REDWOOD MEMORIAL HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- REDWOOD MEMORIAL HOSPITAL (EIN 94-1384665)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-12
- IRS object ID
- 201131329349302758
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-12T12:51:17-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18111 VON KARMAN AVENUE SUITE 1000 | AddressLine1 |
| City | IRVINE | City |
| State | CA | State |
| ZIP Code | 92612 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941384665 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Redwood Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REDW | NameControl |
| Phone | 7072694259 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 RENNER DRIVE | AddressLine1 |
| City | FORTUNA | City |
| State | CA | State |
| ZIP Code | 95540 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH MARK | Name |
| Title | CEO | Title |
| Date Signed | 2011-05-10 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9497942300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOSEPH MARK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2700 DOLBEER STREET | AddressLine1 |
| City | EUREKA | City |
| State | CA | State |
| ZIP Code | 95501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 42288355 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | www.redwoodmemorial.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1954 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | See schedule O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 253 | TotalNbrEmployees |
| Total Nbr Volunteers | 69 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 643178 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 613540 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 39776298 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 40104191 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -2135868 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1558460 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 38283608 | TotalRevenuePriorYear |
| Total Revenue Current Year | 42276191 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 354889 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 529100 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 17874612 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 18798270 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 220280 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 18464544 | OtherExpensePriorYear |
| Other Expenses Current Year | 18975992 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 36694045 | TotalExpensesPriorYear |
| Total Expenses Current Year | 38303362 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1589563 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3972829 | RevenuesLessExpensesCY |
| Total Assets BOY | 40093744 | TotalAssetsBOY |
| Total Assets EOY | 45211132 | TotalAssetsEOY |
| Total Liabilities BOY | 8307102 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7997221 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 31786642 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 37213911 | NetAssetsOrFundBalancesEOY |
| Mission Description | See Schedule O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 35567249 | Expense |
| Grants | 529100 | Grants |
| Revenue | 40104191 | Revenue |
| Description | See Schedule O | Description |
| Total Program Service Expense | 35567249 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 92 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 253 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RONALD YAW | NamePerson |
| Telephone Number | 7074458121 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2630 HARRISON AVE | AddressLine1 |
| City | EUREKA | City |
| State | CA | State |
| ZIP Code | 95501 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| JOHN ARYANPUR MD | |||||||||
| BOARD CHAIR/VICE CHAIR | 5.0 | X | 0 | 0 | 0 | ||||
| JOANNE CENTER | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| JOHN DALBY | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| RONALD DILUIGI | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 404197 | 37628 | ||||
| BRUCE EMAD | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| SR MARIE JEANNE GAILLAC CSJ | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| SR DIANE HEJNA CSJ | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| RON JONES MD | |||||||||
| BOARD MEMBER | 2.0 | X | 80550 | 25000 | 0 | ||||
| DENNIS LEONARDI | |||||||||
| BOARD VICE CHAIR/MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| RODNEY MAPLES | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| JEFF NELSON | |||||||||
| BOARD VICE CHAIR/MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| THOMAS RYDZ MD | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 18000 | 0 | ||||
| SR MARIAN SCHUBERT CSJ | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| SR ANN MARIE STEFFEN CSJ | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| KUSUM STOKES MD | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 87083 | 0 | ||||
| VICTOR WALLENKAMPF MD | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| HERBERT WOOD | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| SR JOANNE EANNARENO CSJ | |||||||||
| BD MEMBER/VP MISSION INTEGRATN | 2.0 | X | 0 | 0 | 0 | X | |||
| JOHN GIEREK JR | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| SARIE TOSTE | |||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | ||||
| JOSEPH MARK | |||||||||
| CEO/Board Member | 6.4 | X | 0 | 489577 | 33720 | X | |||
| SUSAN WHITTAKER | |||||||||
| BOARD MEMBER/SECRETARY | 2.0 | X | 0 | 701508 | 57073 | X | |||
| S ANDREW RYBOLT | |||||||||
| VP, FINANCE | 6.4 | 0 | 287558 | 26114 | X | ||||
| JOSEPH ROGERS | |||||||||
| VP, COO (RMH) | 50.0 | 242091 | 0 | 47702 | X | ||||
| LAURIE GARRISON | |||||||||
| VP, CNO (RMH) | 50.0 | 155576 | 0 | 19811 | X | ||||
| NEIL PALMER | |||||||||
| MANAGER, PHARMACY | 40.0 | 166608 | 0 | 41287 | X | ||||
| ROBERT MORRIS JR | |||||||||
| PHARMACIST | 32.0 | 153903 | 0 | 18825 | X | ||||
| DOMENIC PREVITE | |||||||||
| DIRECTOR, IMAGING & LAB SVCS | 40.0 | 123924 | 0 | 13267 | X | ||||
| LINDA BIONDINI | |||||||||
| NURSE MANAGER | 40.0 | 115193 | 0 | 27784 | X | ||||
| LANI SAMS | |||||||||
| PHARMACIST | 24.0 | 112152 | 0 | 15907 | X | ||||
| ROBERT SAMPSON | |||||||||
| FORMER KEY EMPLOYEE | 0.0 | 0 | 251196 | 29052 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1149997 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2264119 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 368170 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MEDICAL STAFFING NETWORK INC | |||||
| PO BOX 840721 | DALLAS | TX | 752840721 | NURSE STAFFING | 1184761 |
| NORTH COAST EMERGENCY PHYSICIANS | |||||
| PO BOX 577 | FORTUNA | CA | 95540 | EMERGENCY MD Svcs | 593330 |
| MBC | |||||
| PO BOX 2534 | NAPA | CA | 94550 | IMAGING SERVICES | 300000 |
| REDWOOD WOMEN'S CENTER PC | |||||
| 3309 RENNER DRIVE | FORTUNA | CA | 95540 | EMERGENCY MD SVCS | 188463 |
| JLG MEDICAL TRANSCRIPTION SVCS INC | |||||
| PO BOX 25374 | TAMPA | FL | 336225374 | TRANSCRIPTION SVCS | 174104 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| Related Organizations | 350223 | RelatedOrganizations |
| Government Grants | 116294 | GovernmentGrants |
| All Other Contributions | 147023 | AllOtherContributions |
| Total Contributions | 613540 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 622110 | 39940755 | 39940755 |
| MOB RENT | 531120 | 86223 | 86223 |
| CAFETERIA | 722310 | 76307 | 76307 |
| ALL OTHER PROGRAM SERVICE REVENUE | 900099 | 906 | 906 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 40104191 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 41620 | TotalRevenueColumn |
| Exclusion | $41,620 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1529004 | Securities |
| Other | 0 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 12164 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1529004 | Securities |
| Other | -12164 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1516840 | TotalRevenueColumn |
| Exclusion | $1,516,840 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 42276191 | TotalRevenueColumn |
| Related Or Exempt Function Income | 40104191 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,558,460 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 529100 | Total |
| Program Services | 529100 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 994262 | Total |
| Program Services | 435295 | ProgramServices |
| Management And General | 558967 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111731 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 111731 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11266352 | Total |
| Program Services | 10862154 | ProgramServices |
| Management And General | 259176 | ManagementAndGeneral |
| Fundraising | 145022 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 852095 | Total |
| Program Services | 760033 | ProgramServices |
| Management And General | 92050 | ManagementAndGeneral |
| Fundraising | 12 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4506983 | Total |
| Program Services | 4167379 | ProgramServices |
| Management And General | 304889 | ManagementAndGeneral |
| Fundraising | 34715 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1066847 | Total |
| Program Services | 996752 | ProgramServices |
| Management And General | 69204 | ManagementAndGeneral |
| Fundraising | 891 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 731172 | Total |
| Program Services | 666240 | ProgramServices |
| Management And General | 64932 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76242 | Total |
| Management And General | 76242 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34203 | Total |
| Management And General | 34203 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5028 | Total |
| Program Services | 5028 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3824780 | Total |
| Program Services | 3481237 | ProgramServices |
| Management And General | 333706 | ManagementAndGeneral |
| Fundraising | 9837 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77790 | Total |
| Program Services | 70085 | ProgramServices |
| Management And General | 2838 | ManagementAndGeneral |
| Fundraising | 4867 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4854018 | Total |
| Program Services | 4756350 | ProgramServices |
| Management And General | 77324 | ManagementAndGeneral |
| Fundraising | 20344 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 613965 | Total |
| Program Services | 572452 | ProgramServices |
| Management And General | 41513 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 547087 | Total |
| Program Services | 544506 | ProgramServices |
| Management And General | 2581 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80204 | Total |
| Program Services | 33673 | ProgramServices |
| Management And General | 42846 | ManagementAndGeneral |
| Fundraising | 3685 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126903 | Total |
| Program Services | 126903 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1506673 | Total |
| Program Services | 1475665 | ProgramServices |
| Management And General | 31008 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 375430 | Total |
| Program Services | 366430 | ProgramServices |
| Management And General | 9000 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PROVISION FOR BAD DEBT | 4453644 | 4453644 | ||
| DUES & SUBSCRIPTIONS | 765516 | 732173 | 33343 | |
| All other expenses | 903337 | 532150 | 370280 | 907 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38303362 | Total |
| Program Services | 35567249 | ProgramServices |
| Management And General | 2515833 | ManagementAndGeneral |
| Fundraising | 220280 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10346547 | BOY |
| EOY | 13712740 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5310379 | BOY |
| EOY | 4946775 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 357899 | BOY |
| EOY | 243252 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1209042 | BOY |
| EOY | 916447 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142401 | BOY |
| EOY | 174827 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 30881556 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 21312954 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9115112 | BOY |
| EOY | 9568602 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13356368 | BOY |
| EOY | 14842378 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 255996 | BOY |
| EOY | 806111 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40093744 | BOY |
| EOY | 45211132 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2801751 | BOY |
| EOY | 2717773 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5505351 | BOY |
| EOY | 5279448 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8307102 | BOY |
| EOY | 7997221 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31622747 | BOY |
| EOY | 36753745 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 163895 | BOY |
| EOY | 460166 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31786642 | BOY |
| EOY | 37213911 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40093744 | BOY |
| EOY | 45211132 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $5,028 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 5028 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Lobbying Activities | Identifier |
| Return Reference | SCHEDULE C, PART II-B | ReturnReference |
| Explanation | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 137949 | OtherCostOrOtherBasis |
| Book Value | 137949 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11954705 | OtherCostOrOtherBasis |
| Depreciation | 7543208 | Depreciation |
| Book Value | 4411497 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17554334 | OtherCostOrOtherBasis |
| Depreciation | 13769746 | Depreciation |
| Book Value | 3784588 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1234568 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 1234568 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9568602 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PAYABLE TO THIRD PARTY | $3,001,561 |
| OTHER LIABILITIES | $223,202 |
| INTERCO. WITH HEALTH SYSTEM - BONDS | $2,054,685 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5279448 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2825 | PersonsServed |
| Total Community Benefit Expense | 759509 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 759509 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02240 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 9740 | PersonsServed |
| Total Community Benefit Expense | 7193841 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4425220 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2768621 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08180 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1041 | PersonsServed |
| Total Community Benefit Expense | 1196318 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 477667 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 718651 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02120 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 13606 | PersonsServed |
| Total Community Benefit Expense | 9149668 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4902887 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4246781 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12540 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 37019 | PersonsServed |
| Total Community Benefit Expense | 344823 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 360 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 344463 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01020 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 178 | PersonsServed |
| Total Community Benefit Expense | 60415 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 60415 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12862 | PersonsServed |
| Total Community Benefit Expense | 802224 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 802224 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02370 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3557 | PersonsServed |
| Total Community Benefit Expense | 186350 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1828 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 184522 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00550 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 53616 | PersonsServed |
| Total Community Benefit Expense | 1393812 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2188 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1391624 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04120 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 67222 | PersonsServed |
| Total Community Benefit Expense | 10543480 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4905075 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5638405 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.16660 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 146 | PersonsServed |
| Total Community Building Expense | 5108 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 5108 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 310 | PersonsServed |
| Total Community Building Expense | 597 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 597 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 646 | PersonsServed |
| Total Community Building Expense | 372431 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 100280 | DirectOffsettingRevenue |
| Net Community Building Expense | 272151 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01400 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 1637 | PersonsServed |
| Total Community Building Expense | 27931 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 27931 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 7719 | PersonsServed |
| Total Community Building Expense | 106070 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 106070 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 13 | NumberOfActivitiesOrPrograms |
| Persons Served | 10458 | PersonsServed |
| Total Community Building Expense | 512137 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 100280 | DirectOffsettingRevenue |
| Net Community Building Expense | 411857 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01810 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,310,271 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 13884779 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16763868 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2879089 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDWOOD MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 RENNER DRIVE | AddressLine1 |
| City | FORTUNA | City |
| State | CA | State |
| ZIP Code | 95540 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Costing Method Used | THE COSTING METHODOLOGY WAS DERIVED BY TAKING TOTAL COST (INDIRECT AND DIRECT COST) DIVIDED BY TOTAL CHARGES TO GET THE COST TO CHARGE RATIO. THIS WAS DONE USING WORKSHEET 2 FROM THE IRS INSTRUCTIONS. | CostingMethodUsed |
| Percent Of Total Expense Expln | BAD DEBT EXPENSE OF $4,453,644 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE OF NET COMMUNITY BENEFIT. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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 CONTINUALLY MONITORS AND ADJUSTS THE RESERVES ASSOCIATED WITH RECEIVABLES. THE ORGANIZATION ESTIMATES BAD DEBT EXPENSE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL COLLECTION EXPERIENCE. COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 IS AS FOLLOWS: TOTAL PROVISION FOR BAD DEBT EXPENSE ($4,453,644) MULTIPLIED BY COST TO CHARGE RATIO AS CALCULATED FOR FY10, BASED ON GROSS PATIENT REVENUE AND TOTAL OPERATING EXPENSES (29.42%) = $1,310,271. | BadDebtFootnote |
| Shortfall As Community Benefit | AS A CATHOLIC HEALTH CARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S COMMUNITY BENEFIT REPORTING GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE AS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6 IS AS FOLLOWS: THE COST-TO-CHARGE RATIO (29.42%) AS CALCULATED FOR FY10, BASED ON GROSS PATIENT REVENUE AND TOTAL OPERATING EXPENSES. THE AMOUNT COMES FROM THE MEDICARE COST REPORT. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMS AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIES FOR CHARITY CARE. ALL ACCOUNTS ARE SCREENED FOR CHARITY CARE ELIGIBILTY USING CRITERIA THAT CONSIDERS INSURANCE COVERAGE, CREDIT RATING, PAYMENT ACTIVITY, AND VALID SOCIAL SECURITY NUMBER AND/OR ACCURATE RESIDENCE ADDRESS. | DebtCollectionPolicy |
| Needs Assessment | ST. 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 AMOUNG THE AREA'S CHILDREN. FY 2010 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 COMODITIES AND FOOD BOX DISTRIBUTIONS, AS WELL AS THE BACKPACK FOR CHILDREN WEEKEND FOOR 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. | NeedsAssessment |
| Patient Education Assistance | THE ORGANIZATION POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES ARE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES ARE ALSO POSTED AT LOCATIONS WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT CAN OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATE LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS ARE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND IS OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE. | PatientEducationAssistance |
| Community Information | HUMBOLDT COUNTY IS LOCATED IN THE NORTHWESTERN CORNER OF CALIFORNIA AND IS THE MOST POPULOUS OF THE NORTH COASTS' RURAL AND ISOLATED COUNTIES. IT IS WEALTHY IN THE COLLABORATION OF GOVERNMENT AGENCIES, NON-PROFIT ORGANIZATIONS, AND COMMUNITY MEMBERS WHO PARTNER TO DEVELOP A SYSTEM OF SERVICES THAT REACHES ACROSS CLASS AND SOCIAL BARRIERS. ELECTED OFFICIALS, PUBLIC AGENCIES, COMMUNITY PROVIDERS/ORGANIZATIONS, AND CITIZENS COME TOGETHER WITH SJHS-HC TO ACTIVELY ENGAGE IN DESIGNING PROGRAMS, AND SPONSORING ACTIVITIES IDENTIFIED AS PRIORITY NEEDS BY THE COMMUNITY. REDWOOD MEMORIAL HOSPITAL, A CRITICAL ACCESS HOSPITAL, IS LOCATED IN THE TOWN OF FORTUNA. FORTUNA IS THE COUNTY'S THIRD LARGEST CITY WITH OVER 12,000 RESIDENTS. HUMBOLDT COUNTY IN ENTIRETY COMPRISES A POPULATION OVER 129,000, AND IS SPREAD OVER 3,572 SQUARE MILES, ROUGHLY 80% OF WHICH ARE DESIGNATED TO RECREATION AND TIMBERLAND. THE COUNTY HAS A POPULATION DENSITY OF 36 CITIZENS PER SQUARE MILE, COMPARED TO THE STATE RURAL COMMUNITY DEFINITION OF 52 CITIZENS PER SQUARE MILE. FURTHER COMPARISION TO THE STATE AVERAGE OF 217 PERSONS PER SQUARE MILE PROVIDES AN UNDERSTANDING OF THE TRUE ISOLATION OF THE REMOTENESS. THE MAJOR TRANSPORTATION ACCESS FOR THE AREA ARE HIGHWAY 101 (NORTH/SOUTH), AND HIGHWAY 299 (EAST/WEST). SINCE 57% OF THE COUNTIES' POPULATION LIVES IN RURAL, ISOLATED AREAS OF THE COUNTY AND BASED ON THE COUNTY HAVING ONE OF THE HIGHEST AVERAGE GAS PRICES IN THE STATE, A VERY POOR TRANSIT SYSTEM, AND THE HIGH RATE OF POVERTY, FAMILIES FACE DIFFICULTIES EACH TIME THEY NEED TO COME TO THE METROPOLITAN AREAS FOR HEALTH CARE, SOCIAL SERVICE NEEDS AND LOWER FOOD COSTS. | CommunityInformation |
| Community Building Activities | THE SIX COMMUNITY RESOURCE CENTERS OF SJHS-HC ARE THE MAIN CONDUIT FOR COMMUNITY OUTREACH AND COMMUNITY BUILDING ACTIVITIES FOR THE MOST RURAL REGIONS OF HUMBOLDT COUNTY. THE CENTERS ARE LOCATED IN THE COMMUNITIES OF RIO DELL, FORTUNA, LOLETA, BLUE LAKE, EUREKA, AND WILLOW CREEK. THE CENTERS PROVIDE SUPPORT AND RESOURCES FOR EACH INDIVIDUAL COMMUNITY AS DEFINED BY COMMUNITY MEMBERS AND, ALTHOUGH ALIKE IN STRUCTURE AND MISSION, ACTIVITIES FOR ONE CENTER TO THE OTHER VARY IN SCOPE AND REACH. COLLECTIVELY, THE CENTERS PROVIDED COMMODITIES TO 5,685 NON-DUPLICATED INDIVIDUALS, OVERSAW THE SUMMER LUNCHES AND WEEKEND BACKPACK DISTRIBUTION FOR FOUR COMMUNITIES AND PROVIDED ACCESS FOR MAIL DISTRIBUTION FOR OVER 275 HOMELESS INDIVIDUALS, ALLOWING THEM TO APPLY AND RECEIVE SERVICES THAT REQUIRE A FIXED, PERMANENT ADDRESS. THESE ARE ONLY A FEW EXAMPLES OF THE MANY SUPPORT SERVICES THE CENTERS OFFERS TO THE CLIENTS THOUGHOUT HUMBOLDT COUNTY. ANOTHER AREA OF COMMUNITY BUILDING ACTIVITIES ARE THE HEALTH ADVOCACY EFFORTS, INCLUDING BUT NOT LIMITED TO COLLABORATING WITH ORGANIZATIONS AND BUSINESSES TO OUTREACH TO FAMILIES/INDIVIDUALS TO ADDRESS THE UNMET HEALTH NEEDS OF OUR COMMUNITIES, INCLUDING ACCESS TO HEALTH INSURANCE FOR CHILDREN, INCREASED FOOD RESOURCES TO THOSE FACING FOOD INSECURITY AND SAFE EXERCISE PROGRAMS AND ACTIVITIES FOR BOTH CHILDREN AND THEIR PARENTS. SJHS-HC ALSO COLLABORATED WITH OPEN DOOR COMMUNITY HEALTH CENTER TO BRING THE DENTAL VAN TO TWO LOW INCOME ELEMENTARY SCHOOLS FOR SCREENING AND TREATMENT FOR ALL THE ENROLLED CHILDREN. TO CONTINUE REDWOOD MEMORIAL HOSPITAL'S MISSION, IN FY10, REDWOOD MEMORIAL HOSPITAL ASSISTED 2,739 PERSONS IN COMMUNITY BUILDING ACTIVITIES FOR A TOTAL COMMUNITY BUILDING EXPENSE TO THE HOSPITAL OF $305,787. THE COSTS ASSOCIATED WITH THESE PROGRAMS ARE REPORTED ON LINES 3, 4, 6 AND 7 OF SCHEDULE H, PART II. THE HOSPITAL PROVIDED PATIENT ASSISTANCE TO MEMBERS OF THE COMMUNITY AS WELL AS FOOD, CARSEATS, CLOTHING, SCHOOL AND BASIC SUPPLIES TO FOOD BANK AND OTHER PROGRAMS IN THE COMMUNITY, THESE AMOUNTS ARE REPORTED ON PART II, LINE 9. | CommunityBuildingActivities |
| Other Information | OUR MISSION IS FURTHER REALIZED AND EMPHASIZED BY THE BOARD-DESIGNATED COMMUNITY BENEFITS COMMITTEE, WHOSE PURPOSE IT IS TO GUIDE AND PARTICIPATE IN THE PLANNING, DEVELOPMENT, IMPLEMETATION AND EVALUATION OF COMMUNITY BENEFIT ACTIVITIES. THIS COMMITTEE, CHAIRED BY A TRUSTEE, FOLLOWS THE GUIDELINES OF THE "ADVANCING THE ART OF COMMUNITY BENEFIT" AND HAS BOARD APPROVED BY-LAWS, CHARTER AND POLICIES. THE BOARD OF TRUSTEES RECEIVES MONTHLY WRITTEN REPORTS ON COMMUNITY BENEFIT ACTIVITIES AND VERBAL REPORTS FROM THE TRUSTEE COMMITTEE CHAIR, WHO CARRIES FORWARD RECOMMENDATIONS FOR PROGRAMS AND INITIATIVES THAT HAD BEEN APPROVED BY THE FULL COMMUNITY BENEFITS COMMITTEE. THE FULL COMMUNITY BENEFITS COMMITTEE INCLUDES MEMBERSHIP FROM COMMUNITY NON-PROFITS AND TWO LOCAL FOUNDATIONS. ADDITIONALLY, ST. JOSEPH HEALTH SYSTEM - HUMBOLDT COUNTY IDENTIFIES ALL OF HUMBOLDT COUNTY AS ONE WITH DISPROPORTIONATE UNMET HEALTH CARE NEEDS AND SETS THE COMMUNITY BENEFIT ACTIVITIES AND PRIORITIES FOR THE MOST ISOLATED, UNDERSERVED AREAS OF THE COUNTY. THESE ACTIVITIES INCLUDE ADRESSING THE UNMET NEEDS OF THE GROWING HISPANIC POPULATION WITH THE EDUCATION PROGRAMS OF PASO A PASO, PROVIDING COMMUNITY SPECIFIC COMMUNITY RESOURCE CENTERS TO ADDRESS COMMUNITY IDENTIFIED CONCERNS AND PARTNER WITH LIKE ORGANIZATIONS TO EXPAND SJHS-HC OUTREACH TO POPULATIONS WHO HAVE DEFINED UNMET HEALTH NEEDS. | OtherInformation |
| Affiliated Health Care System | GIVING BACK TO THE COMMUNITY PERMEATES EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTHY MINISTRY OF ST. JOSEPH HEALTH SYSTEM, WE HAVE A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. ON AN ANNUAL BASIS, 10 PERCENT OF OUR NET OPERATING INCOME IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR. THE ST. JOSEPH HEALTH SYSTEM FOUNDATION, A MEMBER OF ST. JOSEPH HEALTH SYSTEM, IS CHARGED WITH THE DISTRIBUTION OF THESE FUNDS. IN ADDITION TO DEVOTING A PERCENTAGE OF OUR NET OPERATING INCOME TO COMMUNITY BENEFIT SERVICES FOR THE ECONOMICALLY POOR, WE STRIVE TO ANNUALLY BUDGET A PORTION OF OUR TOTAL OPERATING EXPENSES FOR HEALTHY COMMUNITIES AND COMMUNITY HEALTH EFFORTS. | AffiliatedHealthCareSystem |
| Reports Filed With States | CA | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| ALCOHOL AND DRUG CARE SERVICES | |||||||
| 528 5TH STREET | EUREKA | CA | 95501 | 680218628 | 501(C)(3) | 20000 | PROVIDE HEALTHY MEALS THROUGH ASSISTANCE OF A NUTRITIONIST FOR CLIENTS OF THE ADCS-DETOX. CLIENTS TO BE TAUGHT HEALTHY DIETARY PRACTICES. |
| ST VINCENT DE PAUL | |||||||
| PO BOX 1386 | EUREKA | CA | 95502 | 943163269 | 501(C)(3) | 12500 | PROVIDES HOUSING AND INTENSIVE SUPPORT FOR FAMILIES WHO ARE HOMELESS. |
| FOOD FOR PEOPLE | |||||||
| 304 W 14TH STREET | EUREKA | CA | 95501 | 942772549 | 501(C)(3) | 12500 | ENCOURAGE INCREASED CONSUMPTION OF HIGH FIBER, NUT NUTRIENT-RICH FRESH FRUITS AND VEGETABLES BY PROVIDING INCREASED QUANTITIES OF FRESH PRODUCE TO THE LOW INCOME HOUSEHOLDS SERVED. GOAL IS TO PREVENT OBESITY, DIABETES, AND OTHER HEALTH RELATED ILLNESSES. |
| NORTHCOAST CHILDREN'S SERVICES | |||||||
| 1266 9TH STREET | ARCATA | CA | 95521 | 941749823 | 501(C)(3) | 6250 | TO CONTINUE AND/OR EXPAND THE FAMILY WELLNESS PROJECT (FWP). FWP FOCUSES ON IMPROVING THE AWARENESS AND ADOPTION OF HEALTHY EATING AND PHYSICAL ACTIVITY LEVELS BY FAMILIES, PARTICULARLY BY LOW INCOME CHILDREN AND THEIR FAMILIES. |
| REDWOOD COMMUNITY ACTION AGENCY | |||||||
| 904 G STREET | EUREKA | CA | 95501 | 680218628 | 501(C)(3) | 6750 | ENHANCE AND EXPAND EFFORTS IN PROVIDING EXPERIENTI EXPERIENTIAL NUTRITION AND FOOD EDUCATION. PROGRAMS WILL BE OFFERED AT PLACES IN THE COUNTY THAT SERVE LOW INCOME FAMILIES-THE MAC, FOOD STAMP OFFICE, FOOD DISTRIBUTION SITES, AND FAMILY RESOURCE CENTERS. |
| HUMBOLDT SENIOR RESOURCE CENTER | |||||||
| 1910 CALIFORNIA STREET | EUREKA | CA | 95501 | 942261434 | 501(C)(3) | 12500 | DEVELOP A MODEL VOLUNTEER HOME DELIVERED MEAL DELIVERY SYSTEM IN PREPARATION FOR A TRANSITION FROM PAID DRIVERS TO AN ALL VOLUNTARY DELIVERY CORPS. |
| NORTHCOAST CLINICS NETWORK | |||||||
| 710 E STREET | EUREKA | CA | 95501 | 680348781 | 501(C)(3) | 17800 | CONTINUE ONGOING EDUCATION RELATED TO HOMELESS ISSUES OF POOR NUTRITION, OBESITY, AND UNHEALTY LIVING. LIFE SKILL CLASSES WILL FOCUS ON RELATED ISSUES ABOVE. |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | |||||||
| 500 S MAIN STREET SUITE 1000 | ORANGE | CA | 928684507 | 330143024 | 501(C)(3) | 404100 | care for the poor |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 8 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Organization's Procedures for Monitoring the Use of Grants | Identifier |
| Return Reference | FORM 990, SCHEDULE I | ReturnReference |
| Explanation | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONALD DILUIGI | |||||||||||||
| 0 | 245974 | 0 | 70342 | 0 | 87881 | 0 | 16994 | 0 | 20634 | 0 | 441825 | 0 | 0 |
| S ANDREW RYBOLT | |||||||||||||
| 0 | 207729 | 0 | 14616 | 0 | 65213 | 0 | 9573 | 0 | 16541 | 0 | 313672 | 0 | 0 |
| JOSEPH ROGERS | |||||||||||||
| 167798 | 0 | 11973 | 0 | 62320 | 0 | 22522 | 0 | 25180 | 0 | 289793 | 0 | 0 | 0 |
| LAURIE GARRISON | |||||||||||||
| 112488 | 0 | 3914 | 0 | 39174 | 0 | 11694 | 0 | 8117 | 0 | 175387 | 0 | 0 | 0 |
| NEIL PALMER | |||||||||||||
| 135562 | 0 | 4242 | 0 | 26804 | 0 | 17999 | 0 | 23288 | 0 | 207895 | 0 | 0 | 0 |
| ROBERT MORRIS JR | |||||||||||||
| 122672 | 0 | 0 | 0 | 31231 | 0 | 10812 | 0 | 8013 | 0 | 172728 | 0 | 0 | 0 |
| JOSEPH MARK | |||||||||||||
| 0 | 369217 | 0 | 28920 | 0 | 91440 | 0 | 9772 | 0 | 23948 | 0 | 523297 | 0 | 0 |
| SUSAN WHITTAKER | |||||||||||||
| 0 | 427203 | 0 | 135628 | 0 | 138677 | 0 | 22036 | 0 | 35037 | 0 | 758581 | 0 | 0 |
| ROBERT SAMPSON | |||||||||||||
| 119237 | 0 | 11117 | 0 | 120842 | 0 | 8878 | 0 | 20174 | 0 | 280248 | 0 | 41842 | |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Compensation Information | Identifier |
| Return Reference | Schedule J, Part I, Line 3 | ReturnReference |
| Explanation | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON BY A RELATED ORGANIZATION. SEE SCHEDULE O FOR 990, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM. Schedule J, Part I, Line 4b EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. DISTRIBUTIONS FOR THE YEAR WERE AS FOLLOWS: ROBERT SAMPSON - $41,842 Schedule J, Part I, Line 7 A PORTION OF THE EXECUTIVE'S SALARY IS PLACED "AT-RISK" AND IS NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Linda Biondini | |||
| sister of board member | 111731 | Employee of RMH | false |
| Northcoast Emergency Physicians | |||
| Victor Wallenkampf, Ptnr | 602993 | ed coverage/med dir fees | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART I, LINE 1 AND PART III, LINE 1 | AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), REDWOOD MEMORIAL HOSPITAL IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES, AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4 | AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), REDWOOD MEMORIAL HOSPITAL IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THE MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. BUT THE ROOTS OF REDWOOD MEMORIAL HOSPITAL AND THE LESSONS TO SERVE OUR DEAR NEIGHBORS DATE BANK TO THE YEAR 1650 WHEN THE SISTERS' FIRST CONGREGATION WAS FORMED IN LE PUY, FRANCE. SINCE THAT TIME, THE PEOPLE OF OUR ORGANIZATION CONTINUE TO ASSESS THE NEEDS OF THE COMMUNITIES WE SERVE, BUILD COLLABORATIVE PARTNERSHIPS WITH LOCAL RESIDENTS, BUSINESS AND COMMUNITY NOT-FOR-PROFITS, AND TOGETHER THROUGH THOSE PARTNERSHIPS, MEET COMMUNITY NEEDS. THE HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS--NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO - AND CONSISTS OF 14 ACUTE CARE HOSPITALS, AS WELL AS HOME HEALTH AGENCIES, HOSPICE CARE, OUT-PATIENT SERVICES, SKILLED NURSING FACILITIES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. WHO WE ARE AND WHAT WE DO REDWOOD MEMORIAL HOSPITAL IS A CRITICAL ACCESS HOSPITAL PROVIDING A FULL RANGE OF 24 HOUR EMERGENCY SERVICES AND AN ACCREDITED CANCER PROGRAM. THE HOSPITAL EMPLOYS 216 STAFF AND WILL BEGIN PROVIDING OUTPATIENT REHABILITATION SERVICES FOR THE EEL RIVER VALLEY IN 2011. REDWOOD MEMORIAL PROVIDES A PATIENT AND FAMILY CENTERED HOLISTIC CARE MODEL AND HAS RECEIVED RECOGNITION AS A HIGH ACHIEVING HOSPITAL IN PATIENT SATISFACTION SURVEY DATABASES FOR MULTIPLE YEARS. AS A MINISTRY OF THE ST. JOSEPH HEALTH SYSTEM WE ARE COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: - MAKING EVERY ENCOUNTER WITH OUR COMMUNITY A SACRED ENCOUNTER THE WILLOW CREEK COMMUNITY RESOURCE CENTER SERVES AS A PLACEMENT LOCATION FOR ON THE JOB TRAINING THROUGH THE 'WELFARE TO WORK' PROGRAM. A YOUNG MOTHER WHO HAD NEVER WORKED BEFORE CAME TO THE CENTER NERVOUS AND UNSURE OF HER ABILITY TO BE EMPLOYED. AT THE END OF HER ASSIGNMENT SHE REPORTED THE CARING OF HER CO-WORKERS AND THE SUPPORT THEY PROVIDED TO HER EACH DAY HAS GIVEN HER THE COURAGE TO SEEK PAID EMPLOYMENT. WHILE SHE SEARCHES FOR WORK, SHE VOLUNTEERS AT THE CENTER TO MAINTAIN CONTACT WITH THE SUPPORT THE ENCOUNTERS GIVE TO HER. - PROVIDING TO OUR PATIENTS IN THE COMMUNITY WITH PERFECT CARE, PASO A PASO CONTINUES TO MEET OR EXCEED THE GOALS FOR MEASURABLE OBJECTIVES FOR IMPROVING BIRTH WEIGHTS, INCREASING BREAST FEEDING, AND EARLY AND ADEQUATE PRENATAL CARE. IN FY 2010, NO BABIES BORN ALIVE WERE BORN AT LOW OR VERY LOW BIRTH WEIGHT COMPARED TO THE NATIONAL STATISTICS OF 6.4% AND 1.1%. 96% OF THE MOTHERS WERE BREAST FEEDING DURING EARLY POSTPARTUM (NATIONAL 66%), 55% AT SIX MONTHS (29%) AND 26% AT TWELVE MONTHS (19%). A TOTAL OF 82% OF THE WOMEN (65%) EACH RECEIVED EARLY AND ADEQUATE PRENATAL CARE. "PASO A PASO PROGRAM HAD GIVEN ME A LOT OF INFORMATION AND AT THE SAME TIME HAD HELPED ME WITH MY CHILDREN CARE AND THE CARE OF MY WHOLE FAMILY SINCE I STARTED MY THIRD PREGNANCY. IT IS GOOD SINCE WITH MY TWO OTHER CHILDREN I DID NOT HAVE INFORMATION LIKE THIS TIME, WITH MY BABY. I HAD BEEN WITH PASO A PASO FOR ONE YEAR AND SIX MONTHS NOW AND I AM THANKING ALL THE ATTENTION AND HELP." - MAKING THE COMMUNITY WE SERVE AMONG THE HEALTHIEST COMMUNITIES IN THE U.S. OPEN DOOR'S COMMUNITY HEALTH CENTERS MOBILE DENTAL VAN VISITS LOCAL SCHOOLS ON A ROTATION BASIS. IN THE PAST, THE VAN WOULD STAY AT A SCHOOL ONLY LONG ENOUGH TO EVALUATE THE DENTAL NEEDS OF THE CHILDREN, REQUIRING PARENTS TO TRAVEL TO A LOCAL PROVIDER TO RECEIVE NEEDED DENTAL CARE FOR THEIR CHILDREN. IN 2010, THE DENTAL VAN STAYED AT LOLETA ELEMENTARY SCHOOL TO EVALUATE AND TREAT NOT ONLY THE SCHOOL CHILDREN BUT ALSO THEIR PRE-SCHOOL AND HIGH SCHOOL BROTHERS AND SISTERS. THE CARE WAS SCHEDULED BY THE LOLETA COMMUNITY RESORUCE CENTER COORDINATOR, WHO MADE ALL THE ARRANGEMENTS, INCLUDING OBTAINING PARENTAL PERMISSION, FOR THE 689 ENCOUNTERS FOR CHILDREN WHO HAD OFTEN NOT SEEN A DENTIST IN THEIR LIFETIME. PHYSICIAN SERVICES FOR LOW INCOME GOAL: RURAL AREAS OF HUMBOLDT COUNTY WILL HAVE ACCESS TO CARE FOR VULNERABLE, UNDERINSURED COMMUNITY MEMBERS FY 10 OUTCOMES: THERE WERE 12,000 LOW-INCOME, UNDERSERVED PATIENTS SEEN IN THE EMERGENCY ROOM THROUGH ACCESS TO PHYSICIANS COVERED BY THIS BENEFIT INITIATIVE. THIS REPRESENTS 52% OF ALL THE PATIENTS SEEN & 52% OF THE PHYSICIAN COVERAGE COSTS. COMMUNITY RESOURCE CENTERS GOAL: INCREASE THE HEALTH OF LOW INCOME INDIVIDUALS THROUGHOUT RURAL HUMBOLDT COUNTY BY INCREASING ACCESS TO HEALTHFUL FOOD, PHYSICAL ACTIVITY AND SUPPORT FROM COMMUNITY ORGANIZATIONS FY 10 OUTCOMES: RMH IN PARTNERSHIP WITH ST. JOSEPH HOSPITAL, EUREKA, CALIFORNIA, SPONSORS COMMUNITY RESOURCE CENTERS IN THE CITIES OF BLUE LAKE, EUREKA, LOLETA, RIO DELL, AND WILLOW CREEK. THE CENTERS ADDRESS EACH COMMUNITY'S IDENTIFIED NEEDS. RECRUITMENT OF PHYSICIANS FOR THE UNDERSERVED GOAL: RURAL AREAS OF THE COMMUNITY WILL HAVE ACCESS TO CARE FOR VULNERABLE UNDERINSURED COMMUNITY MEMBERS FY 10 OUTCOMES: REDWOOD MEMORIAL HOSPITAL IS IN A MEDICALLY UNDERSERVED SERVICE AREA AND IS ACTIVIELY ENGAGED IN PHYSICIAN RECRUITMENT FOR THE 37 PERSON MEDICAL STAFF. THE ACTIVE SEARCHES INCLUDE TWO ORTHOPEDIC SURGEONS (THE AREA IS PRESENTLY SUPPORTED BY ONLY ONE), THREE FAMILY MEDICAL PHYSICIANS, AND ONE PEDIATRICIAN FOR FY10, THERE WERE SUCCESSFUL RECRUITMENTS FOR ONE EMERGENCY ROOM PHYSICIAN. |
| CHANGES TO ORGANIZATIONAL DOCUMENTS | FORM 990, PART VI, LINE 4 | THE ORGANIZATION'S BYLAWS WERE UPDATED TO DEFINE AND CLARIFY BOARD DUTIES AND OFFICER ROLES. THE NUMBER OF BOARD SEATS WAS ALSO INCREASED. IN ADDITION, THE LIST OF RESERVED RIGHTS WAS EXPANDED TO INCLUDE PROCESSES LEADING UP TO ACTION ON RESERVED RIGHTS. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 ST JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF REDWOOD MEMORIAL HOSPITAL. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A REDWOOD MEMORIAL HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE REDWOOD MEMORIAL HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS COME FROM THE REDWOOD MEMORIAL HOSPITAL BOARD AS NOMINATIONS AND 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 PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS | FORM 990, PART VI, LINE 7B | THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. |
| DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 | Form 990, Part VI, Question 11 | THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 IS THEN REVIEWED BY AN OFFICER(S) OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS THEN DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 2011 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 INTEREST | Form 990, Part VI, Question 12c | OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, DISCLOSURES SHALL BE MADE PROMPTLY ANYTIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE COMPLIANCE COMMITTEE. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS WILL 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 IS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER IN CONSULTATION WITH SJHS GENERAL COUNSEL WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. |
| OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN | FORM 990, PART VI, LINES 15A AND 15B | THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. THE SJHS EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO FULFILL THEIR RESPONSIBILITY, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE WORKLIFE COMMITTEE IS COMPRISED OF SEVERAL INDEPENDENT MEMBERS OF THE BOARD. THEY MEET AT LEAST 3 TIMES A YEAR AND MAKE ALL CRITICAL DECISIONS IN EXECUTIVE SESSION. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PERFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN JUNE 2010. |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC | FORM 990, PART VI, QUESTION 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. |
| HOURS DEVOTED TO RELATED ORGANIZATIONS | FORM 990, PART VII | RONALD DILUIGI SERVES ON THE BOARD OF REDWOOD MEMORIAL HOSPITAL (RMH) AND IS THE VP OF ADVOCACY OF ST. JOSEPH HEALTH SYSTEM (SJHS), THE TAX-EXEMPT PARENT OF RMH. HE DEVOTES 50 HOURS PER WEEK TO SJHS AND 2 HOURS PER WEEK TO RMH. JOSEPH MARK IS THE CEO OF ST. JOSEPH HOSPITAL OF EUREKA (SJE) AND RMH AND IS PAID BY SJHS, THE TAX-EXEMPT PARENT OF RMH. HE DEVOTES 43.60 HOURS PER WEEK TO SJE, 6.40 HOURS PER WEEK TO RMH, AND NO HOURS TO SJHS. S. ANDREW RYBOLT IS THE VICE PRESIDENT OF FINANCE OF SJE AND RMH. HE DEVOTES 43.60 HOURS PER WEEK TO SJE AND 6.40 HOURS PER WEEK TO RMH. RON JONES RECEIVED COMPENSATION FOR PROFESSIONAL SERVICES, NOT FOR HIS BOARD MEMBER SERVICE. HE DEVOTED 6 HOURS PER WEEK TO SJE AND 50 HOURS PER WEEK TO RMH FOR ON-CALL SERVICES. THOMAS RYDZ RECEIVED COMPENSATION FOR PROFESSIONAL SERVICES PROVIDED TO SJE, NOT FOR HIS BOARD MEMBER SERVICE. HE DEVOTED 2 HOURS PER WEEK TO SJE AND 50 HOURS TO RMH FOR ON-CALL SERVICES. KUSUM STOKES RECEIVED COMPENSATION FOR PROFESSIONAL SERVICES, NOT FOR HER BOARD MEMBER SERVICE. SHE DEVOTED 28 HOURS PER WEEK TO SJE AND 0 HOURS PER WEEK TO RMH FOR ON-CALL SERVICES. SUSAN WHITTAKER SERVES ON THE BOARD OF RMH AND IS THE CHIEF ADMIN. OFFICER OF SJHS, THE TAX-EXEMPT PARENT OF RMH. SHE DEVOTES 50 HOURS PER WEEK TO SJHS AND 2 HOURS PER WEEK TO RMH. |
| OVERSIGHT OR SELECTION PROCESS | FORM 990, PART XI, LINE 2C | THE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. |
| TRANSACTIONS WITH RELATED ORGANIZATIONS | FORM 990, SCHEDULE R, PART V, LINE 2 | THE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2 ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH HEALTH SYSTEM | |||||||||
| 500 S MAIN STREET SUITE 700 | ORANGE | CA | 92868 | 953589356 | HEALTHCARE | CA | 501(c)(3) | 11, I | na |
| ST JOSEPH HOSPITAL EUREKA | |||||||||
| 2700 DOLBEER STREET | EUREKA | CA | 95501 | 941156596 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS |
| REDWOOD MEMORIAL FOUNDATION | |||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 942779313 | FOUNDATION | CA | 501(c)(3) | 7 | NA |
| SISTERS OF ST JOSEPH OF ORANGE | |||||||||
| 480 S BATAVIA | ORANGE | CA | 92868 | 951643383 | RELIGIOUS ORG | CA | 501(c)(3) | 1 | NA |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | |||||||||
| 500 S MAIN STREET SUITE 1000 | ORANGE | CA | 92868 | 330143024 | FOUNDATION | CA | 501(c)(3) | 7 | SJHS |
| ST JOSEPH HEALTH MINISTRY | |||||||||
| 500 S MAIN STREET SUITE 400 | ORANGE | CA | 92868 | 271666576 | RELIGIOUS ORG | CA | 501(c)(3) | 1 | na |
| QUEEN OF THE VALLEY MEDICAL CENTER | |||||||||
| 1000 TRANCAS STREET | NAPA | CA | 94558 | 941243669 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS |
| SANTA ROSA MEMORIAL HOSPITAL | |||||||||
| 1165 MONTGOMERY DRIVE | SANTA ROSA | CA | 95405 | 941231005 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS |
| ST JUDE MEDICAL CENTER | |||||||||
| 101 EAST VALENCIA MESA DRIVE | FULLERTON | CA | 92835 | 951643325 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS |
| ST JOSEPH HOSPITAL OF ORANGE | |||||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 951643359 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS |
| MISSION HOSPITAL REGIONAL MEDICAL CENTER | |||||||||
| 27700 MEDICAL CENTER ROAD | MISSION VIEJO | CA | 92691 | 951643360 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS |
| ST MARY MEDICAL CENTER | |||||||||
| 18300 HIGHWAY 18 | APPLE VALLEY | CA | 92307 | 951914489 | HEALTHCARE | CA | 501(c)(3) | 3 | SJHS |
| COVENANT HEALTH SYSTEM | |||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752765566 | HEALTHCARE | TX | 501(c)(3) | 3 | SJHS |
| ST JOSEPH HOME CARE NETWORK | |||||||||
| 170 PROFESSIONAL CENTER DRIVE | ROHNERT PARK | CA | 94928 | 680331084 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS |
| ST JUDE HOSPITAL YORBA LINDA | |||||||||
| 279 E IMPERIAL HWY 750 | FULLERTON | CA | 92835 | 330185031 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH PROF SVCS ENTERPRISES INC | |||||||||||||||
| 500 S MAIN STREET Suite 700 | ORANGE | CA | 928684507 | 330155323 | HEALTHCARE SVCS | CA | SJHS | C-CORP | 0 | 0 | 0.00000 | ||||
| ST JOSEPH DIVERSIFIED VENTURES INC | |||||||||||||||
| 500 S MAIN STREET Suite 700 | ORANGE | CA | 928684507 | 330148989 | HEALTHCARE SVCS | CA | SJHS | C-CORP | 0 | 0 | 0.00000 | ||||
| AMERICAN UNITY GROUP LTD | |||||||||||||||
| CAPTIVE INSURANCE | SJHS | C-CORP | 0 | 0 | 0.00000 | 58 PAR-LA-VILLE ROAD | HAMILTON HM HX | BD | BD | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (18 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| REDWOOD MEMORIAL HOSPITAL FOUNDATION | |
| C | 250223 |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | |
| B | 404100 |
| ST JOSEPH HOSPITAL EUREKA | |
| C | 100000 |
| ST JOSEPH HOSPITAL EUREKA | |
| N | 9669597 |
| ST JOSEPH HOSPITAL EUREKA | |
| O | 240815 |
| ST JOSEPH HOSPITAL EUREKA | |
| P | 140700 |
| QUEEN OF THE VALLEY MEDICAL CENTER | |
| 0 | |
| SANTA ROSA MEMORIAL HOSPITAL | |
| 0 | |
| ST JOSEPH HOSPITAL OF ORANCE | |
| 0 | |
| AMERICAN UNITY GROUP | |
| 0 | |
| ST JUDE MEDICAL CENTER | |
| 0 | |
| MISSION HOSPITAL REGIONAL MEDICAL CENTER | |
| 0 | |
| ST MARY MEDICAL CENTER | |
| 0 | |
| ST JOSEPH PROFESSIONAL SERVICES ENTERPRISES | |
| 0 | |
| ST JOSEPH DIVERSIFIED VENTURES INC | |
| 0 | |
| COVENANT HEALTH SYSTEM | |
| 0 | |
| ST JOSEPH HOME CARE NETWORK | |
| 0 | |
| ST JUDE HOSPITAL YORBA LINDA | |
| 0 | |