MISSION HOSPITAL REGIONAL MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: MISSION HOSPITAL REGIONAL MEDICAL CENTER (EIN 95-1643360)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-13
IRS object ID: 202123189349300402
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-13T21:25:52-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951643360	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	EILEEN HAUBL	PersonNm
Person Title	CFO SERVICE AREA	PersonTitleTxt
Phone	9493647767	PhoneNum
Signature	2021-11-13	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	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN
Phone	4158948000	PhoneNum
Preparation	2021-11-06	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

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

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

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Field	Value	IRS element (for citing)
Principal Officer	EILEEN HAUBL	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	$714,729,425	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MISSION4HEALTH.COM	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	17	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	3033	TotalEmployeeCnt
Total Volunteers	1235	TotalVolunteersCnt
Total Gross UBI	$579,362	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$56,184	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,361,859	PYContributionsGrantsAmt
CY Contributions Grants	$19,264,001	CYContributionsGrantsAmt
PY Program Service Revenue	$672,891,095	PYProgramServiceRevenueAmt
CY Program Service Revenue	$695,191,227	CYProgramServiceRevenueAmt
PY Investment Income	$3,912,768	PYInvestmentIncomeAmt
CY Investment Income	-$1,388,950	CYInvestmentIncomeAmt
PY Other Revenue	$2,443,633	PYOtherRevenueAmt
CY Other Revenue	$1,648,521	CYOtherRevenueAmt
PY Total Revenue	$686,609,355	PYTotalRevenueAmt
CY Total Revenue	$714,714,799	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,225,915	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$438,655	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$226,399,144	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$227,027,819	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,771,176	CYTotalFundraisingExpenseAmt
PY Other Expenses	$442,392,120	PYOtherExpensesAmt
CY Other Expenses	$482,850,527	CYOtherExpensesAmt
PY Total Expenses	$675,017,179	PYTotalExpensesAmt
CY Total Expenses	$710,317,001	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,592,176	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,397,798	CYRevenuesLessExpensesAmt
Total Assets BOY	$626,257,394	TotalAssetsBOYAmt
Total Assets EOY	$730,810,553	TotalAssetsEOYAmt
Total Liabilities BOY	$336,717,907	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$431,046,490	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$289,539,487	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$299,764,063	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	$668,813,989	ExpenseAmt
Grant	$438,655	GrantAmt
Revenue	$695,191,227	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 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 51 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, WA2020 - AN UNPRECEDENTED YEAROVER THE PAST YEAR, OUR COMMUNITIES HAVE FACED EXTRAORDINARY CHALLENGES. BUT EVEN DURING THE MOST DIFFICULT PUBLIC HEALTH CRISIS OF OUR TIME, COMMUNITIES HAVE ALSO SHOWN REMARKABLE STRENGTH AND RESOLVE. THERE IS SO MUCH GOOD THAT CAN BE ACCOMPLISHED AT THE COMMUNITY LEVEL, ESPECIALLY WHEN LIKE-MINDED ORGANIZATIONS WORK TOGETHER. IN SERVICE TO OUR MISSION, PROVIDENCE PARTNERS WITH COMMUNITY-BASED ORGANIZATIONS TO IDENTIFY URGENT HEALTH NEEDS AND ENVIRONMENTAL FACTORS THAT ARE IMPACTING THE WELL-BEING OF OUR COMMUNITIES. WE ACT TO PROVIDE SHORT-TERM SOLUTIONS AND ENVISION LONG-TERM RESULTS BY WISELY INVESTING IN OUR COMMUNITIES TO HELP BUILD A MORE EQUITABLE AND SUSTAINABLE FUTURE. IN 2020, WE INVESTED $1.7 BILLION IN COMMUNITY BENEFIT ACROSS SEVEN REGIONS, TO SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT CREATE LASTING CHANGE AT THE COMMUNITY LEVEL. THESE EFFORTS SEEK TO MITIGATE IMMEDIATE CHALLENGES WHILE FINDING SOLUTIONS TO DEEP-ROOTED PROBLEMS, IMPROVE ACCESS TO HEALTH CARE, AND ADVANCE INNOVATIVE CARE MODELS TO MEET THE EVOLVING NEEDS OF OUR COMMUNITIES.CARING FOR OUR COMMUNITIES HAS NEVER BEEN MORE IMPORTANT. TO ACHIEVE OUR VISION OF HEALTH FOR A BETTER WORLD, OUR PROVIDENCE FAMILY OF ORGANIZATIONS FOCUSED ON FOUR COMMUNITY INITIATIVES IN 2020:1- FOUNDATIONS OF HEALTH;2- REMOVING BARRIERS TO CARE;3- COMMUNITY RESILIENCE; AND4- INNOVATING FOR THE FUTURE.WE CHOSE THESE FOCUS AREAS BECAUSE THEY ARE ALL FOUNDATIONAL TO HEALTH AND WELL-BEING, REPRESENTING IDENTIFIED NEEDS THAT ARE INTEGRAL TO IMPROVING QUALITY OF LIFE.REALIZING OUR MISSIONMISSION HOSPITAL IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1971, LOCATED AT MISSION VIEJO AND LAGUNA BEACH, CALIFORNIA. THE FACILITY HAS 552 LICENSED BEDS AND A STAFF OF MORE THAN 2,600 COMMITTED CAREGIVERS. MAJOR PROGRAMS AND SERVICES INCLUDE CARDIAC CARE, CRITICAL CARE, DIAGNOSTIC IMAGING, EMERGENCY MEDICINE AND OBSTETRICS. CALENDAR YEAR 2020 PROGRAM SERVICE ACCOMPLISHMENTS: (JANUARY 1 DECEMBER 31, 2020)IN 2020, PROVIDENCE MISSION HOSPITAL MEDICAL CENTER CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. IN 2020, WE FOCUSED ON ADDRESSING MENTAL HEALTH & SUBSTANCE USE, HOMELESSNESS AND EQUITY AND RACIAL DISPARITIES.PRIORITY 1: MENTAL HEALTH & SUBSTANCE USECOVERS 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. WE WILL BE FOCUSING ON INCREASING SERVICES TO SOUTH ORANGE COUNTY RESIDENTS AND REDUCING THE RATES OF SUBSTANCE USE AMONG YOUTH IN OUR COASTAL COMMUNITIES. PROVIDENCE MISSION HOSPITAL MISSION VIEJO AND PROVIDENCE MISSION HOSPITAL LAGUNA BEACH (WHICH WILL BE ADDRESSED SIMPLY AS "MISSION HOSPITAL" THROUGHOUT THE REST OF THIS REPORT) WILL WORK ON INCREASING AWARENESS AND SERVICES ADDRESSING MENTAL HEALTH ALONG WITH SUBSTANCE USE.IN 2020, 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 - REDUCES STIGMA AND INCREASES 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. YOUTH SUBSTANCE USE EFFORTS, INCLUDING A COMMUNITY-WIDE SOCIAL MEDIA CAMPAIGN FOR PARENTS CALLED RAISING HEALTHY TEENS AND ONE FOR YOUTH CALLED STRENGTH IN NUMBERS.4. OUR INVOLVEMENT IN COUNTY-WIDE EFFORTS TO ADDRESS STIGMA, AS PART OF BEWELLOC. MISSION HOSPITAL ACTED AS A LEAD AGENCY FOR THE EFFORTS AROUND STIGMA, HELPING TO COORDINATE EFFORTS ACROSS THE COUNTY AND ITS AGENCIES.PRIORITY 2: HOUSING & HOMELESSNESSPRIMARILY FOCUSED ON SUPPORTING EFFORTS TOWARD AFFORDABLE HOUSING AND 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 2020, THIS NEED WAS ADDRESSED BY:1. FAMILY RESOURCE CENTERS PROVIDE HEALTH AND SOCIAL SERVICES TO THE LOW-INCOME RESIDENTS IN SAN JUAN CAPISTRANO & LAKE FOREST. SERVICES INCLUDE CONNECTING RESIDENTS TO HOUSING RESOURCES. SPONSORED BY MISSION HOSPITAL IN COLLABORATION WITH COMMUNITY NON-PROFIT AGENCIES, THE CENTERS ARE FULL-SERVICE WRAP-AROUND RESOURCE CENTERS FOR OUR COMMUNITIES IN NEED.2. PROVIDING YEAR ROUND GRANT FUNDS TO CAMINO HEALTH CENTER FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND FRIENDSHIP SHELTER. FRIENDSHIP SHELTER OPERATES THE CITY OF LAGUNA BEACH'S (ALTERNATIVE SLEEPING LOCATIONS) ASL EMERGENCY SHELTER PROVIDING MEALS, SHOWERS, LAUNDRY AND RESOURCES TO CONNECT GUESTS TO HOUSING, HEALTH AND MENTAL CARE.3. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE ARE CONNECTED TO RECUPERATIVE CARE SERVICES. RECUPERATIVE CARE PROVIDERS OFFER CASE MANAGEMENT AND CONNECTS PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH AND WORKFORCE SERVICES.PRIORITY 3: EQUITY & RACIAL DISPARITIESEVERYONE SHOULD HAVE A FAIR AND JUST OPPORTUNITY TO ATTAIN THEIR FULL POTENTIAL AND THAT NO ONE SHOULD BE DISADVANTAGED, EXCLUDED, OR DISMISSED FROM ACHIEVING THAT POTENTIAL BASED ON INHERENT CHARACTERISTICS SUCH AS RACE, ETHNICITY OR GENDER IDENTITY. WE WILL BE WORKING ON STRATEGIES THAT INCREASE INCLUSION, DIVERSITY AND MULTICULTURALISM, BOTH WITHIN OUR ORGANIZATION AS WELL AS THE BROADER COMMUNITIES OF SOUTH ORANGE COUNTY.IN 2020, THIS NEED WAS ADDRESSED BY:1. SERVICES TO PROMOTE INCLUSION, DIVERSION AND MULTICULTURALISM, AN IN-HOUSE PROGRAM RUN BY THE HOSPITAL.2. FAMILY RESOURCE CENTERS OFFERED SERVICES TO THE LOCAL COMMUNITY TO INCREASE INCLUSION AND BELONGING AMONGST RESIDENTS IN SOUTH ORANGE COUNTY. SERVICES INCLUDED CENSUS EFFORTS, VOTING REGISTRATION & EDUCATION, AND VIRTUAL DISCUSSIONS ABOUT INCLUSION & BELONGING AND EQUITY. MULTIPLE COMMUNITY STAKEHOLDERS, RESIDENTS AND FAITH COMMUNITY LEADERS PARTICIPATED IN THESE EVENTS TO SUPPORT LOCAL RESIDENTS WHO FEEL MARGINALIZED AND ISOLATED.	Desc
Total Program Service Expenses	$668,813,989	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	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	317	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3033	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	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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	AARON NEUHARTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9493647767	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
MICHAEL MARINO DO
FORMER SVP, CHIEF MED INFO OFCR	0.00	50.00	Yes (X)	$0	$842,765	$184,011
JIM WATSON ESQ
SECRETARY	1.00	59.00		$0	$744,481	$120,056	Yes (X)
SETH TEIGEN
CHIEF EXECUTIVE, MHRMC	50.00	0.00		$0	$663,155	$128,561	Yes (X)	Yes (X)
LINDA SIEGLEN
CHIEF MEDICAL OFFICER	50.00	0.00		$553,089	$0	$31,392			Yes (X)
EILEEN HAUBL
CFO SERVICE AREA	25.00	25.00		$441,924	$0	$26,455	Yes (X)
JENNIFER CORD
CNO - MISSION	50.00	0.00		$406,670	$0	$36,148			Yes (X)
MARK JABLONSKI
FORMER INTERIN VP MISSION INTEG.	0.00	50.00	Yes (X)	$0	$365,670	$27,776
EVELYN SCHLOSSER
EXEC DIR, QUALITY & PATIENT SAFETY	50.00	0.00		$356,971	$0	$30,012			Yes (X)
TERRENCE WOOTEN
COO MHRMC	50.00	0.00		$358,228	$0	$22,927				Yes (X)
JOHN MILLER
MINISTRY CHIEF, PHILANTHROPY OFFICER	40.00	0.00		$328,231	$0	$39,691			Yes (X)
LAUREN DWINELL
EXEC DIR, CHIEF OPS-PATIENT FLOW	50.00	0.00		$334,910	$0	$18,934			Yes (X)
WENDY FERRO-GRANT
FORMER DIR, SURGICAL SERVICES	0.00	50.00	Yes (X)	$228,832	$0	$37,244
DEANNE NIEDZIELA
FORMER DIR, NURSING	0.00	50.00	Yes (X)	$222,326	$0	$38,404
SHANNON DWYER ESQ
BOARD MEMBER	2.00	48.00		$0	$205,985	$8,256		Yes (X)
TODD LEMPERT MD
BOARD MEMBER	2.00	0.00		$0	$150,600	$0		Yes (X)
CAROLINE SEMANS
BOARD MEMBER	2.00	0.00		$0	$0	$0		Yes (X)
GINNY RIPSLINGER
BOARD MEMBER (PART YEAR)	2.00	0.00		$0	$0	$0		Yes (X)
JAIME MUNOZ
BOARD VICE CHAIR	2.00	0.00		$0	$0	$0		Yes (X)
JAMES R QUANDT
BOARD MEMBER (PART YEAR)	2.00	0.00		$0	$0	$0		Yes (X)
JOHN SHAVER MD
BOARD MEMBER, CHIEF OF STAFF	2.00	0.00		$0	$0	$0		Yes (X)
LISA PERRINE
BOARD MEMBER	2.00	0.00		$0	$0	$0		Yes (X)
MELANIE SPENCER-WOLF
BOARD MEMBER (PART YEAR)	2.00	0.00		$0	$0	$0		Yes (X)
PATRICIA WALLACE MD
BOARD MEMBER	2.00	0.00		$0	$0	$0		Yes (X)
RAUL MARQUEZ
BOARD MEMBER (PART YEAR)	2.00	0.00		$0	$0	$0		Yes (X)
REZA DEHKORDI MD
BOARD MEMBER	2.00	0.00		$0	$0	$0		Yes (X)
SR HERLINDA RAMIREZ MACHADO CSJ
BOARD MEMBER (PART YEAR)	2.00	0.00		$0	$0	$0		Yes (X)
SISTER LINDA BUCK
BOARD MEMBER	5.00	4.00		$0	$0	$0		Yes (X)
SR MARTHA ANN FITZPATRICK CSJ
BOARD MEMBER (PART YEAR)	2.00	0.00		$0	$0	$0		Yes (X)
STEVEN PAL
BOARD CHAIR	2.00	0.00		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,231,181	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,972,656	TotReportableCompRltdOrgAmt
Total Other Compensation	$749,867	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	655	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CARDINAL HEALTH 411 INC
PO BOX 56412	LOS ANGELES	CA	90074	MEDICAL SERVICES	$23,931,280
MEDLINE INDUSTRIES INC
DEPT LA 21558	PASADENA	CA	91185	MEDICAL SERVICES	$17,959,195
AMN HEALTHCARE INC
2735 COLLECTION CENTER DR	CHICAGO	IL	60693	STAFFING SERVICES	$11,133,208
SNYDER LANGSTON LLC
17962 COWAN	IRVINE	CA	92614	REAL ESTATE ADVISORY	$8,714,882
CASS INFORMATION SYSTEMS INC
12444 POWERSCOURT DR	ST LOUIS	MO	63131	TECHNOLOGY SERVICES	$6,645,968

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	271	CntrctRcvdGreaterThan100KCnt
Fundraising	$146,584	FundraisingAmt
Related Organizations	$2,335,682	RelatedOrganizationsAmt
Government Grants	$2,562,290	GovernmentGrantsAmt
All Other Contributions	$14,219,445	AllOtherContributionsAmt
Noncash Contributions	$1,432,308	NoncashContributionsAmt
Total Contributions	$19,264,001	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$678,422,300	$677,890,285	$532,015
MOB RENTAL REVENUE	531120	$5,177,915	$5,177,915
HOSPITAL FEE	621110	$1,867,334	$1,867,334
JV INCOME	900099	$1,119,373	$1,119,373

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,604,305	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,604,305	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$695,191,227	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,145,026	TotalRevenueColumnAmt
Unrelated Business Revenue	-$53	UnrelatedBusinessRevenueAmt
Exclusion	-$3,144,973	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,756,076	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	$1,756,076	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,756,076	TotalRevenueColumnAmt
Exclusion	$1,756,076	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$146,584	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$14,626	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$14,626	TotalRevenueColumnAmt
Exclusion	-$14,626	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA REVENUE	722514	$1,615,747	$1,615,747
PARKING REVENUE	812930	$47,400		$47,400

Field	Value	IRS element (for citing)
Other Revenue Total	$1,663,147	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$714,714,799	TotalRevenueColumnAmt
Related Or Exempt Func Income	$694,659,212	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$579,362	UnrelatedBusinessRevenueAmt
Exclusion	$212,224	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	$414,069	TotalAmt
Program Services	$414,069	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$24,586	TotalAmt
Program Services	$24,586	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$849,534	TotalAmt
Management And General	$849,534	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$526,806	TotalAmt
Program Services	$526,806	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$205,220,075	TotalAmt
Program Services	$192,710,950	ProgramServicesAmt
Management And General	$11,613,933	ManagementAndGeneralAmt
Fundraising	$895,192	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,144,408	TotalAmt
Program Services	$3,876,428	ProgramServicesAmt
Management And General	$250,022	ManagementAndGeneralAmt
Fundraising	$17,958	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$572,289	TotalAmt
Program Services	$535,284	ProgramServicesAmt
Management And General	$34,525	ManagementAndGeneralAmt
Fundraising	$2,480	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,714,707	TotalAmt
Program Services	$14,698,583	ProgramServicesAmt
Management And General	$948,031	ManagementAndGeneralAmt
Fundraising	$68,093	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,559,220	TotalAmt
Program Services	$2,393,739	ProgramServicesAmt
Management And General	$154,392	ManagementAndGeneralAmt
Fundraising	$11,089	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,352,804	TotalAmt
Program Services	$1,265,331	ProgramServicesAmt
Management And General	$81,611	ManagementAndGeneralAmt
Fundraising	$5,862	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,201	TotalAmt
Program Services	$2,058	ProgramServicesAmt
Management And General	$133	ManagementAndGeneralAmt
Fundraising	$10	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$149,642	TotalAmt
Management And General	$149,642	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$94,479,271	TotalAmt
Program Services	$88,370,180	ProgramServicesAmt
Management And General	$5,699,707	ManagementAndGeneralAmt
Fundraising	$409,384	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,472,151	TotalAmt
Program Services	$1,376,961	ProgramServicesAmt
Management And General	$88,811	ManagementAndGeneralAmt
Fundraising	$6,379	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,198,535	TotalAmt
Program Services	$13,280,448	ProgramServicesAmt
Management And General	$856,564	ManagementAndGeneralAmt
Fundraising	$61,523	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$27,039,674	TotalAmt
Program Services	$26,441,236	ProgramServicesAmt
Management And General	$558,335	ManagementAndGeneralAmt
Fundraising	$40,103	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$265,845	TotalAmt
Program Services	$248,655	ProgramServicesAmt
Management And General	$16,038	ManagementAndGeneralAmt
Fundraising	$1,152	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$63,988	TotalAmt
Program Services	$59,851	ProgramServicesAmt
Management And General	$3,860	ManagementAndGeneralAmt
Fundraising	$277	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,709,728	TotalAmt
Program Services	$5,709,728	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,948,493	TotalAmt
Program Services	$21,464,628	ProgramServicesAmt
Management And General	$1,384,428	ManagementAndGeneralAmt
Fundraising	$99,437	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SYSTEM COST ALLOCATION	$145,194,889	$135,806,493	$8,759,260	$629,136
MEDICAL SUPPLIES	$111,055,198	$103,874,297	$6,699,694	$481,207
HOSPITAL FEE	$46,689,775	$46,689,775
REPAIRS & MAINTENANCE	$3,180,673	$2,975,009	$191,882	$13,782

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,488,440	TotalAmt
Program Services	$6,068,894	ProgramServicesAmt
Management And General	$391,434	ManagementAndGeneralAmt
Fundraising	$28,112	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$710,317,001	TotalAmt
Program Services	$668,813,989	ProgramServicesAmt
Management And General	$38,731,836	ManagementAndGeneralAmt
Fundraising	$2,771,176	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,774,254	BOYAmt
EOY	$72,826,803	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,211,621	BOYAmt
EOY	$7,484,186	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$77,636,578	BOYAmt
EOY	$92,061,520	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$4,164,177	BOYAmt
EOY	$10,371,037	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,099,739	BOYAmt
EOY	$11,561,657	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,402,901	BOYAmt
EOY	$3,207,590	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$682,835,270	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$342,914,868	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$343,824,624	BOYAmt
EOY	$339,920,402	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$77,348,129	BOYAmt
EOY	$54,780,392	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$15,444,664	BOYAmt
EOY	$4,443,469	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$4,390,800	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$15,181,500	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$79,350,707	BOYAmt
EOY	$114,581,197	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$626,257,394	BOYAmt
EOY	$730,810,553	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$53,042,777	BOYAmt
EOY	$62,258,237	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,655,891	BOYAmt
EOY	$2,289,033	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$282,019,239	BOYAmt
EOY	$366,499,220	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$336,717,907	BOYAmt
EOY	$431,046,490	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	$179,890,228	BOYAmt
EOY	$183,870,588	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$109,649,259	BOYAmt
EOY	$115,893,475	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$289,539,487	BOYAmt
EOY	$299,764,063	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$626,257,394	BOYAmt
EOY	$730,810,553	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,397,798	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,064,845	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$4,238,067	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	$54,024	OtherActivitiesAmt
Total Lobbying Expenditures	$54,024	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,547,788	BeginningYearBalanceAmt
Contributions	$179,437	ContributionsAmt
Investment Earnings Or Losses	-$254,088	InvestmentEarningsOrLossesAmt
Administrative Expenses	$21,553	AdministrativeExpensesAmt
End Year Balance	$5,451,584	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,163,079	BeginningYearBalanceAmt
Investment Earnings Or Losses	$414,008	InvestmentEarningsOrLossesAmt
Administrative Expenses	$29,299	AdministrativeExpensesAmt
End Year Balance	$5,547,788	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,520,369	BeginningYearBalanceAmt
Investment Earnings Or Losses	$654,184	InvestmentEarningsOrLossesAmt
Administrative Expenses	$11,474	AdministrativeExpensesAmt
End Year Balance	$5,163,079	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.50000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.33340	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16660	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$357,433,918	OtherCostOrOtherBasisAmt
Depreciation	$149,506,154	DepreciationAmt
Book Value	$207,927,764	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,678,362	OtherCostOrOtherBasisAmt
Depreciation	$13,459,659	DepreciationAmt
Book Value	$16,218,703	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$239,704,626	OtherCostOrOtherBasisAmt
Depreciation	$179,949,055	DepreciationAmt
Book Value	$59,755,571	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,916,458	OtherCostOrOtherBasisAmt
Book Value	$6,916,458	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$339,920,402	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
HOSPITAL FEE/PROVIDER TAX RECEIVEABLE	$43,529,626
OTHER ASSETS	$9,005,114
OPERATING LEASE ROU ASSETS	$62,046,457

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$114,581,197	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$207,274,852
DUE TO THIRD PARTY	$6,013,273
OTHER LIABILITIES	$125,309,827
ACCRUED RETIREMENT COMPENSATION	$2,256,528
HOSPITAL FEE/PROVIDER TAX LIABILITY	$23,612,893
CAPITAL LEASE OBLIGATIONS	$2,031,847

Field	Value	IRS element (for citing)
Total Liability	$366,499,220	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$117,093	GrossReceiptsEvent1Amt
Charitable Contri Event1	$117,093	CharitableContriEvent1Amt
Other Direct Expenses Event1	$9,101	OtherDirectExpensesEvent1Amt
Other Events Total	6	OtherEventsTotalCnt
Gross Receipts Other Events	$29,491	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$29,491	CharitableContriOtherEventsAmt
Oth Direct Expnss Other Events	$5,525	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$146,584	GrossReceiptsTotalAmt
Charitable Contributions Tot	$146,584	CharitableContributionsTotAmt
Oth Direct Expnss Total Events	$14,626	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$14,626	DirectExpenseSummaryEventsAmt
Net Income Summary	-$14,626	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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	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)
Persons Served	4027	PersonsServedCnt
Total Community Benefit Expns	$6,484,621	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,484,621	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	28336	PersonsServedCnt
Total Community Benefit Expns	$132,057,184	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$99,589,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,467,462	NetCommunityBenefitExpnsAmt
Total Expense	0.04570	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	32363	PersonsServedCnt
Total Community Benefit Expns	$138,541,805	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$99,589,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,952,083	NetCommunityBenefitExpnsAmt
Total Expense	0.05480	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	98761	PersonsServedCnt
Total Community Benefit Expns	$3,329,935	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$679,329	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,650,606	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$30,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	75754	PersonsServedCnt
Total Community Benefit Expns	$2,142,808	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,142,808	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	174515	PersonsServedCnt
Total Community Benefit Expns	$5,502,743	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$679,329	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,823,414	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	206878	PersonsServedCnt
Total Community Benefit Expns	$144,044,548	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$100,269,051	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,775,497	NetCommunityBenefitExpnsAmt
Total Expense	0.06150	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	2105	PersonsServedCnt
Total Community Benefit Expns	$174,508	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$174,508	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	2105	PersonsServedCnt
Total Community Benefit Expns	$174,508	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$174,508	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Reimbursed By Medicare	$128,293,560	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$172,448,950	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$44,155,390	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 MISSION EDUCATION CONFERENCE CENTER LLC
PHYSICIAN OFFICE & CONF ED CT	0.50000	0.00000	0.50000
2 MISSION AMBULATORY SURGICENTER LTD DBA MISSION SURGERY CENTER
OUTPATIENT SURGERY CENTER	0.32790	0.00000	0.63670
3 MISSION VIEJO PHYSICIAN PARTNERS I LLC
MEDICAL OFFICE BUILDING	0.24800	0.00000	0.12640

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	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	20	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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 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 2019 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 IN 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, SENIORSERV7. 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 ORANGE COUNTY HEALTH IMPROVEMENT PARTNERSHIP, ON WHICH PROVIDENCE ST. JUDE MEDICAL CENTER 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	ST. JOSEPH HOSPITAL OF ORANGE AND ST. JUDE MEDICAL CENTER.
SCHEDULE H, PART V, SECTION B, LINE 6B	THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH ORANGE COUNTY HEALTHIMPROVEMENT PARTNERSHIP, SANTA ANA, CA.
SCHEDULE H, PART V, SECTION B, LINE 7A	THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USINGTHE FOLLOWING URL:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB.
SCHEDULE H, PART V, SECTION B, 10A	THE IMPLEMENTATION STRATEGY IS AVAILABLE TO THE PUBLIC USING THEFOLLOWING URL:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB.
SCHEDULE H, PART V, SECTION B, LINE 11	FOR CALENDAR YEARS 2020 - 2022 THE HOSPITAL IDENTIFIED THE FOLLOWING THREE (3) PRIORITIES:PRIORITY 1: MENTAL HEALTH & SUBSTANCE USECOVERS 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. WE WILL BE FOCUSING ON INCREASING SERVICES TO SOUTH ORANGE COUNTY RESIDENTS AND REDUCING THE RATES OF SUBSTANCE USE AMONG YOUTH IN OUR COASTAL COMMUNITIES. PROVIDENCE MISSION HOSPITAL MISSION VIEJO AND PROVIDENCE MISSION HOSPITAL LAGUNA BEACH (WHICH WILL BE ADDRESSED SIMPLY AS "MISSION HOSPITAL" THROUGHOUT THE REST OF THIS REPORT) WILL WORK ON INCREASING AWARENESS AND SERVICES ADDRESSING MENTAL HEALTH ALONG WITH SUBSTANCE USE.IN 2020, 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 REDUCES STIGMA AND INCREASES 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. YOUTH SUBSTANCE USE EFFORTS, INCLUDING A COMMUNITY-WIDE SOCIAL MEDIA CAMPAIGN FOR PARENTS CALLED RAISING HEALTHY TEENS AND ONE FOR YOUTH CALLED STRENGTH IN NUMBERS.4. OUR INVOLVEMENT IN COUNTY-WIDE EFFORTS TO ADDRESS STIGMA, AS PART OF BEWELLOC. MISSION HOSPITAL ACTED AS A LEAD AGENCY FOR THE EFFORTS AROUND STIGMA, HELPING TO COORDINATE EFFORTS ACROSS THE COUNTY AND ITS AGENCIES.PRIORITY 2: HOUSING & HOMELESSNESSPRIMARILY FOCUSED ON SUPPORTING EFFORTS TOWARD AFFORDABLE HOUSING AND 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 2020, THIS NEED WAS ADDRESSED BY:1. FAMILY RESOURCE CENTERS PROVIDE HEALTH AND SOCIAL SERVICES TO THE LOW-INCOME RESIDENTS IN SAN JUAN CAPISTRANO & LAKE FOREST. SERVICES INCLUDE CONNECTING RESIDENTS TO HOUSING RESOURCES. SPONSORED BY MISSION HOSPITAL IN COLLABORATION WITH COMMUNITY NON-PROFIT AGENCIES, THE CENTERS ARE FULL-SERVICE WRAP-AROUND RESOURCE CENTERS FOR OUR COMMUNITIES IN NEED. 2. PROVIDING YEAR ROUND GRANT FUNDS TO CAMINO HEALTH CENTER FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND FRIENDSHIP SHELTER. FRIENDSHIP SHELTER OPERATES THE CITY OF LAGUNA BEACH'S (ALTERNATIVE SLEEPING LOCATIONS) ASL EMERGENCY SHELTER PROVIDING MEALS, SHOWERS, LAUNDRY AND RESOURCES TO CONNECT GUESTS TO HOUSING, HEALTH AND MENTAL CARE. 3. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE ARE CONNECTED TO RECUPERATIVE CARE SERVICES. RECUPERATIVE CARE PROVIDERS OFFER CASE MANAGEMENT AND CONNECTS PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH AND WORKFORCE SERVICES. PRIORITY 3: EQUITY & RACIAL DISPARITIESEVERYONE SHOULD HAVE A FAIR AND JUST OPPORTUNITY TO ATTAIN THEIR FULL POTENTIAL AND THAT NO ONE SHOULD BE DISADVANTAGED, EXCLUDED, OR DISMISSED FROM ACHIEVING THAT POTENTIAL BASED ON INHERENT CHARACTERISTICS SUCH AS RACE, ETHNICITY OR GENDER IDENTITY. WE WILL BE WORKING ON STRATEGIES THAT INCREASE INCLUSION, DIVERSITY AND MULTICULTURALISM, BOTH WITHIN OUR ORGANIZATION AS WELL AS THE BROADER COMMUNITIES OF SOUTH ORANGE COUNTY.IN 2020, THIS NEED WAS ADDRESSED BY:1. SERVICES TO PROMOTE INCLUSION, DIVERSION AND MULTICULTURALISM, AN IN-HOUSE PROGRAM RUN BY THE HOSPITAL.2. FAMILY RESOURCE CENTERS OFFERED SERVICES TO THE LOCAL COMMUNITY TO INCREASE INCLUSION AND BELONGING AMONGST RESIDENTS IN SOUTH ORANGE COUNTY. SERVICES INCLUDED CENSUS EFFORTS, VOTING REGISTRATION & EDUCATION, AND VIRTUAL DISCUSSIONS ABOUT INCLUSION & BELONGING AND EQUITY. MULTIPLE COMMUNITY STAKEHOLDERS, RESIDENTS AND FAITH COMMUNITY LEADERS PARTICIPATED IN THESE EVENTS TO SUPPORT LOCAL RESIDENTS WHO FEEL MARGINALIZED AND ISOLATED.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMSNO 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, MISSION HOSPITAL WILL ENDORSE LOCAL NON-PROFIT ORGANIZATIONS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT MISSION'S SERVICE AREAS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S 2019 CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:CANCER:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED. DIABETES:SPECIFICALLY FOCUSED ON THE HEALTH CONDITION OF DIABETES, AND AWARENESS AND PREVENTION OF IT. LOCAL FEDERALLY QUALIFIED HEALTH CENTERS PROVIDE PRIMARY MEDICAL CARE TO RESIDENTS WITH LOW INCOMES WHO HAVE DIABETES. MISSION HOSPITAL PROVIDES YEARLY GRANT FUNDS TO CAMINO HEALTH CENTER FEDERALLY QUALIFIED HEALTH CENTER (FQHC) ENSURING THE DOOR REMAINS OPEN FOR MANY FAMILIES AND RESIDENTS WITH LOW-INCOMES NEEDING DIABETES SERVICES. IN ADDITION, LAGUNA BEACH COMMUNITY CLINIC ALSO PROVIDES DIABETES SERVICES. EARLY CHILDHOOD EDUCATION:GIVEN OTHER PRIORITIES, RESOURCE CONSTRAINTS, AND LACK OF EXPERTISE TO OFFER THIS PROGRAM, THIS ISSUE WAS NOT SELECTED. ECONOMIC MOBILITY: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. GIVEN OTHER PRIORITIES, RESOURCE CONSTRAINTS AND LACK OF EXPERTISE TO OFFER THIS PROGRAM, THIS ISSUE WAS NOT SELECTED. OUR FAMILY RESOURCE CENTERS DO ADDRESS THIS NEED, AS WELL AS OTHER COMMUNITY-BASED ORGANIZATIONS: FAMILIES FORWARD, FAMILY ASSISTANCE MINISTRY, , AND SOUTH COUNTY OUTREACH. ENVIRONMENT/CLIMATE:PROVIDENCE ST. JOSEPH HEALTH HAS COMMITTED TO BEING CARBON NEGATIVE BY 2030. THIS EFFORT WILL INVOLVE ALL HOSPITAL STAFF. THE REGIONAL DIRECTOR, COMMUNITY HEALTH INVESTMENT HAS BEEN APPOINTED TO THE SYSTEM ENVIRONMENTAL JUSTICE WORK GROUP.FOOD INSECURITY:CONCERNS ABOUT HEALTHY EATING HABITS, NUTRITION KNOWLEDGE, AND CHALLENGES OF COST AND AVAILABILITY OF HEALTHY OPTIONS. GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT CHNA, THIS NEED BECAME A LOWER PRIORITY COMPARED TO OTHERS WHEN REVIEWING THE IMPACT MISSION HOSPITAL COULD HAVE TO RESOLVE THIS ISSUE. THE FAMILY RESOURCE CENTERS DO ADDRESS THIS NEED THROUGH MONTHLY FOOD DISTRIBUTIONS, AS WELL AS OTHER COMMUNITY-BASED ORGANIZATIONS: FAMILIES FORWARD, FAMILY ASSISTANCE MINISTRY, FATHER SERRA'S FOOD PANTRY, MISSION BASILICA, HELPING HANDS WORLDWIDE, LAGUNA FOOD PANTRY, SECOND HARVEST FOOD BANK, SOUTH COUNTY OUTREACH, AND WOMEN, INFANT & CHILDREN'S CLINIC (WIC).
SCHEDULE H, PART V, SECTION B, LINE 11 (CONTINUED)	HEALTH CARE ACCESS:LOCAL FEDERALLY QUALIFIED HEALTH CENTERS PROVIDE PRIMARY CARE SERVICES TO RESIDENTS OF SOUTH ORANGE COUNTY WITH LOW INCOMES. WE WILL MAINTAIN MANY OF THE PROGRAMS CURRENTLY IN PLACE THROUGH COMMUNITY HEALTH INVESTMENT TO CONTINUE SUPPORTING ACCESS TO CARE SUCH AS HEALTH INSURANCE ENROLLMENT, CARE NAVIGATION AND MEDICAL TRANSPORTATION SERVICES. OBESITY:GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT CHNA, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. 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. GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT CHNA, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. SENIOR HEALTH:GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT CHNA, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS.IN ADDITION, MISSION HOSPITAL WILL COLLABORATE, WHEN FEASIBLE, WITH ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL TO ADDRESS THESE UNMET NEEDS.
SCHEDULE H, PART V, SECTION B, LINE 13H	THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED ORUNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONALFINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATIONALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFYPATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLYCLASSIFIED AS BAD DEBT.
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#TABCONTENT-1-PANE-3
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-1-PANE-2

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
PART I, LINE 6A:	MISSION HOSPITAL REGIONAL MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS:WWW.PROVIDENCE.ORG/LOCATIONS/MISSION-HOSPITAL-MISSION-VIEJO/ABOUT-US/COMMUNITY-BENEFIT
PART I, LINE 7:	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER.
PART I, LINE 7G:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIESFOSTERING A PREPARED AND PRODUCTIVE WORKFORCE IS THE PRIMARY FOCUS OF OUR COMMUNITY BUILDING AT ST. JOSEPH HEALTH, MISSION. WE COMPLETE THIS EFFORT THROUGH CONTINUED COLLABORATION WITH CAPISTRANO UNIFIED SCHOOL DISTRICT ADULT TRANSITION PROGRAM. SINCE 2006, MISSION HOSPITAL HOSTS YOUNG ADULTS WITH DISABILITIES EACH FALL TO PROVIDE WORK EXPERIENCE IN A HOSPITAL SETTING.THESE STUDENT INTERNS ARE PLACED IN HOSPITAL DEPARTMENTS SUCH AS NUTRITIONAL CARE SERVICES, ENVIRONMENTAL SERVICES AND CENTRAL SUPPLY TO LEARN JOB SKILLS THAT WILL HELP THEM ATTAIN LONG-TERM EMPLOYMENT EITHER AT THE HOSPITAL OR A LOCAL ORGANIZATION. MANY OF THESE STUDENTS WOULD BE HIGHLY CHALLENGED TO FIND PERMANENT, ON-GOING WORK BECAUSE OF THEIR DISABILITIES. LEADERSHIP DEVELOPMENT: MISSION HOSPITAL HAS PARTNERED WITH THE SISTERS OF ST. JOSEPH TO FOSTER LEADERSHIP DEVELOPMENT AS PART OF THEIR ST. JOSEPH WORKER PROGRAM. THIS PROGRAM SUPPORTS WOMEN FOR A 10 MONTH FORMATION PROGRAM WITH THE SISTERS WHILE THEY WORK WITH LOCAL COMMUNITIES AND DEVELOP PUBLIC HEALTH AND ADVOCACY SKILLS.
PART III, LINE 4:	AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
PART III, LINE 8:	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:	PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
PART VI, LINE 2:	NEEDS ASSESSMENTAN ANNUAL MARKET ASSESSMENT IS COMPLETED FOR OUR LOCAL MARKET THAT PROVIDES INFORMATION ON DEMOGRAPHICS, COUNTY HEALTH RANKINGS, PHYSICIAN LANDSCAPE, ACUTE CARE UTILIZATION RATES, MARKET SHARE, OUTMIGRATION TO OTHER MEDICAL FACILITIES FOR TREATMENT, EMERGENCY DEPARTMENT AND ANCILLARY UTILIZATION, AS WELL AS SERVICE LINE FORECASTS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATIONAND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.
PART VI, LINE 4:	COMMUNITY INFORMATIONMISSION HOSPITAL REGIONAL MEDICAL CENTER, PROVIDES SOUTH ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S SERVICE AREA EXTENDS FROM THE JUNCTION OF THE 405 AND 5 FREEWAYS IN THE NORTH, TO CAMP PENDLETON IN THE SOUTH, SANTA ANA MOUNTAINS IN THE EAST AND THE PACIFIC OCEAN IN THE WEST. OUR HOSPITAL TOTAL SERVICE AREA (TSA), THE COMMUNITY SERVED BY THE HOSPITAL IN BOTH THE PRIMARY SERVICE AREA (PSA) AND THE SECONDARY SERVICE AREA (SSA)[TSA = PSA+SSA] INCLUDES THE CITIES OF ALISO VIEJO, CAPISTRANO BEACH, DANA POINT, FOOTHILL RANCH, LADERA RANCH, LAGUNA BEACH, LAGUNA HILLS, LAGUNA NIGUEL, LAGUNA WOODS, LAKE FOREST, MISSION VIEJO, RANCHO SANTA MARGARITA, SAN CLEMENTE AND SAN JUAN CAPISTRANO, AND TRABUCO CANYON. TOTAL SERVICE AREA (TSA):THE TOTAL SERVICE AREA FOR MISSION HOSPITAL WAS DEFINED USING CENSUS TRACTS INSIDE SOUTH ORANGE COUNTY. IN TOTAL, THERE ARE 109 CENSUS TRACTS WITHIN THE TOTAL SERVICE AREA OF MISSION HOSPITAL. THE TOTAL SERVICE AREA WAS LATER DIVIDED INTO THE "BROADER SERVICE AREA AND "HIGH NEED SERVICE AREA" (TOTAL SERVICE AREA = BROADER SERVICE AREA + HIGH NEED SERVICE AREA). OF THE OVER 590,000 PERMANENT RESIDENTS IN THE TOTAL SERVICE AREA, ROUGHLY 42% 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 MISSION HOSPITAL'S TOTAL SERVICE AREA MAKES UP 18% OF ORANGE COUNTY. THE MALE-TO FEMALE DISTRIBUTION IS ROUGHLY EQUAL ACROSS THE GEOGRAPHIES. THE HIGH NEED SERVICE AREA HAS A HIGHER PERCENTAGE OF PEOPLE OVER THE AGE OF 65 AND BETWEEN AGES 18 AND 34. PEOPLE AGES 35 TO 54 AND UNDER THE AGE OF 18 ARE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS.POPULATION BY RACE AND ETHNICITY:INDIVIDUALS WHO IDENTIFY AS HISPANIC AND "OTHER" RACE ARE 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 MEDIAN INCOME FOR THE TOTAL SERVICE AREA FOR MISSION HOSPITAL IS ABOUT $20,000 HIGHER THAN ORANGE COUNTY OVERALL. THERE IS OVER A $40,000 DIFFERENCE IN MEDIAN INCOME BETWEEN THE BROADER AND HIGH NEED SERVICE AREA.HOUSING COST BURDEN:SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS THAT SPEND 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE TOTAL SERVICE AREA AND ORANGE COUNTY HAVE ROUGHLY THE SAME PERCENTAGE OF RENTER HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDENED (28%). IN THE HIGH NEED SERVICE AREA, 30% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED. WITHIN THE TOTAL SERVICE AREA THERE ARE CENSUS TRACTS IN WHICH OVER 50% OF HOUSEHOLDS ARE EXPERIENCING SEVERE HOUSING COST BURDEN.OTHER HOSPITALS IN THE TSA:OTHER HOSPITALS IN THE COMMUNITY INCLUDE: SADDLEBACK HOSPITAL.HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREAS (MUA) & MEDICALLY UNDERSERVED POPULATIONS (MUP)THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). MISSION HOSPITAL IS NOT LOCATED IN A SHORTAGE AREA. MEDICALLY UNDERSERVED AREAS (MUA) AND MEDICALLY UNDERSERVED POPULATIONS (MUP) ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MUA ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE". MUP ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES.MUA AND MUP ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. MISSION HOSPITAL MISSION VIEJO AND MISSION HOSPITAL LAGUNA BEACH ARE NOT LOCATED IN MEDICALLY UNDERSERVED AREAS. HOWEVER, COASTAL COMMUNITIES WITHIN THEIR SERVICE AREA, STRETCHING BETWEEN DANA POINT AND SAN CLEMENTE, ARE DESIGNATED AS MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATION AREAS, SIGNIFYING THE IMPORTANCE OF MISSION HOSPITAL TO THE COMMUNITY IT SERVES.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHMISSION HOSPITAL PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. MISSION HOSPITAL 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 TRUSTEES.2) OPEN MEDICAL STAFF.3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.LOCAL COMMUNITY BENEFIT COMMITTEE:THE ROLE OF THE MISSION HOSPITAL'S COMMUNITY BENEFIT (CB) COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE CB COMMITTEE ACTS IN ACCORDANCE WITH A BOARD APPROVED CHARTER. THE CB COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS "IDENTIFIED SIGNIFICANT NEEDS" IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY BENEFIT PLAN (CHIP) AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE CB COMMITTEE HAS A MINIMUM OF EIGHT (8) MEMBERS INCLUDING THREE (3) MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES FIVE (5) MEMBERS OF THE BOARD OF TRUSTEES AND EIGHT (8) 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 SIX TIMES PER YEAR. IN 2020, MEETINGS WERE HELD VIRTUALLY BEGINNING IN MARCH DUE TO COVID RESTRICTIONS. PARTICIPATION REMAINED HIGH AND TECHNOLOGY ALLOWED FOR OPEN ENGAGEMENT AMONG MEMBERS.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE 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 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 51 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, WA2020 - AN UNPRECEDENTED YEAROVER THE PAST YEAR, OUR COMMUNITIES HAVE FACED EXTRAORDINARY CHALLENGES. BUT EVEN DURING THE MOST DIFFICULT PUBLIC HEALTH CRISIS OF OUR TIME, COMMUNITIES HAVE ALSO SHOWN REMARKABLE STRENGTH AND RESOLVE. THERE IS SO MUCH GOOD THAT CAN BE ACCOMPLISHED AT THE COMMUNITY LEVEL, ESPECIALLY WHEN LIKE-MINDED ORGANIZATIONS WORK TOGETHER. IN SERVICE TO OUR MISSION, PROVIDENCE PARTNERS WITH COMMUNITY-BASED ORGANIZATIONS TO IDENTIFY URGENT HEALTH NEEDS AND ENVIRONMENTAL FACTORS THAT ARE IMPACTING THE WELL-BEING OF OUR COMMUNITIES. WE ACT TO PROVIDE SHORT-TERM SOLUTIONS AND ENVISION LONG-TERM RESULTS BY WISELY INVESTING IN OUR COMMUNITIES TO HELP BUILD A MORE EQUITABLE AND SUSTAINABLE FUTURE.
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

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH HEALTH SYSTEM FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3345 MICHELSON DR SUITE 100	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	330143024	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Non Cash Assistance	$29,422	NonCashAssistanceAmt
Purpose Of Grant	OPERATIONAL SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt
FUNERALS	9	$15,019	$0
ST. JOSEPH HOME CARE SERVICES	25	$5,155	$0
BREAST CANCER SERVICES	4	$4,412	$0

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 ALONG WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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
MICHAEL MARINO DO
FORMER SVP, CHIEF MED INFO OFCR	$0	$532,799	$0	$119,985	$0	$189,981	$0	$151,389	$0	$32,622	$0	$1,026,776	$0	$0
JIM WATSON ESQ
SECRETARY	$0	$437,006	$0	$301,877	$0	$5,598	$0	$84,307	$0	$35,749	$0	$864,537	$0	$0
SETH TEIGEN
CHIEF EXECUTIVE, MHRMC	$0	$485,823	$0	$146,923	$0	$30,409	$0	$90,987	$0	$37,574	$0	$791,716	$0	$0
LINDA SIEGLEN
CHIEF MEDICAL OFFICER	$450,972	$0	$83,969	$0	$18,148	$0	$2,850	$0	$28,542	$0	$584,481	$0	$0	$0
EILEEN HAUBL
CFO SERVICE AREA	$367,835	$0	$58,037	$0	$16,052	$0	$3,266	$0	$23,189	$0	$468,379	$0	$0	$0
JENNIFER CORD
CNO - MISSION	$319,000	$0	$82,324	$0	$5,346	$0	$2,850	$0	$33,298	$0	$442,818	$0	$0	$0
MARK JABLONSKI
FORMER INTERIN VP MISSION INTEG.	$0	$314,297	$0	$35,935	$0	$15,438	$0	$2,984	$0	$24,792	$0	$393,446	$0	$0
EVELYN SCHLOSSER
EXEC DIR, QUALITY & PATIENT SAFETY	$259,121	$0	$92,937	$0	$4,913	$0	$4,275	$0	$25,737	$0	$386,983	$0	$0	$0
TERRENCE WOOTEN
COO MHRMC	$298,639	$0	$55,775	$0	$3,814	$0	$8,265	$0	$14,662	$0	$381,155	$0	$0	$0
JOHN MILLER
MINISTRY CHIEF, PHILANTHROPY OFFICER	$268,959	$0	$48,652	$0	$10,620	$0	$4,092	$0	$35,599	$0	$367,922	$0	$0	$0
LAUREN DWINELL
EXEC DIR, CHIEF OPS-PATIENT FLOW	$174,655	$0	$36,338	$0	$123,917	$0	$3,211	$0	$15,723	$0	$353,844	$0	$40,912	$0
WENDY FERRO-GRANT
FORMER DIR, SURGICAL SERVICES	$199,192	$0	$25,145	$0	$4,495	$0	$6,958	$0	$30,286	$0	$266,076	$0	$0	$0
DEANNE NIEDZIELA
FORMER DIR, NURSING	$204,484	$0	$14,549	$0	$3,293	$0	$6,836	$0	$31,568	$0	$260,730	$0	$0	$0
SHANNON DWYER ESQ
BOARD MEMBER	$0	$0	$0	$0	$0	$205,985	$0	$0	$0	$8,256	$0	$214,241	$0	$0
TODD LEMPERT MD
BOARD MEMBER	$0	$150,600	$0	$0	$0	$0	$0	$0	$0	$0	$0	$150,600	$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 ITS TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECIEVED SEVERANCE PAYMENTS DURING 2020: SHANNON DWYER, ESQ. - $207,274 LAUREN DWINELL - $72,346 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 INDIVIDUAL RECEIVED A PAYOUT OF DURING THE CURRENT YEAR: LAUREN DWINELL - $40,912
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, WHICH IS A PERFORMANCE-BASED ANNUAL INCENTIVE PLAN THAT AFFORDS PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$590,718	RENT	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$290,471	MEDICAL SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$259,142	MEDICAL SVC	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIB	$1,049,216	MEDICAL SVC	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	12	ContributionCnt
Noncash Contributions Rpt F990	$1,432,308	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	THE AMOUNTS REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

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 MISSION HOSPITAL REGIONAL MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS MISSION HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT BOARD MEMBERS TO THE MISSION HOSPITAL BOARD. ALL BOARD MEMBER APPOINTMENTS THAT COME FROM THE MISSION HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. 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 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 EMPLOYEES 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 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 REGULARLY. 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 ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, 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 2020.
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 19,543,207. MANAGEMENT AND GENERAL EXPENSES 1,260,500. FUNDRAISING EXPENSES 90,536. TOTAL EXPENSES 20,894,243. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 14,162,391. MANAGEMENT AND GENERAL EXPENSES 913,447. FUNDRAISING EXPENSES 65,609. TOTAL EXPENSES 15,141,447. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 23,712,363. MANAGEMENT AND GENERAL EXPENSES 1,529,402. FUNDRAISING EXPENSES 109,850. TOTAL EXPENSES 25,351,615. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 25,301,312. MANAGEMENT AND GENERAL EXPENSES 1,631,886. FUNDRAISING EXPENSES 117,211. TOTAL EXPENSES 27,050,409. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 1,719,791. MANAGEMENT AND GENERAL EXPENSES 110,923. FUNDRAISING EXPENSES 7,967. TOTAL EXPENSES 1,838,681. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 3,931,116. MANAGEMENT AND GENERAL EXPENSES 253,549. FUNDRAISING EXPENSES 18,211. TOTAL EXPENSES 4,202,876.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT AFFILIATES -15,346,717. OTHER CHANGES IN NET ASSETS 6,717,850. CHANGE IN INVESTMENT IN JOINT VENTURES 4,390,800.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (111 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
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)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911307555	HEALTHCARE	WA	501(C)(3)	3	PHS WA	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(C)(3)	7	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)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912054035	RESEARCH	WA	501(C)(3)	7	SHS	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069	SEATTLE	WA	98116	200799737	SUPPORT	WA	501(C)(3)	12, I	SHS	Yes (1)
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 CARE FOUNDATION (CENTRALIA)
413 LILLY ROAD NE	OLYMPIA	WA	985065166	911433382	HEALTHCARE	WA	501(C)(3)	7	PHS W 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
2731 WETMORE AVE STE 500	EVERETT	WA	98201	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
1801 LIND AVE SW	RENTON	WA	980579016	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
1025 S 2ND AVENUE	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	RMH	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
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	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	SRMH	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814791043	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953589356	HEALTHCARE	CA	501(C)(3)	12, I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643359	HEALTHCARE	CA	501(C)(3)	3	CHN	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	KADLEC	Yes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING A	KENNEWICK	WA	99336	911739024	SUPPORT	WA	501(C)(3)	12, I	KADLEC	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 (45 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	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 (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING - DIAGNOSTICS	OR	N/A	0	0
BROADWAY IMAGING LLC
500 W BROADWAY	MISSOULA	MT	59802	522405971	MEDICAL IMAGING	MT	N/A	0	0
CENTER FOR MATERNAL NEWBORN AND CHILD
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	813526875	HEALTHCARE	CA	N/A	0	0
CENTER FOR MEDICAL IMAGING (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING - DIAGNOSTICS	OR	N/A	0	0
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260381897	RADIATION ONCOLOGY	OR	N/A	0	0
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
ONE CITY BLVD W STE 1100	ORANGE	CA	92868	264591502	HEALTHCARE	CA	N/A	0	Yes (1)
COVENANT LONG-TERM CARE LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	205033419	HEALTHCARE	TX	N/A	0	0
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)
NEWPORT SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	392060266	HEALTHCARE	CA	N/A	0	Yes (1)
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A	0	0
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	0
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 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	$2,804,037	$33,227,684	-$53
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
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425	PORTLAND	OR	97213	481287267	REHAB SERVICES	OR	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)
REDMOND AMBULATORY SURGERY CENTER LLC
805 MADISON ST STE 901	SEATTLE	WA	98104	813558711	AMBULATORY SURGERY CENTER	WA	N/A	0	Yes (1)
SANTA ANA MOB LLC
1800 QUAIL STREET STE 100	NEWPORT BEACH	CA	92660	753205306	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
SJO ASC HOLDINGS LLC
1140 W LA VETA AVE	ORANGE	CA	92868	821655501	HEALTHCARE	CA	N/A	0	0
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVE	ORANGE	CA	92868	454521884	REAL ESTATE	CA	N/A	0	Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
300 SANTANA ROW SUITE 300	SAN JOSE	CA	95128	814657391	HEALTHCARE	CA	N/A	0	0
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURGERY CENTER	KS	N/A	0	0
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)
YELM MEDICAL OFFICE BUILDING
2840 CRITES ST SW STE 104	TUMATER	WA	98512	263685020	REAL ESTATE - MOB	WA	N/A	0	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (40 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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOCIATION	WA	N/A	C	0
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
COMMUNITY TECHNOLOGIES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844722399	IT SVCS	DE	N/A	C	0
DATU HEALTH INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463070062	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
ENGAGE IT SERVICES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844058573	IT SVCS	DE	N/A	C	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
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
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA		C	Yes (1)				MHRMC	$176	$269,155	1.00000
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 HCC HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HOLDING COMPANY	CA	N/A	C	0
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 RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844686520	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844704409	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP-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
WESTERN HEALTHCONNECT VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800953654	INVESTMENT	WA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	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	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	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 (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
C	$5,113,464	ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
B	$5,627,200	ACCRUAL
ST JOSEPH HEALTH SYSTEM
P	$82,423,716	ACCRUAL
ST JOSEPH HEALTH SYSTEM
Q	$606,292	ACCRUAL
ST JOSEPH HEALTH SYSTEM
R	$2,938,131	ACCRUAL
ST JUDE HOSPITAL INC
C	$150,000	ACCRUAL