MISSION HOSPITAL REGIONAL MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: MISSION HOSPITAL REGIONAL MEDICAL CENTER (EIN 95-1643360)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-13
IRS object ID: 202433189349301023
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-13T07:20:34-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	560 MISSION STREET SUITE 1600	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951643360	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MISSION HOSPITAL REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MISS	BusinessNameControlTxt
Phone	9493641400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	EILEEN HAUBL	PersonNm
Person Title	CHIEF ACCOUNTING OFFICER	PersonTitleTxt
Phone	9493647767	PhoneNum
Signature	2024-11-07	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN
Phone	4158948000	PhoneNum
Preparation	2024-11-04	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE MISSION HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	SETH TEIGEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$841,431,616	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MISSION4HEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1941	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	3101	TotalEmployeeCnt
Total Volunteers	444	TotalVolunteersCnt
Total Gross UBI	$126,354	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$94,500	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$15,209,962	PYContributionsGrantsAmt
CY Contributions Grants	$15,286,638	CYContributionsGrantsAmt
PY Program Service Revenue	$748,045,373	PYProgramServiceRevenueAmt
CY Program Service Revenue	$813,142,809	CYProgramServiceRevenueAmt
PY Investment Income	$881,328	PYInvestmentIncomeAmt
CY Investment Income	-$556,529	CYInvestmentIncomeAmt
PY Other Revenue	$10,615,256	PYOtherRevenueAmt
CY Other Revenue	$12,787,474	CYOtherRevenueAmt
PY Total Revenue	$774,751,919	PYTotalRevenueAmt
CY Total Revenue	$840,660,392	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,573,358	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$663,501	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$248,850,055	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$268,818,113	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,035,193	CYTotalFundraisingExpenseAmt
PY Other Expenses	$516,265,297	PYOtherExpensesAmt
CY Other Expenses	$568,925,975	CYOtherExpensesAmt
PY Total Expenses	$766,688,710	PYTotalExpensesAmt
CY Total Expenses	$838,407,589	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,063,209	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,252,803	CYRevenuesLessExpensesAmt
Total Assets BOY	$658,780,814	TotalAssetsBOYAmt
Total Assets EOY	$705,245,194	TotalAssetsEOYAmt
Total Liabilities BOY	$373,552,426	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$417,637,489	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$285,228,388	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$287,607,705	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$806,150,834	ExpenseAmt
Grant	$663,501	GrantAmt
Revenue	$826,383,085	RevenueAmt
Desc	SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WAAS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSPROVIDENCE CONTINUES TO EXECUTE ON OUR INTEGRATED STRATEGIC AND FINANCIAL PLAN, WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THE IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES AND REDUCE OUR CARBON FOOTPRINT IN THE COMMUNITIES WE SERVE. PROVIDENCE ADVANCES PROGRESS ON OUR CARBON NEGATIVE GOAL AND IN 2023 WE ESTIMATED THAT WE DECREASED EMISSIONS BY OVER 12 PERCENT COMPARED TO OUR 2019 BASELINE. IN ADDITION, OUR EFFORTS LED TO THE INTRODUCTION OF THE GREEN HOSPITALS ACT, LEGISLATION MODELED AFTER PROVIDENCE THAT WOULD PROVIDE CRITICAL FEDERAL FUNDING TO WEATHERIZE AND MODERNIZE HEALTH CARE FACILITIES. PROVIDENCE COMPLETED A COMPREHENSIVE CLIMATE RESILIENCE PLAN IN ALIGNMENT WITH OUR COMMITMENT TO THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. WE CONTINUE TO REDUCE GREENHOUSE GAS EMISSIONS WITH A FOCUS ON LED LIGHTING UPGRADES, WATER CONSERVATION, MORE EFFICIENT DELIVERY OF NITROUS OXIDE GAS DURING ANESTHESIA, AND ADVANCING OUR WASTE OPTIMIZATION WORK ACROSS ALL HOSPITALS AND CLINICS.2023 PROGRAM SERVICE ACCOMPLISHMENTS:PROVIDENCE MISSION HOSPITAL MEDICAL CENTER:IN 2023, PROVIDENCE MISSION HOSPITAL MEDICAL CENTER CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEEDS. MISSION HOSPITAL FOCUSED ON ADDRESSING MENTAL HEALTH/SUBSTANCE USE, HOUSING/HOMELESSNESS, AND EQUITY/RACIAL DISPARITIES.ACCESS TO HEALTH CARE FOR THOSE IN GREATEST NEED: CAMINO HEALTH CENTER:MISSION HOSPITAL IS A PROUD SPONSOR OF CAMINO HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN THE HEART OF OUR SERVICE AREA. TO SUPPORT CAMINO'S CORE SERVICES AND OFFSET THE OUT-OF-POCKET EXPENSES FOR PATIENTS WITHOUT HEALTHCARE INSURANCE, WE PROVIDED GRANTS TOTALING $750,000 IN 2023, CAMINO HEALTH CENTER UPHELD ITS COMMITMENT TO DELIVERING HIGH-QUALITY CARE TO ITS PATIENTS WHILE ADHERING TO ALL NECESSARY HEALTH AND SAFETY PRECAUTIONS. THROUGHOUT THE YEAR, CAMINO SERVED A TOTAL OF 15,491 UNIQUE PATIENTS, WITH A DEMOGRAPHIC BREAKDOWN SHOWING THAT 61% OF THESE PATIENTS WERE FEMALE AND 39% WERE MALE. ETHNICALLY, THE PATIENT POPULATION INCLUDED 8,772 INDIVIDUALS WHO IDENTIFIED AS HISPANIC/LATINO, 5,471 AS NON-HISPANIC/LATINO, AND 1,137 WHO CHOSE NOT TO DISCLOSE THEIR ETHNICITY. REFLECTING THE COMMUNITY'S NEEDS, IT IS NOT SURPRISING THAT 47% OF THE PATIENTS PRIMARILY SPOKE SPANISH, A NEED THAT CAMINO EFFICIENTLY MET WITH ITS PREDOMINANTLY BILINGUAL STAFF. MOREOVER, CAMINO PROVIDED SERVICES TO 13,878 PATIENTS LIVING AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, MAKING UP 90% OF THE CLINIC'S TOTAL PATIENT POPULATION. THIS MARKED A NOTABLE 15% INCREASE FROM 2022, HIGHLIGHTING THE GROWING DEMAND FOR AFFORDABLE HEALTHCARE SERVICES. THE IMPLEMENTATION OF THE 50+ MEDI-CAL EXPANSION IN 2022 CONTRIBUTED TO A SIGNIFICANT 9% DECREASE IN THE NUMBER OF UNINSURED PATIENTS, SHOWCASING THE POSITIVE IMPACT OF EXPANDED HEALTHCARE COVERAGE.THROUGHOUT THE SAME YEAR, CAMINO HEALTH CENTER RECORDED A TOTAL OF 64,624 VISITS ACROSS ITS VARIOUS DEPARTMENTS, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND OPTOMETRY. THE CLINIC'S DEDICATION TO PEDIATRIC CARE WAS EVIDENT, AS IT SERVED 2,482 CHILDREN UNDER THE AGE OF 18. THE DENTAL DEPARTMENT, IN PARTICULAR, CONTINUED ITS OUTSTANDING WORK BY CLOSELY MONITORING CHILDREN BETWEEN THE AGES OF 6 AND 9 WHO WERE AT MODERATE TO HIGH RISK OF DEVELOPING CARIES. IN 2023, 77% OF THESE CHILDREN RECEIVED DENTAL SEALANTS ON THEIR FIRST PERMANENT MOLARS, A PREVENTIVE MEASURE AGAINST CAVITIES.CAMINO'S PRENATAL PROGRAM ALSO DEMONSTRATED REMARKABLE EFFECTIVENESS, WITH 86% OF PREGNANT WOMEN RECEIVING CARE DURING THEIR FIRST TRIMESTER. THIS EARLY INTERVENTION IS CRUCIAL FOR THE HEALTH AND WELL-BEING OF BOTH THE MOTHER AND THE UNBORN BABY, REPRESENTING A 4% INCREASE FROM THE PREVIOUS YEAR. MENTAL HEALTH SERVICES REMAINED A PRIORITY, WITH CAMINO SCREENING AND FOLLOWING UP WITH 93% OF PATIENTS AGED 12 OR OLDER FOR MENTAL HEALTH ISSUES, A 3% INCREASE FROM THE PREVIOUS YEAR. THE CLINIC ALSO IMPLEMENTED ADVERSE CHILDHOOD EXPERIENCES (ACES) SCREENINGS TO ENSURE COMPREHENSIVE PATIENT EVALUATIONS.THE MEDICAL DEPARTMENT EXCELLED IN ITS CERVICAL CANCER SCREENING EFFORTS, ACHIEVING A RATE OF 69% IN 2023. ADDITIONALLY, THERE WAS A NOTABLE REDUCTION IN THE PERCENTAGE OF PATIENTS WITH UNCONTROLLED DIABETES, DECREASING FROM 37% TO 34%. THIS IMPROVEMENT HIGHLIGHTS THE CLINIC'S ONGOING COMMITMENT TO EFFECTIVELY MANAGING CHRONIC CONDITIONS EFFECTIVELY. OVERALL, CAMINO HEALTH CENTER CONTINUES TO PLAY A CRUCIAL ROLE IN SERVING THE UNDERSERVED POPULATION IN SOUTH ORANGE COUNTY, CONSISTENTLY ADAPTING AND EXPANDING ITS SERVICES TO MEET THE EVOLVING HEALTHCARE NEEDS OF THE COMMUNITY.CONNECTING OUR COMMUNITY THROUGH FAMILY RESOURCE CENTERS:PROVIDENCE MISSION HOSPITAL OPERATES TWO FAMILY RESOURCE CENTERS (FRC) IN THE COMMUNITY TO PROVIDE ACCESS TO SOCIAL SERVICES FOR COMMUNITY MEMBERS WITH LIMITED RESOURCES. BOTH FRCS ARE PART OF ORANGE COUNTY'S FAMILIES AND COMMUNITIES TOGETHER (FACT) PLATFORM. FACT IS A NETWORK OF 16 FAMILY RESOURCE CENTERS LOCATED THROUGHOUT ORANGE COUNTY'S HIGHEST-RISK COMMUNITIES. THESE CENTERS PROVIDE ESSENTIAL FAMILY SUPPORT SERVICES, EDUCATION, AND RESOURCES AIMED AT ADDRESSING CURRENT COMMUNITY NEEDS. THE FOLLOWING SERVICES ARE PROVIDED: MENTAL HEALTH SERVICES, LIFE SKILLS PROGRAMS, HEALTH INSURANCE ENROLLMENT AND COUNSELING, PARENTING CLASSES, FAMILY ADVOCACY, INFORMATION AND REFERRAL SERVICES, PERSONAL EMPOWERMENT PROGRAMS, COMMUNITY ENGAGEMENT AND LEADERSHIP DEVELOPMENT, LEGAL COUNSELING, ENGLISH AS A SECOND LANGUAGE CLASSES, CHILDREN'S PROGRAMMING, FOOD DISTRIBUTIONS, AND SEASONAL PROGRAMS. THESE CENTERS ARE LIFELINES FOR MANY PEOPLE IN THE COMMUNITY. OUR MONTHLY FOOD DISTRIBUTION PROVIDES FOOD FOR NEARLY 600 PEOPLE EACH MONTH. OUR TWO CENTERS PROVIDED 47,609 COMBINED VISITS IN CY23.	Desc
Total Program Service Expenses	$806,150,834	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	202	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3101	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JIM MARTIN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4255253985	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
JO ANN ESCASA-HAIGH
ASSISTANT TREASURER - THRU 1/23	0.50	0.50	Yes (X)	$0	$3,291,797	$10,754
SETH TEIGEN
CHIEF EXECUTIVE, MHRMC	55.00	0.00	Yes (X)	$0	$1,184,587	$205,108	Yes (X)
JIM WATSON ESQ
SECRETARY	0.50	54.50	Yes (X)	$0	$968,691	$146,931
TERRENCE WOOTEN
FRMR KE - QVMC CE	0.00	55.00		$0	$912,433	$34,576		Yes (X)
JIM MARTIN
ASSISTANT TREASURER (PART YEAR)	1.00	54.00	Yes (X)	$0	$828,928	$115,635
MICHAEL MARINO DO
FRMR OFF. - SVP, CHIEF MED INFO	0.00	0.00		$0	$854,671	$0		Yes (X)
EILEEN HAUBL
SVP & CHIEF FINANCIAL OFFICER	27.50	27.50	Yes (X)	$0	$510,843	$54,669
JENNIFER CORD
CHIEF NURSING OFFICER	50.00	0.00		$452,371	$0	$48,259			Yes (X)
MELANIE SPENCER WOLF
CHIEF MEDICAL OFFICER	50.00	0.00		$447,957	$0	$24,246			Yes (X)
EVELYN SCHLOSSER
EXEC DIR ACUTE CARE OPERATIONS	55.00	0.00		$397,462	$0	$36,892				Yes (X)
MARK JABLONSKI
FRMR OFF. - PSJH CMO	0.00	55.00		$0	$371,912	$56,273		Yes (X)
MARIA LEXA BATAC
SUPERVISOR NURSING	50.00	0.00		$341,591	$0	$61,099			Yes (X)
CHERIE FOX
EXECUTIVE DIRECTOR NURSING	50.00	0.00		$316,990	$0	$65,487			Yes (X)
NICOLE BALSAMO
MINISTRY CHIEF PHILANTHROPY OFFICER	50.00	0.00		$333,189	$0	$18,552			Yes (X)
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	0.50	54.50	Yes (X)	$0	$292,875	$30,846
DEANNE NIEDZIELA
FRMR KE - DIR, NURSING	0.00	0.00		$218,917	$0	$37,642		Yes (X)
LINDA SIEGLEN MD
BOARD VICE CHAIR	50.00	0.00	Yes (X)	$118,191	$0	$7,715	Yes (X)
STEPHEN TOCCI MD
TRUSTEE	0.50	0.00		$0	$53,025	$0	Yes (X)
ELIZABETH JENSEN
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)
GINNY RIPSLINGER
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)
JAIME MUNOZ
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)
JAMES BASTIAN
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)
JAMES R QUANDT
BOARD CHAIR	1.00	0.00		$0	$0	$0	Yes (X)
JEREMY LASTER
DIRECTOR (PART YEAR)	0.50	0.00		$0	$0	$0	Yes (X)
JOSH RANDALL MD
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)
LISA PERRINE
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)
MARCELO MILLS
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)
MARK HEBNER
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)
MICHAEL MOODIAN
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)
RAUL RUDY MARQUEZ MD
TRUSTEE	0.50	2.00		$0	$0	$0	Yes (X)
REZA DEHKORDI MD
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)
SERENA BENSON
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)
SISTER HERLINDA RAMIREZ MACHADO CSJ
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)
STEVEN PAL
TRUSTEE	0.50	0.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,626,668	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,269,762	TotReportableCompRltdOrgAmt
Total Other Compensation	$954,684	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	941	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AMN LOS ANGELES AMN SHIFTWISE
12400 HIGH BLUFF DR	SAN DIEGO	CA	92130	STAFFING SERVICES	$20,498,169
CASS INFORMATION SYSTEMS INC
12444 POWERSCOURT DR 500	ST LOUIS	MO	63131	PAYMENT SERVICES	$10,411,356
S ORANGE CTY SURGICAL MED GR
24411 HEALTH CTR DR 350	LAGUNA HILLS	CA	92653	MEDICAL SERVICES	$4,489,007
AYA HEALTHCARE INC
PO BOX 674907	DALLAS	TX	75267	STAFFING SERVICES	$4,081,257
HEALTHCARE DESIGN AND CONSTRUCTION
18302 IRVINE BLVD STE 120	TUSTIN	CA	92780	INSTALLATION SERVICES	$3,718,990

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	151	CntrctRcvdGreaterThan100KCnt
Fundraising	$768,803	FundraisingAmt
Government Grants	$2,210,982	GovernmentGrantsAmt
All Other Contributions	$12,306,853	AllOtherContributionsAmt
Total Contributions	$15,286,638	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$809,644,318	$809,618,409	$25,909
MOB RENTAL REVENUE	531120	$3,055,109	$3,055,109
JV INCOME	900099	$412,292	$412,292
OTHER PATIENT SERVICE	622110	$31,090	$31,090

Field	Value	IRS element (for citing)
Total Program Service Revenue	$813,142,809	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$556,529	TotalRevenueColumnAmt
Unrelated Business Revenue	-$5,555	UnrelatedBusinessRevenueAmt
Exclusion	-$550,974	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$212,422	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$768,803	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$771,224	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$558,802	TotalRevenueColumnAmt
Exclusion	-$558,802	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROFESSIONAL SERVICE	900099	$10,634,420	$10,634,420
CAFETERIA REVENUE	722514	$2,178,739	$2,178,739
INTERAFFILIATE REVENUE	900099	$225,840	$225,840

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$307,277	TotalRevenueColumnAmt
Related Or Exempt Func Income	$201,277	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$106,000	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,346,276	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$840,660,392	TotalRevenueColumnAmt
Related Or Exempt Func Income	$826,357,176	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$126,354	UnrelatedBusinessRevenueAmt
Exclusion	-$1,109,776	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$663,501	TotalAmt
Program Services	$663,501	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$560,260	TotalAmt
Management And General	$560,260	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$243,338,066	TotalAmt
Program Services	$231,846,890	ProgramServicesAmt
Management And General	$10,753,202	ManagementAndGeneralAmt
Fundraising	$737,974	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,826,147	TotalAmt
Program Services	$5,551,018	ProgramServicesAmt
Management And General	$257,460	ManagementAndGeneralAmt
Fundraising	$17,669	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,646,241	TotalAmt
Program Services	$1,568,500	ProgramServicesAmt
Management And General	$72,748	ManagementAndGeneralAmt
Fundraising	$4,993	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,447,399	TotalAmt
Program Services	$16,623,479	ProgramServicesAmt
Management And General	$771,007	ManagementAndGeneralAmt
Fundraising	$52,913	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$694,209	TotalAmt
Program Services	$661,427	ProgramServicesAmt
Management And General	$30,677	ManagementAndGeneralAmt
Fundraising	$2,105	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,500	TotalAmt
Program Services	$4,287	ProgramServicesAmt
Management And General	$199	ManagementAndGeneralAmt
Fundraising	$14	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$138,315,415	TotalAmt
Program Services	$131,783,733	ProgramServicesAmt
Management And General	$6,112,212	ManagementAndGeneralAmt
Fundraising	$419,470	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$728,674	TotalAmt
Program Services	$694,264	ProgramServicesAmt
Management And General	$32,200	ManagementAndGeneralAmt
Fundraising	$2,210	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,384,185	TotalAmt
Program Services	$9,893,812	ProgramServicesAmt
Management And General	$458,881	ManagementAndGeneralAmt
Fundraising	$31,492	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$91,395	TotalAmt
Program Services	$87,079	ProgramServicesAmt
Management And General	$4,039	ManagementAndGeneralAmt
Fundraising	$277	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$24,860,911	TotalAmt
Program Services	$23,686,902	ProgramServicesAmt
Management And General	$1,098,613	ManagementAndGeneralAmt
Fundraising	$75,396	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$309,146	TotalAmt
Program Services	$294,547	ProgramServicesAmt
Management And General	$13,661	ManagementAndGeneralAmt
Fundraising	$938	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$221,969	TotalAmt
Program Services	$211,487	ProgramServicesAmt
Management And General	$9,809	ManagementAndGeneralAmt
Fundraising	$673	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,688,407	TotalAmt
Program Services	$7,325,336	ProgramServicesAmt
Management And General	$339,754	ManagementAndGeneralAmt
Fundraising	$23,317	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,963,497	TotalAmt
Program Services	$26,642,974	ProgramServicesAmt
Management And General	$1,235,718	ManagementAndGeneralAmt
Fundraising	$84,805	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$54,934	TotalAmt
Program Services	$52,339	ProgramServicesAmt
Management And General	$2,428	ManagementAndGeneralAmt
Fundraising	$167	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SYSTEM COST ALLOCATION	$188,127,491	$179,243,529	$8,313,426	$570,536
MEDICAL SUPPLIES	$135,859,498	$135,859,498
HOSPITAL FEE	$30,237,915	$30,237,915
UBI TAXES PAID	$6,000		$6,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,377,829	TotalAmt
Program Services	$3,218,317	ProgramServicesAmt
Management And General	$149,268	ManagementAndGeneralAmt
Fundraising	$10,244	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$838,407,589	TotalAmt
Program Services	$806,150,834	ProgramServicesAmt
Management And General	$30,221,562	ManagementAndGeneralAmt
Fundraising	$2,035,193	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$69,603,636	BOYAmt
EOY	$1,388,814	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	-$81,823,810	BOYAmt
EOY	$12,547,454	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,769,097	BOYAmt
EOY	$6,441,705	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$109,067,132	BOYAmt
EOY	$129,586,867	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$364,622	BOYAmt
EOY	$1,723,186	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$16,335,662	BOYAmt
EOY	$17,562,758	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,947,933	BOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$743,754,408	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$424,254,408	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$326,482,614	BOYAmt
EOY	$319,500,000	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$62,045,269	BOYAmt
EOY	$67,744,758	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,955,140	BOYAmt
EOY	$4,367,432	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$22,516,237	BOYAmt
EOY	$20,872,745	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$120,517,282	BOYAmt
EOY	$123,509,475	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$658,780,814	BOYAmt
EOY	$705,245,194	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$73,745,952	BOYAmt
EOY	$54,277,925	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,306,048	BOYAmt
EOY	$2,243,776	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$297,500,426	BOYAmt
EOY	$361,115,788	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$373,552,426	BOYAmt
EOY	$417,637,489	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$159,559,740	BOYAmt
EOY	$148,790,720	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$125,668,648	BOYAmt
EOY	$138,816,985	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$285,228,388	BOYAmt
EOY	$287,607,705	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$658,780,814	BOYAmt
EOY	$705,245,194	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,252,803	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,311,413	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$4,184,899	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$88,204	OtherActivitiesAmt
Total Lobbying Expenditures	$88,204	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES PAID TO AMERICAN HOSPITAL ASSOCIATION, ALLIANCE OF CATHOLIC HEALTH CARE AND CALIFORNIA HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING EXPENDITURES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,583,118	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,988,250	InvestmentEarningsOrLossesAmt
End Year Balance	$13,571,368	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,364,978	BeginningYearBalanceAmt
Contributions	$3,650,391	ContributionsAmt
Investment Earnings Or Losses	-$1,432,251	InvestmentEarningsOrLossesAmt
End Year Balance	$11,583,118	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,148,164	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,216,814	InvestmentEarningsOrLossesAmt
End Year Balance	$9,364,978	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,060,954	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,087,210	InvestmentEarningsOrLossesAmt
End Year Balance	$8,148,164	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,451,584	BeginningYearBalanceAmt
Contributions	$446,403	ContributionsAmt
Investment Earnings Or Losses	$1,190,792	InvestmentEarningsOrLossesAmt
Administrative Expenses	$27,825	AdministrativeExpensesAmt
End Year Balance	$7,060,954	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.28000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.69000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.03000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,101,906	OtherCostOrOtherBasisAmt
Book Value	$49,101,906	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$374,068,722	OtherCostOrOtherBasisAmt
Depreciation	$187,523,877	DepreciationAmt
Book Value	$186,544,845	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,395,632	OtherCostOrOtherBasisAmt
Depreciation	$18,539,648	DepreciationAmt
Book Value	$12,855,984	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$273,342,767	OtherCostOrOtherBasisAmt
Depreciation	$218,190,883	DepreciationAmt
Book Value	$55,151,884	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,845,381	OtherCostOrOtherBasisAmt
Book Value	$15,845,381	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$319,500,000	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
HOSPITAL FEE/PROVIDER TAX RECEIVABLE	$57,180,444
RIGHT OF USE OPERATING LEASES	$53,696,139
OTHER ASSETS	$6,992,534
DUE FROM THIRD PARTY	$5,172,855
CHARITABLE GIFT ANNUITIES	$467,503

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$123,509,475	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
I/C - TE BOND LIABILITIES	$128,306,260
DUE TO AFFILIATES	$79,808,251
CAPITAL LEASE OBLIGATIONS	$52,032,466
HOSPITAL FEE/PROVIDER TAX LIABILITY	$42,005,862
OTHER LIABILITIES	$35,043,214
DUE TO THIRD PARTY	$19,630,986
ACCRUED RETIREMENT COMPENSATION	$4,031,482
CHARITABLE GIFT ANNUITIES/TRUST FUND OBLIGATIONS	$257,267

Field	Value	IRS element (for citing)
Total Liability	$361,115,788	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	INTENDED USE OF ENDOWMENT FUNDS THE USE OF THE RESTRICTED ENDOWMENTS ARE SPECIFIED WHEN PUT IN PLACE BY THE DONORS. LIKE ALL ENDOWMENTS, ONLY THE DISTRIBUTED EARNED INCOME IS AVAILABLE FOR USE. THE UNRESTRICTED INCOME IS USED AT THE DISCRETION OF THE EXECUTIVE LEADERSHIP OF THE HOSPITAL FOR CAPITAL/BUILDING, EQUIPMENT AND PROGRAM NEEDS.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$330,200	GrossReceiptsEvent1Amt
Charitable Contri Event1	$250,328	CharitableContriEvent1Amt
Gross Revenue Event1	$79,872	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$84,000	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$59,303	FoodAndBeverageEvent1Amt
Entertainment Event1	$42,184	EntertainmentEvent1Amt
Other Direct Expenses Event1	$27,696	OtherDirectExpensesEvent1Amt
Event2	GALA	Event2Nm
Gross Receipts Event2	$563,100	GrossReceiptsEvent2Amt
Charitable Contri Event2	$499,745	CharitableContriEvent2Amt
Gross Revenue Event2	$63,355	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$115,579	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$128,079	FoodAndBeverageEvent2Amt
Entertainment Event2	$206,603	EntertainmentEvent2Amt
Other Direct Expenses Event2	$39,375	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$87,925	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$18,730	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$69,195	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$37,857	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$1,857	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$28,691	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$981,225	GrossReceiptsTotalAmt
Charitable Contributions Tot	$768,803	CharitableContributionsTotAmt
Gross Revenue Total Events	$212,422	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$199,579	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$225,239	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$250,644	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$95,762	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$771,224	DirectExpenseSummaryEventsAmt
Net Income Summary	-$558,802	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,755,630	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,755,630	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$131,476,359	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,129,876	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,346,483	NetCommunityBenefitExpnsAmt
Total Expense	0.06240	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$135,231,989	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,129,876	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,102,113	NetCommunityBenefitExpnsAmt
Total Expense	0.06690	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,768,285	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,165,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,602,705	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,361,874	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,361,874	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,160,159	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,165,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,994,579	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$140,392,148	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,295,456	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,096,692	NetCommunityBenefitExpnsAmt
Total Expense	0.07160	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$377,315	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$377,315	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$377,315	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$377,315	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Reimbursed By Medicare	$243,924,294	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$360,239,737	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$116,315,443	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 MISSION EDUCATION CONFERENCE CENTER LLC
PHYSICIAN OFFICE & CONF ED CT	0.50000	0.00000	0.50000
2 MISSION AMBULATORY SURGICENTER LTD DBA MISSION SURGERY CENTER
OUTPATIENT SURGERY CENTER	0.45430	0.00000	0.28870
3 MISSION VIEJO PHYSICIAN PARTNERS I LLC
MEDICAL OFFICE BUILDING	0.24800	0.00000	0.12640

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MISSION HOSPITAL REGIONAL MEDICAL CTR	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	27700 MEDICAL CENTER ROAD	AddressLine1Txt
City	MISSION VIEJO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92691	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MISSION4HEALTH.ORG	WebsiteAddressTxt
State License	06000146	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MISSION HOSPITAL REGIONAL MEDICAL CTR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E:	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 5:	IN CONDUCTING THE 2023 CHNA TO IDENTIFY NEEDS AND BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS AND OTHER KEY STAKEHOLDERS, REPRESENTATIVES FROM PROVIDENCE ORANGE COUNTY, IN PARTNERSHIP WITH CHARITABLE VENTURES, CARRIED OUT THREE APPROACHES TO GAIN COMMUNITY INPUT: 1) COMMUNITY LISTENING SESSIONS, 2) A KEY INFORMANT SURVEY, AND 3) DIALOGUE SESSIONS WITH LEADERS FROM EACH OF THE THREE PROVIDENCE ORANGE COUNTY HOSPITALS.EIGHT LISTENING SESSIONS WERE HELD WITH SPECIFIC COMMUNITIES THAT HAVE UNIQUE NEEDS: ASIAN AMERICAN/NATIVE HAWAIIAN/PACIFIC ISLANDER (AANHPI), BLACK/AFRICAN AMERICAN, LGBTQIA, INDIVIDUALS WITH DISABILITIES, OLDER ADULTS, KOREAN-SPEAKING, SPANISH-SPEAKING IN SOUTH ORANGE COUNTY, AND VIETNAMESE-SPEAKING. THESE SESSIONS WERE HELD ONLINE AS WELL AS IN PERSON, IN SETTINGS THAT WERE MOST ACCESSIBLE FOR PARTICIPANTS. THEY WERE CONDUCTED IN PARTNERSHIP WITH TRUSTED MESSENGER ORGANIZATIONS WITH UNIQUE CONNECTIONS AND LANGUAGE SKILLS TO REACH COMMUNITY MEMBERS. DURING THESE SESSIONS, THE NEEDS, ISSUES, BARRIERS, VISIONS FOR HEALTH, COMMUNITY STRENGTHS, AND IDEAS FOR INNOVATION, COLLABORATION, AND THE PURSUIT OF EQUITY WERE DISCUSSED. SEVEN SESSIONS WERE DIRECTED TOWARD RESIDENTS, WITH ONE SPECIFIC TO THE MISSION HOSPITAL SERVICE AREA (SOUTH ORANGE COUNTY - SPANISH-SPEAKING), AND ONE WAS DIRECTED TOWARD PROVIDERS TO THE AANHPI COMMUNITY.THE KEY INFORMANT SURVEY WAS DISTRIBUTED WIDELY TO FAITH- AND COMMUNITY-BASED ORGANIZATIONS, SCHOOL DISTRICTS, AND EDUCATIONAL INSTITUTIONS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), MEDICAL CENTERS, LAW ENFORCEMENT, CITY REPRESENTATIVES, GOVERNMENT AGENCIES, AND OTHER PROVIDERS AND LEADERS KNOWLEDGEABLE ABOUT COMMUNITY HEALTH. FINALLY, FEEDBACK FROM PROVIDENCE LEADERSHIP WAS ALSO OBTAINED.OUR PUBLIC HEALTH AGENCY, THE ORANGE COUNTY HEALTH CARE AGENCY, WAS ENGAGED THROUGH KEY INFORMANT SURVEYS AND WAS REPRESENTED ON MISSION HOSPITAL'S COMMUNITY HEALTH COMMITTEE, WHERE PRIORITY AREAS WERE IDENTIFIED. OUR COMMUNITY HEALTH INVESTMENT LEADERS MAINTAINED CLOSE COMMUNICATIONS WITH KEY ORANGE COUNTY HEALTH CARE AGENCY STAFF WHO WERE CONDUCTING A COINCIDING NEEDS ASSESSMENT FOR ORANGE COUNTY. THE OC HEALTH CARE AGENCY OFFICE OF POPULATION HEALTH AND EQUITY PRIORITIES FOR 2023-2028 AND THE 2020-2022 ORANGE COUNTY HEALTH IMPROVEMENT PLAN WERE REVIEWED AND USED AS A REFERENCE TO ENSURE ALIGNMENT WITH COUNTY PUBLIC HEALTH FINDINGS AND PRIORITIES.
SCHEDULE H, PART V, SECTION B, LINE 6A:	OTHER HOSPITAL FACILITIES THAT CONDUCTED THE CHNA:ST JUDE MEDICAL CENTER AND ST JOSEPH HOSPITAL ORANGE.
SCHEDULE H, PART V, SECTION B, LINE 7A, CHNA REPORT WEBSITE:	HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB.
SCHEDULE H, PART V, SECTION B, LINE 9:	THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT ON MARCH 26, 2024, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
SCHEDULE H, PART V, SECTION B, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE:	HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB.
SCHEDULE H, PART V, SECTION B, LINE 11:	FOR CALENDAR YEARS 2024 - 2026, THE HOSPITAL IDENTIFIED THE FOLLOWING THREE (3) PRIORITIES:PRIORITY 1: ACCESS TO CAREACCESS TO CARE GOES BEYOND MEDICAL CARE AND INCLUDES DENTAL, VISION, PRIMARY CARE, TRANSPORTATION, CULTURALLY APPROPRIATE CARE, AND CARE COORDINATION. PEOPLE WITHOUT INSURANCE ARE LESS LIKELY TO HAVE A PRIMARY CARE PROVIDER AND MAY NOT BE ABLE TO AFFORD THE HEALTH CARE SERVICES AND MEDICATIONS THEY NEED. STRATEGIES TO INCREASE INSURANCE COVERAGE RATES ARE CRITICAL FOR ENSURING THAT MORE PEOPLE RECEIVE IMPORTANT HEALTH CARE SERVICES, SUCH AS PREVENTIVE CARE AND TREATMENT FOR CHRONIC ILLNESSES.IN 2023, THIS NEED WAS ADDRESSED BY:1. FAMILY RESOURCE CENTERS PROVIDE HEALTH AND SOCIAL SERVICES TO LOW-INCOME RESIDENTS IN SAN JUAN CAPISTRANO AND LAKE FOREST. SERVICES INCLUDE CONNECTING RESIDENTS TO HOUSING RESOURCES. SPONSORED BY MISSION HOSPITAL IN COLLABORATION WITH COMMUNITY NONPROFIT AGENCIES, THESE CENTERS ARE FULL-SERVICE WRAP-AROUND RESOURCE CENTERS FOR COMMUNITIES IN NEED.2. PROVIDING YEAR-ROUND GRANT FUNDING TO FRIENDSHIP SHELTER AND FAMILY ASSISTANCE MINISTRIES. FRIENDSHIP SHELTER OPERATES THE CITY OF LAGUNA BEACH'S ALTERNATIVE SLEEPING LOCATIONS (ASL) EMERGENCY SHELTER, PROVIDING MEALS, SHOWERS, LAUNDRY, AND RESOURCES TO CONNECT GUESTS TO HOUSING, HEALTHCARE AND MENTAL HEALTH CARE. FAMILY ASSISTANCE MINISTRIES PARTNERED WITH MISSION HOSPITAL TO PROVIDE SHORT-TERM MOTEL ACCOMMODATIONS FOR HOMELESS PATIENTS DISCHARGED FROM THE HOSPITAL. BOTH COLLABORATIONS ALLOW MISSION HOSPITAL TO SERVE THE NEEDS OF ITS VULNERABLE COMMUNITIES AND PROVIDE THESE RESIDENTS THE WRAP-AROUND SUPPORT NEEDED TO DEVELOP LONGER-TERM HOUSING SOLUTIONS.3. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE ARE CONNECTED TO RECUPERATIVE CARE SERVICES. RECUPERATIVE CARE PROVIDERS OFFER CASE MANAGEMENT AND CONNECT PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH, AND WORKFORCE SERVICES.PRIORITY 2: BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH & SUBSTANCE USE)MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING. IT AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE HEALTHY CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD. MENTAL HEALTH PROGRAMS INCLUDE THE PREVENTION, SCREENING, ASSESSMENT, AND TREATMENT OF MENTAL DISORDERS AND BEHAVIORAL CONDITIONS. MENTAL HEALTH IS AN IMPORTANT PART OF OVERALL HEALTH AND WELL-BEING. SUBSTANCE USE/MISUSE OCCURS WHEN THE RECURRENT USE OF ALCOHOL OR DRUGS CAUSES CLINICALLY SIGNIFICANT IMPAIRMENT, INCLUDING HEALTH PROBLEMS, DISABILITY, AND INABILITY TO MEET MAJOR RESPONSIBILITIES AT WORK, SCHOOL, OR HOME. SUBSTANCE USE/MISUSE INCLUDES THE USE OF ILLEGAL DRUGS AND THE INAPPROPRIATE USE OF LEGAL SUBSTANCES, SUCH AS ALCOHOL, PRESCRIPTION DRUGS, AND TOBACCO.IN 2023, THIS NEED WAS ADDRESSED BY:1. THERAPEUTIC SERVICES, INCLUDING SUPPORT GROUPS, INDIVIDUAL THERAPY, AND PSYCHOEDUCATIONAL GROUPS IN AN IN-HOUSE PROGRAM.2. THE EACH MIND MATTERS CAMPAIGN REDUCES STIGMA AND INCREASES AWARENESS OF MENTAL HEALTH THROUGH THE 'PROMISE TO TALK' STIGMA REDUCTION CAMPAIGN, A REGIONAL EFFORT BY THE THREE ORANGE COUNTY HOSPITALS THAT ARE PART OF THE PROVIDENCE ST. JOSEPH HEALTH SYSTEM. MISSION HOSPITAL INVESTED $99,950 IN EACH MIND MATTERS. THE 'PROMISE TO TALK' CAMPAIGN ACQUIRED 2.7 MILLION IMPRESSIONS ACROSS ALL SOCIAL MEDIA AND WEB PLATFORMS. IN 2023, 25,954 TOTAL ENCOUNTERS WERE COMPLETED, AND 635 TOTAL PROMISES WERE MADE. THE PROMISE TO TALK WEBSITE HAD 5,845 VISITS. THE GREEN BENCH OC IS A CAMPAIGN TO MAKE THE GREEN BENCH A RECOGNIZABLE SYMBOL OF MENTAL HEALTH STIGMA REDUCTION IN ORANGE COUNTY, AIMING TO REDUCE MENTAL HEALTH STIGMA IN TARGET COMMUNITIES. THE GREEN BENCH SYMBOLIZES A PLACE TO TALK TO SOMEONE ABOUT MENTAL HEALTH. THIS CAMPAIGN ALLOWS US TO CONTINUE HAVING IMPORTANT CONVERSATIONS WITH COMMUNITY MEMBERS AND CREATE INTEREST AROUND THE STIGMA REDUCTION MOVEMENT. IN 2023, WE PARTNERED WITH 19 ORGANIZATIONS AND PAINTED OR INSTALLED 28 GREEN BENCHES AT PARKS, SCHOOLS, COMMUNITY-BASED ORGANIZATIONS, AND ALL THREE PROVIDENCE HOSPITALS.3. YOUTH SUBSTANCE USE EFFORTS INCLUDES A COMMUNITY-WIDE SOCIAL MEDIA CAMPAIGN FOR PARENTS CALLED RAISING HEALTHY TEENS AND ONE FOR YOUTH CALLED STRENGTH IN NUMBERS. MISSION HOSPITAL SPONSORS RAISING HEALTHY TEENS WITH THE PURPOSE OF INCREASING ADULT AND YOUTH SUBSTANCE USE PREVENTION STRATEGIES. IN 2023, RAISING HEALTHY TEENS HAD 12,000 VISITS. STRENGTH IN NUMBERS IS A COMMUNITY MEANT TO BRING STUDENTS TOGETHER AND FOSTER A SAFE SPACE FOR THEM TO HELP ONE ANOTHER NAVIGATE THE EXPECTATIONS OF GROWING UP IN ORANGE COUNTY.PRIORITY 3: ECONOMIC SECURITYAN INDIVIDUAL'S INCOME IS DIRECTLY CONNECTED TO POVERTY. IF A PERSON OR FAMILY'S TOTAL INCOME IS LESS THAN CERTAIN FEDERAL POVERTY MEASURES, THEN THEY ARE CONSIDERED TO BE IN POVERTY. PEOPLE WITH DISABILITIES, INJURIES, OR CONDITIONS LIKE ARTHRITIS MAY BE ESPECIALLY LIMITED IN THEIR ABILITY TO WORK. IN ADDITION, MANY PEOPLE WITH STEADY WORK STILL DON'T EARN ENOUGH TO AFFORD THE THINGS THEY NEED TO STAY HEALTHY. EMPLOYMENT PROGRAMS, CAREER COUNSELING, AND HIGH-QUALITY CHILDCARE OPPORTUNITIES CAN HELP MORE PEOPLE FIND AND KEEP JOBS. FURTHERMORE, POLICIES TO HELP PEOPLE PAY FOR FOOD, HOUSING, HEALTH CARE, AND EDUCATION CAN REDUCE POVERTY AND IMPROVE HEALTH AND WELL-BEING.IN 2023, THIS NEED WAS ADDRESSED BY:1. NEW PARTNERSHIPS HAVE BEEN CREATED TO BRING FINANCIAL LITERACY SERVICES TO SOUTH ORANGE COUNTY. THE SPARKPOINT PROGRAM THROUGH ORANGE COUNTY UNITED WAY WILL BE OFFERED THROUGH BOTH FAMILY RESOURCE CENTERS. WE ARE WORKING WITH OTHER COMMUNITY-BASED ORGANIZATIONS TO OFFER FINANCIAL LITERACY WORKSHOPS THROUGH OUR FAMILY RESOURCE CENTERS. 2. NEW PARTNERSHIPS HAVE BEEN CREATED TO PROVIDE WORKSHOPS FOR THE PURPOSES OF ENHANCING INCOME SUCH AS TAKING A SMALL BUSINESS TO THE NEXT LEVEL. 3. EMERGENCY ASSISTANCE AND BASIC NEEDS ARE OFFERED AT BOTH FAMILY RESOURCE CENTERS TO SUPPORT FAMILIES WHEN THEY ARE STRUGGLING FINANCIALLY. PROVIDING AN EMERGENCY ASSISTANCE GIFT CARD TO SUPPLEMENT AN EXPENSE ALLOWS THE FAMILY TO STABILIZE. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR MISSION, "AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE," IS BEST LIVED BY PARTNERING WITH LIKE-MINDED ORGANIZATIONS THAT HAVE THE CAPACITY AND EXPERTISE TO ADDRESS THE NEEDS OF ORANGE COUNTY RESIDENTS. WE ARE COMMITTED TO LIVING OUT OUR MISSION THROUGH OUR OWN COMMUNITY BENEFIT PROGRAMS, BY PARTNERING WITH LIKE-MINDED ORGANIZATIONS, AND BY FUNDING OTHER NON-PROFITS. FURTHERMORE, MISSION HOSPITAL WILL ENDORSE LOCAL NON-PROFIT ORGANIZATIONS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT MISSION'S SERVICE AREAS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S 2023 CHNA WILL NOT BE ADDRESSED, AND AN EXPLANATION IS PROVIDED BELOW:CULTURALLY AND LINGUISTICALLY CONCORDANT SERVICESWHILE THIS WAS NOT SELECTED AS A PRIORITY ISSUE, MISSION HOSPITAL WORKS TO INTEGRATE CULTURALLY AND LINGUISTICALLY CONCORDANT SERVICES IN ITS COMMUNITY-BASED PROGRAMMING AND PROVIDES INTERPRETER SERVICES FOR MULTIPLE LANGUAGES IN ITS HOSPITAL-BASED SETTINGS.ISOLATIONMISSION HOSPITAL DOES NOT DIRECTLY ADDRESS ISSUES OF ISOLATION IN THE COMMUNITY; HOWEVER, IT WORKS WITH LOCAL ORGANIZATIONS THAT ADDRESS THIS ISSUE THROUGH COMMUNITY BUILDING AND OTHER COMMUNITY-BASED OUTREACH.HOUSINGMISSION HOSPITAL DOES NOT DIRECTLY ADDRESS HOUSING; HOWEVER, WE PARTNER WITH SEVERAL SOUTH COUNTY ORGANIZATIONS WITH EXPERTISE IN HOUSING. IN 2023, THE CARE NAVIGATION PROGRAM PROVIDED CARE NAVIGATION SERVICE TO 215 UNSTABLY HOUSED INDIVIDUALS. ALONG WITH THE PROGRAM, IN COLLABORATION, MISSION HOSPITAL, FAM, AND FRIENDSHIP SHELTER PROVIDED BRIDGE AND PERMANENT HOUSING SOLUTION FOR IDENTIFIES RESIDENTS IN SOUTH ORANGE COUNTY. ACCESS TO SAFE, RELIABLE, AFFORDABLE TRANSPORTATIONMISSION HOSPITAL CURRENTLY FUNDS AGE WELL SENIOR SERVICES TO PROVIDE SENIOR NON-EMERGENCY TRANSPORTATION.ACCESS TO DENTAL CAREMISSION HOSPITAL DOES NOT DIRECTLY PROVIDE DENTAL SERVICES; HOWEVER, WE PARTNER WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS THAT OFFER THIS SERVICE.AGING CONCERNS AND ISSUESCOMPARED TO OTHER PRIORITIES FACING THE COMMUNITY, THIS ISSUE WAS NOT SELECTED. MISSION HOSPITAL FUNDS AGE WELL SENIOR SERVICES TO PROVIDE NON-EMERGENCY MEDICAL TRANSPORTATION FOR THOSE NEEDING ACCESS TO MEDICAL SERVICES IN SOUTH ORANGE COUNTY.
SCHEDULE H, PART V, SECTION B, LINE 11: (CONTINUE)	FOOD INSECURITYMISSION HOSPITAL DOES NOT DIRECTLY ADDRESS FOOD INSECURITY; HOWEVER, WE PARTNER WITH COMMUNITY ORGANIZATIONS THAT HELP TO ADDRESS THIS ISSUE.DOMESTIC VIOLENCE, CHILD ABUSE/NEGLECTMISSION HOSPITAL DOES NOT DIRECTLY ADDRESS DOMESTIC VIOLENCE; HOWEVER, WE PARTNER WITH COMMUNITY ORGANIZATIONS WHICH SPECIALIZE IN DOMESTIC VIOLENCE AND CHILD ABUSE/NEGLECT THROUGH OUR OPERATION OF TWO-FAMILY RESOURCE CENTERS.IN ADDITION, MISSION HOSPITAL WILL COLLABORATE, WHEN FEASIBLE, WITH ORGANIZATIONS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRAL TO ADDRESS THESE UNMET NEEDS.
SCHEDULE H, PART V, SECTION B, LINE 13H:	MISSION HOSPITAL REGIONAL MEDICAL CENTERTHE 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 16A:	FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16B:	FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16C:	FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 24:	IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MISSION AMBULATORY SURGICENTER LTD
26730 CROWN VALLEY PARKWAY	MISSION VIEJO	CA	92691	OUTPATIENT SURGERY CENTER
2 - CALIFORNIA SPECIALTY SURGERY CTR LP
26371 CROWN VALLEY PARKWAY	MISSION VIEJO	CA	92691	OUTPATIENT SURGERY CENTER
3 - FAMILY RESOURCE CENTER
22481 ASPAN STREET	LAKE FOREST	CA	92630	OUTPATIENT SURGERY CENTER
4 - CHEC FAMILY RESOURCE CENTER
27412 CALLE ARROYO	MISSION VIEJO	CA	92675	OUTPATIENT SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
PART I, LINE 6A:	MISSION HOSPITAL REGIONAL MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/SOCAL/MISSION-HOSPITAL-MISSION-VIEJO/ABOUT-US/COMMUNITY-BENEFIT
PART I, LINE 7:	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER.
PART I, LINE 7G:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:	FOSTERING A PREPARED AND PRODUCTIVE WORKFORCE IS THE PRIMARY FOCUS OF OUR COMMUNITY BUILDING AT MISSION. WE ACHIEVE THIS EFFORT THROUGH CONTINUED COLLABORATION WITH CAPISTRANO UNIFIED SCHOOL DISTRICT'S ADULT TRANSITION PROGRAM. SINCE 2006, MISSION HOSPITAL HAS HOSTED YOUNG ADULTS WITH DISABILITIES EACH FALL, PROVIDING THEM WITH WORK EXPERIENCE IN A HOSPITAL SETTING.THESE STUDENT INTERNS ARE PLACED IN HOSPITAL DEPARTMENTS SUCH AS NUTRITIONAL CARE SERVICES, ENVIRONMENTAL SERVICES, AND CENTRAL SUPPLY TO LEARN JOB SKILLS THAT WILL HELP THEM ATTAIN LONG-TERM EMPLOYMENT EITHER AT THE HOSPITAL OR WITH A LOCAL ORGANIZATION. MANY OF THESE STUDENTS WOULD FACE SIGNIFICANT CHALLENGES IN OBTAINING PERMANENT, ONGOING WORK BECAUSE OF THEIR DISABILITIES. IN 2023, SIX INTERNS RECEIVED MENTORING AND JOB COACHING SUPPORT.LEADERSHIP DEVELOPMENT: MISSION HOSPITAL HAS PARTNERED WITH THE SISTERS OF ST. JOSEPH TO FOSTER LEADERSHIP DEVELOPMENT AS PART OF THEIR ST. JOSEPH WORKER PROGRAM. THIS PROGRAM SUPPORTS WOMEN IN A 10-MONTH FORMATION PROGRAM WITH THE SISTERS, DURING WHICH THEY WORK WITH LOCAL COMMUNITIES AND DEVELOP PUBLIC HEALTH AND ADVOCACY SKILLS.
PART III, LINE 4:	AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
PART III, LINE 8:	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:	COLLECTION ACTIVITY:OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH, AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT-SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS. WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
PART VI, LINE 2:	AN ANNUAL MARKET ASSESSMENT IS COMPLETED FOR OUR LOCAL MARKET, PROVIDING INFORMATION ON DEMOGRAPHICS, COUNTY HEALTH RANKINGS, PHYSICIAN LANDSCAPE, ACUTE CARE UTILIZATION RATES, MARKET SHARE, OUTMIGRATION TO OTHER MEDICAL FACILITIES FOR TREATMENT, EMERGENCY DEPARTMENT AND ANCILLARY UTILIZATION, AS WELL AS SERVICE LINE FORECASTS. IN ADDITION, OUR COMMUNITY HEALTH INVESTMENT TEAM WORKS CLOSELY WITH NONPROFITS AND RESIDENTS THROUGH OUR OUTREACH PROGRAMS AND FAMILY RESOURCE CENTERS. THROUGH THIS CLOSE CONTACT, THE TEAM CONSISTENTLY ASSESSES NEEDS AND MAY CREATE ADDITIONAL OPPORTUNITIES FOR UNIQUE SERVICES AS IDENTIFIED THROUGHOUT THE YEAR.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.
PART VI, LINE 4:	COMMUNITY INFORMATIONMISSION HOSPITAL PROVIDES SOUTH ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S SERVICE AREA EXTENDS FROM THE JUNCTION OF THE 405 AND 5 FREEWAYS IN THE NORTH TO CAMP PENDLETON IN THE SOUTH, THE SANTA ANA MOUNTAINS IN THE EAST, AND THE PACIFIC OCEAN IN THE WEST. OUR HOSPITAL'S TOTAL SERVICE AREA INCLUDES THE CITIES OF ALISO VIEJO, CAPISTRANO BEACH, DANA POINT, FOOTHILL RANCH, LADERA RANCH, LAGUNA BEACH, LAGUNA HILLS, LAGUNA NIGUEL, LAGUNA WOODS, LAKE FOREST, MISSION VIEJO, RANCHO SANTA MARGARITA, SAN CLEMENTE, SAN JUAN CAPISTRANO, AND TRABUCO CANYON. TOTAL SERVICE AREA:THE TOTAL SERVICE AREA FOR MISSION HOSPITAL WAS DEFINED USING CENSUS TRACTS INSIDE SOUTH ORANGE COUNTY. IN TOTAL, THERE ARE 114 CENSUS TRACTS WITHIN THE TOTAL SERVICE AREA OF MISSION HOSPITAL. THE TOTAL SERVICE AREA WAS LATER DIVIDED INTO THE "BROADER SERVICE AREA AND "HIGH-NEED SERVICE AREA" (TOTAL SERVICE AREA = BROADER SERVICE AREA + HIGH-NEED SERVICE AREA). OF THE OVER 581,000 PERMANENT RESIDENTS IN THE TOTAL SERVICE AREA, ROUGHLY 43% LIVE IN THE HIGH-NEED AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS IN THE TOTAL SERVICE AREA. FOR REFERENCE, 200% OF FPL IS EQUIVALENT TO AN ANNUAL HOUSEHOLD INCOME OF $53,000 OR LESS FOR A FAMILY OF FOUR. THESE HOUSEHOLDS ARE MORE LIKELY TO REGULARLY MAKE SPENDING TRADEOFFS REGARDING UTILITIES, RENT, GROCERIES, MEDICINE, AND OTHER BASIC EXPENSES.POPULATION AND AGE DEMOGRAPHICS:THE POPULATION IN MISSION HOSPITAL'S TOTAL SERVICE AREA MAKES UP 18% OF ORANGE COUNTY. THE MALE-TO-FEMALE DISTRIBUTION IS ROUGHLY EQUAL ACROSS THE GEOGRAPHIES. THE HIGH-NEED SERVICE AREA HAS A HIGHER PERCENTAGE OF PEOPLE OVER THE AGE OF 65 AND BETWEEN AGES 18 AND 34. PEOPLE AGES 35 TO 54 AND UNDER THE AGE OF 18 ARE LESS LIKELY TO LIVE IN HIGH-NEED CENSUS TRACTS.POPULATION BY RACE AND ETHNICITY:INDIVIDUALS WHO IDENTIFY AS HISPANIC, ASIAN, BLACK/AFRICAN AMERICAN, AND "OTHER" RACE ARE OVERREPRESENTED IN HIGH-NEED CENSUS TRACTS COMPARED TO MISSION HOSPITAL SERVICE AREA OVERALL. PEOPLE IDENTIFYING AS WHITE ARE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS.SOCIOECONOMIC INDICATORS:THE MEDIAN INCOME FOR THE TOTAL SERVICE AREA FOR MISSION HOSPITAL IS ABOUT $25,000 HIGHER THAN ORANGE COUNTY OVERALL. THERE IS OVER A $42,000 DIFFERENCE IN MEDIAN INCOME BETWEEN MISSION HOSPITAL'S BROADER SERVICE AREA AND THE HIGH-NEED SERVICE AREA.HOUSING COST BURDEN:SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS THAT SPEND 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE TOTAL SERVICE AREA AND ORANGE COUNTY HAVE ROUGHLY THE SAME PERCENTAGE OF RENTER HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDENED (28%). IN THE HIGH-NEED SERVICE AREA, 30% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED. WITHIN THE TOTAL SERVICE AREA THERE ARE CENSUS TRACTS IN WHICH OVER 50% OF HOUSEHOLDS ARE EXPERIENCING SEVERE HOUSING COST BURDEN.HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREAS (MUA) & MEDICALLY UNDERSERVED POPULATIONS (MUP):THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). MISSION HOSPITAL IS NOT LOCATED IN A SHORTAGE AREA. MEDICALLY UNDERSERVED AREAS (MUA) AND MEDICALLY UNDERSERVED POPULATIONS (MUP) ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MUA ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE." MUP ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MUA AND MUP ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. MISSION HOSPITAL VIEJO AND MISSION HOSPITAL LAGUNA BEACH CAMPUSES ARE NOT LOCATED IN MEDICALLY UNDERSERVED AREAS. HOWEVER, COASTAL COMMUNITIES WITHIN THEIR TOTAL SERVICE AREA, STRETCHING BETWEEN DANA POINT AND SAN CLEMENTE, ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS/MEDICALLY UNDERSERVED POPULATIONS, SIGNIFYING THE IMPORTANCE OF MISSION HOSPITAL TO THE COMMUNITY IT SERVES.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITAL IN THE COMMUNITY INCLUDE: SADDLEBACK HOSPITAL.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHMISSION HOSPITAL PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSESTHE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIALASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. MISSION HOSPITALIS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITSSURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWINGMECHANISMS:1) A COMMUNITY HEALTH COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND ISA SUBCOMMITTEE OF THE BOARD OF TRUSTEES.2) OPEN MEDICAL STAFF.3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.LOCAL COMMUNITY HEALTH COMMITTEE:THE ROLE OF THE MISSION HOSPITAL'S COMMUNITY HEALTH (CH) COMMITTEE IS TO SUPPORT THE LOCAL MINISTRY BOARD IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE CH COMMITTEE ACTS IN ACCORDANCE WITH A BOARD APPROVED CHARTER. THE CH COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS "IDENTIFIED SIGNIFICANT NEEDS" IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE CH COMMITTEE HAS A MINIMUM OF EIGHT (8) MEMBERS INCLUDING THREE (3) MEMBERS OF THE LOCAL MINISTRY BOARD. CURRENT MEMBERSHIP INCLUDES FOUR (4) MEMBERS OF THE MINISTRY BOARD AND SEVEN (7) COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS, MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE CH COMMITTEE GENERALLY MEETS SIX TIMES PER YEAR. IN 2023, MEETINGS WERE HELD VIRTUALLY DUE TO CONTINUING COVID RESTRICTIONS. PARTICIPATION REMAINED HIGH AND TECHNOLOGY ALLOWED FOR OPEN ENGAGEMENT AMONG MEMBERS.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSPROVIDENCE CONTINUES TO ADVANCE A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION ("DEI"), AND ENVIRONMENTAL STEWARDSHIP. IN 2022, WE ELEVATED THE WORK OF DEI, BY RESTRUCTURING RESOURCES WITH PLANS TO ALIGN AND SCALE DEI STRATEGIES ACROSS THE PROVIDENCE FAMILY OF ORGANIZATIONS. WE CONTINUE TO EXECUTE ON OUR INTEGRATED STRATEGIC & FINANCIAL PLAN WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. WE HAVE IMPLEMENTED AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USAGE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL. WE HAVE ALSO HELD ENVIRONMENTAL STEWARDSHIP AS ONE OF THE TOP PRIORITIES FOR OUR LEADERSHIP INCENTIVE PROGRAM TO ENSURE ALIGNMENT AND MOMENTUM CONTINUES. IN APRIL 2022, PROVIDENCE PUBLISHED ITS FIRST ENVIRONMENTAL STEWARDSHIP REPORT, IN WHICH WE REPORTED 12 PERCENT REDUCTION IN CARBON EMISSIONS IN SEVEN KEY CATEGORIES IN OUR ACUTE CARE FACILITIES SINCE OUR 2019 BASELINE. AS OF SEPTEMBER 30, 2022, (THE MOST RECENT DATA AVAILABLE), WE HAVE INCREASED THAT REDUCTION TO 13 PERCENT.INVESTING IN OUR COMMUNITIES IS AN ESSENTIAL WAY WE LIVE OUR MISSIONFOR GENERATIONS, THE PROVIDENCE FAMILY OF ORGANIZATIONS HAS SERVED AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE IN NEED THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT INVESTMENTS. OUR INVESTMENTS GO BEYOND THE WALLS OF OUR HOSPITALS AND CLINICS AND DEEP INTO COMMUNITIES TO SUPPORT ORGANIZATIONS AND CAUSES THAT SERVE THOSE IN NEED; ADDRESS GAPS IN SERVICES AND RESOURCES THAT CONTRIBUTE TO OVERALL HEALTH; AND ENHANCE CARE DELIVERY WITH INNOVATIVE SOLUTIONS TO HEALTH CARE'S BIGGEST CHALLENGES. THIS IS HOW WE INVEST IN HEALTH TODAY TO CREATE A BETTER FUTURE. BELOW WE HIGHLIGHT KEY EXAMPLES.ST. JOSEPH COMMUNITY PARTNERSHIP FUND SINCE 1986, THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND HAS MADE INVESTMENTS AND BUILT PARTNERSHIPS IN THE CALIFORNIA COMMUNITIES SERVED BY ST. JOSEPH HEALTH MINISTRIES. AFTER 35 YEARS, WE HAD THE OPPORTUNITY TO EXPAND OUR FOCUS AND SUPPORT PROGRAMS AND COMMUNITIES THROUGHOUT PROVIDENCE. TODAY, THE FUND REPRESENTS PROVIDENCE'S SHARED COMMITMENT TO SOLVING COMPLEX CHALLENGES AND BUILDING VIBRANT, HEALTHY COMMUNITIES. WE DO THIS BY BUILDING CAPACITY AND CREATING LINKAGES ACROSS THE COMMUNITIES PROVIDENCE SERVES. THIS HELPS US MAXIMIZE THE DIRECT IMPACT OF OUR INVESTMENTS AND ADDRESS COMMON ISSUES THAT AFFECT PEOPLE THROUGHOUT OUR SYSTEM. THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND SERVES AS PROVIDENCE'S STRATEGIC GRANT MAKING FOUNDATION FOR FUNDING KEY SYSTEM AND REGIONAL INITIATIVES IN THE AREAS OF HOUSING, EDUCATION, DISASTER RESPONSE AND RECOVERY, AND NONPROFIT AND COMMUNITY CAPACITY BUILDING. THROUGH THE FUND WE INCUBATE AND ACCELERATE PROGRAMS THAT CREATE SCALABLE IMPACT IN OUR COMMUNITIES TO IMPROVE THE HEALTH AND WELLBEING OF THE ECONOMICALLY POOR, UTILIZE THE STRENGTHS AND DIVERSITY OF OUR NEIGHBORS TO BUILD VIBRANT COMMUNITIES AND LEVERAGE BEST PRACTICES AND LESSONS LEARNED FROM THESE INVESTMENTS TO EXPAND TO COMMUNITIES ACROSS OUR GEOGRAPHICAL FOOTPRINT. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/COMMUNITY-PARTNERSHIPS/ST-JOSEPH-COMMUNITY-PARTNERSHIP-FUND HEALTH EQUITY:CHANGE BEGINS WITH USAT PROVIDENCE, WE RECOGNIZE THAT INEQUITY PERSISTS IN NEARLY EVERY MAJOR FACET OF SOCIETY. THAT INCLUDES IN HEALTH CARE AND THE SOCIAL DETERMINANTS OF HEALTH. AND THE CONSEQUENCES ARE OFTEN DEADLY, LEADING TO HIGHER MORTALITY AND MORBIDITY RATES FOR COMMUNITIES OF COLOR AND MARGINALIZED POPULATIONS. TOWARD THAT END:- WE ARE INVESTING $50 MILLION OVER FIVE YEARS TO IMPROVE HEALTH EQUITY IN OUR COMMUNITIES. OUR HEALTH EQUITY STRATEGIC PLAN AND INTERVENTIONS ARE INFORMED BY ADVANCED DATA ANALYTICS AND THE HEALTH PRIORITIES IDENTIFIED WITH OUR LOCAL COMMUNITY PARTNERS AND CARE TEAMS.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/HEALTH-EQUITYADVOCACY AND SOCIAL RESPONSIBILITY IN PARTNERSHIP WITH COMMUNITIES, THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR RESPONSIBLE, SUSTAINABLE, AND EQUITABLE POLICIES AND PRACTICES. WE REACH BEYOND THE WALLS OF HOSPITALS AND CARE FACILITIES TO WORK WITH LOCAL, STATE AND NATIONAL PARTNERS TO ADVANCE POLICIES THAT SERVE VULNERABLE POPULATIONS AND PROMOTE JUSTICE. WE ALSO PARTNER TO PROMOTE PRACTICES AND INFRASTRUCTURE THAT WILL SUSTAIN THE PLANET FOR FUTURE GENERATIONS AND TRANSFORM OUR COMMUNITIES FOR A HEALTHIER, MORE EQUITABLE WORLD.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITY ENVIRONMENTAL STEWARDSHIP THE PROVIDENCE FAMILY OF ORGANIZATIONS HAS A VISION OF HEALTH FOR A BETTER WORLD. AS SUCH, WE ARE CALLED TO CARE WISELY FOR OUR COMMUNITIES, RESOURCES, AND EARTH. OUR ORGANIZATIONS STRIVE TO BECOME CARBON NEGATIVE BY 2030. THIS BOLD COMMITMENT GOES BEYOND ADDRESSING CARBON EMISSIONS. THE CLIMATE CRISIS CANNOT BE SOLVED WITHOUT ALSO RESPONDING TO SOCIAL AND RACIAL INEQUITIES.WE ARE COMMITTED TO HEALTH EQUITY, INCLUDING ENVIRONMENTAL EQUITY, AS CLIMATE CHANGE IMPACTS WORSEN, AND DISPARITIES AND INEQUITIES WIDEN DUE TO HISTORICAL AND STRUCTURAL CAUSES OF OPPRESSION.THE CURRENT CRISIS CALLS FOR US TO ACT BOLDLY, WITH COMPASSION. WE ARE DOING SO BY HELPING TO CARE FOR OUR COMMON HOME, ENSURING EQUITY TODAY, AND PASSING A HEALTHY PLANET TO THE GENERATIONS OF TOMORROW.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITY/ENVIRONMENTAL-STEWARDSHIP WELL BEING TRUST PROVIDENCE'S WELL BEING TRUST IS A FOUNDATION DEDICATED TO ADVANCING THE MENTAL, SOCIAL, AND SPIRITUAL HEALTH FOR ALL. WITH A BOLD MISSION, VISION AND OVERARCHING GOAL, WELL BEING TRUST IS INVESTING IN APPROACHES THAT HAVE THE POTENTIAL TO MODEL THE WAY FORWARD AND ADVANCE CLINICAL, COMMUNITY AND CULTURAL CHANGETO TRANSFORM THE HEALTH OF THE NATION AND IMPROVE WELL-BEING FOR EVERYONE.FOR MORE INFORMATION GO TO: HTTPS://WELLBEINGTRUST.ORG/ABOUT/
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
LAGUNA BEACH COMMUNITY CLINIC
362 3RD ST	LAGUNA BEACH	CA	92651	952637633	501(C)(3)	$292,400	$0	COMMUNITY BENEFIT RESTRICTED GRANT
FAMILY ASSISTANCE MINISTRIES
1030 CALLE NEGOCIO	SAN CLEMENTE	CA	92673	330864870	501(C)(3)	$170,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ST JUDE NEIGHBORHOOD HEALTH CENTERS
731 S HIGHLAND AVE	FULLERTON	CA	92832	453977605	501(C)(3)	$46,299	$0	COMMUNITY BENEFIT RESTRICTED GRANT
UNIDOS SOUTH OC INC
PO BOX 1874	SAN JUAN CAPISTRANO	CA	92693	823510252	501(C)(3)	$24,998	$0	COMMUNITY BENEFIT RESTRICTED GRANT
FRIENDSHIP SHELTER INC
PO BOX 4252	LAGUNA BEACH	CA	92652	330219404	501(C)(3)	$24,800	$0	COMMUNITY BENEFIT RESTRICTED GRANT
FAMILIES FORWARD INC
8 THOMAS	IRVINE	CA	92618	330086043	501(C)(3)	$15,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
SOUTH COUNTY OUTREACH
7 WHATNEY STE B	IRVINE	CA	92618	330330233	501(C)(3)	$15,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	501(C)(3)	$14,322	$0	SPONSORSHIP
COALITION FOR HUMANE IMMIGRANT RIGHTS
2533 W 3RD ST STE 101	LOS ANGELES	CA	90057	954421521	501(C)(3)	$10,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JO ANN ESCASA-HAIGH
ASSISTANT TREASURER - THRU 1/23	$0	$44,915	$0	$1,744,873	$0	$1,502,009	$0	$8,269	$0	$2,485	$0	$3,302,551	$0	$603,250
SETH TEIGEN
CHIEF EXECUTIVE, MHRMC	$0	$559,401	$0	$530,011	$0	$95,175	$0	$163,050	$0	$42,058	$0	$1,389,695	$0	$71,535
JIM WATSON ESQ
SECRETARY	$0	$480,026	$0	$399,066	$0	$89,599	$0	$107,204	$0	$39,727	$0	$1,115,622	$0	$64,477
TERRENCE WOOTEN
FRMR KE - QVMC CE	$0	$359,303	$0	$424,891	$0	$128,239	$0	$9,900	$0	$24,676	$0	$947,009	$0	$4,006
JIM MARTIN
ASSISTANT TREASURER (PART YEAR)	$0	$435,246	$0	$339,361	$0	$54,321	$0	$83,489	$0	$32,146	$0	$944,563	$0	$52,013
MICHAEL MARINO DO
FRMR OFF. - SVP, CHIEF MED INFO	$0	$0	$0	$174,260	$0	$680,411	$0	$0	$0	$0	$0	$854,671	$0	$109,433
EILEEN HAUBL
SVP & CHIEF FINANCIAL OFFICER	$0	$416,119	$0	$75,562	$0	$19,162	$0	$39,557	$0	$15,112	$0	$565,512	$0	$12,921
JENNIFER CORD
CHIEF NURSING OFFICER	$357,648	$0	$53,854	$0	$40,869	$0	$20,023	$0	$28,236	$0	$500,630	$0	$35,032	$0
MELANIE SPENCER WOLF
CHIEF MEDICAL OFFICER	$417,949	$0	$25,000	$0	$5,008	$0	$18,248	$0	$5,998	$0	$472,203	$0	$0	$0
EVELYN SCHLOSSER
EXEC DIR ACUTE CARE OPERATIONS	$303,761	$0	$57,055	$0	$36,646	$0	$18,646	$0	$18,246	$0	$434,354	$0	$23,032	$0
MARK JABLONSKI
FRMR OFF. - PSJH CMO	$0	$299,311	$0	$33,472	$0	$39,129	$0	$31,247	$0	$25,026	$0	$428,185	$0	$1,569
MARIA LEXA BATAC
SUPERVISOR NURSING	$310,428	$0	$21,560	$0	$9,603	$0	$30,861	$0	$30,238	$0	$402,690	$0	$0	$0
CHERIE FOX
EXECUTIVE DIRECTOR NURSING	$261,878	$0	$52,009	$0	$3,103	$0	$29,299	$0	$36,188	$0	$382,477	$0	$0	$0
NICOLE BALSAMO
MINISTRY CHIEF PHILANTHROPY OFFICER	$297,901	$0	$10,000	$0	$25,288	$0	$14,862	$0	$3,690	$0	$351,741	$0	$0	$0
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	$0	$266,681	$0	$24,827	$0	$1,367	$0	$15,474	$0	$15,372	$0	$323,721	$0	$0
DEANNE NIEDZIELA
FRMR KE - DIR, NURSING	$193,363	$0	$21,481	$0	$4,073	$0	$6,697	$0	$30,945	$0	$256,559	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
PART I, LINE 3	DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECIEVED SEVERANCE PAYMENTS DURING 2023: JO ANN ESCASA-HAIGH - $811,814 TERRENCE WOOTEN - $32,558 MICHAEL MARINO, D.O. - $560,420 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT OF DURING THE CURRENT YEAR: JO ANN ESCASA-HAIGH - $603,250 SETH TEIGEN - $71,535 JIM WATSON, ESQ - $ 64,477 TERRENCE WOOTEN - $4,006 JIM MARTIN - $52,013 MICHAEL MARINO, D.O. - $109,433 EILEEN HAUBL - $12,921 JENNIFER CORD - $35,032 EVELYN SCHLOSSER - $23,032 MARK JABLONSKI - $1,569 LINDA SIEGLEN, M.D. - $8,068
PART I, LINE 7	NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$431,517	REPAIR SVCS	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$308,617	REPAIR SVCS	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$212,261	MEDICAL SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$157,833	MEDICAL SVC	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: (CONTINUE)	ADDRESSING EQUITY THROUGH COMMUNITY PARTNERSHIPS: EVERYONE SHOULD HAVE A FAIR AND JUST OPPORTUNITY TO ATTAIN THEIR FULL POTENTIAL, AND NO ONE SHOULD BE DISADVANTAGED, EXCLUDED, OR DISMISSED FROM ACHIEVING THAT POTENTIAL BASED ON INHERENT CHARACTERISTICS SUCH AS RACE, ETHNICITY OR GENDER IDENTITY. IN 2020, WE GATHERED A GROUP OF NONPROFIT LEADERS AND RESIDENTS FROM SOUTH ORANGE COUNTY TO CONSIDER HOW WE COULD TOGETHER ADDRESS ISSUES OF INEQUITY. OVER THE COURSE OF TWO YEARS, THE SOUTH OC FOR ALL (PREVIOUSLY SOUTH ORANGE COUNTY EQUITY COLLABORATIVE) FORMED WITH A DOZEN NON-PROFIT AND RESIDENT LEADERS. OUR MISSION: TO ADVANCE EQUITY AND JUSTICE FOR SOUTH ORANGE COUNTY'S MOST VULNERABLE RESIDENTS THROUGH COMMUNITY ENGAGEMENT, COORDINATED ADVOCACY, AND LEVERAGING RESOURCES.IN 2022, OUR COLLABORATIVE WAS THE RECIPIENT OF A $500,000 CDC GRANT THROUGH ORANGE COUNTY UNITED WAY TO STRENGTHEN OUR COLLABORATIVE EFFORTS AND ADDRESS HOUSING DISPARITIES IN SAN JUAN CAPISTRANO, A NEIGHBORHOOD THAT IS SEVERELY RENT BURDENED, WITH MOST OF ITS 900 HOUSEHOLDS SPEND MORE THAN 50 PERCENT OF THEIR ANNUAL INCOME ON RENT. IN DECEMBER 2022, OUR COLLABORATIVE RECEIVED ANOTHER $150,000 THROUGH THE AMERICAN RECOVERY PLAN ACT (ARPA) FROM SUPERVISOR LISA BARTLETT'S OFFICE. TOGETHER, THESE FUNDS ARE ENABLING OUR COLLABORATIVE TO RE-ENVISION HOW HOUSING SUPPORT SERVICES ARE DESIGNED FOR THE MOST VULNERABLE FAMILIES IN OUR COMMUNITIES, BY PROVIDING RESEARCH SUPPORT TO DEVELOP LONG-TERM HOUSING SOLUTIONS, AND BY EMPOWERING RESIDENTS TO SHARE THEIR EXPERIENCES AND BUILD LEADERSHIP AND CIVIC ENGAGEMENT SKILLS TO EFFECT CHANGE IN THEIR LOCAL COMMUNITIES. IN 2023, THE COLLABORATIVE HIRED A MANAGER. THIS ROLE HAS HELPED THE COLLABORATIVE STAY ON TRACK WITH GRANT REQUIREMENTS AND HELPED MOVE THE PROJECTS FORWARD. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/MISSION-HOSPITAL-MISSION-VIEJO
FORM 990, PART V, LINE 15:	INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING.
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF MISSION HOSPITAL REGIONAL MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS MISSION HOSPITAL REGIONAL MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE MISSION HOSPITAL REGIONAL MEDICAL CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE MISSION HOSPITAL REGIONAL MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR.
FORM 990, PART VI, SECTION A, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS 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, EXEMPT 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 CORPORATE MEMBER, ST. JOSEPH HEALTH SYSTEM, RESERVES THE RIGHT TO APPROVE THE 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, SECTION B, LINE 11B	PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS RECUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15B	PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2024.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11G	AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 20,334,197. MANAGEMENT AND GENERAL EXPENSES 943,113. FUNDRAISING EXPENSES 64,724. TOTAL EXPENSES 21,342,034. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 7,402,122. MANAGEMENT AND GENERAL EXPENSES 343,315. FUNDRAISING EXPENSES 23,561. TOTAL EXPENSES 7,768,998. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 32,246,716. MANAGEMENT AND GENERAL EXPENSES 1,495,623. FUNDRAISING EXPENSES 102,642. TOTAL EXPENSES 33,844,981. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 53,851,652. MANAGEMENT AND GENERAL EXPENSES 2,497,673. FUNDRAISING EXPENSES 171,411. TOTAL EXPENSES 56,520,736. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 17,949,046. MANAGEMENT AND GENERAL EXPENSES 832,488. FUNDRAISING EXPENSES 57,132. TOTAL EXPENSES 18,838,666.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -10,137,417. OTHER CHANGES IN NET ASSETS 5,952,518.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (105 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COLLABRIA CARE
414 SOUTH JEFFERSON STREET	NAPA	CA	94559	680393144	HEALTHCARE	CA	501(C)(3)	10	SJHCN	Yes (1)
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611573313	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT CHILDREN'S PHYSICIANS GROUP
3615 19TH STREET	LUBBOCK	TX	79410	881290850	HEALTHCARE	TX	501(C)(3)	PENDING	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	461259908	HEALTHCARE	CA	501(C)(3)	12, III	SJHS	Yes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	463516417	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
COVENANT HOME AND COMMUNITY CARE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	920275096	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	844273963	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	822913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128	EVERETT	WA	982065128	943264605	TRANSITIONAL CARE	WA	501(C)(3)	10		0	N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	201910170	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	203856995	HEALTHCARE	TX	501(C)(3)	3	LHH LLC	Yes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(C)(3)	PF	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	916033089	SUPPORT	WA	501(C)(3)	12, III	KRMC	Yes (1)
KADLEC FOUNDATION
888 SWIFT BLVD	RICHLAND	WA	99352	237005501	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330844408	IMAGING SERVICES	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	264021016	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069	SEATTLE	WA	98116	200799737	SUPPORT	WA	501(C)(3)	12, I	SHS	Yes (1)
OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911608508	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	562290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREET	BURBANK	CA	915054809	953544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021	ANCHORAGE	AK	99508	920093565	HEALTHCARE	AK	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN ST	MT ANGEL	OR	97362	911940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35	PORTLAND	OR	97213	930800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410	MEDFORD	OR	97504	930692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	473385506	SUPPORT	WA	501(C)(3)	7		0	N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911549796	HEALTHCARE	WA	501(C)(3)	12, II	PSJH	0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231793	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216586	HEALTHCARE	WA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	550828701	MEDICAID HEALTHCARE PROVIDER	OR	501(C)(4)	N/A	PHP	Yes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	930863097	HEALTHCARE	OR	501(C)(4)	N/A	PH GROUP LLC	Yes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149	HOOD RIVER	OR	97031	930921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1615 75TH ST SW SUITE 210	EVERETT	WA	98203	272552749	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220	TUKWILA	WA	98168	912077378	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA)
101 W 8TH AVE	SPOKANE	WA	99204	320014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVD	TORRANCE	CA	90503	510224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SE	ISSAQUAH	WA	980297219	931554288	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330283773	HEALTHCARE	CA	501(C)(3)	12, I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVE	MILWAUKIE	OR	97222	943079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057		RELIGIOUS ORG	WA	501(C)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SW	SEATTLE	WA	981262799	911188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVE	NEWBERG	OR	97132	930889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN ST	PORTLAND	OR	972132967	931231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951684082	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814542216	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROAD	SEASIDE	OR	97138	930927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(C)(3)	12, III		0	N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599	PORTLAND	OR	97213	943078543	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREET	WALLA WALLA	WA	99362	452841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111	PORTLAND	OR	97225	930575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
413 LILLY ROAD NE	OLYMPIA	WA	985065166	911097056	SUPPORT	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD NO B-1	TORRANCE	CA	90503	330261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREET	OREGON CITY	OR	97045	931003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREET	EUREKA	CA	95501	942779313	HEALTHCARE	CA	501(C)(3)	7	SJHNC LLC	Yes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	956100079	SUPPORT SAINT JOHN HEALTH CENTER & JWCI	CA	501(C)(3)	7	PSJHC	Yes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611502822	PHYSICIAN COLLABORATION	WA	501(C)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	262612415	SHELL CORPORATION	MT	501(C)(3)	1	PHS WA	0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643383	RELIGIOUS ORG	CA	501(C)(3)	1		0	N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680395200	HEALTHCARE	CA	501(C)(3)	3	SJHNC LLC	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814791043	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953589356	HEALTHCARE	CA	501(C)(3)	12, I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643359	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643325	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951914489	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREET	MISSOULA	MT	59802	237056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	272305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAY	SEATTLE	WA	98122	910983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	273139262	HOLDING COMPANY	WA	501(C)(3)	12, I	SHS	Yes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	833972614	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING A	KENNEWICK	WA	99336	911739024	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	454171900	HEALTHCARE	WA	501(C)(3)	3	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (49 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
20TH STREET SURGERY LLC
1301 20TH STREET STE 140	SANTA MONICA	CA	90404	731735618	AMBULATORY SURGERY CENTER	CA	N/A	0	0
BRIDGEPORT MEDICAL IMAGING LLC (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
BROADWAY IMAGING LLC
PO BOX 4587	MISSOULA	MT	598064587	522405971	MEDICAL IMAGING	MT	N/A	0	Yes (1)
CANBY MEDICAL CENTER I LLC
4800 SW MACADAM AVE STE 120	PORTLAND	OR	97239	205470937	REAL ESTATE - MOB	OR	N/A	0	Yes (1)
CENTER FOR MEDICAL IMAGING LLC (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260381897	RADIATION ONCOLOGY	OR	N/A	0	Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
1031 W CHAPMAN AVE 101	ORANGE	CA	92868	264591502	HEALTHCARE	CA	N/A	0	Yes (1)
COVENANT HIGH PLAINS SURGERY CENTER LLC
40 VALLEY STREAM PKWY	MALVERN	PA	19355	752177401	HEALTHCARE	PA	N/A	0	Yes (1)
COVENANT PARK PHASE I VENTURE LLC
3615 19TH ST	LUBBOCK	TX	79410	871464045	REAL ESTATE	TX	N/A	0	0
CSS JV LLC
11782 SW BARNES ROAD STE 200 BLDG C	PORTLAND	OR	97225	263638838	AMBULATORY SURGERY CENTER	OR	N/A	0	0
FIRST HILL SURGERY CENTER LLC
1101 MADISON STREET STE 200	SEATTLE	WA	98104	472066485	AMBULATORY SURGERY CENTER	WA	N/A	0	Yes (1)
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	470927394	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A	0	0
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE A	ANCHORAGE	AK	99508	203906048	MEDICAL IMAGING	AK	N/A	0	Yes (1)
LSC REAL PROPERTY LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	474646059	REAL ESTATE	TX	N/A	0	Yes (1)
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A	0	Yes (1)
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823943675	REAL ESTATE - MOB	CA		0	Yes (1)	MHRMC	EXCLUDED	$79,186	$11,176,212	0.35890
NORTH OC IMAGING JV HOLDINGS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	852444305	HEALTHCARE	CA	N/A	0	0
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A	0	Yes (1)
PAVILION SURGERY CENTER LLC
1140 WEST LAVETA AVE	ORANGE	CA	92868	814376492	AMBULATORY SURGERY CENTER	CA	N/A	0	0
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
19625 62ND AVENUE SOUTH SUITE 101	KENT	WA	98032	452901632	MEDICAL EQUIPMENT	WA	N/A	0	Yes (1)
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A	0	Yes (1)
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	812701056	INVESTMENTS	WA	N/A	0	0
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823765555	MEDICAL	AL	N/A	0	0
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823270499	MEDICAL	AL	N/A	0	Yes (1)
PROVIDENCE ALASKA HOUSE I OWNER LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	882819223	SUPPORTIVE HOUSING	AK	N/A	0	0
PROVIDENCE HOUSE OAKLAND LP
540 23RD ST	OAKLAND	CA	94612	811441264	SUPPORTIVE HOUSING	CA	N/A	0	Yes (1)
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	920118807	MEDICAL IMAGING	AK	N/A	0	0
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823190634	INVESTMENTS	WA		0	0	PHS WA	EXCLUDED	$1,803,034	$24,787,586	0.00790	-$5,555
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURGERY CENTER	MT	N/A	0	0
PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	881149413	AMBULATORY SURGERY CENTER	WA	N/A	0	0
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200684116	AMBULATORY SURGERY CENTER	CA	N/A	0	0
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FL	SEATTLE	WA	98104	300553035	HEALTHCARE	WA	N/A	0	Yes (1)
RIVERSIDE HEALTHCARE
1107 HAZELTINE BLVD 200	CHASKA	MN	55318	411594648	HEALTHCARE	MN	N/A	0	Yes (1)
ST JOSEPH PHYSICIAN VENTURES I LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	454521884	REAL ESTATE	CA	N/A	0	Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814657391	HEALTHCARE	CA	N/A	0	0
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NE	OLYMPIA	WA	98506	911455338	MEDICAL IMAGING	WA	N/A	0	Yes (1)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURGERY CENTER	KS	N/A	0	Yes (1)
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	N/A	0	Yes (1)
WON-ONC LLC
1900 COOKS HILL RD	CENTRALIA	WA	98531	262181194	REAL ESTATE - MOB	WA	N/A	0	Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814657391	HEALTHCARE	CA	N/A	0	0
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
ST MARY MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE	CA	N/A	0	0
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NE	OLYMPIA	WA	98506	911455338	MEDICAL IMAGING	WA	N/A	0	Yes (1)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURGERY CENTER	KS	N/A	0	Yes (1)
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	N/A	0	Yes (1)
WON-ONC LLC
1900 COOKS HILL RD	CENTRALIA	WA	98531	262181194	REAL ESTATE - MOB	WA	N/A	0	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (41 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOCIATION	WA	N/A	C	0
ADVATA INC (FKA KENSCI INC)
615 2ND AVE 700	SEATTLE	WA	98104	474048082	HEALTHCARE	WA	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD	PEMBROKE	BD	HM08	BD
AYIN HEALTH HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	833037172	HEALTHCARE	DE	N/A	C	0
AYIN HEALTH SOLUTIONS INC
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	931211733	HEALTHCARE	OR	N/A	C	0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911354431	CLINICAL/MEDICAL LAB	WA	N/A	C	0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810486082	MEDICAL PHYSICIAN SERVICE	MT	N/A	C	0
CLOUD 21 LIMITED
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE		N/A	C	0					UK
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENTAL	WA	N/A	C	0
KENSCI ASIA PACIFIC PTE LTD
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0					SN
KENSCI TECH INDIA PRIVATE LIMITED
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0					IN
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752118585	HEALTHCARE	TX	N/A	C	0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330406218	HEALTHCARE	WA	N/A	C	0
MISSION VIEJO MEDICAL VENTURES INC
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA		C	0						MHRMC	$19,700	$342,070	1.00000
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461814184	STRATEGIC PLANNING SERVICES	CA	N/A	C	0
PRAIA HEALTH INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	990552297	HEALTHCARE	DE	N/A	C	0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	981516461	IT SVCS		N/A	C	0					IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	900155714	CLINICAL/MEDICAL LAB	WA	N/A	C	0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800886966	PREPAID HEALTHCARE	CA	N/A	C	Yes (1)
PROVIDENCE PARTNERS HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	882962549	INVESTMENT	DE	N/A	C	0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911216033	HEALTHCARE	WA	N/A	C	0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL ST	TORRANCE	CA	90503	823771547	HEALTHCARE	CA	N/A	C	0
PROVSOURCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	902318536	HEALTHCARE	DE	N/A	C	0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH MEDICAL PLAZA ASSOCIATION
1140 W LA VETA STE 400	ORANGE	CA	92868	330621539	CONDO ASSOCIATION	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330155323	HEALTHCARE	CA	N/A	C	0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	842092143	HOLDING COMPANY	DE	N/A	C	0
TEGRIA INSIGHTS GROUP HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861400769	HOLDING COMPANY	WA	N/A	C	0
TEGRIA INSIGHTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861532593	HEALTHCARE	WA	N/A	C	0
TEGRIA PRODUCTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	870995138	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP US INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	863046450	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844686520	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844704409	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP-CAN INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE		N/A	C	0					CA
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	900872936	HEALTHCARE	WI	N/A	C	0
TRUSANA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	922370159	HEALTHCARE	DE	N/A	C	0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953943315	INVESTMENT	CA	N/A	C	0
WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463598718	HEALTHCARE	WA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM
P	$4,730,581	COST
PROVIDENCE MEDICAL FOUNDATION
J	$1,249,312	COST
PROVIDENCE MEDICAL FOUNDATION
L	$7,997,232	COST
PROVIDENCE MEDICAL FOUNDATION
O	$21,355,952	COST
PROVIDENCE MEDICAL FOUNDATION
M	$7,974,802	COST