4A (Expenses $ 358988251 including grants of $ 5104532) (Revenue $ 482113797)
SEE SCHEDULE O

PART I, LINE 7
THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. PART I, LINE 7G NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.

PART II
"COMMUNITY BUILDING INITIATIVES OUR MISSION CALLS US TO IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. A KEY EMPHASIS IS PUT ON DEVELOPING PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS. KEY ISSUES FOR FISCAL YEAR 2011 CONTINUE TO BE ACCESS TO AFFORDABLE HOMES AND EDUCATION. MISSION HOSPITAL HAS PARTNERED WITH KEY COMMUNITY STAKEHOLDERS TO HELP ADDRESS THESE LONG-TERM ISSUES. ACCESS TO AFFORDABLE HOMES: THE AFFORDABLE HOMES OUTCOME GOAL IS TO INCREASE AFFORDABLE HOMES IN SOUTH ORANGE COUNTY, WITH A SPECIAL FOCUS ON THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO AND MISSION VIEJO. IN 2008, MISSION HOSPITAL PARTNERED WITH OVER A DOZEN AGENCIES TO CREATE THE SOUTH ORANGE COUNTY ALLIANCE FOR HOUSING OUR COMMUNITIES (SOCAHOC). TOGETHER, THE ALLIANCE WORKS TO INCREASING THE NUMBER OF PUBLIC OR PRIVATE POLICIES THAT SUPPORT AFFORDABLE HOMES, INCREASING BROAD-BASED COMMUNITY ADVOCACY ORGANIZATIONS THAT IDENTIFY AND ACT ON AFFORDABLE HOMES AS A PRIORITY, AND COLLABORATING TO CREATE NEW AFFORDABLE HOMES. THREE YEARS AFTER THE STRATEGIC PLAN INITIATION, 121 NEW HOMES (72 RENTAL AND 49 OWNERSHIP) WERE APPROVED FOR HOUSEHOLDS WITH LOW MODERATE INCOME LEVELS IN MISSION VIEJO, SAN JUAN CAPISTRANO, DANA POINT AND SAN CLEMENTE. IN THE LAST YEAR OF THE STRATEGIC PLAN, THE WEIGHTED SCORE FOR NUMBER OF POLICIES PASSED AND ACTIVE INCREASED FROM 54.25% TO 60%. SEVENTY-NINE GROUPS AND ORGANIZATIONS IDENTIFIED AND ACTED ON HOUSING INITIATIVES COMPARED TO 70 IN 2009. AND THE WEIGHTED SCORE FOR NUMBER OF HOUSING INITIATIVES IN THE THREE TARGETED CITIES (BY PHASE COMPLETED) INCREASED FROM 24.3% IN 2009 TO 46.75%. THE HOSPITAL-FACILITATED COALITION, SOCAHOC (SOUTH ORANGE COUNTY ALLIANCE FOR HOUSING OUR COMMUNITIES), SUCCESSFULLY IMPLEMENTED THE COMMUNITY DIALOGUE ""OPPORTUNITIES FOR ECONOMIC DEVELOPMENT AND REVITALIZATION: LINKING HOUSING, LAND USE AND TRANSPORTATION"" WITH PARTICIPATION FROM OVER 100 ATTENDEES AND 60 ORGANIZATIONS. INCREASING POST SECONDARY EDUCATION OPPORTUNITIES: THE POST-SECONDARY EDUCATION OUTCOME GOAL IS TO INCREASE PARTICIPATION OF YOUTH IN POST-SECONDARY EDUCATION/TRAINING WITHIN THREE YEARS OF GRADUATION, WITH A FOCUS ON STUDENTS IN SAN CLEMENTE, DANA POINT AND SAN JUAN CAPISTRANO. THE STRATEGIES USED FOCUS ON CHANGING EXPECTATIONS ABOUT POST-SECONDARY EDUCATION/ TRAINING CAREERS WITH TEACHERS, STUDENTS, PARENTS AND THE COMMUNITY; INCREASING EXPOSURE TO CAREERS, EDUCATIONAL OPTIONS AND THE PROCESS; AND EMPOWERING STUDENTS TO TAKE CONTROL OF THEIR FUTURES. IN 2009, THE CAPISTRANO PROMOTING ACCESS TO HIGHER EDUCATION (CPATHE) COLLABORATIVE WAS FORMED. THIS COLLABORATIVE REPRESENTS OVER 20 LOCAL AGENCIES DEDICATED TO YOUTH ACHIEVING HIGHER EDUCATION. SEVERAL MAJOR ACCOMPLISHMENTS HAVE BEEN ACHIEVED SINCE 2009 IN OUR EFFORTS TOWARD POST-SECONDARY EDUCATION. THE PERCENT OF GRADUATING YOUTH WHO BELIEVE THEY CAN PURSUE EDUCATION TO REALIZE THEIR POTENTIAL INCREASED BY JUST OVER 3% (95% TO 98.2%). OUR FOCUS ON INCREASING STUDENTS' SENSE OF CONTROL OVER THEIR OWN FUTURES, DEMONSTRATED AN IMPROVEMENT FROM A 2009 BASELINE OF 2.75 RATING AVERAGE (OF A 5 POINT SCALE) FOR ALL 6-12 GRADERS INTERVIEWED TO 3.25 IN 2011. A LARGE CONTRIBUTION TO THESE RESULTS WAS THE IMPLEMENTATION OF THE ""CAN'T STOP, WON'T STOP"" YOUTH CONFERENCE FOR LEADERSHIP DEVELOPMENT AND YOUTH EMPOWERMENT. THIS PROGRAM WAS IMPLEMENTED WITH MULTIPLE COMMUNITY PARTNERS AND HAD AN ATTENDANCE OF OVER 120 YOUTH AND STAFF AND EDUCATORS FROM 12 FROM LOCAL HIGH SCHOOLS. IN ADDITION, OUR EFFORTS AROUND INCREASING EXPOSURE TO CAREERS, EDUCATIONAL OPTIONS AND PROGRESS SHOWS THAT SINCE OUR BASELINE IN 2009, WE HAVE INCREASED THE NUMBER OF STUDENTS AND PARENTS PARTICIPATING IN THESE PROGRAMS BY 175% (631 IN 2009 TO 1,639 IN 2011). OVER THE LAST THREE YEARS, OUR GOAL HAS BEEN TO INCREASE THE PERCENT OF STUDENTS WHO PARTICIPATE IN POST-SECONDARY EDUCATION WITHIN THREE YEARS OF HIGH SCHOOL GRADUATION. WE HAVE HAD A STRONG PARTNERSHIP WITH CAPISTRANO UNIFIED SCHOOL DISTRICT WHO HAD THE ABILITY TO COLLECT THIS INFORMATION, BUT DUE TO BUDGET AND STAFFING CUTS FACED BY THE DISTRICT, THIS DATA HAS BECOME UNAVAILABLE. IN JANUARY FY11, WE EMBARKED UPON A COLLABORATION WITH SANTA ANA COLLEGE, SADDLEBACK COLLEGE, CUSD, AND UNIVERSITY OF CALIFORNIA, IRVINE TO INITIATE A PILOT PROGRAM, PADRES PROMOTORES, IN SOUTH ORANGE COUNTY. THIS PROGRAM'S FOCUS IS ON PARENT ENGAGEMENT, COMMUNICATION AND EDUCATION. TOGETHER, WE COORDINATED THE FIRST ""PADRES PROMOTORES"" (PP) VOLUNTEER TRAINING WHERE 40 PARENTS AND 10 SCHOOL LIAISONS COMPLETED A 3-DAY TRAINING. TEN ORGANIZATIONS AND 24 STAFF MEMBERS SUPPORTED THE EVENT. OF THE VOLUNTEERS WHO CONTINUED WITH THE PROGRAM, 134 HOME VISITS HAVE BEEN CONDUCTED TO EDUCATE LOCAL PARENTS AND TWO COMMUNITY FORUMS AT KINOSHITA ELEMENTARY SCHOOL REACHING 112 PARENTS HAVE BEEN HELD."

PART III, LINE 4
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. COLLECTION ACTIONS ARE NOT PURSUED ON THESE ACCOUNTS ONCE THEY ARE RECLASSIFIED AS FINANCIAL ASSISTANCE. THERE IS NO OTHER AMOUNT OF BAD DEBT THAT SHOULD BE REPORTED AS FINANCIAL ASSISTANCE. FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT: THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. DISCOUNTS ON PATIENT ACCOUNTS IN BAD DEBT: ANY ACCOUNT RETURNED TO THE HOSPITAL FROM A COLLECTION AGENCY THAT HAS DETERMINED THE PATIENT DOES NOT HAVE THE RESOURCES TO PAY HIS OR HER BILL, MAY BE DEEMED ELIGIBLE FOR CHARITY CARE WITHOUT ABSOLUTE REQUIREMENT FOR SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION. ALL OUTSIDE COLLECTION AGENCIES CONTRACTED WITH SJHS TO PERFORM ACCOUNT FOLLOW-UP AND/OR BAD DEBT COLLECTION WILL UTILIZE THE FOLLOWING CRITERIA TO IDENTIFY A STATUS CHANGE FROM BAD DEBT TO CHARITY CARE: - PATIENT ACCOUNTS MUST HAVE NO APPLICABLE INSURANCE (INCLUDING GOVERNMENTAL COVERAGE PROGRAMS OR OTHER THIRD PARTY PAYERS); AND - THE PATIENT MUST HAVE A CREDIT SCORE AND BEHAVIOR RATING WITHIN THE LOWEST 25TH PERCENTILE OF CREDIT SCORES FOR ANY CREDIT EVALUATION METHOD USED; AND - THE PATIENT HAS NOT MADE A PAYMENT WITHIN 150 DAYS OF ASSIGNMENT TO THE COLLECTION AGENCY; AND - THE COLLECTION AGENCY HAS DETERMINED THAT THE PATIENT IS UNABLE TO PAY; AND/OR - THE PATIENT DOES NOT HAVE A VALID SOCIAL SECURITY NUMBER AND/OR AN ACCURATELY STATED RESIDENCE ADDRESS IN ORDER TO DETERMINE A CREDIT SCORE. ALL ACCOUNTS RETURNED FROM A COLLECTION AGENCY FOR RE-ASSIGNMENT FROM BAD DEBT TO CHARITY CARE WILL BE EVALUATED BY HOSPITAL PERSONNEL TO DETERMINE ELIGIBILITY FOR CHARITY CARE OR DISCOUNTED CARE PRIOR TO ANY RE-CLASSIFICATION WITHIN THE HOSPITAL ACCOUNTING SYSTEM AND RECORDS. DOCUMENTATION OF THE PATIENT'S INABILITY TO PAY FOR SERVICES WILL BE MAINTAINED BY THE HOSPITAL. COSTING METHOD FOR LINE 2: THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM.

PART III, 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. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT SUBMITTED FOR THE FISCAL YEAR USING CMS STANDARD COSTING METHODS. THIS METHOD INCLUDES SPECIFIC STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS.

PART III, LINE 9B
MISSION HOSPITAL REGIONAL MEDICAL CENTER (MHRMC) PATIENT ACCOUNTS ARE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MAKES 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 PERFORMS AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIES FOR CHARITY CARE. ACCOUNTS FOR PATIENTS WHO QUALIFY FOR CHARITY CARE ARE WRITTEN OFF AND COLLECTION EFFORTS ARE NOT PURSUED.

PART IV, COLUMN A NAME OF ENTITY
1. MISSION EDUCATION CONFERENCE CENTER, LLC 2. MISSION AMBULATORY SURGICENTER, LTD, DBA MISSION SURGERY CENTER

NEEDS ASSESSMENT
MISSION HOSPITAL REGIONAL MEDICAL CENTER CONDUCTED A HNA IN 2008, AGAIN IN 2010 SPECIFIC TO LAGUNA BEACH AND IN 2011. THE NEEDS ASSESSMENT AND RESIDENT FORUMS BROUGHT FORWARD OVER 25 ADDITIONAL HEALTH AND QUALITY OF LIFE ISSUES, INCLUDING CARDIOVASCULAR RISK, DENTAL SERVICES, ALCOHOL AND SUBSTANCE ABUSE, AND JOB TRAINING FOR YOUTH. HOWEVER, BASED UPON HOSPITAL RESOURCES AND THE DESIRE TO FOCUS DEEPLY ON A FEW PRIORITIES VERSUS SPREADING RESOURCES TOO THINLY, MISSION HOSPITAL SELECTED FOUR PRIORITIES FOR ITS COMING FISCAL YEAR 2012-2014 COMMUNITY BENEFIT PLAN, TO INCLUDE: CHILDHOOD OBESITY, MENTAL HEALTH, YOUTH ALCOHOL & SUBSTANCE USE, AND AFFORDABLE HOMES.

PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
MISSION HOSPITAL REGIONAL MEDICAL CENTER (MHRMC) POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES ARE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES ARE ALSO POSTED AT LOCATIONS WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT CAN OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE, AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATE LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS ARE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND ARE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE.

COMMUNITY INFORMATION
MISSION HOSPITAL PROVIDES SOUTH ORANGE COUNTY COMMUNITIES WITH HEALTH ACCESS THROUGH TWO CONVENIENT LOCATIONS, MISSION VIEJO AND LAGUNA BEACH. THE HOSPITAL'S SERVICE AREA EXTENDS FROM THE JUNCTION OF THE 405 AND 5 FREEWAYS IN THE NORTH TO CAMP PENDLETON IN THE SOUTH. GEOGRAPHICALLY, SOUTH COUNTY IS BORDERED BY THE PACIFIC OCEAN TO THE WEST, THE SANTA ANA MOUNTAINS TO THE NORTH AND EAST, AND THE MARINE BASE CAMP PENDLETON TO THE SOUTH. OUR PRIMARY SERVICE AREA INCLUDES THE CITIES OF MISSION VIEJO, LAGUNA BEACH, LAGUNA NIGUEL, SAN JUAN CAPISTRANO, SAN CLEMENTE, RANCHO SANTA MARGARITA, LAKE FOREST, LAGUNA HILLS, DANA POINT, LADERA RANCH, TRABUCO CANYON, CAPISTRANO BEACH AND ALISO VIEJO. THIS INCLUDES A POPULATION OF APPROXIMATELY 623,000 PEOPLE, AN INCREASE OF 4% FROM THE PRIOR ASSESSMENT. MISSION HOSPITAL'S SECONDARY SERVICE AREA INCLUDES LAGUNA WOODS, IRVINE, FOOTHILL RANCH AND SILVERADO. SOUTH ORANGE COUNTY IS A RELATIVELY AFFLUENT COMMUNITY WITH A MEDIAN HOUSEHOLD INCOME OF $92,124 COMPARED TO THE ORANGE COUNTY MEDIAN HOUSEHOLD INCOME OF $58,605 (US CENSUS QUICK FACTS). THE AVERAGE HOUSEHOLD SIZE IS 2.70 COMPARED TO THE ORANGE COUNTY WIDE HOUSEHOLD SIZE OF 3.00. DEMOGRAPHICALLY, THE AREA IS PRIMARILY CAUCASIAN (78%), WITH THE HISPANIC POPULATION REPRESENTING 19.2%. IN GENERAL, MISSION'S SERVICE AREA REFLECTS A HIGH DEGREE OF HEALTH AND QUALITY OF LIFE. MISSION PROVIDES BROAD COMMUNITY BENEFIT SERVICES TO ITS PRIMARY AND SECONDARY SERVICE AREA. HOWEVER, ISOLATED AREAS OF HIGH NEED HAVE BEEN IDENTIFIED IN THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO, LAGUNA NIGUEL, MISSION VIEJO, LAKE FOREST AND RANCHO SANTA MARGARITA. THESE AREAS WERE DETERMINED BASED ON KEY DRIVERS FOR COMMUNITY VULNERABILITY, WHICH INCLUDE MEDIAN HOUSEHOLD INCOME, NUMBER OF PEOPLE LIVING IN A HOME, HEALTH INSURANCE COVERAGE, HIGHEST EDUCATIONAL LEVEL, ETC. ALTHOUGH HIGH NEEDS WERE IDENTIFIED IN THESE 8 AREAS, BASED ON HOSPITAL RESOURCES AND PARTNERSHIPS AND IN AN EFFORT TO SHOW SIGNIFICANT OUTCOMES AT THE END OF THE THREE-YEAR PLAN, A DECISION WAS MADE TO PRIMARILY FOCUS ON THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO, LAGUNA BEACH AND LAKE FOREST. THIS DECISION WAS MADE IN PARTNERSHIP WITH COMMUNITY BENEFIT DEPARTMENT STAFF, THE HOSPITAL EXECUTIVE TEAM AND THE COMMUNITY BENEFIT COMMITTEE.

PROMOTION OF COMMUNITY HEALTH
THE GOVERNING BODY IS 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, OVERSEES 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 MISSION 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. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH SYSTEM, WE PROVIDE 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 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 MISSION HOSPITAL, AS A MINISTRY OF ST. JOSEPH HEALTH SYSTEM, HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. 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. IN ADDITION TO DEVOTING A PERCENTAGE OF OUR NET INCOME TO COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR VIA CARE FOR THE POOR FUNDS, WE STRIVE TO ANNUALLY BUDGET A PORTION OF OUR TOTAL OPERATING EXPENSES FOR HEALTHY COMMUNITIES AND COMMUNITY HEALTH EFFORTS. DURING THE PAST YEAR, MISSION HOSPITAL DEDICATED $1,967,000 IN CARE FOR THE POOR FUNDS AND $ 5,786,000 TO HEALTHY COMMUNITIES AND COMMUNITY HEALTH INITIATIVES. THIS FUNDING MADE THE FOLLOWING PROGRAMS POSSIBLE: SUSTAINABILITY OF CAMINO HEALTH CENTER, THE ONE COMMUNITY CLINIC LOCATED IN SOUTH ORANGE COUNTY OUTSIDE OF LAGUNA BEACH; FIVE COUNTY-WIDE INITIATIVES FOCUSED ON 1) CHILDHOOD OBESITY, 2) INCREASING SERVICES FOR DEPRESSION, 3) CREATING AFFORDABLE HOMES, 4) YOUTH ALCOHOL & SUBSTANCE USE PREVENTION, 5) IMPROVING THE RATES OF POST-SECONDARY EDUCATION FOR AT-RISK YOUTH; AS WELL AS THE OPERATION OF TWO FAMILY RESOURCE CENTERS.

AFFILIATED HEALTH CARE SYSTEM
MISSION HOSPITAL IS A HEALING MINISTRY OF ST. JOSEPH HEALTH SYSTEM, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH SYSTEM 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 OF IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH SYSTEM 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 FREE CARE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED 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, FORMALIZES A PROCESS THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION FUNDS PROGRAMS THAT EXEMPLIFY THE FOUR CORE VALUES OF ST. JOSEPH HEALTH SYSTEM: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE.

STATE FILING OF COMMUNITY BENEFIT REPORT
CALIFORNIA MINISTRIES REPORT TO CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697.

STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI
CA,