2013-05-13T20:41:43-05:00 2012-06-30 ERNST & YOUNG US LLP 18111 VON KARMAN AVENUE SUITE 1000 IRVINE CA 92612 990 2011-07-01 953589356 ST JOSEPH HEALTH SYSTEM % DARRIN MONTALVO STJO 9493814000 3345 MICHELSON DR IRVINE CA 92612 DEBORAH A PROCTOR 2013-05-13 KARA ADAMS 9497942300 2011 2016-02-24 21:20:13Z X DEBORAH PROCTOR 3345 MICHELSON DR STE 100 IRVINE CA 92612 283930694 false 0928 X WWW.STJHS.ORG X 1981 CA WE ARE COMMITTED TO EXTENDING THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. 14 13 782 16 0 269451 6290 217438641 257100122 10888512 6193130 8932223 20631152 237528827 283930694 3941199 2548569 0 0 123210079 137084922 0 0 1331023 105182936 159575074 232334214 299208565 5194613 -15277871 1666716085 1977148481 1593375846 1943108122 73340239 34040359 X SEE SCHEDULE O false false 202123361 2548569 278180812 SEE SCHEDULE O 202123361 true false false true false false false false false false true false false true true true false true false false true false false false false false false true false true true false false false false false true false false false false false false false false true true true true false false true 351 0 true 782 true false false false false false false false false false false X 14 13 false false false false true true true true true false false true true true true true true true true true true CA X DARRIN MONTALVO 9493814000 3345 MICHELSON DR STE 100 IRVINE CA 92612 X RICHARD S BLAIR 4.0 X 35000 0 0 SISTER CLAUDETTE DESFORGES 2.0 X 0 0 0 NED DOLEJSI 2.0 X 25000 0 0 SISTER JO ANN EANNARENO 2.0 X 0 0 0 SISTER MARIE JEANNE GAILLAC 2.0 X 0 0 0 SISTER DIANE HEJNA 2.0 X 0 0 0 FATHER TOM KOPFENSTEINER 4.0 X 30000 0 0 MARY LYONS PHD 4.0 X 30000 0 0 KEITH MARTON MD 4.0 X 25000 0 0 WALTER NOCE 5.0 X 50000 0 0 SISTER LORAINE POLACCI 2.0 X 0 0 0 SISTER KATHLEEN PRUITT 2.0 X 25000 0 0 HENRY WALKER 4.0 X 30000 0 0 DAN WILFORD 4.0 X 30000 0 0 DEBORAH A PROCTOR 50.0 X X 1969124 0 306633 SHANNON DWYER 50.0 X 638778 0 49303 DARRIN MONTALVO 50.0 X 1033120 0 51707 JEFF THIES 50.0 X 307547 0 30862 PETER BASTONE 0.0 X 1545067 0 38386 CLARENCE BURKE 0.0 X 707679 0 36971 KEVIN KLOCKENGA 0.0 X 706869 0 12915 KENNETH MCFARLAND 0.0 X 0 621561 46507 STEVEN MOREAU 0.0 X 911442 0 18500 WILLIAM MURIN 50.0 X 929193 0 20134 RICHARD PARKS 0.0 X 1036771 0 24473 LEE PENROSE 0.0 X 885075 0 43251 JOSEPH RANDOLPH 50.0 X 1259196 0 42524 ANNETTE WALKER 50.0 X 680658 0 47692 LARRY AINSWORTH 0.0 X 675207 0 2344 JAMES MCMANUS 50.0 X 654364 0 46777 ELLIOT STERNBERG 50.0 X 981391 0 49352 CLYDE WESP 50.0 X 845959 0 39500 SUSAN WHITTAKER 50.0 X 837199 0 41467 RYAN FAULKNER 50.0 X 539634 0 30438 JOSEPH MARK 0.0 X 543810 0 38413 DENNIS SISTO 0.0 X 515757 0 25900 LAWRENCE STOFKO 50.0 X 607980 0 51419 MELINDA CLARK 0.0 X 282512 0 0 ADRIANA LYNCH 0.0 X 133103 0 0 ROBERT FRASCHETTI 0.0 X 129164 0 0 19636599 621561 1095468 228 true true false DELOITTE CONSULTING LLP 4022 SELLS DRIVE HERMITAGE TN 37076 CONSULTING 14522733 DELL MARKETING LP 2300 WEST PLANO PARKWAY PLANO TX 75075 IT SERVICES 11291095 FULLMER CONSTRUCTION 1725 SOUTH GROVE AVENUE ONTARIO CA 91761 CONSTRUCTION SVCS 6267857 CONCO CONSTRUCTION PO BOX 1582 APPLE VALLEY CA 92307 CONSTRUCTION SVCS 4066216 NAVIN HAFFTY ASSOCIATES LLC 1900 WEST PARK DRIVE STE 180 WESTBOROUGH MA 01581 TEMPORARY LABOR 3359231 73 6290 6290 REVENUE FROM TAX-EXEMPT AFFILIATES 0 0 SUPPORT AND SERVICE REVENUE 561110 239713899 239713899 CONSTRUCTION / EQUIPMENT SERVICING REV 230000 12562309 12562309 COLLECTION SERVICE REVENUE 561110 4123918 4123918 MANAGEMENT FEES FROM TAX-EXEMPT ORGS. 561110 699996 699996 257100122 6193130 6193130 0 0 0 0 0 0 GAIN - DEFEASE BOND 900099 9650840 9650840 REBATES AND REFUNDS 561110 5979389 5979389 ASSET RETIREMENT-LIABILITY ADJ 900099 2401403 2401403 2599520 3049058 -449538 20631152 283930694 278180812 0 5743592 X 2548569 2548569 0 0 0 15910554 7883886 8026668 0 821223 0 821223 0 74348832 50760065 22836620 752147 3366076 2474302 838719 53055 38270931 24962651 13015802 292478 4367306 3083513 1241623 42170 0 696074 171991 524023 60 3352291 0 3352291 0 0 0 0 51446621 17758200 33655970 32451 0 8536977 7710854 800069 26054 56814044 53752970 3061074 0 0 3755629 2491132 1232271 32226 3180439 1998287 1160391 21761 0 1661007 293382 1367456 169 5455262 3873236 1582026 0 6828816 6828816 0 0 6107100 4336041 1771059 0 7723075 7637852 85204 19 ASSOCIATION DUES 2641570 2641570 0 0 OTHER DUES 1349011 888886 381692 78433 USE / SALES TAX 27158 27158 0 0 299208565 202123361 95754181 1331023 0 0 87569892 111841578 0 0 0 0 116667 83334 0 0 0 0 0 0 2732688 5837982 137076591 26169691 97841114 110906900 179773737 211843128 23597949 60601729 0 0 35421000 35421000 1239663038 1440612830 1666716085 1977148481 196071834 216590663 0 0 0 0 1226832875 1499162335 0 0 0 0 68700000 97000000 0 0 101771137 130355124 1593375846 1943108122 X 72774408 33790115 565831 250244 0 0 73340239 34040359 1666716085 1977148481 X -15277871 -24022009 X false true true X false X X X X false false false ST JOSEPH HEALTH MINISTRY 271666576 01 true true true 0 1 0 false false false true 2559 false false true 9338 false false 11897 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B 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. 11230000 11230000 22684270 11179093 11505177 6255281 3669037 2586244 23369112 11321561 12047551 73537928 73537928 110906900 INTERCOMPANY BOND AFFILIATES 1353359972 INTERCOMPANY RECEIVABLES 83819615 OTHER ASSETS 3433243 1440612830 0 SWAP VALUATION 72629435 RETIREE PLANS 45808805 ASBESTOS ASSET RETIREMENT LIABILITY 11916884 130355124 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 FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2012 OR 2011. Europe (Including Iceland and Greenland) Program Services LEPUY PILGRIMAGE 323000 Central America and the Caribbean Program Services SEE PART IV 46000 Central America and the Caribbean Investments 114823192 0 0 115192192 115192192 true false true false false false ACCOUNTING METHOD SCHEDULE F, PART I, LINE 3, COLUMN (F) THE ACCRUAL METHOD OF ACCOUNTING WAS USED TO DETERMINE THE AMOUNTS IN COLUMN (F). SCHEDULE F, PART I, LINE 3, #2, COLUMN (E) EL SALVADOR/GUATEMALA PILGRIMAGE true ST JOSEPH HOSPITAL OF EUREKA 2700 DOLBEER ST EUREKA CA 95501 951156596 501(C)(3) 2232758 PROGRAM SUPPORT MERCY HOUSING 1999 BROADWAY STE 1000 DENVER CO 80202 470646706 501(C)(3) 75000 PROGRAM SUPPORT BARE ROOT PO BOX 250 PETALUMA VALLEY CA 92061 208917472 501(C)(3) 30000 PROGRAM SUPPORT LATINO HEALTH ACCESS 450 W FOURTH ST 130 SANTA ANA CA 92701 330562943 501(C)(3) 25000 PROGRAM SUPPORT TALLER SAN JOSE 801 N BROADWAY SANTA ANA CA 92701 593816355 501(C)(3) 15000 PROGRAM SUPPORT SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ORANGE CA 92868 951643383 501(C)(3) 13000 PROGRAM SUPPORT COVENANT HEALTH SYSTEM FOUNDATION 3615 19TH STREET LUBBOCK TX 79410 752897026 501(C)(3) 10000 PROGRAM SUPPORT SHARE OURSELVES CORPORATION 1550 SUPERIOR AVENUE COSTA MESA CA 92627 953222316 501(C)(3) 10000 PROGRAM SUPPORT LOYOLA INSTITUTE FOR SPIRITUALITY 480 S BATAVIA ORANGE CA 92868 951684071 501(C)(3) 5850 PROGRAM SUPPORT BETHANY 480 S BATAVIA ORANGE CA 92868 951643383 501(C)(3) 5500 PROGRAM SUPPORT ILLUMINATION FOUNDATION 2691 RICHTER AVE STE 107 IRVINE CA 92606 711047686 501(C)(3) 5400 PROGRAM SUPPORT 10 0 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 DONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF THE ST. JOSEPH HEALTH SYSTEM. NO FOLLOW UP MONITORING IS CONDUCTED. THE DONATION TO ST. JOSEPH HOSPITAL OF EUREKA WAS GIVEN TO MATCH THEIR CAPITAL CAMPAIGN AND WAS APPROVED BY THE SJHS BOARD. X X X X true true X X X X true true false false false false false true false DEBORAH A PROCTOR 1078210 0 621357 0 269557 0 297048 0 9585 0 2275757 0 0 0 SHANNON DWYER 359248 0 162140 0 117390 0 17115 0 32188 0 688081 0 0 0 DARRIN MONTALVO 580400 0 267503 0 185217 0 21676 0 30031 0 1084827 0 0 0 JEFF THIES 190132 0 75435 0 41980 0 9644 0 21218 0 338409 0 0 0 PETER BASTONE 224269 0 197965 0 1122833 0 18519 0 19867 0 1583453 0 746135 0 CLARENCE BURKE 382608 0 188720 0 136351 0 16911 0 20060 0 744650 0 0 0 KEVIN KLOCKENGA 419202 0 154935 0 132732 0 9757 0 3158 0 719784 0 0 0 KENNETH MCFARLAND 0 379856 0 101335 0 140370 0 16825 0 29682 0 668068 0 24452 STEVEN MOREAU 529473 0 264055 0 117914 0 0 0 18500 0 929942 0 0 0 WILLIAM MURIN 547394 0 245426 0 136373 0 7350 0 12784 0 949327 0 0 0 RICHARD PARKS 617795 0 280650 0 138326 0 7350 0 17123 0 1061244 0 0 0 LEE PENROSE 492379 0 227562 0 165134 0 17129 0 26122 0 928326 0 0 0 JOSEPH RANDOLPH 672946 0 362486 0 223764 0 21992 0 20532 0 1301720 0 0 0 ANNETTE WALKER 385462 0 185072 0 110124 0 12218 0 35474 0 728350 0 0 0 LARRY AINSWORTH 26660 0 0 0 648547 0 2135 0 209 0 677551 0 282567 0 JAMES MCMANUS 297530 0 118606 0 238228 0 17122 0 29655 0 701141 0 143470 0 ELLIOT STERNBERG 527919 0 261968 0 191504 0 19591 0 29761 0 1030743 0 0 0 CLYDE WESP 488486 0 234157 0 123316 0 9755 0 29745 0 885459 0 0 0 SUSAN WHITTAKER 221329 0 216063 0 399807 0 22641 0 18826 0 878666 0 0 0 RYAN FAULKNER 318464 0 146619 0 74551 0 7350 0 23088 0 570072 0 0 0 JOSEPH MARK 368997 0 91557 0 83256 0 9774 0 28639 0 582223 0 0 0 DENNIS SISTO 305906 0 100858 0 108993 0 22043 0 3857 0 541657 0 0 0 LAWRENCE STOFKO 329812 0 166562 0 111606 0 16744 0 34675 0 659399 0 0 0 MELINDA CLARK 0 0 0 0 282512 0 0 0 0 0 282512 0 0 0 ADRIANA LYNCH 0 0 0 0 133103 0 0 0 0 0 133103 0 0 0 ROBERT FRASCHETTI 0 0 0 0 129164 0 0 0 0 0 129164 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART 1, LINE 1A CHARTER TRAVEL IS PROVIDED ON A LIMITED BASIS FOR CERTAIN EXECUTIVES VISITING THE HEALTH SYSTEM'S RURAL HOSPITAL FACILITIES BECAUSE COMMERCIAL TRAVEL TO THE AREA IS LIMITED AND TIME-CONSUMING. ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL TO CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. MEMBERS OF THE BOARD AND EXECUTIVE MANAGEMENT TEAM ARE SELECTED TO PARTICIPATE IN AN ANNUAL PILGRIMAGE TO LE PUY, FRANCE, WHERE THE SISTERS' FIRST CONGREGATION WAS FORMED. THE PURPOSE OF THE PILGRIMAGE IS FOR THE ORGANIZATION'S LEADERS TO DEVELOP A DEEPER UNDERSTANDING OF THE ROOTS AND HERITAGE OF THE ORGANIZATION IN ORDER TO CARRY OUT THE MISSION. COMPANION TRAVEL IS CONSIDERED TO BE AN ESSENTIAL PART OF THIS EXPERIENCE AND THE COMPANION ACTS AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING DIRECTORS/OFFICERS RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION: NED DOLEJSI - $3,247 THE HEALTH SYSTEM GROSSES UP PAYMENTS FOR LIMITED APPROVED EXPENDITURES. EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FOR EITHER PART OR ALL OF THE YEAR: LARRY AINSWORTH - $146,810 PETER BASTONE - $217,668 MELINDA CLARK - $282,512 ADRIANA LYNCH - $121,003 SUSAN WHITTAKER - $209,640 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. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (SERP): PETER BASTONE - $746,135 LARRY AINSWORTH - $282,567 JAMES MCMANUS - $143,470 KENNETH MCFARLAND - $24,452 ST. JOSEPH HEALTH SYSTEM EXECUTED A MARKET-COMPETITIVE SUPPLEMENTAL RETIREMENT PLAN AGREEMENT WITH DEBORAH PROCTOR, CHIEF EXECUTIVE OFFICER. OTHER DEFERRED COMPENSATION INCLUDES $284,836 FOR THE CURRENT YEAR VESTING. THE PLAN VESTS FROM HER HIRE DATE OF NOVEMBER 2004 THROUGH DECEMBER 2013. SCHEDULE J, PART I, LINE 7 A PORTION OF EXECUTIVES SALARIES ARE PLACED "AT-RISK" AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. CALIFORNIA STATEWIDE COMMUNITIES DEV AUTH 2007 680164610 130795SA6 2008-03-24 494550000 SEE SCHEDULE O false false false LUBBOCK HEALTH FACILITIES DEVELOPMENT CORP 2008A 521313557 549208DX1 2008-05-15 51500000 SEE SCHEDULE O false false false LUBBOCK HEALTH FACILITIES DEVELOPMENT CORP 2008B 521313557 549208DY9 2008-06-19 136185000 SEE SCHEDULE O false false false CALIFORNIA HEALTH FACILITIES FINANCING AUTH 2009 521643828 13033LCN5 2009-08-27 426930280 SEE SCHEDULE O false false false 18275000 0 503314075 0 1965796 0 3420712 7471224 0 417563109 0 0 2008 true false true true 4750000 0 51500000 0 0 0 0 0 0 0 0 0 2004 true false true true 30800000 0 136185000 0 0 0 602023 1035827 0 0 0 0 1998 true false true true 340000 0 426930280 0 0 0 4480280 0 0 180000000 0 0 2009 true false true true false true true true true true 0.01741 0.00229 0.01970 true 0 0 false true true true true true 0.00684 0.00166 0.00850 true false false false 0 false 0 true true false false false 0 false 0 false false false true true MORGAN STANLEY SVCS 25. false false false 0 false false false true false 0 false 0 false false X SEE SCHEDULE O FOR SUPPLEMENTAL SCHEDULE K INFORMATION 0 CALIFORNIA HEALTH FACILITIES FINANCING AUTH 2011 521643828 13033LPE1 2011-07-14 302110000 SEE SCHEDULE O false false false 0 0 302620996 112652472 0 0 1567553 542447 0 187889975 0 0 false false false true false true true true true true 0.00438 0.00122 0.00560 true false true false 0 false 0 false false SEE SCHEDULE O FOR SUPPLEMENTAL SCHEDULE K INFORMATION 0 LAWRENCE STOFKO RELOCATION X 50000 50000 false true true KEVIN KLOCKENGA RELOCATION X 100000 33334 false true true 83334 ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, THE SJHS SYSTEM OFFICE IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A REALIZING OUR MISSION ST. JOSEPH HEALTH SYSTEM, SYSTEM OFFICE HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 25 YEARS. SERVING THE COMMUNITIES OF NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA AND WEST TEXAS/EASTERN NEW MEXICO, ST. JOSEPH HEALTH SYSTEM, SYSTEM OFFICE SUPPORTS 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, SKILLED NURSING FACILITIES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, THE SJHS, SYSTEM OFFICE 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 FLEXIBILITY 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. JOSEPH HEALTH SYSTEM, SYSTEM OFFICE IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 1) SACRED ENCOUNTERS, 2) PERFECT CARE, AND 3) HEALTHIEST COMMUNITIES. 1) EVERY INTERACTION WILL BE EXPERIENCED AS A SACRED ENCOUNTER. THE GOAL OF SACRED ENCOUNTER HAS A DIRECT CONNECTION TO THE OVERALL MISSION. OUR VALUE OF DIGNITY CALLS FOR US TO RESPECT EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE. WE STRIVE TO DO THIS BY KEEPING AT THE FOREFRONT OF OUR MINDS THE UNDERSTANDING OF THE IMPACT WE CAN HAVE ON ONE ANOTHER WITH EVERY ACTION WE TAKE. FOR MORE INFORMATION ON HOW ST. JOSEPH HEALTH SYSTEM IS IMPLEMENTING SACRED ENCOUNTERS, GO TO: HTTP://WWW.STJHS.ORG/ABOUT-US/MISSION-VISION-AND-VALUES/SACRED-ENCOUNTER.A SPX 2) ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENT'S EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. FOR MORE INFORMATION ON HOW ST. JOSEPH HEALTH SYSTEM IS IMPLEMENTING PERFECT CARE, GO TO: HTTP://WWW.STJHS.ORG/ABOUT-US/MISSION-VISION-AND-VALUES/PERFECT-CARE.ASPX 3) THE COMMUNITIES WE SERVE WILL BE AMONG THE HEALTHIEST IN OUR NATION. WE SEEK TO DEVELOP COMMUNITY HEALTH INITIATIVES THAT IMPACT LONG-TERM HEALTH ACROSS THE ENTIRE COMMUNITY. FOR MORE INFORMATION ON HOW ST. JOSEPH HEALTH SYSTEM IS IMPLEMENTING HEALTHY COMMUNITIES, GO TO: HTTP://WWW.STJHS.ORG/ABOUT-US/MISSION-VISION-AND-VALUES/HEALTHIEST-COMMUNI TIES.ASPX FY12 PROGRAM SERVICE ACCOMPLISHMENTS: ADDRESSING CHILDHOOD OBESITY THROUGH PHYSICAL EDUCATION AND NUTRITION CHILDHOOD OBESITY HAS INCREASED CONSIDERABLY IN THE PAST 30 YEARS. THE CENTERS FOR DISEASE CONTROL AND PREVENTION ASSERT THAT OBESITY RATES FOR CHILDREN AGED 6 TO 11 YEARS INCREASED FROM 6.5% IN 1980 TO 19.6% IN 2008. IN THE SAME TIMEFRAME, THE PREVALENCE AMONG ADOLESCENTS AGED 12 TO 19 YEARS INCREASED FROM 5.0% TO 18.1%. THE CAUSAL PATHWAYS OF OBESITY ARE MULTIFACETED AND ALTHOUGH SEDENTARY LIFESTYLES AND EXCESS CALORIC INTAKE ARE THE PRIMARY DRIVERS OF THE EPIDEMIC, THESE ARE MEDIATED BY GENETIC, SOCIOECONOMIC, AND ENVIRONMENTAL VARIABLES. SEVERAL INFLUENCING FACTORS INCLUDE: THE PERCEPTION OF UNSAFE STREETS; MORE TIME SPENT ON COMPUTERS AND WATCHING TELEVISION; GREATER RELIANCE ON THE AUTOMOBILE FOR TRANSPORTATION; LACK OF SAFE AND WELCOMING OPPORTUNITIES FOR WALKING AND BICYCLING; THE INFLUENCE OF ADVERTISING MEDIA TO CONSUME HIGH FAT AND HIGH SUGAR PRODUCTS. ACCOMPLISHMENTS: FOR THE PAST FOUR YEARS THE HEALTHY FOR LIFE PROGRAM HAS WORKED DILIGENTLY TO DECREASE THE PREVALENCE OF CHILDREN AND ADOLESCENTS WHO ARE OVERWEIGHT OR OBESE IN OUR CALIFORNIA SERVICE AREAS. THE LINK BETWEEN AN UNHEALTHY WEIGHT STATUS AND CHRONIC DISEASES SUCH AS TYPE II DIABETES AND PREMATURE CARDIOVASCULAR DISEASE IS WELL ESTABLISHED. RESEARCH ALSO SUGGESTS THAT INDIVIDUALS WHO ARE OVERWEIGHT OR OBESE ARE AT GREATER RISK FOR PSYCHOLOGICAL DISTRESS INCLUDING DEPRESSION, POOR SELF-ESTEEM AND LONELINESS. HEALTHY FOR LIFE WAS DEVELOPED TO ADDRESS BOTH THE PHYSICAL AND PSYCHOLOGICAL IMPACTS OF CHILDHOOD OBESITY. THE PROGRAM'S OBJECTIVES INVOLVE TEACHING STUDENTS SKILLS AND PROVIDING THEM WITH TOOLS THAT WILL ENABLE THEM TO DEVELOP HEALTHIER LIFESTYLE HABITS. THE PHYSICAL AND NUTRITION EDUCATION COMPONENTS ARE SPECIFICALLY TAILORED FOR CHILDREN IN PRESCHOOL AND ELEMENTARY SCHOOL AND FOR ADOLESCENTS IN MIDDLE AND HIGH SCHOOLS. SINCE ITS INCEPTION IN 2008 HEALTHY FOR LIFE HAS SERVED OVER 11,000 STUDENTS. THE PROGRAM IS CURRENTLY IMPLEMENTED IN OVER 100 SCHOOLS IN NORTHERN AND SOUTHERN CALIFORNIA. HEALTHY FOR LIFE IS A SCHOOL-BASED, NO COST PHYSICAL ACTIVITY AND NUTRITION PROGRAM FACILITATED BY REGISTERED DIETICIANS, FITNESS INSTRUCTORS, AND PHYSICAL EDUCATION AND GENERAL EDUCATION TEACHERS. DURING THE 2011-2012 ACADEMIC YEAR, A TOTAL OF 3,884 STUDENTS PARTICIPATED IN HEALTHY FOR LIFE. 64.2% OF STUDENTS PARTICIPATING IN HEALTHY FOR LIFE IDENTIFIED AS LATINO. OF THE TOTAL PARTICIPATING STUDENTS, 45.3% WERE BOYS AND 54.7% WERE GIRLS. 96.4% OF THE STUDENTS PARTICIPATING CAME FROM TITLE I SCHOOLS AND 7.8% (252) WERE DIAGNOSED WITH ACANTHOSIS NIGRICANS (A CONDITION CHARACTERIZED BY A BROWN TO BLACK HYPERPIGMENTATION OF THE SKIN THAT IS ASSOCIATED WITH INSULIN RESISTANCE). MAINTENANCE OR REDUCTION ON WEIGHT CLASS: OF THOSE WHO WERE OVERWEIGHT AT BASELINE (19%,N=571): 393 (68.8%) MAINTAINED THAT STATUS; 127 (22.2%) DECREASED THEIR STATUS TO NORMAL WEIGHT. OF THOSE WHO WERE OBESE AT BASELINE (26.2%,N=787): 451 (87.4%) MAINTAINED THAT STATUS; 94 (11.9%) DECREASED THEIR STATUS TO OVERWEIGHT; 5 (0.6%) DECREASED THEIR STATUS TO NORMAL WEIGHT BY YEAR-END. DURING THE 2011-2012 ACADEMIC YEAR THERE WAS AN OVERALL DECREASE FOR ALL STUDENTS OF 16.6%. BLOOD PRESSURE: AT BASELINE 9.4% (N=328) OF THE STUDENTS HAD AN ELEVATED BLOOD PRESSURE. BY YEAR-END 49.1% (161) OF THESE STUDENTS HAD A LOWER BLOOD PRESSURE. KEY HEALTHY FOR LIFE PARTNERS: SOUTHERN CALIFORNIA: ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL ORANGE, MISSION HOSPITAL-LAGUNA BEACH AND MISSION VIEJO, ST. MARY MEDICAL CENTER. NORTHERN CALIFORNIA: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HEALTH SYSTEM-HUMBOLDT COUNTY, ST. JOSEPH HEALTH SYSTEM-SONOMA COUNTY, ST. JOSEPH HEALTH SYSTEM FOUNDATION, AND LOCAL SCHOOL DISTRICTS IN NORTHERN AND SOUTHERN CALIFORNIA SERVICE AREAS. INITIATIVE: COMMUNITY INVESTMENT FUND ST. JOSEPH HEALTH SYSTEM RECOGNIZES THAT THE HEALTH OF ANY COMMUNITY DEPENDS ON THE MAINTENANCE AND CREATION OF STRONG STRUCTURES - BOTH PHYSICAL AND SOCIAL - WHICH CONTRIBUTE TO THE LONG-TERM WELL-BEING OF PEOPLE. THAT PHILOSOPHY INSPIRED THE INITIATION OF THE COMMUNITY INVESTMENT FUND - AN EFFORT TO HELP ORGANIZATIONS THAT PROMOTE THE COMMON GOOD. THE COMMUNITY INVESTMENT FUND PROVIDES CAPITAL IN THE FORM OF LOANS, DEPOSITS, OR OTHER SUPPORT TO NONPROFIT 501(C)(3) ENTITIES TO PROMOTE A SOCIAL GOOD AND THE DEVELOPMENT OF HEALTHIER COMMUNITIES. THESE LOANS ENABLE COMMUNITY ORGANIZATIONS TO ACHIEVE THEIR FULL POTENTIAL AND PLAY A MAJOR ROLE IN THE REGENERATION OF THEIR COMMUNITIES. ST. JOSEPH HEALTH SYSTEM COMMITS THREE PERCENT OF ITS INVESTMENTS INTO THE COMMUNITY INVESTMENT FUND. WHO CAN ACCESS THE FUND? WE FOCUS ON THE COMMUNITIES WHERE WE HAVE HEALTH CARE MINISTRIES; THEREFORE, WE INVEST AT LEAST 50 PERCENT OF THE FUND IN CALIFORNIA, TEXAS AND NEW MEXICO. QUALIFIED NONPROFIT ORGANIZATIONS ENGAGED IN SERVICES THAT BENEFIT THE COMMUNITY MAY ACCESS THE FUND. THESE SERVICES MUST BE CONSISTENT WITH THE MISSION AND VALUES OF ST. JOSEPH HEALTH SYSTEM. FY 12 ACCOMPLISHMENTS: AS OF JUNE 30, 2012, THE SJHS INVESTED APPROXIMATELY $9.4M IN ITS COMMUNITY INVESTMENT FUND (THE "CIF"). AN ADDITIONAL $2.9M IS COMMITTED OR PROPOSED. THERE WERE OVER 15 OF LOW-INCOME ACTIVE INVESTMENTS IN FY12 MANAGED BY THE SJHS, SYSTEM OFFICE TREASURY DEPARTMENT. INVESTMENTS RANGED FROM NO INTEREST TO LOW INTEREST INVESTMENT LOANS, LINES OF CREDIT AND CD COLLATERAL. SOME OF THE PROGRAMS SUPPORTED THROUGH THE COMMUNITY INVESTMENT FUND INCLUDE: AFFORDABLE HOUSING, ECONOMIC DEVELOPMENT INITIATIVES, SOCIAL SERVICE PROGRAMS, SUPPORT FOR FOOD BANKS AND OTHER DIRECT SERVICES, JOB EXPANSION PROGRAMS, SCHOOL AND EDUCATIONAL PROGRAMS. FOR MORE INFORMATION ON THE COMMUNITY INVESTMENT LOAN FUND, PLEASE VISIT: HTTP://WWW.STJHS.ORG/SJH-PROGRAMS/SJH-FOUNDATION/COMMUNITY-INVESTMENT-FUND .ASPX FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 ST. JOSEPH HEALTH MINISTRY IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HEALTH SYSTEM. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A ST. JOSEPH HEALTH SYSTEM HAS A TIERED GOVERNANCE IN WHICH ST. JOSEPH HEALTH MINISTRY AS ITS SPONSOR RESERVES THE RIGHT TO APPOINT TRUSTEES TO THE ST. JOSEPH HEALTH SYSTEM BOARD AFTER A COLLABORATIVE AND INCLUSIVE RECRUITMENT AND SELECTION PROCESS. THE SISTERS OF ST. JOSEPH OF ORANGE, AS THE FOUNDING SPONSOR OF ST. JOSEPH HEALTH SYSTEM, APPOINTS MEMBERS OF ST. JOSEPH HEALTH MINISTRY. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B THE CORPORATE MEMBER, ST. JOSEPH HEALTH MINISTRY, RESERVES THE RIGHT TO APPROVE THE 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, QUESTION 11B THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 IS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE MARCH 2013 MEETING. DURING THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 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 AUDIT AND CORPORATE RESPONSIBILITY 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. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDING AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A AND 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 2012. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 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 AVAILABLE ON THE SJHS INTERNET SITE. HOURS DEVOTED TO RELATED ORGANIZATION FORM 990, PART VII CERTAIN EXECUTIVES AND BOARD MEMBERS OF THIS ORGANIZATION ALSO DEVOTED TIME TO OTHER ENTITIES RELATED TO THE FILING ORGANIZATION. THE HOURS DEVOTED TO THE RELATED ORGANIZATIONS ARE NOT GENERALLY TRACKED BY ENTITY. CHIEF EXECUTIVE OFFICERS OF RELATED ORGANIZATIONS DEVOTE 50 HOURS PER WEEK TO THEIR RESPECTIVE ORGANIZATION. FUNDRAISING EXPENSES FORM 990, PART IX, LINE 25, COLUMN (D) THE FUNDRAISING EXPENSES REPORTED IN COLUMN (D) INCLUDE SALARY AND RELATED EXPENSES FOR EMPLOYEES WHO RAISE FUNDS ON BEHALF OF AFFILIATED HOSPITALS. OTHER CHANGES IN NET ASSETS OR FUND BALANCE FORM 990, PART XI, LINE 5 CHANGE IN FMV OF INTEREST SWAP AGREEMENTS (36,721,182) UNREALIZED LOSS EXCLUDED FROM REVENUE (2,548,126) RETIREE HEALTH VALUATION ADJUSTMENTS 2,740,334 EQUITY TRANSFER TO ST. MARY MEDICAL CENTER (7,363,235) FUNDS BOOKED TO LIABILITY (6,292) GRANT FUNDS RETURNED TO GRANTOR (123,508) CAPITAL CONTRIBUTION - INNOVATION 20,000,000 ------------- $(24,022,009) ============= SCHEDULE K SUPPLEMENTAL INFORMATION SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE - CSCDA 2007 (1) PART I, LINE A, COLUMN (F): THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY CERTIFICATES OF PARTICIPATION ORIGINALLY EXECUTED AND DELIVERED ON OCTOBER 22, 1997. IN ADDITION, THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $255,000,000. PROJECT FUNDS TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL (ORANGE), ST. MARY REGIONAL MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. ORIGINAL ISSUANCE ON APRIL 18, 2007 WITH CUSIP 130795CX3, CONVERTED ON MARCH 24, 2008. DESCRIPTION OF PURPOSE - LHFDC 2008A (1) PART I, LINE B, COLUMN (F): THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LUBBOCK HEALTH FACILITIES DEVELOPMENT CORPORATION INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JUNE 30, 2000. DESCRIPTION OF PURPOSE - LHFDC 2008B (1) PART I, LINE C, COLUMN (F): THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LUBBOCK HEALTH FACILITIES DEVELOPMENT CORPORATION INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON DECEMBER 1, 1998. DESCRIPTION OF PURPOSE - CHFFA 2009 (1) PART I, LINE D, COLUMN (F): THE PROCEEDS DERIVED FROM THE SALE OF THE 2009A BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $180,000,000. PROJECT FUNDS TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. ORIGINAL ISSUE DATE ON AUGUST 27, 2009 WITH ORIGINAL CUSIP 13033LCA3. IN ADDITION, THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JANUARY 29, 2004 WITH ORIGINAL CUSIP 130911VQ0 & REFUNDED ON MAY 15, 2008 WITH CUSIP 130795TU1 & REFUNDED AGAIN ON AUGUST 27,2009 WITH CUSIP 133033LCN5. DESCRIPTION OF PURPOSE - CHFFA 2011 (2) PART I, LINE A, COLUMN (F): THE PROCEEDS DERIVED FROM THE SALE OF THE 2011A-D BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $302,110,000. PROJECT FUNDS TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HOSPITAL OF EUREKA, ST. JOSEPH HOSPITAL, ORANGE AND ST. JUDE MEDICAL CENTER. ORIGINAL ISSUE DATE ON JULY 14, 2011. 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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 DR, 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