403	0	14997
DAVID O'BRIEN
CHIEF OPERATING OFFICER	50.0	0.0			586785	0	23434	X
JAMES KYLE
VP MEDICAL AFFAIRS	50.0	0.0			344565	0	18510	X
STEPHEN ECKBERG
VP HUMAN RESOURCES	50.0	0.0			341953	0	42011	X
MARILYN DRONE
CHIEF NURSING OFFICER	50.0	0.0			307144	0	25877	X
RANDY BEVILACQUA
VP STRATEGIC SERVICES	50.0	0.0			269863	0	27105	X
LARRY WOODARD
VP FOUNDATION	50.0	0.0			240709	0	25360	X
VANBOTRA HUANG
DIRECTOR OF PHARMACY	40.0	0.0			206323	0	21492		X
EDWARD MEDINA
PACS/RIS COORDINATOR	50.0	0.0			174071	0	38466		X
RICHARD WEISS
CLIN INFORMATICS PHARMACIST	50.0	0.0			166888	0	27794		X
RACHADA COURTIER
STAFF RN	50.0	0.0			166776	0	16677		X
PATRICK O'GRADY
STAFF RN	50.0	0.0			165083	0	13045		X
EDWARD WONG
FORMER VP FINANCE/CFO	0.0	50.0			0	558828	56830			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3645701	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1791058	TotalReportableCompFrmRltdOrgs
Total Other Compensation	513041	TotalOtherCompensation
Number Individuals GT100 K	236	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MEDICAL STAFFING NETWORK
901 YAMATO ROAD STE 110	BOCA RATON	FL	33431	NURSING REGISTRY	7582331
HOSPITALIST MEDICINE PHYSICIANS
4535 DRESSLER ROAD NW	CANTON	OH	44718	MEDICAL SERVICES	1861728
HIGH DESERT PRIMARY CARE
12550 HESPERIA ROAD 100	HESPERIA	CA	92395	MEDICAL SERVICES	1398666
INLAND CARDIOTHORACIC SURGICAL
401 E HIGHLAND AVENUE STE 251	SAN BERNARDINO	CA	92404	MEDICAL SERVICES	918233
PRECYSE SOLUTIONS LLC
14196 AMARGOSA RD SUITE F	VICORVILLE	CA	92392	TRANSCRIPTION SVCS	878997

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	31	NumberOfContractorsGT100K
Fundraising Events	99630	FundraisingEvents
Related Organizations	1272906	RelatedOrganizations
Government Grants	4048853	GovernmentGrants
All Other Contributions	413732	AllOtherContributions
Total Contributions	5835121	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	622110	256036482	256036482
CAPITATION PREMIUM REVENUE	622110	17534629	17534629
CAFETERIA	722110	442644	442644
FINANCE CHARGES	900099	85297	85297
FEE REVENUE	900099	38669	38669

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	47799	TotalRevenueColumn
Related Or Exempt Function Income	47799	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	274185520	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7934415	TotalRevenueColumn
Exclusion	$7,934,415	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	82609	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	102455	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-19846	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-19846	TotalRevenueColumn
Exclusion	-$19,846	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	7000	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	7000	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	7000	TotalRevenueColumn
Exclusion	$7,000	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	247690	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	99630	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	183294	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	64396	TotalRevenueColumn
Exclusion	$64,396	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	329061	GrossSalesOfInventory
Cost Of Goods Sold	273785	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	55276	TotalRevenueColumn
Related Or Exempt Function Income	55276	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	288061882	TotalRevenueColumn
Related Or Exempt Function Income	274240796	RelatedOrExemptFunctionIncome
Exclusion	$7,985,965	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	99750	Total
Program Services	99750	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3033399	Total
Management And General	2792744	ManagementAndGeneral
Fundraising	240655	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	77053559	Total
Program Services	75318025	ProgramServices
Management And General	1541317	ManagementAndGeneral
Fundraising	194217	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5259115	Total
Program Services	4773103	ProgramServices
Management And General	457873	ManagementAndGeneral
Fundraising	28139	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	42991909	Total
Program Services	41778437	ProgramServices
Management And General	1095836	ManagementAndGeneral
Fundraising	117636	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7521988	Total
Program Services	7163214	ProgramServices
Management And General	327750	ManagementAndGeneral
Fundraising	31024	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	18159724	Total
Program Services	14496158	ProgramServices
Management And General	3540873	ManagementAndGeneral
Fundraising	122693	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2297938	Total
Management And General	2297938	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	236783	Total
Management And General	236783	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	31626	Total
Program Services	31626	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	47317	Total
Fundraising	47317	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	293247	Total
Management And General	293247	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	40832886	Total
Program Services	35900430	ProgramServices
Management And General	4810332	ManagementAndGeneral
Fundraising	122124	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	99031	Total
Management And General	99031	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	391987	Total
Program Services	362148	ProgramServices
Management And General	24850	ManagementAndGeneral
Fundraising	4989	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	443525	Total
Program Services	434589	ProgramServices
Management And General	8736	ManagementAndGeneral
Fundraising	200	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2572589	Total
Program Services	2249008	ProgramServices
Management And General	316934	ManagementAndGeneral
Fundraising	6647	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	206178	Total
Program Services	134199	ProgramServices
Management And General	63717	ManagementAndGeneral
Fundraising	8262	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	50721	Total
Program Services	35080	ProgramServices
Management And General	12882	ManagementAndGeneral
Fundraising	2759	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	1778261	Total
Program Services	1778261	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12278484	Total
Program Services	9894581	ProgramServices
Management And General	2378449	ManagementAndGeneral
Fundraising	5454	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2529380	Total
Management And General	2529380	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	45987678	45892254	84145	11279
CAPITATION REINSURANCE	263516	263516
ALL OTHER EXPENSES	3930153	2465670	1411693	52790

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	268390744	Total
Program Services	243070049	ProgramServices
Management And General	24324510	ManagementAndGeneral
Fundraising	996185	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5600960	BOY
EOY	6809133	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	31623899	BOY
EOY	38630826	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	987600	BOY
EOY	952900	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	52303576	BOY
EOY	47734801	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2191634	BOY
EOY	730665	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3315985	BOY
EOY	3577975	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	328991	BOY
EOY	308997	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	237768976	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	102191723	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	120317991	BOY
EOY	135577253	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	47915471	BOY
EOY	21823124	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	23586278	BOY
EOY	15203746	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	288172385	BOY
EOY	271349420	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	26788208	BOY
EOY	28635630	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	462730	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	58828335	BOY
EOY	59645424	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	85616543	BOY
EOY	88743784	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	196780794	BOY
EOY	177161203	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5775048	BOY
EOY	5444433	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	202555842	BOY
EOY	182605636	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	288172385	BOY
EOY	271349420	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	19671138	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	-2025668	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	168518	ReconcilationPriorAdjustment
Reconcilation Other Changes	-37764194	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$31,626	OtherActivitiesAmount
Total Lobbying Expenditures IIB	31626	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1i	ReturnReference
Explanation	A PORTION OF THE DUES PAID TO HOSPITAL ASSOCIATIONS ARE FOR LOBBYING ACTIVITIES. DURING THE PAST YEAR, THE ST. JOSEPH HEALTH SYSTEM HAS CONDUCTED AN ADVOCACY EFFORT WHICH INCLUDED SOME LOBBYING ACTIVITY. THESE INCLUDED MEETING WITH LOCAL, STATE, AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS; AND COMMUNICATIONS TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	549770	BeginningOfYearBalance
Investment Earnings Or Losses	20053	InvestmentEarningsOrLosses
Grants Or Scholarships	3000	GrantsOrScholarships
End Of Year Balance	566823	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	530889	BeginningOfYearBalance
Investment Earnings Or Losses	21881	InvestmentEarningsOrLosses
Grants Or Scholarships	3000	GrantsOrScholarships
End Of Year Balance	549770	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	473913	BeginningOfYearBalance
Investment Earnings Or Losses	59976	InvestmentEarningsOrLosses
Grants Or Scholarships	3000	GrantsOrScholarships
End Of Year Balance	530889	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	420803	BeginningOfYearBalance
Investment Earnings Or Losses	56110	InvestmentEarningsOrLosses
Grants Or Scholarships	3000	GrantsOrScholarships
End Of Year Balance	473913	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	485207	BeginningOfYearBalance
Investment Earnings Or Losses	-61404	InvestmentEarningsOrLosses
Grants Or Scholarships	3000	GrantsOrScholarships
End Of Year Balance	420803	EndOfYearBalance

Field	Value	IRS element (for citing)
Term Endowment EOY Balance	1.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	30612878	OtherCostOrOtherBasis
Book Value	30612878	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	103569387	OtherCostOrOtherBasis
Depreciation	50776725	Depreciation
Book Value	52792662	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	328078	OtherCostOrOtherBasis
Depreciation	193886	Depreciation
Book Value	134192	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	66956011	OtherCostOrOtherBasis
Depreciation	51221112	Depreciation
Book Value	15734899	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	36302622	OtherCostOrOtherBasis
Book Value	36302622	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	135577253	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM MEDI-CAL	11779217
OTHER RECEIVABLE	1839549
PHYSICIAN LOAN RECEIVABLE	1161102
DEFERRED FINANCING COST	416180
INTEREST RECIEVABLE	7698

Field	Value	IRS element (for citing)
Total Book Value Other Assets	15203746	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY W/ HEALTH SYSTEM BONDS	$33,920,791
DUE TO 3RD PARTY PAYORS	$16,626,149
PAYABLE TO AFFILIATES	$7,696,181
CAPITAL LEASE	$1,397,609
SECURITY DEPOSIT	$4,694

Field	Value	IRS element (for citing)
Total Of Amounts	59645424	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ENDOWMENT FUNDS USE	Schedule D, Part V, lINE 4	ENDOWMENT FUNDS WERE DESIGNATED TO PROVIDE SCHOLARSHIP FUNDS FOR NURSING STUDENTS.
CONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740)	SCHEDULE D, PART X, LINE 2	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 OR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2013 OR 2012.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	false	AgreementRefFundraising
Licensed States	CA	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	ANNUAL GALA	NameOfEvent1
Gross Receipts Event1	251735	GrossReceiptsEvent1
Charitable Contributions Event1	86100	CharitableContributionsEvent1
Gross Revenue Event1	165635	GrossRevenueEvent1
Rent Facility Costs Event1	66705	RentFacilityCostsEvent1
Food And Beverage Event1	55460	FoodAndBeverageEvent1
Entertainment Event1	31750	EntertainmentEvent1
Other Direct Expenses Event1	4975	OtherDirectExpensesEvent1
Name Of Event2	GOLF TRNMNT	NameOfEvent2
Gross Receipts Event2	52995	GrossReceiptsEvent2
Charitable Contributions Event2	5995	CharitableContributionsEvent2
Gross Revenue Event2	47000	GrossRevenueEvent2
Non Cash Prizes Event2	3209	NonCashPrizesEvent2
Rent Facility Costs Event2	4256	RentFacilityCostsEvent2
Food And Beverage Event2	6300	FoodAndBeverageEvent2
Entertainment Event2	3650	EntertainmentEvent2
Other Direct Expenses Event2	615	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	42590	GrossReceiptsOtherEvents
Charitable Contrib Other Events	7535	CharitableContribOtherEvents
Gross Revenue Other Events	35055	GrossRevenueOtherEvents
Non Cash Prizes Other Events	329	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	2950	RentFacilityCostsOtherEvents
Food And Beverage Other Events	2000	FoodAndBeverageOtherEvents
Other Direct Expenses Other Events	1095	OtherDirectExpensesOtherEvents
Gross Receipts Total	347320	GrossReceiptsTotal
Charitable Contributions Total	99630	CharitableContributionsTotal
Gross Revenue Total Events	247690	GrossRevenueTotalEvents
Non Cash Prizes Total Events	3538	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	73911	RentFacilityCostsTotalEvents
Food And Beverage Total Events	63760	FoodAndBeverageTotalEvents
Entertainment Total Events	35400	EntertainmentTotalEvents
Other Direct Expenses Total Events	6685	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	183294	DirectExpenseSummaryEvents
Net Income Summary	64396	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7494274	TotalCommunityBenefitExpense
Net Community Benefit Expense	7494274	NetCommunityBenefitExpense
Percent Of Total Expense	0.02790	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	57649550	TotalCommunityBenefitExpense
Direct Offsetting Revenue	71351640	DirectOffsettingRevenue
Net Community Benefit Expense	-13702090	NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	65143824	TotalCommunityBenefitExpense
Direct Offsetting Revenue	71351640	DirectOffsettingRevenue
Net Community Benefit Expense	-6207816	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	430168	TotalCommunityBenefitExpense
Net Community Benefit Expense	430168	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	122	TotalCommunityBenefitExpense
Net Community Benefit Expense	122	NetCommunityBenefitExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5405994	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1564783	DirectOffsettingRevenue
Net Community Benefit Expense	3841211	NetCommunityBenefitExpense
Percent Of Total Expense	0.01430	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1240	TotalCommunityBenefitExpense
Net Community Benefit Expense	1240	NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5837524	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1564783	DirectOffsettingRevenue
Net Community Benefit Expense	4272741	NetCommunityBenefitExpense
Percent Of Total Expense	0.01590	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	70981348	TotalCommunityBenefitExpense
Direct Offsetting Revenue	72916423	DirectOffsettingRevenue
Net Community Benefit Expense	-1935075	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	9004	TotalCommunityBuildingExpense
Net Community Building Expense	9004	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	9081	TotalCommunityBuildingExpense
Net Community Building Expense	9081	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	2095	TotalCommunityBuildingExpense
Net Community Building Expense	2095	NetCommunityBuildingExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	233	TotalCommunityBuildingExpense
Net Community Building Expense	233	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	20413	TotalCommunityBuildingExpense
Net Community Building Expense	20413	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$5,969,744	BadDebtExpenseAmount
Amount Reimbursed By Medicare	54961566	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	62574148	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7612582	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	18300 HIGHWAY 18	AddressLine1
City	APPLE VALLEY	City
State	CA	State
ZIP Code	92307	ZIPCode

Field	Value	IRS element (for citing)
Website Address	www.stmaryapplevalley.com	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	500.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notified All Patients	X	NotifiedAllPatients
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	5	NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
OUPATIENT SURGERY PAVILLION
18122 US HWY 18	APPLE VALLEY	CA	92307	AMBULATORY SURGERY CENTER
WOUND CARE CENTER
16077 KAMANA ROAD	APPLE VALLEY	CA	92307	WOUND CARE
HEALTHY BEGINNINGS CLINIC
18977 S OUTER HWY 18 A	APPLE VALLEY	CA	92307	CLINIC
HESPERIA CLINIC
17091 MAIN STREET STE 100	HESPERIA	CA	92345	CLINIC
ADELANTO CLINIC
11424 CHAMBERLAIN WAY STE 89	ADELANTO	CA	92301	CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
SCHEDULE H, PART I, LINE 7	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 PAYER 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 7G	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.	SUBSIDIZED HEALTH SERVICES
SCHEDULE H, PART II	THE HOSPITAL CONSIDERS COMMUNITY BUILDING AN ESSENTIAL ELEMENT OF PERFORMING COMMUNITY BENEFIT, PARTICULARLY PARTNERING WITH LIKE-MINDED AGENCIES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF COMMUNITIES THE HOSPITAL SERVES. THE HOSPITAL'S HEALTHY COMMUNITIES DEPARTMENT PARTNERS WITH SAN BERNARDINO COUNTY PUBLIC HEALTH TO DEVELOP AND IMPLEMENT A "HEALTH IN ALL POLICIES" STRATEGY AS PART OF A REGIONAL COLLABORATIVE CALLED HEALTHY HIGH DESERT. IN TURN, THE REGIONAL COLLABORATIVE SUPPORTS FOUR (4) LOCAL HEALTHY CITY CAMPAIGNS. EACH CITY CAMPAIGN INCLUDES COUNTY AND HOSPITAL HEALTH LEADERS AND IS COMPRISED OF A CROSS SECTION OF THE COMMUNITY TO DISCUSS AND ADVOCATE BY ADDRESSING "UPSTREAM ISSUES" THAT IMPACT THE HEALTH STATUS OF THE POPULATION. THE GOAL OF HEALTHY CITY CAMPAIGNS IS TO IMPROVE THE POPULATION'S ACCESS TO CLEANER AIR, HEALTHIER FOODS, SAFER STREETS AND INCREASED ACCESS TO RECREATION INCLUDING EXPANSION OF PARKS AND ACTIVE TRAIL WAYS. THESE CAMPAIGNS ARE WORKING TO CREATE A COMMUNITY-WIDE "CULTURE OF HEALTH". THE HOSPITAL'S WORK IS IN SUPPORT OF A SIMILAR COUNTY-WIDE APPROACH IN OTHER COMMUNITIES IN SAN BERNARDINO ESPECIALLY TO IMPROVE THE LOW RANKING (44TH OUT OF 58 COUNTIES) OF SAN BERNARDINO COUNTY'S HEALTH AND PHYSICAL ENVIRONMENT (AS REPORTED BY THE COUNTY HEALTH RANKINGS AND ROADMAPS WWW.COUNTYHEALTHRANKINGS.ORG). THE HOSPITAL'S SUPPORT OF FOUR (4) LOCAL HEALTHY CITY CAMPAIGNS IS LOCATED WITHIN ITS PRIMARY AND SECONDARY SERVICE AREAS INCLUDING ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE. THE POPULATION OF THESE FOUR COMMUNITIES COMPRISES 87% OF THE HOSPITAL'S TOTAL SERVICE AREA OF APPROXIMATELY 400,000 RESIDENTS. THE HOSPITAL SPONSORED NUMEROUS HEALTH, FITNESS AND EXERCISE EVENTS AS A STRATEGY PROMOTING HEALTH IMPROVEMENT. IN TURN, PROCEEDS FROM SOME EVENTS ARE INVESTED BY HEALTH, CITY, PARK AND RECREATION DEPARTMENTS TO INSTALL PLAYGROUND AND EXERCISE EQUIPMENT IN LOW INCOME COMMUNITIES. THE RESULT OF THESE CAMPAIGNS HAS BEEN AN INCREASE IN THE NUMBER OF COMMUNITY PARTNERS USING FITNESS EVENTS FOR FUNDRAISING. THIS WORK ALSO INCLUDED WORKING WITH THE CITY OF ADELANTO AND ADELANTO SCHOOL DISTRICT TO EXPAND JOINT USE AGREEMENTS, INCLUDING THE OPENING OF A 5 ACRE PARK. A SMALL PARK WAS OPENED BY CITY OFFICIALS AND NAMED "MATTHEWS PARK" IN HONOR OF A CHILD KILLED BY AN AUTOMOBILE. THE PLAY EQUIPMENT IN THE PARK WAS SELECTED BY PARENTS OF HEAD START CHILDREN WHO ADVOCATED THAT THE COMMUNITY NEEDED OUTDOOR PLAY RESOURCES FOR CHILDREN 6 YEARS OF AGE AND YOUNGER. THIS CITY OF ADELANTO HAS 32,000 RESIDENTS CURRENTLY WITH NO ORGANIZED PARK AND RECREATION FACILITIES AND ONLY 0.9 ACRES OF PARKLAND PER 1,000 RESIDENTS. THE HIGH DESERT REGION HAS ONLY 418 ACRES OF THE RECOMMENDED 921 ACRES OF PARK (IT IS RECOMMENDED THAT COMMUNITIES HAVE 3 ACRES OF PARK FOR EVERY 1,000 RESIDENTS BY CALIFORNIA PLANNERS) FOR ITS CURRENT POPULATION. THE HOSPITAL CO-DEVELOPED HEALTH POLICY BRIEFS DOCUMENTING SIGNIFICANT HEALTH ISSUES AND BARRIERS ACCESSING HEALTHY FOODS AND AVAILABILITY OF PARK AND RECREATION RESOURCES. THE POLICY BRIEFS WERE OFFICIALLY RELEASED AT A 2013 HEALTH SUMMIT ORGANIZED BY THE HOSPITAL, LOMA LINDA MEDICAL UNIVERSITY, KAISER PERMANENTE AND SAN BERNARDINO COUNTY PUBLIC HEALTH. THIS WAS THE FIRST LOCAL HEALTH SUMMIT WHICH COMBINED HEALTH OUTCOMES WITH A DISCUSSION OF THE REGION'S PHYSICAL ENVIRONMENT AS A CONTRIBUTING FACTOR. THE HOSPITAL WORKED WITH PARTNERS IN THE HEALTHY VICTORVILLE CAMPAIGN TO COMPLETE THE COUNTY'S FIRST HEALTHY VENDING MACHINE POLICY AND AUDIT OF VENDING FOODS PROVIDED TO THE PUBLIC AT CITY OWNED OR OPERATED BUILDINGS (ESPECIALLY PARK AND RECREATION CENTERS). THIS WORK LEAD TO THE CITY CHANGING ITS CONTRACTUAL VENDING REQUIREMENTS LEADING TO HEALTHIER FOODS PLACED IN VENDING MACHINES USED BY THE PUBLIC. THE HOSPITAL PARTNERED WITH THE INSTITUTE FOR PUBLIC STRATEGIES (IPS) ON PASSAGE OF ONE LOCAL ORDINANCE (PASSED AS PART OF HEALTHY ADELANTO) THAT ELIMINATES THE SALE OF SPICE AND BATH SALTS FROM LOCAL MARKETS AND TOBACCO SHOPS. THE CITY OF ADELANTO BECAME THE FIRST HIGH DESERT CITY TO PASS AN ORDINANCE BANNING THE SALE OF THESE DANGEROUS SUBSTANCES WITH VIOLATIONS INCLUDING CIVIL PENALTIES AND/OR THE LOSS OF THE CITY ISSUED BUSINESS LICENSE. AN EFFORT TO HAVE EACH OF THE THREE OTHER LOCAL CITY'S (APPLE VALLEY, HESPERIA AND VICTORVILLE) PASS SIMILAR ORDINANCES CONTINUES AS THE REGION'S PREVALENCE OF SMOKING IS 20% WHEREBY THE STATE AVERAGE IS 12.5%. THE HOSPITAL WORKED WITH THE COUNTY OF SAN BERNARDINO TO PLACE A "SAFE ROUTE TO SCHOOLS" POSITION IN THE REGION. THIS POSITION IS WORKING WITH LOCAL SCHOOLS TO ADDRESS STREET AND SCHOOL WALKABITY. A TASK FORCE OF HEALTHY VICTORVILLE HAS DEVELOPED A LIST OF THE REGION'S MOST DANGEROUS STREETS AND INTERSECTIONS WITH THE HOPE THAT AUTOMOBILE ACCIDENTS AND PEDESTRIAN AND BICYCLE FATALITIES CAN BE REDUCED. THE ANNUAL AVERAGE OF PEDESTRIAN DEATHS IN THE REGION IS REPORTED AT 2.72 PER 100,000 WHICH IS HIGHER THAN THE STATE AVERAGE OF 1.60 PER 100,000 RESIDENTS AND THE NATIONAL RATE OF 1.38 PER 100,000. THE HOSPITAL BEGAN WORKING WITH LOMA LINDA MEDICAL UNIVERSITY ON A HEALTH CAREER PIPELINE WITH A FOCUS ON DEVELOPING A HEALTH WORKFORCE TO MEET A SHORTAGE OF ALLIED HEALTH PROFESSIONALS IN THE COUNTY. THIS SHORTAGE ALSO CONTRIBUTES TO THE INLAND EMPIRE HAVING 22 DESIGNED AREAS AS IDENTIFIED AS MEDICALLY UNDERSERVED. A PUBLIC HEALTH GRADUATE STUDENT IS WORKING WITH (4) LOCAL HIGH SCHOOLS AND THEIR HEALTH INTERNS. THE COLLEGE STUDENT AND HOSPITAL ARE WORKING ON FOOD DESERTS WITH THE ASSISTANCE OF RESIDENTS AND HEALTHY CITY CAMPAIGNS. THIS WORK IS GRANT FUNDED BY THE COUNTY OF SAN BERNARDINO COUNTY'S NUTRITION DEPARTMENT. THE PROJECT IS SUPPORTED BY THE STATE'S CHAMPIONS OF CHANGE NETWORK FOR A HEALTHY CALIFORNIA. THE HOSPITAL AND GRANT FUNDERS HAVE WORKED TO DEVELOP ONE LARGE COMMUNITY GARDEN AND HAVE FUNDED A LOCAL FOOD COLLABORATIVE. THE PURPOSE OF THE COLLABORATIVE IS TO INCREASE THE QUANTITY OF MEAT AND FRESH PRODUCE AT LOCAL FOOD BANKS SERVING THE POOR. EFFORTS TO CREATE THE REGION'S FIRST FOOD BANK CONTINUE. CURRENTLY THE COMMUNITY MUST TRAVEL 90 MILES TO OBTAIN FOOD DONATIONS AT THE NEAREST FOOD BANK. THE HOSPITAL CONTINUES A BI-WEEKLY FRESH PRODUCE MARKET AT ITS CAMPUS AND IS WORKING WITH LOCAL SCHOOLS WISHING TO EXPERIMENT WITH FARM TO SCHOOL PROGRAMS. THE HOSPITAL WORKED WITH LOCAL SCHOOLS AND ENROLLED 960 UNINSURED CHILDREN. THE HOSPITAL PLANS TO EXPAND THIS WORK AS PART OF COVERED CALIFORNIA.	COMMUNITY BUILDING ACTIVITIES
SCHEDULE H, PART III, LINE 2	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S PATIENT COST-TO-CHARGE RATIO.	METHODOLOGY FOR CALCULATING BAD DEBT
SCHEDULE H, PART III, LINE 4	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 ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.	FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT:
SCHEDULE H, PART III, LINE 8	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES (EXCEPT FOR AMOUNTS REPORTED IN PART I, LINE 7) AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT.	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS:
SCHEDULE H, PART III, LINE 9B	SJHS 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 V, SECTION B, LINE 3	SAINT MARY MEDICAL CENTER USED A NETWORK OF LOCAL PARTNERS TO OBTAIN INPUT ON COMMUNITY NEEDS. THIS INCLUDED HOLDING FIVE (5) COMMUNITY MEETINGS TO GAIN LOCAL INPUT. ONE OF THE FIVE MEETINGS WAS CONDUCTED IN SPANISH. THE GROUPS PROVIDING INPUT WERE: RESIDENTS OF THE ADELANTO COMMUNITY IN ACTION, MEMBERS OF THE SAN BERNARDINO COUNTY COMMUNITY BENEFITS STAKEHOLDER MEETING, HEALTH AND CITY LEADERS OF THE HEALTHY HIGH DESERT COLLABORATIVE, MEMBERS OF THE VICTOR VALLEY COMMUNITY SERVICES COUNCIL, MEMBERS ATTENDING A HEALTHCARE AND SOCIAL ISSUES WORKSHOP HOSTED BY THE VICTOR VALLEY CHAMBER OF COMMERCE. ADDITIONAL SOURCES OF INPUT ON COMMUNITY NEEDS INCLUDED: ST. JOSEPH HEALTH, STAFF OF APPLE VALLEY'S PARK AND RECREATION PROGRAM, HEALTH LEADERS FROM HIGH DESERT PRIMARY CARE MEDICAL GROUP, VICTOR VALLEY COMMUNITY SERVICES DENTAL PROGRAM, HEALTH LEADERS AT SAN BERNARDINO COUNTY PUBLIC HEALTH AND HEALTHY COMMUNITIES PROGRAM, STAFF OF HEALTHY RANCHO CUCAMONGA, STAFF FROM SAN JOAQUIN VALLEY COMMUNITY COLLEGE, REPRESENTATIVES FROM THE CITY OF VICTORVILLE AND THE MOJAVE WATER AGENCY, ICR STAFFING, VICTOR VALLEY SCHOOL DISTRICT, MEMBERS FROM DESERT COMMUNITY BANK, REPRESENTATIVES FROM ADELANTO COMMUNITY TOOLBOX AND ADELANTO ELEMENTARY SCHOOL DISTRICT. CHNA WEBSITE ADDRESS SCHEDULE H, PART V, SECTION B, LINE 5 http://www.stmaryapplevalley.com/documents/SMMC_-FY12_FY14_CB_Report_501r_ FINAL.pdf
SCHEDULE H, PART V, SECTION B, LINE 7	SAINT MARY MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED 15 PRIORITY HEALTH ISSUES OF WHICH THE HOSPITAL PRIORITIZED FOUR IN ITS FY12-FY14 THREE YEAR COMMUNITY BENEFIT PLAN. THOSE FOUR HEALTH PRIORITIES ARE: (1) ACCESS TO CARE (2) DIABETES (3) NUTRITION/OBESITY AND (4) BREASTFEEDING. ISSUES NOT ADDRESSED DIRECTLY IN SAINT MARY MEDICAL CENTER COMMUNITY BENEFIT PLAN INCLUDED CANCER, DISABILITY, DEMENTIA, EDUCATION, FAMILY PLANNING, HEART DISEASE AND STROKE, INJURY AND VIOLENCE, ORAL HEALTH, SUBSTANCE ABUSE, VISION AND RESPIRATORY DISEASE. MANY OF THESE ISSUES ARE BEING WORKED ON BY HOSPITAL PARTNERS WITH THE SUPPORT, WHERE POSSIBLE, OF HOSPITAL RESOURCES. EXAMPLES INCLUDE HOSPITAL LEADERS AND GRANTS SUPPORTED A DENTAL PROGRAM SERVING THE POOR WITH ORAL HEALTH; A LOCAL PARTNER ADDRESSING SUBSTANCE ABUSE, FOUR CITIES LEADING HEALTHY CITY CAMPAIGNS ENGAGING RESIDENTS IN FITNESS EVENTS TO IMPROVE HEART AND RESPIRATORY FITNESS; FAMILY PLANNING ISSUES ARE BEING ADDRESSED BY THE COMMUNITY'S FIRST PLANNED PARENTHOOD CLINIC. THE HOSPITAL LOOKS TO THE EDUCATIONAL COMMUNITY TO IMPROVE OUTCOMES. IN PARTICULAR, TO INCREASE THE PERCENTAGE OF STUDENTS WHO ENROLL AND GRADUATE WITH A FOUR YEAR DEGREE. ADDITIONALLY, THE HOSPITAL LOOKS TO ADELANTO AND VICTORVILLE SCHOOL DISTRICTS TO OPEN ADELANTO FIRST HIGH SCHOOL. A HIGH SCHOOL ENABLES TECHNICAL AND COLLEGE COURSES TO BE OFFERED IN THE COMMUNITY, WHICH WILL INCREASE THE LOW PERCENTAGE OF HOUSEHOLDS HEADED BY A COLLEGE GRADUATE. THE HOSPITAL LOOKS TO NON-PROFIT PARTNERS WORKING WITH SENIORS TO ADDRESS DEMENTIA. ADDITIONALLY, THE HOSPITAL LOOKS TO A LOCAL PARTNERS (THE LIONS CLUB) IN PROVIDING VISION SCREENING AND FREE EYE GLASSES TO THE COMMUNITY'S POOR AND UNINSURED. THE HOSPITAL DID NOT DIRECTLY ADDRESS DISABILITY AND INSTEAD SUPPORTS LOCAL PARTNERS WHO ARE ASSISTING SENIORS WITH DISABILITIES WITH HOME REPAIRS AND TRANSPORTATION SERVICES. THE HOSPITAL DID NOT ADDRESS RESPIRATORY DISEASE IN A COMMUNITY BENEFIT PROGRAM, YET THE HOSPITAL IS PLANNING TO BECOME A SMOKE FREE CAMPUS IN FY15 AND ONE HEALTHY CITY IS PROPOSING TO BAN TOBACCO SMOKING FROM ITS PUBLIC PARKS IN 2014. THE HOSPITAL HAS NO PROGRAM ADDRESSING INJURY AND VIOLENCE BUT HAS SUPPORTED EFFORTS OF A PARTNER THAT SUCCESSFULLY PASSES CITY ORDINANCES BANNING THE SALE OF BATH SALTS AND SPICE. EFFORTS TO FURTHER REGULATE THE SALE OF ALCOHOL ARE BEING LED BY THIS HOSPITAL PARTNER.
SCHEDULE H, PART V, SECTION B, LINE 12H	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.	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS:
SCHEDULE H, PART V, SECTION B, LINE 14G	THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA. SCHEDULE H, PART V, SECTION B, LINE 18E 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.	MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY:
SCHEDULE H, PART V, SECTION B, LINE 20D	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.	AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS:
NEEDS ASSESSMENT	ST. MARY MEDICAL CENTER CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT IN THE COMMUNITIES OF ADELANTO, APPLE VALLEY, BARSTOW, HESPERIA AND VICTORVILLE AS WELL AS HOUSHOLDS IN UNINCORPORATED COMMUNITIES OF LUCERNE VALLEY, PHELAN, OAK HILLS AND ORO GRANDE. THE HOSPITAL COLLECTED FEEDBACK ABOUT COMMUNITY HEALTH AND NEED BY DOING THE FOLLOWING: (1) CONDUCTING A LARGE TELEPHONE SURVEY: THE HOSPITAL CONTRACTED WITH THE NATIONAL FIRM PROFESSIONAL RESEARCH CONSULTANTS (PRC). THE HOSPITAL AND PRC DEVELOPED A TELEPHONE SURVEY OF 146 QUESTIONS FOCUSED ON HEALTH ISSUES INCLUDING, BUT NOT LIMITED TO: GENERAL HEALTH, CHRONIC DISEASE, INJURY AND VIOLENCE, HEALTH RISKS, PREVENTIVE CARE, ACCESS TO HEALTHCARE SERVICES AND BROAD COMMUNITY ISSUES. THE SURVEY IS MODELED AFTER THE CENTERS FOR DISEASE CONTROL'S (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, WHICH ENABLES THE HOSPITAL AND COMMUNITY TO BENCHMARK LOCAL RESULTS TO STATEWIDE AND NATIONAL LEVELS. 700 HOUSEHOLD SURVEYS WERE CONDUCTED ACROSS THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA WITH A MINIMUM OF 100 SURVEYS FOR EACH OF THE FOUR LARGER COMMUNITIES. THE SAMPLING PLAN WAS DESIGNED TO ACHIEVE VALIDITY OF RESULTS AT A 95% CONFIDENCE LEVEL (AND 95% WHEN LOOKING AT CITY-SPECIFIC DATA). (2) KEY STAKEHOLDER PANELS: THE HOSPITAL CONDUCTED FOCUS GROUPS WITH KEY STAKEHOLDERS INCLUDING SAN BERNARDINO COUNTY PUBLIC HEALTH LEADERS, LEADERS REPRESENTING 52 LOCAL NON-PROFIT ORGANIZATIONS, MEMBERS OF SAN BERNARDINO COUNTY'S HOSPITAL COLLABORATIVE ADDRESSING COMMUNITY BENEFIT AND LOCAL LEADERS REPRESENTING HEALTHY CITY CAMPAIGNS. (3)RESIDENT FORUMS ASSISTING THE POOR: THE HOSPITAL CONDUCTED RESIDENT MEETINGS AND/OR SURVEYS IN AN EFFORT TO IDENTIFY MORE LOCAL ISSUES IMPACTING HEALTH AND QUALITY OF LIFE. NURSING STUDENTS FROM ASUZA PACIFIC ASSISTED THE HOSPITAL IN CONDUCTING A HOMELESS SURVEY TO 125 HOMELESS TO PRIORITIZE THEIR TOP HEALTH AND SOCIAL NEEDS. ADDITIONALLY, IN ADELANTO THE HOSPITAL MET WITH SPANISH SPEAKING RESIDENTS, CITY LEADERS AND REPRESENTATIVES OF LOCAL NON-PROFITS TO DISCUSS THEIR HEALTH AND COMMUNITY NEEDS. THIS SESSION WAS CONDUCTED IN ENGLISH AND SPANISH FOR A PERIOD OF TWO HOURS. THIS COMMUNITY WAS SELECTED BECAUSE THEIR ACCESS TO CARE AND LACK OF COMMUNITY RESOURCES RANKS IT THE POOREST (HIGHEST NEED) COMMUNITY IN THE HOSPITAL'S SERVICE AREA. RESIDENTS WERE ASKED TO REVIEW AND RANK THE FINDINGS OF THE PRC HEALTH SURVEY. ADDITIONALLY, RESIDENTS WERE ASKED TO PRIORITIZE QUALITY OF LIFE NEEDS INCLUDING ACCESS TO HEALTHY FOOD, EDUCATION, EMPLOYMENT AND PARK AND RECREATION AS WELL AS CRIME AND STREET SAFETY. THIS INFORMATION WAS SHARED WITH THE CITY'S HEALTHY CITIES CAMPAIGN THAT MEETS QUARTERLY AND WILL BE USED BY THE HOSPITAL'S COMMUNITY OF EXCELLENCE PROJECT.	SCHEDULE H, PART VI, LINE 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.	SCHEDULE H, PART VI, LINE 3
COMMUNITY INFORMATION	SAINT MARY MEDICAL CENTER'S COMMUNITY BENEFIT SERVICE AREA IS ROUGHLY DEFINED AS SERVING THE VICTOR VALLEY REGION OF SAN BERNARDINO COUNTY AN AREA WITH A 2010 POPULATION OF 350,000 RESIDENTS. THE COMMUNITIES OF APPLE VALLEY, HESPERIA AND VICTORVILLE COMPRISE THE HOSPITALS PRIMARY SERVICE AREA AND THE REMAINING SURROUNDING COMMUNITIES OF ADELANTO, ORO GRANDE, PHELAN, OAK HILLS AND LUCERNE VALLEY COMPRISE THE HOSPITALS SECONDARY SERVICE AREA. THE REGION IS 90% DESERT AND THE LARGEST NEAREST METROPOLITAN AREA - THE CITY OF SAN BERNARDINO IS 40 MILES AWAY. THE SERVICE AREA IS NOTED AS HAVING SIGNIFICANTLY HIGHER PERCENTAGES OF BOTH INDIGENT AND UNINSURED POPULATIONS WHEN COMPARED WITH BOTH STATE AND NATIONAL LEVELS. ADDITIONALLY, RESIDENTS SUFFER FROM HEART DISEASE AND STROKE AT LEVELS WELL ABOVE CALIFORNIA AND NATIONAL BENCHMARKS. AS A RESULT OVER 90% OF THE HOSPITALS COMMUNITY BENEFIT AREA HAS BEEN IDENTIFIED AS HIGH NEED FROM THE SJHS MAPPING AND SCORING OF SOCIOECONOMIC INDICATORS CONTRIBUTING TO HEALTH DISPARITIES. AS NOTED, THE HOSPITAL'S SERVICE AREA IS COMPRISED OF FOUR MAJOR COMMUNITIES WITH SOME UNIQUE DEMOGRAPHIC, ECONOMIC AND HEALTH CHARACTERISTICS. THE LARGEST CITY IS VICTORVILLE WITH A POPULATION OF 130,145 RESIDENTS. DEMOGRAPHIC DATA INDICATES THAT 43.14% OF RESIDENTS ARE LATINO AND 28% OF FAMILIES PREFER TO SPEAK SPANISH, THEIR PRIMARY LANGUAGE, AT HOME. SOCIOECONOMIC DATA REPORTS 16% OF FAMILIES ARE LIVING IN POVERTY AND HEALTH ASSESSMENT DATA INDICATES 24% OF RESIDENTS EXPERIENCE FAIR OR POOR PHYSICAL HEALTH, THE HIGHEST PERCENTAGE AMONG THE FOUR CITIES. THE CITY OF HESPERIA HAS 98,442 RESIDENTS WITH 15.4% OF FAMILIES LIVING BELOW POVERTY AND 22% OF RESIDENTS OVER AGE 25 WITH NO HIGH SCHOOL DIPLOMA. THE HOSPITAL'S HOME COMMUNITY OF APPLE VALLEY HAS 78,303 RESIDENTS. RESIDENTS AGED 65 YEARS AND OLDER MAKE UP 14% OF THE POPULATION THE HIGHEST CONCENTRATION IN THE HOSPITALS SERVICE AREA AND 14.6% OF FAMILIES ARE LIVING BELOW POVERTY THE LOWEST PERCENTAGE OF ANY CITY. THE AREAS FOURTH CITY IS ADELANTO WITH A POPULATION OF 32,602 RESIDENTS. ADELANTO IS NOTED FOR BEING THE REGION'S MOST ETHNICALLY DIVERSE AS 63% OF RESIDENTS ARE LATINO AND ANOTHER 10% AFRICAN AMERICAN. SOCIOECONOMIC DATA REPORTS 26% OF ADELANTO FAMILIES ARE LIVING IN POVERTY AND 28% OF HOUSEHOLDS HAVE NO HIGH SCHOOL DIPLOMA THE HIGHEST RANKINGS IN THE REGION. ACCORDING TO RESULTS FROM THE PRC SURVEY, A TOTAL OF 55.3% OF TOTAL AREA ADULTS AGE 18 TO 64 REPORT HAVING HEALTHCARE COVERAGE THROUGH PRIVATE INSURANCE. ANOTHER 25.2% REPORT COVERAGE THROUGH A GOVERNMENT-SPONSORED PROGRAM (E.G., MEDICAL, MEDICAID, MEDICARE, MILITARY BENEFITS). OTHER HOSPITALS IN THE SERVICE AREA INCLUDE: VICTOR VALLEY COMMUNITY HOSPITAL, AND DESERT VALLEY HOSPITAL. HOSPITAL, AND DESERT VALLEY HOSPITAL.	SCHEDULE H, PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTH	THE 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 ST. MARY 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 FY13 WERE MADE POSSIBLE THROUGH CARE FOR THE POOR FUNDS AND EXEMPLIFY OUR COMMITMENT TO PROMOTE HEALTH AND ACCESS TO CARE TO THE LOW-INCOME. 1. HEALTHY BEGINNINGS - A PROGRAM PROVIDING PRE-NATEL CARE TO UNINSURED MOMS AND THEIR CHILDREN OFFERED AT THREE CLINICS 2. ADELANTO CLINIC - OPERATION OF COMMUNITY CLINIC SERVING POOREST NEIGHBORHOOD IN HOSPITAL'S SERVICE AREA 3. BRIGHT FUTURES - FUNDS MOBILE MEDICAL VAN PROVIDING PRIMARY CARE AND CANCER SCREENING SERVICES TO AREA'S POOR 4. BRIDGES FOR FAMILIES - A PROGRAM PROVIDING EDUCATION AND COUNSELING TO HIGH RISK FAMILIES 5. BREASTFEEDING - FUNDS PROVIDING LACTATION, EDUCATION AND FOLLOW-UP SUPPORT TO NEW MOTHERS 6. TRANSPORTATION - FUNDS PATIENT TRANSPORTATION TO FROM COMMUNITY CLINICS 7. CLINIC IT UPGRADES - PURCHASE OF ELECTRONIC MEDICAL RECORD PROGRAM 8. ADELANTO HEALTHY LIVING - EXPANSION OF HEALTH/RECREATION 9. CATHOLIC CHARITIES - FOOD, UTILITY HOUSING TO THE POOR 10. ST. JOHN OF GOD/SAMARITAN'S - FOOD, UTILITY ASSISTANCE 11. LORDS TABLE - FOOD PANTRY SERVING HOMELESS 12. ADELANTO SWIM - SPONSOR ADELANTO'S 8 WEEK SUMMER POOL 13. A BETTER WAY DOMESTIC VIOLENCE - PROTECT THOSE IN CRISIS 14. FAMILY ASSIST DOMESTIC VIOLENCE - PROTECT THOSE IN CRISIS 15. POLICE ACTIVITY LEAGUE - PROGRAMS FOR AT-RISK YOUTH 16. VICTOR COMMUNITY SERVICES - CARE FOR SHUT-IN SENIORS 17. COMMUNITY TOOL BOX - FOOD PANTRY IN ADELANTO 18. HOMELESS CASE WORKER - ASSIST TO OBTAIN SSI/SSDI BENEFITS WE ARE ALSO COMMITTED TO PROMOTING HEALTH AND ACCESS TO CARE FOR THE BROADER COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING PROGRAMS: - GROCERY STORE/HEALTHY FOODS AVAILABLE IN NORTH ADELANTO. THE HOSPITAL CONTINUES TO WORK WITH RESIDENTS, CITY LEADERS AND POTENTIAL RETAIL BUSINESSES ON THE ABILITY TO SELL FRUIT AND VEGETABLES AS PART OF ITS BUSINESS. - RECRUIT MORE HEALTH PROVIDERS TO ADELANTO (DENTAL, MENTAL HEALTH). THE HOSPITAL IS WORKING TO RECRUIT A VICTORVILLE DENTAL PROVIDER TO INCREASE SERVICES TO THIS ADELANTO COMMUNITY. - CONTINUE HEALTHY HIGH DESERT/HEALTHY CITY CAMPAIGNS ACROSS THE REGION. AS PART OF SAN BERNARDINO COUNTY'S COUNTYWIDE VISION TO IMPROVE HEALTH OF ALL RESIDENTS AS WELL AS TO ADDRESS THE REGION'S POOR QUALITY OF PHYSICAL ENVIRONMENT SUPPORTING HEALTH. - HOUSING FOR HOMELESS PERSONS, EMPLOYMENT, MORE DONATED FOOD. THE HOSPITAL CONTINUES WORKING WITH A COLLABORATIVE OF FOOD BANKS IN AN EFFORT TO INCREASE THE AVAILABILITY OF HEALTHY FOODS AVAILABLE TO THE POOR WHILE ASSESSING THE ABILITY TO OPEN THE REGION'S FIRST FOOD HUB. - TRANSPORTATION SERVING THE POOR TO IMPROVE ACCESS TO SERVICES. THE HOSPITAL IS RESEARCHING HOW TO PARTNER IN IMPROVING TRANSPORTATION TO THE POOR TO MEET LOCAL OR SPECIALIZED SERVICES LOCATED AT THE COUNTY HOSPITAL. THE HOSPITALS WORK IN FOUR HEALTHY CITY CAMPAIGNS SUPPORTS ITS MORE FOCUSED WORK ADDRESSING OBESITY IN SCHOOL CLASSROOMS. THE HEALTHY CITY PROGRAMS ARE ADDRESSING COMMUNITY LEVEL BARRIERS PREVENTING NEIGHBORHOODS FROM ACCESSING HEALTHY FOODS, FREE/LOW COST RECREATION AND SAFE STREETS. THE HOSPITAL'S SUCCESS INCLUDES CITY'S EXPANDING PARKS, ADDING BICYCLE LANES, CREATING HEALTHY VENDING MACHINES AND BANNING THE SALE OF SPICE AND BATH SALTS. THE FOUR CITY CAMPAIGNS INVOLVE A CROSS-SECTION OF COMMUNITY PARTNERS, OTHER HEALTH SYSTEMS, COUNTY PUBLIC HEALTH, RESIDENTS AND SCHOOLS. THE HOSPITAL'S LEADERSHIP HAS INCLUDED DEVELOPING GRANT FUNDING SOURCES FOR EACH OF THE LOCAL CAMPAIGNS. THE HOSPITAL SPONSORS A FARMER'S MARKET TO ENCOURAGE ACCESS TO FRESH FRUITS AND VEGETABLES. THE HOSPITAL HAS BEEN THE REGION'S MAJOR SPONSOR OF PHYSICAL FITNESS EVENTS AS A STRATEGY TO PROMOTE HEALTH AND EXERCISE. THE HOSPITAL'S LEADERSHIP HAS BEEN JOINED BY OTHER CORPORATE SPONSORS AND THE NUMBER OF EVENTS HAS INCREASED TO SIX PER YEAR. THE HOSPITAL RUNS THE REGION'S LARGEST SENIOR PROGRAM OFFERING A BROAD RANGE OF HEALTH AND WELL-BEING PROGRAMS FOR ATTENDEES. EDUCATION TOPICS INCLUDE HEART HEALTH, COOKING HEALTHY, STRETCHING AND EXERCISE. A MONTHLY SCHEDULE OF ACTIVITIES IS DEVELOPED FOR THE MEMBERS WHICH NUMBER OVER 500.	SCHEDULE H, PART VI, LINE 5
AFFILIATED HEALTH CARE SYSTEM	ST. MARY MEDICAL CENTER 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 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 6
STATE FILING OF COMMUNITY BENEFIT REPORT	CALIFORNIA.	SCHEDULE H, PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
CATHOLIC CHARITIES
1450 N D STREET	SAN BERNARDINO	CA	92405	953516461	501(c)(3)	42000	PROGRAM SUPPORT
ST JOHN OF GOD
13333 PALMDALE RD	VICTORVILLE	CA	92392	953806996	501(c)(3)	50750	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Description of Organization's Procedures for Monitoring the Use of Grants	Identifier
Return Reference	SCHEDULE I, PART I, LINE 2	ReturnReference
Explanation	COMMUNITY BENEFIT COMMITTEE OVERSEES/MONITORS GRANT USAGE ON A MONTHLY BASIS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Discretionary Spending Account	X	DiscretionarySpendingAccount
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALAN H GARRETT
PRESIDENT/CEO	0	447935	0	310845	0	163386	0	22450	0	24711	0	969327	0	0
DAVID O'BRIEN
CHIEF OPERATING OFFICER	369151	0	118758	0	98876	0	12500	0	10934	0	610219	0	0	0
KEVIN MURPHY
BOARD OF DIRECTOR	0	214422	0	46068	0	49574	0	12500	0	32362	0	354926	0	0
JAMES KYLE
VP MEDICAL AFFAIRS	201338	0	93667	0	49560	0	8788	0	9722	0	363075	0	0	0
STEPHEN ECKBERG
VP HUMAN RESOURCES	212212	0	70029	0	59712	0	17500	0	24511	0	383964	0	0	0
MARILYN DRONE
CHIEF NURSING OFFICER	197914	0	61972	0	47258	0	12192	0	13685	0	333021	0	0	0
RANDY BEVILACQUA
VP STRATEGIC SERVICES	168280	0	53961	0	47622	0	13433	0	13672	0	296968	0	0	0
JOHN PERRING-MULLIGAN
VP MISSION INTEGRATION	170374	0	55174	0	38276	0	8266	0	15484	0	287574	0	0	0
LARRY WOODARD
VP FOUNDATION	154299	0	49976	0	36434	0	8046	0	17314	0	266069	0	0	0
VANBOTRA HUANG
DIRECTOR OF PHARMACY	194329	0	9668	0	2326	0	7913	0	13579	0	227815	0	0	0
EDWARD MEDINA
PACS/RIS COORDINATOR	172850	0	0	0	1221	0	17759	0	20707	0	212537	0	0	0
RICHARD WEISS
CLIN INFORMATICS PHARMACIST	166810	0	0	0	78	0	13421	0	14373	0	194682	0	0	0
RACHADA COURTIER
STAFF RN	166275	0	0	0	501	0	14586	0	2091	0	183453	0	0	0
PATRICK O'GRADY
STAFF RN	165046	0	0	0	37	0	13045	0	0	0	178128	0	0	0
EDWARD WONG
FORMER VP FINANCE/CFO	0	319332	0	134568	0	104928	0	22500	0	34330	0	615658	0	0
TARA COWELL
SECRETARY	235671	0	49688	0	63044	0	14997	0	19561	0	382961	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATION	SCHEDULE J, PART I, LINE 1A	TAX INDEMNIFICATIONS AND GROSS-UP PAYMENTS GIFT CARDS PROVIDED TO EMPLOYEES DURING CHRISTMAS AND THROUGHOUT THE YEAR FOR REWARD AND RECOGNITION ARE GROSSED UP AND TAXES ARE PAID BY THE MINISTRY. 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 3		THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON BY A RELATED ORGANIZATION. SEE SCHEDULE O FOR 990, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOESEPH HEALTH SYSTEM.
SCHEDULE J, PART I, LINE 4B		EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN.
SCHEDULE J, PART I, LINE 7		A PORTION OF THE EXECUTIVE'S SALARY IS PLACED "AT-RISK" AND IS NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED 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

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	UPLAND ANESTHESIA	NamePerson

Field	Value	IRS element (for citing)
Relationship	SEE PART V	Relationship
Amount Of Transaction	697470	AmountOfTransaction
Description Of Transaction	ANESTHESIA SERVICES	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION	Identifier
Return Reference	SCHEDULE L, PART IV, LINE (2), COLUMN (b)	ReturnReference
Explanation	HENRY GONZALEZ, M.D. SERVES ON THE BOARD OF ST. MARY MEDICAL CENTER AND IS ALSO A BOARD MEMBER AND PARTNER OF UPLAND ANESTHESIA.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	PART I, LINE 1 & PART III, LINE 1	AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, ST. MARY MEDICAL CENTER IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE.
PROGRAM SERVICE ACCOMPLISHMENTS	Form 990, Part III, Line 4	ST. MARY MEDICAL CENTER HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 56 YEARS. SERVING THE COMMUNITIES OF ADELANTO, APPLE VALLEY, BARSTOW HESPERIA AND VICTORVILLE IN ADDITION TO NUMEROUS SMALLER UNINCORPORATED COMMUNITIES THAT COMPRISE THE BARSTOW-VICTOR VALLEYS, St. MARY MEDICAL CENTER IS A 212 BED ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF 24-HOUR EMERGENCY CARE, COMPREHENSIVE CARDIAC SERVICES, OUTPATIENT SURGERY PAVILION, PEDIATRIC CARE, PHYSICAL, OCCUPATIONAL & SPEECH THERAPY, SENIOR HEALTH & WELLNESS, MOBILE HEALTH SERVICES, CHEST PAIN EMERGENCY CENTER, OPEN HEART SURGERY PROGRAM, LEVEL II NEONATAL INTENSIVE CARE, DIAGNOSTIC IMAGING, DIABETES EDUCATION, PHYSICIAN REFERRAL SERVICES, ROBOTIC ASSISTED SURGERY PROGRAM AND A CENTER FOR WOUND CARE & HYPERBARIC MEDICINE CENTER. WITH OVER 1,700 EMPLOYEES COMMITTED TO REALIZING THE MISSION, St. MARY MEDICAL CENTER IS ONE OF THE LARGEST EMPLOYERS IN THE HIGH DESERT REGION OF SAN BERNARDINO COUNTY. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, SJH, SM IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA 100 YEARS AGO. THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORS" AND MINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBLITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. THREE MISSION OUTCOMES STRATEGICALLY GUIDE OUR MINISTRY WORK ST. MARY MEDICAL CENTER IS COMMITTED TO THREE SYSTEM WIDE MISSION OUTCOMES: SACRED ENCOUNTERS PERFECT CARE, AND HEALTHY COMMUNITIES. 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. THE HOSPITAL CAPTURES ON FILM EVENTS UNFOLDING DURING A PATIENT'S HEALTHCARE EXPERIENCE INCLUDING, BUT NOT LIMITED TO: THE CELEBRATION OF A CHILD'S BIRTH, A BABY'S FIRST CAR-RIDE HOME, A SPECIAL RELAXATION MOMENT CREATED TO CALM PATIENTS BEFORE A PROCEDURE, OR A GOODBYE MOMENT AS A PATIENT LEAVES THE HOSPITAL FOR HOME. THESE SPOTLIGHTING EVENTS ARE ESSENTIAL ACTS TO MORE DEEPLY APPRECIATE AND CAPTURE THE PATIENT'S HEALTHCARE EXPERIENCE AS SACRED ENCOUNTERS. 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. THE HOSPITAL HAS PARTNERED WITH HIGH DESERT PRIMARY CARE TO IMPROVE QUALITY AND EXPAND ACCESS TO CARE. UNDER THIS PARTNERSHIP HIGH DESERT'S 32-PHYSICAN AND PROVIDER PRACTICE WILL BE SERVING MORE THAN 20,000 PATIENTS WITH AN EXPANDED NETWORK OF PHYSICIAN AND HEALTHCARE SERVICES. THIS PARTNERSHIP ALLOWS THE HOSPITAL TO EXTEND ITS CARE OUTSIDE OF HOSPITAL WALLS AND PROVIDE A BALANCE OF TREATING ILLNESS AND ENHANCING WELLNESS THAT IMPROVES THE HEALTH STATUS OF THE COMMUNITY. 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. THE HOSPITAL LEADS BOTH CHILD AND FAMILY OBESITY CAMPAIGN IN SCHOOLS AND IN NEIGHBORHOODS. IN FY13 14% OF AT-RISK CHILDREN IN THE PROGRAM DROPPED ONE WEIGHT CLASSIFICATION AS A RESULT OF NUTRITION COUNSELING PROVIDED TO THEIR CAREGIVERS. ADDITIONALLY, ONE NEIGHBORHOOD PARK WAS INSTALLED AND ONE FARMERS MARKET CREATED IN COMMUNITIES IDENTIFIED AS FOOD DESERTS. THE HOSPITAL LED FOUR HEALTHY CITY CAMPAIGNS THAT INCLUDED PASSAGE BY ONE CITY OF THE REGION'S FIRST POLICY PROHIBITING THE SALE OF SPICE AND BATH SALTS. 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 ST. MARY MEDICAL CENTER 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. IN FY13 THE HOSPITAL PROVIDED $7,494,000 IN FINANCIAL ASSISTANCE. SERVICES TO VULNERABLE POPULATIONS ST. MARY MEDICAL CENTER PROVIDES POOR AND VULNERABLE POPULATIONS AN EXTENSIVE RANGE OF HEALTH AND SOCIAL SERVICES INCLUDING, BUT NOT LIMITED TO COMMUNITY HEALTH CARE, TRANSPORTATION, EDUCATION AND COUNSELING, REFERRAL ASSISTANCE INCLUDING ENROLLMENT INTO SAFETY NET PROGRAM SUCH AS HEALTH INSURANCE AND FOOD STAMPS. IN FY13 THE HOSPITAL PROVIDED $4,062,252 IN SERVICES IN COMMUNITY HEALTH IMPROVEMENT AND SUBSIDIZED HEALTH SERVICES. SERVICES TO THE BROADER COMMUNITY THE HOSPITAL OPERATES HEALTHY COMMUNITY PROGRAMS TO IMPROVE THE QUALITY OF LIFE OF THE COMMUNITIES IT SERVES. PROGRAMS INCLUDED THE OPENING OF COMMUNITY CLINICS SERVING NEIGHBORHOODS WITH LIMITED PHYSICIAN SERVICES. ST. MARY MEDICAL CENTER OPERATES HEALTHY CITY CAMPAIGNS TO EXPAND PUBLIC ACCESS TO PARK, RECREATION SERVICES, HEALTHY FOODS AND REGIONAL HEALTH INSURANCE ENROLLMENT EFFORTS AS PART OF COVERED CALIFORNIA. IN FY13 THE HOSPITAL INVESTED $230,902 IN THESE EFFORTS. FOR MORE INFORMATION ABOUT ST. MARY MEDICAL CENTER, PLEASE VISIT WWW. STMARYAPPLEVALLEY.COM FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG.
DESCRIPTION OF DELEGATING CONTROL OVER MANAGEMENT	FORM 990, PART VI, LINE 3	PITT CALKIN WAS HIRED IN DECEMBER 2011 AND TERMED OCTOBER 2012 AS TOP FINANCIAL OFFICER THROUGH A MANAGEMENT AGREEMENT FOR DUTIES CUSTOMARILY PERFORMED UNDER THE DIRECTOR OF OFFICERS. SUCH DUTIES INCLUDED HIRING, FIRING AND SUPERVISION OF HOSPITAL DIRECTORS/MANAGERS OF THE ORGANIZATION.
SIGNIFICANT CHANGES TO GOVERNING DOCS	FORM 990, PART VI, LINE 4	AS PART OF THE AFFILIATION AGREEMENT BETWEEN ST. JOSEPH HEALTH SYSTEM AND HOAG MEMORIAL HOSPITAL PRESBYTERIAN, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION, COVENANT HEALTH NETWORK, INC. WAS CREATED. ST. MARY MEDICAL CENTER'S BYLAWS WERE AMENDED TO INCLUDE COVENANT HEALTH NETWORK, INC.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS	Form 990, PART VI, LINE 6	ST JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE CORPORATE MEMBERS OF ST. MARY MEDICAL CENTER.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS	FORM 990, PART VI, LINE 7A	ST. MARY MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. MARY MEDICAL CENTER BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST. MARY MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS	FORM 990, PART VI, LINE 7B	THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990	FORM 990, PART VI, LINE 11B	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 2014 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.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, LINE 12C	OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, 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. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE FINANCE COMMITTEE. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE OFFICER, TRUSTEE, OR KEY EMPLOYEE MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY.
PROCESS USED TO DETERMINE COMPENSATION	FORM 990, PART VI, LINE 15A & 15B	THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. THE SJHS EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO FULFILL THEIR RESPONSIBILITY, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE WORKLIFE COMMITTEE IS COMPRISED OF SEVERAL INDEPENDENT MEMBERS OF THE BOARD. THEY MEET AT LEAST 3 TIMES A YEAR AND MAKE ALL CRITICAL DECISIONS IN EXECUTIVE SESSION. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PERFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN JUNE 2013.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC	FORM 990, PART VI, LINE 19	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 AVALIABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART VII, SECTION A		THE ORGANIZATION'S TOP FINANCIAL OFFICER WAS PAID THROUGH A LEASE AGREEMENT BY ITS TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM. PITT CALKIN SERVED AS TOP FINANCIAL OFFICER THROUGH OCTOBER 2012.
CHANGES IN NET ASSETS OR FUND BALANCE	FORM 990, PART XI, LINE 9	SJHH-AV EQUITY TRANSFER ($37,764,194)
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:24933702
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:CAPITATION PURCHASED SERVICES TOTAL FEES:7523113
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:REGISTRY FEES TOTAL FEES:8376071

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
COVENANT HEALTH NETWORK INC
3345 MICHELSON DR STE 100	IRVINE	CA	92612	461259908	HEALTHCARE	CA	501(C)(3)	11, III	SJHS	true
COVENANT HEALTH PARTNERS
3615 19TH STREET	LUBBOCK	TX	79410	611573313	HEALTHCARE	TX	501(C)(3)	11,I	CHS	true
COVENANT HEALTH SYSTEM
3615 19TH STREET	LUBBOCK	TX	79410	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	true
COVENANT HEALTH SYSTEM FOUNDATION
4000 24TH STREET	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	true
COVENANT MEDICAL GROUP
3420 22ND PLACE	LUBBOCK	TX	79410	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	true
HOAG CHARITY SPORTS
3920 BIRCH ST STE 105	NEWPORT BEACH	CA	92660	452982422	SUPPORT	CA	501(C)(3)	7	HHF	true
HOAG HOSPITAL FOUNDATION
1 HOAG DR BOX 6100	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	true
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG DR BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	SJHS	true
HOME CARE PARTNERS
1165 MONTGOMERY DR	SANTA ROSA	CA	95405	680318656	INACTIVE	CA	501(C)(3)	3	SRMH	true
HOSPICE OF LUBBOCK
1102 SLIDE ROAD	LUBBOCK	TX	79414	752133781	HEALTHCARE	TX	501(C)(3)	9	CHS	true
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREET	LUBBOCK	TX	79410	752220963	HEALTHCARE	TX	501(C)(3)	7	CHS	true
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREET	LUBBOCK	TX	79410	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	true
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUE	LEVELLAND	TX	79336	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	true
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROAD	PLAINVIEW	TX	79072	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	true
MISSION HOSPITAL REGIONAL MEDICAL CENTER
27700 MEDICAL CENTER ROAD	MISSION VIEJO	CA	92691	951643360	HEALTHCARE	CA	501(C)(3)	3	SJHS	true
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREET	NAPA	CA	94558	941243669	HEALTHCARE	CA	501(C)(3)	3	SJHS	true
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVE	FORTUNA	CA	95540	942779313	FOUNDATION	CA	501(C)(3)	7	RMH	true
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVE	FORTUNA	CA	95540	941384665	HEALTHCARE	CA	501(C)(3)	3	SJHS	true
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVE	SANTA ROSA	CA	95405	941231005	HEALTHCARE	CA	501(C)(3)	3	SJHS	true
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIA	ORANGE	CA	92868	951643383	RELIGIOUS ORG	CA	501(C)(3)	1	NA	false
SRM ALLIANCE HOSPITAL SERVICES
400 NORTH MCDOWELL BLVD	PETALUMA	CA	94954	680395200	HEALTHCARE	CA	501(C)(3)	3	SRMH	true
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DR STE 100	IRVINE	CA	92612	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	false
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DR STE 100	IRVINE	CA	92612	953589356	HEALTHCARE	CA	501(C)(3)	11, I	SJHM	false
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR STE 100	IRVINE	CA	92612	330143024	FOUNDATION	CA	501(C)(3)	7	SJHS	true
ST JOSEPH HOME CARE NETWORK
170 PROFESSIONAL CENTER DR B	ROHNERT PARK	CA	94928	680331084	HEALTHCARE	CA	501(C)(3)	9	SJHS	true
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREET	EUREKA	CA	95501	941156596	HEALTHCARE	CA	501(C)(3)	3	SJHS	true
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVE	ORANGE	CA	92868	951643359	HEALTHCARE	CA	501(C)(3)	3	SJHS	true
ST JUDE HOSPITAL YORBA LINDA
500 S MAIN STREET STE 1000	ORANGE	CA	92868	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	true
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVE	FULLERTON	CA	92635	951643325	HEALTHCARE	CA	501(C)(3)	3	SJHS	true
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREET	LUBBOCK	TX	79410	751653181	HEALTHCARE	TX	501(C)(3)	7	CHS	true
TALLER SAN JOSE
801 NORTH BROADWAY	SANTA ANA	CA	92701	593816355	WORKFORCE DEV	CA	501(C)(3)	2	SSJO	true

Form990 Schedule R Part III Form990ScheduleRPartIII (15 entries)

Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Percentage OwnershipPercentageOwnership	EINEIN	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode
ST JOSEPH HLTH SYS HOME HLTH
HOME HEALTH	CA	NA	N/A	0.00000
ST JOSEPH HLTH SYS HOME CARE
HOME HEALTH	CA	NA	N/A	0.00000	330307672
METHODIST DIAGNOSTIC IMAGING
HEALTHCARE SVCS	TX	NA	N/A	0.00000	752343261
SHA LLC
HEALTHCARE SVCS	TX	NA	N/A	0.00000	752569094
LUBBOCK SURGERY CENTER LTD
HEALTHCARE SVCS	TX	NA	N/A	0.00000	752177401
COVENANT LONG-TERM CARE LP
HEALTHCARE SVCS	TX	NA	N/A	0.00000	205033419
HERITAGE INVESTMENT GROUP
INVESTMENT	CA	NA	N/A	0.00000
MISSION AMBULATORY SURGICENTER
HEALTHCARE SVCS	CA	NA	N/A	0.00000	330355575
COMPREHENSIVE IMAGING PARTNERS
HEALTHCARE SVCS	CA	NA	N/A	0.00000	264591502
ST JOSEPH PHYSICIAN VENTURES
REAL ESTATE	CA	NA	N/A	0.00000
NEWPORT IMAGING CENTER
HEALTHCARE SVCS	CA	NA	N/A	0.00000
HOAG ORTHOPEDIC INSTITUTE
HEALTHCARE	CA	NA	N/A	0.00000
MAIN ST SPECIALTY SURGERY CNTR
HEALTHCARE SVCS	CA	NA	N/A	0.00000
ORTHOPEDIC SURGERY CNTR OF OC
HEALTHCARE SVCS	CA	NA	N/A	0.00000
ADVANCED SURGERY INSTITUTE LLC
HEALTHCARE SVCS	CA	NA	N/A		262299255	1739 4TH STREET	SANTA ROSA	CA	95404

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
ST JOSEPH PROF SVCS ENTERPRISES INC
3345 MICHELSON DR STE 100	IRVINE	CA	92612	330155323	HEALTHCARE SVCS	CA	NA	C-CORP
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		NA	C-CORP	58 PAR-LA-VILLE ROAD	HAMILTON	HM	BD	HX	BD
ALLIANCE PHYSICIAN SERVICES
					INACTIVE	CA	NA	C CORP
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE SVCS	CA	NA	C CORP
MISSION MEDICAL CENTER ASSOCIATION
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330201044	HEALTHCARE SVCS	CA	NA	C CORP
ST JOSEPH YORBA PARK
					INACTIVE	CA	NA	C CORP
LUBBOCK METHODIST HOSP SVCS
PO BOX 1201	LUBBOCK	TX	79410	752118585	HEALTHCARE SVCS	TX	NA	C CORP
LUBBOCK METHODIST HOSP PRACTICE MGMT
2107 OXFORD STREET SUITE 300	LUBBOCK	TX	79410	752578995	INACTIVE	TX	NA	C CORP
ST JOSEPH HEALTH SOURCE INC
3345 MICHELSON DR STE 100	IRVINE	CA	92612	461900168	HEALTHCARE SVCS	CA	NA	C CORP
HOAG MANAGEMENT SERVICES INC
1 HOAG DR BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE SVCS	CA	NA	C CORP
COASTAL MANAGEMENT SERVICES ORG
1 HOAG DR BOX 6100	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE SVCS	CA	NA	C CORP
DATU HEALTH INC
16150 MAIN CIRCLE DR STE 250	CHESTERFIELD	MO	63017	463070062	IT SVCS	MO	NA	C CORP
HOAG MEDICAL FOUNDATION
1 HOAG DR BOX 6100	NEWPORT BEACH	CA	92663	453583707	HEALTHCARE SVCS	CA	NA	C CORP

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ST JOSEPH HEALTH SYSTEM FOUNDATION
C	994953	ACCRUAL
ST JOSEPH HERITAGE HEALTH
B	37764194	ACCRUAL

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP	Identifier
Return Reference	SCHEDULE R, PART III	ReturnReference
Explanation	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: 4000 24TH STREET, 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 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, ST 100, ORANGE, CA 92868 ORTHOPEDIC SURGERY CENTER OF OC, LLC EIN: 33-0841806 ADDRESS: 22 CORPORATE PLAZA, NEWPORT BEACH, CA 92660 ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404	Explanation