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DURING THE PAST YEAR, THE ST. JOSEPH HEALTH SYSTEM HAS CONDUCTED AN ADVOCACY EFFORT WHICH INCLUDED SOME LOBBYING ACTIVITY. THESE INCLUDED MEETING WITH LOCAL, STATE, AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS; AND COMMUNICATIONS TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION. 36003 36003 12175089 8532336 3642753 15335239 12765680 2569559 3661894 346096 3315798 9564113 0 INTERCO. WITH HEALTH SYSTEM-BO 1618781 PAYABLE TO THIRD PARTIES 3224429 DUE TO AFFILIATES 816527 CURRENT LIABILITIES 341370 6001107 X CONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740) SCHEDULE D, PART X, LINE 2 ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIALS STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATION. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2014. true true X true X true X 500. true true false true true 3295000 3295000 0.09140 8954709 5413940 3540769 0.09820 1050094 454347 595747 0.01650 13299803 5868287 7431516 0.20610 260855 10700 250155 0.00690 95149 95149 0.00260 1063355 1063355 0.02950 591757 930 590827 0.01640 2011116 11630 1999486 0.05540 15310919 5879917 9431002 0.26150 10896 0 10896 0.00030 1575 0 1575 0.00000 285660 84010 201650 0.00560 34753 0 34753 0.00100 8738 0 8738 0.00020 341622 84010 257612 0.00710 false 3443396 12529313 17106790 -4577477 X true true 1 1 REDWOOD MEMORIAL HOSPITAL 3300 RENNER DRIVE FORTUNA CA 95540 www.redwoodmemorial.org D-0295172 X X X X Redwood Memorial Hospital true X X X X X X X X X 13 true true true X SEE PART V, SECTION C X X X X X X X false false true true 200. true 500. true X X X X X X X X true true X true false X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3 ST. JOSEPH HEALTH - HUMBOLDT COUNTY, WITH THE HUMBOLDT COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, PUBLIC HEALTH BRANCH AND FIRST FIVE HUMBOLDT COOPERATED TO COLLECT FIRST HAND INPUT. IN ADDITION, THE NORTHERN CALIFORNIA ASSOCIATION OF NONPROFITS (NORCAN) MEMBERS PROVIDED COMMUNITY REPORTS, NEEDS ASSESSMENTS AND VARIOUS DOCUMENTS ON COMMUNITY NEEDS. FINALLY, ORGANIZATIONS THAT HAD PROVIDED DOCUMENTS TO PRIOR COMMUNITY HEALTH NEEDS ASSESSMENTS WERE CONTACTED FOR UPDATED OR NEW REPORTS. PUBLIC HEALTH EXPERTS INTERVIEWED: HUMBOLDT COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES, PUBLIC HEALTH BRANCH HEALTH OR OTHER DEPARTMENTS OR AGENCIES INTERVIEWED: EXECUTIVE DIRECTOR, CALIFORNIA CENTER FOR RURAL POLICY COMMUNITY LEADERS OR REPRESENTATIVES INTERVIEWED: EXECUTIVE DIRECTOR OF FIRST 5 HUMBOLDT PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY: PROMOTORES CONTRACTED THIRD PARTY: CHRIS MARTINEK CONSULTING SCHEDULE H, PART V, SECTION B, LINE 4 ST. JOSEPH HOSPITAL EUREKA SCHEDULE H, PART V, SECTION B, LINE 5A THE WEB ADDRESS IS: http://www.redwoodmemorial.org/documents/Community-Benefit/2014-Community- Health-Needs-Assessment-Report.pdf SCHEDULE H, PART V, SECTION B, LINE 7 ALTHOUGH NO HEALTH CARE FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH COMMUNITY BENEFIT EFFORTS AND BY FUNDING OTHER NON-PROFITS THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE DIRECTLY ADDRESSED THROUGH PROGRAMMING OR FUNDING AND AN EXPLANATION IS PROVIDED BELOW: MOTOR VEHICLE SAFETY: THE HOSPITAL DOES NOT DIRECTLY ADDRESS MOTOR VEHICLE AND PEDESTRIAN SAFETY; HOWEVER WE PARTNER WITH SEVERAL ORGANIZATIONS THAT ADDRESS THIS ISSUE, INCLUDING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, REDWOOD COMMUNITY ACTION AGENCY, LOCAL ORGANIZING COMMITTEES VIA THE HUMBOLDT AREA FOUNDATION AND LOCAL CITY AND COUNTY GOVERNMENT. AFFORDABLE HOUSING: THE HOSPITAL DOES NOT DIRECTLY ADDRESS THE AVAILABILITY OF AFFORDABLE HOUSING - FOR LEASE OR PURCHASE - IN THE COUNTY; HOWEVER THIS IS AN ISSUE BEING ADDRESSED BY SEVERAL ORGANIZATIONS, INCLUDING LOCAL CHAMBERS OF COMMERCE, LOCAL CITY AND COUNTY GOVERNMENT, THE HUMBOLDT HOUSING AND HOMELESS COALITION AND THE VETERANS ASSOCIATION. IN ADDITION, ST. JOSEPH HOSPITAL AND REDWOOD MEMORIAL HOSPITAL WILL COLLABORATE WITH SEVERAL LOCAL ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS. THE REDWOOD MEMORIAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ONLINE AT: HTTP://WWW.REDWOODMEMORIAL.ORG/DOCUMENTS/COMMUNITY-BENEFIT/2014-COMMUNITY- HEALTH-NEEDS-ASSESSMENT-REPORT.PDF. SCHEDULE H, PART V, SECTION B, LINE 12I THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT. SCHEDULE H, PART V, SECTION B, LINE 14G THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA. SCHEDULE H, PART V, SECTION B, LINE 18E THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA. SCHEDULE H, PART V, SECTION B, LINE 20D FOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USES MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES IS USED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED. SCHEDULE H, PART I, LINE 3C IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES, INCLUDING BUT NOT LIMITED TO DISABILITY AND HOMELESSNESS ARE CONSIDERED WHEN DETERMINING ELIGIBILITY. SCHEDULE H, PART I, LINE 7a-i THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. SCHEDULE H, PART I, LINE 7G COSTING METHODOLOGY NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES BEGIN WHEN A COMMUNITY NEED, AS THE COMMUNITY DEFINES IT, IS PRESENTED TO ST. JOSEPH HEALTH - HUMBOLDT COUNTY, OF WHICH REDWOOD MEMORIAL HOSPITAL IS A MEMBER. AS PART OF THIS PROCESS, THE COMMUNITY BENEFIT PLAN AND THE COMMUNITY BENEFIT REPORT ARE SHARED TO NOTIFY THE COMMUNITY OF THE DESIRE FOR THEIR INPUT. THE COMMUNITY BOARD PARTICIPATION BY ADMINISTRATION AND STAFF, THE INVOLVEMENT ON PERSONAL VOLUNTEER ACTIVITIES AND THE TASK FORCE PARTICIPATION ALL CONTRIBUTE TO THE COMMUNITY BENEFIT PLANNING CONDUCTED EACH YEAR. THIS YEAR COMMUNITY BUILDING ACTIVITIES INCLUDED THE FOLLOWING: COMMUNITY SUPPORT THROUGH DONATIONS TO POOR AND OTHER NEEDY ORGANIZATIONS AND SCHOOLS, THE PLANNING AND EXECUTION OF COMMUNITY SAFETY AND CELEBRATORY EVENTS (LINE 3); LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS BY PROVIDING LEADERSHIP AND ADVOCACY FOR LOCAL NON-PROFITS BY PARTICIPATING ON BOARDS AND COMMITTEES TO HELP ADDRESS THE NEEDS OF THE COMMUNITY (LINE 5); COALITION BUILDING THROUGH THE SUPPORT OF COMMUNITY RESOURCE CENTERS, AS WELL AS PARTNERING WITH THE LOCAL COMMUNITY TO INCREASE ACCESS TO NEEDED SOCIAL SERVICES. SOME PARTNERS INCLUDE THE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, FIRST 5 HUMBOLDT, REDWOOD COMMUNITY ACTION AGENCY, LATINO NET AND FOOD FOR PEOPLE (LINE 6); VARIOUS COMMUNITY HEALTH IMPROVEMENT ADVOCACY ACTIVITIES SUCH AS HOMELESS COURT AND ADVOCACY ON BEHALF OF VULNERABLE ADULTS AND CHILDREN (LINE 7); AND WORKFORCE DEVELOPMENT BY PROVIDING A WORK EXPERIENCE AND JOB TRAINING SITE AT OUR CRC'S (LINE 8). SCHEDULE H, PART III, SECTION A, LINE 2 THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE. SCHEDULE H, PART III, SECTION A, LINE 4 PAGE 11 OF THE FINANCIAL STATEMENTS - THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, SECTION B, LINE 8 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 COST ACCOUNTING SYSTEM CALCULATES COSTS AT THE DEPARTMENTAL LEVEL AND APPLIES IT TO EACH PATIENT ACCOUNT. WE THEN USE THE TOTAL COSTS OF ALL THE APPLICABLE ACCOUNTS TO DETERMINE MEDICARE COSTS. SCHEDULE H, PART III, SECTION C, LINE 9B PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE (100 PERCENT FINANCIAL ASSISTANCE) WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTIONS POLICY APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR A PARTIAL DISCOUNT. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT ST. JOSEPH HOSPITAL AND REDWOOD MEMORIAL HOSPITAL ASSESSED THE HEALTH STATUS OF ITS COMMUNITY IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED, IN THE ASSESSMENT OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE OUR MISSION IS TO PROVIDE QUALITY CARE TO ALL OUR PATIENTS, REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY REDWOOD MEMORIAL HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. THE HOSPITAL POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS OF THE HOSPITAL INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICE, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS OR OTHER COMMON PATIENT WAITING AREAS OF THE HOSPITAL. NOTICES ARE ALSO POSTED AT ANY LOCATION WHERE A PATIENT MAY PAY THEIR BILL AND INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH 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. A PATIENT INFORMATION BROCHURE THAT DESCRIBES THE FEATURES OF THE FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO PATIENTS AND MEMBERS OF THE GENERAL PUBLIC; AND A COPY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE TO THE PUBLIC ON A REASONABLE BASIS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION HUMBOLDT COUNTY, LOCATED ON THE FAR NORTH COAST, IS ONE OF THE LARGEST COUNTIES IN CALIFORNIA BY GEOGRAPHY, COVERING 3,568 SQUARE MILES. THE COUNTY HAS A POPULATION OF 136,375 OR 38.2 PEOPLE PER SQUARE MILE. THE STATE OF CALIFORNIA AVERAGES 239.1 RESIDENTS PER SQUARE MILE AND CLASSIFIES A RURAL AREA AS ONE HAVING 52 RESIDENTS PER SQUARE MILE. HUMBOLDT COUNTY HAS SEVEN INCORPORATED CITIES THAT RANGE IN SIZE FROM 400 TO 28,000 RESIDENTS. IT IS AN AREA OF MODERATE TEMPERATURE AND CONSIDERABLE YEARLY PRECIPITATION. TEMPERATURES ALONG THE COASTAL REGIONS OF THE COUNTY VARY ONLY 10 DEGREES FROM SUMMER TO WINTER, WHILE THE TEMPERATURES INLAND VARY CONSIDERABLY. THE CLIMATE AND RAIN IMPACT THE LOCAL ECONOMY DRAMATICALLY AND WHEN WINTER IS AT ITS PEAK, UNEMPLOYMENT IS HIGHEST. FOG IS A CONCERN AT THE ONE LOCAL AIRPORT, MAKING AIR TRAVEL DIFFICULT. THE SEASONAL NATURE OF EMPLOYMENT CAUSED BY THE WEATHER AND ISOLATION IS FURTHER INCREASED BY THE CONSTANT FLUCTUATION OF THE PRICE OF FUEL, WITH HUMBOLDT COUNTY OFTEN HAVING THE HIGHEST FUEL COSTS IN THE STATE. 20.4% OF COMMUNITY'S RESIDENTS LIVE BELOW THE FEDERAL POVERTY GUIDELINES. OTHER HOSPITALS IN THE REDWOOD MEMORIAL HOSPITAL SERVICE AREA INCLUDE: MAD RIVER COMMUNITY HOSPITAL AND ST. JOSEPH HOSPITAL EUREKA. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH THE GOVERNING BODY WAS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS. THE SUB-COMMITTEE OF THE BOARD OF TRUSTEES, KNOWN AS THE COMMUNITY BENEFIT COMMITTEE, OVERSAW THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN EVERY THREE YEARS, AS WELL AS AN ANNUAL COMMUNITY BENEFIT REPORT. THE COMMITTEE ALSO PROVIDES GENERAL DIRECTION TO REDWOOD MEMORIAL HOSPITAL REGARDING : 1) BUDGETING DECISIONS, 2)COMMUNITY BENEFIT PROGRAM CONTENT, 3) COMMUNITY BENEFIT PROGRAM DESIGN, 4) TARGET GEOGRAPHIC/POPULATION, 5) PROGRAM CONTINUATION OR DISCONTINUATION, 6) FUND DEVELOPMENT SUPPORT, AND 7) COMMUNITY WIDE ENGAGEMENT. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. GIVING BACK TO THE COMMUNITY IS INTEGRATED INTO EVERY ASPECT OF OUR ORGANIZATION. GIVING BACK TO THE COMMUNITY IS HARDWIRED INTO EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH, REDWOOD MEMORIAL HOSPITAL PROVIDES FREE AND DISCOUNTED CARE VIA OUR FINANCIAL ASSISTANCE PROGRAM AND HAVE A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. OUR COMMITMENT TO COMMUNITY IS FURTHER DEMONSTRATED THROUGH OUR STRATEGIC COMMUNITY INVESTMENTS. ON AN ANNUAL BASIS, TEN PERCENT OF OUR NET INCOME IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR (CARE FOR THE POOR FUNDS). SPECIFICALLY, FUNDS ARE USED FOR OUTREACH PROGRAMS, DEFINED AS THOSE SERVICES THAT ADDRESS A SPECIFIC UNMET HEALTH NEED AND ARE SEPARATE FROM TRADITIONAL ACUTE CARE SERVICES. THE FOLLOWING PROGRAMS IN FY14 WERE MADE POSSIBLE THROUGH CARE FOR THE POOR FUNDS AND EXEMPLIFY OUR COMMITMENT TO PROMOTE HEALTH AND ACCESS TO CARE TO THE LOW-INCOME: FIVE COMMUNITY RESOURCE CENTERS LOCATED ACROSS HUMBOLDT COUNTY FROM ISOLATED WILLOW CREEK IN THE NORTH EAST TO UNDERSERVED RIO DELL IN THE SOUTHERN EEL RIVER VALLEY AND INCLUDES CENTERS IN BLUE LAKE, EUREKA AND LOLETA. THE PASO A PASO PROGRAM PROVIDES SERVICES TO SPANISH-SPEAKING RESIDENTS IN HUMBOLDT COUNTY; THEY TEACH A VARIETY OF FAMILY CENTERED EDUCATIONAL CLASSES INCLUDING PRENATAL, BREASTFEEDING, PARENTING, CAR SEAT SAFETY, AND HOST SUPPORT GROUPS FOR MOMS, DADS AND TEENS. THE CARE TRANSITIONS PROGRAM HELPS FACILITATE PATIENTS' TRANSITION OUT OF THE HOSPITAL AND USES A METHOD OF COACHING TO ENCOURAGE PATIENTS' TO BECOME MORE ACTIVATED PARTICIPANTS IN THEIR HEALTHCARE. CARE FOR THE POOR FUNDS ALSO SUPPORTED COMMUNITY GRANTS THAT WERE GIVEN TO OTHER NON-PROFIT ORGANIZATIONS TO SUPPORT THEIR WORK OF INCREASING ACCESS TO FOOD AND INCREASING MENTAL HEALTH OPTIONS FOR THE LATINO POPULATION. WE ARE ALSO COMMITTED TO PROMOTING HEALTH AND ACCESS TO CARE FOR THE BROADER COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING PROGRAMS: MENTORING STUDENT NURSE INTERNS, DONATIONS TO NON PROFITS AND/OR INDIVIDUALS, ADVOCACY EFFORTS FOR THE COMMUNITY, COLLABORATIVE PROGRAMS WITH SCHOOLS, AND OUTREACH AND EDUCATION FOR THE COMMUNITY. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM REDWOOD MEMORIAL HOSPITAL IS A HEALING MINISTRY OF ST. JOSEPH HEALTH AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION 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 THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH CREATED THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND (FORMERLY KNOWN AS THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZED A POLICY THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION THEN FUNDS PROGRAMS IN COMMUNITIES SERVED BY SYSTEM HOSPITALS THAT EXEMPLIFY THE FOUR CORE VALUES OF THE ST. JOSEPH HEALTH: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA true ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DRIVE 100 IRVINE CA 92612 330143024 501(c)(3) 521900 0 CARE FOR THE POOR 1 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 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. X true false true true false false false false false true false JOSEPH ROGERS VICE PRESIDENT/COO 195494 0 97543 0 5945 0 27385 0 28514 0 354881 0 0 0 LAURIE GARRISON DIRECTOR OF NURSING SERVICES 149384 0 55774 0 6183 0 19896 0 9759 0 240996 0 0 0 JIM STRONG VICE PRES/CFO 0 0 0 0 0 181538 0 0 0 0 0 181538 0 0 DAVID O'BRIEN MD PRESIDENT/CEO 0 387264 0 107485 0 50018 0 8819 0 5024 0 558610 0 0 MICH RICCIONI REGIONAL CFO 0 334981 0 161077 0 59365 0 17606 0 28401 0 601430 0 0 RONALD DILUIGI BOARD MEMBER 0 311425 0 60128 0 9771 0 20665 0 24792 0 426781 0 0 JAYNIE BOREN N. CA Reg VP - Strategic Svcs 0 262619 0 89261 0 27698 0 7729 0 22672 0 409979 0 0 CAROL REEDER VP, CNO 0 215331 0 96149 0 25009 0 3455 0 12297 0 352241 0 0 KEVIN KLOCKENGA REGIONAL EVP 0 505252 0 207110 0 60763 0 10200 0 28538 0 811863 0 0 LAURIE WATSON-STONE VP, ANCILLARY & SUPPORT SVCS 0 159756 0 81965 0 26922 0 17629 0 30817 0 317089 0 0 LINDA COOK VP HUMAN RESOURCES 0 159999 0 80635 0 24408 0 10719 0 20344 0 296105 0 0 MATTHEW MILLER VP, MEDICAL AFFAIRS/CMO 0 274489 0 109403 0 31754 0 7650 0 17403 0 440699 0 0 ROBERT EISEN REGIONAL VP OF HUMAN RESOURCES 0 210161 0 94469 0 474 0 8084 0 21150 0 334338 0 0 NEIL PALMER MANAGER, PHARMACY 183690 0 11764 0 3607 0 21341 0 29025 0 249427 0 0 0 ROBERT MORRIS PHARMACIST 156272 0 0 0 1703 0 12690 0 10214 0 180879 0 0 0 DOMENIC PREVITE MANAGER, IMAGING SERVICES 124678 0 11127 0 1871 0 5536 0 20855 0 164067 0 0 0 LINDA BIONDINI NURSE MANAGER 122501 0 11112 0 1486 0 12443 0 25790 0 173332 0 0 0 ROBYNN VANPATTEN SECRETARY 0 339611 0 120996 0 36734 0 0 0 26492 0 523833 0 0 SCHEDULE J, PART I, LINE 1A SUPPLEMENTAL COMPENSATION INFORMATION EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. SCHEDULE J, PART I, LINE 3 DESCRIPTION OF CEO PAID BY EXEMPT PARENT 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. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE OF CONTROL PAYMENT THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS FOR EITHER PART OR ALL OF THE YEAR: JIM STRONG $181,538 SCHEDULE J, PART I, LINE 4B DESCRIPTION OF A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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. SCHEDULE J, PART I, LINE 7 DESCRIBE ANY NON-FIXED PAYMENTS PROVIDED A PORTION OF EXECUTIVE SALARIES ARE PLACED 'AT-RISK' AND ARE 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. CEP AMERICA VICTOR WALLENKAMPF, M.D. 660000 MEDICAL SERVICES false NEAL FEUERMAN MD INC NEAL FEUERMAN, M.D. 166900 MEDICAL SERVICES false FORM 990, PART I, LINE 1 AND PART III, LINE 1 ORGANIZATION'S MISSION REDWOOD MEMORIAL HOSPITAL IS COMMITTED 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. FORM 990, PART III, LINE 4 PROGRAM SERVICE ACCOMPLISHMENTS REALIZING OUR MISSION REDWOOD MEMORIAL HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 55 YEARS. SERVING THE COMMUNITIES OF THE EEL RIVER VALLEY WHICH INCLUDES THE CITIES OF FORTUNA, FERNDALE, SCOTIA, RIO DELL, LOLETA, AND SMALLER COMMUNITIES IN THE SURROUNDING MOUNTAINS, REDWOOD MEMORIAL IS A CRITICAL ACCESS HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF TWENTY FOUR HOUR EMERGENCY SERVICES, WOMEN'S AND CHILDREN'S SERVICES, HOLISTIC PATIENT CENTERED CARE (THE JOURNEY), SURGICAL SERVICES, OUTPATIENT LABORATORY SERVICES AND AN ACCREDITED CANCER PROGRAM. THE JOURNEY WAS ADOPTED BY REDWOOD MEMORIAL TO PROMOTE THE OPTIMAL WELL BEING OF THE COMMUNITY, PROVIDE A WELCOMING AND HEALING ENVIRONMENT THAT PHYSICALLY, EMOTIONALLY AND SPIRITUALLY UPLIFTS PATIENTS, FAMILIES, PHYSICIANS AND VOLUNTEERS. THE SUCCESS OF THE JOURNEY HAS BEEN DOCUMENTED THROUGH AWARDS GIVEN TO REDWOOD MEMORIAL THAT RECOGNIZED THE MINISTRY FOR THE SUCCESS OF MEETING THIS VISION OF THE JOURNEY. WITH NEARLY 200 EMPLOYEES COMMITTED TO REALIZING THE MISSION, REDWOOD MEMORIAL IS ONE OF THE LARGEST EMPLOYERS IN THE EEL RIVER VALLEY REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, REDWOOD MEMORIAL HOSPITAL 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 NEIGHBORS" AND MINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. THREE MISSION OUTCOMES STRATEGICALLY GUIDE OUR MINISTRY WORK REDWOOD MEMORIAL IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 1) SACRED ENCOUNTERS, 2) PERFECT CARE AND 3) HEALTHIEST COMMUNITIES. EVERY INTERACTION WILL BE EXPERIENCED AS A SACRED ENCOUNTER. THE GOAL OF SACRED ENCOUNTER HAS A DIRECT CONNECTION TO THE OVERALL MISSION. OUR VALUE OF DIGNITY CALLS FOR US TO RESPECT EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE. WE STRIVE TO DO THIS BY KEEPING AT THE FOREFRONT OF OUR MINDS THE UNDERSTANDING OF THE IMPACT WE CAN HAVE ON ONE ANOTHER WITH EVERY ACTION WE TAKE. REDWOOD MEMORIAL HOSPITAL DEVOTES NINE BILINGUAL, IN ENGLISH AND SPANISH, STAFF ACROSS THE PASO Y PASO AND HEALTHY KIDS HUMBOLDT PROGRAMS AND THE LOLETA COMMUNITY RESOURCE CENTER. BY COMMUNICATING IN LINGUISTICALLY AND CULTURALLY APPROPRIATE WAYS, RMH STAFF TREAT EACH ENCOUNTER WITH PATIENTS AND CLIENTS AS A SACRED ONE. ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENT'S EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. THE EUREKA COMMUNITY RESOURCE CENTER (CRC), A PROGRAM OF REDWOOD MEMORIAL, PROVIDES A TYPE OF CASE-MANAGEMENT FOR THE HOMELESS POPULATION (OR THOSE ON THE FRINGE OF HOMELESSNESS) AND LINKS THEM WITH RESOURCES TO MEET THEIR NEEDS. ONE OF THOSE RESOURCES IS HOUSING THROUGH BOTH THE HEALING RING AND THE SERENITY INN RESPITE BED PROGRAMS. REDWOOD MEMORIAL HOSPITAL PARTNERS WITH ST. JOSEPH HOSPITAL EUREKA TO CONTINUE TO ADDRESS THE NEEDS OF THE PATIENTS SEEN IN THE EMERGENCY ROOM WHO LACK PRIMARY MEDICAL PROVIDERS AND A MEDICAL HOME. THE REDWOOD MEMORIAL HOSPITAL CARE TRANSITIONS TEAM FOCUSES ON ASSISTING PATIENTS POST DISCHARGE AND THE EUREKA COMMUNITY RESOURCE CENTER STRATEGIZES TO REDUCE RISK OF HOSPITALIZATION BY PROVIDING BASIC RESOURCES. THIS CONTINUES TO MAKE AN IMPACT ON THE POPULATION SEEN THROUGH BOTH ST. JOSEPH HOSPITAL EUREKA AND REDWOOD MEMORIAL HOSPITAL'S EMERGENCY ROOMS. THE HOSPITALS AND COMMUNITY RESOURCE CENTER HAVE WORKED EFFECTIVELY TOGETHER, BY PROVIDING MEDICATIONS, HOUSING, FOOD AND CLOTHING TO HELP THE DAILY NEEDS OF THE INDIVIDUAL PATIENTS. THE COMMUNITIES WE SERVE WILL BE AMONG THE HEALTHIEST IN OUR NATION. WE SEEK TO DEVELOP COMMUNITY HEALTH INITIATIVES THAT IMPACT LONG-TERM HEALTH ACROSS THE ENTIRE COMMUNITY. KNOWING FOOD INSECURITY WAS AN ISSUE FOR THE COMMUNITY, REDWOOD MEMORIAL HOSPITAL PARTNERED WITH ST. JOSEPH HOSPITAL EUREKA TO SPONSOR COMMUNITY GRANTS TO ADDRESS THE ISSUE, PROVIDING FINANCIAL SUPPORT FOR YOUTH SUMMER LUNCHES, WEEKEND FOOD BACKPACKS FOR KIDS, SENIOR HOME DELIVERED MEALS, MOBILE FARMERS MARKET VEGETABLES, AND SUPPORT OF THE MATCH PROGRAM (FOR EVERY FIVE DOLLARS SPENT, AN ADDITIONAL FIVE DOLLARS WAS GIVEN FOR VEGETABLE PURCHASES) FOR SENIORS AT THE WEEKLY FARMERS MARKETS. BY INSURING FOOD SECURITY IN THE COMMUNITIES IT SERVES, REDWOOD MEMORIAL HOSPITAL IS IMPACTING THE LONG-TERM HEALTH ACROSS THE ENTIRE COMMUNITY. PROGRAM SERVICE ACCOMPLISHMENTS FINANCIAL ASSISTANCE PROGRAM, MEDICAID AND OTHER MEANS TESTED PROGRAMS OUR MISSION CALLS US TO PROVIDE QUALITY CARE TO ALL OUT PATIENTS REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY REDWOOD MEMORIAL HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE AND/OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN ADDITION TO THE FINANCIAL ASSISTANCE PROGRAM AND THE UNPAID COST OF MEDICAID AND OTHER MEANS TESTED PROGRAMS, RMH HAS DEVELOPED AND IMPLEMENTED COMMUNITY BENEFIT PROGRAMS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. THE FOLLOWING PROGRAMS LISTED BELOW ARE ORGANIZED BY LARGEST TOTAL EXPENSE. PHYSICIAN TRAUMA SERVICES THERE WERE 12,551 PATIENTS SEEN IN THE REDWOOD MEMORIAL EMERGENCY ROOM IN FY14. OF THESE 6,398 WERE UNDERINSURED OR LACKED INSURANCE AND A TOTAL OF 12,876 ENCOUNTERS WITH EMERGENCY MEDICINE PERSONNEL DURING THEIR VISIT FOR TRAUMA SERVICES. COMMUNITY RESOURCE CENTERS REDWOOD MEMORIAL HOSPITAL OPERATES FIVE COMMUNITY RESOURCE CENTERS (CRCS) LOCATED IN EUREKA AT THE ST. VINCENT DE PAUL FREE DINING FACILITY, AS WELL AS IN LOLETA, RIO DELL (LOCATED IN ELEMENTARY SCHOOLS), BLUE LAKE (LOCATED IN A MUNICIPAL BUILDING) AND WILLOW CREEK (LOCATED IN A FEDERALLY QUALIFIED HEALTH CENTER). EACH CENTER IS STAFFED WITH ONE COORDINATOR AND SUPPORTED BY GRANT-FUNDED CONTRACT WORKERS AND VOLUNTEERS. IN FY14 THE CENTERS RECORDED 91,918 ENCOUNTERS WITH COMMUNITY MEMBERS AROUND A MULTITUDE OF AREAS INCLUDING PROVISION OF BASIC NEEDS - FOOD, CLOTHING, TRANSPORTATION, AND HOUSING - SUPPORT GROUPS, ENROLLMENT IN HEALTH INSURANCE, ASSISTANCE WITH MEDICAL, DENTAL AND MENTAL HEALTH NEEDS, EMPLOYMENT ASSISTANCE AND PARENT AND FAMILY STRENGTHENING ACTIVITIES. THE RESOURCE CENTERS ALSO ENGAGE IN COMMUNITY BUILDING ACTIVITIES AND ACT AS A CENTRAL GATHERING PLACE FOR CELEBRATORY COMMUNITY EVENTS, AS WELL AS DISASTER AND EMERGENCY RESPONSE EFFORTS. THEY ARE SIMILAR IN MISSION AND PURPOSE BUT EACH CENTER UNIQUELY MEETS THE NEEDS OF THE COMMUNITY IT SERVES. THE LOLETA CRC HAS PARTNERED WITH REDWOOD COMMUNITY ACTION AGENCY (RCAA) FOR A THREE YEAR COMMUNITY BUILDING IMPLEMENTATION GRANT TO IMPROVE THE USE OF COMMUNAL SPACES IN THIS SMALL, RURAL COMMUNITY THAT IS CENTERED ON THE LOLETA ELEMENTARY SCHOOL AND HAS THREE DISTINCT ETHNIC POPULATIONS. THIS THREE YEAR IMPLEMENTATION GRANT INCLUDES RCAA AND THE CRC BUT ALSO THE HUMBOLDT AREA FOUNDATION, THE CITY OF LOLETA, FIRST FIVE HUMBOLDT AND A LOLETA CITIZEN LED STEERING COMMITTEE. THE CRCS CONTINUE A PARTNERSHIP WITH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO PROVIDE OUTREACH IN EACH COMMUNITY TO INCREASE ENROLLMENT IN CALFRESH. PHYSICIAN RECRUITMENT FOR THE UNDERSERVED RMH IS LOCATED IN A PRIMARY CARE HEALTH PROFESSION SHORTAGE AREA AND A MEDICALLY UNDERSERVED AREA. REDWOOD MEMORIAL HOSPITAL SUPPORTS MD RECRUITMENT EFFORTS TO SERVE THE UNDERSERVED HUMBOLDT COUNTY AREA. CAREER TRAINING AND SUPPORT SERVICES TWENTY-TWO NURSING STUDENTS FROM COLLEGE OF THE REDWOODS WERE PLACED AT REDWOOD MEMORIAL HOSPITAL FOR CLINICAL TRAINING DURING FY14. EACH STUDENT COMPLETES 180 HOURS OF CONCENTRATED WORK WITH ONE STAFF NURSE THAT ACTS AS A PRECEPTOR/MENTOR, TEACHING PATIENT CARE. THE PRECEPTORS ROLE MODEL JOURNEY TO EXCELLENCE WITH EMPHASIS ON CREA FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF REDWOOD MEMORIAL HOSPITAL. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS REDWOOD MEMORIAL HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBER RESERVES THE RIGHT TO APPOINT TRUSTEES TO THE REDWOOD MEMORIAL HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE REDWOOD MEMORIAL HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. FORM 990, PART VI, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS 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, QUESTION 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 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 OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 2015 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, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST 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. FORM 990, PART VI, QUESTIONS 15A AND 15B OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN THE ORGANIZATION'S PRESIDENT 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 REDWOOD MEMORIAL HOSPITAL 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 2013. DURING THE YEAR, THE REDWOOD MEMORIAL HOSPITAL 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 AN IN ACCORDANCE WITH THE PLAN DOCUMENT. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES WHICH ARE SUBSEQUENTLY APPROVED AT THE COMMITTEE MEETING. COMMITTEE MEETING. FORM 990, PART VI, QUESTION 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. FORM 990, PART IX, LINE 11G OTHER FEES EXCEEDING 10% REGISTRY/TEMP HELP 921,706 MED/PHYSICIAN SERVICES 2,795,752 PURCHASED SERVICES 1,685,293 ---------------- TOTAL 5,402,751 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE FORM 990, PART XI, LINE 9 EQUITY TRANSFER ($1,490,109) CHANGE IN GRANT FUNDS (46,110) ------------------ TOTAL ($1,536,219) COVENANT HEALTH NETWORK INC 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 461259908 HEALTHCARE CA 501(C)(3) 11, III SJHS true COVENANT HEALTH PARTNERS 3615 19TH STREET LUBBOCK TX 79410 611573313 HEALTHCARE TX 501(C)(3) 11,I CHS true COVENANT HEALTH SYSTEM 3615 19TH STREET LUBBOCK TX 79410 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS true COVENANT HEALTH SYSTEM FOUNDATION 4000 24TH STREET LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS true COVENANT MEDICAL GROUP 3420 22ND PLACE LUBBOCK TX 79410 752743883 HEALTHCARE TX 501(C)(3) 3 CHS true COVENANT PHYSICIAN PARTNERS 3615 19TH STREET LUBBOCK TX 79410 463516417 HEALTHCARE TX 501(C)(3) 3 CHS true HOAG CHARITY SPORTS 3920 BIRCH STREET SUITE 105 NEWPORT BEACH CA 92660 452982422 SUPPORT CA 501(C)(3) 7 HHF true HOAG HOSPITAL FOUNDATION 1 HOAG DRIVE BOX 6100 NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP true HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG DRIVE BOX 6100 NEWPORT BEACH CA 92663 951643327 HEALTHCARE CA 501(C)(3) 3 CHN true HOME CARE PARTNERS 1165 MONTGOMERY DR SANTA ROSA CA 95405 680318656 INACTIVE CA 501(C)(3) 3 SRMH true HOSPICE OF LUBBOCK 1102 SLIDE ROAD LUBBOCK TX 79414 752133781 HEALTHCARE TX 501(C)(3) 9 CHS true LUBBOCK METHODIST HOSPITAL FOUNDATION 3615 19TH STREET LUBBOCK TX 79410 752220963 HEALTHCARE TX 501(C)(3) 7 CHS true METHODIST CHILDREN'S HOSPITAL 3610 21ST STREET LUBBOCK TX 79410 752428911 HEALTHCARE TX 501(C)(3) 3 CHS true METHODIST HOSPITAL LEVELLAND 1900 COLLEGE AVENUE LEVELLAND TX 79336 752246348 HEALTHCARE TX 501(C)(3) 3 CHS true METHODIST HOSPITAL PLAINVIEW 2601 DIMMITT ROAD PLAINVIEW TX 79072 752426010 HEALTHCARE TX 501(C)(3) 3 CHS true MISSION HOSPITAL REGIONAL MEDICAL CTR 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 951643360 HEALTHCARE CA 501(C)(3) 3 CHN true QUEEN OF THE VALLEY MEDICAL CENTER 1000 TRANCAS STREET NAPA CA 94558 941243669 HEALTHCARE CA 501(C)(3) 3 SJHS true REDWOOD MEMORIAL FOUNDATION 3300 RENNER DRIVE FORTUNA CA 95540 942779313 HEALTHCARE CA 501(C)(3) 7 RMH true SANTA ROSA MEMORIAL HOSPITAL 1165 MONTGOMERY DR SANTA ROSA CA 95405 941231005 HEALTHCARE CA 501(C)(3) 3 SJHS true SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ORANGE CA 92868 951643383 RELIGIOUS ORG CA 501(C)(3) 1 NA false SRM ALLIANCE HOSPITAL SERVICES 400 NORTH MCDOWELL BLVD PETALUMA CA 94954 680395200 HEALTHCARE CA 501(C)(3) 3 SRMH true ST JOSEPH HEALTH MINISTRY 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 271666576 RELIGIOUS ORG CA 501(C)(3) 1 SSJO false ST JOSEPH HEALTH SYSTEM 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 953589356 HEALTHCARE CA 501(C)(3) 11, I SJHM false ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 330143024 HEALTHCARE CA 501(C)(3) 7 SJHS true ST JOSEPH HOME CARE NETWORK 170 PROFESSIONAL CENTER DR B ROHNERT PARK CA 94928 680331084 HEALTHCARE CA 501(C)(3) 9 SJHS true ST JOSEPH HOSPITAL OF EUREKA 2700 DOLBEER STREET EUREKA CA 95501 941156596 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JOSEPH HOSPITAL OF ORANGE 1100 WEST STEWART DRIVE ORANGE CA 92868 951643359 HEALTHCARE CA 501(C)(3) 3 CHN true ST JUDE HOSPITAL YORBA LINDA 500 S MAIN STREET STE 1000 ORANGE CA 92868 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JUDE HOSPITAL INC 101 EAST VALENCIA MESA DRIVE FULLERTON CA 92635 951643324 HEALTHCARE CA 501(C)(3) 3 CHN true ST MARY MEDICAL CENTER 18300 HIGHWAY 18 APPLE VALLEY CA 92307 951914489 HEALTHCARE CA 501(C)(3) 3 CHN true ST MARY OF THE PLAINS HOSPITAL FDN 4000 24TH STREET LUBBOCK TX 79410 751653181 HEALTHCARE TX 501(C)(3) 7 CHS true TALLER SAN JOSE 801 NORTH BROADWAY SANTA ANA CA 92701 593816355 WORKFORCE DEV CA 501(C)(3) 2 SSJO true ST JOSEPH HLTH SYS HOME HLTH SEE PART VII ORANGE CA 928682012 330282945 HOME HEALTH CA NA N/A ST JOSEPH HLTH SYS HOME CARE SEE PART VII ORANGE CA 928682012 330307672 HOME HEALTH CA NA N/A METHODIST DIAGNOSTIC IMAGING SEE PART VII LUBBOCK TX 79410 752343261 HEALTHCARE SVCS TX NA N/A SHA LLC SEE PART VII AUSTIN TX 78750 752569094 INSURANCE TX NA N/A LUBBOCK SURGERY CENTER LTD SEE PART VII LUBBOCK TX 79410 752177401 HEALTHCARE SVCS TX NA N/A COVENANT LONG-TERM CARE LP SEE PART VII LUBBOCK TX 79410 205033419 HEALTHCARE SVCS TX NA N/A HERITAGE INVESTMENT GROUP SEE PART VII IRVINE CA 92612 271000061 INVESTMENTS CA NA N/A MISSION AMBULATORY SURGICENTER SEE PART VII MISSION VIEJO CA 92691 330355575 HEALTHCARE SVCS CA NA N/A COMPREHENSIVE IMAGING PARTNERS SEE PART VII ORANGE CA 92868 264591502 HEALTHCARE SVCS CA NA N/A ST JOSEPH PHYSICIAN VENTURES SEE PART VII ORANGE CA 92868 454521884 REAL ESTATE CA NA N/A ADVANCED SURGERY INSTITUTE LLC HEALTHCARE SVCS CA NA N/A HOAG OUTPATIENT 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HOSPITAL OF EUREKA p 3093957 ACCRUAL ST JOSEPH HOSPITAL OF EUREKA q 3275484 ACCRUAL REDWOOD MEMORIAL FOUNDATION o 202241 ACCRUAL REDWOOD MEMORIAL FOUNDATION q 195041 ACCRUAL ST JOSEPH HOSPITAL YORBA LINDA Q 619775 ACCRUAL ST JOSEPH HOSPITAL YORBA LINDA m 372478 ACCRUAL IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP SCHEDULE R, PART III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100, ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 2301 QUAKER, LUBBOCK, TX 79410 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 3345 MICHELSON DRIVE, STE. 100, IRVINE, CA 92612 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE. 362, MISSION VIEJO, CA 92691 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY, LLC EIN: 26-4591502 ADDRESS: ONE CITY BOULEVARD WEST, SUITE 1100, ORANGE, CA 92868 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 HOAG OUTPATIENT CENTERS EIN: 45-3587572 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 MAIN ST SPECIALTY SURGERY CENTER EIN: 95-4813223 ADDRESS: 280 MAIN STREET, STE 100, ORANGE, CA 92868 ORTHOPEDIC SURGERY CENTER OF OC, LLC EIN: 33-0841806 ADDRESS: 22 CORPORATE PLAZA, NEWPORT BEACH, CA 92660 THE INSTITUTE FOR INNOVATION, LLC EIN: 90-0745066 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 HEALTHCARE DESIGN AND CONSTRUCTION EIN: 46-2611662 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954