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ST JOSEPH HOSPITAL OF EUREKA: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH HOSPITAL OF EUREKA (EIN 94-1156596)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201231369349303598
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)
Timestamp2012-05-15T11:59:38-05:00Timestamp
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 Line118111 VON KARMAN AVENUE SUITE 1000AddressLine1
CityIRVINECity
StateCAState
ZIP Code92612ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941156596EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL OF EUREKABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone7072694259Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 DOLBEER STREETAddressLine1
CityEUREKACity
StateCAState
ZIP Code95501ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJIM STRONGName
TitleVP CFO/COOTitle
Date Signed2012-05-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone9497942300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOSEPH MARKNameOfPrincipalOfficerPerson
Gross Receipts198473069GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.stjosepheureka.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1942YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1328TotalNbrEmployees
Total Nbr Volunteers318TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6397684ContributionsGrantsPriorYear
Contributions Grants Current Year6218958ContributionsGrantsCurrentYear
Program Service Revenue Prior Year178136955ProgramServiceRevenuePriorYear
Program Service Revenue CY191639497ProgramServiceRevenueCY
Investment Income Prior Year1180464InvestmentIncomePriorYear
Investment Income Current Year463614InvestmentIncomeCurrentYear
Other Revenue Prior Year108622OtherRevenuePriorYear
Other Revenue Current Year72996OtherRevenueCurrentYear
Total Revenue Prior Year185823725TotalRevenuePriorYear
Total Revenue Current Year198395065TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1367900GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1009782GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year74226200SalariesEtcPriorYear
Salaries Etc Current Year83805816SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year9760TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY10580TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year646345TotalFundrsngExpCurrentYear
Other Expense Prior Year93747413OtherExpensePriorYear
Other Expenses Current Year98151238OtherExpensesCurrentYear
Total Expenses Prior Year169351273TotalExpensesPriorYear
Total Expenses Current Year182977416TotalExpensesCurrentYear
Revenues Less Expenses Prior Year16472452RevenuesLessExpensesPriorYear
Revenues Less Expenses CY15417649RevenuesLessExpensesCY
Total Assets BOY188051285TotalAssetsBOY
Total Assets EOY201324495TotalAssetsEOY
Total Liabilities BOY82040216TotalLiabilitiesBOY
Total Liabilities EOY93419283TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY106011069NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY107905212NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense171100599Expense
Grants1009782Grants
Revenue191639497Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense171100599TotalProgramServiceExpense
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 AssetsfalseReportOtherAssets
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 ActivitiestrueFundraisingActivities
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 MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096239NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1328NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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 PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRONALD YAWNamePerson
Telephone Number7074458121TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12630 HARRISON AVENUEAddressLine1
CityEUREKACity
StateCAState
ZIP Code95501ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JOHN ARYANPUR MD
BOARD CHAIR5.0X000
JOANNE CENTER
BOARD MEMBER2.0X000
JOHN DALBY
BOARD MEMBER2.0X000
SISTER JO ANN EANNARENO CSJ
BD MEMBER/VP MSN INT (PART YR)2.0X000X
BRUCE EMAD
BOARD MEMBER/VICE CHAIR4.0X000
SR MARIE JEANNE GAILLAC CSJ
BOARD MEMBER (PART YEAR)2.0X000
SISTER JAYNE HELMLINGER CSJ
BOARD MEMBER2.0X000
JOHN GIEREK JR
BOARD MEMBER2.0X000
SISTER DIANE HEJNA CSJ
BOARD MEMBER2.0X000
RON JONES MD
BOARD MEMBER2.0X37138693000
RODNEY MAPLES
BOARD MEMBER2.0X74587910
JOSEPH MARK
BOARD MEMBER/PRESIDENT/CEO27.0X060621033913X
JEFF NELSON
BD MEMBER/VICE CHAIR (PART YR)4.0X000
BRUCE KESSLER MD
BOARD MEMBER2.0X000
THOMAS RYDZ MD
BOARD MEMBER (PART YEAR)2.0X1500000
SISTER MARIAN SCHUBERT CSJ
BOARD MEMBER2.0X000
SISTER ANN MARIE STEFFEN CSJ
BOARD MEMBER2.0X000
KUSUM STOKES MD
BOARD MEMBER2.0X12323000
SARIE TOSTE
BOARD MEMBER (PART YEAR)2.0X000
VICTOR WALLENKAMPF MD
BOARD MEMBER2.0X000
HERBERT WOOD
BOARD MEMBER2.0X000
ROLLIN RICHMOND MD
BOARD MEMBER2.0X000
RONALD DILUIGI
BOARD MEMBER2.0X041472936700
S ANDREW RYBOLT
VP AND CFO (OUTGOING 1/14/11)25.0384757026561X
WILLIAM SAGEMAN
VP, MEDICAL AFFAIRS/CMO40.0438604029336X
JUDY BEGLEY
VP, CNO40.0260388017398X
LAURIE WATSON-STONE
VP, FUND DEVELOPMENT & PR40.0240216042340X
LISA SHIRK
VP, ANCILLARY & SUPPORT SVCS40.0200955027571X
LINDA COOK
VP, HUMAN RESOURCES40.0226280027398X
MICHAEL GOODWILL
PHYSICIST40.0179181015990X
KATE CRUZ
PHARMACIST40.0193580038185X
NIKKI COLLIER
RN FIRST ASSIST40.0181726023689X
DANIEL CROSSLEY
DIRECTOR, PHARMACY40.017691604995X
PHILIP SAMS
PHARMACIST40.0173281031503X
ROBERT BRANNIGAN
FORMER OFFICER0.014579908539X
ROBERT SAMPSON
FORMER KEY EMPLOYEE0.010072600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3085235TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1091030TotalReportableCompFrmRltdOrgs
Total Other Compensation364118TotalOtherCompensation
Number Individuals GT100 K99NumberIndividualsGT100K
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
MEDICAL STAFFING NETWORK INC
PO BOX 840721DALLASTX752840721NURSE STAFFING5161758
QUANTUM HEALTHCARE MEDICAL ASSO INC
PO BOX 634850CINCINNATIOH45263HOSPITALIST SERVICES1510849
REDWOOD ANESTHESIA SERVICES
PO BOX 7070EUREKACA95502ANESTHESIA SERVICES1504715
PETER BELAK
PO BOX 3654EUREKACA95502REPAIR & MAINT SVCS1060932
CHG COMPANIES INC
PO BOX 972651DALLASTX75397LOCUM SERVICES776740
FieldValueIRS element (for citing)
Number Of Contractors GT100 K93NumberOfContractorsGT100K
Fundraising Events38526FundraisingEvents
Related Organizations3527751RelatedOrganizations
Government Grants767172GovernmentGrants
All Other Contributions1885509AllOtherContributions
Noncash Contributions30987NoncashContributions
Total Contributions6218958TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE622110190900947190900947
CAFETERIA722310626351626351
MOB REVENUE5311203301433014
ALL OTHER PROGRAM SERVICE REVENUE9000997918579185
FieldValueIRS element (for citing)
Total Program Service Revenue191639497TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column101718TotalRevenueColumn
Exclusion$101,718ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities353793Securities
Other8103Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities353793Securities
Other8103Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column361896TotalRevenueColumn
Exclusion$361,896ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events151000GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events38526CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses78004FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column72996TotalRevenueColumn
Exclusion$72,996ExclusionAmount

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 Column198395065TotalRevenueColumn
Related Or Exempt Function Income191639497RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$536,610ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1009782Total
Program Services1009782ProgramServices

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)
Total1700716Total
Program Services836762ProgramServices
Management And General863954ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total54602462Total
Program Services51984812ProgramServices
Management And General2347306ManagementAndGeneral
Fundraising270344Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3286433Total
Program Services3017992ProgramServices
Management And General253250ManagementAndGeneral
Fundraising15191Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19592494Total
Program Services18458136ProgramServices
Management And General1033733ManagementAndGeneral
Fundraising100625Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4623711Total
Program Services4345084ProgramServices
Management And General249750ManagementAndGeneral
Fundraising28877Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6097594Total
Program Services5882452ProgramServices
Management And General215142ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total402690Total
Management And General402690ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total190513Total
Management And General190513ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total30104Total
Program Services30104ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total10580Total
Fundraising10580Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total22561000Total
Program Services20405238ProgramServices
Management And General2023136ManagementAndGeneral
Fundraising132626Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total382100Total
Program Services348562ProgramServices
Management And General22464ManagementAndGeneral
Fundraising11074Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total42080406Total
Program Services41850449ProgramServices
Management And General198579ManagementAndGeneral
Fundraising31378Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1677989Total
Program Services1061121ProgramServices
Management And General608497ManagementAndGeneral
Fundraising8371Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total579340Total
Program Services571819ProgramServices
Management And General6901ManagementAndGeneral
Fundraising620Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total327069Total
Program Services182303ProgramServices
Management And General123249ManagementAndGeneral
Fundraising21517Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total171336Total
Program Services171336ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7137993Total
Program Services6995157ProgramServices
Management And General133536ManagementAndGeneral
Fundraising9300Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1288361Total
Program Services4574ProgramServices
Management And General1283787ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DUES & SUBSCRIPTIONS18664381577583288165690
ALL OTHER EXPENSES13358305123673339858205152

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total182977416Total
Program Services171100599ProgramServices
Management And General11230472ManagementAndGeneral
Fundraising646345Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14401857BOY
EOY2357886EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23302441BOY
EOY22378478EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY832115BOY
EOY1107732EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3898349BOY
EOY3416628EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1241842BOY
EOY1121457EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis253438179LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec89134969LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY129075968BOY
EOY164303210EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY400936BOY
EOY478706EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1806031BOY
EOY1575630EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY7254273BOY
EOY1347143EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5837473BOY
EOY3237625EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY188051285BOY
EOY201324495EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14036694BOY
EOY15041969EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY68003522BOY
EOY78377314EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY82040216BOY
EOY93419283EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY102761329BOY
EOY104923305EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1467888BOY
EOY1755456EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1781852BOY
EOY1226451EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY106011069BOY
EOY107905212EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY188051285BOY
EOY201324495EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses15417649ReconcilationRevenueExpenses
Reconcilation Other Changes-13523506ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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$30,104OtherActivitiesAmount
Total Lobbying Expenditures IIB30104TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSchedule C, PART II-B, LINE 1IReturnReference
ExplanationTHE AMOUNT ON LINE 1I IS THE PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. DURING THE PAST YEAR, THE ST. JOSEPH HEALTH SYSTEM HAS CONDUCTED AN ADVOCACY EFFORT WHICH INCLUDED MINIMAL 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 Basis4843951OtherCostOrOtherBasis
Book Value4843951BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis58903765OtherCostOrOtherBasis
Depreciation31991196Depreciation
Book Value26912569BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1098457OtherCostOrOtherBasis
Depreciation555666Depreciation
Book Value542791BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis71377418OtherCostOrOtherBasis
Depreciation56588107Depreciation
Book Value14789311BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis117214588OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value117214588BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings164303210TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
INTERCO. WITH HEALTH SYSTEM-BONDS$60,755,724
PAYABLE TO THIRD PARTIES$11,794,987
INTERCOMPANY PAYABLES$5,473,987
OTHER LIABILITIES$352,616
FieldValueIRS element (for citing)
Total Of Amounts78377314TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierCONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740)Identifier
Return ReferenceSCHEDULE 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 OR 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 Expenditures804105TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent804105SubtotalAmountSpent
Total Amount Spent804105TotalAmountSpent
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 (F)ReturnReference
ExplanationTHE ACCRUAL METHOD OF ACCOUNTING WAS USED TO DETERMINE THE AMOUNT IN COLUMN (F).Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1161594GrossReceiptsEvent1
Charitable Contributions Event130987CharitableContributionsEvent1
Gross Revenue Event1130607GrossRevenueEvent1
Other Direct Expenses Event172766OtherDirectExpensesEvent1
Name Of Event2PETER CTNTAILNameOfEvent2
Gross Receipts Event227932GrossReceiptsEvent2
Charitable Contributions Event27539CharitableContributionsEvent2
Gross Revenue Event220393GrossRevenueEvent2
Other Direct Expenses Event25238OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total189526GrossReceiptsTotal
Charitable Contributions Total38526CharitableContributionsTotal
Gross Revenue Total Events151000GrossRevenueTotalEvents
Other Direct Expenses Total Events78004OtherDirectExpensesTotalEvents
Direct Expense Summary Events78004DirectExpenseSummaryEvents
Net Income Summary72996NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served10377PersonsServed
Total Community Benefit Expense10140473TotalCommunityBenefitExpense
Direct Offsetting Revenue7443016DirectOffsettingRevenue
Net Community Benefit Expense2697457NetCommunityBenefitExpense
Percent Of Total Expense0.01470PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served48441PersonsServed
Total Community Benefit Expense40248434TotalCommunityBenefitExpense
Direct Offsetting Revenue36435177DirectOffsettingRevenue
Net Community Benefit Expense3813257NetCommunityBenefitExpense
Percent Of Total Expense0.02080PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served4998PersonsServed
Total Community Benefit Expense7617720TotalCommunityBenefitExpense
Direct Offsetting Revenue4617337DirectOffsettingRevenue
Net Community Benefit Expense3000383NetCommunityBenefitExpense
Percent Of Total Expense0.01640PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served63816PersonsServed
Total Community Benefit Expense58006627TotalCommunityBenefitExpense
Direct Offsetting Revenue48495530DirectOffsettingRevenue
Net Community Benefit Expense9511097NetCommunityBenefitExpense
Percent Of Total Expense0.05190PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served8311PersonsServed
Total Community Benefit Expense921682TotalCommunityBenefitExpense
Direct Offsetting Revenue38529DirectOffsettingRevenue
Net Community Benefit Expense883153NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served585PersonsServed
Total Community Benefit Expense1343234TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1343234NetCommunityBenefitExpense
Percent Of Total Expense0.00730PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served23354PersonsServed
Total Community Benefit Expense1558873TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1558873NetCommunityBenefitExpense
Percent Of Total Expense0.00850PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served4384PersonsServed
Total Community Benefit Expense876003TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense876003NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served36634PersonsServed
Total Community Benefit Expense4699792TotalCommunityBenefitExpense
Direct Offsetting Revenue38529DirectOffsettingRevenue
Net Community Benefit Expense4661263NetCommunityBenefitExpense
Percent Of Total Expense0.02540PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served100450PersonsServed
Total Community Benefit Expense62706419TotalCommunityBenefitExpense
Direct Offsetting Revenue48534059DirectOffsettingRevenue
Net Community Benefit Expense14172360NetCommunityBenefitExpense
Percent Of Total Expense0.07730PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served110PersonsServed
Total Community Building Expense1380TotalCommunityBuildingExpense
Net Community Building Expense1380NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served685PersonsServed
Total Community Building Expense22051TotalCommunityBuildingExpense
Net Community Building Expense22051NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served875PersonsServed
Total Community Building Expense132511TotalCommunityBuildingExpense
Net Community Building Expense132511NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served2139PersonsServed
Total Community Building Expense68533TotalCommunityBuildingExpense
Net Community Building Expense68533NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served3809PersonsServed
Total Community Building Expense224475TotalCommunityBuildingExpense
Net Community Building Expense224475NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,863,051BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare66429671AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare90443397CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-24013726MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL OF EUREKABusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12700 DOLBEER STREETAddressLine1
CityEUREKACity
StateCAState
ZIP Code95501ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL OF EUREKABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
OUTPATIENT IMAGING CENTER
2330 BUHNE STREETEUREKACA95501IMAGING CENTER
HUMBOLDT HOME INFUSION PROGRAM
2612 HARISON AVENUEEUREKACA95501AMBULATORY HOME INFUSION CENTER
NORTHCOAST SURGERY CENTER
2705 HARRIS AVENUEEUREKACA95501SURGERY CENTER
INPATIENT REHABILITATION CENTER
2200 HARRISON AVENUEEUREKACA95501REHABILITATION CENTER
OUTPATIENT REHABILITATION
2024 HARRISON AVENUEEUREKACA95501REHABILITATION CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 7THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO, WHICH WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
SCHEDULE H, PART I, LINE 7GNO COSTS ATTRIBUTIBLE TO PHYSICIAN CLINICS WERE INCLUDED.
SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES BEGIN WHEN A COMMUNITY NEED, AS THE COMMUNITY DEFINES IT, IS PRESENTED TO ST. JOSEPH HEALTH SYSTEM - HUMBOLDT COUNTY, OF WHICH ST. JOSEPH HOSPITAL OF EUREKA IS A MEMBER. AS PART OF THIS PROCESS, THE COMMUNITY BENEFIT PLAN AND THE COMMUNITY BENEFIT REPORT ARE SHARED TO NOTIFY THE COMMUNITY OF THE DESIRE FOR THEIR INPUT. THE COMMUNITY BOARD PARTICIPATION BY ADMINISTRATION AND STAFF, THE INVOLVEMENT ON PERSONAL VOLUNTEER ACTIVITIES AND THE TASK FORCE PARTICIPATION ALL CONTRIBUTE TO THE COMMUNITY BENEFIT PLANNING CONDUCTED EACH YEAR. THIS YEAR COMMUNITY BUILDING ACTIVITIES INCLUDED THE FOLLOWING: COMMUNITY SUPPORT THROUGH INCREASING PUBLIC AWARENESS BY THE USE OF RADIO SHOWS, HEALTH FAIRS, AND OTHER VARIOUS MEDIA EFFORTS (LINE 3); LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS BY PROVIDING LEADERSHIP AND ADVOCACY FOR LOCAL NON-PROFITS BY PARTICIPATING ON BOARDS AND COMMITTEES TO HELP ADDRESS THE NEEDS OF THE COMMUNITY (LINE 5); COALITION BUILDING THROUGH COLLABORATING WITH COMMUNITY LEADERS AND ORGANIZATIONS ON HEALTH EDUCATION, EARLY DETECTION, AND RESOURCES AVAILABLE IN THE COMMUNITY FROM ST. JOSEPH HEALTH SYSTEM - HUMBOLDT COUNTY (LINE 6); AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY BY PROVIDING ADVOCACY INFORMATION, SUPPORT, AND ASSISTANCE TO ADDRESS THE UNMET NEEDS OF THE POOR, ESPECIALLY THE NEEDS OF WOMEN AND CHILDREN (LINE 7).
SCHEDULE H, PART III, LINE 4THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS ARE NOT PURSUED ON THESE ACCOUNTS ONCE THEY ARE RECLASSIFIED AS FINANCIAL ASSISTANCE. THERE IS NO OTHER AMOUNT OF BAD DEBT THAT SHOULD BE REPORTED AS FINANCIAL ASSISTANCE. FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT: 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.
SCHEDULE H, PART III, LINE 8AS 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.
SCHEDULE H, PART III, LINE 9BST. JOSEPH HOSPITAL OF EUREKA 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 ASSESSMENTST. JOSEPH HEALTH SYSTEM - HUMBOLDT COUNTY COMPLETED A NEEDS ASSESSMENT IN 2008.THE COMMUNITY BENEFITS PROGRAM ACTIVITIES ARE SET ACCORDING TO THE IDENTIFIED PRIORITIES OF THE CITIZENS OF THE AREAS SERVED. THE ASSESSMENT CONTINUED THE REVIEW OF AREAS FROM PRIOR ASSESSMENTS TO TRACK CHANGES AND COMMUNITY MEMBERS' PERCEPTIONS OF NEEDS. THE ASSESSMENT FOUND GROWING CONCERNS OF CITIZENS AND ORGANIZATIONS ALIKE ON THE ISSUE OF OBESITY, INCLUDING THE LACK OF EXERCISE AMONG THE AREA'S CHILDREN. FY 2011 CONTINUED THE ECONOMIC DOWNTURN FOR THE AREA AND FOOD INSECURITY THROUGHOUT THE COUNTY. THESE ARE TREMENDOUS PROBLEMS AND ARE COUPLED WITH THE CONSTANT OF HIGH POVERTY AND UNEMPLOYMENT RATES. FOOD FOR PEOPLE, THE LOCAL FOOD BANK FOR ALL OF HUMBOLDT COUNTY, REPORTS THAT MANY INDIVIDUALS WHO IN PRIOR YEARS VOLUNTEERED TO ASSIST WITH FOOD DISTRIBUTIONS ARE NOW IN LINE TO RECEIVE ASSISTANCE. FOOD FOR PEOPLE ASSISTS BETWEEN 10,000 AND 12,000 INDIVIDUALS EACH MONTH, INCLUDING 35-40% CHILDREN, WITH COMMODITIES AND FOOD BOX DISTRIBUTIONS, AS WELL AS THE BACKPACKS FOR CHILD WEEKEND FOOD DISTRIBUTIONS. IN HUMBOLDT COUNTY SCHOOLS, 53.2% OF ALL THE ENROLLED CHILDREN RECEIVE FREE OR REDUCED MEALS FROM THE SCHOOL, FLUCTUATING FROM A RATE OF 10% AT SOME SCHOOLS TO A HIGH OF 85% AT OTHERS. FOR MANY, THE MEALS FROM THE SCHOOL ARE THE COMPLETE NUTRITION FOR THE DAY, AS 22% OF ALL THE SCHOOL AGED CHILDREN LIVE IN POVERTY. ST. JOSEPH HEALTH SYSTEM - HUMBOLDT COUNTY, INCLUDING ST. JOSEPH HOSPITAL OF EUREKA WORKS IN CONJUNCTION WITH THE HUMBOLDT COUNTY GOVERNMENT TO INCREASE THE NUMBER OF CHILDREN WHO ENTER SCHOOL IN GOOD HEALTH, TO INCREASE THE NUMBER OF CHILDREN AND FAMILIES WHO BECOME ACTIVE PARTICIPANTS OF THEIR COMMUNITIES, AND TO INCREASE THE INTEGRATION, LINKAGE AND COORDINATION AMONG THE GROUPS THAT SERVE CHILDREN AND FAMILIES. ST. JOSEPH HOSPITAL OF EUREKA WORKS WITH VARIOUS OTHER ASSOCIATIONS TO INCREASE THE AWARENESS OF THE IMPORTANCE OF NUTRITION AND PHYSICAL ACTIVITY. ST. JOSEPH HOSPITAL OF EUREKA WORKS TO INCREASE PREVENTION AND RECOVERY FROM ALCOHOL AND DRUG ABUSE THROUGH MANY ENDEAVORS, INCLUDING THE MULTIPLE COMMUNITY RESOURCE CENTERS.SCHEDULE H, PART VI, LINE 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE 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.SCHEDULE H, PART VI, LINE 3
COMMUNITY INFORMATIONHUMBOLDT COUNTY, LOCATED ON THE FAR NORTH COAST, IS ONE OF THE LARGEST COUNTIES IN CALIFORNIA BY GEOGRAPHY, COVERING 3,572 SQUARE MILES. THE COUNTY HAS A POPULATION OF 133,400 OR 35.4 PEOPLE PER SQUARE MILE. THE STATE OF CALIFORNIA AVERAGES 217.2 RESIDENTS PER SQUARE MILE AND CLASSIFIES A RURAL AREA AS ONE HAVING 52 RESIDENTS PER SQUARE MILE. HUMBOLDT COUNTY HAS SEVEN INCORPORATED CITIES THAT RANGE IN SIZE FROM 400 TO 28,000 RESIDENTS. EUREKA, THE LOCATION OF ST. JOSEPH HOSPITAL OF EUREKA, HAS A POPULATION OF APPROXIMATELY 28,000 RESIDENTS, WITH ADDITIONAL RESIDENTS LIVING IN NEARBY UNINCORPORATED OUTSKIRTS OF THE CITY. APPROXIMATELY HALF OF THE POPULATION LIVES IN THESE INCORPORATED COMMUNITIES AND 43% LIVE IN THE AREA SURROUNDING HUMBOLDT BAY. THIS AREA INCLUDES THE CITIES OF ARCATA, FORTUNA, AND EUREKA. HUMBOLDT COUNTY IS AN AREA OF MODERATE TEMPERATURE AND CONSIDERABLE YEARLY PRECIPITATION. TEMPERATURES ALONG THE COASTAL REGIONS OF THE COUNTY VARY ONLY 10 DEGREES FROM SUMMER TO WINTER, WHILE THE TEMPERATURES INLAND VARY CONSIDERABLY. THE CLIMATE AND RAIN IMPACT THE LOCAL ECONOMY DRAMATICALLY AND WHEN WINTER IS AT ITS PEAK, UNEMPLOYMENT IS HIGHEST. FOG IS A CONCERN AT THE ONE LOCAL AIRPORT, MAKING AIR TRAVEL DIFFICULT. THE SEASONAL NATURE OF EMPLOYMENT CAUSED BY THE WEATHER AND ISOLATION IS FURTHER INCREASED BY THE CONSTANT FLUCTUATION OF THE PRICE OF FUEL, WITH HUMBOLDT COUNTY OFTEN HAVING THE HIGHEST FUEL COSTS IN THE STATE. 19.5% OF COMMUNITY'S RESIDENTS LIVE BELOW THE FEDERAL POVERTY GUIDELINES, AND 21% OF THE COMMUNITY'S PATIENTS WERE EITHER UNINSURED OR MEDICAID PATIENTS IN FY11.SCHEDULE H, PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTHTHE 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 ST. JOSEPH HOSPITAL, EUREKA 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 ST. JOSEPH HOSPITAL OF EUREKA, 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, ST. JOSEPH HOSPITAL OF EUREKA DEDICATED $250,000 IN CARE FOR THE POOR FUNDS AND OVER $4,000,000 TO HEALTHY COMMUNITIES AND COMMUNITY HEALTH INITIATIVES. THIS FUNDING MADE THE FOLLOWING PROGRAMS POSSIBLE: MULTIPLE COMMUNITY RESOURCE CENTERS, FINANCIAL SUPPORT FOR UNDERFUNDED SCHOOL ACTIVITIES, AND JOB TRAINING AND EDUCATION EVENTS.SCHEDULE H, PART VI, LINE 5
AFFILIATED HEALTH CARE SYSTEMST. JOSEPH HOSPITAL OF EUREKA 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.SCHEDULE H, PART VI, LINE 6
STATE FILING OF COMMUNITY BENEFIT REPORTCALIFORNIA MINISTRIES REPORT TO CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697.SCHEDULE H, PART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CALIFORNIA HEALTH FOUNDATION AND TRUST
1215 K ST STE 800SACRAMENTOCA95814941498697501(C)(3)373632CA HOSPITAL FEE PROGRAM
ST JOSEPH HEALTH SYSTEM FOUNDATION
500 MAIN ST SUITE 1000ORANGECA95540330143024501(C)(3)350400CARE FOR THE POOR
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRFORTUNACA95540941384665501(C)(3)100000COMMUNITY BENEFIT PROGRAMS
HUMBOLDT AREA FOUNDATION
373 INDIANOLABAYSIDECA95524237310660501(C)(3)48750COMMUNITY BENEFIT PROGRAMS
ALCOHOL DRUG CARE SERVICES INC
528 5TH STEUREKACA95501680218628501(C)(3)20000PROGRAM SUPPORT
COMMUNITY ALLIANCE WITH FAMILY FARMERS
PO BOX 363DAVISCA95617942914745501(C)(3)20000PROGRAM SUPPORT
HUMBOLDT ALL FAITH PARTNERSHIP
PO BOX 181BAYSIDECA95524810621144501(C)(3)20000FAMILY WELLNESS PROJECT
HUMBOLDT SENIOR RESOURCE CENTER
1910 CALIFORNIA STREETEUREKACA95501942261434501(C)(3)20000PROGRAM SUPPORT
NORTHCOAST CLINICS NETWORK
710 E STREETEUREKACA95501680348781501(C)(3)17800EDUCATION FOR HEALTH LIVING
FOOD FOR PEOPLE
307 W 14TH STREETEUREKACA95501942772549501(C)(3)15500PROGRAM SUPPORT
ST VINCENT DE PAUL
PO BOX 1386EUREKACA95502941573587501(C)(3)9500HOUSING AND SUPPORT FOR HOMELESS FAMILIES
HUMBOLDT COUNTY OFFICE OF EDUCATION
901 MYRTLE AVEEUREKACA95501946000513GOVERNMENT9200COMMUNITY BENEFIT PROGRAMS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants12TotalNbrOf501C3AndGovtGrants
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
ExplanationEACH GRANTEE REPORTS ON THE PROGRESS OF THE FUNDED PROGRAM ON A BIANNUAL BASIS (EVERY 6 MONTHS) TO THE COMMUNITY BENEFIT COMMITTEE.THE COMMUNITY BENEFIT COMMITTEE REVIEWS DOCUMENTATION TO CONFIRM THAT EACH GRANTEE REPORTS ON THE PROGRESS OF THE FUNDED PROGRAM ON A BIANNUAL BASIS (EVERY 6 MONTHS) TO THE COMMUNITY BENEFIT COMMITTEE. THE COMMUNITY BENEFIT COMMITTEE REVIEWS DOCUMENTATION TO CONFIRM THAT THE GRANTEE IS COMPATIBLE WITH THE MISSION, VISION, AND VALUES OF THE ST. JOSEPH HEALTH SYSTEM. ALSO THE GRANTEE MUST DEMONSTRATE OPERATIONAL AND MANAGERIAL EFFECTIVENESS, FINANCIAL VIABILITY, AND RESPONSIBLE STEWARDSHIP OF RESOURCES. THEY MUST BE ABLE TO DEMONSTRATE COLLABORATION, FLEXIBILITY, AND RESPECT FOR DIVERSE CULTURES WHILE UTILIZING EFFECTIVE STRATEGIES AND OUTCOME MEASURES. THE GRANTEE MUST HAVE AN EXISTING GOVERNING AND/OR ADVISORY BOARD WITH SUFFICIENT EXPERTISE AND FAMILIARITY WITH THE PROPOSED PROGRAM/PROJECT. THE GRANTEE MUST BE WILLING TO ACKNOWLEDGE THE SUPPORT OF THE LOCAL HOSPITALS IN EXTERNAL COMMUNICATIONS, INCLUDING WEBSITES. MOST IMPORTANTLY, THE GRANTEE MUST BE A NONPROFIT ORGANIZATION IN CALIFORNIA THAT IS TAX EXEMPT. FUNDS THAT ARE TRANSFERRED TO ST. JOSEPH HEALTH SYSTEM (CARE FOR THE POOR) ARE MONITORED AND DISTRIBUTED BY THE ST. JOSEPH HEALTH SYSTEM, AND ARE NOT MONITORED ON A HOSPITAL LEVEL ONCE THE FUNDS ARE TRANSFERRED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
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 (15 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
JOSEPH MARK
03580170141332010686109769024144064012300
WILLIAM SAGEMAN
279748084675074181049050244310467940000
S ANDREW RYBOLT
227699074751082307096190169420411318000
JUDY BEGLEY
171063046731042594037180136800277786000
MICHAEL GOODWILL
1688590001032207198087920195171000
KATE CRUZ
167589000259910100600281250231765000
NIKKI COLLIER
16455003172014004014596090930205415000
DANIEL CROSSLEY
16028009027076090049950181911000
PHILIP SAMS
155977000173040174400140630204784000
ROBERT BRANNIGAN
5945500086344047030383601543380329030
RONALD DILUIGI
02388300652630110636017012019688045142900
LAURIE WATSON-STONE
1318800454870628490139860283540282556000
ROBERT SAMPSON
00001007260000010072601007260
LISA SHIRK
1310630247450451470124420151290228526000
LINDA COOK
143651044995037634096810177170253678000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 1AST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL FOR CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. MEMBERS OF THE BOARD AND EXECUTIVE MANAGEMENT TEAM ARE SELECTED TO PARTICIPATE IN AN ANNUAL PILGRIMAGE TO LE PUY, FRANCE, WHERE THE SISTERS' FIRST CONGREGATION WAS FORMED. THE PURPOSE OF THE PILGRIMAGE IS FOR THE ORGANIZATION'S LEADERS TO DEVELOP A DEEPER UNDERSTANDING OF THE ROOTS AND HERITAGE OF THE ORGANIZATION IN ORDER TO CARRY OUT THE MISSION. COMPANION TRAVEL IS CONSIDERED TO BE AN ESSENTIAL PART OF THIS EXPERIENCE AND THE COMPANION ACTS AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING TRUSTEE/OFFICER RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. THE BENEFITS WERE PAID BY ST. JOSEPH HOSPITAL OF EUREKA'S TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM. JOSEPH MARK - $7,450 COMPANION ATTENDANCE IS ALSO AN ESSENTIAL PART OF THE TRUSTEE CONFERENCE. THE FOLLOWING TRUSTEES AND OFFICERS RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION: ROBERT BRANNIGAN - $295 JOSEPH MARK - $330 JOANN CENTER - $336 JOHN DALBY - $291 RODNEY MAPLES - $295 KUSUM STOKES - $250 VICTOR WALLENKAMPF - $555 ST. JOSEPH HOSPITAL OF EUREKA GROSSES UP PAYMENT FOR LIMITED APPROVED EXPENDITURES. EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. ST. JOSEPH HOSPITAL OF EUREKA PAYS MEMBERSHIP DUES of $5,558 TO LOCAL ORGANIZATIONS FOR JOSEPH MARK; DUES ARE PAID FOR THE BENEFIT OF THE HOSPITAL AND ARE NOT FOR THE EMPLOYEE'S BENEFIT AS IT IS STRICTLY FOR A BUSINESS PURPOSE. JUDY BEGLEY RECEIVED A HOUSING ALLOWANCE, WHICH IS REPORTED AS TAXABLE COMPENSATION TO HER.
SCHEDULE 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 FOR 990, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM.
SCHEDULE J, PART I, LINE 4ASEVERANCE PAYMENTS WERE MADE TO S. ANDREW RYBOLT IN THE AMOUNT OF $82,307.
SCHEDULE 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. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM THE 457(F) PLAN DURING THE YEAR: ROBERT BRANNIGAN: $32,903 ROBERT SAMPSON: $100,726
SCHEDULE 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 ENCOUNTERES, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonNORTHCOAST EMERGENCY PHYSICIANSNamePerson
FieldValueIRS element (for citing)
RelationshipVICTOR WALLENKAMPF, MDRelationship
Amount Of Transaction870667AmountOfTransaction
Description Of TransactionMEDICAL SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F9902135NoncashContribsRptdF990
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
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 (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XJEWELRY83900COST/SELLING PRICE
XMEALS/FOOD132060COST/SELLING PRICE
XGENERAL MERCHANDISE6219368COST/SELLING PRICE
XTRAVEL63524COST/SELLING PRICE
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART I, LINE I AND PART III, LINE 1AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), ST. JOSEPH'S HOSPITAL, EUREKA, 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 ACCOMPLISHMENTSFORM 990, PART III, LINE 4AS A NOT-FOR-PROFIT, ST. JOSEPH HOSPITAL, EUREKA HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 100 YEARS. SERVING THE COMMUNITIES OF HUMBOLDT COUNTY, ST. JOSEPH HOSPITAL, EUREKA, IS A FULL-SERVICE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF SURGERY, EMERGENCY AND CRITICAL CARE, AN URGENT CARE FACILITY, DIAGNOSTIC IMAGING, INPATIENT AND OUTPATIENT LABORATORY AND REHABILITATION, ENDOSCOPY, AND MANY OTHER SERVICES. WITH OVER 1000 EMPLOYEES COMMITTED TO REALIZING THE MISSION, ST. JOSEPH HOSPITAL, EUREKA, IS ONE OF THE LARGEST EMPLOYERS IN HUMBOLDT COUNTY. ST. JOSEPH HOSPITAL, EUREKA, A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, 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 AND 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. 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. THREE MISSION OUTCOMES REDWOOD MEMORIAL HOSPITAL 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. THIS YEAR, TO SUPPORT OUR MISSION OF SACRED ENCOUNTERS, STAFF FROM ST. JOSEPH HOSPITAL, EUREKA, IN CONJUNCTION WITH REDWOOD MEMORIAL HOSPITAL PROVIDED MENTORING TO STUDENTS FROM HUMBOLDT STATE UNIVERSITY, COLLEGE OF THE REDWOODS, LOCAL HIGH SCHOOLS AND TOURO UNIVERSITY. MENTORING OCCURRED IN NURSING UNITS, REHABILITATION SERVICES, AND COMMUNITY RESOURCE CENTERS, ON THE CARE TRANSITION TEAM, AT THE IMAGING CENTER AND IN THE LAB. THERE WERE MORE THAN 500 STUDENTS WHO INTERNED AT SJE AND RMH, INCLUDING CAL WORKS PARENTS WHO WORKED WITH THE COMMUNITY RESOURCE CENTERS, PHYSICAL AND OCCUPATIONAL THERAPY INTERNS, MSW INTERNS, TOURO UNIVERSITY PLACEMENTS AND PARAMEDICAL PROVIDERS. 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. TO FURTHER ENSURE OUR PATIENTS RECEIVE PERFECT CARE, THIS YEAR ST. JOSEPH HOSPITAL, EUREKA HAS NEARLY COMPLETED ITS BRAND NEW STATE OF THE ART FACILITY, TO BE OPEN SOON. 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. THIS YEAR ST. JOSEPH HOSPITAL, EUREKA, CONTINUED ITS SUPPORT OF THE VARIOUS COMMUNITY RESOURCE CENTERS IN THE AREA. ST. JOSEPH HOSPITAL, EUREKA WORKS JOINTLY WITH REDWOOD MEMORIAL HOSPITAL, FORTUNA, TO ENSURE THE COMMUNITY RESOURCE CENTERS CONTINUE TO HAVE SUFFICIENT FUNDS TO ENSURE FOCUS ON PROVIDING ASSISTANCE TO ALL THE INDIVIDUALS THAT COME TO THEM FOR HELP. THE WILLOW CREEK RESOURCE CENTER IS LOCATED IN A RURAL PART OF A VERY RURAL COUNTY, OVER ROADS THAT ARE OFTEN DIFFICULT TO TRAVEL DUE TO WEATHER CONDITIONS THAT MAKE THEM EXTREMELY TREACHEROUS. THE ABILITY OF THE WILLOW CREEK RESOURCE CENTER COORDINATOR TO ASSIST WITH THE 'NEEDY' MEDICATION PROGRAM FOR INDIVIDUALS THAT LIVE IN THIS ISOLATED AREA IS A TREMENDOUS ASSET TO THIS COMMUNITY. THE COORDINATOR HAS SUCCESSFULLY ATTRACTED VOLUNTEERS THAT HAVE BEEN TRAINED TO ASSIST THE PEOPLE THAT COME TO THEM FOR HELP. A SYSTEM FOR CALL BACKS TO ASSURE THAT THE PATIENTS DO NOT RUN OUT OF THEIR MEDICATIONS HAS BEEN DEVELOPED AND HAS ENABLED WILLOW CREEK TO MAINTAIN AN AVERAGE MONTHLY ENROLLMENT OF 20 INDIVIDUALS. THE AMOUNT OF DOLLARS SAVED BY THESE 41 INDIVIDUALS, AND THE 22 ENROLLED FROM OTHER SECTIONS OF THE COUNTY, IS HUGE AND EVEN GREATER IS THE STRESS REDUCTION PROVIDED TO THE INDIVIDUALS ENROLLED IN THE PROGRAM. PROGRAM SERVICE ACCOMPLISHMENTS PATIENT FINANCIAL ASSISTANCE PROGRAM OUR MISSION IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS, REGARDLESS OF ABILITY TO PAY. WE BELIEVE NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST. JOSEPH HEALTH SYSTEM HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY 11, REDWOOD MEMORIAL HOSPITAL, $919,438 IN CHARITY CARE WAS PROVIDED TO 10,175 PATIENTS. THIS WAS A 21% INCREASE IN SERVICES PROVIDED TO AN INCREASE OF 260% IN PATIENTS COVERED. REDWOOD MEMORIAL HOSPITALS KEY PARTNERS WERE THE COMMUNITY BENEFITS DEPARTMENT, PATIENT FINANCIAL SERVICES DEPARTMENT, AND ALL STAFFING PERSONNEL. SUBSIDIZED HEALTH SERVICES FOR SPANISH SPEAKING CHILDREN AND FAMILIES THE PARTNERSHIP BETWEEN PASO A PASO AND HEALTHY KIDS HUMBOLDT HAS INCREASED THE ABILITY OF THE SPANISH SPEAKING FAMILIES TO GAIN ACCESS TO PROGRAMS FOR WHICH THEY ARE ELIGIBLE. THE COMBINED STAFF OF THE TWO PROGRAMS BRINGS TO SJHS-HC EIGHT SPANISH SPEAKING INDIVIDUALS - THE LARGEST GROUP OF SPANISH LANGUAGE STAFF IN ALL OF HUMBOLDT COUNTY. PASO A PASO PROVIDES EDUCATION FOR CHILD BIRTH EDUCATION, LACTATION, PARENTING, POSITIVE DISCIPLINE AND CAR SEAT INSTALLATION, TO NAME A FEW - AND FOR EACH SERIES OF CLASSES IN BOTH EUREKA AND FORTUNA- HEALTHY KIDS HUMBOLDT STAFF ASSIST FAMILIES TO ACCESS PROGRAMS FOR WHICH THEY ARE ELIGIBLE. THIS COMBINATION OF RESOURCES PROVIDES SUPPORT FOR THE GROWING SPANISH SPEAKING POPULATION - A POPULATION THAT IS NEW TO HUMBOLDT COUNTY DEMOGRAPHICS AND FOR WHICH THE COUNTY HAS NOT YET GAINED THE RESOURCES NEEDED TO ASSIST THEM. INCREASE PHYSICAL ACTIVITY AND HEALTHFUL EATING WITHIN THE COMMUNITY THE MAIN ACCOMPLISHMENT FROM THE CHILDREN'S POINT OF VIEW WAS THEIR INTRODUCTION TO FUTSAL. FUTSAL IS AN INTERNATIONALLY RECOGNIZED 'SOCCER' SPORT. THE GAME REQUIRES FIVE PLAYERS AND UTILIZES A SPECIAL LOW BOUNCE BALL. IT IS PLAYED ON A REGULATION BASKETBALL COURT, ALLOWING THE GAME TO CONTINUE REGARDLESS OF THE ENORMOUS AMOUNT OF RAIN EXPERIENCED IN OUR RURAL COUNTY. THE CHILDREN DO NOT NEED FANCY EQUIPMENT TO PLAY THE GAME AND THE CRC COORDINATORS WORK WITH INSIDE SPORTS TO ASSURE THE PROPER SHIN GUARDS AND SHOES ARE WORN BY EACH PARTICIPANT. FOR THE CHILDREN MONITORED, 11% MAINTAINED OR IMPROVED THEIR BODY MASS INDEX AT THE END OF THE FIRST SIX MONTHS OF PROGRAM PARTICIPATION. THE AFTER SCHOOL PROGRAM OFFERED TO THESE CHILDREN IS OFTEN THE ONLY STRUCTURED PHYSICAL ACTIVITY THEY ARE ABLE TO ATTEND DUE TO THE ISOLATION OF THE THREE SCHOOLS FROM THE MAIN EVENTS THAT OCCUR IN THE LARGER CITIES OF THE COUNTY. THE PROGRAM ALSO OFFERS THEM AN ALTERNATIVE TO 'HANGING OUT' AT THE SCHOOL WAITING FOR THEIR PARENTS TO RETURN HOME FROM WORK. FOR MORE INFORMATION ABOUT ST. JOSEPH HOSPITAL, EUREKA PLEASE VISIT STJOSEPHEUREKA.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJOE.ORG.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6ST JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HOSPITAL OF EUREKA.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, LINE 7AST. JOSEPH HOSPITAL OF EUREKA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. JOSEPH HOSPITAL OF EUREKA BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST. JOSEPH HOSPITAL OF EUREKA 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.
DESCR CLASSES OF PERSON, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 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 BOARD FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTS AND DISCUSSES CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE BOARD 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 ST. JOSEPH HOSPITAL OF EUREKA. 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'S FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE.
DESCRIPTION OF PROCESS TO IMPLEMENT WHISTLE BLOWER POLICYFORM 990, PART VI, LINE QUESTION 13A WHISTLEBLOWER POLICY WAS DEVELOPED BY ST. JOSEPH HEALTH SYSTEM AND WILL BE IMPLEMENTED BY ST. JOSEPH HOSPITAL OF EUREKA BOARD IN ORDER TO BE COMPLIANT UNDER THE POLICY OF ST. JOSEPH HEALTH SYSTEM. IT WILL BE REVIEWED AND ADOPTED BY THE ST. JOSEPH HOSPITAL OF EUREKA BOARD EARLY IN 2012, IT IS CURRENTLY ON THE AGENDA FOR THE APRIL 2012 BOARD MEETING.
DESCRIPTION OF PROCESS TO IMPLEMENT RETENTION/DESTRUCTION POLICYFORM 990, PART VI, LINE 14THE DOCUMENT RETENTION AND DESTRUCTION POLICY WAS DEVELOPED BY ST. JOSEPH HEALTH SYSTEM AND WILL BE IMPLEMENTED BY ST. JOSEPH HOSPITAL OF EUREKA BOARD IN ORDER TO BE COMPLIANT UNDER THE POLICY OF ST. JOSEPH HEALTH SYSTEM. IT WILL BE REVIEWED AND ADOPTED BY THE ST. JOSEPH HOSPITAL OF EUREKA BOARD IN EARLY 2012. IT IS CURRENTLY ON THE AGENDA FOR THE APRIL 2012 BOARD MEETING.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 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 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 PUBLICFORM 990, PART VI, LINE 19THE 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 VIITHE ST. JOSEPH HOSPITAL OF EUREKA (SJE) AND REDWOOD MEMORIAL HOSPITAL (RMH) SHARE THE SAME BOARD. EACH PERSON DEVOTES 2 HOURS PER WEEK TO EACH ORGANIZATION. JOANNE CENTER ALSO SERVES ON THE BOARD OF REDWOOD MEMORIAL FOUNDATION (RMF) WHERE SHE DEVOTES 2 HOURS PER WEEK. SISTER JO ANN EANNARENO ALSO SERVES ON THE BOARD OF ST. JOSEPH HEALTH SYSTEM (SJHS) WHERE SHE DEVOTES 2 HOURS PER WEEK. SISTER MARIE JEANNE GAILLAC ALSO SERVES ON THE BOARD OF SJHS AND ST. JUDE MEDICAL CENTER (SJMC). SHE DEVOTES 2 HOURS PER WEEK TO SJMC AND 4 HOURS TO SJHS. SISTER JAYNE HELMLINGER ALSO SERVES ON THE BOARD OF ST. JOSEPH HEALTH SYSTEM FOUNDATION (SJHSF) AND IS THE EVP OF MISSION INTEGRATION OF SJHS. SHE DEVOTES 5 HOURS PER WEEK TO SJHSF AND 50 HOURS PER WEEK TO SJHS. SISTER DIANE HEJNA ALSO SERVES ON THE BOARD SJHS WHERE SHE DEVOTES 2 HOURS PER WEEK. JOSEPH MARK IS THE CEO OF SJE AND RMH AND IS PAID BY SJHS. HE ALSO SERVES ON THE BOARD OF RMF. HE DEVOTES 54 HOURS TO SJE AND RMH, 2 HOURS PER WEEK TO RMF AND NO HOURS TO SJHS. SISTER MARIAN SCHUBERT, CSJ, ALSO SERVES AS VP OF MISSION INTEGRATION FOR QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) WHERE SHE DEVOTES 50 HOURS PER WEEK. S. ANDREW RYBOLT WAS THE VICE PRESIDENT OF FINANCE OF SJE AND RMH FOR PART OF THE YEAR. HE ALSO SERVED AS A TRUSTEE ON THE BOARD OF ST. JOSEPH HOME CARE NETWORK (SJHCN). HE DEVOTED 50 HOURS PER WEEK TO SJE AND RMH AND 2 HOURS PER WEEK TO SJHCN. RON JONES RECEIVED COMPENSATION FOR PROFESSIONAL SERVICES PROVIDED TO SJE AND RMH, NOT FOR HIS BOARD MEMBER SERVICE. HE ALSO SERVES ON THE BOARD OF RMF WHERE HE DEVOTES 2 HOURS PER WEEK. RODNEY MAPLES RECEIVED COMPENSATION FOR PROFESSIONAL SERVICES PROVIDED TO SJE AND RMH, NOT FOR HIS BOARD MEMBER SERVICE. THOMAS RYDZ, MD RECEIVED COMPENSATION FOR PROFESSIONAL SERVICES PROVIDED TO SJE AND RMH, NOT FOR HIS BOARD MEMBER SERVICE. KUSUM STOKES RECEIVED COMPENSATION FOR PROFESSIONAL SERVICES PROVIDED TO SJE, NOT FOR HER BOARD MEMBER SERVICE. RONALD DILUIGI IS ALSO THE VP OF ADVOCACY OF SJHS WHERE HE DEVOTES 50 HOURS PER WEEK. JUDY BEGLEY IS THE VP AND CNO OF SJE, AS WELL AS A BOARD TRUSTEE OF SJHCN. SHE DEVOTES 40 HOURS PER WEEK TO SJE AND 2 HOURS PER WEEK TO SJHCN.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESFORM 990, PART XI, LINE 5PPE FUND TRANSFERS $ 1,600,362 UNREALIZED GAINS $ 707,916 CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE <$ 6,291,954> EQUITY TRANSFERS <$ 8,435,638> ADJUSTMENTS IN GRANTS/FUNDS <$ 1,102,175> ROUNDING <$ 2,017> ------------ TOTAL <$13,523,506>
OVERSIGHT OF SELECTION PROCESSFORM 990, PART XII, LINE 2CTHE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT.
409A DOCUMENT CORRECTION UNDER VI.B, VII.C & XI.A OF IRS NOTICE 2010-06DOCUMENT DEFECTS1) 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: ROBERT BRANNIGAN GROSS AMOUNT INVOLVED IN DOCUMENT FAILURE: $32,903 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: ROBERT SAMPSON GROSS AMOUNT INVOLVED IN DOCUMENT FAILURE: $100,726 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.

Schedule R IRS990ScheduleR

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
3615 19TH STREETLUBBOCKTX79410752765566HEALTHCARETX501(C)(3)3SJHS
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)9CHS
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 ORANGE
1100 WEST STEWART DRIVEORANGECA92868951643359HEALTHCARECA501(C)(3)3SJHS
ST JUDE HOSPITAL YORBA LINDA
279 E IMPERIAL HWY 750FULLERTONCA92835330185031HEALTHCARECA501(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/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
ST JOSEPH PROF SVCS ENTERPRISES INC
500 S MAIN STREET 700ORANGECA92868330155323HEALTHCARE SVCSCANAC-CORP000.00000
AMERICAN UNITY GROUP LTD
CAPTIVE INSURNAC-CORP000.0000058 PAR-LA-VILLE ROADHAMILTON HM HXBDBD
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 SERVICES
PO BOX 1201LUBBOCKTX79410752118585HEALTHCARE SVCSTXNAC-CORP000.00000
LUBBOCK METHODIST HOSP PRACTICE MGMT
2107 OXFORD STREET SUITE 300LUBBOCKTX79410752578995INACTIVETXNAC-CORP000.00000
ALLIANCE PHYSICIAN SERVICES
INACTIVECANAC-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 OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (48 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
AMERICAN UNITY GROUP
Q804105
REDWOOD MEMORIAL HOSPITAL
N52349
REDWOOD MEMORIAL HOSPITAL
O4731248
REDWOOD MEMORIAL HOSPITAL
P576494
ST JOSEPH HEALTH SYSTEM FOUNDATION
B250000
ST JOSEPH HEALTH SYSTEM FOUNDATION
C350400
ST JUDE HOSPITAL YORBA LINDA
B850000
ST JUDE HOSPITAL YORBA LINDA
Q1194942
CAMINO HEALTH CENTER
0
COVENANT HEALTH PARTNERS
0
COVENANT HEALTH SYSTEM
0
COVENANT HEALTH SYSTEM FOUNDATION
0
COVENANT MEDICAL GROUP
0
HOME CARE PARTNERS
0
HOSPICE OF LUBBOCK
0
LUBBOCK METHODIST HOSPITAL FOUNDATION
0
METHODIST CHILDREN'S HOSPITAL
0
METHODIST HOSPITAL LEVELLAND
0
METHODIST HOSPITAL PLAINVIEW
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
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 ORANGE
0
ST JUDE HOSPITAL INC
0
ST JUDE MEMORIAL FOUNDATION
0
ST MARY MEDICAL CENTER
0
ST MARY OF THE PLAINS HOSPITAL FOUNDATION
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 OF OC LLC
0
ST JOSEPH PROF SVCS ENTERPRISES INC
0
ALLIANCE PHYSICIAN SERVICES
0
MISSION VIEJO MEDICAL VENTURES
0
MISSION MEDICAL CENTER ASSOCIATION
0
ST JOSEPH YORBA PARK
0
LUBBOCK METHODIST HOSPITAL SERVICES
0
LUBBOCK METHODIST HOSPITAL PRACTICE MGMT
0

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIPIdentifier
Return ReferenceSCHEDULE R, PART IIIReturnReference
ExplanationST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100 ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183 AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 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