PORT CITY OPERATING COMPANY LLC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: PORT CITY OPERATING COMPANY LLC (EIN 46-5322209)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-04-30
IRS object ID: 202211219349300151
Schema version: 2020v4.2
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 H
Schedule I
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-04-30T23:40:47-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	55 SECOND STREET SUITE 1400	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	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	465322209	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PORT CITY OPERATING COMPANY LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PORT	BusinessNameControlTxt
Phone	2099432000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3400 DATA DRIVE	AddressLine1Txt
City	RANCHO CORDOVA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95670	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	NIKKI OCHOA	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2094676442	PhoneNum
Signature	2022-04-30	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	NIKKI	PersonFirstNm
Person Last	OCHOA	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JAMES LANCASTER	PreparerPersonNm
PTIN	P00742579	PTIN
Phone	4159635100	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DONALD WILEY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3400 DATA DRIVE	AddressLine1Txt
City	RANCHO CORDOVA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95670	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,051,801,187	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.DIGNITYHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2014	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	AS AN AFFILIATE OF COMMONSPIRIT HEALTH ("COMMONSPIRIT"), PORT CITY OPERATING COMPANY, LLC, ("PORT CITY") IS COMMITTED TO MAKE THE HEALING PRESENCE OF GOD KNOWN BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	9	TotalVolunteersCnt
Total Gross UBI	$2,000,814	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$16,460,764	PYContributionsGrantsAmt
CY Contributions Grants	$9,831,549	CYContributionsGrantsAmt
PY Program Service Revenue	$664,947,163	PYProgramServiceRevenueAmt
CY Program Service Revenue	$706,821,158	CYProgramServiceRevenueAmt
PY Investment Income	$7,753,740	PYInvestmentIncomeAmt
CY Investment Income	$24,349,916	CYInvestmentIncomeAmt
PY Other Revenue	$3,601,780	PYOtherRevenueAmt
CY Other Revenue	$3,083,029	CYOtherRevenueAmt
PY Total Revenue	$692,763,447	PYTotalRevenueAmt
CY Total Revenue	$744,085,652	CYTotalRevenueAmt
PY Grants And Similar Paid	$13,723,036	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$11,181,119	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$629,343,548	PYOtherExpensesAmt
CY Other Expenses	$667,270,339	CYOtherExpensesAmt
PY Total Expenses	$643,066,584	PYTotalExpensesAmt
CY Total Expenses	$678,451,458	CYTotalExpensesAmt
PY Revenues Less Expenses	$49,696,863	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$65,634,194	CYRevenuesLessExpensesAmt
Total Assets BOY	$716,107,160	TotalAssetsBOYAmt
Total Assets EOY	$792,913,020	TotalAssetsEOYAmt
Total Liabilities BOY	$242,245,665	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$217,628,300	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$473,861,495	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$575,284,720	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	PORT CITY LLC IS COMMITTED TO FURTHERING THE CHARITABLE AND COMMUNITY-BASED HEALTH CARE PURPOSES, MISSION, VISION AND CORE VALUES OF DIGNITY HEALTH AND KAISER FOUNDATION HOSPITALS BY PROMOTING HEALTH AND PROVIDING AND EXPANDING ACCESS TO HEALTH CARE SERVICES FOR A BROAD CROSS-SECTION OF THE INDIVIDUALS WHO RESIDE IN STOCKTON, CALIFORNIA AND THE SURROUNDING COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$560,727,515	ExpenseAmt
Grant	$11,181,120	GrantAmt
Revenue	$667,360,181	RevenueAmt
Desc	ST. JOSEPH'S MEDICAL CENTER (SJMC) OPERATES AND IS LICENSED AT THE SAME LEVEL WITH THE STATE OF CALIFORNIA, SERVING THE COUNTY OF SAN JOAQUIN AND OUTLYING AREAS. SJMC IS A 355-BED LICENSED ACUTE CARE FACILITY, PROVIDING GENERAL MEDICAL/ SURGICAL CARE, OBSTETRICS, NEONATAL ICU, EMERGENCY SERVICES, CANCER SERVICES, WITH SPECIALITIES IN CARDIAC SURGERY AND CARDIOVASCULAR CARE, RESPIRATORY, AND ORTHOPEDICS. THERE ARE NUMEROUS ANCILLARY AND OUTPATIENT SUPPORT SERVICES. PORT CITY IS COMMITTED TO FURTHERING THE CHARITABLE AND COMMUNITY-BASED HEALTH CARE PURPOSES, MISSION, VISION AND CORE VALUES OF DIGNITY HEALTH AND KAISER FOUNDATION HOSPITALS BY PROMOTING HEALTH AND PROVIDING AND EXPANDING ACCESS TO HEALTH CARE SERVICES FOR A BROAD CROSS-SECTION OF THE INDIVIDUALS WHO RESIDE IN STOCKTON, CALIFORNIA AND THE SURROUNDING COMMUNITIES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$27,275,848	ExpenseAmt
Revenue	$25,516,108	RevenueAmt
Desc	ST. JOSEPH'S BEHAVIORAL HEALTH CENTER (BHC) OPERATES AND IS LICENSED AT THE SAME LEVEL WITH THE STATE OF CALIFORNIA, SERVING THE COUNTY OF SAN JOAQUIN AND OUTLYING AREAS. BHC IS A 35 BED ACUTE PSYCHIATRIC AND CHEMICAL DEPENDENCY HOSPITAL, PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,162,824	ExpenseAmt
Revenue	$11,944,055	RevenueAmt
Desc	ST. JOSEPH'S MEDICAL CENTER HOME HEALTH (SJHHA) OPERATES AND IS LICENSED AS A HOSPITAL BASED HOME HEALTH AGENCY WITH THE STATE OF CALIFORNIA. SJHHA PROVIDES SKILLED NURSING CARE SERVICES, SOCIAL SERVICES, OCCUPATIONAL, PHYSICAL, AND SPEECH THERAPIES, AS WELL AS HOME HEALTH AIDES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$596,166,187	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	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	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	0	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	Yes (1)	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	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	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	176	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
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	0	QuidProQuoContributionsInd
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	6	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	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	0	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	0	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

Field	Value	IRS element (for citing)
Person	LARA CARTOSCELLI ACCOUNTING DEPT	PersonNm
Phone	9166313334	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3400 DATA DRIVE	AddressLine1Txt
City	RANCHO CORDOVA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95670	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
JON VANBOENING
BOARD MEMBER	2.00	50.00	Yes (X)	$0	$1,574,214	$411,280
JOHN E PETERSDORF
VICE CHAIR	2.00	50.00	Yes (X)	$0	$1,060,100	$793,557	Yes (X)
DONALD WILEY
PRESIDENT AND CEO	50.00	4.00		$0	$1,059,484	$525,766	Yes (X)
KEVIN WALTERS
BOARD MEMBER (THRU 6/11/21)	2.00	50.00	Yes (X)	$0	$531,299	$77,468
RICHARD CARVOLTH MD
BOARD MEMBER (THRU 7/17/20)	2.00	50.00	Yes (X)	$0	$425,098	$42,908
ANDREA NIKKI OCHOA
CHIEF FINANCIAL OFFICER	45.00	5.00		$0	$253,346	$48,556	Yes (X)
DEBRA CUNNINGHAM
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
CORWIN HARPER
SECRETARY	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
MARTY ARDRON
BOARD MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
JEFF COLLINS
BOARD MEMBER (THRU 8/28/20)	2.00	0.00	Yes (X)	$0	$0	$0
JAMES DESOTO MD
BOARD MEMBER	2.00	0.00	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,903,541	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,899,535	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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
MEDICAL SOLUTIONS LLC
1010 N 102ND ST	OMAHA	NE	68114	STAFFING SERVICES	$8,150,095
INPATIENT SPECIALISTS OF CALIF
PO BOX 742936	LOS ANGELES	CA	900742936	MEDICAL/PHYSICIAN SERVICES	$6,124,681
ANESTHESIA SRV OF SAN JOAQUIN
10 C0MMERCE DR	NEW ROCHELLE	NY	10801	MEDICAL/PHYSICIAN SERVICES	$5,382,587
SAN JOAQUIN CRITICAL CARE
1801 E MARCH LANE STE C300	STOCKTON	CA	95210	MEDICAL/PHYSICIAN SERVICES	$2,359,142
ALPINE ORTHOPAEDIC MED GROUP
2488 N CALIFORNIA ST	STOCKTON	CA	952045288	MEDICAL/PHYSICIAN SERVICES	$2,126,092

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	66	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,704,124	RelatedOrganizationsAmt
Government Grants	$6,942,592	GovernmentGrantsAmt
All Other Contributions	$184,833	AllOtherContributionsAmt
Noncash Contributions	$45,429	NoncashContributionsAmt
Total Contributions	$9,831,549	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT NET OF CHARITY & BAD DEBT	900099	$438,780,843	$438,780,843
MEDICARE / MEDICAID PAYMENTS	900099	$264,389,494	$264,389,494
LABORATORY	621500	$2,000,814		$2,000,814
MEDICAL OFFICE BUILDING	621300	$632,841	$632,841
PROGRAM RELATED RENTAL INCOME	900099	$476,897	$476,897

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$540,269	TotalRevenueColumnAmt
Related Or Exempt Func Income	$540,269	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$706,821,158	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,888,657	TotalRevenueColumnAmt
Exclusion	$3,888,657	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$141,225	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$141,225	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$141,225	TotalRevenueColumnAmt
Exclusion	$141,225	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$325,901,874	SecuritiesAmt
Other	$2,274,920	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$307,715,535	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$18,186,339	SecuritiesAmt
Other	$2,274,920	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,461,259	TotalRevenueColumnAmt
Exclusion	$20,461,259	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
REBATES AND REFUNDS	900099	$902,557	$902,557
CAFETERIA	722514	$859,692	$859,692
CHFT CREDIT	900099	$488,733	$488,733

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$690,822	TotalRevenueColumnAmt
Exclusion	$690,822	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,941,804	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$744,085,652	TotalRevenueColumnAmt
Related Or Exempt Func Income	$704,820,344	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,000,814	UnrelatedBusinessRevenueAmt
Exclusion	$27,432,945	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	$11,149,647	TotalAmt
Program Services	$11,149,647	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$31,472	TotalAmt
Program Services	$31,472	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,417,479	TotalAmt
Management And General	$1,417,479	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$26,443	TotalAmt
Management And General	$26,443	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$714,324	TotalAmt
Management And General	$714,324	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$470,174,190	TotalAmt
Program Services	$417,974,770	ProgramServicesAmt
Management And General	$52,199,420	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$892,714	TotalAmt
Program Services	$23,192	ProgramServicesAmt
Management And General	$869,522	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,667,253	TotalAmt
Program Services	$9,137,706	ProgramServicesAmt
Management And General	$1,529,547	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$24,773,118	TotalAmt
Program Services	$665,420	ProgramServicesAmt
Management And General	$24,107,698	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,165,644	TotalAmt
Program Services	$6,068,399	ProgramServicesAmt
Management And General	$97,245	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$174,241	TotalAmt
Program Services	$148,387	ProgramServicesAmt
Management And General	$25,854	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$95,908	TotalAmt
Program Services	$94,069	ProgramServicesAmt
Management And General	$1,839	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,662,383	TotalAmt
Program Services	$3,662,383	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,875,830	TotalAmt
Program Services	$25,875,830	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,941,638	TotalAmt
Program Services	$5,941,638	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$77,260,428	$77,255,598	$4,830
MEDI-CAL PROVIDER FEE	$32,878,179	$32,878,179
FOOD COST	$2,496,570	$2,444,842	$51,728
LINEN/BEDDING/APPAREL	$2,264,723	$2,217,799	$46,924

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,789,274	TotalAmt
Program Services	$596,856	ProgramServicesAmt
Management And General	$1,192,418	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$678,451,458	TotalAmt
Program Services	$596,166,187	ProgramServicesAmt
Management And General	$82,285,271	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,524	BOYAmt
EOY	$13,520	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$149,133,184	BOYAmt
EOY	$69,794,456	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$371,565	BOYAmt
EOY	$170,882	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$80,200,663	BOYAmt
EOY	$88,892,086	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,661,924	BOYAmt
EOY	$1,611,553	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,819,245	BOYAmt
EOY	$7,750,154	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$84,105,814	BOYAmt
EOY	$82,819,943	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$282,689,382	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$46,038,278	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$244,734,271	BOYAmt
EOY	$236,651,104	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$50,849,993	BOYAmt
EOY	$211,500,549	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$66,526,969	BOYAmt
EOY	$70,337,220	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,881,278	BOYAmt
EOY	$1,972,730	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,310,000	BOYAmt
EOY	$10,310,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$20,498,730	BOYAmt
EOY	$11,088,823	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$716,107,160	BOYAmt
EOY	$792,913,020	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$147,928,633	BOYAmt
EOY	$129,146,860	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,536,881	BOYAmt
EOY	$163,440	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$70,205,539	BOYAmt
EOY	$65,757,482	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,248,456	BOYAmt
EOY	$4,448,058	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,326,156	BOYAmt
EOY	$18,112,460	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$242,245,665	BOYAmt
EOY	$217,628,300	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	$473,861,495	BOYAmt
EOY	$575,284,720	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$473,861,495	BOYAmt
EOY	$575,284,720	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$716,107,160	BOYAmt
EOY	$792,913,020	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$65,634,194	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$33,377,624	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$1,340	DonatedServicesAndUseFcltsAmt
Prior Period Adjustments	-$1,916,081	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$4,326,148	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	$26,443	OtherActivitiesAmt
Total Lobbying Expenditures	$26,443	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	LOBBYING EXPENDITURES PAID DIRECTLY BY THE FILING ORGANIZATION FOR ANNUAL MEMBERSHIP DUES: AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES: $ 7 CALIFORNA SOCIETY OF HEALTH SYSTEMS PHARMACISTS: $ 5 GREATER STOCKTON CHAMBER OF COMMERCE: $ 11 AMERICAN ACADEMY OF EMERGENCY MEDICINE: $ 26 AMERICAN ACADEMY OF FAMILY PRACTICE: $ 226 AMERICAN COLLEGE OF EMERGENCY PHYSICIANS: $ 190 AMERICAN COLLEGE OF PHYSICIANS: $ 60 SOCIETY OF TEACHERS OF FAMILY MEDICINE: $ 71 LOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: 340 B HEALTH: $ 103 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA: $ 14,089 AMERICAN HOSPITAL ASSOCIATION: $ 7,792 ALLIANCE OF CATHOLIC HEALTH: $ 3,719 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES: $ 144 TOTAL EXPENDITURES PAID TO ORGANIZATIONS: $26,443	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,660,000	OtherCostOrOtherBasisAmt
Book Value	$13,660,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$201,843,784	OtherCostOrOtherBasisAmt
Depreciation	$20,276,750	DepreciationAmt
Book Value	$181,567,034	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$267,900	OtherCostOrOtherBasisAmt
Depreciation	$167,534	DepreciationAmt
Book Value	$100,366	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,253,534	OtherCostOrOtherBasisAmt
Depreciation	$25,413,699	DepreciationAmt
Book Value	$28,839,835	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,664,164	OtherCostOrOtherBasisAmt
Depreciation	$180,295	DepreciationAmt
Book Value	$12,483,869	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$236,651,104	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	CSH POOLED INVESTMENTS	Desc
Book Value	$70,337,220	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$70,337,220	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
PENSION PAYABLE	$11,578,003
ASSET RETIREMENT OBLIGATION LIABILITY	$6,534,457

Field	Value	IRS element (for citing)
Total Liability	$18,112,460	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER REVIEW ITS TAX QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.	ExplanationTxt

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	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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)
Persons Served	11140	PersonsServedCnt
Total Community Benefit Expns	$7,104,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$207,457	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,897,066	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	51370	PersonsServedCnt
Total Community Benefit Expns	$210,950,956	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$191,592,346	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,358,610	NetCommunityBenefitExpnsAmt
Total Expense	0.02850	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	62510	PersonsServedCnt
Total Community Benefit Expns	$218,055,479	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$191,799,803	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,255,676	NetCommunityBenefitExpnsAmt
Total Expense	0.03870	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	34	ActivitiesOrProgramsCnt
Persons Served	10496	PersonsServedCnt
Total Community Benefit Expns	$4,582,948	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$766,001	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,816,947	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	859	PersonsServedCnt
Total Community Benefit Expns	$17,992,335	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,192,415	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,799,920	NetCommunityBenefitExpnsAmt
Total Expense	0.02030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	294	PersonsServedCnt
Total Community Benefit Expns	$13,301	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,301	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$387,527	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,898	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$357,629	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	3841	PersonsServedCnt
Total Community Benefit Expns	$2,432,471	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$374,154	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,058,317	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	56	ActivitiesOrProgramsCnt
Persons Served	15490	PersonsServedCnt
Total Community Benefit Expns	$25,408,582	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,362,468	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,046,114	NetCommunityBenefitExpnsAmt
Total Expense	0.02940	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	56	ActivitiesOrProgramsCnt
Persons Served	78000	PersonsServedCnt
Total Community Benefit Expns	$243,464,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$197,162,271	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,301,790	NetCommunityBenefitExpnsAmt
Total Expense	0.06810	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$130,535	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$130,535	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$130,535	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$130,535	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,901,612	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$143,674,291	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$140,090,899	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,583,392	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

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 ST JOSEPH'S SURGERY CENTER LP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.68460	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.09800	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
ST JOSEPHS MEDICAL CENTER OF STOCKTON
1	1800 N CALIFORNIA ST	STOCKTON	CA	95204	WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORN	030000284	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
ST JOSEPHS BEHAVIORAL HEALTH CENTER
2	2510 N CALIFORNIA ST	STOCKTON	CA	95204	WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORN	030000367	Yes (X)				A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY GROUP A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, PAGE 8	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.HEALTHIERSANJOAQUIN.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	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	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	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
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, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	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 Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: ST JOSEPHS MEDICAL CENTER OF STOCKTON, - FACILITY 2: ST JOSEPHS BEHAVIORAL HEALTH CENTER
FACILITY GROUP A PART V, SECTION B, LINE 5:	FOR THE 2019 (TY 2018) CHNA, COMMUNITY INPUT WAS OBTAINED FROM A BROAD RANGE OF COMMUNITY MEMBERS USING KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND SURVEYS. INDIVIDUALS WITH KNOWLEDGE, INFORMATION AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM LOCAL GOVERNMENTAL AND PUBLIC HEALTH AGENCIES AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE HOSPITAL CONDUCTED KEY INFORMANT INTERVIEWS WITH ELEVEN INDIVIDUALS REPRESENTING DIVERSE SECTORS INCLUDING: PUBLIC HEALTH, HEALTH CARE, COMMUNITY-BASED ORGANIZATIONS, SOCIAL SERVICES, EDUCATION AND GOVERNMENT. ORGANIZATIONS REPRESENTED IN INTERVIEWS INCLUDED: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, COMMUNITY MEDICAL CENTERS, SAN JOAQUIN GENERAL HOSPITAL, SAN JOAQUIN COUNTY OFFICE OF EDUCATION, SAN JOAQUIN COUNTY HUMAN SERVICES AGENCY, SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES, FAMILY RESOURCE AND REFERRAL CENTER, FIRST 5 SAN JOAQUIN COUNTY, ST MARY'S DINING ROOM, SAN JOAQUIN PRIDE CENTER, AND ASIAN PACIFIC SELF DEVELOPMENT AND RESIDENTIAL ASSOCIATION. THIRTY-ONE COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED IN GEOGRAPHIC AREAS WITHIN SAN JOAQUIN COUNTY, INCLUDING STOCKTON, LODI, TRACY AND MANTECA. NINETEEN GROUPS WERE CONDUCTED IN ENGLISH, TEN WERE CONDUCTED IN SPANISH, ONE WAS CONDUCTED IN TAGALOG AND ONE WAS CONDUCTED IN CAMBODIAN. PARTICIPANTS WERE TEENS, ADULTS, AND OLDER ADULTS, WHO REPRESENTED UNDERSERVED, LOW-INCOME, AND VARIED ETHNIC COMMUNITIES.
FACILITY GROUP A PART V, SECTION B, LINE 6A:	MEMBERS OF THE HEALTHIER SAN JOAQUIN COLLABORATIVE, INCLUDING: ADVENTIST HEALTH LODI MEMORIAL, DAMERON HOSPITAL, KAISER PERMANENTE HOSPITAL IN MANTECA, SUTTER TRACY COMMUNITY HOSPITAL.
FACILITY GROUP A PART V, SECTION B, LINE 6B:	MEMBERS OF THE HEALTHIER SAN JOAQUIN COLLABORATIVE, INCLUDING: FIRST 5 SAN JOAQUIN, HEALTH NET, HEALTH PLAN OF SAN JOAQUIN, SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES
FACILITY GROUP A PART V, SECTION B, LINE 11:	ST. JOSEPH'S MEDICAL CENTER OF STOCKTONTHE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: MENTAL HEALTH, ECONOMIC SECURITY, OBESITY/HEALTHY EATING ACTIVE LIVING/DIABETES, AND VIOLENCE/INJURY PREVENTION, ACCESS TO CARE, SUBSTANCE ABUSE/TOBACCO, ORAL HEALTH. THE HOSPITAL DELIVERED SEVERAL PROGRAMS AND SERVICES TO HELP ADDRESS IDENTIFIED SIGNIFICANT COMMUNITY HEALTH NEEDS. THESE INCLUDED:MENTAL HEALTH: FRIENDS OF SENIORS, MENTAL HEALTH FIRST AID TRAINING, SAN JOAQUIN COUNTY TRANSFORMING COMMUNITIES FOR HEALING, YOUTH OVERCOMING LIFE'S OBSTACLES (YOLO) GROUP, SOCIAL NEEDS SUPPORT THROUGH OUR DIABETES PROGRAMMING, AND BY SUPPORTING BOYS & GIRLS CLUB AT SIERRA VISTA AND DELTA HEALTH CARE & MANAGEMENT SERVICES CORPORATION THROUGH THE COMMUNITY BENEFIT GRANTS PROGRAM. ECONOMIC SECURITY: CONTINUED INVOLVEMENT IN SAN JOAQUIN COUNTY WHOLE PERSON CARE AND SAN JOAQUIN COUNTY CONTINUUM OF CARE, CONNECTED COMMUNITY NETWORK, GOSPEL CENTER RESCUE MISSION RECUPERATIVE CARE, AND BY SUPPORTING VISIONARY HOME BUILDERS OF CALIFORNIA, INC, AND LUTHERAN SOCIAL SERVICES THROUGH THE COMMUNITY BENEFIT GRANTS PROGRAM. OBESITY/DIABETES: DIABETES EDUCATION AND EMPOWERMENT PROGRAM, DIABETES NAVIGATOR, CERTIFIED DIABETES EDUCATOR CONSULTATIONS, SWEET JOURNEY 101, SUGAR FIX SUPPORT GROUP, MATTER OF BALANCE, SAN JOAQUIN COMMUNITY HEALTH IMPROVEMENT PLAN FOCUSING ON PARK ACTIVATION AND BEAUTIFICATION, AND BY SUPPORTING BOYS & GIRLS CLUB AT SIERRA VISTA THROUGH THE COMMUNITY BENEFIT GRANTS PROGRAM. VIOLENCE AND INJURY: HUMAN TRAFFICKING AWARENESS AND EDUCATION AND DEVELOPMENT OF PROGRAMMING AROUND TRAUMA INFORMED CARE. ACCESS TO CARE: ST MARY'S FREE MEDICAL CLINIC, GRADUATE MEDICAL EDUCATION (GME) PROGRAM, AND RECUPERATIVE CARE WHICH ALSO INCREASE HOUSING ACCESS ALONG WITH LINKAGES TO MENTAL HEALTH AND SUBSTANCE USE TREATMENT, AND BY SUPPORTING DENTISTS ORGANIZED FOR VETERANS AND DELTA HEALTH CARE AND MANAGEMENT SERVICES CORPORATION THROUGH THE COMMUNITY BENEFIT GRANTS PROGRAM. SUBSTANCE USE: BRIDGE PROGRAM TO EXPAND MEDICATION ASSISTED TREATMENT WITH BUPRENORPHINE.ORAL HEALTH: SUPPORT OF ST MARY'S FREE DENTAL CLINIC AND BY SUPPORTING DENTISTS ORGANIZED FOR VETERANS THROUGH THE COMMUNITY BENEFIT GRANTS PROGRAM.THE HOSPITAL WILL NOT ADDRESS THE NEED OF ASTHMA, SO THAT RESOURCES CAN BE DIRECTED TOWARDS HIGHER PRIORITY NEEDS. IN ADDITION, THE UNIVERSITY OF THE PACIFIC'S SCHOOL OF PHARMACY OFFERS PERSONALIZED EDUCATION FOR BOTH PEDIATRIC AND ADULT PATIENTS VIA THEIR ASTHMA CLINIC WHICH IS OPEN TO ALL MEMBERS OF THE SAN JOAQUIN COMMUNITY. THE HOSPITAL WILL NOT ADDRESS "CLIMATE AND HEALTH" BECAUSE THE TOPIC IS NOT THE HOSPITAL'S AREA OF EXPERTISE.ST. JOSEPH'S BEHAVIORAL HEALTH CENTER: THE MENTAL HEALTH SIGNIFICANT COMMUNITY HEALTH NEED THE HOSPITAL IS HELPING TO ADDRESS WAS IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL INTENDS TO TAKE SEVERAL ACTIONS AND TO DEDICATE RESOURCES TO THESE NEEDS, INCLUDING: BEHAVIORAL EVALUATION SERVICES WHICH PROVIDE FREE EVALUATION TO INDIVIDUALS WITH BEHAVIORAL HEALTH CONCERNS; COMMUNITY SUPPORT GROUPS AND AFTERCARE SERVICES, WHICH PROVIDE FREE SUPPORT PROGRAM TO INDIVIDUALS LIVING WITH LIFE-AFFECTING SUBSTANCE OR CONTINUING BEHAVIOR HEALTH ISSUES; FREE TRANSPORTATION FOR QUALIFIED CLIENTS THAT OTHERWISE WOULD NOT BE ABLE TO ATTEND OUR OUTPATIENT SERVICES GROUPS. OTHER SIGNIFICANT NEEDS IDENTIFIED IN THE HOSPITAL'S COLLABORATIVE CHNA INCLUDE: ECONOMIC SECURITY, OBESITY/HEALTHY EATING ACTIVE LIVING/DIABETES, AND VIOLENCE/INJURY PREVENTION, ACCESS TO CARE, SUBSTANCE ABUSE/TOBACCO, ORAL HEALTH, ASTHMA, AND CLIMATE AND HEALTH. AS A HOSPITAL EXCLUSIVELY DELIVERING BEHAVIORAL HEALTH SERVICES, NEEDS IDENTIFIED IN THE BROADER CHNA BEYOND MENTAL HEALTH ARE NOT ONES THAT THE HOSPITAL IS ABLE TO ADDRESS. OTHER HOSPITALS AND COMMUNITY SERVICE ORGANIZATIONS IN THE REGION ARE ADDRESSING THESE NEEDS.
PART V, SECTION B, LINE 7A	CHNA REPORT WEB SITE LOCATIONS FOR ST JOSEPH'S MEDICAL CENTER OF STOCKTON AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER ARE PROVIDED BELOW.HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTON/ABOUT-US/COMMUNITY-PROGRAMS/COMMUNITY-HEALTH-NEEDS-ASSESMENTHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/ABOUT-US/COMMUNITY-HEALTH
PART V, SECTION B, LINE 10A	THE HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED ATHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTON/ABOUT-US/COMMUNITY-PROGRAMS/COMMUNITY-HEALTH-NEEDS-ASSESMENTHTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/ABOUT-US/COMMUNITY-HEALTH
PART V, SECTION B, LINE 16A, 16B AND 16C	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON: HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTON/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEST. JOSEPH'S BEHAVIORAL HEALTH CENTER: HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - ST JOSEPH'S SURGERY CENTER LP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1800 N CALIFORNIA STREET SUITE 1	AddressLine1Txt
City	STOCKTON	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95204	ZIPCd

Field	Value	IRS element (for citing)
Facility	SURGERY CENTER	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	PORT CITY OPERATING COMPANY, LLC, DBA ST. JOSEPH'S MEDICAL CENTER OF STOCKTON (SJMC) AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER (BHC) FOLLOWS THE METHOD USED BY DIGNITY HEALTH. FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, THE ORGANIZATION USES AN ADJUSTED COST TO CHARGE RATIO CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 IS USED IN THE CBISA SOFTWARE TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS.SCHEDULE H, PART I, LINE 7B, COLUMN (F)BEGINNING IN 2009, THE STATE OF CALIFORNIA ESTABLISHED PROVIDER FEE PROGRAMS. THESE PROGRAMS ARE FUNDED BY QUALITY ASSURANCE FEES PAID BY PARTICIPATING HOSPITALS AND MATCHING FEDERAL FUNDS. PORT CITY'S HOSPITAL FACILTIES RECOGNIZED QUALITY ASSURANCE FEES DURING THE YEAR OF $32.9 MILLION WHICH ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO UNREIMBURSED MEDICAID (PART I, LINE 7B, COLUMN C), AND RECOGNIZED FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $65 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D). THIS NET GAIN IN THE COST OF THE MEDICAID PROGRAM IS DRIVING THE INCREASE IN THE OVERALL COST OF COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES WHEN COMPARED TO PRIOR YEARS.
PART I, LINE 7G:	INCLUDED IN SUBSIDIZED HEALTH SERVICES IS $13,301 OF SUBSIDIZED HEALTH SERVICES ASSOCIATED WITH PHYSICIAN CLINICS AS THESE SERVICES ARE PROVIDED TO THE COMMUNITIES AT A FINANCIAL LOSS. IF DIGNITY HEALTH DID NOT PROVIDE THESE SERVICES, THEY WOULD EITHER BE UNAVAILABLE OR INSUFFICIENTLY AVAILABLE IN THE COMMUNITY, OR THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR ANOTHER TAX-EXEMPT ORGANIZATION.SCHEDULE H, PART I, LINE 7IINCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $458 THOUSAND IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT") FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, CONSISTENT WITH CHFT'S MISSION OF SUPPORTING HEALTH CARE, ACCESS TO HEALTH CARE, RESEARCH AND EDUCATION.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES PROVIDED BY MEDICAL CENTER STAFF IN THE LAST YEAR INCLUDE SUPPORTING THE COUNTY'S HOMELESS CONTINUUM OF CARE AND ITS PARTNERS IN STRATEGIES AROUND HOMELESSNESS, INCLUDING IDENTIFYING, ADVOCATING FOR, AND SUPPORTING THE SECURITY OF RESOURCES TO INCREASE DEVELOPMENT OF AFFORDABLE HOUSING AND IMMEDIATE HOUSING FOR THOSE EXPERIENCING HOMELESSNESS.OTHER ACTIVITIES AND ACCOMPLISHMENTS INCLUDE SUPPORTING ECONOMIC DEVELOPMENT THROUGH LEADERSHIP ON THE BUSINESS COUNCIL, SUPPORTING THE LOCAL PUBLIC HEALTH DEPARTMENT IN COVID-19 RESPONSE THROUGH OUTREACH, PPE DISTRIBUTION AND COMMUNICATIONS SUPPORT TO INCREASE VACCINATION RATES, CO-FUNDING AND CO-FACILITATING THE NEW TRAUMA TRAIN THE TRAINER PROGRAM IN ORDER TO TRAIN COMMUNITY PARTNERS AND THEIR TEAMS ON TRAUMA INFORMED CARE, COALITION BUILDING AND SUPPORT FOR COMMUNITY HEALTH WORKERS TO IMPROVE HEALTH OUTCOMES, TRAUMA GROUPS TO IDENTIFY STRATEGIES TO MITIGATE/REDUCE COMMUNITY TRAUMA AND VIOLENCE, HUMAN TRAFFICKING RESPONSE AND REDUCTION, AND PARK ACTIVIATION AND BEAUTIFICATION IN RESPONSE TO THE COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN, AS WELL AS WORKFORCE DEVELOPMENT THROUGH THE RECRUITMENT OF PHYSICIANS IN MEDICAL SHORTAGE AREAS OF THE COMMUNITY.
PART III, LINE 2:	THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE ABOVE) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER FINANCIAL ASSISTANCE, AND ARE OTHERWISE UNINSURED. ANY PORTION OF A PATIENT BILL REMAINING AFTER APPLYING FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT THAT ARE ULTIMATELY DETERMINED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO BAD DEBT.PORT CITY PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES; UNDER 250%, 251%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL. PORT CITY ALSO PROVIDES PATIENTS OPTIONS FOR PROMPT PAY DISCOUNTS AND INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 30%. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.
PART III, LINE 3:	PORT CITY MAKES EVERY EFFORT IN DETERMINING IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. PORT CITY FOLLOWS DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY. DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. DIGNITY HEALTH ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT NO SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE WERE REPORTED AS BAD DEBT. AS SUCH, DIGNITY HEALTH DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE.
PART III, LINE 4:	THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT HEALTH'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2021, RELATED TO ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE:PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES.PORT CITY MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES. RESERVES FOR CHARITY AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEET.
PART III, LINE 8:	COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPLIES WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, 2150FF AND PRM 15-2, 1000FF. AS SUCH, THE FOLLOWING LANGUAGE PER THE PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT:TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES.
PART III, LINE 9B:	PORT CITY ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. PORT CITY ALSO FOLLOWS DIGNITY HEALTH'S BILLING AND COLLECTION POLICY. DIGNITY HEALTH'S COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHOM THE ORGANIZATION KNOWS QUALIFY FOR CHARITY CARE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE HOSPITAL FACILITIES OR THE BILLING COMPANY RETAINED BY DIGNITY HEALTH IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER DIGNITY HEALTH'S FINANCIAL ASISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, PORT CITY WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT.ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY DIGNITY HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNTS TO A COLLECTION AGENCY, PORT CITY REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
PART VI, LINE 2:	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT COMPLETED IN COLLABORATION WITH OTHER HOSPITALS, LOCAL PUBLIC HEALTH AND COMMUNITY PARTNERS IN THE HEALTHIER COMMUNITIES COALITION, ST. JOSEPH'S ASSESSES LOCAL NEEDS CONTINUOUSLY THROUGH ONGOING ENGAGEMENT IN THE HEALTHIER COMMUNITY COALITION AND A WIDE RANGE OF OTHER COMMUNITY ORGANIZATIONS, WORK GROUPS AND PROJECTS WITH PARTNERS. MANY OF THESE SPECIFIC ENGAGEMENTS ARE DESCRIBED IN SCHEDULE H, PART VI, LINE 5 BELOW. THE HOSPITALS CREATE AND MAKE WIDELY AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS THAT SUMMARIZE IDENTIFIED HEALTH NEEDS, UPDATE COMMUNITY DEMOGRAPHIC INFORMATION, AND REPORT ON RECENT AND PLANNED COMMUNITY HEALTH PROGRAMS, INCLUDING GOALS, OBJECTIVES AND MEASURABLE RESULTS.THE HOSPITALS UTILIZE DIGNITY HEALTH'S COMMUNITY NEED INDEX (CNI), WHICH PROVIDES AN AGGREGATE SCORE OF THE SOCIOECONOMIC BARRIERS THAT PUT RESIDENTS AT GREATER RISK OF NEEDING HEALTH SERVICES. CREATED WITH TRUVEN HEALTH ANALYTICS, THE CNI AGGREGATES NINE INDICATORS INTO FIVE SOCIOECONOMIC FACTORS KNOWN TO CONTRIBUTE TO HEALTH DISPARITY. THE FIVE INCLUDE INCOME, CULTURE/LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE. THE INDEX IS CALCULATED ANNUALLY FOR EVERY ZIP CODE IN THE UNITED STATES. RESIDENTS OF COMMUNITIES WITH THE HIGHEST CNI SCORES WERE SHOWN TO BE TWICE AS LIKELY TO EXPERIENCE PREVENTABLE HOSPITALIZATION FOR MANAGABLE CONDITIONS AS COMMUNITIES WITH THE LOWEST CNI SCORES. THE CNI PROVIDES COMPELLING EVIDENCE FOR ADDRESSING SOCIOECONOMIC BARRIERS WHEN CONSIDERING HEALTH POLICY AND LOCAL HEALTH PLANNING. THE TOOL HIGHLIGHTS HEALTH CARE DISPARITIES AND ENABLES HEALTHCARE PROVIDERS, POLICYMAKERS, AND OTHERS TO TARGET RESOURCES WHERE THEY ARE MOST NEEDED. ADDITIONAL INFORMATION ABOUT THE CNI IS ACCESSIBLE AT HTTP://CNI.DIGNITYHEALTH.ORG
PART VI, LINE 3:	INFORMATION ABOUT PORT CITY'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS THE PORT CITY'S FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES PORT CITY'S FACILITIES SERVE. THE SIGNAGE INCLUDES NOTIFICATION THAT ALL UNINSURED PATIENTS RECEIVE AN UNINSURED DISCOUNT OF 30%, AND THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION OR WITH PROMPT PAYMENT. FINANCIAL ASSISTANCE INFORMATION, GOVERNMENT PROGRAM RESOURCE INFORMATION, TOOLS TO ASSIST PATIENTS IN FINDING HEALTH COVERAGE, ANSWERS TO FREQUENTLY ASKED BILLING QUESTIONS, AND OTHER SUCH INFORMATION CAN ALSO BE FOUND ON THE HOSPITAL'S WEBSITE AT HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCKTON/PATIENTS-AND-VISITORS/FOR-PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE AND HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVIORAL/PATIENTS-AND-VISITORS/PATIENTS/BILLING-INFORMATION/FINANCIAL-ASSISTANCEIF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO UNINSURED PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS WITHOUT INSURANCE COVERAGE THAT THEY MAY BE ELIGIBLE FOR A GOVERNMENT SPONSORED PROGRAM OR FACILITY FUNDED FINANCIAL ASSISTANCE, INSTRUCTIONS ON HOW TO APPLY FOR A GOVERNMENT PROGRAM OR FINANCIAL ASSISTANCE AND THE PROVISION OF SUCH APPLICATIONS. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF PORT CITY REQUIRE ALL INITIAL STATEMENTS TO UNINSURED PATIENTS TO INCLUDE VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE FINANCIAL ASSISTANCE APPLICATION. ALSO, ANY MEMBER OF THE DIGNITY HEALTH FACILITY STAFF OR MEDICAL STAFF MAY MAKE REFERRALS OF PATIENTS FOR FINANCIAL ASSISTANCE. THE PATIENT, A FAMILY MEMBER, A CLOSE FRIEND OR AN ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4:	THE PRIMARY SERVICE AREA OF ST. JOSEPH'S MEDICAL CENTER AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER IS THE CITY OF STOCKTON, WITH A SECONDARY SERVICE AREA OF SAN JOAQUIN COUNTY. MANY OF THE COMMUNITIES SERVED BY THE HOSPITAL ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND THE MIGRANT FARM WORKERS SERVED BY THE HOSPITAL ARE DESIGNATED AS A MEDICALLY UNDERSERVED POPULATION.TOTAL POPULATION: 321,404 WHITE - NON-HISPANIC: 18.7%BLACK/AFRICAN AMERICAN: 9.4%HISPANIC OR LATINO: 51.5%ASIAN/PACIFIC ISLANDER: 16.4%ALL OTHERS: 4.0%% BELOW POVERTY: 17.0%UNEMPLOYMENT: 8.5%NO HIGH SCHOOL DIPLOMA: 25.7%MEDICAID (HOUSEHOLD): 12.7%UNINSURED (HOUSEHOLD): 6.6%OTHER AREA HOSPITALS: 7
PART VI, LINE 5:	PORT CITY BOARD OF MANAGERS IS RESPONSIBLE FOR ENSURING THAT COMMUNITY HEALTH IS ONE OF THE MAJOR GOALS IN THE STRATEGIC PLANNING PROCESS. THE BOARD OF MANAGERS IS A GROUP OF BUSINESS HEALTH EXECUTIVES WHO PROVIDE A BROAD SPECTRUM OF PERSPECTIVES ON PLANS PRESENTED FOR THEIR APPROVAL. ST. JOSEPH'S MEDICAL CENTER AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER (A DBA OF PORT CITY) PRESIDENT IS COMMITTED TO THE COMMUNITY BENEFIT PROCESS AND ACCOUNTABLE TO DIGNITY HEALTH SYSTEM LEADERSHIP.ST. JOSEPH'S MEDICAL CENTER AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER SERVE AN IMPORTANT ROLE IN IMPROVING THE HEALTH OF THE COMMUNITY THROUGH WORKING COLLABORATIVELY WITH COMMUNITY PARTNERS, PROVIDING LEADERSHIP AND ADVOCACY, CAREFULLY MANAGING RESOURCES, ASSISTING WITH LOCAL CAPACITY BUILDING AND PARTICIPATING IN COMMUNITY-WIDE HEALTH PLANNING. THE LEADERSHIP ROLE IS ESPECIALLY IMPORTANT IN SAN JOAQUIN COUNTY WHERE INDIVIDUAL AND COMMUNITY RESOURCES ARE VERY LIMITED.THE HEALTHIER COMMUNITY COALITION IS A CONSORTIUM OF ALL THE LOCAL HOSPITALS, THE MEDI-CAL MANAGED CARE PLANS, THE COUNTY PUBLIC HEALTH DEPARTMENT, AND NUMEROUS COMMUNITY BASED ORGANIZATIONS. THE COALITION HAS SHARED GOVERNANCE BY ALL MEMBERS, THE CHAIR POSITION ROTATES ANNUALLY, AND ST. JOSEPH'S MEDICAL CENTER SERVES AS THE FIRST FISCAL SPONSOR. THE HEALTHIER COMMUNITY COALITION PROVIDES CONTINUOUS INPUT ON THE COMMUNITY BENEFIT WORK TO THE MANAGEMENT TEAM OF ST. JOSEPH'S MEDICAL CENTER.LEADERS FROM ST. JOSEPH'S SERVE AS BOARD MEMBERS OF NUMEROUS COMMUNITY ORGANIZATIONS AND COLLABORATIVES, INCLUDING ST. MARY'S DINING ROOM, WOMEN'S CENTER YOUTH AND FAMILY SERVICES, COMMUNITY PARTNERSHIP FOR FAMILIES, SAN JOAQUIN COMPASSIONATE CARE COALITION, O'CONNOR WOODS, ST. MARY'S HIGH SCHOOL FOUNDATION, BUSINESS COUNCIL OF SAN JOAQUIN COUNTY, THE HOSPITAL COUNCIL, AND THE COMMUNITY HEALTH LEADERSHIP COUNCIL. THE HOSPITALS HAVE DEDICATED LEADERSHIP AND A COMMUNITY HEALTH DEPARTMENT WORKING CLOSELY WITH OTHER HEALTHCARE PROVIDERS, COMMUNITY BASED ORGANIZATIONS, AND INDIVIDUALS TO DEVELOP AND SHARE RESOURCES. THE DIRECTOR OF COMMUNITY HEALTH LEADS THE DEVELOPMENT OF COMMUNITY-WIDE INITIATIVES TO ADDRESS THE PRIORITY HEALTH NEEDS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITALS ARE ALSO A MEMBER OF THE HOMELESS MEDICAL RECUPERATIVE CARE HEALTHCARE ADVISORY GROUP, THE CONTINUUM OF CARE, REINVENT SOUTH STOCKTON COALITION, AND THE SAN JOAQUIN HUMAN TRAFFICKING TASK FORCE. THE HOSPITALS ARE ALSO A LEAD PARTNER IN THE DEVELOPMENT OF THE SAN JOAQUIN COUNTY TRANSFORMING COMMUNITIES FOR HEALTHING, A COLLABORATIVE OF OVER 40 COMMUNITY PARTNERS FOCUSSED ON ADDRESSING TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES.
PART VI, LINE 6:	PORT CITY IS 80% OWNED BY DIGNTY HEALTH AND THEREFORE AFFILIATED WITH ALL ENTITIES WITHIN DIGNITY HEALTH. AFFILIATES OF DIGNITY HEALTH ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, GRASS VALLEY/NEVADA CITY, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA, AND LAS VEGAS, HENDERSON, NEVADA AND IN 18 ADDITIONAL STATES THROUGH THE ALLIANCE WITHIN COMMONSPIRIT HEALTH SYSTEM. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT HEALTH AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES PORT CITY, FOR THE YEAR ENDED JUNE 30, 2021, IS $2.6 BILLION. A SUMMARY OF COMMONSPIRIT'S COMMUNITY BENEFITS CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT HEALTH CONSOLIDATED FINANCIAL STATEMENTS ON PAGE 45.
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 (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
DIGNITY HEALTH
185 BERRY STREET SUITE 200	SAN FRANCISCO	CA	94107	941196203	501(C)(3)	$354,350	$0	N/A	N/A	HOSPITAL SUPPORT
DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVE	RANCHO CORDOVA	CA	95670	680220314	501(C)(3)	$9,142,253	$0	N/A	N/A	MEDICAL FND SUPPORT
CALIFORNIA HEALTH FOUNDATION AND TRUST
1215 K STREET SUITE 800	SACRAMENTO	CA	95814	941498697	501(C)(3)	$458,317	$0	N/A	N/A	COMMUNITY HEALTH
ST JOSEPH'S FOUNDATION OF SAN JOAQUIN
1800 N CALIFORNIA STREET	STOCKTON	CA	95204	510432777	501(C)(3)	$808,877	$0	N/A	N/A	FOUNDATION SUPPORT
COMMUNITY FOUNDATION OF SAN JOAQUIN INC
6731 HERNDON PL	STOCKTON	CA	95219	261476916	501(C)(3)	$80,000	$0	N/A	N/A	COMMUNITY HEALTH
UNIVERSITY OF THE PACIFIC MCGEORGE SCHOOL OF LAW
3601 PACIFIC AVE	STOCKTON	CA	95211	941156266	501(C)(3)	$66,500	$0	N/A	N/A	EDUCATION SUPPORT
ASIAN PACIFIC SELF DEVELOPMENT DBA SOUTHEAST ASIAN HEALTH COMMITTEE
3830 N ALVARADO ST STE C	STOCKTON	CA	95204	680224100	501(C)(3)	$35,000	$0	N/A	N/A	COMMUNITY HEALTH
TIDES CENTER
1012 TORNEY AVE	SAN FRANCISCO	CA	94129	943213100	501(C)(3)	$35,000	$0	N/A	N/A	COMMUNITY HEALTH
FAMILY RESOURCE & REFERRAL CENTER
509 W WEBER AVE STE 101	STOCKTON	CA	95203	941691503	501(C)(3)	$22,500	$0	N/A	N/A	COMMUNITY HEALTH
COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN
2044 FAIR ST	STOCKTON	CA	95206	680475602	501(C)(3)	$20,000	$0	N/A	N/A	COMMUNITY HEALTH
UNITED WAY OF SAN JOAQUIN
777 N PERSHING AVE STE B	STOCKTON	CA	95203	941279805	501(C)(3)	$12,500	$0	N/A	N/A	COMMUNITY HEALTH
PUBLIC HEALTH ADVOCATES
PO BOX 2309	DAVIS	CA	95617	954723901	501(C)(3)	$10,000	$0	N/A	N/A	COMMUNITY HEALTH
AMERICAN HEART ASSOCIATION INC
7425 W PALMS BLUFFS AVE	FRESNO	CA	93711	135613797	501(C)(3)	$8,460	$0	N/A	N/A	COMMUNITY HEALTH
SAN JOAQUIN DELTA COMMUNITY COLLEGE DISTRICT
5151 PACIFIC AVE	STOCKTON	CA	95207	941044400	SJDCC DISTRICT	$8,000	$0	N/A	N/A	EDUCATION SUPPORT
FATHERS & FAMILIES OF SAN JOAQUIN
PO BOX 30674	STOCKTON	CA	95213	320171398	501(C)(3)	$6,330	$0	N/A	N/A	COMMUNITY HEALTH

Field	Value	IRS element (for citing)
Total501c3 Org	15	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
PROVISION OF FOOD/MEALS	2455	$28,358	BOOK	FOOD/MEALS
MEDICAL SUPPLIES/EQUIPMENT TO PATIENTS/INDIGENTS	56	$1,293	BOOK	FIRST AID KITS/DIAPERS
TRANSPORTATION	139	$1,821	BOOK	TRANSPORTATION

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DONATIONS ARE PROVIDED TO THE COMMUNITY TO FURTHER THE MISSION OF THE MEDICAL CENTER AND SUPPORT VARIOUS COMMUNITY PROGRAMS. ST. JOSEPH'S MEDICAL CENTER PROVIDES DONATIONS TO SUPPORT COMMUNITY PROGRAMS THAT MEET SPECIFIC CRITERIA THROUGH ITS COMMUNITY HEALTH DEPARTMENT AND ALSO DONATES DIRECTLY TO VARIOUS COMMUNITY EVENTS AND PROGRAMS THROUGH THE MARKETING AND BUSINESS DEVELOPMENT DEPARTMENTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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
JON VANBOENING
BOARD MEMBER	$0	$623,790	$0	$614,175	$0	$336,249	$0	$302,035	$0	$109,245	$0	$1,985,494	$0	$127,067
JOHN E PETERSDORF
VICE CHAIR	$0	$509,017	$0	$445,500	$0	$105,583	$0	$729,483	$0	$64,074	$0	$1,853,657	$0	$0
DONALD WILEY
PRESIDENT AND CEO	$0	$459,377	$0	$305,530	$0	$294,577	$0	$472,460	$0	$53,306	$0	$1,585,250	$0	$206,436
KEVIN WALTERS
BOARD MEMBER (THRU 6/11/21)	$0	$397,582	$0	$126,775	$0	$6,942	$0	$38,718	$0	$38,750	$0	$608,767	$0	$0
RICHARD CARVOLTH MD
BOARD MEMBER (THRU 7/17/20)	$0	$261,951	$0	$104,361	$0	$58,786	$0	$28,249	$0	$14,659	$0	$468,006	$0	$0
ANDREA NIKKI OCHOA
CHIEF FINANCIAL OFFICER	$0	$203,521	$0	$42,661	$0	$7,164	$0	$28,122	$0	$20,434	$0	$301,902	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4B	SCHEDULE J, PART I, LINE 4A CERTAIN OFFICERS PARTICIPATE IN A SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 1 TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. NO PAYMENTS PURSUANT TO THE PLAN OCCURRED DURING 2020. SCHEDULE J, PART I, LINE 4B CERTAIN OFFICERS ARE ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS PURSUANT TO THE PLAN OCCURRED DURING 2020. DIGNITY HEALTH'S CERTAIN OFFICERS ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR TWO LISTED PERSONS DURING 2020 INCLUDE J. VANBOENING, $127,067 AND D. WILEY, $206,436. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS OTHER REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)).
SCHEDULE J, PART I, LINE 3	ALTHOUGH THE ORGANIZATION DOES NOT EMPLOY PERSONNEL, THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, COMMONSPIRIT, THAT USED A HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE COMMONSPIRIT BOARD OF STEWARDSHIP TRUSTEES; INDEPENDENT COMPENSATION CONSULTANT; COMPENSATION SURVEY OR STUDY; ANDAPPROVAL BY THE BOARD OR HUMAN RESOURCES AND COMPENSATION COMMITTEE TO ESTABLISH TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION.
SCHEDULE J, PART III SUPPLEMENTAL DISCLOSURES	THE ORGANIZATION FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES DIGNITY HEALTH SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND DIGNITY HEALTH'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2020.

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$400	NoncashContributionsRptF990Amt
Method Of Determining Revenues	RESALE VALUE	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$8,189	NoncashContributionsRptF990Amt
Method Of Determining Revenues	RESALE VALUE	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$16,352	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COMPARABLE SALE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (6 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	MEDICAL EQUIPMENT	2	$6,796	COMPARABLE SALE
Yes (X)	COVID FOOD/SUPPLIES	121	$6,083	COMPARABLE SALE
Yes (X)	FOOD AND WINE	16	$5,215	COMPARABLE SALE
Yes (X)	TOYS	6	$2,150	COMPARABLE SALE
Yes (X)	POSTERS	1	$224	COMPARABLE SALE
Yes (X)	GIFT CERTIFICATES/TICKETS	1	$20	COMPARABLE SALE

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	DRUGS AND MEDICAL SUPPLIES: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. MEDICAL EQUIPMENT: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. COVID FOOD AND MEDICAL SUPPLIES: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. FOOD AND WINE: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. TOYS: THE ORGANIZATION IS REPORTING A COMBINATION OF BOTH THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED. GIFT CERTIFICATES/TICKETS: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. POSTERS: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 2A	THE ORGANIZATION DOES NOT HAVE EMPLOYEES. THE ORGANIZATION UTILIZES THE EMPLOYEES OF DIGNITY HEALTH, A RELATED ORGANIZATION, PER THE EMPLOYEE LEASE AGREEMENT. THE SALARIES OF THESE EMPLOYEES ARE INCLUDED ON DIGNITY HEALTH'S FORM W-3 AND FEDERAL EMPLOYMENT TAX RETURNS.
FORM 990, PART VI, SECTION A, LINE 2	CERTAIN REPORTABLE INDIVIDUALS HAVE A BUSINESS RELATIONSHIPS WITH THE RELATED ENTITIES OF PORT CITY (INCLUDING FOR-PROFIT SUBSIDIARIES OR JOINT VENTURES) AS A RESULT OF SERVING AS OFFICERS OR BOARD MEMBERS OF THOSE ENTITIES. BOARD OFFICER MEMBERSHIP ON THE GOVERNING BODIES OF THOSE RELATED ENTITIES ARE AS FOLLOWS. DONALD WILEY, ANDREA NIKKI OCHOA - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6	PORT CITY IS 80% OWNED BY DIGNITY HEALTH AND 20% BY KFH, BOTH 501(C)(3) EXEMPT ORGANIZATIONS. DIGNITY HEALTH IS THE MANAGING MEMBER OF PORT CITY. ON FEBRUARY 1, 2019, DIGNITY HEALTH AND CATHOLIC HEALTH INITIATIVES ("CHI"), A COLORADO NONPROFIT CORPORATION, EFFECTED A BUSINESS COMBINATION. ON THAT DATE, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH AND BECAME THE SOLE CORPORATE MEMBER OF DIGNITY HEALTH. COMMONSPIRIT IS A CATHOLIC HEALTHCARE SYSTEM SPONSORED BY THE PUBLIC JURIDIC PERSON, CATHOLIC HEALTH CARE FEDERATION (CHCF").
FORM 990, PART VI, SECTION A, LINE 7A	DIGNITY HEALTH AND KFH, KNOWN AS THE COMPANY MEMBERS, APPOINT A BOARD OF MANAGERS.
FORM 990, PART VI, SECTION A, LINE 7B	RESERVED RIGHTS OF THE COMPANY MEMBERS INCLUDE: SELL, LEASE, EXCHANGE OR OTHERWISE DISPOSE OF ALL, OR SUBSTANTIALLY ALL, OF THE ORGANIZATION'S PROPERTY, WITH OR WITHOUT THE GOODWILL, OUTSIDE OF THE ORDINARY COURSE OF THE ORGANIZATION'S ACTIVITIES, APPROVE A MERGER OR CONVERSION, UNDERTAKE ANY OTHER ACT OUTSIDE OF THE ORDINARY COURSE OF THE ORGANIZATION'S ACTIVITIES, AND AMEND THE ORGANIZATION'S AGREEMENT.
FORM 990, PART VI, SECTION B, LINE 11B	PORT CITY'S CFO REVIEWED THE FORM 990. IN ADDITION, COMMONSPIRIT'S TAX DEPARTMENT WORKED CLOSELY WITH AN INDEPENDENT ACCOUNTING FIRM ENGAGED TO REVIEW THE RETURN. DUE TO TIMING, THE FORM 990 WILL BE REVIEWED BY THE BOARD OF MANAGERS AND/OR SUBCOMMITTEE OF THE BOARD OF MANAGERS SUBSEQUENT TO FILING WITH THE INTERNAL REVENUE SERVICE. COPIES OF FORM 990, EXCLUDING COMPENSATION INFORMATION WERE PROVIDED VIA EMAIL TO EACH BOARD MEMBER PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS ADOPTED THE RELATED ORGANIZATION, COMMONSPIRIT'S CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") WAS PUT IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. THE POLICY WAS LAST UPDATED DURING THE TAX YEAR ENDED 6/30/2021. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S PERSONNEL IS COMPENSATED BY DIGNITY HEALTH. FOR 2020 COMPENSATION, THE RELATED ORGANIZATION, COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES, APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR THE TOP MANAGEMENT OFFICIALS. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EMPLOYEES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF DIRECTORS. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED.
FORM 990, PART VI, SECTION C, LINE 19	FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION IS INCLUDED IN COMMONSPIRIT'S CONSOLIDATED FINANCIAL STATEMENTS WHICH ARE AVAILABLE ON COMMONSPIRIT'S WEBSITE AND UPON REQUEST.
FORM 990, PART VII, SECTION A	R. CARVOLTH, MD, J. VANBOENING, K. WALTERS AND J. PETERSDORF RECEIVED COMPENSATION FOR SERVICES PROVIDED TO A RELATED ORGANIZATION, DIGNITY HEALTH. ANDREA N OCHOA AND D. WILEY ARE EMPLOYEES OF DIGNITY HEALTH BUT PROVIDE SERVICES AS OFFICERS TO PORT CITY.
FORM 990, PART IX, LINE 11G	REVENUE CYCLE SERVICES: PROGRAM SERVICE EXPENSES 16,035,077. MANAGEMENT AND GENERAL EXPENSES 276,639. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,311,716. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 355,190,095. MANAGEMENT AND GENERAL EXPENSES 50,188,064. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 405,378,159. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 33,320,962. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,320,962. MAINTENANCE/REPAIRS: PROGRAM SERVICE EXPENSES 7,398,590. MANAGEMENT AND GENERAL EXPENSES 955,753. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,354,343. PROFESSIONAL FEES/CONSULTING: PROGRAM SERVICE EXPENSES 1,376,183. MANAGEMENT AND GENERAL EXPENSES 177,776. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,553,959. LAUNDRY /LINEN: PROGRAM SERVICE EXPENSES 1,370,242. MANAGEMENT AND GENERAL EXPENSES 177,008. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,547,250. JANITORIAL/LANDSCAPE/STORAGE: PROGRAM SERVICE EXPENSES 587,202. MANAGEMENT AND GENERAL EXPENSES 75,855. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 663,057. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,696,419. MANAGEMENT AND GENERAL EXPENSES 348,325. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,044,744.
FORM 990, PART XI, LINE 9:	GAIN ON ADOPTION OF ASU 2017-07 4,272,750. CHANGE OF OWNERSHIP INTEREST-JV 53,398.
FORM 990, PART XII, LINE 2C	THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.
FORM 990, PART XII, LINE 3B	THE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN COMMONSPIRIT'S CONSOLIDATED UNIFORM GUIDANCE AUDITED SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF JULY 1, 2020, TO JUNE 30, 2021.
FORM 990, PART XI, LINE 8, PRIOR PERIOD ADJUSTMENTS:	$(1,650,201); CENTRALIZED TRANSACTIONS: TRANSFERS FOR JOURNAL ENTRIES RECORDED CENTRALLY AT COMMONSPIRIT TO STANDARDIZE CONTRACTUAL ALLOWANCE METHODOLOGY ACROSS ALL COMMONSPIRIT AFFILIATES AND SUBSIDIARIES. RECORDED CENTRALLY AT YEAR END AND TRANSFERRED TO FACILITIES IN THE FOLLOWING YEAR. $(265,880); PRIOR YEAR CORRECTION OF CONTRIBUTION OVERPAYMENT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (223 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	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RD	OMAHA	NE	68154	470765154	HOSPITAL	NE	501(C)(3)	LINE 3	ACH	0
ALEGENT CREIGHTON HEALTH
12809 W DODGE RD	OMAHA	NE	68154	470757164	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RD	OMAHA	NE	68124	470484764	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - COMM MEM HOSP OF MO VALLEYIA
631 N 8TH ST	MISSOURI VALLEY	IA	51555	420776568	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST	OMAHA	NE	68122	470376615	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST	SCHUYLER	NE	68661	470399853	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	420782518	HOSPITAL	IA	501(C)(3)	LINE 3	CHI NEBRASKA	0
ALVERNA APARTMENTS
300 SE 8TH AVE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(C)(3)	LINE 10	CSH	0
APPLETREE COURT
601 OAK ST	BRECKENRIDGE	MN	56520	411850500	SENIOR LIVING	MN	501(C)(3)	LINE 10	SFH	0
ARROYO GRANDE COMMUNITY HOSPITAL FOUNDATION
345 S HALCYON RD	ARROYO GRANDE	CA	93420	203256066	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
BAKERSFIELD MEMORIAL HOSPITAL
420 34TH STREET	BAKERSFIELD	CA	93301	951802779	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE	0
BARROW FOUNDATION UK
				311724184	FUNDRAISING FOUNDATION		501(C)(3)	LINE 12D, III-O		0	13 CHURCH STREET	NUNNEY	ENGLAND	UK	BA11 4LW	UK	N/A
BARROW NEUROLOGICAL FOUNDATION
350 WEST THOMAS ROAD	PHOENIX	AZ	85013	860174371	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 7	DIGNITY HEALTH	0
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170	THE WOODLANDS	TX	77384	274499340	PHYSICIANS	TX	501(C)(3)	LINE 12A, I	SLHS	0
BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760458535	PHYSICIANS	TX	501(C)(3)	LINE 3	BSLHV	0
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232187242	INACTIVE	PA	501(C)(3)	LINE 12A, I	CSH	0
BRAZOSPORT HEALTH FOUNDATION INC
1 WEST WAY CT	LAKE JACKSON	TX	77566	760080110	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 12A, I	TCHB	0
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	800240261	PHYSICIANS	TX	501(C)(3)	LINE 3	TCHB	0
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742759890	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC	0
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742913931	REHABILITATION	TX	501(C)(3)	LINE 10	SJSC	0
CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION
1401 SOUTH GRAND AVENUE	LOS ANGELES	CA	90015	954000909	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY COMMUNITY CARE	0
CARRINGTON HEALTH CENTER
800 N 4TH ST	CARRINGTON	ND	58421	450227311	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 EAST MINERAL CIRCLE	CENTENNIAL	CO	80112	840405257	HOSPITAL	CO	501(C)(3)	LINE 3	CSH	0
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVE	DES MOINES	IA	50314	420680448	HOSPITAL	IA	501(C)(3)	LINE 3	CSH	0
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
9100 EAST MINERAL CIRCLE	CENTENNIAL	CO	80112	840902211	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 7	CHIC	0
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 KELLY JOHNSON BLVD 204	COLORADO SPRINGS	CO	80920	270930004	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 12A, I	CSH	0
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	460992796	TELEHEALTH	CO	501(C)(3)	LINE 12A, I	CHI NS	0
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY	ROSEBURG	OR	97471	263946191	SURGERY CENTER	OR	501(C)(3)	LINE 10	MMC - ROSEBURG	0
CENTRAL CALIFORNIA HEALTH CENTERS
300 OLD RIVER ROAD STE 200	BAKERSFIELD	CA	93311	844171789	CLINIC	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE	0
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	480543724	INACTIVE	KS	501(C)(3)	LINE 3	CSH	0
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S	FARGO	ND	58104	271966847	SENIOR LIVING	MN	501(C)(3)	LINE 10	CSH	0
CHI HEALTH FOUNDATION
12809 W DODGE RD	OMAHA	NE	68154	470648586	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	ACH	0
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	202741651	INVESTMENTS	KY	501(C)(3)	LINE 12A, I	CSH	0
CHI LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE A	TOLEDO	OH	43623	341892096	SENIOR LIVING	OH	501(C)(3)	LINE 12A, I	SFH-OH	0
CHI MEMORIAL HOSPITAL - GEORGIA
100 GROSS CRESCENT CIRCLE	FORT OGLETHORPE	GA	30742	822748395	HOSPITAL	GA	501(C)(3)	LINE 3	MHCS	0
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	451261716	HOME HEALTH	CO	501(C)(3)	LINE 10	CHI NS	0
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	452532084	HOLDING CO	CO	501(C)(3)	LINE 12A, I	CSH	0
CHI NEBRASKA
12809 WEST DODGE ROAD	OMAHA	NE	68510	363233121	HOLDING CO	NE	501(C)(3)	LINE 12A, I	CSH	0
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTHCARE	PA	501(C)(3)	LINE 12A, I	CSH	0
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NW	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(C)(3)	LINE 12A, I	CSH	0
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	710236913	HOSPITAL	AR	501(C)(3)	LINE 3	CHISVHS	0
CHI ST VINCENT HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125064	HOLDING CO	AR	501(C)(3)	LINE 12A, I	SVIMC	0
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125131	PHYSICIANS	AR	501(C)(3)	LINE 3	CHISVHS	0
COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(C)(3)	LINE 12A, I		0							N/A
COMMONSPIRIT HEALTH FOUNDATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	853374038	FUNDRAISING FOUNDATION	CO	501(C)(3)	LINE 7	CSH	0
COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC
185 BERRY STREET STE 200	SAN FRANCISCO	CA	94107	850919176	OPERATING INVESTMENTS	DE	501(C)(3)	LINE 12A, I	CSH	0
COMMONSPIRIT HEALTH RESEARCH INSTITUTE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	271050565	RESEARCH	CO	501(C)(3)	LINE 12A, I	CSH	0
COMMUNITY HOSPITAL OF SAN BERNARDINO
1805 MEDICAL CENTER DRIVE	SAN BERNARDINO	CA	92411	951643373	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE	0
COMMUNITY LIMITED CARE DIALYSIS CENTER
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	237419853	HOLDING CO	OH	501(C)(4)	N/A	GSH	0
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH ST	MISSOURI VALLEY	IA	51555	421294399	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AH-CMHMV	0
CONTINUING CARE HOSPITAL
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611400619	HOSPITAL	KY	501(C)(3)	LINE 3	SJHS	0
DIGNITY COMMUNITY CARE
185 BERRY STREET STE 200	SAN FRANCISCO	CA	94107	815009488	HOSPITAL	CO	501(C)(3)	LINE 3	CSH	0
DIGNITY HEALTH
185 BERRY STREET STE 200	SAN FRANCISCO	CA	94107	941196203	HOSPITAL	CA	501(C)(3)	LINE 3	CSH	0
DIGNITY HEALTH CONNECTED LIVING
200 MERCY OAKS DRIVE	REDDING	CA	96003	237115371	SENIOR CENTER SERVICES	CA	501(C)(3)	LINE 7	DIGNITY HEALTH	0
DIGNITY HEALTH FOUNDATION
185 BERRY STREET STE 200	SAN FRANCISCO	CA	94107	462037641	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
DIGNITY HEALTH FOUNDATION - INLAND EMPIRE
2101 N WATERMAN AVENUE	SAN BERNARDINO	CA	92404	237440086	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
DIGNITY HEALTH FOUNDATION EAST VALLEY
475 SOUTH DOBSON ROAD	CHANDLER	AZ	85224	742418514	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
DIGNITY HEALTH HPL SELF-INSURANCE TRUST
185 BERRY STREET STE 200	SAN FRANCISCO	CA	94107	943006034	SELF INSURANCE	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
DIGNITY HEALTH INSURANCE NEVADA LTD
185 BERRY STREET STE 200	SAN FRANCISCO	CA	94107	813800752	SELF INSURANCE	NV	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
DIGNITY HEALTH MEDICAL FOUNDATION
3400 DATA DRIVE	RANCHO CORDOVA	CA	95670	680220314	MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC	CA	501(C)(3)	LINE 12A, I	DIGNITY COMMUNITY CARE	0
DIGNITY HEALTH WORKERS COMP SELF-INSURANCE TRUST
185 BERRY STREET STE 200	SAN FRANCISCO	CA	94107	946612446	SELF INSURANCE	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
DOMINICAN HEALTH SERVICES
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	770056778	COMMUNITY HEALTH SYSTEM	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
DOMINICAN HOSPITAL FOUNDATION
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	942450442	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
DOMINICAN OAKS CORPORATION
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	770127719	OPERATION AND MANAGEMENT OF HOUSING COMPLEX TO ELDERLY PERSONS	CA	501(C)(3)	LINE 10	DIGNITY HEALTHS	0
EAST TEXAS CLINICAL SERVICES
2801 VIA FORTUNA SUITE 500	AUSTIN	TX	78746	454736213	HEALTHCARE	TX	501(C)(3)	LINE 12A, I	SLHS	0
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVE	ENUMCLAW	WA	98022	910715805	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	0
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	611345363	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	0
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	562351341	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	FH	0
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RD	TOLEDO	OH	43623	341931806	HEALTHCARE	OH	501(C)(3)	LINE 10	CHILC	0
FRANCISCAN FOUNDATION
1717 SOUTH J ST	TACOMA	WA	98405	911145592	FUNDRAISING FOUNDATION	WA	501(C)(3)	LINE 10	FHS	0
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST	TACOMA	WA	98405	910564491	HOSPITAL	WA	501(C)(3)	LINE 3	CSH	0
FRANCISCAN HEALTH VENTURES
TACOMA FNC CTR BLDG 1145 BROADWAY	TACOMA	WA	98402	431882377	INACTIVE	MO	501(C)(3)	LINE 10	CSH	0
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200	TACOMA	WA	98402	911939739	PHYSICIANS	WA	501(C)(3)	LINE 10	FHS	0
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVE	SOUTH MILWAUKEE	WI	53172	391093829	INACTIVE	WI	501(C)(3)	LINE 10	CSH	0
FRENCH HOSPITAL MEDICAL CENTER FOUNDATION
1911 JOHNSON AVENUE	SAN LUIS OBISPO	CA	93401	203256125	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY COMMUNITY CARE	0
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEAST	GARRISON	ND	58540	450227752	HOSPITAL	ND	501(C)(3)	LINE 3	SAMC	0
GLENDALE MEMORIAL HEALTH FOUNDATION
1420 SOUTH CENTRAL AVENUE	GLENDALE	CA	91204	953625651	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY COMMUNITY CARE	0
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	201536108	INACTIVE	CO	501(C)(3)	LINE 12A, I	CSH	0
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	311778403	EDUCATION	OH	501(C)(3)	LINE 2	GSH	0
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	311206047	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	GSH	0
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	470379755	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST	KEARNEY	NE	68847	470659443	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	GSH-KN	0
HARRISON MEDICAL CENTER
2520 CHERRY AVE	BREMERTON	WA	98310	910565546	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	0
HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVE	BREMERTON	WA	98310	911197626	FUNDRAISING FOUNDATION	WA	501(C)(3)	LINE 7	HMC	0
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	760761782	FUNDRAISING FOUNDATION	MN	501(C)(3)	LINE 12A, I	SFMC-MN	0
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SW	BURIEN	WA	98166	910712166	HOSPITAL	WA	501(C)(3)	LINE 3	FHS	0
HOUSE OF MERCY
1111 6TH AVE	DES MOINES	IA	50314	421323808	ASSIST LIVING	IA	501(C)(3)	LINE 7	CHI-IA CORP	0
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611029768	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	0
KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E LIBERTY ST STE 800	LOUISVILLE	KY	40202	611352729	PHYSICIANS	KY	501(C)(3)	LINE 10	JHSMH	0
KENTUCKYONE HEALTH INC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611029769	HEALTHCARE	KY	501(C)(3)	LINE 12A, I	CSH	0
LAKEWOOD HEALTH CENTER
600 MAIN AVE S	BAUDETTE	MN	56623	410758434	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE S	BAUDETTE	MN	56623	411893795	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	LHC	0
LEGACY FOUNDATION OF KENTUCKIANA INC
1451 HARRODSBURG RD STE D-308	LEXINGTON	KY	40504	832170324	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	KOH	0
LISBON AREA HEALTH SERVICES
905 MAIN ST	LISBON	ND	58054	820558836	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
LUFKIN VISION ACQUISITIONS
PO BOX 1447	LUFKIN	TX	75901	820563768	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	MHSET	0
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742761145	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC	0
MADONNA MANOR INC
2344 AMSTERDAM ROAD	VILLA HILLS	KY	51017	610654635	ASSIST LIVING	KY	501(C)(3)	LINE 10	CHILC	0
MARIAN REGIONAL MEDICAL CENTER FOUNDATION
1400 E CHURCH STREET	SANTA MARIA	CA	93454	953818027	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
MARK TWAIN MEDICAL CENTER
768 MOUNTAIN RANCH ROAD	SAN ANDREAS	CA	95249	680127677	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE	0
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	621839548	FUNDRAISING FOUNDATION	TN	501(C)(3)	LINE 7	MHCS	0
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	620532345	HOSPITAL	TN	501(C)(3)	LINE 3	CSH	0
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500	CHATTANOOGA	TN	37411	030417049	HEALTHCARE	TN	501(C)(3)	LINE 10	MHCS	0
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447	LUFKIN	TX	75902	750755367	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447	LUFKIN	TX	75902	760436439	HOSPITAL	TX	501(C)(3)	LINE 3	MHSET	0
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447	LUFKIN	TX	75902	752663904	HOSPITAL	TX	501(C)(3)	LINE 3	MHSET	0
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVE	LUFKIN	TX	95904	752721155	PHYSICIANS	TX	501(C)(3)	LINE 12A, I	MHSET	0
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447	LUFKIN	TX	95902	752492741	INACTIVE	TX	501(C)(3)	LINE 3	MHSET	0
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVE	DES MOINES	IA	50314	426076069	AUXILIARY	IA	501(C)(3)	LINE 12A, I	MF-DM IA	0
MERCY CLINICS INC
1111 6TH AVE	DES MOINES	IA	50314	421193699	PHYSICIANS	IA	501(C)(3)	LINE 10	CHI-IA CORP	0
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVE	DES MOINES	IA	50314	421511682	EDUCATION	IA	501(C)(3)	LINE 2	CHI-IA CORP	0
MERCY FOUNDATION BAKERSFIELD
PO BOX 119	BAKERSFIELD	CA	93302	770201321	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
MERCY FOUNDATION NORTH
2625 EDITH AVENUE SUITE E	REDDING	CA	96001	943136799	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I		0							N/A
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVE	DES MOINES	IA	50314	237358794	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 7	CHI-IA CORP	0
MERCY FOUNDATION INC
2700 STEWART PKWY	ROSEBURG	OR	97471	936088946	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 7	MMC - ROSEBURG	0
MERCY FOUNDATION SACRAMENTO
3400 DATA DRIVE 3RD FLR	RANCHO CORDOVA	CA	95670	237072762	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I		0							N/A
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	421461064	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHMH-CORNING	0
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450435338	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MHVC	0
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR	COUNCIL BLUFFS	IA	51503	421178204	FUNDRAISING FOUNDATION	IA	501(C)(3)	LINE 12A, I	AHBMHS	0
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE	DEVILS LAKE	ND	58301	450227012	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE	DEVILS LAKE	ND	58301	352367360	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 7	MHDL	0
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450226553	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
MERCY MCMAHON TERRACE
3865 J STREET	SACRAMENTO	CA	95816	680117340	SENIOR CITIZEN'S HOUSING/RETIREMENT COMMUNITIES	CA	501(C)(3)	LINE 10	DIGNITY HEALTH	0
MERCY MEDICAL CENTER
1301 15TH AVE WEST	WILLISTON	ND	58801	450231183	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HOSPITAL	IA	501(C)(3)	LINE 3	CHI-IA CORP	0
MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER
204 N 4TH AVE E	NEWTON	IA	50314	421470935	HOSPITAL	IA	501(C)(3)	LINE 3	CHI-IA CORP	0
MERCY MEDICAL CENTER MERCED FOUNDATION
301 E 13TH STREET	MERCED	CA	95340	770035928	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
MERCY MEDICAL CENTER INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930386868	HOSPITAL	OR	501(C)(3)	LINE 3	CSH	0
MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST	WILLISTON	ND	58801	450381803	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	MMC WILLISTON	0
NEBRASKA HEART HOSPITAL
7500 S 91ST ST	LINCOLN	NE	68526	392031968	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
NORTHLAND HEALTHCARE ALLIANCE
2223 EAST ROSSER AVENUE	BISMARCK	ND	58501	911845296	MANAGEMENT	ND	501(C)(3)	LINE 7	SAMC	0
NORTHRIDGE HOSPITAL FOUNDATION
18300 ROSCOE BLVD	NORTHRIDGE	CA	91328	237444901	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY COMMUNITY CARE	0
OAKES COMMUNITY HOSPITAL
1200 N 7TH ST	OAKES	ND	58474	450231675	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST	OAKES	ND	58474	710966606	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	OCH	0
PACIFIC CENTRAL COAST HEALTH CENTERS
1400 E CHURCH STREET	SANTA MARIA	CA	93454	770447575	CLINIC	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE	0
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447	LUFKIN	TX	75902	752493116	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	MHSET	0
PROVIDENCE CARE CENTER
2025 HAYES AVENUE	SANDUSKY	OH	44870	341658625	LTERM CARE	OH	501(C)(3)	LINE 10	CHILC	0
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341896807	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	0
PUEBLO STEPUP
1925 E ORMAN AVE STE G52	PUEBLO	CO	81004	841234295	COMMUNITY	CO	501(C)(3)	LINE 7	CHIC	0
SET OF COLORADO SPRINGS INC
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	841183335	SENIOR CENTER SERVICES	CO	501(C)(3)	LINE 7	CHIC	0
SAINT CLARE'S COMMUNITY CARE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	222876836	INACTIVE	NJ	501(C)(3)	LINE 10	SCHS	0
SAINT CLARE'S HEALTH SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	223639733	INACTIVE	NJ	501(C)(3)	LINE 10	CSH	0
SAINT CLARE'S HOSPITAL INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	223319886	INACTIVE	NJ	501(C)(3)	LINE 3	SCHS	0
SAINT ELIZABETH FOUNDATION
555 S 70TH ST	LINCOLN	NE	68510	470625523	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SERMC	0
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH ST	LINCOLN	NE	68510	363233120	INACTIVE	NE	501(C)(3)	LINE 3	SERMC	0
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH ST	LINCOLN	NE	68510	470379836	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEY	GRAND ISLAND	NE	68803	470376601	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	470630267	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SFMC-NE	0
SAINT FRANCIS MEMORIAL HOSPITAL
900 HYDE STREET	SAN FRANCISCO	CA	94109	941156295	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE	0
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST	BEREA	KY	40403	260152877	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	0
SAINT JOSEPH HEALTH SYSTEM INC
ONE ST JOSEPHS DRIVE	LEXINGTON	KY	40504	611334601	HOSPITAL	KY	501(C)(3)	LINE 3	KOH	0
SAINT JOSEPH HOSPITAL FOUNDATION INC
701 BOB OLINK DR 200	LEXINGTON	KY	40504	611159649	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 12A, I	SJHS	0
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE	LONDON	KY	40741	260438748	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	0
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DR	MOUNT STERLING	KY	40353	272884584	FUNDRAISING FOUNDATION	KY	501(C)(3)	LINE 7	SJHS	0
SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 FAIRWAY STREET	DICKINSON	ND	58601	363418207	FUNDRAISING FOUNDATION	ND	501(C)(3)	LINE 12A, I	SJHHC	0
SAN GABRIEL VALLEY MEDICAL CENTER FOUNDATION
438 WEST LAS TUNAS DRIVE	SAN GABRIEL	CA	91776	953430341	INACTIVE	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST	SCHUYLER	NE	68661	363630014	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 12A, I	AHMHS	0
SEQUOIA HOSPITAL FOUNDATION
170 ALAMEDA DE LAS PULGAS	REDWOOD CITY	CA	94062	942909990	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12D, III-O		0							N/A
SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
155 GLASSON WAY	GRASS VALLEY	CA	95945	941439787	HOSPITAL	CA	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE	0
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	440545809	HOSPITAL	MO	501(C)(3)	LINE 3	CSH	0
ST FRANCIS FOUNDATION OF SANTA BARBARA
2323 DE LA VINA ST SUITE 104	SANTA BARBARA	CA	93105	237137119	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
ST FRANCIS HOSPITAL SUPPORT CORPORATION
601 E MICHELTORENA STREET	SANTA BARBARA	CA	93103	770022302	INACTIVE	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
ST JOHNS HEALTHCARE FOUNDATION
1600 NORTH ROSE AVENUE	OXNARD	CA	93030	202865781	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
ST JOSEPHS FOUNDATION
350 WEST THOMAS ROAD	PHOENIX	AZ	85013	942941245	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
ST JOSEPHS FOUNDATION OF SAN JOAQUIN
1800 N CALIFORNIA STREET	STOCKTON	CA	95204	510432777	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
ST MARY MEDICAL CENTER FOUNDATION
1050 LINDEN AVENUE	LONG BEACH	CA	90813	237153876	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
ST MARY PROFESSIONAL BUILDING INC
1050 LINDEN AVENUE	LONG BEACH	CA	90813	237373088	INACTIVE	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
ST MARYS MEDICAL CENTER FOUNDATION
450 STANYAN STREET	SAN FRANCISCO	CA	94117	943336143	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
ST ROSE DOMINICAN HEALTH FOUNDATION
3001 ST ROSE PARKWAY	HENDERSON	NV	89052	880349432	FUNDRAISING FOUNDATION	NV	501(C)(3)	LINE 12A, I	DIGNITY HEALTH	0
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUE	BISMARCK	ND	58501	450226711	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
ST ANNE OC
1145 BROADWAY PLAZA STE 1200	TACOMA	WA	98402	863590968	INACTIVE	WA	501(C)(3)	LINE 10	FHS	0
ST ANTHONY HOSPITAL
2801 ST ANTHONY WAY	PENDLETON	OR	97801	930391614	HOSPITAL	OR	501(C)(3)	LINE 3	CSH	0
ST ANTHONY HOSPITAL FOUNDATION
2801 ST ANTHONY WAY	PENDLETON	OR	97801	930992727	FUNDRAISING FOUNDATION	OR	501(C)(3)	LINE 12A, I	SAH	0
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR	MORRILTON	AR	72110	710245507	HOSPITAL	AR	501(C)(3)	LINE 3	SVIMC	0
ST CATHERINE HOSPITAL
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	480543721	HOSPITAL	KS	501(C)(3)	LINE 3	CSH	0
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	200598702	FUNDRAISING FOUNDATION	KS	501(C)(3)	LINE 12A, I	SCH	0
ST CLARE COMMONS
12469 FIVE POINT ROAD	TOLEDO	OH	43551	270163752	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	0
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	930433692	INVESTMENTS	OR	501(C)(4)	N/A	CSH	0
ST FRANCIS HOME
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(C)(3)	LINE 10	CSH	0
ST FRANCIS LIFE CARE CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	222536017	INACTIVE	NJ	501(C)(3)	LINE 8	SCHS	0
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410695598	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742351158	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 12A, I	SJSC	0
ST JOSEPH MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742847594	LTERM CARE	TX	501(C)(3)	LINE 10	SJSC	0
ST JOSEPH MEDICAL CENTER INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	520591461	INACTIVE	MD	501(C)(3)	LINE 3	CSH	0
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	203159302	PHYSICIANS	TX	501(C)(3)	LINE 3	SJSC	0
ST JOSEPH PHYSICIAN ENTERPRISE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	521311775	INACTIVE	MD	501(C)(3)	LINE 12A, I	SJMC	0
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	741282696	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC	0
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	454088170	HOSPITAL	TX	501(C)(3)	LINE 3	SJSC	0
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	463265423	HEALTHCARE	TX	501(C)(3)	LINE 10	SJSC	0
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742455161	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	SLHS	0
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE	PARK RAPIDS	MN	56470	410695603	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 FAIRWAY ST	DICKINSON	ND	58601	450226429	HOSPITAL	ND	501(C)(3)	LINE 3	CSH	0
ST LEONARD
8100 CLYO ROAD	CENTERVILLE	OH	45458	341940863	LIVING COMM	OH	501(C)(3)	LINE 10	CHILC	0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	273733278	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	261947374	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	260335902	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536234	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	453811485	FUNDRAISING FOUNDATION	TX	501(C)(3)	LINE 7	SLHS	0
ST LUKE'S HEALTH SYSTEM CORPORATION
PO BOX 20269	HOUSTON	TX	77225	760536232	MANAGEMENT	TX	501(C)(3)	LINE 12A, I	CSH	0
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	263734606	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
ST LUKE'S PROPERTIES CORPORATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	760531716	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	SLHS	0
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	454120549	PROPERTY MGMT	TX	501(C)(3)	LINE 12A, I	SLCDC-SL	0
ST MARY'S COMMUNITY HOSPITAL
1301 GRUNDMAN BOULEVARD	NEBRASKA CITY	NE	68410	470443636	HOSPITAL	NE	501(C)(3)	LINE 3	CHI NEBRASKA	0
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVE	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING FOUNDATION	NE	501(C)(3)	LINE 7	SMCH	0
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING FOUNDATION	AR	501(C)(3)	LINE 12A, I	SVIMC	0
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HOSPITAL	AR	501(C)(3)	LINE 3	CSH	0
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	PHYSICIANS	AR	501(C)(3)	LINE 10	SVIMC	0
SYLVANIA FRANCISCAN HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	341412964	HOLDING CO	OH	501(C)(3)	LINE 12A, I	CSH	0
SYLVANIA FRANCISCAN HEALTH FOUNDATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	455357161	INACTIVE	OH	501(C)(3)	LINE 12A, I	SFH-OH	0
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341826097	ASSIST LIVING	OH	501(C)(3)	LINE 10	CHILC	0
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	741385192	HOSPITAL	TX	501(C)(3)	LINE 3	SLHS	0
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
625 EDEN PARK DRIVE 7TH FLOOR	CINCINNATI	OH	45202	310537486	HOSPITAL	OH	501(C)(3)	LINE 3	CSH	0
THE PHYSICIAN NETWORK
2000 Q ST STE 500	LINCOLN	NE	68503	470780857	PHYSICIANS	NE	501(C)(3)	LINE 12A, I	CHI NEBRASKA	0
TOTAL HEALTHCARE
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	840927232	INACTIVE	CO	501(C)(3)	LINE 3	CHIC	0
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	311329423	FUNDRAISING FOUNDATION	OH	501(C)(3)	LINE 12A, I	THS	0
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	341818681	HEALTHCARE	OH	501(C)(3)	LINE 12A, I		0							N/A
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET	DENNISON	OH	44621	275401105	HOSPITAL	OH	501(C)(3)	LINE 3	THS	0
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVD	STEUBENVILLE	OH	43952	341522484	ASSIST LIVING	OH	501(C)(3)	LINE 7	THS	0
UNITY FAMILY HEALTHCARE
815 SE 2ND ST	LITTLE FALLS	MN	56345	410721642	HOSPITAL	MN	501(C)(3)	LINE 3	CSH	0
VILLA NAZARETH INC
801 PAGE DR	FARGO	ND	58103	450226714	LTERM CARE	ND	501(C)(3)	LINE 10	CSH	0
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	221768334	INACTIVE	NJ	501(C)(3)	LINE 10	SCHS	0
WOODLAND MEMORIAL HOSPITAL FOUNDATION
1321 COTTONWOOD STREET 305	WOODLAND	CA	95695	946167964	FUNDRAISING FOUNDATION	CA	501(C)(3)	LINE 7		0							N/A
YAVAPAI COMMUNITY HOSPITAL ASSOC
1003 WILLOW CREEK ROAD	PRESCOTT	AZ	86301	860098923	HOSPITAL	AZ	501(C)(3)	LINE 3	DIGNITY COMMUNITY CARE	0
YAVAPAI REGIONAL MEDICAL CENTER FOUNDATION
1003 WILLOW CREEK ROAD	PRESCOTT	AZ	86301	861038463	FUNDRAISING FOUNDATION	AZ	501(C)(3)	LINE 12A, I	YRMC	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (83 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
AMERICAN MERCY HOME CARE LLC
1700 EDISON DR	MILFORD	OH	45150	830486150	HOME HEALTH	OH	N/A	N/A	0	0
ARIZONA CARE NETWORK-NEXT LLC
4222 E THOMAS RD STE 400	PHOENIX	AZ	85018	474696671	CARE NETWORK	AZ	N/A	N/A	0	0
ARIZONA CARE NETWORK LLC
4222 E THOMAS RD STE 400	PHOENIX	AZ	85013	454494682	CARE NETWORK	AZ	N/A	N/A	0	0
ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC
1510 COTNER AVENUE	LOS ANGELES	CA	90025	851067265	DIAGNOSTIC SERVICES	CA	N/A	N/A	0	0
AUDUBON LAND COMPANY LLC
630 SOUTHPOINTE COURT 200	COLORADO SPRINGS	CO	80906	841513085	REAL ESTATE	CO	N/A	N/A	0	0
BAYLOR CHI ST LUKES HEALTH SERVICES LLC
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	472079184	HEALTHCARE SRVC	TX	N/A	N/A	0	0
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY RD STE 200	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	N/A	N/A	0	0
BERYWOOD OFFICE PROPERTIES LLC
2501 CITICO AVENUE	CHATTANOGA	TN	37404	621875199	PHYS OFFICE	TN	N/A	N/A	0	0
BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD
					HEALTH SERVICES		N/A	N/A	0	0	709 WING ON PLAZA 62 MODY ROAD TST	HONG KONG	CH	CH
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC IMAGING	KY	N/A	N/A	0	0
CBCC OUTSMARTING CANCER LLC
6501 TRUXTUN AVENUE	BAKERSFIELD	CA	93309	461602286	RADIATION / ONCOLOGY	CA	N/A	N/A	0	0
CENTRAL NEBRASKA REHAB SVCS LLC
3004 W FAIDLEY AVENUE	GRAND ISLAND	NE	68803	810653461	PHYSICAL THERAPY	NE	N/A	N/A	0	0
CENTURA-SCA HOLDINGS LLC
569 BROOK VILLAGE STE 901	BIRMINGHAM	AL	35209	474823023	OP SURGERY CENTER	AL	N/A	N/A	0	0
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	N/A	N/A	0	0
CHICAMSURG SURGERY CENTERS LLC
1A BURTON HILLS BLVD	NASHVILLE	TN	37215	465683027	SURGERY CENTER	CO	N/A	N/A	0	0
COLORADO SPRINGS CK LEASING LLC
630 SOUTHPOINTE COURT 200	COLORADO SPRINGS	CO	80906	262982714	REAL ESTATE	CO	N/A	N/A	0	0
COMMUNITY MERCY HOME CARE SERVICES OF SPRINGFIELD LLC
1700 EDISON DR	MILFORD	OH	45150	311746556	HOME HEALTH	OH	N/A	N/A	0	0
DE JV LLC
8686 NEW TRAILS DRIVE	THE WOODLANDS	TX	77381	320496548	EMERGENCY CARE	NV	N/A	N/A	0	0
DHHP SURGERY CENTERS LLC
1513 S GRAND AVENUE STE 350	LOS ANGELES	CA	90015	831847466	SURGERY	DE	N/A	N/A	0	0
DHRT HOLDINGS LLC
185 BERRY STREET SUITE 200	SAN FRANCISCO	CA	94107	352484591	HOLDING COMPANY	DE	N/A	N/A	0	0
DIGNITY-GOHEALTH URGENT CARE MGMT LLC
5555 GLENRIDGE CONNECTOR STE 700	ATLANTA	GA	30342	352548698	MANAGEMENT SERVICES	DE	N/A	N/A	0	0
DIGNITY HEALTH AT HOME LLC
1700 EDISON DR	MILFORD	OH	45150	824674115	HEALTHCARE SRVC	DE	N/A	N/A	0	0
DIGNITY HEALTH SPECIALTY PHARMACY LLC
185 BERRY STREET SUITE 200	SAN FRANCISCO	CA	94107	320589462	SPECIALTY PHARMACY SERVICES	DE	N/A	N/A	0	0
DIGNITY HOME RECOVERY CARE LLC
49 MUSIC SQUARE WEST SUITE 401	NASHVILLE	TN	37203	832832522	HOME RECOVERY PROGRAM	DE	N/A	N/A	0	0
DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	202999237	SURGERY	TX	N/A	N/A	0	0
DIGNITYUSP NORCAL SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	202468509	SURGERY	TX	N/A	N/A	0	0
DIGNITYUSP PHOENIX SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	134248908	SURGERY	TX	N/A	N/A	0	0
DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	352584991	SURGERY	TX	N/A	N/A	0	0
DIGNITY-ABRAZO HEALTH NETWORK LLC
4222 E THOMAS RD STE 400	PHOENIX	AZ	85018	465477985	MANAGEMENT SERVICES	AZ	N/A	N/A	0	0
DOMINICAN MAGNETIC RESONANCE IMAGING CENTER
1545 SOQUEL DRIVE	SANTA CRUZ	CA	94065	770095477	IMAGING CENTER	CA	N/A	N/A	0	0
ECCS ACQUISITION COMPANY LLC
2940 NORTH CIRCLE DRIVE	COLORADO SPRINGS	CO	80909	352656413	AMBUL SURG CTR	CO	N/A	N/A	0	0
ENDOSCOPY CENTER OF ARKANSAS
1024 NORTH UNIVERSITY AVE	LITTLE ROCK	AR	72207	201337002	DIAGNOSTIC SERVICES	AR	N/A	N/A	0	0
FOLSOM SIERRA ENDOSCOPY CENTER LP
1671 CREEKSIDE DRIVE SUITE 100	FOLSOM	CA	95630	680482416	ENDOSCOPY	CA	N/A	N/A	0	0
FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC
6622 WOLLOCHET DR NW	GIG HARBOR	WA	98335	463494108	REAL ESTATE	WA	N/A	N/A	0	0
FRANCISCAN SPECIALTY CARE LLC
680 SOUTH FOURTH STREET	LOUISVILLE	KY	40202	813725123	HEALTHCARE SRVC	WA	N/A	N/A	0	0
GOOD SAMARITAN HOME CARE SERVICES OF VINCENNE IN LLC
1700 EDISON DR	MILFORD	OH	45150	201792869	HOME HEALTH	OH	N/A	N/A	0	0
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250	BROOKFIELD	WI	53045	270453767	PROPERTY HOLDING	WI	N/A	N/A	0	0
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	N/A	N/A	0	0
HEARTLAND ONCOLOGY LLC
2337 E CRAWFORD ST	SALINA	KS	67401	464265403	ONCOLOGY	KS	N/A	N/A	0	0
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DR	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	N/A	N/A	0	0
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SRVC	NE	N/A	N/A	0	0
LEXINGTON MBO PARTNERS LTD
5050 SOUTH SYRACUSE ST STE 800	DENVER	CO	80237	651132855	REAL ESTATE	CO	N/A	N/A	0	0
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREET	LINCOLN	NE	68510	262496856	REAL ESTATE	NE	N/A	N/A	0	0
MEMORIAL MEDICAL PLAZA
3838 SAN DIMAS SUITE B 201	BAKERSFIELD	CA	93301	364510880	REAL ESTATE	CA	N/A	N/A	0	0
MERCY DAVIS CANCER CENTER MANAGEMENT CO LLC
2740 M STREET	MERCED	CA	95340	943358445	MANAGEMENT OF CANCER CENTER	CA	N/A	N/A	0	0
MERCY REHABILITATION HOSPITAL LLC
680 SOUTH FOURTH STREET	LOUISVILLE	KY	40202	814437201	HEALTHCARE SRVC	TX	N/A	N/A	0	0
MILITARY ROAD PROPERTIES LLC
181 S 333RD STREET STE 250	FEDERAL WAY	WA	98003	912067879	REAL ESTATE	WA	N/A	N/A	0	0
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	N/A	N/A	0	0
NICU OPERATING CO OF SANTA CRUZ LLC
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	460502935	NEONATAL HEALTHCARE	CA	N/A	N/A	0	0
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	N/A	N/A	0	0
NORTHERN PLAINS LABORATORY LLC
401 N 9 STREET	BISMARK	ND	58501	841641341	DIAGNOSTIC SERVICES	ND	N/A	N/A	0	0
NSC CHANNEL ISLANDS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	770409291	AMBULATORY SURGICAL CENTER	CA	N/A	N/A	0	0
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80228	371577105	ORTHO HOSPITAL	CO	N/A	N/A	0	0
PARK RAPIDS AREA HEALTH CARE
600 PLEASANT AVENUE S	PARK RAPIDS	MN	56470	204926259	HEALTHCARE SRVC	MN	N/A	N/A	0	0
PATIENT TRANSPORT SERVICES OF COLUMBUS INC
1700 EDISON DR	MILFORD	OH	45150	264601285	AMBULANCE	OH	N/A	N/A	0	0
PENINSULA RADIATION ONCOLOGY CENTER LLC
314 MLK JR WAY STE 11	TACOMA	WA	98405	870808610	HEALTHCARE SRVC	WA	N/A	N/A	0	0
PENRAD IMAGING LLC
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	N/A	N/A	0	0
PERFORMANCE MED EQUIP & RESPIR SVSC LLC
19625 62ND AVE S STE 101	KENT	WA	98032	452901632	HOLDING COMPANY	WA	N/A	N/A	0	0
PLAZA SURGERY CENTER LP
525 E PLAZA DRIVE SUITE 100	SANTA MARIA	CA	93454	770573567	SURGERY	CA	N/A	N/A	0	0
PMC HOSPITAL LLC
3100 MAIN ST STE 500	HOUSTON	TX	77002	273280598	HOSPITAL	TX	N/A	N/A	0	0
PRECISION MEDICINE ALLIANCE LLC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	352569159	DIAGNOSTIC SERVICES	CO	N/A	N/A	0	0
RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY
1700 N ROSE AVENUE SUITE 120	OXNARD	CA	93030	770191706	IMAGING	CA	N/A	N/A	0	0
RBR MANAGEMENT LLC
91 CORPORATE PARK DRIVE SUITE 120	HENDERSON	NV	89074	271466450	AMBULANCE	NV	N/A	N/A	0	0
REID-ANC HOME CARE SERVICES LLC
1700 EDISON DR	MILFORD	OH	45150	371454747	HOME HEALTH	IN	N/A	N/A	0	0
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRODSBURG RD	LEXINGTON	KY	40503	453801157	INACTIVE	DE	N/A	N/A	0	0
SAINT JOSEPH HEALTH ASC LLC
1 SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	852155230	SURGERY	KY	N/A	N/A	0	0
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DR	MILFORD	OH	45150	263330545	HOME HEALTH	KY	N/A	N/A	0	0
SANTA CRUZ COMPREHENSIVE IMAGING LLC
1661 SOQUEL DRIVE SUITE G	SANTA CRUZ	CA	95065	010550623	IMAGING	CA	N/A	N/A	0	0
SANTA CRUZ LAND & BUILDING LP
1555 SOQUEL DRIVE	SANTA CRUZ	CA	95065	770285236	REAL ESTATE	CA	N/A	N/A	0	0
SANTA CRUZ SURGERY CENTER LLC
3003 PAUL SWEET ROAD	SANTA CRUZ	CA	95065	770194916	SURGERY	CA	N/A	N/A	0	0
SEVEN OAKS SURGERY CENTER LLC
1801 ORANGE TREE LANE SUITE 200	REDLANDS	CA	92374	851559544	SURGERY	CA	N/A	N/A	0	0
SOUTHEASTERN HOME CARE LLC
1700 EDISON DR	MILFORD	OH	45150	271219638	HOME HEALTH	OH	N/A	N/A	0	0
ST JOSEPH'S SURGERY CENTER LP
15305 DALLAS PARKWAY SUITE 1600 LB	ADDISON	TX	75001	201019390	SURGERY	TX		RELATED	0	Yes (1)					PORT CITY OPERATING COMPANY LLC	$354,910	$4,325,953	0.69430
ST ELIZABETH HOME CARE SERVICES LLC
1700 EDISON DR	MILFORD	OH	45150	261236191	HOME HEALTH	KY	N/A	N/A	0	0
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	N/A	N/A	0	0
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800	HOUSTON	TX	77030	710959365	DIAGNOSTIC SERVICES	TX	N/A	N/A	0	0
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	N/A	N/A	0	0
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800	HOUSTON	TX	77030	462795726	DIAGNOSTIC SERVICES	TX	N/A	N/A	0	0
TEMPLETON SURGERY CENTER LLC
1310 LAS TABLAS ROAD SUITE 104	TEMPLETON	CA	94365	202246616	SURGERY	CA	N/A	N/A	0	0
THE MEDICAL PAVILION AT ST JOHN'S
1600 ROSE AVENUE	OXNARD	CA	93030	770332349	REAL ESTATE	CA	N/A	N/A	0	0
THREE SPRING IMAGING LLC
1 MERCADO ST STE 200A	DURANGO	CO	81301	813571570	HEALTHCARE SRVC	CO	N/A	N/A	0	0
TIA ARIZONA LLC
3030 N CENTRAL AVENUE SUITE 1402	PHOENIX	AZ	85012	863158670	CLINIC	AZ	N/A	N/A	0	0
VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC
18330 ROSCOE BLVD	NORTHRIDGE	CA	91328	800864336	SURGERY	CA	N/A	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (62 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	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC
12809 WEST DODGE RD	OMAHA	NE	68154	470802396	MANAGED CARE	NE	N/A	C	0
ALL SAINTS INSURANCE COMPANY SPC LTD
				980556913	INSURANCE		N/A	C	0	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	CJ
ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY INC
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742466914	HEALTHCARE	TX	N/A	C	0
ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	841112049	MANAGEMENT SERVICES	CO	N/A	C	0
AMERICAN NURSING CARE INC
1700 EDISON DR	MILFORD	OH	45150	311085414	HOME HEALTH	OH	N/A	C	0
AMERIMED INC
1700 EDISON DR	MILFORD	OH	45150	311158699	HOME HEALTH	OH	N/A	C	0
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	INACTIVE	KY	N/A	C	0
BRAZOSPORT HEALTH ALLIANCE
1 WEST WAY COURT	LAKE JACKSON	TX	77566	760518376	HEALTHCARE	TX	N/A	C	0
CADUCEUS MEDICAL ASSOCIATES INC
5600 BRAINERD ROAD STE 500	CHATTANOOGA	TN	37411	621570736	HEALTHCARE	TN	N/A	C	0
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	272269511	RESEARCH	CO	N/A	C	0
CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC
1201 W FRANK AVE	LUFKIN	TX	75904	834184717	CONDO ASSOC	TX	N/A	C	0
CLEARRIVER HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464495960	INSURANCE	TN	N/A	C	0
COASTAL SURGICAL SPECIALISTS INC
921 OAK PARK BLVD SUITE 101	PISMO BEACH	CA	93449	743000596	AMBULATORY SURGERY CENTER	CA	N/A	S	0
COMCARE SERVICES INC
9100 E MINERAL CIRCLE	CENTENNIAL	CO	80112	840904813	INACTIVE	CO	N/A	C	0
CONSOLIDATED HEALTH SERVICES
1700 EDISON DR	MILFORD	OH	45150	311378212	HOME HEALTH	OH	N/A	C	0
DES MOINES MEDICAL CENTER INC
1111 6TH AVE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	N/A	C	0
DIGNITY HEALTH HOLDING CORPORATION
185 BERRY STREET SUITE 200	SAN FRANCISCO	CA	94107	460675371	HOLDING CO	NV	N/A	C	0
DIGNITY HEALTH INSURANCE LTD
				981065338	CAPTIVE INSURANCE		N/A	C	0	PO BOX 1051	GRAND CAYMAN ISLANDS	GRAND CAYMAN	CJ	CJ
DIGNITY HEALTH PROVIDER RESOURCES INC
185 BERRY STREET SUITE 200	SAN FRANCISCO	CA	94107	473366764	HEALTH PLAN	CA	N/A	C	0
DIVERSIFIED HEALTH RESOURCES INC
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	760222679	HEALTHCARE	TX	N/A	C	0
FRANCISCAN CITY URGENT CARE SRVS PS
C/O CPGUSA 1345 AVE OF THE AMERICAS	NEW YORK	NY	10105	812174959	INACTIVE	NY	N/A	C	0
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232487967	HOLDING CO	CO	N/A	C	0
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	N/A	C	0
HARVESTPLAINS HEALTH OF IOWA
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	473451750	INSURANCE	WA	N/A	C	0
HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC
1400 E CHURCH STREET	SANTA MARIA	CA	93454	770074057	HEALTHCARE	CA	N/A	C	0
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MGMT	NE	N/A	C	0
HEALTHCARE MGMT SERVICES ORGANIZATION INC
1149 MARKET ST	TACOMA	WA	98402	911865474	INACTIVE	WA	N/A	C	0
HEARTLANDPLAINS HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464368223	INSURANCE	NE	N/A	C	0
HIGHLINE MEDICAL GROUP
1717 S J STREET	TACOMA	WA	98405	911407026	MEDICAL SERVICES	WA	N/A	C	0
INTEGRATED MEDICAL SERVICES
9250 N 3RD STREET SUITE 4010	PHOENIX	AZ	85020	860783428	MULTI-SPECIALTY PHYSICIANS GROUP	AZ	N/A	C	0
KOMG-LOUISVILLE REGION INC
201 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	832481198	HEALTHCARE	KY	N/A	C	0
MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC
300 WERNER ST	HOT SPRINGS	AR	71913	710720429	REAL ESTATE	AR	N/A	C	0
MEDQUEST
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450392137	SALE OF DME	ND	N/A	C	0
MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC
1201 W FRANK AVE	LUFKIN	TX	75904	463622849	INACTIVE	TX	N/A	C	0
MERCY PARK APARTMENTS LTD
1111 6TH AVE	DES MOINES	IA	50314	421202422	INACTIVE	IA	N/A	C	0
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97471	930824308	RETAIL SALES	OR	N/A	C	0
MHI CLINICAL SERVICES
1201 W FRANK AVE	LUFKIN	TX	75904	461967952	HEALTHCARE	TX	N/A	C	0
MILLENNIUM SURGERY CENTER INC
9300 STOCKDALE HWY 200	BAKERSFIELD	CA	93311	770513445	HEALTHCARE	CA	N/A	S	0
MOUNTAIN MANAGEMENT SERVICES INC
6028 SHALLOWFORD RD	CHATTANOOGA	TN	37421	621570739	MGMT SVC ORG	TN	N/A	C	0
NORTH CENTRAL HEALTH CARE ALLIANCE
PO BOX 5538	BISMARK	ND	58506	450439894	HEALTHCARE	ND	N/A	C	0
PATIENT TRANSPORT SERVICES INC
1700 EDISON DR	MILFORD	OH	45150	311100798	HOME HEALTH	OH	N/A	C	0
QUALCHOICE ADVANTAGE
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	473433912	INSURANCE	WA	N/A	C	0
QUALCHOICE HEALTH PLAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461224037	ADMIN SERVICES	CO	N/A	C	0
QUALCHOICE HEALTH INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461222808	HOLDING CO	CO	N/A	C	0
QUALCHOICE HOLDINGS INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	274075520	HOLDING CO	AR	N/A	C	0
QUALCHOICE OF NEBRASKA
2401 S 73RD ST	OMAHA	NE	68124	810738827	INACTIVE	NE	N/A	C	0
RIVERLINK HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464380824	INSURANCE	OH	N/A	C	0
RIVERLINK HEALTH OF KENTUCKY INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464828332	INSURANCE	KY	N/A	C	0
ROSS PARK PHARMACY INC
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341832654	PHARMACY	OH	N/A	C	0
SAINT CLARE'S PRIMARY CARE INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	222441202	INACTIVE	NJ	N/A	C	0
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232307408	INACTIVE	CO	N/A	C	0
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160	LEXINGTON	KY	40503	270164198	INACTIVE	KY	N/A	C	0
SOUNDPATH HEALTH INC
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	421720801	INSURANCE	WA	N/A	C	0
ST MARY HEALTH VENTURES INC
1050 LINDEN AVENUE	LONG BEACH	CA	90813	951912528	RETAIL PHARMACY	CA	N/A	C	0
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATE	PENDLETON	OR	97801	931216943	ATHLETIC CLUB	OR	N/A	C	0
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J ST	TACOMA	WA	98405	911480569	RENTAL	WA	N/A	C	0
ST LUKE'S HEALTH SYSTEM HOLDINGS INC
6624 FANNIN STE 800	HOUSTON	TX	77030	760637138	HOLDING CO	TX	N/A	C	0
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710710785	HEALTHCARE	AR	N/A	C	0
STE HOLDINGS
12809 WEST DODGE RD	OMAHA	NE	68154	822383629	HOLDING CO	NE	N/A	C	0
SUGAR LAND DOCTOR GROUP
1317 LAKE POINT PARKWAY	SUGAR LAND	TX	77478	454270163	INACTIVE	TX	N/A	C	0
TOWSON MANAGEMENT INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	521710750	INACTIVE	MD	N/A	C	0
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341471026	MGMT SERVICES	OH	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	Yes (1)	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	Yes (1)	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	0	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	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH'S SURGERY CENTER LP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	S	TransactionTypeTxt
Involved	$680,767	InvolvedAmt
Method Of Amount Determination	SEE PART VII	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 2 COLUMN (C)	FormAndLineReferenceDesc
Explanation	PART V, LINE 1S - AMOUNTS REPORTED UNDER TRANSACTION TYPE "S" REPRESENT FUNDING FROM PARTNERSHIPS VIA K-1 DISTRIBUTIONS.	ExplanationTxt