St Joseph Hospital of Eureka

“St. Joseph hospital of eureka has a tiered governance in which the corporate members reserve the right to appoint trustees to the st. Joseph hospital of eureka board. All trustee appointments that come from the st. Joseph hospital of eureka board as nominations must be approved by the st. Joseph health system, as the corporate member, and the st. Joseph health ministry, as the organizational sponsor.”

“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.”

“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 march 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.”

“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.”

“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 total rewards center for excellence 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, total rewards center for excellence 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.”

“Avail of gov docs, conflict of interest policy, & fin stmts to gen public the organization makes its goverining 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. Audited financial statements are attached to form 990.”

“Realizing our mission st. Joseph hospital has been meeting the health and quality of life needs of the local community for over 96 years. Serving the communities of humboldt county, parts of del norte, trinity and mendocino counties, st. Joseph hospital eureka is an acute care hospital that provides quality care in the areas of cardiac care, critical care, diagnostic imaging, emergency medicine, cancer program, rehabilitation services, and obstetrics including a level ii neonatal intensive care unit, as well as community-based programs focused on prevention, outreach, care coordination and community building. With over 1300 employees committed to realizing the mission, st. Joseph hospital eureka is one of the largest employers in the humboldt region. As a member of the st. Joseph health system, st. Joseph hospital eureka 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 hospital believes that no one should delay seeking needed medical care because they lack health insurance. That is why st. Joseph hospital has a patient financial assistance program (fap) that provides free or discounted services to eligible patients. In fy16, st. Joseph hospital provided $1,350,131 in free and discounted care. Medicaid program st. Joseph hospital of eureka provided access to uninsured and underinsured persons by participating in the federal and state sponsored medicaid program. In fy16, st. Joseph hospital of eureka provided $5,628,404 in medicaid shortfall; however total medicaid shortfall was ($6,145,115) after accounting for medicaid reimbursement from the california hospital quality assurance fee. Program service accomplishments cash donations or sponsorship for the poor throughout fy16, st. Joseph hospital eureka 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. Care transitions program the care transitions program at st. Joseph hospital of eureka, hous”

“Other fees for services (non-employees) physician fees - $10,073,505 purchased services - $ 8,244,806 registry/temp help - $ 9,203,897 ------------- total $27,522,208”

“Other changes in net assets or fund balance equity transfers - ($26,701,439)”