ST JOSEPH HOSPITAL OF ORANGE: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: ST JOSEPH HOSPITAL OF ORANGE (EIN 95-1643359)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-14
IRS object ID: 202203189349313180
Schema version: 2021v4.2
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 G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-14T14:59:20-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	55 IVAN ALLEN JR BLVD SUITE 1000	AddressLine1Txt
City	ATLANTA	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	30308	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951643359	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH HOSPITAL OF ORANGE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STJO	BusinessNameControlTxt
Phone	7147718000	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	EILEEN HAUBL	PersonNm
Person Title	CFO SERVICE AREA	PersonTitleTxt
Phone	7147718000	PhoneNum
Signature	2022-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	EILEEN	PersonFirstNm
Person Last	HAUBL	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AERRIAL ORR	PreparerPersonNm
PTIN	P01598400	PTIN
Phone	4048748300	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	JEREMY ZOCH	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$820,468,470	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SJO.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1941	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	3317	TotalEmployeeCnt
Total Volunteers	95	TotalVolunteersCnt
Total Gross UBI	$232,634	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$36,186,434	PYContributionsGrantsAmt
CY Contributions Grants	$12,706,448	CYContributionsGrantsAmt
PY Program Service Revenue	$783,290,333	PYProgramServiceRevenueAmt
CY Program Service Revenue	$775,477,083	CYProgramServiceRevenueAmt
PY Investment Income	$15,462,983	PYInvestmentIncomeAmt
CY Investment Income	$29,710,763	CYInvestmentIncomeAmt
PY Other Revenue	$2,023,223	PYOtherRevenueAmt
CY Other Revenue	$2,281,612	CYOtherRevenueAmt
PY Total Revenue	$836,962,973	PYTotalRevenueAmt
CY Total Revenue	$820,175,906	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,222,559	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,090,123	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$232,952,234	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$242,493,359	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$5,203,318	CYTotalFundraisingExpenseAmt
PY Other Expenses	$564,728,522	PYOtherExpensesAmt
CY Other Expenses	$596,798,559	CYOtherExpensesAmt
PY Total Expenses	$798,903,315	PYTotalExpensesAmt
CY Total Expenses	$840,382,041	CYTotalExpensesAmt
PY Revenues Less Expenses	$38,059,658	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$20,206,135	CYRevenuesLessExpensesAmt
Total Assets BOY	$990,581,691	TotalAssetsBOYAmt
Total Assets EOY	$1,038,724,574	TotalAssetsEOYAmt
Total Liabilities BOY	$530,492,351	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$543,673,730	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$460,089,340	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$495,050,844	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$800,451,062	ExpenseAmt
Grant	$1,090,123	GrantAmt
Revenue	$776,492,534	RevenueAmt
Desc	SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE PURSUE INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY. TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES: -PROVIDENCE ACROSS SEVEN WESTERN STATES -COVENANT HEALTH IN WEST TEXAS -PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON -PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA 2021 WAS MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORTENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSOVER THE LAST TWO YEARS, PROVIDENCE ADVANCED A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION, AND ENVIRONMENTAL STEWARDSHIP. WE UPDATED OUR INTEGRATED STRATEGIC & FINANCIAL PLAN TO MORE CLEARLY EXPRESS OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. IN 2021, OUR SUSTAINABLE AND INCLUSIVE PURCHASING PROGRAM COMMITTED TO INCREASE OUR SPEND WITH WOMEN AND MINORITY OWNED BUSINESS ENTERPRISES BY OVER $300 MILLION ACROSS THE NEXT FIVE YEARS. WE ALSO DEPLOY AN INVESTING PORTFOLIO WHICH INCLUDES SHAREHOLDER ADVOCACY, IMPACT INVESTING, AND SOCIALLY CONSCIOUS PORTFOLIO SCREENS. IN 2021, PROVIDENCE MADE PROGRESS TOWARDS ITS CLIMATE COMMITMENT TO BECOME CARBON NEGATIVE BY 2030. WE ARE IMPLEMENTING AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL.2021 PROGRAM SERVICE ACCOMPLISHMENTS: (JANUARY 1 - DECEMBER 31, 2021) IN 2021, PROVIDENCE ST. HOSPITAL ORANGE (SJO) CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. IN 2021, SJO FOCUSED ON ADDRESSING MENTAL HEALTH, HEALTH CARE ACCESS, HOUSING AND HOMELESSNESS.PRIORITY 1: MENTAL HEALTH COVERS ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. INCLUDES ISSUES OF STRESS, DEPRESSION, COPING SKILLS, AS WELL AS MORE SERIOUS HEALTH CONDITIONS SUCH AS MENTAL ILLNESS AND ADVERSE CHILDHOOD EXPERIENCES. SUBSTANCE USE PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY. MENTAL HEALTH CHALLENGES CAN IMPEDE PEOPLE'S ABILITIES TO REALIZE THEIR POTENTIAL, COPE WITH STRESSES, WORK PRODUCTIVELY AND FRUITFULLY, AND MAKE CONTRIBUTIONS TO THEIR COMMUNITIES. PROVIDENCE ST. JOSEPH HOSPITAL WORKED ON INCREASING AWARENESS AND SERVICES ADDRESSING MENTAL HEALTH ALONG WITH SUBSTANCE USE.IN 2021 THIS NEED WAS ADDRESSED BY: 1. EACH MIND MATTERS CAMPAIGN - REDUCED STIGMA AND INCREASED AWARENESS OF MENTAL HEALTH THROUGH "PROMISES TO TALK" CAMPAIGN, PIVOTED EFFORTS TO AN ONLINE/WEB-BASED FORMAT TO REACH POPULATION DURING THE COVID PANDEMIC. THIS IS A REGIONAL EFFORT BY THE THREE ORANGE COUNTY HOSPITALS FORMING PART OF THE PROVIDENCE ST. JOSEPH HEALTH SYSTEM. 2. POST PARTUM DEPRESSION - EACH WOMAN IN LABOR & DELIVERY WAS GIVEN THE EDINBURGH POSTNATAL DEPRESSION SCALE TO IDENTIFY PATIENTS THAT ARE SUFFERING FROM A DEPRESSIVE ILLNESS. 3. IN PATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES INCLUDING A PSYCHIATRIC EMERGENCY SERVICE UNIT (PES) A 23-HOUR EMERGENCY TRIAGE AND STABILIZATION UNIT ASSISTED PATIENTS WITH ALTERNATIVES TO INPATIENT TREATMENT AND A HAND-OFF WAS DONE TO A LOWER LEVEL OF CARE SUCH AS PARTIAL HOSPITAL PROGRAM OR A PROVIDER IN THE COMMUNITY. 4. YEAR-ROUND GRANTS PROVIDED TO LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) TO PROVIDE MENTAL HEALTH AND PSYCHIATRY SERVICES TO LOW INCOME FAMILIES AND RESIDENTS.PRIORITY 2: HEALTH CARE ACCESS INCREASING HEALTH CARE ACCESS AS WELL AS OTHER RESOURCES FOR AREAS THAT HAVE THE BIGGEST CHALLENGES.IN 2021 THIS NEED WAS ADDRESSED BY: 1. PROVIDING YEAR-ROUND GRANT FUNDS TO LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WHICH PROVIDES MEDICAL, DENTAL, MENTAL, GRIEF COUNSELING AND VISION SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS.2. COVID VACCINE CLINICS- PARTNERED WITH SCHOOL DISTRICTS, COMMUNITY CENTERS, PARKS & RECREATION DEPARTMENT, MEXICAN CONSULATE, LOCAL SUPERMARKET, AND COMMUNITY NEIGHBORHOODS TO PROVIDE AVAILABLE COVID VACCINES TO LOW INCOME UNDERSERVED FAMILIES AND RESIDENTS IN THREE DIFFERENT LANGUAGES (ENGLISH, SPANISH AND VIETNAMESE). OVER 11,000 VACCINES WERE PROVIDED.PRIORITY 3: HOUSING & HOMELESSNESS PRIMARILY FOCUSED ON THE CONDITION OF HOMELESSNESS, INCLUDING HELPING HOMELESS INDIVIDUALS, PREVENTION OF HOMELESSNESS, AND MITIGATING ITS IMPACT ON COMMUNITIES. HOMELESSNESS AND AFFORDABLE HOUSING ARE SIGNIFICANT NEEDS IN OUR COMMUNITIES. HOMELESSNESS HAS A RIPPLE EFFECT THROUGHOUT THE COMMUNITY; IT IMPACTS THE AVAILABILITY OF HEALTHCARE RESOURCES, CRIME AND SAFETY, THE WORKFORCE, AND THE USE OF TAX DOLLARS. AFFORDABLE HOUSING BENEFITS OUR COMMUNITIES AND CREATES STRONGER OUTCOMES - IN EMPLOYMENT, HEALTH AND EDUCATION. WE WILL BE WORKING TO REDUCE CHRONIC HOMELESSNESS, SUPPORT THE NUMBER OF PERSONS ENTERING BRIDGE AND SUPPORTIVE HOUSING AND STRENGTHEN AFFORDABLE HOUSING POLICIES IN THE 2021-2028 HOUSING ELEMENT PLANS. SOCIAL DETERMINANTS OF HEALTH, LIKE HOUSING, HAVE A SUBSTANTIAL IMPACT ON HEALTH BEHAVIORS AND HEALTH OUTCOMES. ADDRESSING HOUSING INSTABILITY, HOUSING AFFORDABILITY, AND PREVENTING HOMELESSNESS WILL IMPROVE HEALTH AND THE COMMUNITIES WE SERVE.IN 2021 THIS NEED WAS ADDRESSED BY: 1. JAMBOREE HOUSING GRANT - A MULTIPLE ACCESS APPROACH TO ADDRESSING THE NEEDS OF THE MEDICAID HOMELESS POPULATION. HOMELESSNESS AND MENTAL HEALTH ARE DEEPLY INTERTWINED. JAMBOREE HOUSING COORDINATED PHYSICAL, BEHAVIORAL HEALTH, AND SOCIAL SERVICES IN A PATIENT CENTERED APPROACH WITH THE GOALS OF IMPROVED HEALTH AND WELL-BEING. ONCE A HOMELESS PATIENT WAS REFERRED TO JAMBOREE HOUSING, THEY WERE CONNECTED TO WRAP-AROUND PROGRAMS THAT INCLUDED: ONE-ON-ONE CALOPTIMA (ORANGE COUNTY MEDICAID HEALTH PLAN) PERSONAL CARE COORDINATOR, PERMANENT SUPPORTIVE HOUSING, LINKAGE TO MENTAL HEALTH AND OR SUBSTANCE USE DISORDER TREATMENT, AND OTHER COMMUNITY REFERRALS. ST. JOSEPH HOSPITAL PROVIDED A CERTIFIED ADDICTION SPECIALIST.2. HOMELESS NAVIGATOR PROGRAM HAS A LICENSED CLINICAL SOCIAL WORKER (LCSW) HELPING PATIENTS EXPERIENCING HOMELESSNESS CONNECT TO SERVICES.3. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE WERE CONNECTED TO ILLUMINATION FOUNDATION. ILLUMINATION FOUNDATION PROVIDED CASE MANAGEMENT AND CONNECTS PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH AND WORKFORCE SERVICES.4. PROVIDED GRANTS TO FORM AND BUILD CAPACITY OF THE ORANGE COUNTY HOUSING ADVOCACY COLLABORATIVE AND THE ORANGE COUNTY EVICTION PREVENTION COLLABORATIVE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-JOSEPH-HOSPITAL-ORANGE	Desc
Total Program Service Expenses	$800,451,062	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	328	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3317	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	4255253985	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JEREMY ZOCH
CHIEF EXECUTIVE - SJO	27.50	27.50	Yes (X)	Yes (X)	$0	$765,789	$182,196
BRIAN BOYD MD
TRUSTEE	0.50	49.50	Yes (X)		$0	$219,055	$0
PETER SMETHURST MD
TRUSTEE	0.50	0.00	Yes (X)		$0	$140,413	$0
CHRISTOPHER WILLS MD
TRUSTEE, VICE CHAIR	0.50	0.00	Yes (X)		$0	$0	$0
SUDEEP KUKREJA MD
TRUSTEE	0.50	0.00	Yes (X)		$0	$0	$0
BOB BALDWIN
TRUSTEE, CHAIR	0.50	0.00	Yes (X)		$0	$0	$0
JON COLEMAN
TRUSTEE	0.50	0.00	Yes (X)		$0	$0	$0
KATHLEEN O'LEARY
TRUSTEE	0.50	0.00	Yes (X)		$0	$0	$0
KENNETH COSGROVE
TRUSTEE	0.50	0.00	Yes (X)		$0	$0	$0
KEVIN SNYDER
TRUSTEE	0.50	0.00	Yes (X)		$0	$0	$0
MARY ANNE FOO
TRUSTEE	0.50	1.00	Yes (X)		$0	$0	$0
RUBEN SMITH
TRUSTEE	0.50	0.00	Yes (X)		$0	$0	$0
SISTER JUDITH DUGAN
TRUSTEE	0.50	0.50	Yes (X)		$0	$0	$0
SR MARTHA ANN FITZPATRICK CSJ
TRUSTEE	0.50	0.50	Yes (X)		$0	$0	$0
SISTER SUZANNE SASSUS
TRUSTEE	0.50	0.50	Yes (X)		$0	$0	$0
WILLIAM CAMPBELL
TRUSTEE, CHAIR	0.50	0.00	Yes (X)		$0	$0	$0
JO ANN ESCASA-HAIGH
ASSISTANT TREASURER (PART YEAR)	0.50	64.50		Yes (X)	$0	$1,456,676	$262,400
JIM WATSON ESQ
SECRETARY	0.50	54.50		Yes (X)	$0	$760,088	$126,854
EILEEN HAUBL
SVP & CHIEF FINANCIAL OFFICER	27.50	27.50		Yes (X)	$0	$481,879	$44,545
DONALD ANDERSON JR
ASSIST. SEC. FOR ENROLLMENT (PT YR)	0.50	54.50		Yes (X)	$0	$242,551	$24,080
SCOTT RUSK
CHIEF MEDICAL OFFICER - SJO	50.00	0.00			$514,512	$0	$36,933	Yes (X)
AMY DAUGHERTY
MINISTRY CHIEF, PHILANTHROPY OFFICER	50.00	0.00			$359,776	$0	$19,538	Yes (X)
MICHELLE GENOVA
CHIEF PATIENT CARE SERVICES/CNO	50.00	0.00			$289,864	$0	$43,614	Yes (X)
STEPHANIE KIM
CLINICAL PHARMACIST	50.00	0.00			$287,332	$0	$34,188	Yes (X)
ABDUL KAKAR
REGISTERED NURSE II	50.00	0.00			$278,566	$0	$34,021	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,730,050	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,066,451	TotReportableCompRltdOrgAmt
Total Other Compensation	$808,369	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	812	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
CARDINAL HEALTH 411 INC
PO BOX 56412	LOS ANGELES	CA	90074	MEDICAL SERVICES	$50,456,962
MEDLINE INDUSTRIES INC
DEPT LA 21558	PASADENA	CA	91185	MEDICAL SERVICES	$17,959,274
AMN HEALTHCARE INC
2735 COLLECTION CENTER DR	CHICAGO	IL	60693	STAFFING SERVICES	$10,033,878
CASS INFORMATION SYSTEMS INC
12444 POWERSCOURT DR 500	ST LOUIS	MO	63131	TECHNOLOGY SERVICES	$6,040,141
PROVIDENCE MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	MEDICAL SERVICES	$5,271,431

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	254	CntrctRcvdGreaterThan100KCnt
Fundraising	$548,511	FundraisingAmt
Related Organizations	$1,887,183	RelatedOrganizationsAmt
Government Grants	$2,108,868	GovernmentGrantsAmt
All Other Contributions	$8,161,886	AllOtherContributionsAmt
Noncash Contributions	$20,403	NoncashContributionsAmt
Total Contributions	$12,706,448	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$762,926,306	$762,926,306
MOB RENTAL REVENUE	531120	$4,135,284	$4,135,284
HOSPITAL FEE	621110	$1,223,556	$1,223,556
JV INCOME	900099	$779,248	$779,248
PHARMACY REVENUE	446110	-$912	-$442	-$470

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,413,601	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,279,555	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$134,046	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$775,477,083	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,992,922	TotalRevenueColumnAmt
Unrelated Business Revenue	$99,058	UnrelatedBusinessRevenueAmt
Exclusion	$6,893,864	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$22,717,841	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$22,717,841	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,717,841	TotalRevenueColumnAmt
Exclusion	$22,717,841	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$337,894	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$548,511	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$292,564	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,330	TotalRevenueColumnAmt
Exclusion	$45,330	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE	722514	$1,220,831	$1,220,831
REBATES & REFUNDS	900099	$514,087		$514,087
PARKING REVENUE	812930	$501,364		$501,364

Field	Value	IRS element (for citing)
Other Revenue Total	$2,236,282	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$820,175,906	TotalRevenueColumnAmt
Related Or Exempt Func Income	$776,358,958	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$232,634	UnrelatedBusinessRevenueAmt
Exclusion	$30,877,866	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	$1,074,122	TotalAmt
Program Services	$1,074,122	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$16,001	TotalAmt
Program Services	$16,001	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$220,940,701	TotalAmt
Program Services	$210,415,270	ProgramServicesAmt
Management And General	$9,095,600	ManagementAndGeneralAmt
Fundraising	$1,429,831	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,096,906	TotalAmt
Program Services	$4,854,094	ProgramServicesAmt
Management And General	$209,827	ManagementAndGeneralAmt
Fundraising	$32,985	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,455,752	TotalAmt
Program Services	$15,671,814	ProgramServicesAmt
Management And General	$677,444	ManagementAndGeneralAmt
Fundraising	$106,494	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$9,225,536	TotalAmt
Program Services	$8,786,039	ProgramServicesAmt
Management And General	$379,793	ManagementAndGeneralAmt
Fundraising	$59,704	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,116,327	TotalAmt
Program Services	$2,015,507	ProgramServicesAmt
Management And General	$87,124	ManagementAndGeneralAmt
Fundraising	$13,696	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,627,729	TotalAmt
Management And General	$1,627,729	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$154,418,576	TotalAmt
Program Services	$147,062,205	ProgramServicesAmt
Management And General	$6,357,043	ManagementAndGeneralAmt
Fundraising	$999,328	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$170,103	TotalAmt
Program Services	$161,999	ProgramServicesAmt
Management And General	$7,003	ManagementAndGeneralAmt
Fundraising	$1,101	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,402,923	TotalAmt
Program Services	$9,907,337	ProgramServicesAmt
Management And General	$428,263	ManagementAndGeneralAmt
Fundraising	$67,323	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$79,839	TotalAmt
Program Services	$76,035	ProgramServicesAmt
Management And General	$3,287	ManagementAndGeneralAmt
Fundraising	$517	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,842,124	TotalAmt
Program Services	$11,277,975	ProgramServicesAmt
Management And General	$487,512	ManagementAndGeneralAmt
Fundraising	$76,637	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$240,873	TotalAmt
Program Services	$229,398	ProgramServicesAmt
Management And General	$9,916	ManagementAndGeneralAmt
Fundraising	$1,559	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$33,671	TotalAmt
Program Services	$32,067	ProgramServicesAmt
Management And General	$1,386	ManagementAndGeneralAmt
Fundraising	$218	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,679,715	TotalAmt
Program Services	$9,218,581	ProgramServicesAmt
Management And General	$398,491	ManagementAndGeneralAmt
Fundraising	$62,643	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$29,665,840	TotalAmt
Program Services	$28,252,584	ProgramServicesAmt
Management And General	$1,221,272	ManagementAndGeneralAmt
Fundraising	$191,984	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SYSTEM COST ALLOCATION	$175,737,960	$167,365,951	$7,234,711	$1,137,298
MEDICAL SUPPLIES	$152,759,656	$145,482,314	$6,288,749	$988,593
HOSPITAL FEE	$33,635,599	$33,635,599	$0	$0
LICENSES AND TAXES	$916,334	$872,681	$37,723	$5,930

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,245,754	TotalAmt
Program Services	$4,043,489	ProgramServicesAmt
Management And General	$174,788	ManagementAndGeneralAmt
Fundraising	$27,477	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$840,382,041	TotalAmt
Program Services	$800,451,062	ProgramServicesAmt
Management And General	$34,727,661	ManagementAndGeneralAmt
Fundraising	$5,203,318	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$343,717	BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$67,536,366	BOYAmt
EOY	$55,492,853	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,245,750	BOYAmt
EOY	$10,529,772	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$71,687,755	BOYAmt
EOY	$101,805,539	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,168,629	BOYAmt
EOY	$757,719	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,491,107	BOYAmt
EOY	$12,035,409	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,153,069	BOYAmt
EOY	$6,345,769	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$953,858,309	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$597,225,980	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$374,153,410	BOYAmt
EOY	$356,632,329	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$357,202,603	BOYAmt
EOY	$393,456,839	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$16,828,375	BOYAmt
EOY	$17,383,625	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,647,917	BOYAmt
EOY	$8,529,917	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$77,122,993	BOYAmt
EOY	$75,754,803	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$990,581,691	BOYAmt
EOY	$1,038,724,574	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$76,690,106	BOYAmt
EOY	$99,063,222	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$140,040	BOYAmt
EOY	$3,498,119	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$128,000	BOYAmt
EOY	$116,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$453,534,205	BOYAmt
EOY	$440,996,389	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$530,492,351	BOYAmt
EOY	$543,673,730	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	$426,769,597	BOYAmt
EOY	$448,971,065	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,319,743	BOYAmt
EOY	$46,079,779	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$460,089,340	BOYAmt
EOY	$495,050,844	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$990,581,691	BOYAmt
EOY	$1,038,724,574	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$20,206,135	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,612,196	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$46,555,443	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$51,896	OtherActivitiesAmt
Total Lobbying Expenditures	$51,896	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$31,046,161	BeginningYearBalanceAmt
Contributions	$368,268	ContributionsAmt
Investment Earnings Or Losses	$4,103,014	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,493,829	OtherExpendituresAmt
End Year Balance	$34,023,614	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$27,675,429	BeginningYearBalanceAmt
Contributions	$3,352,438	ContributionsAmt
Investment Earnings Or Losses	$3,338,355	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,320,061	OtherExpendituresAmt
End Year Balance	$31,046,161	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,446,035	BeginningYearBalanceAmt
Contributions	$479,135	ContributionsAmt
Investment Earnings Or Losses	$4,750,259	InvestmentEarningsOrLossesAmt
End Year Balance	$27,675,429	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,887,675	BeginningYearBalanceAmt
Contributions	$242,508	ContributionsAmt
Investment Earnings Or Losses	-$1,246,719	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,437,429	OtherExpendituresAmt
End Year Balance	$22,446,035	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,124,999	BeginningYearBalanceAmt
Contributions	$182,523	ContributionsAmt
Investment Earnings Or Losses	$1,676,240	InvestmentEarningsOrLossesAmt
Other Expenditures	$96,087	OtherExpendituresAmt
End Year Balance	$25,887,675	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.59000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.37000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,771,660	OtherCostOrOtherBasisAmt
Book Value	$22,771,660	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$593,727,279	OtherCostOrOtherBasisAmt
Depreciation	$307,620,635	DepreciationAmt
Book Value	$286,106,644	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,453,229	OtherCostOrOtherBasisAmt
Depreciation	$1,985,200	DepreciationAmt
Book Value	$468,029	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$324,020,025	OtherCostOrOtherBasisAmt
Depreciation	$287,620,145	DepreciationAmt
Book Value	$36,399,880	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,886,116	OtherCostOrOtherBasisAmt
Book Value	$10,886,116	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$356,632,329	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
HOSPITAL FEE/PROVIDER TAX RECEIVABLE	$59,780,357
DUE FROM AFFILIATES	$7,768,979
RIGHT OF USE OPERATING LEASES	$3,973,183
DUE FROM THIRD PARTY	$384,287
OTHER ASSETS	$3,847,997

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$75,754,803	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
I/C TAX EXEMPT BOND LIABILITIES	$231,167,519
DUE TO AFFILIATES	$64,096,325
CAPITAL LEASE OBLIGATION	$63,688,464
HOSPITAL FEE/PROVIDER TAX LIABILITY	$28,660,318
DUE TO THIRD PARTY	$17,727,015
ACCRUED RETIREMENT COMPENSATION	$4,006,385
OTHER LIABILITIES	$31,650,363

Field	Value	IRS element (for citing)
Total Liability	$440,996,389	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	THE ENDOWMENT FUNDS MAINTAINED BY THE HOSPITAL ARE INTENDED TO SUPPORT THE MISSION OF THE HOSPITAL, INCLUDING ACQUISITION OF BUILDINGS AND EQUIPMENT, AND SUPPORT OF VARIOUS HOSPITAL PROGRAMS, RESEARCH, EDUCATION AND COMMUNITY OUTREACH.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CELEBRATION	Event1Nm
Gross Receipts Event1	$482,471	GrossReceiptsEvent1Amt
Charitable Contri Event1	$326,880	CharitableContriEvent1Amt
Gross Revenue Event1	$155,591	GrossRevenueEvent1Amt
Food And Beverage Event1	$37,000	FoodAndBeverageEvent1Amt
Entertainment Event1	$9,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$98,210	OtherDirectExpensesEvent1Amt
Event2	GOLF	Event2Nm
Gross Receipts Event2	$403,934	GrossReceiptsEvent2Amt
Charitable Contri Event2	$221,631	CharitableContriEvent2Amt
Gross Revenue Event2	$182,303	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$14,120	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$83,938	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$50,296	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$886,405	GrossReceiptsTotalAmt
Charitable Contributions Tot	$548,511	CharitableContributionsTotAmt
Gross Revenue Total Events	$337,894	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$14,120	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$83,938	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$37,000	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$9,000	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$148,506	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$292,564	DirectExpenseSummaryEventsAmt
Net Income Summary	$45,330	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,461,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,461,524	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$200,547,570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,338,958	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,208,612	NetCommunityBenefitExpnsAmt
Total Expense	0.07760	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$208,009,094	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,338,958	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,670,136	NetCommunityBenefitExpnsAmt
Total Expense	0.08650	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,823,116	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$438,566	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,384,550	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$300,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$224,567	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,942,679	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,819,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,123,639	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,402,784	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,402,784	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,469,396	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,333,856	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,135,540	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$224,478,490	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$142,672,814	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$81,805,676	NetCommunityBenefitExpnsAmt
Total Expense	0.09740	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$314,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$314,345	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$314,345	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$314,345	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Reimbursed By Medicare	$170,946,673	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$228,413,860	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$57,467,187	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 COMPREHENSIVE IMAGING
DIAGNOSTIC IMAGING CENTER	0.50000	0.50000
2 ST JOSEPH PHYSICIAN VENTURES
REAL ESTATE: DOCTOR OFFICES	0.59200	0.40800
3 ST JOSEPH SATELLITE DIALYSIS
DIALYSIS SERVICE	0.60770	0.39230
4 PAVILION SURGERY CENTER
OUTPATIENT SURGERY CENTER	0.80390	0.19610

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH HOSPITAL OF ORANGE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1100 WEST STEWART DRIVE	AddressLine1Txt
City	ORANGE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92868	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://WWW.PROVIDENCE.ORG/OBP	WebsiteAddressTxt
State License	060000172	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH HOSPITAL OF ORANGE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	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, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E:	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 5:	IN CONDUCTING THE 2021 CHNA TO IDENTIFY NEEDS, THE HOSPITAL LEVERAGED PREVIOUSLY COLLECTED INFORMATION FROM LOCAL PARTNERS IN ORANGE COUNTY. IT WAS DECIDED THAT THE FOCUS GROUPS CONDUCTED BY KAISER PERMANENTE AND THE ORANGE COUNTY HEALTH IMPROVEMENT PARTNERSHIP IN 2019, AS WELL AS THE CALOPTIMA MEMBER SURVEY WOULD BE UTILIZED IN PLACE OF PLANNED FOCUS GROUPS THAT WERE CANCELLED DUE TO THE COVID-19 PANDEMIC. KAISER CONDUCTED A SURVEY WITH 271 RESPONDENTS WHICH CONCLUDED ON JANUARY 30, 2019. REPRESENTATION IN THE SURVEY WERE MINORITY, MEDICALLY UNDERSERVED AND LOW-INCOME INDIVIDUALS. KAISER ORGANIZED ELEVEN (11) FOCUS GROUPS IN THE CITIES OF ANAHEIM AND MIDWAY CITY, IN NEIGHBORHOODS WHERE HEALTH, PHYSICAL ENVIRONMENT AND SOCIO-ECONOMIC MATTERS ARE OF GREAT CONCERN. BOTH THESE CITIES WERE TARGETED BECAUSE OF THE GREAT NEED IDENTIFIED THROUGH ORANGE COUNTY INDICATORS. CONSIDER THIS IN SANTA ANA 58% OF PEOPLE 25 YEARS AND OLDER HAVE A HIGH SCHOOL DEGREE COMPARED TO 98% IN COTO DE CAZA. MEDIAN HOUSEHOLD INCOME IN MIDWAY CITY IS $41,897 COMPARED TO $182,401 IN COTO DE CAZA.IN ALL ELEVEN (11) FOCUS GROUPS THERE WAS REPRESENTATION OF MINORITY, MEDICALLY UNDERSERVED AND LOW-INCOME INDIVIDUALS. FOCUS GROUP WITH SENIORS INCLUDED STROKE SURVIVORS AND SENIOR RESIDENTS. THREE (3) YOUTH MENTAL HEALTH FOCUS GROUPS WERE HELD WITH BOTH STUDENTS AND SCHOOL STAFF PARTICIPATION. THREE (3) PERMANENT SUPPORTIVE HOUSING GROUPS WITH RESIDENTS WERE HELD, ONE (1) MENTAL HEALTH (SUICIDE) FOCUS GROUP, A COMMUNITY RESIDENTS FOCUS GROUP AND ANOTHER HELD AT THE CENTER FOR HEALTHY NEIGHBORHOODS WITH LOW INCOME LATINO RESIDENTS IN FULLERTON.ALL ELEVEN (11) FOCUS GROUPS FOLLOWED THE SAME PROTOCOL, AND THE SAME TEN (10) STRATEGIC LEARNING QUESTIONS WERE ASKED. IN TOTAL YOU HAD 131 FOCUS GROUP PARTICIPANTS: WITH SOME FOCUS GROUPS REACHING AS HIGH AS EIGHTEEN (18) PARTICIPANTS, AND THE LOWEST PARTICIPATION LEVEL OF SEVEN (7).ADDITIONALLY, KAISER ALSO HELD A KEY COMMUNITY STAKEHOLDERS FOCUS GROUP. THE EIGHTEEN (18) PARTICIPANTS SPANNED THE FOLLOWING SECTORS: AFFORDABLE HOUSING, COMMUNITY-BASED ORGANIZATION, EDUCATION, HOUSING AND PUBLIC HEALTH. THE PARTICIPATING AGENCIES ARE AS FOLLOWS:1. 211 ORANGE COUNTY2. ALZHEIMER'S OC3. AMERICAN FOUNDATION OF SUICIDE PREVENTION4. COUNCIL ON AGING5. HEALTHY SMILES FOR KIDS OC6. HOME AND CARE SERVICES, SENIOR SERV7. ILLUMINATION FOUNDATION8. KENNEDY COMMISSION9. ORANGE COUNTY CONGREGATION COMMUNITY ORGANIZATION10. ORANGE COUNTY FAIR HOUSING COUNCIL11. ORANGE COUNTY FOOD ACCESS COALITION12. OC HEALTH CARE AGENCY13. REGIONAL ASTHMA MANAGEMENT AND PREVENTION14. SAN CLEMENTE WELLNESS AND PREVENTION CENTER15. STROKE BOOT CAMP16. STUDENT MENTAL HEALTH, OC DEPARTMENT OF EDUCATION17. UCI INSTITUTE FOR CLINICAL AND TRANSLATIONAL SCIENCE18. WESTERN YOUTH SERVICESTHE SAME TEN (10) STRATEGIC LEARNING QUESTIONS WERE ASKED AS IN THE RESIDENT FOCUS GROUPS.THE TOP PRIORITIES IDENTIFIED THROUGH KAISER'S WORK WERE ACCESS TO HEALTH CARE, ECONOMIC, HOUSING AND FOOD INSECURITIES, MENTAL HEALTH AND SUBSTANCE USE INCLUDING SUICIDE AND STROKE.THE COUNTY HEALTH IMPROVEMENT PARTNERSHIP, ON WHICH PROVIDENCE ST. JOSEPH HOSPITAL ORANGE PARTICIPATES, ALSO CONDUCTED FOCUS GROUPS. IN TOTAL SIX (6) FOCUS GROUPS WERE CONDUCTED WITH REPRESENTATION FROM UNDERREPRESENTED COMMUNITIES, INCLUDING VIETNAMESE OLDER ADULTS, SPANISH-SPEAKING ADULTS AND MOTHERS, ADOLESCENTS AND SERVICE PROVIDERS. ALL SIX (6) FOCUS GROUPS WERE ASKED FIVE (5) STRATEGIC LEARNING QUESTIONS. THE TOP PRIORITIES IDENTIFIED WERE HOMELESSNESS AND HOUSING, ENVIRONMENT, SAFETY, MENTAL HEALTH WITH SUBSTANCE USE, ACCESS TO CARE, NUTRITION, EARLY CHILD DEVELOPMENT AND AGING POPULATION.CALOPTIMA IS THE COUNTY ORGANIZED HEALTH SYSTEM THAT ADMINISTERS HEALTH INSURANCE PROGRAMS FOR LOW-INCOME CHILDREN, ADULTS, SENIORS AND PEOPLE WITH DISABILITIES. CALOPTIMA DID NOT CONDUCT FOCUS GROUPS, BUT RATHER EMBEDDED SEVEN (7) SOCIAL DETERMINANTS OF HEALTH QUESTIONS IN A COMPREHENSIVE MEMBER SURVEY. THE IDENTIFIED NEEDS FROM THE SURVEY WERE ACCESS BARRIERS TO HEALTH CARE, NEGATIVE SOCIAL AND ENVIRONMENTAL IMPACTS AND LACK OF AWARENESS OF BENEFITS AND RESOURCES.
SCHEDULE H, PART V, SECTION B, LINE 6A:	MISSION HOSPITAL AND ST. JUDE MEDICAL CENTER
SCHEDULE H, PART V, SECTION B, LINE 6B:	INPUT FROM THE ORANGE COUNTY HEALTH IMPROVEMENT PARTNERSHIP AND THE CALOPTIMA MEMBER SURVEY
SCHEDULE H, PART V, SECTION B, LINE 7A:	CHNA REPORT WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB.
SCHEDULE H, PART V, SECTION B, LINE 10A:	IMPLEMENTATION STRATEGY WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB.
SCHEDULE H, PART V, SECTION B, LINE 11:	FOR CALENDAR YEAR 2021-2023 ST. JOSEPH HOSPITAL ORANGE IDENTIFIED AND WILL FOCUS ON THE FOLLOWING THREE (3) PRIORITIES:PRIORITY 1: MENTAL HEALTHCOVERS ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. INCLUDES ISSUES OF STRESS, DEPRESSION, COPING SKILLS, AS WELL AS MORE SERIOUS HEALTH CONDITIONS SUCH AS MENTAL ILLNESS AND ADVERSE CHILDHOOD EXPERIENCES. SUBSTANCE USE PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY. MENTAL HEALTH CHALLENGES CAN IMPEDE PEOPLE'S ABILITIES TO REALIZE THEIR POTENTIAL, COPE WITH STRESSES, WORK PRODUCTIVELY AND FRUITFULLY, AND MAKE CONTRIBUTIONS TO THEIR COMMUNITIES. PROVIDENCE ST. JOSEPH HOSPITAL (WHICH WILL BE ADDRESSED SIMPLY AS "ST. JOSEPH HOSPITAL") WILL WORK ON INCREASING AWARENESS AND SERVICES ADDRESSING MENTAL HEALTH ALONG WITH SUBSTANCE USE. IN 2021 THIS NEED WAS ADDRESSED BY:1. THERAPEUTIC SERVICES, INCLUDING SUPPORT GROUPS, INDIVIDUAL THERAPY AND PSYCHOEDUCATIONAL GROUPS IN AN IN-HOUSE PROGRAM.2. EACH MIND MATTERS CAMPAIGN - REDUCED STIGMA AND INCREASED AWARENESS OF MENTAL HEALTH THROUGH "PROMISES TO TALK" CAMPAIGN, A REGIONAL EFFORT BY THE THREE ORANGE COUNTY HOSPITALS FORMING PART OF THE PROVIDENCE ST. JOSEPH HEALTH SYSTEM.3. POST-PARTUM DEPRESSION - EACH WOMAN IN LABOR & DELIVERY WAS GIVEN THE EDINBURGH POSTNATAL DEPRESSION SCALE TO IDENTIFY PATIENTS THAT ARE SUFFERING FROM A DEPRESSIVE ILLNESS.4. WHOLE PERSON CARE (WPC) GRANT - WPC IS A MULTIPLE ACCESS APPROACH THAT ADDRESSED THE NEEDS OF THE MEDICAID HOMELESS POPULATION. HOMELESSNESS AND MENTAL HEALTH ARE DEEPLY INTERTWINED. WPC COORDINATED PHYSICAL, BEHAVIORAL HEALTH, AND SOCIAL SERVICES IN A PATIENT CENTERED APPROACH WITH THE GOALS OF IMPROVED HEALTH AND WELL-BEING. WHEN A PERSON EXPERIENCING HOMELESSNESS SOUGHT SERVICES AT A HOSPITAL, COMMUNITY CLINIC, OR SHELTER, THEIR INFORMATION WAS ENTERED INTO AN ELECTRONIC SYSTEM "WPC CONNECT." THIS SYSTEM HAS THE CAPACITY TO SHARE DATA ACROSS MULTIPLE PROVIDERS. THE CLIENT WAS THEN CONNECTED TO WRAP-AROUND PROGRAMS THAT MAY INCLUDE: RECUPERATIVE CARE, ONE-ON-ONE CALOPTIMA (ORANGE COUNTY MEDICAID HEALTH PLAN) PERSONAL CARE COORDINATOR, PERMANENT SUPPORTIVE HOUSING, LINKAGE TO MENTAL HEALTH AND OR SUBSTANCE USE DISORDER TREATMENT, AND OTHER COMMUNITY REFERRALS.5. IN PATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES INCLUDING A PSYCHIATRIC EMERGENCY SERVICE UNIT (PES) A 23-HOUR EMERGENCY TRIAGE AND STABILIZATION UNIT TO ASSIST PATIENTS WITH ALTERNATIVES TO INPATIENT TREATMENT AND DO A HAND-OFF TO LOWER LEVEL OF CARE SUCH AS PARTIAL HOSPITAL PROGRAM OR A PROVIDER IN THE COMMUNITY.PRIORITY 2: HEALTH CARE ACCESSINCREASING HEALTH CARE ACCESS AS WELL AS OTHER RESOURCES FOR AREAS THAT HAVE THE BIGGEST CHALLENGES.IN 2021 THIS NEED WAS ADDRESSED BY:1. PROVIDING YEAR-ROUND GRANT FUNDS TO LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WHICH PROVIDED MEDICAL, DENTAL, MENTAL HEALTH AND VISION SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS.PRIORITY 3: HOUSING & HOMELESSNESSPRIMARILY FOCUSED ON THE CONDITION OF HOMELESSNESS, INCLUDING HELPING HOMELESS INDIVIDUALS, PREVENTION OF HOMELESSNESS, AND MITIGATING ITS IMPACT ON COMMUNITIES. HOMELESSNESS AND AFFORDABLE HOUSING ARE SIGNIFICANT NEEDS IN OUR COMMUNITIES. HOMELESSNESS HAS A RIPPLE EFFECT THROUGHOUT THE COMMUNITY; IT IMPACTS THE AVAILABILITY OF HEALTHCARE RESOURCES, CRIME AND SAFETY, THE WORKFORCE, AND THE USE OF TAX DOLLARS. AFFORDABLE HOUSING BENEFITS OUR COMMUNITIES AND CREATES STRONGER OUTCOMES - IN EMPLOYMENT, HEALTH AND EDUCATION. WE WILL BE WORKING TO REDUCE CHRONIC HOMELESSNESS, SUPPORT THE NUMBER OF PERSONS ENTERING BRIDGE AND SUPPORTIVE HOUSING AND STRENGTHEN AFFORDABLE HOUSING POLICIES IN THE 2021-2028 HOUSING ELEMENT PLANS. SOCIAL DETERMINANTS OF HEALTH, LIKE HOUSING, HAVE A SUBSTANTIAL IMPACT ON HEALTH BEHAVIORS AND HEALTH OUTCOMES. ADDRESSING HOUSING INSTABILITY, HOUSING AFFORDABILITY, AND PREVENTING HOMELESSNESS WILL IMPROVE HEALTH AND THE COMMUNITIES WE SERVE.IN 2021 THIS NEED WAS ADDRESSED BY:1. WHOLE PERSON CARE (WPC) GRANT - WPC IS A MULTIPLE ACCESS APPROACH TO ADDRESSING THE NEEDS OF THE MEDICAID HOMELESS POPULATION. HOMELESSNESS AND MENTAL HEALTH ARE DEEPLY INTERTWINED. WPC COORDINATED PHYSICAL, BEHAVIORAL HEALTH, AND SOCIAL SERVICES IN A PATIENT CENTERED APPROACH WITH THE GOALS OF IMPROVED HEALTH AND WELL-BEING. WHEN A PERSON EXPERIENCING HOMELESSNESS SOUGHT SERVICES AT A HOSPITAL, COMMUNITY CLINIC, OR SHELTER, THEIR INFORMATION WAS ENTERED INTO AN ELECTRONIC SYSTEM "WPC CONNECT." THIS SYSTEM HAS THE CAPACITY TO SHARE DATA ACROSS MULTIPLE PROVIDERS. THE CLIENT IS THEN CONNECTED TO WRAP-AROUND PROGRAMS THAT MAY INCLUDE: RECUPERATIVE CARE, ONE-ON-ONE CALOPTIMA (ORANGE COUNTY MEDICAID HEALTH PLAN) PERSONAL CARE COORDINATOR, PERMANENT SUPPORTIVE HOUSING, LINKAGE TO MENTAL HEALTH AND OR SUBSTANCE USE DISORDER TREATMENT, AND OTHER COMMUNITY REFERRALS. ST. JOSEPH HOSPITAL PROVIDED A CERTIFIED ADDICTION SPECIALIST FOR THIS GRANT.2. HOMELESS NAVIGATOR PROGRAM HAS A SOCIAL WORKER THAT HELPED PATIENTS EXPERIENCING HOMELESSNESS CONNECT TO SERVICES.3. PROVIDING GRANT FUNDS TO LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND FOR THE HOMELESS REGIONAL INITIATIVE. THE RECIPIENT IS THE NON-PROFIT ILLUMINATION FOUNDATION, HELPING THOSE EXPERIENCING HOMELESSNESS WITH INTERDISCIPLINARY SERVICES.4. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE WERE CONNECTED TO ILLUMINATION FOUNDATION. ILLUMINATION FOUNDATION PROVIDED CASE MANAGEMENT AND CONNECTED PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH AND WORKFORCE SERVICES.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR MISSION, "AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE", IS BEST LIVED BY PARTNERING WITH LIKE-MINDED ORGANIZATIONS THAT COUNT WITH THE CAPACITY AND EXPERTISE TO ADDRESS THE NEEDS OF ORANGE COUNTY RESIDENTS. WE ARE COMMITTED TO LIVING OUT OUR MISSION THROUGH OUR OWN COMMUNITY BENEFIT PROGRAMS, BY PARTNERSHIP WITH LIKE-MINDED PARTNERS AND BY FUNDING OTHER NON-PROFITS.FURTHERMORE, ST. JOSEPH HOSPITAL WILL ENDORSE LOCAL NON-PROFIT ORGANIZATIONS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT ST. JOSEPH HOSPITAL'S SERVICE AREAS.THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S 2021 CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:OBESITY/FOOD INSECURITY/NUTRITION:CONCERNS ABOUT HEALTHY EATING HABITS, NUTRITION KNOWLEDGE, AND CHALLENGES OF COST AND AVAILABILITY OF HEALTHY OPTIONS. OBESITY IS PRIMARILY DEFINED AS THE HEALTH CONDITION IN WHICH INDIVIDUALS ARE SUFFICIENTLY OVERWEIGHT AS TO HAVE DETRIMENTAL EFFECTS ON THEIR OVERALL HEALTH. ST. JOSEPH HOSPITAL DONATES TO MEALS ON WHEELS AND HAS DONE SO FOR YEARS.ECONOMIC ISSUES:IDENTIFIED AS A ROOT CAUSE OF OTHER HEALTH ISSUES, THIS ISSUE COVERS THE EFFECTS OF POVERTY AND ECONOMIC CONCERNS AS WELL AS DIFFICULTIES AROUND FINDING JOBS THAT PAY LIVABLE SALARIES. WHILE ST. JOSEPH HOSPITAL HAS NOT SELECTED ECONOMIC ISSUES AS A TOP PRIORITY, THE MAJORITY OF ITS COMMUNITY BENEFIT PROGRAMS ARE TARGETED TO THE LOW-INCOME POPULATION. ST. JOSEPH HOSPITAL PARTNERS WITH ORANGE COUNTY COMMUNITY ACTION PARTNERSHIP, THE COUNTY ANTI-POVERTY AGENCY ON SEVERAL INITIATIVES AS WELL AS THE INTERSECTIONS INITIATIVE OF CENTRAL ORANGE COUNTY, A COLLABORATIVE ADDRESS WORKFORCE IN LOW INCOME AREAS. ST. JOSEPH HOSPITAL HAS A POLICY OF A JUST LIVING WAGE AND IN THAT WAY SERVES AS A ROLE MODEL FOR OTHER ORGANIZATIONS IN THE COMMUNITY. IN ADDITION, SANTA ANA W-O-R-K CENTER AND THE CAMBODIAN FAMILY NON-PROFITS ALSO ADDRESS ECONOMIC ISSUES.SAFETY:ENCOMPASSES THE INCIDENCE OF CRIME AND VIOLENCE AS WELL AS THE FEAR OF IT, WHICH PREVENTS PEOPLE FROM USING OPEN SPACE OR ENJOYING THEIR COMMUNITY. THE DECLINING CRIME RATE HAS NOT MADE THIS A PRIORITY, BUT ST. JOSEPH HOSPITAL PARTICIPATES IN LOCAL COLLABORATIVES THAT FOCUS ON THE NEEDS OF AT-RISK YOUTH WITH A GOAL TO REDUCE GANG INVOLVEMENT AND CRIME.
SCHEDULE H, PART V, SECTION B, LINE 11 (CONTINUED):	DIABETES:SPECIFICALLY FOCUSED ON THE HEALTH CONDITION OF DIABETES, AND AWARENESS AND PREVENTION OF IT. ST. JOSEPH HOSPITAL WILL CONTINUE TO WORK WITH THE OC HEALTH IMPROVEMENT PARTNERSHIP WHICH IS ADDRESSING DIABETES IN ORANGE COUNTY. LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDES DIABETES SERVICES TO FAMILIES AND RESIDENTS WITH LOW INCOME. IN ADDITION, OTHER NON-PROFITS ADDRESSING DIABETES ARE THE LATINO HEALTH ACCESS ORGANIZATION AND AMERICAN DIABETES ASSOCIATION.EARLY CHILDHOOD DEVELOPMENT:WHILE THIS DID NOT MAKE THE TOP PRIORITIES, THE DIRECTOR, COMMUNITY HEALTH INVESTMENT PARTICIPATES IN THE SANTA ANA EARLY LEARNING INITIATIVE WHICH IS ADDRESSING THIS ISSUE.ENVIRONMENT/CLIMATE:PROVIDENCE ST. JOSEPH HEALTH HAS COMMITTED TO BEING CARBON NEGATIVE BY 2030. THIS EFFORT WILL INVOLVE ALL HOSPITAL STAFF.AGING POPULATION: (THIS WAS NOT IDENTIFIED IN THE 2021 CHNA) WHILE THIS IS NOT ONE OF THE SELECTED PRIORITIES, ST. JOSEPH HOSPITAL PARTNERS WITH THE SOUTHERN CALIFORNIA COUNCIL ON AGING. OVER THE PAST TWO YEARS, ST. JOSEPH HOSPITAL HAS FUNDED A PROGRAM THAT PROVIDES ISOLATED, LOW-INCOME OLDER ADULTS IN CENTRAL ORANGE COUNTY WITH SOCIAL SERVICE RESOURCES AND REFERRALS, MENTAL HEALTH SERVICES, AND A VOLUNTEER VISITING PROGRAM.PREVENTION:DECREASING THE CHANCE OF GETTING A DISEASE.EQUITY/RACIAL DISPARITIES:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.SEXUALLY TRANSMITTED DISEASES:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.STROKE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.CANCER:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.TEEN BIRTH RATE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.ALZHEIMER DISEASE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.IN ADDITION, ST. JOSEPH HOSPITAL WILL COLLABORATE WITH SEVERAL LOCAL ORGANIZATIONS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS THESE UNMET NEEDS.
SCHEDULE H, PART V, LINE 13A:	1/1/2021 - 5/14/2021 ST. JOSEPH HOSPITAL OF ORANGE 100% DISCOUNT WAS UP TO 200% FPL AND 75% DISCOUNT BETWEEN 201% TO 500% FPL.EFFECTIVE 5/15/21 THROUGH 12/31/2021, ST. JOSEPH HOSPITAL OF ORANGE 100% DISCOUNT WAS UP TO 300% FPL AND 75% DISCOUNT BETWEEN 301% TO 350% FPL.
SCHEDULE H, PART V, SECTION B, LINE 13H:	THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDER-INSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 16A:	FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16B:	FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16C:	FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE#TABCONTENT-17-PANE-4
SCHEDULE H, PART V, LINE 22B AND 22D:	PRIOR TO 5/15/2021 ST. JOSEPH HOSPITAL OF ORANGE USED THE PROSPECTIVE MEDICARE OR MEDICAID AGB METHOD. EFFECITVE 5/15/2021 ST. JOSEPH HOSPITAL OF ORANGE WENT LIVE ON EPIC AND MOVED TO THE LOOK BACK METHOD BASED ON CLAIMS ALLOWED BY MEDICARE FEE FOR SERVICE AND ALL PRIVATE HEALTH INSURERS THAT PAY CLAIMS TO THE HOSPITAL FACILITY DURING A PRIOR 12 MONTH PERIOD.
SCHEDULE H, PART V, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CENTER FOR CANCER PREVENTION & TREATMENT
1000 WEST LA VETA	ORANGE	CA	92868	CANCER CENTER
2 - RADIOLOGYIMAGING CENTER
1140 WEST LA VETA	ORANGE	CA	92868	RADIOLOGY AND IMAGING CENTER
3 - OUTPATIENT SURGICENTER
1140 WEST LA VETA	ORANGE	CA	92868	OUTPATIENT SURGERY
4 - ST JOSEPH SISTER ELIZABETH BUILDING
1300 WEST PALMYRA	ORANGE	CA	92868	DIALYSIS, BEHAVIORAL HLTH, RENAL TRANS & SLEEP CTR
5 - MATERNAL FETAL TESTING
1140 WEST LA VETA	ORANGE	CA	92868	FETAL TESTING
6 - PHYSICAL REHABILITATION
1310 WEST STEWART DRIVE SUITE 203	ORANGE	CA	92868	PHYSICAL THERAPY
7 - ST JOSEPH HOSPITAL WOUND CARE CENTER
1140 WEST LA VETA	ORANGE	CA	92868	WOUND CARE CENTER
8 - CARDIAC REHABILITATION CENTER
1140 WEST LA VETA	ORANGE	CA	92868	CARDIOLOGY SERVICES
9 - COMPREHENSIVE IMAGING PARTNERS OF OC LLC
1 CITY BOULEVARD WEST SUITE 1100	ORANGE	CA	92868	IMAGING CENTER
10 - SANTA ANA DIALYSIS CENTER
2212 EAST 4TH STREET SUITE 101	SANTA ANA	CA	92705	DIALYSIS SERVICE
11 - HEART & VASCULAR WELLNESS CLINIC
1120 WEST LA VETA	ORANGE	CA	92868	HEART WELLNESS
12 - MOTHER BABY
363 SOUTH MAIN STREET	ORANGE	CA	92868	WOMEN & CHILDREN
13 - SINUS CENTER
1140 WEST LA VETA SUITE 510	ORANGE	CA	92868	SINUS CENTER

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
PART I, LINE 6A:	ST. JOSEPH HOSPITAL OF ORANGE PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-JOSEPH-HOSPITAL-ORANGE/ABOUT-US/COMMUNITY-BENEFIT
PART I, LINE 7:	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER.
PART I, LINE 7G:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE HOSPITAL PROVIDED $314,345 IN COMMUNITY BUILDING ACTIVITIES BY OFFERING COPE HEALTH SCHOLARS PROGRAM. COPE PROVIDES YOUNG ADULTS WITH MEDICAL INTERNSHIPS IN MULTIPLE DEPARTMENTS. THE PROGRAM IS 15 MONTHS AND IS GEARED TOWARD FIRST GENERATION ADULTS WHO ARE RACIALLY DIVERSE.
PART III, LINE 4:	AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
PART III, LINE 8:	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES ASCOMMUNITY BENEFIT.
PART III, LINE 9B:	OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THIS INFORMATION IS INCLUDED IN OUR CHARITY POLICY HOWEVER THIS DETAIL IS NOT ADDRESSED IN OUR COLLECTION POLICY.
PART VI, LINE 2:	NEEDS ASSESSMENTWITH THE INPUT OF MORE THAN 450 KEY STAKEHOLDERS, ST. JOSEPH HOSPITAL OF ORANGE DEFINED ITS FIVE-YEAR STRATEGIC JOURNEY, WHICH FORMS THE FOUNDATION FOR OUR COMMITMENT TO EACH PATIENT WE SERVE:PROVIDENCE STRATEGIC FRAMEWORK -STRENGTHEN THE CORE: WE WILL DELIVER OUTSTANDING, AFFORDABLE HEALTH CARE, HOUSING, EDUCATION AND OTHER ESSENTIAL SERVICES TO OUR PATIENTS AND COMMUNITIES. WE SEEK TO CREATE A PLACE WHERE CAREGIVERS ARE FULFILLED AND INSPIRED TO CARRY ON THE MISSION.-BE OUR COMMUNITIES' HEALTH PARTNER: WE WILL BE OUR COMMUNITIES' HEALTH PARTNER, AIMING FOR PHYSICAL, SPIRITUAL, AND EMOTIONAL WELL-BEING. WE SEEK TO EASE THE WAY OF OUR NEIGHBORS IN THEIR JOURNEY TO GOOD LIFE.-TRANSFORM OUR FUTURE: WE WILL RESPOND TO THE SIGNS OF THE TIMES, PURSUING NEW OPPORTUNITIES THAT TRANSFORM OUR SERVICES. WE SEEK TO EXPAND AND SUSTAIN OUR MISSION.PROVIDENCE SOCAL REGION STRATEGIC VISION: BE OUR COMMUNTIY'S HEALTH PARTNER OF CHOICE KNOWN FOR EASE-OF-USE, KEEPING OUR PATIENTS WELL AND OUTSTANDING QUALITY.- STRENGTHEN THE CORE: PROVIDING EXCEPTIONAL, PERSONALIZED CARE WITH COMPASSION.- SIMPLIFY ACCESS: KNOW OUR COMMUNITIES AND EASE THEIR WAY THROUGH THE CARE CONTINUUM. TRANSFORM CARE, IMPROVE POPULATION HEALTH OUTCOMES, AND REDUCE HEALTH DISPARITIES, ESPECIALLY FOR THE POOR AND VULNERABLE POPULATIONS. LEAD THE WAY IN IMPROVING OUR NATION'S MENTAL AND EMOTIONAL WELL-BEING. ENGAGING WITH PARTNERS TO ENSURE HEALTH EQUITY FOR ALL BY ADDRESSING SYSTEMIC RACISM AND THE SOCIAL DETERMINANTS OF HEALTH, WITH A FOCUS ON EDUCATION, HOUSING AND THE ENVIRONMENT- TRANSFORM HEALTH: USE OUR HIGH VALUE NETWORK OF CARE TO KEEP PATIENTS WELL AND PROVIDE COORDINATED CARE WHEN SICK.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEREASONABLE EFFORTS WILL BE MADE TO NOTIFY AND INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, UTILIZING THE METHODS OUTLINED BELOW:- PATIENT BILLING STATEMENTS WILL INCLUDE A CLEAR AND CONSPICUOUS NOTICE ADVISING OF THE AVAILABILITY OF THE SJH FINANCIAL ASSISTANCE PROGRAM.- A PLAIN LANGUAGE SUMMARY OF THE FAP (BROCHURE) SHALL BE PROVIDED AS PART OF THE ADMISSION OR DISCHARGE PROCESS- THE FAP POLICY, PLAIN LANGUAGE SUMMARY (BROCHURE) AND FINANCIAL ASSISTANCE APPLICATION WILL BE AVAILABLE ON EACH SJH HOSPITAL'S WEBSITE.- THE PLAIN LANGUAGE SUMMARY OF THE FAP (BROCHURE) WILL BE PRINTED IN ENGLISH AND SPANISH, AT A MINIMUM, AND SHALL BE AVAILABLE AT EACH HOSPITAL IN PUBLIC ADMISSION AREAS, INCLUDING, BUT NOT LIMITED TO, THE EMERGENCY ROOM, INPATIENT AND OUTPATIENT ADMISSION AREAS.- TRANSLATIONS OF THE SJH FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND PLAIN LANGUAGE SUMMARY OF THE FAP (BROCHURE) SHALL BE MADE AVAILABLE IN OTHER LANGUAGES AS DETERMINED BY EACH HOSPITAL, IN ACCORDANCE WITH SECTION 501 (R) OF THE INTERNAL REVENUE CODE.- SJH PERSONNEL WILL MAKE A REASONABLE EFFORT TO ORALLY NOTIFY PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE WHEN DISCUSSING PAYMENT OPTIONS.- EACH SJH HOSPITAL SHALL POST NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM.SUCH NOTICES SHALL:- BE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS OF THE HOSPITAL INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICE, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS OR OTHER COMMON PATIENT WAITING AREAS OF THE HOSPITAL AND ANY LOCATION WHERE A PATIENT MAY PAY HIS OR HER HOSPITAL BILL.- INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE.- BE IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT REPRESENT THE LESSOR OF 1,000 INDIVIDUALS OR 5 PERCENT OF THE COMMUNITY SERVED BY THE HOSPITAL.ANY INDIVIDUAL WHO BELIEVES THAT HE OR SHE MAY QUALIFY FOR FINANCIAL ASSISTANCE OR HAS REQUESTED FINANCIAL ASSISTANCE MUST SUBMIT A FINANCIAL ASSISTANCE APPLICATION.THE FINANCIAL ASSISTANCE APPLICATION MAY BE OBTAINED FOR FREE AT THE LOCATIONS DESIGNATED BY EACH SJH HOSPITAL, BY MAIL OR BY VISITING THE SJH HOSPITAL'S WEBSITE.EACH SJH HOSPITAL SHALL MAKE DESIGNATED PERSONNEL AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND DETERMINING ELIGIBILITY FOR THE SJH FINANCIAL ASSISTANCE OR FINANCIAL ASSISTANCE FROM GOVERNMENT-FUNDED INSURANCE PROGRAMS, IF APPLICABLE.INTERPRETATION SERVICES ARE AVAILABLE TO ADDRESS ANY QUESTIONS OR CONCERNS AND TO ASSIST IN THE COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATIONS.
PART VI, LINE 4:	COMMUNITY INFORMATIONST. JOSEPH HOSPITAL OF ORANGE PROVIDES ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S TOTAL SERVICE AREA EXTENDS FROM YORBA LINDA IN THE NORTH, LAKE FOREST IN THE SOUTH, CORONA IN THE EAST AND HUNTINGTON BEACH IN THE WEST. OUR HOSPITAL TOTAL SERVICE AREA (TSA), INCLUDES THE CITIES OF ANAHEIM, BUENA PARK, CORONA, COSTA MESA, CYPRESS, FOOTHILL RANCH, FOUNTAIN VALLEY, FULLERTON, GARDEN GROVE, IRVINE, LAKE FOREST, ORANGE, PLACENTIA, SANTA ANA, SILVERADO, STANTON, TUSTIN, VILLA PARK, WESTMINSTER AND YORBA LINDA. TOTAL SERVICE AREA (TSA): THE TOTAL SERVICE AREA FOR ST. JOSEPH HOSPITAL OF ORANGE WAS DEFINED USING CENSUS TRACTS INSIDE NORTH AND CENTRAL ORANGE COUNTY WITH THE EXCLUSION OF THE CITY OF YORBA LINDA. IN TOTAL, THERE ARE 458 CENSUS TRACTS WITHIN THE SERVICE AREA OF ST. JOSEPH HOSPITAL. THE TOTAL SERVICE AREA WAS LATER DIVIDED INTO THE "BROADER SERVICE AREA AND "HIGH NEED SERVICE AREA" (TOTAL SERVICE AREA = BROADER SERVICE AREA + HIGH NEED SERVICE AREA). OF THE OVER 2,590,000 PERMANENT RESIDENTS IN THE TOTAL SERVICE AREA, ROUGHLY 47% LIVE IN THE HIGH NEED AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS IN THE TOTAL SERVICE AREA. FOR REFERENCE, 200% FPL IS EQUIVALENT TO AN ANNUAL HOUSEHOLD INCOME OF $51,500 OR LESS FOR A FAMILY OF 4. THESE HOUSEHOLDS ARE MORE LIKELY TO REGULARLY MAKE SPENDING TRADEOFFS REGARDING UTILITIES, RENT, GROCERIES, MEDICINE, AND OTHER BASIC EXPENSES. POPULATION AND AGE DEMOGRAPHICS:THE POPULATION IN ST. JOSEPH HOSPITAL OF ORANGE'S TOTAL SERVICE AREA MAKES UP 80% OF ORANGE COUNTY. THE MALE-TO-FEMALE DISTRIBUTION IS ROUGHLY EQUAL ACROSS GEOGRAPHIES. INDIVIDUALS UNDER THE AGE OF 35 ARE MORE LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. POPULATION BY RACE AND ETHNICITY:INDIVIDUALS WHO IDENTIFY AS HISPANIC AND "OTHER" RACE ARE SUBSTANTIALLY MORE LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. PEOPLE IDENTIFYING AS WHITE ARE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS.SOCIOECONOMIC INDICATORS:THE HIGH NEED SERVICE AREA'S MEDIAN HOUSEHOLDS INCOME IS APPROXIMATELY $40,000 LESS THAN THE BROADER SERVICE AREA, AND $28,000 LESS THAN ORANGE COUNTY OVERALL.HOUSING COST BURDEN:SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS THAT SPEND 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE TOTAL SERVICE AREA AND ORANGE COUNTY HAVE ROUGHLY THE SAME PERCENTAGE OF RENTER HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDENED (28%). IN THE HIGH NEED SERVICE AREA, 32% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED COMPARED TO 24% IN THE BROADER SERVICE AREA.HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREAS (MUA) & MEDICALLY UNDERSERVED POPULATIONS (MUP):THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA) DEMOGRAPHICS (I.E., LOW-INCOME POPULATION) OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). ST JOSEPH HOSPITAL IS NOT LOCATED IN A SHORTAGE AREA. LARGE PORTIONS OF THE TOTAL SERVICE AREA TO THE WEST AND SOUTH OF ST. JOSEPH HOSPITAL ARE DESIGNATED AS SHORTAGE AREAS. MEDICALLY UNDERSERVED AREAS (MUA) AND MEDICALLY UNDERSERVED POPULATIONS (MUP) ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MUA ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE." MUP ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MUA AND MUP ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. ALTHOUGH ST. JOSEPH HOSPITAL IS NOT LOCATED IN A MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATIONS AREA, AREAS TO THE SOUTH AND WEST OF ST. JOSEPH HOSPITAL ARE LOCATED IN A MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATIONS AREA, SIGNIFYING THE IMPORTANCE OF ST JOSEPH HOSPITAL TO THE COMMUNITY IT SERVES.OTHER HOSPITALS IN SERVICE AREAOTHER HOSPITALS IN THE COMMUNITY INCLUDE: HOAG, AHMC ANAHEIM, CHOC, CORONA REGIONAL MEDICAL CENTER, KAISER, KPC HEALTHCARE, INC., ORANGE COAST MEMORIAL, PRIME HEALTHCARE, TENET HEALTH, AND UCI MEDICAL CENTER.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHST. JOSEPH HOSPITAL OF ORANGE PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. ST. JOSEPH HOSPITAL OF ORANGE IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES2) OPEN MEDICAL STAFF3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.LOCAL COMMUNITY BENEFIT COMMITTEE:THE ROLE OF ST. JOSEPH HEALTH, ST. JOSEPH OF ORANGE'S COMMUNITY HEALTH COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMUNITY HEALTH COMMITTEE ACTS IN ACCORDANCE WITH A BOARD APPROVED CHARTER. THE COMMUNITY HEALTH COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS "IDENTIFIED SIGNIFICANT NEEDS" IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY HEALTH COMMITTEE HAS A MINIMUM OF EIGHT (8) MEMBERS INCLUDING THREE (3) MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES FOUR (4) BOARD OF TRUSTEES AND TEN (10) COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE CB COMMITTEE GENERALLY MEETS EVERY VIRTUALLY EVERY QUARTER.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE PURSUE INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY. TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES: -PROVIDENCE ACROSS SEVEN WESTERN STATES -COVENANT HEALTH IN WEST TEXAS -PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON -PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTHSERVICES IN SEATTLE, WA 2021 WAS MARKED BY THREE MAJOR SURGES IN COVID-19 VOLUMES, A NATIONAL SHORTAGE OF HEALTH CARE PERSONNEL, AS WELL AS DEFERRALS OF NON-EMERGENT CARE. EVEN WITH THESE TREMENDOUS CHALLENGES, THE PROVIDENCE FAMILY OF ORGANIZATIONS CONTINUED TO INVEST IN OUR COMMUNITIES, GUIDED BY OUR STRATEGIC PLAN AND OUR COMMUNITY BENEFIT PRIORITIES.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT
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 (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
ST JUDE NEIGHBORHOOD HEALTH CENTER
731 S HIGHLAND AVENUE	FULLERTON	CA	92832	453977605	501(C)(3)	$479,045	$0	COMMUNITY BENEFIT RESTRICTED GRANT
MISSION HOSPITAL REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643360	501(C)(3)	$150,231	$0	SPONSORSHIP
JAMBOREE HOUSING CORPORATION
17701 COWAN	IRVINE	CA	92614	330413518	501(C)(3)	$127,476	$0	COMMUNITY BENEFIT RESTRICTED GRANT
ORANGE COUNTY UNITED WAY
18012 MITCHELL SOUTH	IRVINE	CA	926146008	330047994	501(C)(3)	$83,333	$0	OPERATIONAL SUPPORT
VIETNAMESE AMERICAN CANCER FOUNDATION
17150 NEW HOPE ST STE 203	FOUNTAIN VALLEY	CA	92708	912170415	501(C)(3)	$55,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT
UNITED CEREBRAL PALSY ASSOCIATION OF ORANGE COUNTY
980 ROOSEVELT SUITE 100	IRVINE	CA	92520	951856340	501(C)(3)	$40,000	$0	OPERATIONAL SUPPORT
LESTONNAC FREE CLINIC
1215 E CHAPMAN AVE	ORANGE	CA	92866	953499011	501(C)(3)	$10,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
PATIENT LIVING ASSISTANCE	6	$6,208
PATIENT TRANSPORTATION ASSISTANCE	2	$3,906
PATIENT DENTAL ASSISTANCE	4	$3,176
PATIENT MEDICAL ASSISTANCE	2	$1,711
PATIENT HOUSING ASSISTANCE	1	$1,000

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	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	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JO ANN ESCASA-HAIGH
ASSISTANT TREASURER (PART YEAR)	$0	$810,289	$0	$339,019	$0	$307,368	$0	$235,035	$0	$27,365	$0	$1,719,076	$0	$266,274
JEREMY ZOCH
CHIEF EXECUTIVE - SJO	$0	$532,539	$0	$216,939	$0	$16,311	$0	$151,827	$0	$30,369	$0	$947,985	$0	$0
JIM WATSON ESQ
SECRETARY	$0	$450,443	$0	$287,615	$0	$22,030	$0	$94,222	$0	$32,632	$0	$886,942	$0	$0
SCOTT RUSK
CHIEF MEDICAL OFFICER - SJO	$426,818	$0	$80,657	$0	$7,037	$0	$4,350	$0	$32,583	$0	$551,445	$0	$0	$0
EILEEN HAUBL
SVP & CHIEF FINANCIAL OFFICER	$0	$400,957	$0	$65,931	$0	$14,991	$0	$32,498	$0	$12,047	$0	$526,424	$0	$8,987
AMY DAUGHERTY
MINISTRY CHIEF, PHILANTHROPY OFFICER	$282,918	$0	$74,098	$0	$2,760	$0	$4,170	$0	$15,368	$0	$379,314	$0	$0	$0
MICHELLE GENOVA
CHIEF PATIENT CARE SERVICES/CNO	$250,273	$0	$36,616	$0	$2,975	$0	$8,700	$0	$34,914	$0	$333,478	$0	$0	$0
STEPHANIE KIM
CLINICAL PHARMACIST	$284,632	$0	$2,700	$0	$0	$0	$6,779	$0	$27,409	$0	$321,520	$0	$0	$0
ABDUL KAKAR
REGISTERED NURSE II	$245,082	$0	$28,713	$0	$4,771	$0	$6,878	$0	$27,143	$0	$312,587	$0	$0	$0
DONALD ANDERSON JR
ASSIST. SEC. FOR ENROLLMENT (PT YR)	$0	$210,749	$0	$30,761	$0	$1,041	$0	$12,268	$0	$11,812	$0	$266,631	$0	$0
BRIAN BOYD MD
TRUSTEE	$0	$219,055	$0	$0	$0	$0	$0	$0	$0	$0	$0	$219,055	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
PART I, LINE 3	DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
PART I, LINE 4B	ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: JO ANN ESCASA-HAIGH - $ 266,274 EILEEN HAUBL - $ 8,987
PART I, LINE 7	NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (11 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$3,951,208	MEDICAL SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$3,347,802	MEDICAL SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$2,042,257	MEDICAL SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$773,590	MEDICAL SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$541,636	MEDICAL SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$488,990	REPAIR SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$334,377	MEDICAL SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$212,540	MEDICAL SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$206,687	REPAIR SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$197,029	REPAIR SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$116,675	MEDICAL SVC	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 15:	INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING.
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE SOLE CORPORATE MEMBERS OF ST. JOSEPH HOSPITAL OF ORANGE.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JOSEPH HOSPITAL OF ORANGE HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE ST. JOSEPH HOSPITAL OF ORANGE'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE ST. JOSEPH HOSPITAL OF ORANGE BOARD AS NOMINATIONS MUST BE APPROVED BY JOSEPH HEALTH SYSTEM, AS A CORPORATE MEMBER, AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE BOARD MEMBERS ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBERS, ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, RESERVE THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15B	PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2021.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11G	AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 23,115,825. MANAGEMENT AND GENERAL EXPENSES 999,225. FUNDRAISING EXPENSES 157,078. TOTAL EXPENSES 24,272,128. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 72,436,516. MANAGEMENT AND GENERAL EXPENSES 3,131,206. FUNDRAISING EXPENSES 492,226. TOTAL EXPENSES 76,059,948. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 20,325,069. MANAGEMENT AND GENERAL EXPENSES 878,590. FUNDRAISING EXPENSES 138,115. TOTAL EXPENSES 21,341,774. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 23,184,253. MANAGEMENT AND GENERAL EXPENSES 1,002,183. FUNDRAISING EXPENSES 157,543. TOTAL EXPENSES 24,343,979. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 3,431,838. MANAGEMENT AND GENERAL EXPENSES 148,348. FUNDRAISING EXPENSES 23,320. TOTAL EXPENSES 3,603,506. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 4,568,704. MANAGEMENT AND GENERAL EXPENSES 197,491. FUNDRAISING EXPENSES 31,046. TOTAL EXPENSES 4,797,241.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 39,846,791. CHANGE IN EQUITY RELATED TO INVESTMENTS 2,423,922. CHANGE IN INVESTMENT IN JOINT VENTURES -994,804. OTHER CHANGES IN NET ASSETS 5,279,534.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (110 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COLLABRIA CARE
414 SOUTH JEFFERSON STREET	NAPA	CA	94559	680393144	HEALTHCARE	CA	501(C)(3)	10	SJHCN	Yes (1)
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611573313	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	461259908	HEALTHCARE	CA	501(C)(3)	12, III	SJHS	Yes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	463516417	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	844273963	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	822913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128	EVERETT	WA	982065128	943264605	TRANSITIONAL CARE	WA	501(C)(3)	10		0	N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	201910170	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	203856995	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
HMTS INC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(C)(3)	12, I	HMHP	Yes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (1)
HOAG CLINIC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE	CA	501(C)(3)	10	HMHP	Yes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(C)(3)	PF	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	916033089	SUPPORT	WA	501(C)(3)	12, III	KRMC	Yes (1)
KADLEC FOUNDATION
888 SWIFT BLVD	RICHLAND	WA	99352	237005501	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330844408	IMAGING SERVICES	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	264021016	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643360	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069	SEATTLE	WA	98116	200799737	SUPPORT	WA	501(C)(3)	12, I	SHS	Yes (1)
OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911608508	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	562290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREET	BURBANK	CA	915054809	953544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021	ANCHORAGE	AK	99508	920093565	HEALTHCARE	AK	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN ST	MT ANGEL	OR	97362	911940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35	PORTLAND	OR	97213	930800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410	MEDFORD	OR	97504	930692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	473385506	SUPPORT	WA	501(C)(3)	7		0	N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911549796	HEALTHCARE	WA	501(C)(3)	12, II	PSJH	0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231793	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216586	HEALTHCARE	WA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	550828701	MEDICAID HEALTHCARE PROVIDER	OR	501(C)(4)	N/A	PHP	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
101 W 8TH AVE	SPOKANE	WA	99204	320014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	930863097	HEALTHCARE	OR	501(C)(4)	N/A	PPP	Yes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149	HOOD RIVER	OR	97031	930921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1615 75TH ST SW SUITE 210	EVERETT	WA	98203	272552749	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220	TUKWILA	WA	98168	912077378	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVD	TORRANCE	CA	90503	510224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SE	ISSAQUAH	WA	980297219	931554288	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330283773	HEALTHCARE	CA	501(C)(3)	12, I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVE	MILWAUKIE	OR	97222	943079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057		RELIGIOUS ORG	WA	501(C)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SW	SEATTLE	WA	981262799	911188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVE	NEWBERG	OR	97132	930889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN ST	PORTLAND	OR	972132967	931231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951684082	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814542216	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROAD	SEASIDE	OR	97138	930927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
413 LILLY ROAD NE	OLYMPIA	WA	985065166	911097056	SUPPORT	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(C)(3)	12, III		0	N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599	PORTLAND	OR	97213	943078543	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREET	WALLA WALLA	WA	99362	452841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111	PORTLAND	OR	97225	930575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD NO B-1	TORRANCE	CA	90503	330261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREET	OREGON CITY	OR	97045	931003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREET	EUREKA	CA	95501	942779313	HEALTHCARE	CA	501(C)(3)	7	SJHNC LLC	Yes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	956100079	SUPPORT SAINT JOHN HEALTH CENTER & JWCI	CA	501(C)(3)	7	PSJHC	Yes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611502822	PHYSICIAN COLLABORATION	WA	501(C)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	262612415	SHELL CORPORATION	MT	501(C)(3)	1	PHS WA	0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643383	RELIGIOUS ORG	CA	501(C)(3)	1		0	N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680395200	HEALTHCARE	CA	501(C)(3)	3	SJHNC LLC	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814791043	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953589356	HEALTHCARE	CA	501(C)(3)	12, I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643325	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951914489	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREET	MISSOULA	MT	59802	237056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	272305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAY	SEATTLE	WA	98122	910983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	273139262	HOLDING COMPANY	WA	501(C)(3)	12, I	SHS	Yes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	833972614	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911293869	SUPPORT	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes (1)
TRI-CITIES CANCER CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911594526	HEALTHCARE	WA	501(C)(3)	3	KRMC	Yes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING A	KENNEWICK	WA	99336	911739024	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	454171900	SHELL CORPORATION	WA	501(C)(3)	12, II	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (49 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	UBI Code VUBICodeVAmt
20TH STREET SURGERY LLC
1301 20TH STREET STE 140	SANTA MONICA	CA	90404	731735618	AMBULATORY SURGERY CENTER	CA	N/A	0	0
BRIDGEPORT MEDICAL IMAGING LLC (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
BROADWAY IMAGING LLC
PO BOX 4587	MISSOULA	MT	598064587	522405971	MEDICAL IMAGING	MT	N/A	0	Yes (1)
CANBY MEDICAL CENTER I LLC
4800 SW MACADAM AVE STE 120	PORTLAND	OR	97239	205470937	REAL ESTATE - MOB	OR	N/A	0	Yes (1)
CENTER FOR MATERNAL NEWBORN AND CHILD HEALTH LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	813526875	HEALTHCARE	CA	N/A	0	0
CENTER FOR MEDICAL IMAGING LLC (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260381897	RADIATION ONCOLOGY	OR	N/A	0	Yes (1)
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92663	810986844	HEALTHCARE	CA	N/A	0	Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
1031 W CHAPMAN AVE 101	ORANGE	CA	92868	264591502	HEALTHCARE	CA		0	Yes (1)	SJO	RELATED	$30,249	$3,178,176	0.50000
COVENANT LONG-TERM CARE LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	205033419	HEALTHCARE	TX	N/A	0	0
CSS JV LLC
11782 SW BARNES ROAD STE 200 BLDG C	PORTLAND	OR	97225	263638838	AMBULATORY SURGERY CENTER	OR	N/A	0	0
FIRST HILL SURGERY CENTER LLC
1101 MADISON STREET STE 200	SEATTLE	WA	98104	472066485	AMBULATORY SURGERY CENTER	WA	N/A	0	Yes (1)
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	470927394	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	N/A	0	0
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENTAL	WA	N/A	0	0
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A	0	0
HOAG ORTHOPEDIC INSTITUTE
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	611588294	HEALTHCARE	CA	N/A	0	Yes (1)
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE A	ANCHORAGE	AK	99508	203906048	MEDICAL IMAGING	AK	N/A	0	Yes (1)
INLAND IMAGING LLC
801 S STEVENS ST	SPOKANE	WA	99204	911855796	MEDICAL IMAGING	WA	N/A	0	Yes (1)
LSC REAL PROPERTY LLC
2301 QUAKER AVENUE	LUBBOCK	TX	79410	474646059	REAL ESTATE	TX	N/A	0	0
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A	0	0
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823943675	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
NEWPORT IMAGING CENTER
360 SN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	N/A	0	Yes (1)
NORTH OC IMAGING JV HOLDINGS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	852444305	HEALTHCARE	CA	N/A	0	0
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A	0	Yes (1)
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RD	TIGARD	OR	97224	223883387	AMBULATORY SURGERY CENTER	OR	N/A	0	0
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A	0	Yes (1)
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
19625 62ND AVENUE SOUTH SUITE 101	KENT	WA	98032	452901632	MEDICAL EQUIPMENT	WA	N/A	0	Yes (1)
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	812701056	INVESTMENTS	WA	N/A	0	0
PROV RADIATION ONCOLOGY DEVELOP ASSN LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260682491	REAL ESTATE - MOB	OR	N/A	0	0
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823765555	MEDICAL	AL	N/A	0	0
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823270499	MEDICAL	AL	N/A	0	Yes (1)
PROVIDENCE CHILDREN'S NEONATAL SVCS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	470918549	NEONATAL CARE	WA	N/A	0	0
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	920118807	MEDICAL IMAGING	AK	N/A	0	0
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823190634	INVESTMENTS	WA		0	0	PHS WA	EXCLUDED	$26,332,323	$287,005,537	0.04420	$99,058
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURGERY CENTER	MT	N/A	0	0
PROVIDENCE UCLA USP SURGERY CENTER JV
14201 DALLAS PARKWAY	DALLAS	TX	75254	320503030	AMBULATORY SURGERY CENTER	CA	N/A	0	0
PROVIDENCEUSP SOUTH BAY SURGERY CENTERS
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	475064486	AMBULATORY SURGERY CENTER	CA	N/A	0	0
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200684116	AMBULATORY SURGERY CENTER	CA	N/A	0	0
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FL	SEATTLE	WA	98104	300553035	HEALTHCARE	WA	N/A	0	Yes (1)
SJO ASC HOLDINGS LLC
27401 LOS ALTOS SUITE 200	MISSION VIEJO	CA	92691	821655501	HEALTHCARE	CA		0	0	SJO	RELATED	$1,188,502	$1,647,562	0.80390
ST JOSEPH PHYSICIAN VENTURES I LLC
1801 LIND AVE SW	RENTON	WA	98057	454521884	REAL ESTATE	CA		0	Yes (1)	SJO	RELATED	$107,979	$11,025,838	0.59200
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
ATTN TAX DEPT 1801 LIND AVE SW	RENTON	WA	98057	814657391	HEALTHCARE	CA		0	0	SJO	RELATED	$19,975	$3,339,358	0.60770
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NE	OLYMPIA	WA	98506	911455338	MEDICAL IMAGING	WA	N/A	0	Yes (1)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURGERY CENTER	KS	N/A	0	Yes (1)
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK ST	TARZANA	CA	91356	821308306	HEALTHCARE	CA	N/A	0	0
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	N/A	0	Yes (1)
WON-ONC LLC
1900 COOKS HILL RD	CENTRALIA	WA	98531	262181194	REAL ESTATE - MOB	WA	N/A	0	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (46 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	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOCIATION	WA	N/A	C	0
ACCLARA SOLUTIONS GROUP LLC
10713 W SAM HOUSTON PKWY N 500	HOUSTON	TX	77064	870837184	HOLDING COMPANY	TX	N/A	C	0
ACCLARA SOLUTIONS INTERMEDIATE LLC
10713 W SAM HOUSTON PKWY N 500	HOUSTON	TX	77064	371783298	HEALTHCARE FINANCIAL SERVICES	TX	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD HM08 PEMBROKE	BD	BD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833037172	HEALTHCARE	DE	N/A	C	0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911354431	CLINICAL/MEDICAL LAB	WA	N/A	C	0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810486082	MEDICAL PHYSICIAN SERVICE	MT	N/A	C	0
COLBURN HILL GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	95057	863383433	HEALTHCARE	DE	N/A	C	0
COMMUNITY TECHNOLOGIES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844722399	IT SVCS	DE	N/A	C	0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
HMR WEIGHT MANAGEMENT SERVICES CORP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463598718	HEALTHCARE	WA	N/A	C	0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE	CA	N/A	C	0
HOAG PHYSICIAN PARTNERS
16148 SAND CANYON AVE	IRVINE	CA	92618	834276044	HEALTHCARE	CA	N/A	C	0
KENSCI INC
615 2ND AVE 700	SEATTLE	WA	98104	474048082	HEALTHCARE	WA	N/A	C	0
KENSCI TECH INDIA PRIVATE LIMITED
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0			IN
KENSCI ASIA PACIFIC PTE LTD
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0			SN
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752118585	HEALTHCARE	TX	N/A	C	0
LUMEDIC INC (FKA LUMEDIC ACQ CO INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833881097	HEALTHCARE	WA	N/A	C	0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330406218	HEALTHCARE	WA	N/A	C	0
MEDIREVV INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208783763	HEALTHCARE	DE	N/A	C	0
MISSION VIEJO MEDICAL VENTURES INC
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA	N/A	C	0
PERFORMANCE HEALTH TECHNOLOGY LTD
3993 FAIRVIEW INDUSTRIAL DR SE	SALEM	OR	97302	931211733	HEALTHCARE	OR	N/A	C	0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461814184	STRATEGIC PLANNING SERVICES	CA	N/A	C	0
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	364818191	HEALTHCARE INNOVATIONS	WA	N/A	C	0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208194071	CAPTIVE INSURANCE	AZ	N/A	C	0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	981516461	IT SVCS		N/A	C	0			IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	900155714	CLINICAL/MEDICAL LAB	WA	N/A	C	0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800886966	PREPAID HEALTHCARE	CA	N/A	C	0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330122216	INVESTMENT	CA	N/A	C	0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911216033	HEALTHCARE	WA	N/A	C	0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL ST	TORRANCE	CA	90503	823771547	HEALTHCARE	CA	N/A	C	0
QUIVIQ INC
1400-112TH AVENUE ST SUITE 100	BELLEVUE	WA	98004	833879444	HEALTHCARE ANALYTICS	WA	N/A	C	0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330155323	HEALTHCARE	CA	N/A	C	0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	842092143	HOLDING COMPANY	DE	N/A	C	0
TEGRIA INSIGHTS GROUP HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861400769	HOLDING COMPANY	WA	N/A	C	0
TEGRIA INSIGHTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861532593	HEALTHCARE	WA	N/A	C	0
TEGRIA PRODUCTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	870995138	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844686520	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP US INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	863046450	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP-CAN INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE		N/A	C	0			CA
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844704409	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	900872936	HEALTHCARE	WI	N/A	C	0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953943315	INVESTMENT	CA	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	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
C	$1,686,514	ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
B	$209,831	ACCRUAL
ST JOSEPH HEALTH SYSTEM
Q	$110,506	ACCRUAL
ST JOSEPH HEALTH SYSTEM
P	$529,786,495	ACCRUAL
PROVIDENCE MEDICAL FOUNDATION
B	$17,971,699	ACCRUAL
PROVIDENCE MEDICAL FOUNDATION
L	$2,501,885	ACCRUAL
MISSION HOSPITAL REGIONAL MEDICAL CENTER
B	$150,231	ACCRUAL
PROVIDENCE MEDICAL FOUNDATION
C	$405,000	ACCRUAL