2012-05-11T18:03:00-04:00 2011-06-30 ERNST & YOUNG US LLP 18111 VON KARMAN AVENUE SUITE 1000 IRVINE CA 92612 990 2010-07-01 953589356 ST JOSEPH HEALTH SYSTEM STJO 7143477500 500 S MAIN STREET ORANGE CA 928684507 DEBORAH A PROCTOR 2012-04-27 true 9497942300 2010 2016-02-24 21:20:13Z X DEBORAH PROCTOR 500 S MAIN ST ORANGE CA 928684507 237528827 false 0928 X WWW.STJHS.ORG X 1981 CA WE ARE COMMITTED TO EXTENDING THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. 15 13 706 20 0 0 18094 269451 63523629 217438641 7939686 10888512 19870292 8932223 91351701 237528827 4057155 3941199 0 0 53782806 123210079 0 0 1241453 36785798 105182936 94625759 232334214 -3274058 5194613 1693408761 1666716085 1629527518 1593375846 63881243 73340239 X SEE SCHEDULE O false false 181979028 3941199 226872953 SEE SCHEDULE O 181979028 true true false true false false false false false true false false true true true false true false false true false false false false false false true false true true false false false false false true false false false false false false false false true true true true false false true 332 0 true 706 true false false false false false false false false false false X 15 13 false false false false true true true true true false false true true true true true true true true true true CA X DARRIN MONTALVO 7143477500 500 S MAIN STREET SUITE 1000 ORANGE CA 92868 X RICHARD S BLAIR 4.0 X 0 0 0 NED DOLEJSI 2.0 X 0 0 0 SISTER MARIE JEANNE GAILLAC 4.0 X 0 0 0 FATHER TOM KOPFENSTEINER 4.0 X 0 0 0 KEITH MARTON MD 2.0 X 0 0 0 SISTER LORAINE POLACCI 2.0 X 0 0 0 SISTER KATHLEEN PRUITT 2.0 X 0 0 0 DAN WILFORD 4.0 X 0 0 0 SISTER CLAUDETTE DESFORGES 2.0 X 0 0 0 SISTER JO ANN EANNARENO 2.0 X 0 0 0 SISTER DIANE HEJNA 2.0 X 0 0 0 MARY LYONS PHD 4.0 X 0 0 0 SISTER EILEEN MCNERNEY CSJ 2.0 X 0 0 0 SISTER MARY BERNADETTE MCNULTY 4.0 X 0 0 0 PAULA L WOODS 4.0 X 0 0 0 BILL NOCE 5.0 X 45000 0 0 HENRY WALKER 4.0 X X 259687 0 0 DEBORAH A PROCTOR 50.0 X X 1727345 0 310878 DARRIN MONTALVO 50.0 X 919849 0 50495 SUSAN WHITTAKER 50.0 X 764198 0 55818 SISTER JANE HELMLINGER 50.0 X 0 0 0 JOSEPH RANDOLPH 50.0 X 1290925 0 50729 ELLIOT STERNBERG 50.0 X 934481 0 36849 WILLIAM MURIN 50.0 X 858377 0 16833 PETER BASTONE 0.0 X 846397 0 55724 DENNIS SISTO 0.0 X 782271 0 40447 CLARENCE BURKE 0.0 X 723892 0 31016 LEE PENROSE 0.0 X 715886 0 38662 CLYDE WESP 50.0 X 658319 0 23573 KEVIN KLOCKENGA 0.0 X 617060 0 37035 JOSEPH MARK 0.0 X 606210 0 33913 ANNETTE WALKER 50.0 X 593574 0 43000 LAWRENCE STOFKO 50.0 X 579535 0 50292 RICHARD PARKS 0.0 X 576684 0 8649 JASON BARKER 0.0 X 564732 0 24006 SHANNON DWYER 50.0 X 560088 0 48151 RYAN FAULKNER 50.0 X 406174 0 31325 LARRY AINSWORTH 0.0 X 765542 0 41135 AZHAR QURESHI 50.0 X 630648 0 31002 STEPHEN GILBERT 50.0 X 566206 0 50806 JAMES MCMANUS 50.0 X 550078 0 47498 JOANN ESCASA-HAIGH 50.0 X 521035 0 43999 MELINDA CLARK 0.0 X 367265 0 0 ADRIANA LYNCH 0.0 X 331816 0 0 GEORGE PEREZ 0.0 X 317152 0 0 19080426 0 1201835 168 true true false DELOITTE CONSULTING LLP 4022 SELLS DRIVE HERMITAGE TN 37076 CONSULTING 6448118 POLSINELLI SHUGHART PC 700 WEST 47TH STREET SUITE 1000 KANSAS CITY MO 64112 LEGAL 4528627 SIMPLER NORTH AMERICA LP PO BOX 36 BLOOMFIELD IA 52537 CONSULTING 3426246 NAVIN HAFFTY ASSOCIATES LLC 200 CORDWAINER DRIVE SUITE 100 NORWELL MA 02061 LEGAL 3017040 DENMARK SHANNON ROLAND PO BOX 1582 APPLE VALLEY CA 92307 CONSTRUCTION 2876081 57 269451 269451 SUPPORT AND SERVICE REVENUE 561110 213223968 213223968 COLLECTION SERVICE REVENUE 561110 3513447 3513447 MANAGEMENT FEES FROM TAX-EXEMPT ORGS. 561110 699996 699996 ALL OTHER PROGRAM SERVICE REVENUE 900099 1230 1230 217438641 10888512 10888512 0 0 0 0 0 0 REBATES AND REFUNDS 561110 5165241 5165241 ASSET RETIREMENT-LIABILITY ADJ 900099 3153681 3153681 EXPENSE REIMBURSEMENTS 561110 1115390 1115390 -502089 -502089 8932223 237528827 226872953 10386423 3941199 3941199 0 0 0 18149221 11371837 6777384 416772 416772 55356519 43153550 11510758 692211 2530664 2122649 366025 41990 43121283 31227206 11524708 369369 3635620 2717760 879388 38472 0 188508 94254 94254 3612609 3612609 0 0 0 25716114 18294675 7412962 8477 0 6476323 5559838 908252 8233 35845959 35425115 420844 0 2710842 1899321 810788 733 2754684 1749066 968377 37241 0 1330610 297064 1032595 951 2302321 1795810 506511 6597888 6597888 5357892 4179156 1178736 7834119 7772130 61989 ASSOCIATION DUES 2720256 2720256 OTHER DUES 590780 219309 353642 17829 ALL OTHER EXPENSES 1144031 840945 277139 25947 232334214 181979028 49113733 1241453 246598653 87569892 150000 116667 2737738 2732688 120200572 22359458 55876591 97841114 109254612 179773737 37447593 23597949 35421000 35421000 1205922574 1239663038 1693408761 1666716085 166495207 196071834 1255831343 1226832875 119200000 68700000 88000968 101771137 1629527518 1593375846 X 63262617 72774408 618626 565831 63881243 73340239 1693408761 1666716085 X 5194613 4264383 X false true true X false X X X X false false false ST JOSEPH HEALTH MINISTRY 271666576 01 true true true 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true 3169 false false true 9429 false false 12598 false LOBBYING ACTIVITIES SCHEDULE C, PART II-B DURING THE PAST YEAR, THE ST. JOSEPH HEALTH SYSTEM HAS CONDUCTED AN ADVOCACY EFFORT WHICH INCLUDED SOME LOBBYING ACTIVITY. THESE INCLUDED MEETING WITH LOCAL, STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS; AND COMMUNICATIONS TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION. 11230000 11230000 25300562 11579261 13721301 6199348 2959820 3239528 19995906 7820377 12175529 57474756 57474756 97841114 INTERCO BONDS AFFILIATES 1147380219 INTERCO RECEIVABLES 54777529 OTHER ASSETS 37505290 1239663038 0 SWAP VALUATION 44964253 RETIREE PLANS 42273708 ASBESTOS ASSET RETIREMENT LIABILITY 14533176 101771137 CONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740) SCHEDULE D, PART X, LINE 2 ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY OR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2011 OR 2010. Europe (Including Iceland and Greenland) 0 0 Program Services LEPUY PILGRIMAGE 279060 Central America and the Caribbean 0 0 Program Services SEE PART IV 47200 Central America and the Caribbean 0 0 Investments 104823192 0 0 0 0 105149452 105149452 true false true false false false ACCOUNTING METHOD SCHEDULE F, PART I, LINE 3, COLUMN F THE ACCRUAL METHOD OF ACCOUNTING WAS USED TO DETERMINE THE AMOUNTS IN COLUMN F. SCHEDULE F, PART I, LINE 3, #2 EL SALVADOR/GUATEMALA PILGRIMAGE true ST JOSEPH HOSPITAL OF EUREKA 2700 DOLBEER ST EUREKA CA 95501 951156596 501(C)(3) 3277751 PROGRAM SUPPORT VOLUNTEER CENTER ORANGE COUNTY 1901 E FOURTH STREET SANTA ANA CA 92705 952021700 501(C)(3) 250000 PROGRAM SUPPORT MERCY HOUSING 1999 BROADWAY SUITE 1000 DENVER CO 80202 470646706 501(C)(3) 150000 PROGRAM SUPPORT THE FED OF THE CONGREGATIONS OF SISTERS ST JOSEPH 11 DAVIS STREET BELMONT MA 02478 431519323 501(C)(3) 55000 PROGRAM SUPPORT CALIFORNIA INSTITUTE FOR NURSING 663 13TH STREET STE 300 OAKLAND CA 94612 820570413 501(C)(3) 50000 PROGRAM SUPPORT LATINO HEALTH ACCESS 450 W 4TH ST STE 130 SANTA ANA CA 92701 330562943 501(C)(3) 27500 PROGRAM SUPPORT SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ORANGE CA 92868 951643383 501(C)(3) 17250 PROGRAM SUPPORT TALLER SAN JOSE 801 N BROADWAY SANTA ANA CA 92701 593816355 501(C)(3) 15000 PROGRAM SUPPORT OC HUMAN RELATIONS 1300 S GRAND AVE BLDG B SANTA ANA CA 92705 330438086 501(C)(3) 10000 PROGRAM SUPPORT COVENANT HEALTH SYSTEM FOUNDATION 4000 24TH STREET LUBBOCK TX 79410 952897026 501(C)(3) 10000 PROGRAM SUPPORT SHARE OUR SELVES 1550 SUPERIOR AVENUE COSTA MESA CA 92627 953222316 501(C)(3) 10000 PROGRAM SUPPORT BETHANY 480 S BATAVIA ORANGE CA 92856 951643383 501(C)(3) 7699 PROGRAM SUPPORT MATER DEI HIGH SCHOOL 1202 W EDINGER AVENUE SANTA ANA CA 92707 951648193 501(C)(3) 5500 PROGRAM SUPPORT 12 0 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 DONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF THE ST. JOSEPH HEALTH SYSTEM. NO FOLLOW UP MONITORING IS CONDUCTED. THE DONATION TO ST. JOSEPH HOSPITAL OF EUREKA WAS GIVEN TO MATCH THEIR CAPITAL CAMPAIGN AND WAS APPROVED BY THE SJHS BOARD. X X X X true true X X X X true true false false false false false true false HENRY WALKER 259687 0 0 0 0 0 0 0 0 0 259687 0 0 0 DEBORAH A PROCTOR 1043102 0 426987 0 257256 0 296978 0 13900 0 2038223 0 0 0 DARRIN MONTALVO 498761 0 177176 0 243912 0 21629 0 28866 0 970344 0 0 0 SUSAN WHITTAKER 414675 0 143109 0 206414 0 22023 0 33795 0 820016 0 0 0 JOSEPH RANDOLPH 710258 0 241550 0 339117 0 22031 0 28698 0 1341654 0 0 0 ELLIOT STERNBERG 513547 0 174566 0 246368 0 17102 0 19747 0 971330 0 0 0 WILLIAM MURIN 482546 0 163542 0 212289 0 7350 0 9483 0 875210 0 0 0 PETER BASTONE 422410 0 162636 0 261351 0 17149 0 38575 0 902121 0 37980 0 DENNIS SISTO 395384 0 152551 0 234336 0 22024 0 18423 0 822718 0 21372 0 CLARENCE BURKE 369115 0 124998 0 229779 0 17001 0 14015 0 754908 0 54085 0 LEE PENROSE 395460 0 158748 0 161678 0 17079 0 21583 0 754548 0 0 0 CLYDE WESP 383643 0 130820 0 143856 0 9770 0 13803 0 681892 0 0 0 KEVIN KLOCKENGA 350926 0 137694 0 128440 0 9769 0 27266 0 654095 0 0 0 JOSEPH MARK 358017 0 141332 0 106861 0 9769 0 24144 0 640123 0 0 0 ANNETTE WALKER 369652 0 122580 0 101342 0 9201 0 33799 0 636574 0 0 0 LAWRENCE STOFKO 317552 0 110323 0 151660 0 16775 0 33517 0 629827 0 0 0 RICHARD PARKS 378190 0 97587 0 100907 0 0 0 8649 0 585333 0 0 0 JASON BARKER 316797 0 105138 0 142797 0 9800 0 14206 0 588738 0 0 0 SHANNON DWYER 311372 0 107392 0 141324 0 17139 0 31012 0 608239 0 0 0 RYAN FAULKNER 267073 0 63887 0 75214 0 9443 0 21882 0 437499 0 0 0 LARRY AINSWORTH 398610 0 206901 0 160031 0 19564 0 21571 0 806677 0 0 0 AZHAR QURESHI 347470 0 118028 0 165150 0 16999 0 14003 0 661650 0 0 0 STEPHEN GILBERT 326984 0 99931 0 139291 0 22018 0 28788 0 617012 0 0 0 JAMES MCMANUS 287715 0 78560 0 183803 0 17135 0 30363 0 597576 0 44388 0 JOANN ESCASA-HAIGH 315643 0 114616 0 90776 0 9772 0 34227 0 565034 0 0 0 MELINDA CLARK 0 0 0 0 367265 0 0 0 0 0 367265 0 0 0 ADRIANA LYNCH 0 0 0 0 331816 0 0 0 0 0 331816 0 0 0 GEORGE PEREZ 0 0 0 0 317152 0 0 0 0 0 317152 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART 1, LINE 1A ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL TO CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING TRUSTEE AND OFFICER RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION: HENRY WALKER - $306 THE HEALTH SYSTEM GROSSES UP PAYMENTS FOR LIMITED APPROVED EXPENDITURES. EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. THE HEALTH SYSTEM ALLOWS FOR PAYMENT OF HEALTH AND SOCIAL CLUBS USED FOR BUSINESS ACTIVITY. SUCH EXPENDITURES ARE NOT CONSIDERED TAXABLE COMPENSATION. SCHEDULE J, PART I LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FOR EITHER PART OR ALL OF THE YEAR: MELINDA CLARK - $367,265 ADRIANA LYNCH - $331,816 GEORGE PEREZ - $317,152 SCHEDULE J, PART I LINE 4B EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM THE 457(F) PLAN: PETER BASTONE - $37,980 DENNIS SISTO - $21,372 CLARENCE BURKE - $54,085 JAMES MCMANUS - $44,388 ST. JOSEPH HEALTH SYSTEM EXECUTED A MARKET-COMPETITIVE SUPPLEMENTAL RETIREMENT PLAN AGREEMENT WITH DEBORAH PROCTOR, CHIEF EXECUTIVE OFFICER. OTHER DEFERRED COMPENSATION INCLUDES $284,836 FOR THE CURRENT YEAR VESTING. THE PLAN VESTS FROM HER HIRE DATE OF NOVEMBER 2004 THROUGH DECEMBER 2013. SCHEDULE J, PART I LINE 7 A PORTION OF 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. CALIFORNIA HEALTH FACILITIES FINANCING AUTH 2009 521643828 13033LCN5 2009-08-27 426930280 SEE PART V false false false CALIFORNIA STATEWIDE COMMUNITIES DEV AUTH 2007 680164610 130795CX3 2007-04-18 494550000 SEE PART V false false false LUBBOCK HEALTH FACILITIES DEVELOPMENT CORP 2008A 521313557 549208DX1 2008-05-15 51500000 SEE PART V false false false LUBBOCK HEALTH FACILITIES DEVELOPMENT CORP 2008B 521313557 549208DY9 2008-06-19 136185000 SEE PART V false false false 340000 0 426930280 0 0 0 4480280 0 0 180000000 0 0 2009 true false true true 13400000 0 503314075 0 1965796 0 3420712 7471224 0 417563109 0 0 2008 true false true true 3450000 0 51500000 0 0 0 0 0 0 0 0 0 2004 true false true true 20180000 0 136185000 0 0 0 602023 1035827 0 0 0 0 1998 true false true true false true true true true 0.01000 0.00200 0.01200 true false true true true true 0.01600 0.00200 0.01800 true false true false false false false false false false false false true false false false false false false false true true MORGAN STANLEY SVCS 25. false false false false false SCHEDULE K, PART I, COLUMN F A. THE PROCEEDS DERIVED FROM THE SALE OF THE 2009A BONDS ARE TO BE USED TO FUND CERTAIN COSTS OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $180,000,000. PROJECT FUNDS ARE TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, AND EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. THE ORIGINAL ISSUE DATE WAS AUGUST 27, 2009. THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE ALSO TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JANUARY 29, 2004 & REFUNDED MAY 15, 2008 & REFUNDED AGAIN AUGUST 27,2009. B. THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO FUND CERTAIN COSTS OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $255,000,000. PROJECT FUNDS ARE TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, AND EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL (ORANGE), ST. MARY REGIONAL MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE ALSO TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY CERTIFICATES OF PARTICIPATION ORIGINALLY EXECUTED AND DELIVERED ON OCTOBER 22, 1997. C. THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LUBBOCK HEALTH FACILTIES DEVELOPMENT CORPORATION ("LHFDC") INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JUNE 30, 2000. D. THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LHFDC INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON DECEMBER 1, 1998. SCHEDULE K, PART II, LINE 3 B. THE DIFFERENCE FROM THE BOND ISSUE PRICE IN PART I, COLUMN (E) IS DUE TO INTEREST EARNED ON THE PROJECT FUNDS PRIOR TO FINAL ALLOCATION OF PROCEEDS. SCHEDULE K, PART IV, LINE 2 B. THE BONDS WERE CONVERTED FROM A VARIABLE RATE TO A FIXED RATE IN MARCH OF 2008. C. THE BONDS WERE CONVERTED FROM A VARIABLE RATE TO A FIXED RATE IN AUGUST OF 2009. LAWRENCE STOFKO RELOCATION X 50000 50000 false true true KEVIN KLOCKENGA RELOCATION X 100000 66667 false true true 116667 AMENDED RETURN FORM 990, BOX B THIS RETURN HAS BEEN AMENDED TO INCLUDE ATTACHMENT 7 FOR THE FORM 5471. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, THE SJHS SYSTEM OFFICE IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A REALIZING OUR MISSION THE SJHS SYSTEM OFFICE IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORS" AND MINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. TODAY THE ST. JOSEPH HEALTH SYSTEM IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. SJHS IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA AND WEST TEXAS/EAST NEW MEXICO AND SERVES A DIVERSE POPULATION ESTIMATED AT 7 MILLION. THE SYSTEM INCLUDES THE SYSTEM OFFICE LOCATED IN ORANGE, CALIFORNIA, 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. THREE MISSION OUTCOMES ALONGSIDE THE ENTIRE ST. JOSEPH HEALTH SYSTEM, THE SJHS SYSTEM OFFICE 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. 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 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. WHAT ARE THE STEPS WE ARE TAKING TO REACH THIS GOAL? WE COLLECT AND ANALYZE DATA ON VARIOUS DEMOGRAPHIC, SOCIOECONOMIC, MORBIDITY AND HEALTH RELATED BEHAVIORS IN THE COMMUNITIES WE SERVE. BY COLLECTING COMMUNITY HEALTH DATA, WE ARE ABLE TO SHARE OUR FINDINGS WITH OTHER COMMUNITY ORGANIZATIONS AND DEVELOP EVIDENCE-BASED INITIATIVES AND PROGRAMS IN THE COMMUNITIES WE SERVE. FY11 PROGRAM SERVICE ACCOMPLISHMENTS: THE OVERALL GOAL OF HEALTHY FOR LIFE IS TO DECREASE THE PREVALENCE OF CHILDREN AND ADOLESCENTS WHO ARE OVERWEIGHT OR OBESE. KEY PARTNERS: SOUTHERN CALIFORNIA: ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL ORANGE, MISSION HOSPITAL- LAGUNA BEACH AND MISSION VIEJO, ST. MARY MEDICAL CENTER. NORTHERN CALIFORNIA: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HEALTH SYSTEM-HUMBOLDT COUNTY, ST. JOSEPH HEALTH SYSTEM- SONOMA COUNTY, ST. JOSEPH HEALTH SYSTEM FOUNDATION, AND LOCAL SCHOOL DISTRICTS IN NORTHERN AND SOUTHERN CALIFORNIA SERVICE AREAS. ACCOMPLISHMENTS: CHILDHOOD OBESITY HAS INCREASED CONSIDERABLY IN THE PAST 30 YEARS. THE CENTERS FOR DISEASE CONTROL AND PREVENTION ASSERT THAT OBESITY RATES FOR CHILDREN AGED 6 TO 11 YEARS INCREASED FROM 6.5% IN 1980 TO 19.6% IN 2008. IN THE SAME TIMEFRAME, THE PREVALENCE AMONG ADOLESCENTS AGED 12 TO 19 YEARS INCREASED FROM 5.0% TO 18.1%. ACCORDING TO THE 2009 CALIFORNIA HEALTH INTERVIEW SURVEY PUBLISHED BY THE UCLA CENTER FOR HEALTH POLICY RESEARCH, 28.6% OF ADOLESCENTS AND 11.2% OF CHILDREN ARE OVERWEIGHT OR OBESE IN THE STATE OF CALIFORNIA. THE CAUSAL PATHWAYS OF OBESITY ARE MULTIFACETED AND ALTHOUGH SEDENTARY LIFESTYLES AND EXCESS CALORIC INTAKE ARE THE PRIMARY DRIVERS OF THE EPIDEMIC, THESE ARE MEDIATED BY GENETIC, SOCIOECONOMIC, AND ENVIRONMENTAL VARIABLES. SEVERAL INFLUENCING FACTORS INCLUDE: THE PERCEPTION OF UNSAFE STREETS; MORE TIME SPENT ON COMPUTERS AND WATCHING TELEVISION; GREATER RELIANCE ON THE AUTOMOBILE FOR TRANSPORTATION; LACK OF SAFE AND WELCOMING OPPORTUNITIES FOR WALKING AND BICYCLING; THE INFLUENCE OF ADVERTISING MEDIA TO CONSUME HIGH FAT AND HIGH SUGAR PRODUCTS; AND THE TENDENCY OF THOSE WITH LOW INCOMES TO CONSUME INEXPENSIVE BUT CALORIE RICH FOODS. THE OVERALL GOAL OF THE HEALTHY FOR LIFE PROGRAM IS TO DECREASE THE PREVALENCE OF CHILDREN AND ADOLESCENTS WHO ARE OVERWEIGHT OR OBESE. THE LINK BETWEEN AN UNHEALTHY WEIGHT STATUS AND CHRONIC DISEASES SUCH AS TYPE II DIABETES AND PREMATURE CARDIOVASCULAR DISEASE IS WELL ESTABLISHED. RESEARCH ALSO SUGGESTS THAT INDIVIDUALS WHO ARE OVERWEIGHT OR OBESE ARE AT GREATER RISK FOR PSYCHOLOGICAL DISTRESS INCLUDING DEPRESSION, POOR SELF-ESTEEM AND LONELINESS. HEALTHY FOR LIFE WAS DEVELOPED TO ADDRESS BOTH THE PHYSICAL AND PSYCHOLOGICAL IMPACTS OF CHILDHOOD OBESITY. THE PROGRAM'S OBJECTIVES INVOLVE TEACHING THE STUDENTS SKILLS AND PROVIDING THEM WITH TOOLS THAT WILL ENABLE THEM TO DEVELOP HEALTHIER LIFESTYLE HABITS. THE PHYSICAL AND NUTRITION EDUCATION COMPONENTS ARE SPECIFICALLY TAILORED FOR CHILDREN IN PRESCHOOL AND ELEMENTARY SCHOOL AND FOR ADOLESCENTS IN MIDDLE AND HIGH SCHOOLS. THE PHYSICAL EDUCATION COMPONENT TEACHES STUDENTS THE IMPORTANCE OF BEING PHYSICALLY ACTIVE. THE SPORTS, PLAY AND ACTIVE RECREATION FOR KIDS (SPARK) CURRICULUM IS USED FOR THE PRESCHOOL AND ELEMENTARY STUDENTS WITH LESSONS INCORPORATED INTO THEIR SCHOOL DAY. GAME CONES, NYLON ROPE, SCOOTERS, BEACH BALLS, FOAM AND KOOSH BALLS, PADDLES, HOOPS, A 20-FOOT PARACHUTE AND A CRAWL TUNNEL ARE SUPPLIED TO THE YOUNGER STUDENTS AS PART OF THE SPARK CURRICULUM. FOR THE MIDDLE AND HIGH SCHOOL STUDENTS, THE PROGRAM IS OFFERED AS A GRADED PHYSICAL EDUCATION (PE) CLASS AND THE FITNESS FOR LIFE TEXTBOOK IS USED AS A BASE FOR THE CURRICULUM. THE FITNESS EQUIPMENT FOR MIDDLE AND HIGH SCHOOLS INCLUDES BODY BARS, DUMB BELLS, JUMP ROPES, LOWER BODY BANDS, EXERCISE TUBING AND EXERCISE BALLS. AS PART OF THE PHYSICAL ACTIVITY CURRICULUM, A CERTIFIED KICKBOXING INSTRUCTOR LEADS A KICKBOXING WORKOUT SESSION TWICE A MONTH FOR THE STUDENTS. EACH SCHOOL IS PROVIDED WITH THE FITNESS EQUIPMENT REQUIRED FOR THE PROGRAM AT NO COST. THE NUTRITION EDUCATION COMPONENT OF THE PROGRAM IS INCORPORATED INTO THE PE CLASS AND AIMS TO EQUIP THE STUDENTS WITH KNOWLEDGE THAT WILL ENABLE THEM TO MAKE HEALTHIER EATING AND LIFESTYLE CHOICES. IN ADDITION TO THE CLASS, A REGISTERED DIETICIAN PROVIDES TWO HOUR-LONG NUTRITION PRESENTATIONS TO THE STUDENTS AFTER SCHOOL. FOR PRESCHOOL AND ELEMENTARY STUDENTS THE PRESENTATIONS ARE SPECIFICALLY TARGETED FOR THEIR PARENTS WHO ARE ENCOURAGED TO ATTEND THE LECTURES, OFFERED IN ENGLISH AND SPANISH. THE LESSONS AND LECTURES ARE BASED ON A VARIETY OF TOPICS INCLUDING THE IMPORTANCE OF EATING BREAKFAST DAILY, INCREASING VEGETABLE AND FRUIT CONSUMPTION, METHODS ON HOW TO PREPARE HEALTHIER CULTURAL MEALS, MINIMIZING THE CONSUMPTION OF FOODS THAT ARE HIGH IN FAT AND SUGAR, EATING OUT HEALTHY, HOW TO READ A NUTRITION LABEL, AND PORTION DISTORTION. MIDDLE AND HIGH SCHOOL STUDENTS ARE ALSO ENCOURAGED TO INPUT THEIR ACTIVITY AND FOOD LOGS INTO THE PROGRAM WEBSITE (HTTP://WWW.HEALTHYFORLIFE.ORG) AVAILABLE IN SPANISH AND ENGLISH. A LAPTOP COMPUTER IS PROVIDED TO EACH PARTICIPATING MIDDLE AND HIGH SCHOOL TO ENSURE ACCESS TO A COMPUTER. WEEKLY NUTRITION TIPS ARE ALSO SHARED WITH THE STUDENTS AND THEIR FAMILIES AT SCHOOL. THE HEALTHY FOR LIFE PROGRAM IS INNOVATIVE AND CREATIVE IN ADDRESSING THE COMMUNITY ISSUE OF CHILDHOOD OBESITY. AS PART OF THE PHYSICAL ACTIVITY COMPONENT, FITNESS INSTRUCTORS LEAD STUDENTS IN EXERCISE ROUTINES SUCH AS KICKBOXING AND ZUMBA. FURTHERMORE, THE CULTURALLY-RESPONSIVE PROGRAM ALLOWS FOR COMMUNITY ADAPTABILITY TO SERVE DISTINCTIVE GEOGRAPHIC AND DEMOGRAPHIC MAKE-UPS. TO DATE, OVER 10,000 STUDENTS HAVE BEEN IMPACTED BY THE HEALTHY FOR LIFE PROGRAM. OVER 50% OF THE STUDENTS ARE OF HISPANIC ORIGIN AND MORE THAN 80% OF THE STUDENTS ARE ENROLLED IN TITLE I SCHOOLS ACROSS THE STATE, WHICH ARE SCHOOLS WHERE 40% OF ENROLLMENT CONSISTS OF CHILDREN FROM LOW-INCOME FAMILIES. ADDITIONALLY THE INITIATIVE HAS INCREASED COMMUNITY LINKAGES BETWEEN PHYSICIANS AND SCHOOL DISTRICTS. THESE LINKAGES HAVE RESULTED IN A CULTURAL SHIFT WITH PARTICIPATING SCHOOL TEACHERS, STAFF, STUDENTS AND THEIR COMMUNITY TOWARD A COMMITMENT FOR PHYSICAL ACTIVITY. TO IMPLEMENT THE PROGRAM, SJHS AND ITS ENTITIES HAVE PARTNERED WITH SCHOOLS AND SCHOOL DISTRICTS IN THE COMMUNITIES THEY SERVE AS WELL AS THE UNIVERSITY OF CALIFORNIA-IRVINE. CALIFORNIA STATE UNIVERSITY OF FULLERTON HAS ALSO SUPPORTED THE PROGRAM THROUGH THE PROVISION OF INTERNS. RADIO DISNEY HAS BEEN VERY INVOLVED WITH THE PROGRAM BY LAUNCHING SCHOOL ASSEMBLIES, VARIOUS COMMUNITY EVENTS, AND PROMOTING THE PROGRAM ON THEIR RADIO STATION RADIO DISNEY AM1110. FUNDING WAS ALSO PROVIDED BY FIRST FIVE TO FURTHER EXPAND THE PROGRAM TO PRESCHOOLS IN THE HIGH DESERT REGION OF SAN BERNARDINO COUNTY. SINCE 2008, THE SJHS AND SJHS FOUNDATION HAVE INVESTED OVER $3 MILLION TO MAXIMIZE HEALTHY FOR LIFE'S IMPACT BY EXPANDING THE CURRICULUM TO PRE-SCHOOL, ELEMENTARY, JUNIOR HIGH AND HIGH SCHOOLS THROUGHOUT THE STATE OF CALIFORNIA. BODY MASS INDEX (BMI) DATA WAS COMPLETED FOR 2,087 STUDENTS. THE PERCENT OF STUDENTS WHO WERE OVERWEIGHT OR OBESE AT BASELINE AND YEAR END WAS 28.7% (599) AND 31% (645), RESPECTIVELY. OF THOSE WHO WERE OVERWEIGHT AT BASELINE (N=151), 57% DECREASED TO A HEALTHY WEIGHT, 38.4% MAINTAINED THIS STATUS AND 4.6% INCREASED TO OBESE BY YEAR END. OF THOSE WHO WERE OBESE AT BASELINE (N=448), 9.6% DECREASED TO A HEALTHY WEIGHT, 1.8% DECREASED TO OVERWEIGHT AND THE REMAINING 88.6% MAINTAINED THE OBESE STATUS BY YEAR END. AVERAGE BMI FOR STUDENTS WHO WERE OVERWEIGHT OR OBESE AT BASELINE DECREASED BY 0.32 FROM BASELINE TO YEAR END (P<.001). IN TERMS OF THE LIFESTYLES CHOICES, RESULTS INDICATE THAT THE STUDENTS ARE ENGAGING IN HEALTHIER BEHAVIORS. MORE STUDENTS ARE REPORTING SIXTY MINUTES OF PHYSICAL ACTIVITY AT LEAST THREE TIMES WEEKLY AT YEAR END COMPARED TO BASELINE, 87% VS. 78%, RESPECTIVELY. AT YEAR END, 28% OF THE STUDENTS REPORTED EATING FRUITS AND VEGETABLES SIX OR MORE DAYS PER WEEK COMPARED TO 24% AT BASELINE. WHOLE MILK CONSUMPTION DECLINED FROM 22% AT BASELINE TO 16% AT YEAR END. FEWER STUDENTS REPORTED EATING JUNK FOOD AT LEAST SIX DAYS PER WEEK AT THE END OF THE YEAR (9% VS. 13%). THE PERCENTAGE OF PRE-SCHOOL AND KINDERGARTEN STUDENTS WHO ANSWERED FIVE OF THE SIX QUESTIONS ON HEALTHY FOOD CHOICES INCREASED SIGNIFICANTLY FROM 12% TO 27%. FEWER STUDENTS CATEGORIZED AS OVERWEIGHT OR OBESE ARE REPORTING DAILY SCREEN TIME GREATER THAN TWO HOURS AT THE END OF THE SCHOOL YEAR COMPARED TO THE START (20% VS. 35%, RESPECTIVELY). OUTCOMES: ALL PARTICIPANTS ARE ASSESSED TWICE OVER THE COURSE OF THE SCHOOL YEAR; PRIOR TO THE START OF THE PROGRAM AND AT YEAR END. DURING THESE ASSESSMENTS, REGISTERED DIETICIANS COLLECT ANTHROPOMETRIC DATA BASED ON A STANDARD PROTOCOL. IN ADDITION TO THE PHYSIOLOGICAL MEASUREMENTS, THREE QUESTIONNAIRES ARE USED TO ASSESS THE STUDENTS' LIFESTYLE CHOICES AND THEIR SELF-ESTEEM. THE EIGHT-ITEM LIFESTYLE QUESTIONNAIRE USES QUESTIONS FROM PREVIOUSLY VALIDATED RESEARCH AND EXPLORES SCREEN TIME (I.E. HOURS SPENT WATCHING TELEVISION, ON THE COMPUTER, AND PLAYING VIDEO GAMES), DIETARY HABITS (I.E. CONSUMPTION OF FRUITS AND VEGETABLES, JUNK FOOD, AND MILK), PHYSICAL ACTIVITY, AND SEDENTARY BEHAVIORS. STUDENTS WHO HAVE SIGNED PARENTAL CONSENT HAVE THE FOLLOWING MEASUREMENTS OBTAINED BY THE ASSESSMENT TEAM MEMBERS: HEIGHT, WEIGHT, WAIST CIRCUMFERENCE, AND BMI CALCULATION AT THE PROGRAM'S BEGINNING, MIDDLE, AND END. UPON COMPLETION OF THE INITIAL ASSESSMENT, THE PHYSICIAN AND DIETITIAN REVIEW THE MEDICAL FORMS AND IDENTIFY STUDENTS THAT WOULD BENEFIT FROM FURTHER MEDICAL ASSESSMENT. A REFERRAL CRITERION INCLUDES OBESE STUDENTS WITH A BMI GREAT THAN OR EQUAL TO 95%, PHYSICAL SIGNS OF ACANTHOSIS NIGRICANS (A SKIN DISCOLORATION THAT IS AN EARLY INDICATOR OF A METABOLIC DISORDER) AND SEVERE ABNORMAL CARDIAC CONCERNS. THE PHYSICIAN WILL CALL THE CHILD'S PARENTS AND INFORM THEM OF THE MEDICAL FINDINGS IDENTIFIED DURING THE MEDICAL ASSESSMENT/SCREENING AND REFER THE CHILD TO A MEDICAL HOME FOR FURTHER CARE. THE PHYSICIAN WILL PROVIDE A FOLLOW-UP BY CALLING THE CHILD'S FAMILY 8-10 WEEKS LATER TO ENSURE THEY WERE ABLE TO OBTAIN ADDITIONAL MEDICAL EVALUATION BY A PHYSICIAN. THE MEASUREMENT DATA IS COLLECTED ON THE SJHS HEALTHY FOR LIFE MEDICAL FORMS THAT ARE UPLOADED INTO A TELEFORM SCANNING DATABASE AND EACH STUDENT IS ASSIGNED A UNIQUE NUMBER TO ENSURE DATA CONFIDENTIALITY. THE DATA IS THEN REVIEWED BY SJHS SYSTEM OFFICE STAFF AND STATISTICAL ANALYSES ARE CONDUCTED ON THE PROGRAM OUTCOME MEASURES TO EVALUATE THE PROGRAM'S EFFECTIVENESS. A P-VALUE LESS THAN 0.05 INDICATES A STATISTICALLY SIGNIFICANT DIFFERENCE. THE SUCCESS OF HEALTHY FOR LIFE IS MEASURED BY THE FOLLOWING OUTCOMES: A DECREASE IN BODY MASS INDEX (BMI), AN INCREASE IN SELF-ESTEEM AS MEASURED BY THE ROSENBERG SELF-ESTEEM SCALE, IMPROVEMENT IN LIFESTYLE INDICATORS, AND THE REFERRAL OF STUDENTS WITH ACANTHOSIS NIGRICANS TO MEDICAL CARE. THERE WERE 3,709 STUDENTS WHO ENROLLED IN THE PROGRAM DURING THE 2010-2011 SCHOOL YEAR. A TOTAL OF 267 (7.2%) STUDENTS WERE FOUND TO HAVE ACANTHOSIS NIGRICANS; ALL WERE SUBSEQUENTLY REFERRED FOR MEDICAL CARE. ASSESSMENTS CONDUCTED AT THE BEGINNING OF THE SCHOOL YEAR INDICATED THAT 44% OF THE PARTICIPANTS WERE OVERWEIGHT OR OBESE. BY THE END OF THE SCHOOL YEAR, 17.4% OF THESE STUDENTS REDUCED THEIR WEIGHT STATUS TO A HEALTHIER LEVEL (I.E. OVERWEIGHT TO NORMAL AND OBESE TO OVERWEIGHT OR NORMAL). THE ROSENBERG SELF-ESTEEM SCALE RANGES FROM 0-30, WITH NUMBERS BELOW 15 INDICATING LOW SELF-ESTEEM. THE PERCENT OF STUDENTS WHO HAD LOW SELF-ESTEEM DECREASED FROM 10% AT BASELINE TO 9% AT YEAR END. ALTHOUGH DIFFERENCES IN THIS OUTCOME FROM BASELINE TO YEAR END WERE NOT STATISTICALLY SIGNIFICANT, RESULTS INDICATE THAT STUDENTS ARE IMPROVING. FINDINGS ALSO SUGGEST THAT STUDENTS ARE ENGAGING IN HEALTHIER LIFESTYLES. FOR INSTANCE, MORE STUDENTS ARE PHYSICALLY ACTIVE WITH 42% AT YEAR END REPORTING EXERCISE FOR SIX OR MORE DAYS A WEEK COMPARED TO A BASELINE OF 30% (P=.000). THE PERCENTAGE OF STUDENTS WHO REPORT EATING FIVE SERVINGS OF FRUITS AND VEGETABLES SIX DAYS OR MORE PER WEEK INCREASED FROM 28% TO 34% FROM BASELINE TO YEAR END (P=.000). FEWER STUDENTS ARE REPORTING THAT THEY PARTICIPATE IN SCREEN TIME FOR MORE THAN TWO HOURS PER DAY (20% VS. 23%; P=.002). THE PERCENTAGE OF PRE-SCHOOL AND KINDERGARTEN STUDENTS WHO CORRECTLY ANSWERED AT LEAST FIVE OF THE SIX QUESTIONS ON HEALTHY ACTIVITY CHOICES INCREASED FROM 31.9% TO 38.1%. FEWER STUDENTS ARE REPORTING DAILY SCREEN TIME GREATER THAN TWO HOURS AT THE END OF THE SCHOOL YEAR COMPARED TO THE START (19.4% VS. 23.2%, RESPECTIVELY). THE STUDENTS IN THE HEALTHY FOR LIFE PROGRAM MADE MANY IMPROVEMENTS OVER THE COURSE OF THE SCHOOL YEAR. OVERALL, RESULTS INDICATE THAT BODY MASS INDEX (BMI) DECREASED SIGNIFICANTLY FOR STUDENTS CLASSIFIED AS OVERWEIGHT OR OBESE. STUDENTS ALSO DEMONSTRATED SIGNIFICANT IMPROVEMENTS IN SELF-ESTEEM SCORES AND INDICATORS FOR LIFESTYLE BEHAVIOR. HEALTHY FOR LIFE HAS IMPORTANT IMPLICATIONS FOR HEALTH PRACTITIONERS. THE PROGRAM HAS THE POTENTIAL TO IMPROVE THE HEALTH OF UNDERPRIVILEGED YOUTH WHOSE NEIGHBORHOODS ARE UNSAFE AND OFTEN LACK FACILITIES FOR EXERCISE. FURTHERMORE, HEALTHY FOR LIFE PROVIDES A SAFE, ACCESSIBLE, AND EFFECTIVE METHOD TO MINIMIZE THE CAUSAL FACTORS OF OBESITY. INITIATIVE: COMMUNITY INVESTMENT FUND THE COMMUNITY LOAN PROGRAM PROVIDES CAPITAL IN THE FORM OF LOW-INTEREST LOANS TO QUALIFIED NON-PROFIT ENTITIES FOR THE PURPOSE OF PROMOTING A SOCIAL GOOD AND THE DEVELOPMENT OF HEALTHIER COMMUNITIES. FY 11 ACCOMPLISHMENTS: THERE WERE A TOTAL OF 12 LOW-INCOME ACTIVE INVESTMENTS IN FY11 MANAGED BY THE SJHS SYSTEM OFFICE TREASURY DEPARTMENT. INVESTMENTS RANGED FROM INVESTMENT LOANS, LINES OF CREDIT AND CD COLLATORAL. THE PARTICIPATING ORGANIZATIONS INCLUDED BUT WERE NOT LIMITED TO JAMBOREE HOUSING DEVELOPMENT, MERCY HOUSING FUND, TALLER SAN JOSE, AND HANDS TOGETHER- A CENTER FOR CHILDREN. IN ADDITION, MATERNAL OUTREACH MANAGEMENT SYSTEM (MOMS), THINK TOGETHER, AND SELF-HELP CREDIT UNION RECEIVED A LOAN TO SUPPORT THEIR VITAL COMMUNITY WORK. TOTAL COMMUNITY INVESTMENT: DURING FISCAL YEAR 2011, WE INVESTED A TOTAL OF $2,070,326 IN COMMUNITY BENEFIT (INCLUDING COMMUNITY BENEFIT SERVICES TO THE LOW-INCOME AND BROADER COMMUNITY), IN ALIGNMENT WITH CATHOLIC HEALTH ASSOCIATION GUIDELINES. BECAUSE WE ARE A SYSTEM OFFICE, THERE WERE NO CHARITY CARE AND UNPAID COST TO STATE AND LOCAL PROGRAMS. COMMUNITY SERVICES FOR THE LOW-INCOME $586,683 COMMUNITY SERVICES FOR THE BROADER COMMUNITY* $1,483,643 * INCLUDES COMMUNITY BUILDING CATEGORY FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJOE.ORG. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 ST. JOSEPH HEALTH MINISTRY IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HEALTH SYSTEM. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A ST. JOSEPH HEALTH SYSTEM HAS A TIERED GOVERNANCE IN WHICH ST. JOSEPH HEALTH MINISTRY AS ITS SPONSOR RESERVES THE RIGHT TO APPOINT TRUSTEES TO THE ST. JOSEPH HEALTH SYSTEM BOARD AFTER A COLLABORATIVE AND INCLUSIVE RECRUITMENT AND SELECTION PROCESS. THE SISTERS OF ST. JOSEPH OF ORANGE, AS THE FOUNDING SPONSOR OF ST. JOSEPH HEALTH SYSTEM, APPOINTS MEMBERS OF ST. JOSEPH HEALTH MINISTRY. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B THE CORPORATE MEMBER, ST. JOSEPH HEALTH MINISTRY, RESERVES THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION, AS APPLICABLE. THE FORM 990 IS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE MARCH 2012 MEETING. DURING THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION, OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE OFFICER, TRUSTEE, OR KEY EMPLOYEE MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A AND 15B THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. THE SJHS EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT AND 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 FOUR TIMES A YEAR AND ALL CRITICAL DECISIONS ARE MADE DURING THE WORKLIFE COMMITTEE MEETINGS OR IN EXECUTIVE SESSION. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PERFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN SEPTEMBER 2011. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. HOURS DEVOTED TO RELATED ORGANIZATION FORM 990, PART VII SISTER MARIE JEANNE GAILLAC SERVES ON THE BOARD OF ST. JOSEPH HEALTH SYSTEMS (SJHS), AS WELL AS ST. JOSEPH EUREKA (SJE), REDWOOD MEMORIAL HOSPITAL (RMH) AND ST. JUDE MEDICAL CENTER (SJMC). SHE DEVOTES 2 HOURS PER WEEK TO SJMC AND 2 HOURS TO SJE AND 2 HOURS TO RMH. SISTER CLAUDETTE DESFORGES IS THE VP OF MISSION INTEGRATION AT SJMC AND SERVES ON THE BOARD OF SJHS AND HERITAGE HEALTH FOUNDATION (HHF). SHE DEVOTES 50 HOURS PER WEEK TO SJMC AND 2 HOURS PER WEEK TO HHF. SISTER JO ANN EANNARENO SERVES ON THE BOARD OF SJHS AND ALSO SERVES ON THE BOARD AND IS AN OFFICER OF ST. JOSEPH EUREKA (SJE) AND REDWOOD MEMORIAL HOSPITAL (RMH). SHE DEVOTES 2 HOURS PER WEEK TO EACH HOSPITAL. SISTER DIANE HEJNA SERVES ON THE BOARD OF SJHS AND ALSO SERVES ON THE BOARD OF SJE AND RMH. SHE DEVOTES 2 HOURS PER WEEK TO EACH HOSPITAL. SISTER EILEEN MCNERNEY SERVES ON THE BOARD OF SJHS AND MISSION HOSPITAL REGIONAL MEDICAL CENTER (MHRMC). SHE DEVOTES 2 HOURS PER WEEK TO MHRMC. DEBORAH PROCTOR IS THE CEO OF SJHS AND SERVES ON THE BOARD OF ST. JOSEPH HEALTH SYSTEM FOUNDATION (SJHSF) AND ST. JOSEPH EUREKA (SJE). SHE DEVOTES 2 HOURS PER WEEK TO SJHSF AND 2 HOURS TO SJE. DARRIN MONTALVO IS CHIEF FINANCIAL OFFICER OF SJHS AND SERVES ON THE BOARD OF QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) AND AN OFFICER OF HERITAGE HEALTH FOUNDATION (HHF). HE DEVOTES 2 HOURS PER WEEK TO QVMC AND 10 HOURS TO HHF. SUSAN WHITTAKER IS THE CHIEF ADMINISTRATIVE OFFICER OF SJHS AND SERVES ON THE BOARD OF SJE. SHE DEVOTES 2 HOURS PER WEEK TO THE HOSPITAL. SISTER JAYNE HELMLINGER IS THE EVP OF MISSION INTEGRATION OF SJHS AND SERVES ON THE BOARD OF SJHSF, SJE AND RMH. SHE DEVOTES 2 HOURS PER WEEK TO EACH HOSPITAL AND 5 HOURS TO SJHSF. JOSEPH RANDOLPH IS THE CHIEF OPERATING OFFICER OF SJHS AND SERVES ON THE BOARD OF ST. JOSEPH HOSPITAL ORANGE (SJO). HE DEVOTES 2 HOURS PER WEEK TO THE HOSPITAL. WILLIAM MURIN IS THE EXECUTIVE VICE PRESIDENT OF SYSTEM SERVICES OF SJHS AND SERVES ON THE BOARD OF MHRMC. HE DEVOTES 2 HOURS PER WEEK TO MHRMC. CLYDE WESP IS THE SVP CHIEF MEDICAL OFFICER OF SJHS AND SERVES ON THE BOARD OF ST. JOSEPH HOME CARE NETWORK (SJHCN). HE DEVOTES 2 HOURS PER WEEK TO SJHCN. ANNETTE WALKER IS THE EXECUTIVE VICE PRESIDENT OF STRATEGIC IMPLEMENTATION AND SERVES ON THE BOARD OF SANTA ROSA MEMORIAL HOSPITAL (SRMH). SHE DEVOTES 2 HOURS PER WEEK TO THE HOSPITAL. LEE PENROSE IS THE CEO OF ST. JUDE MEDICAL CENTER (SJMC) AND A BOARD MEMBER OF HHF. ALTHOUGH HE IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM (SJHS), HE DEVOTES 50 HOURS PER WEEK TO SJMC AND 2 HOURS TO HHF. PETER BASTONE IS THE CEO OF MISSION HOSPITAL REGIONAL MEDICAL CENTER (MHRMC). ALTHOUGH HE IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM (SJHS), HE DEVOTES 50 HOURS PER WEEK TO MHRMC AND NO HOURS TO SJHS. JASON BARKER IS THE CEO OF ST. MARY MEDICAL CENTER (SMMC). ALTHOUGH HE IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM (SJHS), HE DEVOTES 50 HOURS PER WEEK TO SMMC AND NO HOURS TO SJHS. DENNIS SISTO IS THE CEO OF QUEEN OF THE VALLEY MEDICAL CENTER (QVMC). ALTHOUGH HE IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM (SJHS), HE DEVOTES 50 HOURS PER WEEK TO QVMC AND NO HOURS TO SJHS. KEVIN KLOCKENGA IS THE CEO OF SANTA ROSA MEMORIAL HOSPITAL (SRM) AND SRM ALLIANCE HOSPITAL SERVICES (PVH) AND A BOARD MEMBER OF SJHCN. ALTHOUGH HE IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM (SJHS), HE DEVOTES 50 HOURS PER WEEK TO SRM/PVH AND NO HOURS TO SJHS AND 2 HOURS TO SJHCN. JOSEPH MARK IS THE CEO OF ST. JOSEPH HOSPITAL-EUREKA (SJE) AND REDWOOD MEMORIAL HOSPITAL (RMH) AND A BOARD MEMBER OF SJE AND RMH. ALTHOUGH HE IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM (SJHS), HE DEVOTES 50 HOURS PER WEEK TO SJE/ RMH AND NO HOURS TO SJHS AND 2 HOURS TO EACH HOSPITAL AS BOARD MEMBER. RICHARD PARKS IS THE CEO OF COVENANT HEALTH SYSTEMS (CHS). ALTHOUGH HE IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM (SJHS), HE DEVOTES 50 HOURS PER WEEK TO CHS AND NO HOURS TO SJHS. CLARENCE BURKE IS THE CEO OF HERITAGE HEALTH FOUNDATION. ALTHOUGH HE IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM (SJHS), HE DEVOTES 50 HOURS PER WEEK TO HHF AND NO HOURS TO SJHS. LARRY AINSWORTH IS THE SPECIAL ADVISOR FOR ST. JOSEPH HOSPITAL ORANGE (SJO). ALTHOUGH HE IS COMPENSATED BY SJHS, HE DEVOTES 50 HOURS PER WEEK TO SJO AND NO HOURS TO SJHS. STEPHEN GILBERT IS THE VICE PRESIDENT OF FACILITIES OF SJHS AND SERVES ON THE BOARD OF SMMC. HE DEVOTES 2 HOURS PER WEEK TO THE HOSPITAL. OTHER CHANGES IN NET ASSETS OR FUND BALANCE FORM 990, PART XI, LINE 5 CHANGE IN FMV OF INTEREST SWAP AGREEMENTS 12,217,021 UNREALIZED GAIN EXCLUDED FROM REVENUE 10,942,383 RETIREE HEALTH VALUATION ADJUSTMENTS (13,969,454) INTERCOMPANY HOSPITAL PROVIDER FEES 7,363,235 INTERCOMPANY ASBESTOS RESERVE TRANSFER (12,286,671) GRANT FUNDS BOOKED TO LIABILITY (2,131) -------------- TOTAL $4,264,383 409A DOCUMENT CORRECTION UNDER VI.B, VII.C & XI.A OF IRS NOTICE 2010-06 DOCUMENT DEFECTS 1) NAME AND SOCIAL SECURITY NUMBERS OF AFFECTED PARTICIPANTS: NOT APPLICABLE. NONE OF THE EMPLOYEES ARE INSIDERS. 2) THE 409A FAILURE OCCURRED WITH RESPECT TO THE ST. JOSEPH HEALTH SYSTEM 457(F) PLAN ("PLAN"). 3) THE 409A PLAN FAILURES ARE ELIGIBLE FOR CORRECTION UNDER THE TERMS OF VI.B, VII.C AND XI.A OF IRS NOTICE 2010-6. THE EMPLOYER HAS TAKEN ALL ACTIONS REQUIRED BEFORE DECEMBER 31, 2010, AND OTHERWISE MET ALL REQUIREMENTS FOR SUCH CORRECTION. NO PARTICIPANT IS REQUIRED TO REPAY ANY AMOUNT TO THE PLAN IN A SUBSEQUENT TAX YEAR, NOR IS ANY AMOUNT REQUIRED TO BE INCLUDED IN INCOME UNDER 409A AS PART OF THE CORRECTION. THE CORRECTIVE AMENDMENT WAS SIGNED ON OCTOBER 6, 2010. THE DATE OF THE EVENT CAUSING THE AFFECTED PARTICIPANT TO INCLUDE HIS PLAN ACCOUNT IN GROSS INCOME WAS HIS VOLUNTARY TERMINATION DATE. 4) DESCRIPTION OF EACH FAILURE: NAME/SOCIAL SECURITY NUMBER: CAROL AARON VOLUNTARY TERMINATION DATE: 6/9/2010 GROSS AMOUNT INVOLVED IN DOCUMENT FAILURE: $42,096 AMOUNT REPORTED AS INCLUDIBLE IN INCOME UNDER 409A: $0 PERCENTAGE OF AMOUNT INVOLVED IN DOCUMENT FAILURE REQUIRED TO BE INCLUDED IN INCOME UNDER 409A: 0% NAME/SOCIAL SECURITY NUMBER: SHARI E. MCCLOSKEY VOLUNTARY TERMINATION DATE: 3/10/2010 GROSS AMOUNT INVOLVED IN DOCUMENT FAILURE: $19,738 AMOUNT REPORTED AS INCLUDIBLE IN INCOME UNDER 409A: $0 PERCENTAGE OF AMOUNT INVOLVED IN DOCUMENT FAILURE REQUIRED TO BE INCLUDED IN INCOME UNDER 409A: 0% BECAUSE FORM 990 IS OPEN TO PUBLIC INSPECTION AND THE THREAT OF IDENTITY THEFT, SOCIAL SECURITY NUMBERS WILL BE PROVIDED BY SEPARATE COVER UPON WRITTEN REQUEST. 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IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP SCHEDULE R, PART III ST. 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