STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COVENANT HEALTH SYSTEM: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COVENANT HEALTH SYSTEM (EIN 75-2765566)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201201359349305970
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-14T19:02:27-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1201 MAIN STREET SUITE 1100AddressLine1
CityFORT WORTHCity
StateTXState
ZIP Code76102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752765566EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COVENANT HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOVENameControl
Phone8067251011Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13615 19TH STREETAddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code794101203ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEANNA ADLERName
TitleCONTROLLERTitle
Date Signed2012-05-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8173351900Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN GRIGSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13615 19TH STREETAddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code794101203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts546892016GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COVENANTHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees4415TotalNbrEmployees
Total Nbr Volunteers215TotalNbrVolunteers
Total Gross UBI4789143TotalGrossUBI
Net Unrelated Business Txbl Income-228125NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2190068ContributionsGrantsPriorYear
Contributions Grants Current Year6338336ContributionsGrantsCurrentYear
Program Service Revenue Prior Year575994529ProgramServiceRevenuePriorYear
Program Service Revenue CY534157611ProgramServiceRevenueCY
Investment Income Prior Year8397887InvestmentIncomePriorYear
Investment Income Current Year6396069InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year586582484TotalRevenuePriorYear
Total Revenue Current Year546892016TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2736200GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3951530GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year206290427SalariesEtcPriorYear
Salaries Etc Current Year203718129SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year345986732OtherExpensePriorYear
Other Expenses Current Year311898143OtherExpensesCurrentYear
Total Expenses Prior Year555013359TotalExpensesPriorYear
Total Expenses Current Year519567802TotalExpensesCurrentYear
Revenues Less Expenses Prior Year31569125RevenuesLessExpensesPriorYear
Revenues Less Expenses CY27324214RevenuesLessExpensesCY
Total Assets BOY579848539TotalAssetsBOY
Total Assets EOY578229478TotalAssetsEOY
Total Liabilities BOY238741447TotalLiabilitiesBOY
Total Liabilities EOY201667947TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY341107092NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY376561531NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense488059171Expense
Grants3951530Grants
Revenue529368468Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense488059171TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096362NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4415NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSHARON CLARKNamePerson
Telephone Number8067255234TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13615 19TH STREETAddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code794101203ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JOHN C ANDERSON
BOARD MEMBER/COMMITTEE CHAIR3.0X000
SUZANNE BLAKE
BOARD MEMBER2.0X000
TODD BRODBECK DO
BOARD MEMBER2.0X000
JOE DEE BROOKS
BOARD MEMBER2.0X000
MONSIGNOR DAVID CRUZ
BOARD MEMBER/COMMITTEE CHAIR3.0X000
MICHAEL DANCHAK MD
BOARD MEMBER2.0X1821900
BRENT HOFFMAN
BOARD MEMBER2.0X000
VAN MAY
BOARD MEMBER/VICE CHAIR3.0X000X
JUAN SANCHEZ MUNOZ PHD
BOARD MEMBER2.0X000
RICHARD PARKS
BOARD MEMBER/PRESIDENT/CEO35.0X05766848649X
DAN POPE
BOARD MEMBER/CHAIR5.0X000X
JANIE RAMIREZ
BOARD MEMBER/COMMITTEE CHAIR3.0X000
MICHAEL ROBERTSON MD
BOARD MEMBER/COMMITTEE CHAIR3.0X3450000
SISTER SUZANNE SASSUS CSJ
BOARD MEMBER2.0X000
SISTER MARY THERESE SWEENEY CSJ
BOARD MEMBER/COMMITTEE CHAIR3.0X000
TEB THAMES MD
BOARD MEMBER2.0X000
JOHN ZWIACHER
BOARD MEMBER/SECRETARY3.0X000X
NAIDU CHEKURU MD UNTIL 123110
BOARD MEMBER2.0X3400000
MARK JOHNSON MD UNTIL 123110
BOARD MEMBER2.0X7900000
JOE RANDOLPH UNTIL 63011
BOARD MEMBER2.0X0129092550729
DAVID SEIM UNTIL 123110
BOARD MEMBER2.0X000
JAMES HARRELL MD UNTIL 123110
BOARD MEMBER2.0X060820819655
SAM HAWTHORNE
BOARD MEMBER2.0X000
JOHN GRIGSON
SVP-CFO26.0566076026856X
TROY THIBODEAUX
COO30.0000X
SUSAN NEVES
VP ADMIN - CMC50.0508691024418X
STEVEN MCCAMY
PRESIDENT-COVENANT MEDICAL GRP5.0505700029893X
ROXIE TAYLOR
VP ADMIN LAKESIDE & JACC28.0452288024596X
SHARYN IVORY
VP ADMIN POST - ACUTE SVCS50.0426698034082X
KAREN BAGGERLY
VP - NURSING50.0406205031876X
STEVEN BECK
VP - REGIONAL SERVICES20.0267436025581X
SCOTT ROBINS MD
CHIEF MED OFFICER38.0669240024680X
SHARON CLARK
VP FINANCE50.0414351030101X
SHARON PRATHER
PRESIDENT-COVENANT FOUNDATION20.0408459034059X
RODNEY CATES
VP HUMAN RESOURCES48.0354162030083X
FELICIA GORDON
VP PERFORMANCE IMPROVEMENT50.0292349034177X
MELINDA CLARK
PRESIDENT/CEO (thru 10/1/09)0.003672650X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5437374TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2843082TotalReportableCompFrmRltdOrgs
Total Other Compensation429435TotalOtherCompensation
Number Individuals GT100 K182NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ARAMARK
25271 NETWORK PLACECHICAGOIL606731252FOOD SERVICES7309834
NORTHSTAR ANESTHESIA PA
2000 E LAMAR BLVD SUITE 400ARLINGTONTX76006ANESTHESIA SERVICES4452809
ANTHONY MECHANICAL INC
PO BOX 3886LUBBOCKTX79452CONSTRUCTION3976343
NURSEFINDERS
PO BOX 910738DALLASTX783910738STAFFING3628439
GE MEDICAL SYSTEMS
PO BOX 843553DALLASTX752843553BIOMED SERVICES2887280
FieldValueIRS element (for citing)
Number Of Contractors GT100 K194NumberOfContractorsGT100K
Related Organizations4216362RelatedOrganizations
Government Grants2121974GovernmentGrants
Noncash Contributions1461557NoncashContributions
Total Contributions6338336TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE622110505362298505362298
OUTREACH LAB SERVICES62151139867843986784
BILLING/MANAGEMENT FEES54161134301012627742802359
CAFETERIA72231029043002904300
MEDICAL OFFICE BUILDING53112023703282370328

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column16103800TotalRevenueColumn
Related Or Exempt Function Income16103800RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue534157611TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6396069TotalRevenueColumn
Exclusion$6,396,069ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column546892016TotalRevenueColumn
Related Or Exempt Function Income529368468RelatedOrExemptFunctionIncome
Unrelated Business Revenue4789143UnrelatedBusinessRevenue
Exclusion$6,396,069ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3951530Total
Program Services3951530ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5590986Total
Program Services0ProgramServices
Management And General5590986ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total94857Total
Program Services0ProgramServices
Management And General94857ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total138644995Total
Program Services128517313ProgramServices
Management And General10127682ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total14635812Total
Program Services14635812ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total33372405Total
Program Services32079546ProgramServices
Management And General1292859ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11379074Total
Program Services10548740ProgramServices
Management And General830334ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total957962Total
Program Services957962ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total326510Total
Program Services0ProgramServices
Management And General326510ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total358644Total
Program Services0ProgramServices
Management And General358644ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total20381Total
Program Services20381ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total105161458Total
Program Services100075654ProgramServices
Management And General5085804ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total3776594Total
Program Services104106ProgramServices
Management And General3672488ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total128075856Total
Program Services126440350ProgramServices
Management And General1635506ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4320018Total
Program Services3395203ProgramServices
Management And General924815ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9911550Total
Program Services9830489ProgramServices
Management And General81061ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total743215Total
Program Services238028ProgramServices
Management And General505187ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total131815Total
Program Services60797ProgramServices
Management And General71018ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total10998173Total
Program Services10998173ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total38504099Total
Program Services38504099ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total5138382Total
Program Services4747923ProgramServices
Management And General390459ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionALL OTHER EXPENSESDescription
Total3473486Total
Program Services2953065ProgramServices
Management And General520421ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total519567802Total
Program Services488059171ProgramServices
Management And General31508631ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18927189BOY
EOY31828389EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY27086884BOY
EOY50390345EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY67367917BOY
EOY67348577EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10289175BOY
EOY11235562EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3322171BOY
EOY2133907EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis730582380LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec481269159LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY277230995BOY
EOY249313221EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY83314379BOY
EOY104471726EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY12003105BOY
EOY11241183EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY83829BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY80222895BOY
EOY50266568EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY579848539BOY
EOY578229478EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY46972360BOY
EOY37339385EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3095771BOY
EOY2907934EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY188673316BOY
EOY161420628EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY238741447BOY
EOY201667947EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY341107092BOY
EOY376561531EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY341107092BOY
EOY376561531EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY579848539BOY
EOY578229478EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses27324214ReconcilationRevenueExpenses
Reconcilation Other Changes8130225ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$20,381OtherActivitiesAmount
Total Lobbying Expenditures IIB20381TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationDURING 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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis18349427OtherCostOrOtherBasis
Book Value18349427BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis386848510OtherCostOrOtherBasis
Depreciation248386488Depreciation
Book Value138462022BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis20246067OtherCostOrOtherBasis
Depreciation13625503Depreciation
Book Value6620564BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis299577885OtherCostOrOtherBasis
Depreciation219257168Depreciation
Book Value80320717BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5560491OtherCostOrOtherBasis
Book Value5560491BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings249313221TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
BOARD DESIGNATED ASSETS372309
ASSETS HELD IN TRUSTS11792902
LONG TERM DUE FROM AFFILIATES31931243
OTHER RECEIVABLES197275
DUE FROM THIRD PARTY4000000
DEFERRED FINANCING COSTS-NET1972839
FieldValueIRS element (for citing)
Total Book Value Other Assets50266568TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
PAYABLE TO THIRD-PARTY PAYORS$8,849,709
CURRENT MATURITIES OF LT DEBT$12,276,470
LT TERM NOTES$123,083,594
OTHER LIABILITIES$17,210,855
FieldValueIRS element (for citing)
Total Of Amounts161420628TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierASC 740 (FIN48) FOOTNOTEIdentifier
Return ReferenceFORM 990, SCHEDULE D, PART X, LINE 2ReturnReference
ExplanationACCOUNTING 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, 2011 OR 2010.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedCAPTIVE INSURANCESpecificServicesProvided
Total Expenditures3186376TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent3186376SubtotalAmountSpent
Total Amount Spent3186376TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierACCOUNTING METHODIdentifier
Return ReferenceSCHEDULE F, PART I, LINE 3, COLUMN FReturnReference
ExplanationTHE ACCRUAL METHOD OF ACCOUNTING WAS USED TO DETERMINE THE AMOUNT IN COLUMN F.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage175.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense24458361TotalCommunityBenefitExpense
Net Community Benefit Expense24458361NetCommunityBenefitExpense
Percent Of Total Expense0.04580PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense45024623TotalCommunityBenefitExpense
Direct Offsetting Revenue43580549DirectOffsettingRevenue
Net Community Benefit Expense1444074NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense69482984TotalCommunityBenefitExpense
Direct Offsetting Revenue43580549DirectOffsettingRevenue
Net Community Benefit Expense25902435NetCommunityBenefitExpense
Percent Of Total Expense0.04850PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4420696TotalCommunityBenefitExpense
Direct Offsetting Revenue413442DirectOffsettingRevenue
Net Community Benefit Expense4007254NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense16640227TotalCommunityBenefitExpense
Net Community Benefit Expense16640227NetCommunityBenefitExpense
Percent Of Total Expense0.03110PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense216345TotalCommunityBenefitExpense
Net Community Benefit Expense216345NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1433204TotalCommunityBenefitExpense
Net Community Benefit Expense1433204NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense22710472TotalCommunityBenefitExpense
Direct Offsetting Revenue413442DirectOffsettingRevenue
Net Community Benefit Expense22297030NetCommunityBenefitExpense
Percent Of Total Expense0.04170PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense92193456TotalCommunityBenefitExpense
Direct Offsetting Revenue43993991DirectOffsettingRevenue
Net Community Benefit Expense48199465NetCommunityBenefitExpense
Percent Of Total Expense0.09020PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense42488TotalCommunityBuildingExpense
Net Community Building Expense42488NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense82965TotalCommunityBuildingExpense
Net Community Building Expense82965NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense125453TotalCommunityBuildingExpense
Net Community Building Expense125453NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$8,608,497BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare140556094AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare494337743CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-353781649MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
COVENANT L-T CARE LP
LONG-TERM CARE0.670000.000000.33000
LUBBOCK SURG CTR LTD
HEALTHCARE0.590000.000000.41000
METHODIST DIAGNOSTIC
HEALTHCARE0.600000.000000.40000
LUBBOCK GAMMA LP
HEALTHCARE0.400000.000000.60000
FieldValueIRS element (for citing)
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursChildrens HospitalChildrensHospital
COVENANT MEDICAL CENTER
13615 19TH STREETLUBBOCKTX794101203XXX
COVENANT MED CENTER-LAKESIDE CAMPUS
24000 24TH STREETLUBBOCKTX79410XXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber
COVENANT MEDICAL CENTER
1
COVENANT MED CENTER-LAKESIDE CAMPUS
2

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities10NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
JOE ARRINGTON CANCER RSCH & TRTMT CENTER
4101 22ND PLACELUBBOCKTX79410GENERAL MEDICAL & SURGICAL
COVENANT LT CARE LP
4000 24th StreetLUBBOCKTX79410LONG TERM CARE
COVENANT HEART & VASCULAR
3615 19TH STREETLUBBOCKTX79410GENERAL MEDICAL & SURGICAL
LUBBOCK SURGERY CENTER LTD
2301 QUAKERLUBBOCKTX79410SURGERY CENTER
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOCKTX79410DIAGNOSTIC CENTER
FAMILY HEALTHCARE CENTER
7601 QUAKERLUBBOCKTX79410MEDICAL CLINIC
SOUTHWEST MEDICAL PARK
9812 SLIDE ROADLUBBOCKTX79424GENERAL MEDICAL & SURGICAL
FAMILY HEALTHCARE CENTER
416 FRANKFORD ROADLUBBOCKTX79410MEDICAL CLINIC
ARRINGTON COMPREHENSIVE BREAST CENTER
4101 22ND PLACELUBBOCKTX79410GENERAL MEDICAL & SURGICAL
LUBBOCK GAMMA
10000 MEMORIAL DRIVE SUITE 540HOUSTONTX77024GENERAL MEDICAL & SURGICAL

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierExplanationExplanation
PART 1, LINE 6A:COVENANT HEALTH SYSTEM PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:THE MEDICARE COST REPORT WAS USED TO DETERMINE COMMUNITY BENEFIT SERVICES ALONG WITH ADDITIONAL INFORMATION PROVIDED BY THE COMMUNITY BENEFITS DEPARTMENT. WORKSHEET 2 FROM THE IRS INSTRUCTIONS WAS USED TO HELP DETERMINE THE COST-TO-CHARGE RATIO FOR COMMUNITY BENEFIT DETERMINATION.
PART III, LINE 4:THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO.
PART III, LINE 8:AS A CATHOLIC HEALTH CARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S COMMUNITY BENEFIT REPORTING GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE AS A COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT SUBMITTED FOR THE FISCAL YEAR USING CMS STANDARD COSTING METHODS. THIS METHOD INCLUDES SPECIFIC STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS.
PART III, LINE 9B:COVENANT HEALTH SYSTEM PATIENT ACCOUNTS ARE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MAKES 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 PERFORMS AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIES FOR CHARITY CARE. ACCOUNTS FOR PATIENTS WHO QUALIFY FOR CHARITY CARE ARE WRITTEN OFF AND COLLECTION EFFORTS ARE NOT PURSUED.
NEEDS ASSESSMENT:A NEEDS ASSESSMENT IS COMPILED EVERY THREE YEARS WHICH DETAILS OVERARCHING HEALTHCARE CONCERNS FOR TEXAS IN GENERAL AS WELL AS MANY DETAILS AFFECTING THE LUBBOCK COMMUNITY BENEFIT SERVICE AREA IN PARTICULAR. SOME OF THE OTHER SOURCES USED FOR COVENANT'S NEEDS ASSESSMENT INCLUDE: ST. JOSEPH HEALTH SYSTEM'S PRC DATA ASSESSMENT, THE UNITED WAY COMMUNITY STATUS REPORT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES DATA. THE PROCESS USED FOR THE PRIORITIZATION OF THE PROGRAMS WAS DETERMINED BY GENERAL CONSENSUS. ALL ASSESSMENTS USED FOR THIS PLAN, PRIMARY AND SECONDARY DATA THAT WAS ANALYZED, INDIVIDUAL MEETINGS WITH GROUPS OF STAKEHOLDERS, AND MEMBERS OF THE COMMUNITY BENEFIT COMMITTEE ALL CONFIRMED THE PROGRAMS WHICH ARE PRIORITIZED FOR THIS PLAN. THE COMMUNITY BENEFIT COMMITTEE, WHICH IS COMPOSED OF FIVE COVENANT BOARD MEMBERS AND FIVE COMMUNITY MEMBERS, BRINGS A HISTORY OF WORK WITHIN THE COMMUNITIES WE SERVE. THE FIVE BOARD MEMBERS HAVE A BROAD OVERVIEW OF THE CORE AND SECONDARY SERVICE AREAS; THE COMMUNITY MEMBERS UNDERSTAND THE DEMOGRAPHICS AND SPECIFIC NEEDS, PARTICULARLY IN THE LUBBOCK AREA. BY HEAVILY RELYING ON THE EXPERTISE OF THESE TEN MEMBERS, PRIORITIZATION OF THE PROGRAM WAS FINALIZED.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:THE ORGANIZATION POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES ARE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES ARE ALSO POSTED AT LOCATIONS WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT CAN OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATE LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS ARE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND ARE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE.
COMMUNITY INFORMATION:COVENANT IS THE ONLY SJHS MINISTRY PROVIDING SERVICES TO COMMUNITIES IN TWO STATES. COVENANT PROVIDES SERVICES IN NEW MEXICO AND DRAWS PATIENTS FROM NEW MEXICO COMMUNITIES INTO LUBBOCK. THE CIRCUMSTANCES OF THESE COMMUNITY MEMBERS PROFOUNDLY IMPACT THE ORGANIZATION AND THE SERVICES IT PROVIDES. COVENANT HEALTH SYSTEM'S COMMUNITY BENEFIT PRIORITIES ADDRESS DUHN POPULATIONS WITHIN BOTH CORE SERVICE AREAS AND SECONDARY SERVICE AREAS FOR COMMUNITY RESIDENTS WHO ARE FACED WITH MULTIPLE HEALTH PROBLEMS AND HAVE LIMITED ACCESS TO TIMELY, HIGH-QUALITY HEALTH CARE. CORE SERVICE AREAS INCLUDE THE TEXAS COUNTIES OF LUBBOCK, BAILEY, LAMB, HALE, FLOYD, MOTLEY, COCHRAN, HOCKLEY, CROSBY, DICKENS, YOAKUM, TERRY, LYNN, GARZA, KENT, GAINES, DAWSON, BORDEN, SCURRY, AND EDDY COUNTY IN NEW MEXICO. ESPECIALLY WITHIN LUBBOCK, FOUR NEIGHBORHOODS, ARNETT-BENSON, HARWELL, PARKWAY-CHERRY POINT AND DUNBAR-MANHATTAN HEIGHTS, ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS (MUA'S). SECONDARY SERVICE AREAS INCLUDE PARMER, CASTRO, AND KING COUNTIES IN TEXAS.
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, OVERSEES THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN EVERY THREE YEARS, AS WELL AS AN ANNUAL COMMUNITY BENEFIT REPORT. THE COMMITTEE ALSO PROVIDES GENERAL DIRECTION TO COVENANT HEALTH SYSTEM 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 INTEGRATED INTO EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH SYSTEM, 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 MISSION IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS, REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY COVENANT HEALTH SYSTEM, AS A MINISTRY OF ST. JOSEPH HEALTH SYSTEM, HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. 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. IN ADDITION TO DEVOTING A PERCENTAGE OF OUR NET INCOME TO COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR VIA CARE FOR THE POOR FUNDS, WE STRIVE TO ANNUALLY BUDGET A PORTION OF OUR TOTAL OPERATING EXPENSES FOR HEALTHY COMMUNITIES AND COMMUNITY HEALTH EFFORTS. DURING THE PAST YEAR, COVENANT HEALTH SYSTEM DEDICATED $1,788,177 IN CARE FOR THE POOR FUNDS AND $1,934,990 TO HEALTHY COMMUNITIES AND COMMUNITY HEALTH INITIATIVES. THIS FUNDING CONTRIBUTED TO THE FOLLOWING COVENANT HEALTH SYSTEM PROGRAMS: HEALTH & NUTRITION EDUCATION, MENTAL HEALTH COUNSELING, ADULT DENTAL, CHILDREN'S DENTAL, COMMUNITY HEALTH SCREENINGS AND COVENANT BODY MIND INITIATIVE.
AFFILIATED HEALTH CARE SYSTEM:COVENANT HEALTH SYSTEM IS A HEALING MINISTRY OF ST. JOSEPH HEALTH SYSTEM, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH SYSTEM 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 OF IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH SYSTEM CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FREE CARE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES A PROCESS 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 FUNDS PROGRAMS THAT EXEMPLIFY THE FOUR CORE VALUES OF ST. JOSEPH HEALTH SYSTEM: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE.
STATE FILING OF COMMUNITY BENEFIT REPORT:TEXAS MINISTRIES REPORT TO STATE OF TEXAS DEPARTMENT OF STATE HEALTH SERVICES IN ACCORDANCE WITH THE TEXAS HEALTH AND SAFETY CODE - SECTION 311.045.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
DIOCESE OF LUBBOCK
PO BOX 98700LUBBOCKTX79416752773524501(C)(3)50000
FIRST UNITED METHODIST CHURCH
1411 BROADWAYLUBBOCKTX79401501(C)(3)30000GRANT FOR FUMC TV WORSHIP SERVICE
TEXAS TECH UNIVERSITY
BOX 41105LUBBOCKTX79409752668014GOVERNMENT125000HEALTH COMMUNITY & CHILDHOOD OBESITY PROGRAM
AMERICAN CANCER SOCIETY LUBBOCK
3513 10TH STLUBBOCKTX79415237040934501(C)(3)5500RELAY FOR LIFE & CHILD PARTY
SUSAN KOMAN FOUNDATION
7412 UNIVERSITY AVELUBBOCKTX79423751835298501(C)(3)25000RACE FOR THE CURE
ST JOSEPH HEALTH SYSTEM FOUNDATION
500 S MAIN STORANGECA92868330143024501(C)(3)3555500CARE FOR THE POOR
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationDONATIONS MADE TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF COVENANT HEALTH SYSTEM. NO ADDITIONAL MONITORING IS DONE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD PARKS
037819009758701009070008649058533300
JOHN GRIGSON
34612801152910104657097660170900592932000
SCOTT ROBINS MD
38434901268220158069019575051050693920000
SUSAN NEVES
25085208230001755390193420507605331090710890
STEVEN MCCAMY
3068060103807095087097720201210535593000
ROXIE TAYLOR
2508900823000119098019557050390476884000
SHARYN IVORY
20584906808401527650269290715304607800910610
SHARON CLARK
254513088940070898096960204050444452000
SHARON PRATHER
21910408239001069650242260983304425180126230
KAREN BAGGERLY
233563076655095987026774051020438081000
RODNEY CATES
2072370700500768750168050132780384245000
FELICIA GORDON
175203058560058586024500096770326526000
MELINDA CLARK
000003672650000036726500
JOE RANDOLPH UNTIL 63011
0710258024155003391170220310286980134165400
JAMES HARRELL MD UNTIL 123110
0597082027090841708000011655062786300
STEVEN BECK
150530050400066506015834097470293017000

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 1AST. 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 SISTER'S FIRST CONGREGATION WAS FORMED. THE PURPOSE OF THE PILGRIMAGE IS FOR THE ORGANIZATION'S LEADER TO DEVELOP A DEEPER UNDERSTANDING OF THE ROOTS AND HERITAGE OF THE ORGANIZATION IN ORDER TO CARRY OUT THE MISSION. COMPANION TRAVEL IS CONSIDERED TO BE AN ESSENTIAL PART OF THIS EXPERIENCE AND THE COMPANION ACTS AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING INDIVIDUAL RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. THE BENEFITS WERE PAID BY COVENANT HEALTH SYSTEM'S TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM. STEVEN MCCAMY - $7,014 COMPANION ATTENDANCE IS ALSO AN ESSENTIAL PART OF THE TRUSTEE CONFERENCE. THE FOLLOWING TRUSTEES RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. MARK JOHNSON - $375 JAMES HARRELL - $292 BRENT HOFFMAN - $375 JANIE RAMIREZ - $375 MICHAEL ROBERTSON - $342 DAVID SEIM - $428 JOHN ZWIACHER - $358 SHARON PRATHER - $375 EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION.
DESCRIPTION OF CEO PAID BY EXEMPT PARENTSCHEDULE J, PART I, LINE 3THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A AND 15B FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM.
SEVERANCE PAYMENTSSCHEDULE J, PART I, LINE 4AMELINDA CLARK RECEIVED $367,265 FOR SEVERANCE PAID THROUGH ST. JOSEPH HEALTH SYSTEM.
DESCRIPTION OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BEXECUTIVES 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. DISTRIBUTIONS FOR THE YEAR WERE AS FOLLOWS: SUSAN NEVES - $71,089 SHARYN IVORY - $91,061 SHARON PRATHER - $12,623
DESCRIPTION OF NON-FIXED PAYMENTSSCHEDULE J, PART I, LINE 7A 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.
SUPPLEMENTAL INFORMATION REGARDING BOARD MEMBERS' COMPENSATIONMARK JOHNSON, M.D. AND MICHAEL ROBERTSON, M.D. RECEIVED COMPENSATION FOR MEDICAL SERVICES PROVIDED, NOT FOR BOARD MEMBER SERVICES.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BENCHMARK SOLUTIONS
DAN POPE / BOARD MEMBER100259GRAPHIC & SERVICES CHARGESfalse
MEMPHIS PLACE MALL LTD
MICHAEL ROBERTSON/BD MMBR116007LEASE OF BUILDINGfalse
MARTY HARRELL
SPOUSE OF BOARD MEMBER94857EMPLOYEE OF CHSfalse
PULMONARY ASSOCIATES
CHEKERU/JOHNSON/PARTNERS589894MEDICAL SERVICESfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMEDICAL EQUIPMENTDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901461557NoncashContribsRptdF990
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART I, LINE 1 & PART III, LINE 1AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, COVENANT HEALTH SYSTEM 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. OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4THREE MISSION OUTCOMES COVENANT HEALTH SYSTEM IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 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. TODAY A YOUNG MAN CAME IN FOR A DENTAL APPOINTMENT. HE WAS ALMOST AN HOUR EARLY FOR HIS APPOINTMENT, WHICH WAS AT 1:00. WHEN HE GOT TO THE OFFICES EVERYONE WAS OUT TO LUNCH EXCEPT ANITA AND ME. WE GOT OUT THE MEDICAL HISTORY AND CONSENT FORMS FOR HIM TO BEGIN WORKING ON BECAUSE HE WAS A NEW PATIENT. I GOT HIM SET UP AT OUR CONFERENCE TABLE SO HE COULD FILL OUT THE FORMS. ANITA CAME OVER TO SEE IF HE HAD ANY QUESTIONS ABOUT THE FORMS. AS ANITA AND I STARTED TO GO BACK TO OUR DESKS, HE STOPPED US AND SHARED HOW EXTREMELY GRATEFUL HE WAS THAT MONA WORKED HIM INTO THE SCHEDULE TODAY AND THAT WE OFFER THIS SERVICE TO "PEOPLE LIKE HIM." HE EXPLAINED THAT HE IS A RECOVERING HEROIN ADDICT AND THAT GOD HAS BEEN WORKING IN HIS LIFE TO HELP HIM MOVE THROUGH ALL THE MISTAKES AND BAD DECISIONS HE MADE OVER THE YEARS. HE IS NOW ON MEDICATIONS FOR MENTAL HEALTH ISSUES AND HAS BEEN TOTALLY CLEAN FOR QUITE SOME TIME. HE SPOKE OF SUPPORT FROM HIS CHURCH, HIS MOTHER, HIS CASEWORKER AND HIS DOCTORS. HE ALSO SHARED THAT HE TAKES FULL RESPONSIBILITY FOR HIS PAST ACTIONS AND TRIES TO BE COMPLETELY HONEST WITH PEOPLE ABOUT HIS HISTORY. HE SHARED THAT HIS TEETH SUFFERED FROM THE DRUG ABUSE AND AS HE IS WORKING TO BEGIN A NEW LIFE HE NEEDS TO HAVE HIS TEETH TAKEN CARE OF. HE KNOWS HE WILL LIKELY NEED PARTIALS AND WAS EXCITED THAT WE OFFER THAT SERVICE TOO. HE TOLD US THAT JUST FIVE DAYS AGO HE WENT TO CHURCH TO HAVE HIS TEETH PRAYED OVER; AS HE WAS WALKING HOME FROM CHURCH HIS CELL PHONE RANG. IT WAS HIS CASEWORKER CALLING TO TELL HIM ABOUT COVENANT'S DENTAL OUTREACH. HE CALLED MONA AND WAS ABLE TO GET WORKED IN TO BE SEEN BY DR. LOVETT TODAY. JUST FIVE DAYS AFTER HIS TEETH WERE PRAYED OVER! HE SPOKE VERY OPENLY ABOUT MISTAKES HE HAD MADE BUT WAS REASSURED THAT GOD FORGIVES HIM AND IS WORKING IN HIS LIFE. THE SINCERE GRATITUDE THAT THIS YOUNG MAN FELT AND EXPRESSED WAS WRITTEN ALL OVER HIS FACE AND I COULD SEE DEEP EMOTION AS HE FOUGHT BACK TEARS. HE TRULY TOUCHED MY HEART. SO SMILE. 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 ADULT DENTAL PROGRAM HAD 1,596 PATIENT ENCOUNTERS AND SERVED 1,452 PATIENTS. AT EACH PATIENT ENCOUNTER, THERE IS THE OPPORTUNITY FOR EDUCATION AND INTERACTION WITH THE PATIENT BY BOTH THE DENTIST AND THE DENTAL ASSISTANT. ADDITIONAL EFFORTS TO KEEP EMERGENCY DEPARTMENT DENTAL REFERENCES OUT OF THE EMERGENCY DEPARTMENT ARE ALSO GRADUALLY IMPROVING. ONE NEW PROCESS THAT WAS IMPLEMENTED THIS YEAR WAS THE FAMILY DENTAL EMERGENCY CLINIC. THE EMERGENCY DENTAL CLINIC ALLOWS US TO TREAT UNDERPRIVILEGED ADULTS WHO ARE EXPERIENCING DENTAL PAIN OR INFECTION MORE QUICKLY. THE PROGRAM BEGAN IN MARCH OF 2010 AND WE WERE ABLE TO TREAT 100% OF THE FINANCIALLY QUALIFIED DENTAL EMERGENCIES REFERRALS MADE TO OUR CLINIC. THIS HELPS TO PREVENT MULTIPLE EMERGENCY ROOM VISITS FOR OUR PATIENTS. 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. TEXAS TECH UNIVERSITY (TTU) CENTER FOR PREVENTION AND RESILIENCY (CPR) FOCUSED ON PROGRAM DELIVERY AND COMMUNITY ENHANCEMENT ACTIVITIES AT THE TALKINGTON SCHOOL FOR YOUNG WOMEN LEADERS AND OL SLATON MIDDLE SCHOOL, BOTH IN THE LUBBOCK INDEPENDENT SCHOOL DISTRICT, AND CHRIST THE KING CATHEDRAL SCHOOL. THE COVENANT BMI AGAIN SPONSORED THE FIT4FUN KID'S TRIATHLON, PARTNERING WITH TEXAS TECH UNIVERSITY, AS A COMMUNITY OUTREACH ACTIVITY. THERE WERE 140 PARTICIPANTS AGES 7-14. FOLLOWING THE TRIATHLON, CBMI SPONSORED THE TEXAS TECH LEISURE POOL FOR THE ATHLETES AND THEIR FAMILIES TO ENJOY TIME TOGETHER; THIS INVOLVED APPROXIMATELY 250 PEOPLE. WE ALSO PARTICIPATED IN THE JUNIOR LEAGUE SPONSORED HEALTHY KIDS CAMP IN JUNE. WE PRESENTED LESSONS AND ACTIVITIES FOR 30 GIRLS. OUR ENHANCEMENTS CONTINUE TO BE: 6TH GRADE: THE INNER BEAUTY PAGEANT, FOCUSING ON THE PERSON THE STUDENT IS ON THE INSIDE, AND BE YOUR OWN TOP CHEF, TEACHING ABOUT HEALTHY SNACKS AND ACTUALLY MAKING A HEALTHY SNACK; 7TH GRADE: WEFIT, AT THE TEXAS TECH REC CENTER, AND NEW IN 2011 IS ROOTS TO RISE. THIS ENHANCEMENT RELATES TO OUR IDENTITY AND BELONGING LESSONS, HELPING THE STUDENTS REALIZE THAT THERE ARE PEOPLE WHO THEY CAN IDENTIFY WITH AND GROUPS THEY BELONG TO THAT THEY MIGHT NOT HAVE BEEN AWARE OF; AND 8TH GRADE: LIVESAFE, WHICH TEACHES FIRST AID FOR CHOKING AND SELF DEFENSE, AND EXPRESS YOURSELF, AN ENHANCEMENT THAT ENCOURAGES STUDENTS TO EXPRESS THEMSELVES THROUGH WRITING AND ART. INITIATIVE OR PROGRAM NAME: NURSING AND RADIOLOGY STUDENTS KEY COMMUNITY PARTNERS: TEXAS TECH HEALTH SCIENCES CENTER (TTUHSC), SOUTH PLAINS COLLEGE, LUBBOCK CHRISTIAN UNIVERSITY TARGET POPULATION: PATIENTS IN THE HOSPITAL GOAL: TO ALLOW NURSING, RADIOLOGY, AND SURGICAL TECHNICIAN STUDENTS FROM COVENANT, SOUTH PLAINS COLLEGE, TTUHSC AND LUBBOCK CHRISTIAN UNIVERSITY TO FULFILL THEIR CLINICAL ROTATION HOURS UNDER THE SUPERVISION OF CHS NURSES, RADIOLOGY TECHNICIANS, AND SURGICAL TECHNICIANS. HOW WILL WE MEASURE SUCCESS? NURSING AND RADIOLOGY STUDENTS WITH HANDS ON EXPERIENCE; AND THE KNOWLEDGE TO CREATE COMPETENT REGISTERED NURSES, RADIOLOGY TECHS AND SURGICAL TECHS. FY 11 ACCOMPLISHMENTS: THIS PROGRAM REPORTED $1,833,059 A DECREASE OF 35.9% FROM FY 2010. INITIATIVE OR PROGRAM NAME: ALLIED HEALTH STUDENTS TARGET POPULATION: PATIENTS IN THE HOSPITAL GOAL: TO ALLOW HEALTH STUDENTS IN THE FIELDS OF FOOD AND NUTRITION, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY TO FULFILL THEIR CLINICAL ROTATION HOURS UNDER THE SUPERVISION OF CHS ALLIED HEALTH PROFESSIONALS. HOW WILL WE MEASURE SUCCESS? INCREASED NUMBER OF HEALTHCARE PROFESSIONALS IN THE SOUTH PLAINS AREA; ALLIED HEALTH STUDENTS WITH HANDS-ON EXPERIENCE AND KNOWLEDGE TO CREATE COMPETENT HEALTHCARE PROFESSIONALS. FY 11 ACCOMPLISHMENTS: THIS PROGRAM REPORTED $351,573 A DECREASE OF 19.7% FROM FY 2010. INITIATIVE OR PROGRAM NAME: KECC COMMUNITY RESOURCE CENTER TARGET POPULATION: ANY COMMUNITY MEMBERS OR HEALTHCARE PROFESSIONALS WHO RECEIVE HEALTH-RELATED EDUCATION. GOAL: TO PROVIDE THE COMMUNITY AND SURROUNDING AREAS ACCESS TO HEALTH-RELATED EDUCATION RESOURCES AND TRAINING TO PROMOTE RECOVERY AND GOOD HEALTH. HOW WILL WE MEASURE SUCCESS?: BY BECOMING THE FIRST PLACE THAT THE COMMUNITY OF LUBBOCK AND SURROUNDING AREA TURNS TO FOR UP-TO-DATE INFORMATION ON HEALTH EDUCATION TO IMPROVE THE LIVES OF PATIENTS, THEIR FAMILIES, AND THE COMMUNITY. FY 11 ACCOMPLISHMENTS: THIS PROGRAM REPORTED $1,208,975 AND REMAINED THE SAME FROM FY 2010. NAME OF INITIATIVE OR PROGRAM: HEALTH AND NUTRITION EDUCATION THE DIABETES MANAGEMENT EDUCATION CLASS IS A GROWING HEALTH EDUCATION PROGRAM. THE FREE CLASS IS COORDINATED AND TAUGHT BY OUR STAFF NUTRITIONIST, AND IS OFFERED FOR THOSE IN THE COMMUNITY WHO HAVE BEEN RECENTLY DIAGNOSED WITH DIABETES. THE COURSE CONTENT INCLUDES OVERALL TOPICS AND VIDEOS ON DIABETES, NUTRITION, DIET, EXERCISE, AND PREVENTION, WITH SPECIALIZED TOPICS ON HYPOGLYCEMIA AND HYPERGLYCEMIA, MEAL PLANNING, ALCOHOL, DEPRESSION, FOOD LABELS, CARBOHYDRATES, DINING OUT, AND SICK-DAY MANAGEMENT. PARTICIPANTS COME TO FOUR SESSIONS OVER A 4-WEEK PERIOD AND RECEIVE A FREE GLUCOMETER AFTER ATTENDING THREE CLASSES IN ORDER TO HELP THEM KEEP TRACK OF THEIR BLOOD SUGAR. IN FY2011, THE HEALTH EDUCATION PROGRAM HAD 294 INDIVIDUAL PATIENT ENCOUNTERS, 396 ENCOUNTERS IN THE SCHOOL SETTING, AND HAD 96 PATIENTS COMPLETE THE FULL DIABETES EDUCATION PROGRAM. THROUGH THE DIABETES MANAGEMENT EDUCATION CLASS, PATIENTS GET SHOWN THE IMPORTANCE OF DIET AND NUTRITION AS A COMPONENT OF THEIR OWN AND THEIR FAMILY'S DIABETIC HEALTH.
THE HEALTH EDUCATION PROGRAM STAFF DISTRIBUTED FLIERS AND POSTERS TO LOCALAGENCIES TO MARKET THE FREE DIABETES MANAGEMENT EDUCATION PROGRAM. IN ADDITION TO MAINTAINING RELATIONSHIPS WITH EXISTING REFERRAL SOURCES, HEALTH EDUCATION PROGRAM STAFF MADE 12 NEW CONTACTS WITH POTENTIAL REFERRAL SOURCES, MAKING INTRODUCTIONS, PROVIDING INFORMATION ABOUT HEP PROGRAMS AND DISTRIBUTING EDUCATIONAL AND INFORMATIVE MATERIALS TO EACH. THANK YOU NOTES WERE ALSO SENT TO 16 REFERRAL SOURCES. THROUGH HEP'S DIABETES EDUCATION CLASSES, PATIENTS REPORTED A TOTAL 14 REFERRAL SOURCES REFERRED TO OUR PROGRAM. PRESENT EDUCATIONAL INFORMATION ON BASIC NUTRITION, EXERCISE AND DIABETES PREVENTION TO THE STUDENTS OF THE ADULT EDUCATION PROGRAM AT THE LUBBOCK INDEPENDENT SCHOOL DISTRICT'S DOROTHY LOMAX CENTER: THREE EDUCATIONAL PRESENTATIONS ON BASIC NUTRITION, EXERCISE AND DIABETES PREVENTION WERE PROVIDED TO A TOTAL OF 68 STUDENTS OF THE ADULT EDUCATION PROGRAM AT LUBBOCK INDEPENDENT SCHOOL DISTRICT'S DOROTHY LOMAX CENTER. A PRE- AND POST-TEST WERE ADMINISTERED TO THE STUDENTS TO MEASURE THEIR KNOWLEDGE OF BASIC NUTRITION, EXERCISE, AND DIABETES PREVENTION. SCORES RESULTED IN AN AVERAGE PRE-TEST SCORE OF 85% AND AN AVERAGE POST-TEST SCORE OF 94%. INITIATIVE OR PROGRAM NAME: COUNSELING CENTER FACILITATE PSYCHO EDUCATION ON THE EMOTIONAL ASPECTS OF DIABETES: THE LEVEL OF INVOLVEMENT BY COVENANT COUNSELING CENTER (CCC) STAFF AND TOPICS PRESENTED IN THE HEALTH EDUCATION PROGRAM (HEP) WERE MAINTAINED. THE DECREASE IN NUMBER OF ATTENDEES IS DUE TO HAVING ONLY ONE PROFESSIONAL STAFF MEMBER IN OUR HEP. THREE FEWER DIABETES EDUCATION SERIES OF HEALTH EDUCATION CLASSES WERE OFFERED DUE TO HER BEING OUT ON MEDICAL LEAVE. PSYCHO EDUCATION WAS PRESENTED BY CCC STAFF TO THE 97 PARTICIPANTS OF THE HEP DIABETES EDUCATION CLASSES IN COORDINATION WITH THE HEP REGISTERED/LICENSED DIETITIAN. EACH CLASS SESSION INCLUDED PRESENTATIONS AND DISCUSSIONS REGARDING THE EMOTIONAL ASPECTS OF DIABETES INCLUDING "THE CONNECTION BETWEEN DIABETES AND DEPRESSION," SYMPTOMS OF DEPRESSION AND SYMPTOM MANAGEMENT, "HOW STRESS AFFECTS BLOOD SUGAR LEVELS," STRESS MANAGEMENT, COGNITIVE SKILLS SUCH AS REFRAMING AND INTERVENTION IN NEGATIVE THINKING, AND APPROPRIATE SELF-CARE. IN THE CLOSING SESSION OF EACH FOUR-WEEK EDUCATION SERIES, ATTENDEES WERE ASKED TO COMPLETE AN OPINION SURVEY SOLICITING HIS OR HER OPINION REGARDING THE INFORMATION PRESENTED INCLUDING "YES" OR "NO" ANSWERS REGARDING WHETHER OR NOT THE ATTENDEE LEARNED NEW INFORMATION ABOUT THE EMOTIONAL ASPECTS OF DIABETES, THE IMPORTANCE OF KNOWING ABOUT THE CONNECTION BETWEEN DIABETES AND DEPRESSION, EASE OF UNDERSTANDING THE INFORMATION PRESENTED, INCREASE IN THE PATIENT'S KNOWLEDGE ABOUT AND RECOGNITION OF SYMPTOMS OF DEPRESSION AND BEING ABLE TO RECOGNIZE THOSE SYMPTOMS IN HIS/HERSELF AND ANY LIKELIHOOD OF ASKING FOR HELP WITH ANY OF THE SYMPTOMS IF RECOGNIZED. NINETY-NINE PERCENT (99%) OF THE SURVEY QUESTIONS WERE ANSWERED FAVORABLY ("YES"), INDICATING A VERY POSITIVE OUTCOME. ATTENDEES WERE INFORMED OF THE SERVICES AVAILABLE AT THE CCC AND THE EASE OF ACCESS TO THOSE SERVICES FOR PERSONS WITH FEW FINANCIAL RESOURCES. CANCER COUNSELING SERVICES PROVIDED IN THE COMMUNITY: INDIVIDUAL, COUPLES, AND FAMILY COUNSELING SESSIONS WERE ALSO PROVIDED TO PATIENTS AND THEIR FAMILIES OF COVENANT HEALTH SYSTEM'S JOE ARRINGTON CANCER CENTER (JACC) IN THE CANCER CENTER SETTING TO ELIMINATE THE NECESSITY FOR THOSE PATIENTS TO TRAVEL TO AN ADDITIONAL OFF-SITE APPOINTMENT. THERE WERE 39 CLIENTS ASSISTED THROUGH THIS UNIQUE SERVICE. CLIENTS ATTENDING THESE CONFIDENTIAL COUNSELING SESSIONS WERE SERVED BY A LICENSED PROFESSIONAL COUNSELOR (LPC) AFTER BEING REFERRED BY PHYSICIANS, NURSES, SOCIAL WORKERS, CHAPLAINS, OR OTHER EMPLOYEES OF JACC. INITIATIVE OR PROGRAM NAME: COMMUNITY OUTREACH CHILDREN'S DENTAL CLINICS DENTAL ENCOUNTERS WERE CONTINUED THROUGHOUT FY 11 IN BOTH THE LUBBOCK, TEXAS AREA AND THE ARTESIA, NEW MEXICO AREA. AT EACH VISIT, THE DENTAL STAFF DISCUSSES THE PROCEDURES PERFORMED DURING THE VISIT WITH THE PATIENT AND THE PARENTS/GUARDIANS, OFTEN REVIEWING WITH THEM PROGRESS COMPLETED WITHIN THE DENTAL PLAN. EACH VISIT INCLUDES REMINDERS ABOUT THE IMPORTANCE OF GOOD ORAL HYGIENE BETWEEN VISITS. IN FY 11, THERE WERE 78 NEW PATIENTS AND 1,077 PATIENT ENCOUNTERS AT THE TEXAS CLINIC, AND 210 NEW PATIENTS AND 2,004 PATIENT ENCOUNTERS AT THE NEW MEXICO CLINIC. THE TOTAL NUMBER OF NEW PATIENTS AT BOTH CHILDREN'S DENTAL CLINICS WAS 288 AND TOTAL PATIENT ENCOUNTERS WERE 3,081 FOR FY 11. THE PARENTS/GUARDIANS OF EACH NEW PATIENT MEET WITH THE DENTIST AND DISCUSS A COMPREHENSIVE DENTAL PLAN FOR THE CHILD'S DENTAL HEALTH. WE PLAN TO CONTINUE EFFORTS TO PROVIDE AND EXPLAIN COMPREHENSIVE DENTAL PLANS TO EACH NEW PATIENT AND PATIENT FAMILY/GUARDIAN. THE TEXAS CLINIC CONTINUES TO CULTIVATE A RELATIONSHIP WITH THE COMBEST CENTER, BUCKNER'S CHILDREN'S HOME, AND LUBBOCK CHILDREN'S HOME. WE HAVE WORKED TO ESTABLISH COLLABORATIONS WITH SEVERAL COMMUNITY HEALTH PROVIDERS THIS YEAR AND HAVE ALSO STRENGTHENED OUR RELATIONSHIP WITH COVENANT MEDICAL GROUP AND THE COVENANT ADULT EMERGENCY DEPARTMENT. IN ADDITION TO COMMUNITY PROVIDERS AND COVENANT PROVIDERS, THE MEDICAID PROVIDER WEBSITE ALSO SERVES AS A REFERRAL SOURCE FOR OUR CLINIC. IN ORDER TO REACH PATIENTS AND TO PROVIDE CONTINUITY OF CARE FOR OUR CURRENT PATIENTS WE STARTED THE APPLICATION PROCESS TO BECOME A CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) PROVIDER. WE BEGAN THE FRAMEWORK TO MOVE TOWARD A FAMILY DENTISTRY MODEL BY CREATING AN EMERGENCY DENTAL CLINIC FOR BOTH CHILDREN AND ADULTS. INITIATIVE OR PROGRAM NAME: ADULT DENTAL IN FY 11, THE ADULT DENTAL PROGRAM HAD 1,596 PATIENT ENCOUNTERS AND SERVED 1,452 PATIENTS. THE ADULT DENTAL STAFF IS CONSCIOUS OF THE NEED TO ESTABLISH RELATIONSHIPS WITH THE PATIENTS WHO ARE SERVED BY OUR PROGRAM. EACH DENTAL PATIENT PARTICIPATING IN THE ADULT DENTAL PROGRAM HAS AN INDIVIDUALIZED TREATMENT PLAN THAT IS DISCUSSED WITH THE PATIENT AND REFERRED TO AT EACH APPOINTMENT AS PROGRESS IS MADE TOWARDS COMPLETION OF THE PLAN. THE PLAN REQUIRES NUMEROUS APPOINTMENTS (ENCOUNTERS) WITH THE DENTIST. AFTER EACH ENCOUNTER THE PATIENTS ARE GIVEN A PATIENT SATISFACTION SURVEY. THE COMMENTS RECEIVED ON THE SURVEYS ARE READ BY THE DENTAL MANAGER IN ORDER TO MONITOR THESE RELATIONSHIPS AND ADDRESS ANY SATISFACTION ISSUES THAT ARISE. IN FY 11, THERE WAS HIGH SATISFACTION ON ALL METRICS. SOME OF THE WRITTEN COMMENTS SUBMITTED INCLUDE: "THE MOBILE UNIT TEAM IS EXTREMELY ENJOYABLE TO RECEIVE SERVICES FROM. THEY MAKE AN UNPLEASANT PROCEDURE ENJOYABLE WITH THEIR PROFESSIONALISM, ACCURACY, AND OVERALL DEDICATION. I AM GRATEFUL FOR THE TREATMENT RECEIVED, AND HUMANITY," AND "WONDERFUL CARE! NICE STAFF! A REAL BLESSING TO ME! THANKS!" AT EACH PATIENT ENCOUNTER, THERE IS THE OPPORTUNITY FOR EDUCATION AND INTERACTION WITH THE PATIENT BY BOTH THE DENTIST AND THE DENTAL ASSISTANT. THERE WERE A TOTAL OF 1,596 PATIENT ENCOUNTERS SERVING 1,452 PATIENTS IN FY 11. THIS IS A 15% DECREASE IN THE NUMBER OF PATIENT ENCOUNTERS AND A 16% DECREASE IN PERSONS SERVED FROM FY 10. HOWEVER, THE ADULT DENTAL PATIENT WAITING LIST HAS DROPPED FROM AROUND 300 IN FY10 TO AROUND 90 CURRENTLY. THIS IS AN ENORMOUS ACCOMPLISHMENT FOR THE PROGRAM. PART OF THIS SUCCESS CAN BE ATTRIBUTED TO DR. PARKER'S TREATMENT OF ADULT PATIENTS IN ADDITION TO HIS CHILD CLIENTS. ONE SITE WAS CONSOLIDATED THIS YEAR IN ORDER TO BETTER SERVE PATIENTS AND CONSERVE OUR RESOURCES. BAILEY COUNTY PATIENTS NOW ARE TREATED AT LAMB COUNTY LEAVING FIVE SITES: CROSBY, DAWSON, GAINES, LAMB AND LYNN COUNTIES. THIS REDUCED TRAVEL TIME AND EXPENSES FOR THE TWO MOBILE DENTISTRY UNITS. THE DENTISTS NOW HAVE MORE TIME FOR PATIENT ENCOUNTERS. IN ADDITION, BOTH DOCTORS CONTINUE TO ALTERNATE THEIR TIME IN LUBBOCK TO ENSURE THAT LUBBOCK PATIENTS ARE SEEN TWO WEEKS OUT OF EVERY MONTH. WE CONTINUE TO BUILD ON RELATIONSHIPS WITH PATIENTS AND WITH KEY RESIDENTS IN THE TOWNS WHERE OUR SERVICE IS PROVIDED. ADDITIONAL EFFORTS TO KEEP EMERGENCY DEPARTMENT DENTAL REFERENCES OUT OF THE EMERGENCY DEPARTMENT ARE ALSO GRADUALLY IMPROVING. ONE NEW PROCESS THAT WAS IMPLEMENTED THIS YEAR WAS THE FAMILY DENTAL EMERGENCY CLINIC. THE EMERGENCY DENTAL CLINIC ALLOWS US TO TREAT UNDERPRIVILEGED ADULTS WHO ARE EXPERIENCING DENTAL PAIN OR INFECTION MORE QUICKLY. THE PROGRAM BEGAN IN MARCH OF 2010 AND WE WERE ABLE TO TREAT 100% OF THE FINANCIALLY QUALIFIED DENTAL EMERGENCIES REFERRALS MADE TO OUR CLINIC. THIS HELPS TO PREVENT MULTIPLE EMERGENCY ROOM VISITS FOR OUR PATIENTS.
INITIATIVE OR PROGRAM NAME: CCHSI COMMUNITY HEALTH SCREENINGSIN FISCAL YEAR 2011, COVENANT REDUCED HEALTH RISKS FOR VULNERABLE POPULATIONS THROUGH TWO COMMUNITY HEALTH SCREENINGS. MORE THAN 500 ADULTS RECEIVED PREVENTATIVE SERVICES SUCH AS BLOOD PRESSURE TESTS, HEARING TESTS, DEPRESSION SCREENINGS, SKIN CANCER SCREENINGS, HEIGHT/WEIGHT AND BMI CHECKS, GLUCOSE FINGER STICKS, AND MORE. ADDITIONALLY, 219 WOMEN RECEIVED PAP SMEARS, HPV TESTING AND CLINICAL BREAST EXAMS WHILE 111 MEN HAD DIGITAL RECTAL EXAMS, PSAS, AND TESTICULAR EXAMS. ALL PARTICIPANTS RECEIVED HEALTH EDUCATION MATERIALS AND GUIDANCE ON KEEPING PERSONAL MEDICAL RECORDS. COVENANT ALSO WORKED WITH THE COMMUNITY PARTNERS TO PROVIDE FREE HEARING TESTS AND DENTAL SCREENINGS. APPROXIMATELY 268 PEOPLE RECEIVED FINGER-STICK TESTING TO MONITOR THEIR GLUCOSE LEVEL, FOLLOWED BY HEALTH EDUCATION REGARDING HEALTHY FOOD ALTERNATIVES. CARDIOLOGY AND CANCER EARLY DETECTION BROCHURES, GUIDANCE ON KEEPING PERSONAL MEDICAL RECORDS, AND STD VOUCHERS PROVIDED BY THE CITY OF LUBBOCK WERE ALSO AVAILABLE TO THOSE IN ATTENDANCE. A DENTAL SCREENING WAS AVAILABLE AT THE APRIL SCREENING, WHERE TWO DENTISTS WITH ASSISTANTS ADMINISTERED 50 DENTAL/ORAL HEALTH SCREENING AND EDUCATION SESSIONS. COVENANT'S CERTIFIED INTERPRETERS, COVENANT LIFESTYLE CENTER, COVENANT MEDICAL GROUP, JOE ARRINGTON CANCER CENTER, COVENANT SURGICENTER AND COVENANT KECC COMMUNITY RESOURCE CENTER ALL PARTICIPATED AND HAD AN ACTIVE, EDUCATIVE ROLE AT THESE HEALTH SCREENING EVENTS. INITIATIVE OR PROGRAM NAME: COVENANT BODY MIND INITIATIVE TEXAS TECH UNIVERSITY (TTU) CENTER FOR PREVENTION AND RESILIENCY (CPR) FOCUSED ON PROGRAM DELIVERY AND COMMUNITY ENHANCEMENT ACTIVITIES AT THE TALKINGTON SCHOOL FOR YOUNG WOMEN LEADERS AND OL SLATON MIDDLE SCHOOL, BOTH IN THE LUBBOCK INDEPENDENT SCHOOL DISTRICT, AND CHRIST THE KING CATHEDRAL SCHOOL. IN ACCORDANCE WITH OUR STATEWIDE INITIATIVE, THE FORT WORTH YOUNG WOMEN'S LEADERSHIP ACADEMY IS ALSO RECEIVING THE COVENANT BODYMIND INITIATIVE (BMI) CURRICULUM. THE IRMA RANGEL MIDDLE SCHOOL IN THE DALLAS INDEPENDENT SCHOOL DISTRICT CONTINUED TO BE THE CONTROL SCHOOL FOR THE 2010-2011 SCHOOL YEAR. THEY WILL BEGIN RECEIVING THE CURRICULUM IN THE FALL OF 2011, AS WILL THE HOUSTON YOUNG WOMEN'S COLLEGE PREPARATORY ACADEMY. THE COVENANT BMI AGAIN SPONSORED THE FIT4FUN KID'S TRIATHLON, PARTNERING WITH TEXAS TECH UNIVERSITY, AS A COMMUNITY OUTREACH ACTIVITY. THERE WERE 140 PARTICIPANTS AGES 7-14. FOLLOWING THE TRIATHLON, CBMI SPONSORED THE TEXAS TECH LEISURE POOL FOR THE ATHLETES AND THEIR FAMILIES TO ENJOY TIME TOGETHER, THIS INVOLVED APPROXIMATELY 250 PEOPLE. WE ALSO PARTICIPATED IN THE JUNIOR LEAGUE SPONSORED HEALTHY KIDS CAMP IN JUNE. WE PRESENTED LESSONS AND ACTIVITIES FOR 30 GIRLS. OUR ENHANCEMENTS CONTINUE TO BE: 6TH GRADE: THE INNER BEAUTY PAGEANT, FOCUSING ON THE PERSON THE STUDENT IS ON THE INSIDE, AND BE YOUR OWN TOP CHEF, TEACHING ABOUT HEALTHY SNACKS AND ACTUALLY MAKING A HEALTHY SNACK; 7TH GRADE: WEFIT, AT THE TEXAS TECH REC CENTER, AND NEW IN 2011 IS ROOTS TO RISE. THIS ENHANCEMENT RELATES TO OUR IDENTITY AND BELONGING LESSONS, HELPING THE STUDENTS REALIZE THAT THERE ARE PEOPLE WHO THEY CAN IDENTIFY WITH AND GROUPS THEY BELONG TO THAT THEY MIGHT NOT HAVE BEEN AWARE OF; AND 8TH GRADE: LIVESAFE, WHICH TEACHES FIRST AID FOR CHOKING AND SELF DEFENSE, AND EXPRESS YOURSELF, AN ENHANCEMENT THAT ENCOURAGES STUDENTS TO EXPRESS THEMSELVES THROUGH WRITING AND ART. WE CONTINUE TO TRY AND INVOLVE THE PARENTS IN OUR PROGRAM. WE SEND OUT A QUARTERLY NEWSLETTER. DONNA CLARK LOVE, A WELL KNOWN AUTHOR AND PRESENTER ON THE TOPIC OF BULLYING, CAME TO LUBBOCK IN JANUARY 2011 AS A JOINT SPONSORSHIP BETWEEN THE COVENANT BMI AND THE FOUNDATION FOR THE EXCELLENCE OF YOUNG WOMEN. THERE WERE 175 COMMUNITY MEMBERS IN ATTENDANCE. OF THOSE 175, ONE THIRD OF THEM WERE PARENTS OF STUDENTS RECEIVING OUR CURRICULUM. THE FIT4FUN FAMILY TIME AT THE LEISURE POOL BROUGHT OUT APPROXIMATELY 250 PEOPLE. ALL OF THE TRIATHLON PARTICIPANTS WERE REQUIRED TO HAVE A PARENT OR GUARDIAN WITH THEM AT THE POOL. OVERALL IMPROVEMENT IN HEALTH AND WELLNESS OF PROJECT PARTICIPANTS WITHIN FIVE YEARS: MEASUREMENT OF PARTICIPANT LEVELS OF DEPRESSION AND SELF-ESTEEM IS BEING TRACKED ANNUALLY BY UTILIZING BECK YOUTH DEPRESSION INVENTORY AND ROSENBERG SELF-ESTEEM INVENTORY. SELF-REPORTS OF PARTICIPANT'S OVERALL ACTIVITY, FITNESS LEVEL, AND NUTRITION IS BEING TRACKED ANNUALLY AND MEASURED BY INSTRUMENTS SUCH AS NUTRITIONIST PRO AND FITNESSGRAM/ACTIVITYGRAM. AND, QUALITATIVE DATA INCLUDING STORIES FROM TEACHERS AND STUDENTS USING AND RECEIVING THE CURRICULUM IS ALSO BEING GATHERED. REDUCTION IN THE PREVALENCE OF CHILDHOOD OBESITY AND WEIGHT-RELATED PROBLEMS IN THE LUBBOCK AREA WITHIN FIVE YEARS: REDUCTION RATES WERE TRACKED ANNUALLY USING BMI ON ALL STUDENTS RECEIVING OUR CURRICULUM. DATA FROM SCHOOL YEAR 2010-2011 HAS BEEN COLLECTED AND ENTERED, BUT RUNNING OF DATA AND ANALYSIS IS STILL IN PROGRESS. RESULTS SHOW US THAT ALMOST HALF OF OUR KIDS REMAINED HEALTHY AND DID NOT GAIN AN UNHEALTHY AMOUNT IF THEY GAINED WEIGHT. ALSO, ALMOST 20% OF THE KIDS IMPROVED THEIR HEALTH AFTER STARTING OUT OVERWEIGHT OR OBESE. THEREFORE, ALMOST 70% OF OUR KIDS IMPROVED OR REMAINED HEALTHY. OF THE 382 STUDENTS WHO PARTICIPATED IN THE BMI PROGRAM OVER THE 2010-2011 ACADEMIC YEAR, 186 STUDENTS (48.69%) REMAINED IN THE HEALTHY RANGE OF LESS THAN THE 85TH PERCENTILE. OF THE 382 STUDENTS WHO PARTICIPATED IN THE BMI PROGRAM OVER THE 2010-2011 ACADEMIC YEAR, 75 STUDENTS (19.63%) WHOSE BMI PERCENTILES WERE EQUAL TO OR GREATER THAN THE 85TH PERCENTILE DECREASED THEIR BMI PERCENTILE TO A DIFFERENT PERCENTILE. THE CBMI EXPANDED OUR CURRICULUM THIS YEAR AND DEVELOPED A COURSE TITLED COMPREHENSIVE WELLNESS. WE APPLIED TO THE TEXAS EDUCATION AGENCY FOR APPROVAL AS AN INNOVATIVE COURSE. WE RECEIVED APPROVAL AT THE END OF FEBRUARY 2011. THIS MEANS THAT OUR COURSE MAY BE OFFERED AS A 9TH GRADE SEMESTER ELECTIVE AND THE STUDENTS WILL RECEIVE CREDIT FOR TAKING COMPREHENSIVE WELLNESS. IT IS THE FIRST COMPREHENSIVE WELLNESS CURRICULUM IN THE STATE OF TEXAS. WE ALSO HAD THE OPPORTUNITY TO PRESENT AT THE NATIONAL WELLNESS CONFERENCE IN JULY 2011. AS A RESULT, INQUIRIES HAVE BEEN MADE FROM PROGRAMS IN THE US AND EVEN OUTSIDE THE US ABOUT OUR CURRICULUM AND WELLNESS PHILOSOPHY. FOR MORE INFORMATION ABOUT COVENANT HEALTH SYSTEM PLEASE VISIT WWW.COVENANTHEALTH.ORG FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJOE.ORG.
BUSINESS AND FAMILY RELATIONSHIPSFORM 990, PART VI, LINE 2NAIDU CHEKURU AND MARK JOHNSON HAVE A BUSINESS RELATIONSHIP.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6ST. JOSEPH HEALTH SYSTEM AND LUBBOCK METHODIST HOSPITAL SYSTEM ARE THE CORPORATE MEMBERS OF COVENANT HEALTH SYSTEM.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, LINE 7ACOVENANT HEALTH SYSTEM HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE COVENANT HEALTH SYSTEM BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE COVENANT HEALTH SYSTEM 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 ST. JOSEPH HEALTH SYSTEM MEMBER APPROVES 50% OF THE BOARD NOMINATIONS, PLUS THE VOTING CEO. THE LUBBOCK METHODIST HEALTH SYSTEM MEMBER APPROVES THE OTHER 50% OF BOARD NOMINATIONS.
DECISIONS REQUIRING APPROVALFORM 990, PART VI, LINE 7BTHE 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.
PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11BTHE 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 APRIL 2012 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, LINE 12COFFICERS, 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 CONFLICTS & COMPENSATION 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 FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE.
PROCESS USED TO DETERMINE COMPENSATIONFORM 990, PART VI, LINES 15A AND 15BTHE 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. DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN 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, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN SEPTEMBER 2011.
AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY ANDFINANCIAL STATEMENTS TO THE GENERAL PUBLICFORM 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 AVAILABLE ON THE SJHS INTERNET SITE.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIIBRENT HOFFMAN SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. DAN POPE SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 5 HOURS PER WEEK TO CHS AND 5 HOURS PER WEEK TO CCH. DAVID SEIM SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. JAMES E. HARRELL, M.D. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE IS ALSO AN EMPLOYEE OF COVENANT MEDICAL GROUP (CMG), A RELATED TAX-EXEMPT ORGANIZATION. HE DEVOTES 2 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO CCH AND 46 HOURS PER WEEK TO CMG. JANIE RAMIREZ SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). SHE DEVOTES 3 HOURS PER WEEK TO CHS AND 3 HOURS PER WEEK TO CCH. JOE DEE BROOKS SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS), COVENANT CHILDREN'S HOSPITAL (CCH) AND COVENANT HOSPITAL LEVELLAND (CHL). HE DEVOTES 2 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO CCH, AND 5 HOURS PER WEEK TO CHL. JOE RANDOLPH SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE IS ALSO AN EMPLOYEE OF ST. JOSEPH HEALTH SYSTEM (SJHS), A RELATED TAX-EXEMPT ORGANIZATION. HE DEVOTES 2 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO CCH AND 46 HOURS PER WEEK TO SJHS. JOHN C. ANDERSON SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 3 HOURS PER WEEK TO CHS AND 3 HOURS PER WEEK TO CCH. JOHN GRIGSON IS THE SVP/CFO FOR COVENANT HEALTH SYSTEM (CHS), COVENANT CHILDREN'S HOSPITAL (CCH) AND IS THE CEO OF COVENANT HEALTH PARTNERS (CHP). HE DEVOTES 26 HOURS PER WEEK TO CHS, 12 HOURS PER WEEK TO CCH, AND 12 HOURS PER WEEK TO CHP. JOHN ZWIACHER SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 3 HOURS PER WEEK TO CHS AND 3 HOURS PER WEEK TO CCH. JUAN SANCHEZ MUNOZ, PHD SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. MARK JOHNSON, M.D. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE IS ALSO AN EMPLOYEE OF COVENANT MEDICAL GROUP (CMG), A RELATED TAX-EXEMPT ORGANIZATION. HE DEVOTES 2 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO CCH AND 46 HOURS PER WEEK TO CMG. MICHAEL DANCHAK, M.D. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. MICHAEL ROBERTSON, M.D. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS), COVENANT CHILDREN'S HOSPITAL (CCH) AND COVENANT HEALTH PARTNERS (CHP). HE DEVOTES 3 HOURS PER WEEK TO CHS, 3 HOURS PER WEEK TO CCH, AND 2 HOURS PER WEEK TO CHP. MONSIGNOR DAVID CRUZ SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 3 HOURS PER WEEK TO CHS AND 3 HOURS PER WEEK TO CCH. NAIDU CHEKURU, M.D. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE IS ALSO AN EMPLOYEE OF COVENANT MEDICAL GROUP (CMG), A RELATED TAX-EXEMPT ORGANIZATION. HE DEVOTES 2 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO CCH AND 46 HOURS PER WEEK TO CMG. RICHARD PARKS, PRESIDENT AND CEO OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH) ALSO SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM FOUNDATION (CHSF). HE DEVOTES 35 HOURS PER WEEK TO CHS, 20 HOURS PER WEEK TO CCH AND 2 HOURS PER WEEK TO CHSF. RODNEY CATES IS THE VP OF HUMAN RESOURCES OF COVENANT HEALTH SYSTEM (CHS) AND ALSO SERVES ON THE BOARD OF DIRECTORS OF HOSPICE OF LUBBOCK (HOL). HE DEVOTES 48 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO HOL. ROXIE TAYLOR IS THE VP OF ADMIN LAKESIDE & JACC OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH) AND ALSO SERVES ON THE BOARD OF DIRECTORS OF HOSPICE OF LUBBOCK (HOL). SHE DEVOTES 28 HOURS PER WEEK TO CHS, 20 HOURS PER WEEK TO CCH AND 2 HOURS PER WEEK TO HOL. SAM HAWTHORNE SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS), COVENANT CHILDREN'S HOSPITAL (CCH) AND COVENANT HEALTH SYSTEM FOUNDATION (CHSF). HE DEVOTES 2 HOURS PER WEEK TO CHS, 2 HOURS PER WEEK TO CCH, AND 2 HOURS PER WEEK TO CHSF. SCOTT ROBINS IS THE CHIEF MEDICAL OFFICER OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT HEALTH PARTNERS (CHP). HE DEVOTES 38 HOURS PER WEEK TO CHS AND 12 HOURS PER WEEK TO CHP. SHARON PRATHER IS THE PRESIDENT OF CONVEANT HEALTH SYSTEM FOUNDATION (CHSF) AND AS SUCH DEVOTES 20 HOURS PER WEEK TO COVENANT HEALTH SYSTEM (CHS) AND 30 HOURS PER WEEK TO CHSF. SISTER MARY THERESE SWEENEY, CSJ SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). SHE DEVOTES 3 HOURS PER WEEK TO CHS AND 3 HOURS PER WEEK TO CCH. SISTER SUZANNE SASSUS, CSJ SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). SHE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. STEVEN BECK IS THE VP OF REGIONAL SERVICES OF COVENANT HEALTH SYSTEM (CHS), COVENANT HOSPITAL PLAINVIEW (CHPL), AND COVENANT HOSPITAL LEVELLAND (CHL). HE DEVOTES 20 HOURS PER WEEK TO CHS, 15 HOURS PER WEEK TO CHPL AND 15 HOURS PER WEEK TO CHL. STEVEN MCCAMY IS THE PRESIDENT AND CEO OF COVENANT MEDICAL GROUP (CMG) AND AS SUCH HE DEVOTES 5 HOURS PER WEEK TO COVENANT HEALTH SYSTEM AND 45 HOURS PER WEEK TO CMG. SUZANNE BLAKE SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). SHE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. TEB THAMES, M.D. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. TODD BRODBECK, D.O. SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 2 HOURS PER WEEK TO CHS AND 2 HOURS PER WEEK TO CCH. TROY THIBODEAUX IS THE COO OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 30 HOURS PER WEEK TO CHS AND 20 HOURS PER WEEK TO CCH. VAN MAY SERVES ON THE BOARD OF DIRECTORS OF COVENANT HEALTH SYSTEM (CHS) AND COVENANT CHILDREN'S HOSPITAL (CCH). HE DEVOTES 3 HOURS PER WEEK TO CHS AND 3 HOURS PER WEEK TO CCH.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5NONOPERATING GAINS (LOSSES) $8,766,397 PRIOR YEAR TRUE UP OF FUND BALANCE ALLOCATION 24,690 EQUITY TRANSFERS - RELATED ORGANIZATIONS (660,862) ---------- $8,130,225 ==========
OVERSIGHT OR SELECTION PROCESSFORM 990, PART XII, LINE 2CTHE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT.
SECTION 409A RELIEF UNDER SECTION V.D. OF IRS NOTICE 2008-113OPERATIONAL DEFECTS(A) NAME AND SOCIAL SECURITY NUMBERS OF AFFECTED PARTICIPANTS: NOT APPLICABLE. (B) THE SECTION 409A FAILURE OCCURRED WITH RESPECT TO THE ST. JOSEPH HEALTH SYSTEM 457(F) PLAN ("PLAN"). (C) OPERATIONAL DEFECT (1): IN FEBRUARY 2010 IT WAS DISCOVERED THAT THE PLAN FAILED TO COMPLY WITH SECTION 409A BECAUSE IT PROVIDED FOR IMPERMISSIBLE ALTERNATIVE PAYMENT SCHEDULES FOR VOLUNTARY AND INVOLUNTARY SEPARATIONS FROM SERVICE AND DID NOT SPECIFY THAT PAYMENT WILL BE MADE ON THE 60TH DAY FOLLOWING VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON-COMPETE AGREEMENT. IN ACCORDANCE WITH SECTIONS VI.B, VII.C AND XI.A OF NOTICE 2010-6, THE PLAN WAS AMENDED EFFECTIVE AS OF JANUARY 1, 2009 TO APPLY THE TIMING RULE APPLICABLE TO INVOLUNTARY TERMINATIONS TO VOLUNTARY TERMINATIONS AND TO PROVIDE THAT PAYMENT WILL BE MADE ON THE 60TH DAY FOLLOWING VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON-COMPETE AGREEMENT. THIS AMENDMENT WAS SIGNED BY THE EMPLOYER ON OCTOBER 6, 2010. THEREFORE, THE DATE ON WHICH THE FAILURE OCCURRED WAS THE 60TH DAY FOLLOWING THE SEPARATION FROM SERVICE DATE FOR PARTICIPANTS WHO VOLUNTARILY TERMINATED ON OR AFTER JANUARY 1, 2009 AND ON OR BEFORE DECEMBER 31, 2009. THE PLAN COVERS ELIGIBLE EMPLOYEES OF PARTICIPATING EMPLOYERS. COVENANT HEALTH SYSTEM PARTICIPATES IN THE PLAN AND HAD ONE EMPLOYEE WHO VOLUNTARILY TERMINATED IN 2009. (BECAUSE THE FORM 990 IS OPEN TO PUBLIC INSPECTION AND THE THREAT OF IDENTITY THEFT, SSNS WILL BE PROVIDED UPON REQUEST) NAME/SOCIAL SECURITY NUMBER: JAMES WURTS DATE OF WHEN THE FAILURE OCCURRED: 07/02/2009 12/31/2009 ACCOUNT BALANCE: $109,322 PAYMENT DATE: 12/17/2010 GROSS AMOUNT DISTRIBUTED*: $109,322 *DISTRIBUTIONS DID NOT INCLUDE ANY INTEREST EARNED AFTER DECEMBER 31, 2009 FOR PARTICIPANTS WHO TERMINATED IN 2009. OPERATIONAL DEFECT (2): IN 2010 IT WAS DISCOVERED THAT 3 PARTICIPANTS, EMPLOYED BY OTHER PARTICIPATING EMPLOYERS, WERE NOT TIMELY PAID THEIR PLAN ACCOUNTS FOLLOWING INVOLUNTARY TERMINATIONS IN 2009, AS REQUIRED BY THE PLAN. USUALLY, SUCH DISTRIBUTIONS ARE MADE WITHIN 30 DAYS FOLLOWING THE INVOLUNTARY TERMINATION DATE. THEREFORE, THE DATE ON WHICH THE FAILURE OCCURRED WAS THE 30TH DAY FOLLOWING THE INVOLUNTARY TERMINATION DATE. THE PLAN'S ADMINISTRATIVE PROCEDURES HAVE BEEN REVIEWED TO ASSURE THAT IN THE FUTURE PLAN BENEFITS ARE PAID PROMPTLY AFTER ALL INVOLUNTARY TERMINATIONS. COVENANT HEALTH SYSTEM DID NOT HAVE ANY EMPLOYEES WHO WERE INVOLUNTARILY TERMINATED AND NOT TIMELY PAID THEIR PLAN BENEFIT. (D) THE PLAN QUALIFIED FOR RELIEF UNDER SECTIONS VI.B, VII.C AND XI.A OF IRS NOTICE 2010-6 AND ON OCTOBER 6, 2010, A PLAN AMENDMENT WAS SIGNED. THE AMENDMENT PROVIDES THAT EFFECTIVE AS OF JANUARY 1, 2009, ALL BENEFITS WILL BE PAID IMMEDIATELY UPON AN INVOLUNTARY SEPARATION FROM SERVICE (CURRENTLY THE STATUS QUO) AND ON THE 60TH DAY FOLLOWING VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON COMPETE AGREEMENT. ANY PARTICIPANT WHO VOLUNTARILY SEPARATED FROM SERVICE ON OR AFTER JANUARY 1, 2009 AND ON OR BEFORE DECEMBER 31, 2009 WAS PAID HIS CURRENT PLAN ACCOUNT BALANCE AFTER THE DATE THE AMENDMENT WAS SIGNED, BUT REDUCED FOR ANY INTEREST EARNED IN 2010 (IF ANY). AS ALLOWED BY NOTICE 2010-80, THE EMPLOYER SIGNED AN AMENDMENT ON DECEMBER 20, 2010 TO PROVIDE THAT PAYMENT WILL NO LONGER BE REQUIRED ON THE 60TH DAY FOLLOWING INVOLUNTARY SEPARATION FROM SERVICE, BUT WITHIN 60 DAYS FOLLOWING SEPARATION FROM SERVICE. HOWEVER, IF THE 60TH DAY FALLS IN THE SECOND TAX YEAR, PAYMENT WILL BE MADE IN THE SECOND TAX YEAR. THE PLAN'S ADMINISTRATIVE PROCEDURES HAVE BEEN CHANGED TO PAY PLAN ACCOUNTS IMMEDIATELY FOLLOWING A PARTICIPANT'S INVOLUNTARY SEPARATION FROM SERVICE (CURRENTLY THE STATUS QUO) AND WITHIN 60 DAYS FOLLOWING A VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON-COMPETE AGREEMENT AND SUBJECT TO THE REQUIREMENT THAT IF THE 60TH DAY FALLS IN THE SECOND TAX YEAR THEN PAYMENT WILL BE MADE IN THE SECOND TAX YEAR. (E) THESE OPERATIONAL FAILURES ARE ELIGIBLE FOR THE CORRECTION UNDER THE TERMS OF IRS NOTICE 2008-113 AND THE EMPLOYER HAS TAKEN ALL ACTIONS REQUIRED, AND OTHERWISE MET ALL REQUIREMENTS, FOR SUCH CORRECTION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHS HOLDING GP LLC
4000 24TH STREETLUBBOCKTX79410205477307HEALTHCARETX00NA
COVENANT LTC-GP LLC
4000 24TH STREETLUBBOCKTX79410205477333HEALTHCARETX00NA
CHS HOLDING LP
4000 24TH ST LUBBOCKLUBBOCKTX79410205477251HEALTHCARETX00NA

Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CAMINO HEALTH CENTER
30300 CAMINO CAPISTRANOSAN JUAN CAPISTRANOCA92675330574214HEALTHCARECA501(C)(3)7MHRMC
COVENANT HEALTH PARTNERS
3615 19TH STREETLUBBOCKTX79410611573313HEALTHCARETX501(C)(3)11, ICHS
COVENANT HEALTH SYSTEM FOUNDATION
4000 24TH STREETLUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHS
COVENANT MEDICAL GROUP
3420 22ND PLACELUBBOCKTX79410752743883HEALTHCARETX501(C)(3)3CHS
HOME CARE PARTNERS
1165 MONTGOMERY DRSANTA ROSACA95405680318656INACTIVECA501(C)(3)3SRMH
HOSPICE OF LUBBOCK
1102 SLIDE ROADLUBBOCKTX79414752133781HEALTHCARETX501(C)(3)7CHS
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREETLUBBOCKTX79410752220963HEALTHCARETX501(C)(3)7CHS
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREETLUBBOCKTX79410752428911HEALTHCARETX501(C)(3)3CHS
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUELEVELLANDTX79336752246348HEALTHCARETX501(C)(3)3CHS
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROADPLAINVIEWTX79072752426010HEALTHCARETX501(C)(3)3CHS
MISSION HOSPITAL REG MED CTR FDN
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691330406118HEALTHCARECA501(C)(3)7MHRMC
MISSION HOSPITAL REGIONAL MEDICAL CENTER
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691951643360HEALTHCARECA501(C)(3)3SJHS
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREETNAPACA94558941243669HEALTHCARECA501(C)(3)3SJHS
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVEFORTUNACA95540942779313FOUNDATIONCA501(C)(3)7RMH
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVEFORTUNACA95540941384665HEALTHCARECA501(C)(3)3SJHS
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVESANTA ROSACA95405941231005HEALTHCARECA501(C)(3)3SJHS
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)1NA
SRM ALLIANCE HOSPITAL SERVICES
400 NORTH MCDOWELL BLVDPETALUMACA94954680395200HEALTHCARECA501(C)(3)3SRMH
ST JOSEPH HEALTH FDN OF N CALIFORNIA
PO BOX 552SANTA ROSACA95405680338070INACTIVECA501(C)(3)11, ISRMH
ST JOSEPH HEALTH MINISTRY
500 S MAIN STREET SUITE 400ORANGECA92868271666576RELIGIOUS ORGCA501(C)(3)1SSJO
ST JOSEPH HEALTH SYSTEM
500 S MAIN STREET SUITE 700ORANGECA92868953589356HEALTHCARECA501(C)(3)11, ISJHM
ST JOSEPH HEALTH SYSTEM FOUNDATION
500 S MAIN STREET SUITE 1000ORANGECA92868330143024HEALTHCARECA501(C)(3)7SJHS
ST JOSEPH HOME CARE NETWORK
170 PROFESSIONAL CENTER DR BROHNERT PARKCA94928680331084HEALTHCARECA501(C)(3)9SJHS
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREETEUREKACA95501941156596HEALTHCARECA501(C)(3)3SJHS
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVEORANGECA92868951643359HEALTHCARECA501(C)(3)3SJHS
ST JUDE HOSPITAL YORBA LINDA
279 E IMPERIAL HWY 750FULLERTONCA92635330185031HEALTHCARECA501(C)(3)3SJHS
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVEFULLERTONCA92835951643325HEALTHCARECA501(C)(3)3SJHS
ST JUDE MEMORIAL FOUNDATION
1440 N HARBOR BLVD 200FULLERTONCA92835953607229HEALTHCARECA501(C)(3)11, ISJMC
ST MARY MEDICAL CENTER
18300 HIGHWAY 18APPLE VALLEYCA92307951914489HEALTHCARECA501(C)(3)3SJHS
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREETLUBBOCKTX79410751653181HEALTHCARETX501(C)(3)7CHS
TALLER SAN JOSE
801 NORTH BROADWAYSANTA ANACA92701593816355WORKFORCE DEVCA501(C)(3)2SSJO

Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)

Primary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
ST JOSEPH HLTH SYS HOME HLTH
HOME HEALTHCANAN/A00false$0false0.00000
ST JOSEPH HLTH SYS HOME CARE
HOME HEALTHCANAN/A00false$0false0.00000
METHODIST DIAGNOSTIC IMAGING
HEALTHCARE SVCSTXNAN/A00false$0false0.00000
SHA LLC
HEALTHCARE SVCSTXNAN/A00false$0false0.00000
LUBBOCK SURGERY CENTER LTD
HEALTHCARE SVCSTXNAN/A00false$0false0.00000
COVENANT LONG-TERM CARE LP
HEALTHCARE SVCSTXNAN/A00false$0false0.00000
HERITAGE INVESTMENT GROUP
INVESTMENTCANAN/A00false$0false0.00000
MISSION AMBULATORY SURGICENTER
HEALTHCARE SVCSCANAN/A00false$0false0.00000
COMPREHENSIVE IMAGING PARTNERS
HEALTHCARE SVCSCANAN/A00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
ST JOSEPH PROF SRVS ENTERPRISES INC
500 S MAIN STREET SUITE 700ORANGECA92868330155323HEALTHCARE SVCSCANAC-CORP000.00000
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCENAC-CORP000.0000058 PAR-LA-VILLE ROADHAMILTONHM HXBDBD
ALLIANCE PHYSICIAN SERVICES
INACTIVECANAC-CORP000.00000
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARE SVCSCANAC-CORP000.00000
MISSION MEDICAL CENTER ASSOCIATION
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330201044HEALTHCARE SVCSCANAC-CORP000.00000
ST JOSEPH YORBA PARK
INACTIVECANAC-CORP000.00000
LUBBOCK METHODIST HOSPITAL SVCS
PO BOX 1201LUBBOCKTX79410752118585HEALTHCARE SVCSTXNAC-CORP000.00000
LUBBOCK METHODIST HOSP PRACTICE MGMT
2107 OXFORD STREET SUITE 300LUBBOCKTX79410752578995INACTIVETXNAC-CORP000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (58 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ST JOSEPH HEALTH SYSTEM FOUNDATION
B3555500
ST JOSEPH HEALTH SYSTEM FOUNDATION
C1928339
COVENANT HEALTH SYSTEM FOUNDATION
C1461557
COVENANT HEALTH SYSTEM FOUNDATION
C826466
COVENANT HOSPITAL LEVELLAND
R8149889
COVENANT HOSPITAL LEVELLAND
N755653
COVENANT HOSPITAL LEVELLAND
Q8578754
COVENANT HOSPITAL PLAINVIEW
R8692111
COVENANT HOSPITAL PLAINVIEW
N86384
COVENANT HOSPITAL PLAINVIEW
Q7448368
COVENANT HEALTH PARTNERS
R2419740
COVENANT HEALTH PARTNERS
L1861683
COVENANT HEALTH PARTNERS
Q168896
COVENANT HEALTH PARTNERS
O278759
COVENANT CHILDREN'S HOSPITAL
R50663854
COVENANT CHILDREN'S HOSPITAL
N1307603
COVENANT CHILDREN'S HOSPITAL
Q74324347
HOSPICE OF LUBBOCK
R797634
HOSPICE OF LUBBOCK
J51000
HOSPICE OF LUBBOCK
N105587
HOSPICE OF LUBBOCK
Q894036
CAMINO HEALTH CENTER
0
COVENANT MEDICAL GROUP
0
HOME CARE PARTNERS
0
LUBBOCK METHODIST HOSPITAL FOUNDATION
0
MISSION HOSPITAL REG MED CTR FDN
0
MISSION HOSPITAL REGIONAL MEDICAL CENTER
0
QUEEN OF THE VALLEY MEDICAL CENTER
0
REDWOOD MEMORIAL FOUNDATION
0
REDWOOD MEMORIAL HOSPITAL
0
SANTA ROSA MEMORIAL HOSPITAL
0
SRM ALLIANCE HOSPITAL SERVICES
0
ST JOSEPH HEALTH FDN OF N CALIFORNIA
0
ST JOSEPH HOME CARE NETWORK
0
ST JOSEPH HOSPITAL OF EUREKA
0
ST JOSEPH HOSPITAL OF ORANGE
0
ST JUDE HOSPITAL YORBA LINDA
0
ST JUDE HOSPITAL INC
0
ST JUDE MEMORIAL FOUNDATION
0
ST MARY MEDICAL CENTER
0
ST MARY OF THE PLAINS HOSPITAL FDN
0
ST JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY
0
ST JOSEPH HEALTH SYSTEM HOME CARE SERVICES
0
METHODIST DIAGNOSTIC IMAGING
0
SHA LLC
0
LUBBOCK SURGERY CENTER LTD
0
COVENANT LONG-TERM CARE LP
0
HERITAGE INVESTMENT GROUP
0
MISSION AMBULATORY SURGICENTER
0
COMPREHENSIVE IMAGING PARTNERS
0
ST JOSEPH PROF SVCS ENTERPRISES INC
0
ALLIANCE PHYSICIAN SERVICES
0
MISSION VIEJO MEDICAL VENTURES
0
MISSION MEDICAL CENTER ASSOCIATES
0
ST JOSEPH YORBA PARK
0
LUBBOCK METHODIST HOSPITAL SERVICES
0
LUBBOCK METHODIST HOSPITAL PRACTICE MGMT
0
CHS HOLDING LP
0

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierNAME, ADDRESS, AND EIN OF RELATED ORGANIZATIONIdentifier
Return ReferenceSCHEDULE R, PART III, COLUMN AReturnReference
ExplanationST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 CHS HOLDING, LP EIN: 20-5477251 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 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: 500 S. MAIN STREET STE. 1000 ORANGE, CA 92868 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 92868Explanation