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.) .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 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).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 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.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
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) |
||||
| 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) |
||||
|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| 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 I, LINE 1 & PART III, LINE 1 | WE ARE 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. FORM 990, PART III, LINE 4A ORGANIZATIONS MISSION TO EXTEND 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. REALIZING OUR MISSION ST. JOSEPH HERITAGE HEALTHCARE HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 21 YEARS. SERVING THE COMMUNITIES OF ORANGE, LOS ANGELES, SAN BERNARDINO, NAPA, SONOMA, HUMBOLDT, LAKE, MARIN AND MENDOCINO COUNTIES, ST. JOSEPH HERITAGE HEALTHCARE IS A NOT FOR PROFIT MEDICAL PRACTICE FOUNDATION THAT PROVIDES QUALITY CARE IN THE AREAS OF PROFESSIONAL MEDICAL SERVICES AND ADMINISTRATION OF ST. JOSEPH HEALTH FULL RISK PATIENTS WITH OVER 2500 EMPLOYEES COMMITTED TO REALIZING THE MISSION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, ST. JOSEPH HERITAGE HEALTHCARE 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. PATIENT FINANCIAL ASSISTANCE PROGRAM ST. JOSEPH HERITAGE HEALTHCARE BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST. JOSEPH HERITAGE HEALTHCARE HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY16, ST. JOSEPH HERITAGE HEALTHCARE PROVIDED $520,714 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM ST. JOSEPH HERITAGE HEALTHCARE PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY16, ST. JOSEPH HERITAGE HEALTHCARE PROVIDED $28,749,319 IN UNPAID MEDICAID. PROGRAM SERVICE ACCOMPLISHMENTS ST. JOSEPH HERITAGE HEALTHCARE HAS A LONG-STANDING COMMITMENT TO SERVE BY CONNECTING WITH THE COMMUNITY IN SEEKING TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF PEOPLE THE COMMUNITIES WE SERVE BY JOINING OTHER COMMUNITY PROGRAMS TO HELP ADVOCATE AND SUPPORT THE UNDERSERVED. THE FOLLOWING ARE SOME HIGHLIGHTS TO SHOW OUR EFFORTS. KEY COMMUNITY PARTNERS: MERCY HOUSE, SECOND HARVEST FOOD BANK, CONCERN AMERICA, PATHWAYS OF HOPE, FLORENCE CRITTENTON, SEVERAL LOCAL SCHOOLS IN ORANGE COUNTY, CANNING HUNGER, HONORING OUR FALLEN, VETERANS FIRST, FRIENDSHIP SHELTER, ILLUMINATION FOUNDATION, LAURAS HOUSE, RELAY FOR LIFE, SMILEMAKERS. THE TOP THREE COMMUNITY BENEFIT PROGRAMS: ELECTRONIC MEDICAL RECORD SUPPORT TO FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) AND ST MARY CLINICS ST JOSEPH HERITAGE HEALTH PROVIDED INFORMATION TECHNOLOGY STAFF AND SOFTWARE LICENSE FEE SUPPORT FOR THE ELECTRONIC MEDICAL RECORD (EMR) INFRASTRUCTURE FOR USE AT LA AMISTAD FAMILY HEALTH CENTER, ST JUDE NEIGHBORHOOD HEALTH CENTERS AND ST MARY MEDICAL CENTER HEALTHY BEGINNINGS SITES AFFILIATED WITH ST JOSEPH HEALTH. THE EMR TOOL ENABLES CLINIC STAFF TO ACCESS PATIENT MEDICAL INFORMATION TO ENGAGE THEM IN THEIR HEALTH CARE AND SUPPORT THOSE WHO ARE PROVIDING PATIENT CARE. TOTAL UNREMIBURSED EXPENSES: $31,626. ANALYTICS AND DECISION SUPPORT TO FQHC CLINICS ST JOSEPH HERITAGE HEALTH DEDICATED STAFF TO PROVIDE DATA FOR VARIOUS REPORTING NEEDS TO LA AMISTAD FAMILY HEALTH CENTER AND ST JUDE NEIGHBORHOOD HEALTH CENTER, FQHC COMMUNITY CLINICS AFFILIATED WITH ST JOSEPH HEALTH. THIS DATA IS USED TO SUPPORT GRANT-WRITING, ANALYSIS, QUALITY STUDIES AND FEDERAL REGULATORY FILINGS. THIS EXPENSE IS THE UNREIMBURSED COMPENSATION FOR THE STAFF. TOTAL UNREIMBURSED EXPENSES: $26,861. COMMUNITY OUTREACH AND ADVOCACY COMMITTEE (COAC) WITHIN EACH HERITAGE DIVISION WE HAVE A COMMUNITY OUTREACH AND ADVOCACY COMMITTEE (COAC) THAT IDENTIFIES AND ASSISTS IN CREATING AWARENESS, COLLECTION DRIVES AND VOLUNTEERS TO HELP THE UNDERSERVED, LOCAL COMMUNITY PROGRAMS AND GLOBAL HUMANITARIAN EFFORTS. THESE COMMITTEES MEET MONTHLY TO DISCUSS THE NEEDS IDENTIFIED AND WORK TOGETHER TO DEVELOP A PLAN TO MEET THOSE NEEDS. TOTAL UNREIMBURSED EXPENSES: $20,450. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG. FORM 990, PART VI, LINE 6 MEMBER OR STOCK HOLDERS THE CORPORATE MEMBERS OF THE CORPORATION SHALL BE ST JUDE HOSPITAL, ST JOSEPH HOSPITAL OF ORANGE, MISSION HOSPITAL, HOAG MEMORIAL PRESBYTERIAN AND ST JOSEPH HEALTH SYSTEM, EACH A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. |
| FORM 990, PART VI, LINE 7A | POWER TO ELECT OR APPOINT MEMBERS ST JOSEPH HERITAGE HEALTHCARE HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST JOSEPH HERITAGE HEALTHCARE BOARD. ALL NOMINEES SHALL BE APPOINTED TO THE CORPORATION'S BOARD OF DIRECTORS BY THE CORPORATE MEMBERS, SUBJECT TO THE APPROVAL OF ST JOSEPH HEALTH AND, IN THE CASE OF THE NOMINEES WHO ARE MEMBERS OF THE SISTERS OF ST JOSEPH OF ORANGE, ARE SUBJECT TO THE APPROVAL OF THE CORPORATE MEMBERS OF ST JOSEPH HERITAGE HEALTHCARE. |
| FORM 990, PART VI, LINE 7B | DECISION RESERVED TO MEMBERS OR STOCKHOLDERS LISTED BELOW ARE THE RESERVED POWERS OF CORPORATE MEMBERS AND TO WHICH CORPORATE MEMBERS SUCH POWER IS RESERVED: 1. TO APPROVE THE PHILOSOPHY, MISSION, VALUES, OBJECTIVES AND PURPOSES OF THE CORPORATION ST JUDE MEDICAL CENTER ST JOSEPH HOSPITAL OF ORANGE MISSION HOSPITAL HOAG MEMORIAL HOSPITAL PRESBYTERIAN ST JOSEPH HEALTH SYSTEM ST JOSEPH HEALTH MINISTRY 2. TO APPROVE THE CORPORATIONS ARTICLES OF INCORPORATION AND BYLAWS, AS WELL AS TO APPROVE THEIR AMENDMENT OR REVISION. ST JUDE MEDICAL CENTER ST JOSEPH HOSPITAL OF ORANGE MISSION HOSPITAL HOAG MEMORIAL HOSPITAL PRESBYTERIAN ST JOSEPH HEALTH SYSTEM ST JOSEPH HEALTH MINISTRY 3. TO APPROVE ANY MERGER, CONSOLIDATION, AFFILIATION, OR DISSOLUTION OF THE CORPORATION ST JUDE MEDICAL CENTER ST JOSEPH HOSPITAL OF ORANGE MISSION HOSPITAL HOAG MEMORIAL HOSPITAL PRESBYTERIAN ST JOSEPH HEALTH SYSTEM ST JOSEPH HEALTH MINISTRY 4. TO APPROVE THE SALES, LEASE, DISPOSITION OR HYPOTHECATION OF REAL PROPERTY OWNED BY THE CORPORATION AND USED IN THE OPERATION OF THE NORTH ORANGE COUNTY DIVISION ST JUDE MEDICAL CENTER ST JOSEPH HEALTH SYSTEM ST JOSEPH HEALTH MINISTRY 5. TO APPROVE THE SALE, LEASE, DISPOSITION OR HYPOTHECATION OF REAL PROPERTY OWNED BY THE CORPORATION AND USED IN THE OPERATION OF THE CENTRAL ORANGE COUNTY DIVISION. ST JOSEPH HOSPITAL OF ORANGE ST JOSEPH HEALTH SYSTEM ST JOSEPH HEALTH MINISTRY 6. TO APPROVE THE SALE, LEASE, DISPOSITION OR HYPOTHECATION OF REAL PROPERTY OWNED BY THE CORPORATION AND USED IN THE OPERATION OF THE SOUTH ORANGE COUNTY DIVISION. MISSION HOSPITAL ST JOSEPH HEALTH SYSTEM ST JOSEPH HEALTH MINISTRY 7. TO APPROVE THE SALE, LEASE, DISPOSITION OR HYPOTHECATION OF REAL PROPERTY OWNED BY THE CORPORATION AND USED IN THE OPERATION OF THE HOAG DIVISION. HOAG MEMORIAL HOSPITAL PRESBYTERIAN ST JOSEPH HEALTH SYSTEM ST JOSEPH HEALTH MINISTRY 8. TO ELECT, IN ACCORDANCE WTH SECTIONS 6.3(C) AND (D), THE DIRECTORS NOMINATED TO THE CORPORATIONS BOARD BY EITHER SJUHMG, OR SJMC; AND/OR TO APPROVE THEIR REMOVAL IN ACCORDANCE WITH SECTION 6.7. ST JUDE MEDICAL CENTER ST JOSEPH HEALTH SYSTEM ST JOSEPH HEALTH MINISTRY 9. TO ELECT, IN ACCORDANCE WTH SECTIONS 6.3(C) AND (D), THE DIRECTORS NOMINATED TO THE CORPORATIONS BOARD BY EITHER SJOHMG, SJOHAP, OR SJO; AND/OR TO APPROVE THEIR REMOVAL IN ACCORDANCE WITH SECTION 6.7. ST JOSEPH HOSPITAL OF ORANGE 10. TO ELECT, IN ACCORDANCE WTH SECTIONS 6.3(C) AND (D), THE DIRECTORS NOMINATED TO THE CORPORATIONS BOARD BY EITHER MIMG, OR MH; AND/OR TO APPROVE THEIR REMOVAL IN ACCORDANCE WITH SECTION 6.7. MISSION HOSPITAL 11. TO ELECT, IN ACCORDANCE WTH SECTIONS 6.3(C) AND (D), THE DIRECTORS NOMINATED TO THE CORPORATIONS BOARD BY EITHER HMG, OR HMHP; AND/OR TO APPROVE THEIR REMOVAL IN ACCORDANCE WITH SECTION 6.7. HOAG MEMORIAL HOSPITAL PRESBYTERIAN 12. TO ELECT, IN ACCORDANCE WTH SECTIONS 6.3(F), OF THE COMMUNITY DIRECTOR NOMINATED TO THE CORPORATIONS BOARD; AND/OR TO APPROVE THEIR REMOVAL IN ACCORDANCE WITH SECTION 6.7. ST JUDE MEDICAL CENTER ST JOSEPH HOSPITAL OF ORANGE MISSION HOSPITAL HOAG MEMORIAL HOSPITAL PRESBYTERIAN ST JOSEPH HEALTH SYSTEM |
| FORM 990, PART VI, LINE 11B | THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 WAS THEN REVIEWED BY AN OFFICER(S) OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS THEN DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE SPRING MEETING. DURING THE BOARD MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. |
| FORM 990, PART VI, LINE 12C | 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 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 AND VOTE. |
| FORM 990, PART VI, LINES 15A & 15B | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. EXECUTIVE COMPENSATION IS APPROVED BY THE ST. JOSEPH HEALTH SYSTEM EXECUTIVE COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE REVIEWS COMPARABILITY DATA PREPARED FOR AND COMPILED BY THE ST. JOSEPH HEALTH SYSTEM WORK LIFE COMMITTEE, A COMMITTEE OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES COMPRISED OF INDEPENDENT MEMBERS. THE ST. JOSEPH HEALTH SYSTEM WORK LIFE 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 WORK LIFE 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 WORK LIFE 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 HEALTH SYSTEM EXECUTIVE COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTING 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 | 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. |
| FORM 990, PART IX, LINE 11G | FEES FOR SERVICES (NON-EMPLOYEES)-OTHER PHYSICIAN FEES $ 256,447,632 PURCHASED MEDICAL SERVICES $ 192,065,809 OTHER PURCHASED SERVICES $ 14,834,842 TEMPORARY WORKERS $ 5,160,973 REPAIRS & MAINTENANCE $ 2,315,658 TRANSCRIPTION $ 1,566,972 =============== TOTAL $ 472,391,886 |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS EQUITY TRANSFERS $181,443,730 |
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