Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | 188,719 | 607,150 | 130,107 | 134,647 | 203,218 | 1,263,841 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 188,719 | 607,150 | 130,107 | 134,647 | 203,218 | 1,263,841 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 609,230 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 654,611 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 188,719 | 607,150 | 130,107 | 134,647 | 203,218 | 1,263,841 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 106 | 143,869 | 64,791 | 69,524 | 26,704 | 304,994 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 0 | |||||
| 11 | Total support. Add lines 7 through 10. | 2,472,841 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, SECTION C, LINE 17A | REDWOOD MEMORIAL FOUNDATION HAS A CALCULATED PUBLIC SUPPORT PERCENTAGE FOR TAX YEAR 2015 OF 26.47 PERCENT, WHICH IS BELOW THE 33 1/3 PERCENTAGE REQUIRED UNDER THE PUBLIC SUPPORT TEST. REDWOOD MEMORIAL FOUNDATION MEETS THE 10 PERCENT FACTS AND CIRCUMSTANCES TEST AS THE RESULT OF THE FACT THAT THE TOTAL AMOUNT OF GOVERNMENTAL AND PUBLIC SUPPORT NORMALLY RECEIVED BY REDWOOD MEMORIAL FOUNDATION IS GREATER THAN 10 PERCENT OF THE TOTAL SUPPORT IT NORMALLY RECEIVES (26.47% FOR THE CURRENT TAX YEAR AND 28.41% FOR THE PRIOR TAX YEAR). REDWOOD MEMORIAL FOUNDATION HAS A CONTINUOUS AND WELL DEVELOPED PROGRAM FOR SOLICITATION OF CHARITABLE CONTRIBUTIONS FROM THE GENERAL PUBLIC AND PUBLIC CHARITIES. THE ORGANIZATION RECEIVES DONATIONS FROM HUNDREDS OF ITS COMMUNITY RESIDENTS ALONG WITH OTHER MEMBERS OF THE GENERAL PUBLIC AND PUBLIC CHARITIES. AT THE CORE OF ITS PROGRAM IS DEDICATED FUNDRAISING STAFF FOCUSED ON DEVELOPING INITIATIVES AND PROGRAMS TO ATTRACT POTENTIAL DONORS TO REDWOOD MEMORIAL FOUNDATION. EACH YEAR, SPECIAL FUNDRAISING EVENTS ARE HELD WITHIN THE COMMUNITY. EVENTS HELD DURING THE CURRENT YEAR INCLUDE A BENEFIT BALL AND ALSO A GOLF OUTING. IN ADDITION TO THE SPECIAL EVENTS, THE ORGANIZATION HAS SET UP A SITE WHICH ALLOWS SECURE ONLINE DONATIONS. THE SECURE ONLINE SITE ALLOWS REDWOOD MEMORIAL FOUNDATION TO REACH A BROADER BASE OF SUPPORTERS. REDWOOD MEMORIAL FOUNDATION RECEIVES CONTRIBUTIONS FROM A WIDE-BASE OF SUPPORTERS AS EVIDENCED BY THE TOTAL AMOUNT OF CONTRIBUTIONS RECEIVED DURING THE YEAR. REDWOOD MEMORIAL FOUNDATION IS GOVERNED BY A DIVERSE BOARD WITH KNOWLEDGE AND EXPERTISE IN AREAS IMPORTANT TO REDWOOD MEMORIAL FOUNDATION'S MISSION AND OPERATIONS AND WHICH REPRESENTS THE BROADER INTERESTS OF THE GENERAL PUBLIC. THE BOARD OF DIRECTORS CONSISTS OF RESIDENTS WITHIN THE EEL RIVER VALLEY WHO SHARE THE COMMON GOAL TO DO ALL THEY CAN TO HELP, SUPPORT, AND IMPROVE THE COMMUNITY. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 1 | ORGANIZATION'S MISSION THE MISSION OF REDWOOD MEMORIAL FOUNDATION IS TO DEVELOP AND MANAGE ALL RESOURCES AND ASSETS OF THE FOUNDATION IN SUPPORT OF REDWOOD MEMORIAL HOSPITAL'S HEALTH CARE MISSION AND GOALS. THE FOUNDATION PROMOTES PARTICIPATION IN DEVELOPING AND MAINTAINING A POSITIVE RELATIONSHIP BETWEEN OUR COMMUNITY, HEALTH CARE PROVIDERS AND REDWOOD MEMORIAL HOSPITAL. |
| FORM 990, PART III, LINE 4A | REALIZING OUR MISSION A PART OF ST. JOSPEH HEALTH, REDWOOD MEMORIAL FOUNDATION HAS BEEN DIRECTLY SUPPORTING REDWOOD MEMORIAL HOSPITAL IN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 35 YEARS. SERVING THE COMMUNITIES OF EUREKA, FORTUNA, FERNDALE, LOLETA RIO DELL AND THROUGHOUT THE EEL RIVER VALLEY AND INTO SOUTHERN HUMBOLDT COUNTY, REDWOOD MEMORIAL HOSPITAL IS A CRITICAL CARE ACCESS HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF EMERGENCY MEDICINE, HOLISTIC AND PATIENT CENTERED CARE, DIAGNOSTIC IMAGING, CANCER PROGRAM AND OBSTETRICS AS WELL AS COMMUNITY-BASED PROGRAMS AND RESOURCE CENTERS FOCUSED ON PREVENTION, HEALTH PROMOTION, OUTREACH, CARE COORDINATION AND COMMUNITY BUILDING. WITH OVER 210 EMPLOYEES COMMITTED TO REALIZING THE MISSION, REDWOOD MEMORIAL HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE HUMBOLDT REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, REDWOOD MEMORIAL FOUNDATION IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA 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 NEIGHBORSMINISTER 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 FLEXIBLITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. REDWOOD MEMORIAL FOUNDATION SUPPORTS REDWOOD MEMORIAL HOSPITAL: REDWOOD MEMORIAL FOUNDATION CONTRIBUTED $1,418,548 TO REDWOOD MEMORIAL HOSPITAL IN FY16. REDWOOD MEMORIAL HOSPITAL BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY REDWOOD MEMORIAL HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY16, REDWOOD MEMORIAL HOSPITAL PROVIDED $498,440 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM REDWOOD MEMORIAL HOSPITAL PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY16, REDWOOD MEMORIAL HOSPITAL PROVIDED $4,081,882 IN MEDICAID SHORTFALL; HOWEVER TOTAL MEDICAID SHORTFALL WAS ($1,954,714) AFTER ACCOUNTING FOR MEDICAID REIMBURSEMENT FROM THE CALIFORNIA HOSPITAL QUALITY ASSURANCE FEE. PROGRAM SERVICE ACCOMPLISHMENTS IN ADDITION TO PROGRAMS HIGHLIGHTED ABOVE, REDWOOD MEMORIAL HOPSITAL, WITH THE SUPPORT OF REDWOOD MEMORIAL FOUNDATION, OFFERS THE FOLLOWING THREE PROGAMS: COMMUNITY RESOURCE CENTERS (CRCs) THE COMMUNITY RESOURCE CENTERS (CRC) ARE A COMMUNITY BENEFIT PROGRAM OF REDWOOD MEMORIAL HOSPITAL AND PROVIDE RESOURCE AND REFERRAL SERVICES COUNTY-WIDE THROUGH FIVE PLACE-BASED COMMUNITY CENTERS IN DIFFERENT PARTS OF HUMBOLDT COUNTY (WILLOW CREEK, BLUE LAKE, EUREKA, LOLETA AND RIO DELL). THEIR FOCUS IS ON PROVIDING SERVICES FOR LOW-INCOME FAMILIES AND INDIVIDUALS SUCH AS EMERGENCY FOOD PANTRIES, TRANSPORTATION ASSISTANCE, EMPLOYMENT INFORMATION AND ASSISTANCE APPLYING FOR CALFRESH, MEDI-CAL, AND WOMEN, INFANT AND CHILDRENS (WIC) AMONG OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THEY ALSO WORK TO BUILD COMMUNITY AND PREVENT SOCIAL ISOLATION IN OUR RURAL SERVICE AREA BY HOSTING COMMUNITY DINNERS AND WELLNESS AND SAFETY EVENTS SUCH AS BICYCLE RODEOS, PLAYGROUPS FOR KIDS AGE 0-5 YEARS OLD AND THEIR CAREGIVERS, AND MENTAL ILLNESS STIGMA REDUCTION SUPPORT GROUPS. EACH RESOURCE CENTER IS SIMILAR IN PURPOSE AND SCOPE, BUT TAILORED TO MEET THE SPECIFIC NEEDS OF THE COMMUNITY IT SERVES. CARE TRANSITIONS PROGRAM THE CARE TRANSITIONS PROGRAM AT REDWOOD MEMORIAL HOSPITAL, HOUSED WITHIN THE REDWOOD MEMORIAL HOSPITAL COMMUNITY BENEFIT DEPARTMENT, FOCUSES ON COMMUNITY-BASED INTERVENTIONS FOR HIGH-RISK PATIENTS RECENTLY DISCHARGED FROM AN IN-PATIENT SETTING. THE EMERGENCY DEPARTMENT IS NOT A SETTING TO REECEIVE TIMELY AND EFFECTIVE PRIMARY MEDICAL CARE AND/OR SOCIAL SERVICES. THE MULTI-DISCIPLINARY TEAM OF NURSE, SOCIAL WORKER AND HEALTH COACH PROVIDE TRANSITIONAL SUPPORT TO HOMELESS PATIENTS RECOVERING IN ONE OF OUR RESPITE BEDS AT HEALING RING, A CLEAN AND SOBER HOUSE. A SECOND NURSE WORKS WITH FREQUENT UTILIZERS OF THE EMERGENCY DEPARTMENT TO CONNECT THEM WITH PRIMARY CARE AND THE SUPPORT SERVICES THEY NEED WHILE TRYING TO DETERMINE THE ROOT CAUSE OF THEIR EMERGENCY DEPARTMENT OVERUSE. IN FY16 CARE TRANSITIONS PARTNERED WITH THE BETTY KWAN CHINN HOMELESS FOUNDATION TO OPEN A NEW MEDICAL RESPITE FACILITY TO EXPAND OUR CURRENT RESPITE SERVICES. TEN ADDITIONAL BEDS WILL BE AVAILABLE TO HOMELESS PATIENTS NEEDING EXTRA TIME TO RECOVER AFTER A HOSPITAL STAY. CASH DONATIONS OR SPONSORSHIP FOR THE POOR THROUGHOUT FY16, REDWOOD MEMORIAL HOSPITAL MADE SEVERAL CASH DONATIONS TOWARD COMMUNITY BENEFIT TO SUPPORT ORGANIZATIONS, PROGRAMS OR ACTIVITIES TARGETED FOR POOR AND VULNERABLE PERSONS LIVING IN HUMBOLDT AND THE SURROUNDING COUNTIES. A FEW EXAMPLES OF DONATIONS INCLUDE SUPPORTING SUMMER CAMP SCHOLARSHIPS FOR LOW-INCOME YOUTH AND PROGRAM DEVELOPMENT BY THE BOYS AND GIRLS CLUB, FOOD FOR PEOPLES FREE SUMMER LUNCH PROGRAM, HOMELESS SHELTERS AND SERVICES FOR THE HOMELESS INCLUDING OUR COUNTYS POINT IN TIME COUNT OF HOMELESS INDIVIDUALS, STABLE HOUSING FOR FOSTER YOUTH WHO HAVE AGED OUT OF THE SYSTEM BUT STILL NEED SUPPORT AND THE LIFE SAVING ANTI-OVERDOSE DRUG, NALOXONE, TO COMBAT THE LOCAL OPIOID EPIDEMIC. WE ALSO MADE A CASH DONATION TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT GRANT INITIATIVES TARGETED AT IMPROVING THE HEALTH CONDITION OF LOW-INCOME AND UNDER SERVED RESIDENTS LIVING IN THE COMMUNITIES WE SERVE. FOR MORE INFORMATION ABOUT REDWOOD MEMORIAL FOUNDATION, PLEASE VISIT WWW.REDWOODMEMORIAL.ORG/FOUNDATIONS/RMF. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG. |
| FORM 990, PART VI, LINE 6 | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS. REDWOOD MEMORIAL HOSPITAL IS THE SOLE CORPORATE MEMBER OF REDWOOD MEMORIAL FOUNDATION. |
| FORM 990, PART VI, LINE 7A | DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS REDWOOD MEMORIAL FOUNDATION HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE REDWOOD MEMORIAL FOUNDATION BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE REDWOOD MEMORIAL FOUNDATION BOARD AS NOMINATIONS MUST BE APPROVED BY REDWOOD MEMORIAL HOSPITAL, AS THE CORPORATE MEMBER, AND ST. JOSEPH HEALTH SYSTEM AS THE TAX-EXEMPT PARENT OF RMH, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. |
| FORM 990, PART VI, LINE 7B | DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING 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. |
| FORM 990, PART VI, LINE 11B | PROCESS USED TO REVIEW THE FORM 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE APRIL 2017 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING. |
| FORM 990, PART VI, LINE 12C | MONITORING ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN CONNECTION WITH THAT INDIVIDUAL SATISFYING THEIR FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. 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. WITH GUIDANCE FROM THE ST. JOSEPH HEALTH SYSTEM CHIEF COMPLIANCE OFFICER (CCO), THE CHIEF EXECUTIVE AND/OR THE GOVERNING BOARD CHAIRPERSON, AS APPROPRIATE, CONSIDERS THE MATTER INITIALLY. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL, THE MATTER IS ESCALATED TO THE CCO. THE CCO, IN CONSULTATION WITH THE ST. JOSEPH HEALTH SYSTEM GENERAL COUNSEL, REVIEWS THE MATTER AND PRESENTS RECOMMENDATIONS TO THE GOVERNING BOARD AND/OR BOARD COMMITTEE, AS APPROPRIATE, FOR DISCUSSION AND VOTE. THE INDIVIDUAL WHOSE POTENTIAL CONFLICT IS BEING REVIEWED MAY BE REQUESTED TO BE PRESENT DURING ANY MEETING IN WHICH THE BOARD OR BOARD COMMITTEE AS APPROPRIATE, FOR DISCUSSION AND VOTE.THE INDIVIDUAL WHOSE POTENTIAL CONFLICT IS BEING REVIEWED MAY BE REQUESTED TO BE PRESENT DURING ANY MEETING IN WHICH THE BOARD OR BOARD COMMITTEE CONDUCTS ITS EVALUATION BUT SHALL BE EXCUSED FOR ANY DISCUSSION OR VOTE. 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. |
| FORM 990, PART VI, LINES 15A & 15B | THE ORGANIZATION'S EXECUTIVE DIRECTOR IS PAID BY ST. JOSEPH HOSPITAL OF EUREKA, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. EXECUTIVE COMPENSATION IS APPROVED BY THE ST. JOSEPH HOSPITAL OF EUREKA EXECUTIVE COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE REVIEWS COMPARABILITY DATA PREPARED FOR AND COMPILED BY THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE, A COMMITTEE OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES COMPRISED OF INDEPENDENT MEMBERS. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE ACTS IN ACCORDANCE WITH A COMMITTEE CHARTER APPROVED BY THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES AND AN EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER DIRECTS THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND TO APPROVE PROGRAM CHANGES, AS NECESSARY, TO ENSURE ALIGNMENT WITH THE STATED PHILOSOPHY AND ENSURE CONTINUED COMPLIANCE WITH FEDERAL AND STATE REGULATIONS ON BEHALF OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS RETENTION OF KEY MANAGEMENT TALENT. THE EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF FOR PROFIT AND NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. ST. JOSEPH HEALTH SYSTEM PROVIDES COMPENSATION TO ITS EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO ENSURE COMPENSATION PHILOSOPHY ADHERENCE AND GENERAL FAIR MARKET VALUE COMPENSATION, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA AND ENGAGES LEGAL COUNSEL AND CONSULTING SUPPORT, AS NEEDED. THEY USE THIS INFORMATION TO SUPPORT ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE MEETS AT LEAST 3 TIMES A YEAR AND TAKES ACTION IN EXECUTIVE SESSION. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. A FULL COMPENSATION REVIEW IS CONDUCTED ON A BIENNIAL BASIS AND THE LAST REVIEW WAS PERFORMED IN JUNE 2016. DURING THE YEAR, THE ST. JOSEPH HOSPITAL OF EUREKA EXECUTIVE COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTNG FIRM WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION. IN ADDITION, ANNUAL INCENTIVE AWARDS ARE REVIEWED AND APPROVED PRIOR TO PAYMENT CONSISTENT WITH THE MOST RECENT COMPENSATION BIENNIAL REVIEW AND IN ACCORDANCE WITH THE PLAN DOCUMENT. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES WHICH ARE SUBSEQUENTLY APPROVED AT THE COMMITTEE MEETING. |
| FORM 990, PART VI, LINE 19 | AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC 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. |
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