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ST JOSEPH HOSPITAL OF ORANGE: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH HOSPITAL OF ORANGE (EIN 95-1643359)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-09
IRS object ID
202133139349304303
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-09T14:10:54-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1560 MISSION STREET SUITE 1600AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951643359EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL OF ORANGEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTJOBusinessNameControlTxt
Phone7147718000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEILEEN HAUBLPersonNm
Person TitleCFO SERVICE AREAPersonTitleTxt
Phone7147718000PhoneNum
Signature2021-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstEILEENPersonFirstNm
Person LastHAUBLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEVA NITTAPreparerPersonNm
PTINP01286320PTIN
Phone4158948000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE ST JOSEPH HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJEREMY ZOCHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$837,267,599GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SJO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1941FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionAS 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 Body16VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee3123TotalEmployeeCnt
Total Volunteers505TotalVolunteersCnt
Total Gross UBI-$44,521TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,053,555PYContributionsGrantsAmt
CY Contributions Grants$36,186,434CYContributionsGrantsAmt
PY Program Service Revenue$771,811,756PYProgramServiceRevenueAmt
CY Program Service Revenue$783,290,333CYProgramServiceRevenueAmt
PY Investment Income$8,866,429PYInvestmentIncomeAmt
CY Investment Income$15,462,983CYInvestmentIncomeAmt
PY Other Revenue$3,505,270PYOtherRevenueAmt
CY Other Revenue$2,023,223CYOtherRevenueAmt
PY Total Revenue$798,237,010PYTotalRevenueAmt
CY Total Revenue$836,962,973CYTotalRevenueAmt
PY Grants And Similar Paid$6,301,681PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,222,559CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$265,472,282PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$232,952,234CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,170,149CYTotalFundraisingExpenseAmt
PY Other Expenses$506,253,143PYOtherExpensesAmt
CY Other Expenses$564,728,522CYOtherExpensesAmt
PY Total Expenses$778,027,106PYTotalExpensesAmt
CY Total Expenses$798,903,315CYTotalExpensesAmt
PY Revenues Less Expenses$20,209,904PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$38,059,658CYRevenuesLessExpensesAmt
Total Assets BOY$812,452,777TotalAssetsBOYAmt
Total Assets EOY$990,581,691TotalAssetsEOYAmt
Total Liabilities BOY$457,371,859TotalLiabilitiesBOYAmt
Total Liabilities EOY$530,492,351TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$355,080,918NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$460,089,340NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$760,844,229ExpenseAmt
Grant$1,222,559GrantAmt
Revenue$783,961,193RevenueAmt
DescSEE 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.PROGRAM SERVICE ACCOMPLISHMENTSIN 2020, PROVIDENCE ST. HOSPITAL ORANGE (SJO) CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. IN 2020, SJO FOCUSED ON ADDRESSING MENTAL HEALTH, HEALTH CARE ACCESS, HOUSING AND HOMELESSNESS.FOR CALENDAR YEAR 2020 2022 THE HOSPITAL IDENTIFIED AND WILL FOCUS ON THE FOLLOWING THREE (3) PRIORITIES:PRIORITY 1: MENTAL HEALTHCOVERS ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. INCLUDES ISSUES OF STRESS, DEPRESSION, COPING SKILLS, AS WELL AS MORE SERIOUS HEALTH CONDITIONS SUCH AS MENTAL ILLNESS AND ADVERSE CHILDHOOD EXPERIENCES. SUBSTANCE USE PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY. MENTAL HEALTH CHALLENGES CAN IMPEDE PEOPLE'S ABILITIES TO REALIZE THEIR POTENTIAL, COPE WITH STRESSES, WORK PRODUCTIVELY AND FRUITFULLY, AND MAKE CONTRIBUTIONS TO THEIR COMMUNITIES. PROVIDENCE ST. JOSEPH HOSPITAL WORKED 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. POST PARTUM DEPRESSION EACH WOMAN IN LABOR & DELIVERY IS GIVEN THE EDINBURGH POSTNATAL DEPRESSION SCALE TO IDENTIFY PATIENTS THAT ARE SUFFERING FROM A DEPRESSIVE ILLNESS.4. WHOLE PERSON CARE (WPC) GRANT - WPC IS A MULTIPLE ACCESS APPROACH TO ADDRESSING THE NEEDS OF THE HOMELESS POPULATION WITH MEDICAID. HOMELESSNESS AND MENTAL HEALTH ARE DEEPLY INTERTWINED. WPC IS THE COORDINATION OF PHYSICAL, BEHAVIORAL HEALTH, AND SOCIAL SERVICES IN A PATIENT CENTERED APPROACH WITH THE GOALS OF IMPROVED HEALTH AND WELL-BEING. WHEN A PERSON EXPERIENCING HOMELESSNESS SEEKS SERVICES AT A HOSPITAL, COMMUNITY CLINIC, OR SHELTER, THEIR INFORMATION IS ENTERED INTO AN ELECTRONIC SYSTEM "WPC CONNECT". THIS SYSTEM HAS THE CAPACITY TO SHARE DATA ACROSS MULTIPLE PROVIDERS. THE CLIENT IS THEN CONNECTED TO WRAP-AROUND PROGRAMS THAT MAY INCLUDE: RECUPERATIVE CARE, ONE-ON-ONE CALOPTIMA (ORANGE COUNTY MEDICAID HEALTH PLAN) PERSONAL CARE COORDINATOR, PERMANENT SUPPORTIVE HOUSING, LINKAGE TO MENTAL HEALTH AND OR SUBSTANCE USE DISORDER TREATMENT, AND OTHER COMMUNITY REFERRALS.5. IN PATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES INCLUDING A PSYCHIATRIC EMERGENCY SERVICE UNIT (PES) A 23-HOUR EMERGENCY TRIAGE AND STABILIZATION UNIT TO ASSIST PATIENTS WITH ALTERNATIVES TO INPATIENT TREATMENT AND DO A HAND-OFF TO LOWER LEVEL OF CARE SUCH AS PARTIAL HOSPITAL PROGRAM OR A PROVIDER IN THE COMMUNITY.PRIORITY 2: HEALTH CARE ACCESSINCREASING HEALTH CARE ACCESS AS WELL AS OTHER RESOURCES FOR AREAS THAT HAVE THE BIGGEST CHALLENGES.IN 2020 THIS NEED WAS ADDRESSED BY:1. PROVIDING YEAR ROUND GRANT FUNDS TO LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WHICH PROVIDES MEDICAL, DENTAL, MENTAL HEALTH AND VISION SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS.Desc
Total Program Service Expenses$760,844,229TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document365IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3123EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JO ANN ESCASA-HAIGHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9493814000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13345 MICHELSON DRIVE SUITE 100AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JEREMY ZOCH
CHIEF EXECUTIVE - SJO50.000.00Yes (X)Yes (X)$0$792,813$188,828
THOMAS HILL
CHIEF OPERATIONS GENERAL SERVICES50.000.00$879,484$0$21,542Yes (X)
JIM WATSON ESQ
SECRETARY1.0059.00Yes (X)$0$744,481$120,056
KRISTI LIBERATORE
FORMER CHIEF FINANCIAL OFFICER0.0050.00$694,651$0$28,238Yes (X)
SCOTT RUSK
CHIEF MEDICAL OFFICER - SJO50.000.00$541,848$0$36,292Yes (X)
CATHERINE SKELTON
CHIEF PATIENT CARE SERVICES/CNO50.000.00$503,761$0$28,431Yes (X)
EILEEN HAUBL
CFO SERVICE AREA25.0025.00Yes (X)$0$441,924$26,455
SAIED AMIRPOOR
DIRECTOR PHARMACY50.000.00$390,039$0$23,085Yes (X)
MARY LEAHY
FORMER KEY EMPLOYEE0.0050.00$0$378,489$33,250Yes (X)
AMY DAUGHERTY
MINISTRY CHIEF, PHILANTHROPY OFFICER40.000.00$305,841$0$17,102Yes (X)
BRIAN BOYD MD
TRUSTEE, CHIEF OF STAFF5.000.00Yes (X)$0$280,874$0
PETER SMETHURST MD
TRUSTEE/VICE CHIEF OF STAFF (PT YR)2.002.00Yes (X)$0$124,998$0
CHRISTOPHER WILLS MD
TRUSTEE, VICE CHAIR5.000.00Yes (X)$0$900$0
SUDEEP KUKREJA MD
TRUSTEE2.000.00Yes (X)$0$525$0
BOB BALDWIN
TRUSTEE (PART YEAR)2.000.00Yes (X)$0$0$0
JOHN TANGREDI
TRUSTEE (PART YEAR)2.004.00Yes (X)$0$0$0
JON COLEMAN
TRUSTEE2.000.00Yes (X)$0$0$0
KATHLEEN O'LEARY
TRUSTEE2.000.00Yes (X)$0$0$0
KENNETH COSGROVE
TRUSTEE5.000.00Yes (X)$0$0$0
KEVIN SNYDER
TRUSTEE2.000.00Yes (X)$0$0$0
MARY ANNE FOO
TRUSTEE2.000.00Yes (X)$0$0$0
RUBEN SMITH
TRUSTEE2.000.00Yes (X)$0$0$0
SISTER JUDITH DUGAN
TRUSTEE2.000.00Yes (X)$0$0$0
SISTER MARTHA ANN FITZPATRICK
TRUSTEE (PART YEAR)2.002.00Yes (X)$0$0$0
SISTER SUZANNE SASSUS
TRUSTEE (PART YEAR)2.002.00Yes (X)$0$0$0
WILLIAM CAMPBELL
TRUSTEE, CHAIR5.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,315,624TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,765,004TotReportableCompRltdOrgAmt
Total Other Compensation$523,279TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K722IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARDINAL HEALTH 411 INC
PO BOX 56412LOS ANGELESCA90074MEDICAL SERVICES$46,194,461
MEDLINE INDUSTRIES INC
DEPT LA 21558PASADENACA91185MEDICAL SERVICES$17,385,281
AMN HEALTHCARE INC
2735 COLLECTION CENTER DRCHICAGOIL60693STAFFING SERVICES$8,351,182
INTUITIVE SURGICAL INC
DEPT 33629 PO BOX 39000SAN FRANCISCOCA94139MEDICAL SERVICES$6,832,848
HEALTHCARE DESIGN AND CONSTRUCTION LLC
18302 IRVINE BLVD 120TUSTINCA92780CONSTRUCTION SERVICES$5,804,051
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K245CntrctRcvdGreaterThan100KCnt
Fundraising$754,863FundraisingAmt
Related Organizations$1,565,344RelatedOrganizationsAmt
Government Grants$31,858,811GovernmentGrantsAmt
All Other Contributions$2,007,416AllOtherContributionsAmt
Noncash Contributions$1,845,649NoncashContributionsAmt
Total Contributions$36,186,434TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE621110$765,532,550$765,532,145$405
MOB RENTAL REVENUE531120$3,352,980$3,352,980
HOSPITAL FEE621110$1,867,334$1,867,334
PHARMACY REVENUE446110$1,675,814$1,809,511-$133,697
JV INCOME900099$211,565$211,565

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,650,090TotalRevenueColumnAmt
Related Or Exempt Func Income$10,561,051RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$89,039UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$783,290,333TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,242,345TotalRevenueColumnAmt
Unrelated Business Revenue-$268UnrelatedBusinessRevenueAmt
Exclusion$5,242,613ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,220,638SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,220,638SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,220,638TotalRevenueColumnAmt
Exclusion$10,220,638ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$329,204FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$754,863ContriRptFundraisingEventAmt
Fundraising Direct Expenses$304,626FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,578TotalRevenueColumnAmt
Exclusion$24,578ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE722514$1,327,785$1,327,785
PARKING REVENUE812930$670,860$670,860
FieldValueIRS element (for citing)
Other Revenue Total$1,998,645OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$836,962,973TotalRevenueColumnAmt
Related Or Exempt Func Income$784,005,446RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$44,521UnrelatedBusinessRevenueAmt
Exclusion$16,815,614ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,218,331TotalAmt
Program Services$1,218,331ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$4,228TotalAmt
Program Services$4,228ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$211,902,254TotalAmt
Program Services$206,200,056ProgramServicesAmt
Management And General$4,694,867ManagementAndGeneralAmt
Fundraising$1,007,331FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,700,366TotalAmt
Program Services$4,524,914ProgramServicesAmt
Management And General$160,120ManagementAndGeneralAmt
Fundraising$15,332FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,349,614TotalAmt
Program Services$15,791,845ProgramServicesAmt
Management And General$484,910ManagementAndGeneralAmt
Fundraising$72,859FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,423,398TotalAmt
Program Services$8,387,345ProgramServicesAmt
Management And General$36,053ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,404,155TotalAmt
Management And General$2,388,131ManagementAndGeneralAmt
Fundraising$16,024FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$622,127TotalAmt
Management And General$622,127ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$146,199,486TotalAmt
Program Services$140,528,320ProgramServicesAmt
Management And General$4,194,164ManagementAndGeneralAmt
Fundraising$1,477,002FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$133,343TotalAmt
Management And General$123,606ManagementAndGeneralAmt
Fundraising$9,737FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,016,972TotalAmt
Program Services$10,277,650ProgramServicesAmt
Management And General$659,785ManagementAndGeneralAmt
Fundraising$79,537FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,411,180TotalAmt
Program Services$10,361,456ProgramServicesAmt
Management And General$37,182ManagementAndGeneralAmt
Fundraising$12,542FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$270,789TotalAmt
Program Services$121,109ProgramServicesAmt
Management And General$45,519ManagementAndGeneralAmt
Fundraising$104,161FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$70,319TotalAmt
Program Services$64,701ProgramServicesAmt
Management And General$4,776ManagementAndGeneralAmt
Fundraising$842FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,729,981TotalAmt
Program Services$9,215,948ProgramServicesAmt
Management And General$388,499ManagementAndGeneralAmt
Fundraising$125,534FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,060,987TotalAmt
Program Services$24,532,685ProgramServicesAmt
Management And General$2,304,676ManagementAndGeneralAmt
Fundraising$223,626FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SYSTEM COST ALLOCATION$153,962,976$146,516,453$6,414,476$1,032,047
MEDICAL SUPPLIES$137,530,397$130,878,647$5,729,854$921,896
HOSPITAL FEE$49,044,603$49,044,603
DUES & SUBSCRIPTIONS$345,320$337,743$4,397$3,180

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,502,489TotalAmt
Program Services$2,838,195ProgramServicesAmt
Management And General$4,595,795ManagementAndGeneralAmt
Fundraising$68,499FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$798,903,315TotalAmt
Program Services$760,844,229ProgramServicesAmt
Management And General$32,888,937ManagementAndGeneralAmt
Fundraising$5,170,149FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$210,022BOYAmt
EOY$343,717EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$27,615,422BOYAmt
EOY$67,536,366EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,093,612BOYAmt
EOY$4,245,750EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$61,402,338BOYAmt
EOY$71,687,755EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,461,049BOYAmt
EOY$1,168,629EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,736,124BOYAmt
EOY$11,491,107EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,318,523BOYAmt
EOY$4,153,069EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$943,138,110LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$568,984,700LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$390,788,828BOYAmt
EOY$374,153,410EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$267,992,538BOYAmt
EOY$357,202,603EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$5,919,400BOYAmt
EOY$16,828,375EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,770,417BOYAmt
EOY$4,647,917EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$33,144,504BOYAmt
EOY$77,122,993EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$812,452,777BOYAmt
EOY$990,581,691EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$62,663,684BOYAmt
EOY$76,690,106EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$62,521BOYAmt
EOY$140,040EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$128,000BOYAmt
EOY$128,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$394,517,654BOYAmt
EOY$453,534,205EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$457,371,859BOYAmt
EOY$530,492,351EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$327,546,537BOYAmt
EOY$426,769,597EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$27,534,381BOYAmt
EOY$33,319,743EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$355,080,918BOYAmt
EOY$460,089,340EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$812,452,777BOYAmt
EOY$990,581,691EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$38,059,658ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$18,037,149NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$48,911,615OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$57,570OtherActivitiesAmt
Total Lobbying Expenditures$57,570TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationTHE LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ALLIANCE OF CATHOLIC HEALTH CARE, AMERICAN HOSPITAL ASSOCIATION AND CALIFORNIA HOSPITAL ASSOCIATION FOR LOBBYING SERVICES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,121,773BeginningYearBalanceAmt
Contributions$289,315ContributionsAmt
Investment Earnings Or Losses$2,722,845InvestmentEarningsOrLossesAmt
Other Expenditures$8,934OtherExpendituresAmt
End Year Balance$24,124,999EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.67950BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.32050PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$572,963,200OtherCostOrOtherBasisAmt
Depreciation$290,329,844DepreciationAmt
Book Value$282,633,356BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,453,229OtherCostOrOtherBasisAmt
Depreciation$1,888,923DepreciationAmt
Book Value$564,306BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$317,602,181OtherCostOrOtherBasisAmt
Depreciation$276,765,933DepreciationAmt
Book Value$40,836,248BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,347,840OtherCostOrOtherBasisAmt
Book Value$27,347,840BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$374,153,410TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$7,295,468
DUE FROM THIRD PARTY$390,479
HOSPITAL FEE/PROVIDER TAX RECEIVABLE$58,791,286
DUE FROM AFFILIATES$10,645,760
FieldValueIRS element (for citing)
Total Book Value Other Assets$77,122,993TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
I/C TAX EXEMPT BOND LIABILITIES$285,954,123
CAPITAL LEASE OBLIGATION$66,677,635
DUE TO THIRD PARTY$15,876,756
HOSPITAL FEE/PROVIDER TAX LIABILITY$24,573,922
DUE TO AFFILIATES$9,601,261
ACCRUED RETIREMENT COMPENSATION$3,158,715
OTHER LIABILITIES$47,691,793
FieldValueIRS element (for citing)
Total Liability$453,534,205TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLFEvent1Nm
Gross Receipts Event1$561,034GrossReceiptsEvent1Amt
Charitable Contri Event1$365,068CharitableContriEvent1Amt
Gross Revenue Event1$195,966GrossRevenueEvent1Amt
Food And Beverage Event1$43,890FoodAndBeverageEvent1Amt
Entertainment Event1$21,522EntertainmentEvent1Amt
Other Direct Expenses Event1$73,395OtherDirectExpensesEvent1Amt
Event2CELEBRATIONEvent2Nm
Gross Receipts Event2$523,033GrossReceiptsEvent2Amt
Charitable Contri Event2$389,795CharitableContriEvent2Amt
Gross Revenue Event2$133,238GrossRevenueEvent2Amt
Food And Beverage Event2$124,858FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$40,961OtherDirectExpensesEvent2Amt
Gross Receipts Total$1,084,067GrossReceiptsTotalAmt
Charitable Contributions Tot$754,863CharitableContributionsTotAmt
Gross Revenue Total Events$329,204GrossRevenueTotalEventsAmt
Food And Beverage Total Events$168,748FoodAndBeverageTotalEventsAmt
Entertainment Total Events$21,522EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$114,356OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$304,626DirectExpenseSummaryEventsAmt
Net Income Summary$24,578NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served11690PersonsServedCnt
Total Community Benefit Expns$9,170,588TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,170,588NetCommunityBenefitExpnsAmt
Total Expense0.01150TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served53991PersonsServedCnt
Total Community Benefit Expns$203,629,979TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$153,182,086DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,447,893NetCommunityBenefitExpnsAmt
Total Expense0.06310TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served65681PersonsServedCnt
Total Community Benefit Expns$212,800,567TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$153,182,086DirectOffsettingRevenueAmt
Net Community Benefit Expns$59,618,481NetCommunityBenefitExpnsAmt
Total Expense0.07460TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served13372PersonsServedCnt
Total Community Benefit Expns$1,772,618TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$557,168DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,215,450NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served21PersonsServedCnt
Total Community Benefit Expns$267,334TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$75,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$192,334NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served10866PersonsServedCnt
Total Community Benefit Expns$20,998,451TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,355,758DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,642,693NetCommunityBenefitExpnsAmt
Total Expense0.00710TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$75,797TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$75,797NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served28346PersonsServedCnt
Total Community Benefit Expns$1,435,475TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,435,475NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs25ActivitiesOrProgramsCnt
Persons Served52605PersonsServedCnt
Total Community Benefit Expns$24,549,675TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,987,926DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,561,749NetCommunityBenefitExpnsAmt
Total Expense0.01070TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs25ActivitiesOrProgramsCnt
Persons Served118286PersonsServedCnt
Total Community Benefit Expns$237,350,242TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$169,170,012DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,180,230NetCommunityBenefitExpnsAmt
Total Expense0.08530TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Reimbursed By Medicare$122,036,936ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$169,043,174CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$47,006,238MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 COMPREHENSIVE IMAGING
DIAGNOSTIC IMAGING CENTER0.500000.50000
2 ST JOSEPH PHYSICIAN VENTURES
REAL ESTATE: DOCTOR OFFICES0.591900.40800
3 ST JOSEPH SATELLITE DIALYSIS
DIALYSIS SERVICE0.607700.39220
4 PAVILION SURGERY CENTER
OUTPATIENT SURGERY CENTER0.803900.19610
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL OF ORANGEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 WEST STEWART DRIVEAddressLine1Txt
CityORANGECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92868ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SJO.ORGWebsiteAddressTxt
State License060000172StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HOSPITAL OF ORANGEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3ETHE 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 5IN 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, SENIOR SERV7. ILLUMINATION FOUNDATION8. KENNEDY COMMISSION9. ORANGE COUNTY CONGREGATION COMMUNITY ORGANIZATION10. ORANGE COUNTY FAIR HOUSING COUNCIL11. ORANGE COUNTY FOOD ACCESS COALITION12. OC HEALTH CARE AGENCY13. REGIONAL ASTHMA MANAGEMENT AND PREVENTION14. SAN CLEMENTE WELLNESS AND PREVENTION CENTER15. STROKE BOOT CAMP16. STUDENT MENTAL HEALTH, OC DEPARTMENT OF EDUCATION17. UCI INSTITUTE FOR CLINICAL AND TRANSLATIONAL SCIENCE18. WESTERN YOUTH SERVICESTHE SAME TEN (10) STRATEGIC LEARNING QUESTIONS WERE ASKED AS IN THE RESIDENT FOCUS GROUPS. THE TOP PRIORITIES IDENTIFIED THROUGH KAISER'S WORK WERE ACCESS TO HEALTH CARE, ECONOMIC, HOUSING AND FOOD INSECURITIES, MENTAL HEALTH AND SUBSTANCE USE INCLUDING SUICIDE AND STROKE.THE COUNTY HEALTH IMPROVEMENT PARTNERSHIP, ON WHICH PROVIDENCE ST. 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 6AMISSION HOSPITAL AND ST. JUDE MEDICAL CENTER
SCHEDULE H, PART V, SECTION B, LINE 6BTHE CHNA WAS CONDUCTED IN PARTNERSHIP WITH ORANGE COUNTY HEALTH IMPROVEMENT PARTNERSHIP, SANTA ANA, CA
SCHEDULE H, PART V, SECTION B, LINE 7AHTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-JOSEPH-HOSPITAL-ORANGE/ABOUT-US/COMMUNITY-BENEFIT
SCHEDULE H, PART V, SECTION B, LINE 10AHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSPLEASE LOOK IN THE "SOUTHERN CALIFORNIA" TAB.
SCHEDULE H, PART V, SECTION B, LINE 11FOR CALENDAR YEAR 2020 - 2022 THE HOSPITAL IDENTIFIED AND WILL FOCUS ON THE FOLLOWING THREE (3) PRIORITIES:PRIORITY 1: MENTAL HEALTHCOVERS ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. INCLUDES ISSUES OF STRESS, DEPRESSION, COPING SKILLS, AS WELL AS MORE SERIOUS HEALTH CONDITIONS SUCH AS MENTAL ILLNESS AND ADVERSE CHILDHOOD EXPERIENCES. SUBSTANCE USE PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY. MENTAL HEALTH CHALLENGES CAN IMPEDE PEOPLE'S ABILITIES TO REALIZE THEIR POTENTIAL, COPE WITH STRESSES, WORK PRODUCTIVELY AND FRUITFULLY, AND MAKE CONTRIBUTIONS TO THEIR COMMUNITIES. PROVIDENCE ST. JOSEPH HOSPITAL (WHICH WILL BE ADDRESSED SIMPLY AS "ST. JOSEPH HOSPITAL" 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. POST PARTUM DEPRESSION EACH WOMAN IN LABOR & DELIVERY IS GIVEN THE EDINBURGH POSTNATAL DEPRESSION SCALE TO IDENTIFY PATIENTS THAT ARE SUFFERING FROM A DEPRESSIVE ILLNESS. 4. WHOLE PERSON CARE (WPC) GRANT - WPC IS A MULTIPLE ACCESS APPROACH TO ADDRESSING THE NEEDS OF THE HOMELESS POPULATION WITH MEDICAID. HOMELESSNESS AND MENTAL HEALTH ARE DEEPLY INTERTWINED. WPC IS THE COORDINATION OF PHYSICAL, BEHAVIORAL HEALTH, AND SOCIAL SERVICES IN A PATIENT CENTERED APPROACH WITH THE GOALS OF IMPROVED HEALTH AND WELL-BEING. WHEN A PERSON EXPERIENCING HOMELESSNESS SEEKS SERVICES AT A HOSPITAL, COMMUNITY CLINIC, OR SHELTER, THEIR INFORMATION IS ENTERED INTO AN ELECTRONIC SYSTEM "WPC CONNECT." THIS SYSTEM HAS THE CAPACITY TO SHARE DATA ACROSS MULTIPLE PROVIDERS. THE CLIENT IS THEN CONNECTED TO WRAP-AROUND PROGRAMS THAT MAY INCLUDE: RECUPERATIVE CARE, ONE-ON-ONE CALOPTIMA (ORANGE COUNTY MEDICAID HEALTH PLAN) PERSONAL CARE COORDINATOR, PERMANENT SUPPORTIVE HOUSING, LINKAGE TO MENTAL HEALTH AND OR SUBSTANCE USE DISORDER TREATMENT, AND OTHER COMMUNITY REFERRALS. 5. IN PATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES INCLUDING A PSYCHIATRIC EMERGENCY SERVICE UNIT (PES) A 23-HOUR EMERGENCY TRIAGE AND STABILIZATION UNIT TO ASSIST PATIENTS WITH ALTERNATIVES TO INPATIENT TREATMENT AND DO A HAND-OFF TO LOWER LEVEL OF CARE SUCH AS PARTIAL HOSPITAL PROGRAM OR A PROVIDER IN THE COMMUNITY.PRIORITY 2: HEALTH CARE ACCESSINCREASING HEALTH CARE ACCESS AS WELL AS OTHER RESOURCES FOR AREAS THAT HAVE THE BIGGEST CHALLENGES.IN 2020 THIS NEED WAS ADDRESSED BY:1. PROVIDING YEAR ROUND GRANT FUNDS TO LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) WHICH PROVIDES MEDICAL, DENTAL, MENTAL HEALTH AND VISION SERVICES TO LOW-INCOME FAMILIES AND RESIDENTS. PRIORITY 3: HOUSING & HOMELESSNESSPRIMARILY FOCUSED ON THE CONDITION OF HOMELESSNESS, INCLUDING HELPING HOMELESS INDIVIDUALS, PREVENTION OF HOMELESSNESS, AND MITIGATING ITS IMPACT ON COMMUNITIES. HOMELESSNESS AND AFFORDABLE HOUSING ARE SIGNIFICANT NEEDS IN OUR COMMUNITIES. HOMELESSNESS HAS A RIPPLE EFFECT THROUGHOUT THE COMMUNITY; IT IMPACTS THE AVAILABILITY OF HEALTHCARE RESOURCES, CRIME AND SAFETY, THE WORKFORCE, AND THE USE OF TAX DOLLARS. AFFORDABLE HOUSING BENEFITS OUR COMMUNITIES AND CREATES STRONGER OUTCOMES IN EMPLOYMENT, HEALTH AND EDUCATION. WE WILL BE WORKING TO REDUCE CHRONIC HOMELESSNESS, SUPPORT THE NUMBER OF PERSONS ENTERING BRIDGE AND SUPPORTIVE HOUSING AND STRENGTHEN AFFORDABLE HOUSING POLICIES IN THE 2021-2028 HOUSING ELEMENT PLANS. SOCIAL DETERMINANTS OF HEALTH, LIKE HOUSING, HAVE A SUBSTANTIAL IMPACT ON HEALTH BEHAVIORS AND HEALTH OUTCOMES. ADDRESSING HOUSING INSTABILITY, HOUSING AFFORDABILITY, AND PREVENTING HOMELESSNESS WILL IMPROVE HEALTH AND THE COMMUNITIES WE SERVE. IN 2020 THIS NEED WAS ADDRESSED BY:1. WHOLE PERSON CARE (WPC) GRANT - WPC IS A MULTIPLE ACCESS APPROACH TO ADDRESSING THE NEEDS OF THE HOMELESS POPULATION WITH MEDICAID. HOMELESSNESS AND MENTAL HEALTH ARE DEEPLY INTERTWINED. WPC IS THE COORDINATION OF PHYSICAL, BEHAVIORAL HEALTH, AND SOCIAL SERVICES IN A PATIENT CENTERED APPROACH WITH THE GOALS OF IMPROVED HEALTH AND WELL-BEING. WHEN A PERSON EXPERIENCING HOMELESSNESS SEEKS SERVICES AT A HOSPITAL, COMMUNITY CLINIC, OR SHELTER, THEIR INFORMATION IS ENTERED INTO AN ELECTRONIC SYSTEM "WPC CONNECT." THIS SYSTEM HAS THE CAPACITY TO SHARE DATA ACROSS MULTIPLE PROVIDERS. THE CLIENT IS THEN CONNECTED TO WRAP-AROUND PROGRAMS THAT MAY INCLUDE: RECUPERATIVE CARE, ONE-ON-ONE CALOPTIMA (ORANGE COUNTY MEDICAID HEALTH PLAN) PERSONAL CARE COORDINATOR, PERMANENT SUPPORTIVE HOUSING, LINKAGE TO MENTAL HEALTH AND OR SUBSTANCE USE DISORDER TREATMENT, AND OTHER COMMUNITY REFERRALS. ST. JOSEPH HOSPITAL PROVIDES A CERTIFIED ADDICTION SPECIALIST FOR THIS GRANT. 2. HOMELESS NAVIGATOR PROGRAM HAS A SOCIAL WORKER HELPING PATIENTS EXPERIENCING HOMELESSNESS CONNECT TO SERVICES. 3. PROVIDING GRANT FUNDS TO LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND FOR THE HOMELESS REGIONAL INITIATIVE. THE RECIPIENT IS THE NON-PROFIT ILLUMINATION FOUNDATION, HELPING THOSE EXPERIENCING HOMELESSNESS WITH INTERDISCIPLINARY SERVICES. 4. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE ARE CONNECTED TO ILLUMINATION FOUNDATION. ILLUMINATION FOUNDATION PROVIDES CASE MANAGEMENT AND CONNECTS PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH AND WORKFORCE SERVICES. 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, ST. JOSEPH HOSPITAL WILL ENDORSE LOCAL NON-PROFIT ORGANIZATIONS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT ST. JOSEPH HOSPITAL'S SERVICE AREAS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S 2019 CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:OBESITY/FOOD INSECURITY/NUTRITION:CONCERNS ABOUT HEALTHY EATING HABITS, NUTRITION KNOWLEDGE, AND CHALLENGES OF COST AND AVAILABILITY OF HEALTHY OPTIONS. OBESITY IS PRIMARILY DEFINED AS THE HEALTH CONDITION IN WHICH INDIVIDUALS ARE SUFFICIENTLY OVERWEIGHT AS TO HAVE DETRIMENTAL EFFECTS ON THEIR OVERALL HEALTH. ST. JOSEPH HOSPITAL DONATES TO MEALS ON WHEELS AND HAS DONE SO FOR YEARS.ECONOMIC ISSUES:IDENTIFIED AS A ROOT CAUSE OF OTHER HEALTH ISSUES, THIS ISSUE COVERS THE EFFECTS OF POVERTY AND ECONOMIC CONCERNS AS WELL AS DIFFICULTIES AROUND FINDING JOBS THAT PAY LIVABLE SALARIES. WHILE ST. JOSEPH HOSPITAL HAS NOT SELECTED ECONOMIC ISSUES AS A TOP PRIORITY, THE MAJORITY OF ITS COMMUNITY BENEFIT PROGRAMS ARE TARGETED TO THE LOW-INCOME POPULATION. ST. JOSEPH HOSPITAL PARTNERS WITH ORANGE COUNTY COMMUNITY ACTION PARTNERSHIP, THE COUNTY ANTI-POVERTY AGENCY ON SEVERAL INITIATIVES AS WELL AS THE INTERSECTIONS INITIATIVE OF CENTRAL ORANGE COUNTY, A COLLABORATIVE ADDRESS WORKFORCE IN LOW INCOME AREAS. ST. JOSEPH HOSPITAL HAS A POLICY OF A JUST LIVING WAGE AND IN THAT WAY SERVES AS A ROLE MODEL FOR OTHER ORGANIZATIONS IN THE COMMUNITY. IN ADDITION, SANTA ANA W-O-R-K CENTER AND THE CAMBODIAN FAMILY NON-PROFITS ALSO ADDRESS ECONOMIC ISSUES.SAFETY:ENCOMPASSES THE INCIDENCE OF CRIME AND VIOLENCE AS WELL AS THE FEAR OF IT, WHICH PREVENTS PEOPLE FROM USING OPEN SPACE OR ENJOYING THEIR COMMUNITY. THE DECLINING CRIME RATE HAS NOT MADE THIS A PRIORITY, BUT ST. JOSEPH HOSPITAL PARTICIPATES IN LOCAL COLLABORATIVES THAT FOCUS ON THE NEEDS OF AT-RISK YOUTH WITH A GOAL TO REDUCE GANG INVOLVEMENT AND CRIME.
SCHEDULE H, PART V, SECTION B, LINE 11 (CONTINUATION)DIABETES:SPECIFICALLY FOCUSED ON THE HEALTH CONDITION OF DIABETES, AND AWARENESS AND PREVENTION OF IT. ST. JOSEPH HOSPITAL WILL CONTINUE TO WORK WITH THE OC HEALTH IMPROVEMENT PARTNERSHIP WHICH IS ADDRESSING DIABETES IN ORANGE COUNTY. LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDES DIABETES SERVICES TO FAMILIES AND RESIDENTS WITH LOW INCOME. IN ADDITION, OTHER NON-PROFITS ADDRESSING DIABETES ARE THE LATINO HEALTH ACCESS ORGANIZATION AND AMERICAN DIABETES ASSOCIATION. EARLY CHILDHOOD DEVELOPMENT:WHILE THIS DID NOT MAKE THE TOP PRIORITIES, THE DIRECTOR, COMMUNITY HEALTH INVESTMENT PARTICIPATES IN THE SANTA ANA EARLY LEARNING INITIATIVE WHICH IS ADDRESSING THIS ISSUE. ENVIRONMENT/CLIMATE:PROVIDENCE ST. JOSEPH HEALTH HAS COMMITTED TO BEING CARBON NEGATIVE BY 2030. THIS EFFORT WILL INVOLVE ALL HOSPITAL STAFF. AGING POPULATION: (THIS WAS NOT IDENTIFIED IN THE 2019 CHNA) WHILE THIS IS NOT ONE OF THE SELECTED PRIORITIES, ST. JOSEPH HOSPITAL PARTNERS WITH THE SOUTHERN CALIFORNIA COUNCIL ON AGING. OVER THE PAST TWO YEARS, ST. JOSEPH HOSPITAL HAS FUNDED A PROGRAM THAT PROVIDES ISOLATED, LOW-INCOME OLDER ADULTS IN CENTRAL ORANGE COUNTY WITH SOCIAL SERVICE RESOURCES AND REFERRALS, MENTAL HEALTH SERVICES, AND A VOLUNTEER VISITING PROGRAM. PREVENTION:DECREASING THE CHANCE OF GETTING A DISEASE. EQUITY/RACIAL DISPARITIES:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.SEXUALLY TRANSMITTED DISEASES:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.STROKE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.CANCER:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.TEEN BIRTH RATE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.ALZHEIMER DISEASE:GIVEN OTHER PRIORITIES, THIS ISSUE WAS NOT SELECTED.IN ADDITION, ST. JOSEPH HOSPITAL WILL COLLABORATE WITH SEVERAL LOCAL ORGANIZATIONS THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRALS TO ADDRESS THESE UNMET NEEDS.
SCHEDULE H, PART V, SECTION B, LINE 13HTHE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDER-INSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 16AFAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16BFAP 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 16CFAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE#TABCONTENT-1-PANE-2
FieldValueIRS element (for citing)
Facility13FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CENTER FOR CANCER PREVENTION & TREATMENT
1000 WEST LA VETAORANGECA92868CANCER CENTER
2 - RADIOLOGYIMAGING CENTER
1140 WEST LA VETAORANGECA92868RADIOLOGY AND IMAGING CENTER
3 - OUTPATIENT SURGICENTER
1140 WEST LA VETAORANGECA92868OUTPATIENT SURGERY
4 - ST JOSEPH SISTER ELIZABETH BUILDING
1300 WEST PALMYRAORANGECA92868DIALYSIS, BEHAVIORAL HLTH, RENAL TRANS & SLEEP CTR
5 - MATERNAL FETAL TESTING
1140 WEST LA VETAORANGECA92868FETAL TESTING
6 - PHYSICAL REHABILITATION
1310 WEST STEWART DRIVE SUITE 203ORANGECA92868PHYSICAL THERAPY
7 - ST JOSEPH HOSPITAL WOUND CARE CENTER
1140 WEST LA VETAORANGECA92868WOUND CARE CENTER
8 - CARDIAC REHABILITATION CENTER
1140 WEST LA VETAORANGECA92868CARDIOLOGY SERVICES
9 - COMPREHENSIVE IMAGING PARTNERS OF OC LLC
1 CITY BOULEVARD WEST SUITE 1100ORANGECA92868IMAGING CENTER
10 - SANTA ANA DIALYSIS CENTER
2212 EAST 4TH STREET SUITE 101SANTA ANACA92705DIALYSIS SERVICE
11 - HEART & VASCULAR WELLNESS CLINIC
1120 WEST LA VETAORANGECA92868HEART WELLNESS
12 - MOTHER BABY
363 SOUTH MAIN STREETORANGECA92868WOMEN & CHILDREN
13 - SINUS CENTER
1140 WEST LA VETA SUITE 510ORANGECA92868SINUS CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
Part I, Line 6a:ST. JOSEPH HOSPITAL OF ORANGE PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE ATHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT
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 III, Line 4:AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
Part III, Line 8:THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES ASCOMMUNITY BENEFIT.
Part III, Line 9b: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 ASSESSMENTWITH THE INPUT OF MORE THAN 450 KEY STAKEHOLDERS, ST. JOSEPH HOSPITAL OF ORANGE DEFINED ITS FIVE-YEAR STRATEGIC JOURNEY, WHICH FORMS THE FOUNDATION FOR OUR COMMITMENT TO EACH PATIENT WE SERVE:PROVIDENCE STRATEGIC FRAMEWORK -STRENGTHEN THE CORE: WE WILL DELIVER OUTSTANDING, AFFORDABLE HEALTH CARE, HOUSING, EDUCATION AND OTHER ESSENTIAL SERVICES TO OUR PATIENTS AND COMMUNITIES. WE SEEK TO CREATE A PLACE WHERE CAREGIVERS ARE FULFILLED AND INSPIRED TO CARRY ON THE MISSION.-BE OUR COMMUNITIES' HEALTH PARTNER: WE WILL BE OUR COMMUNITIES' HEALTH PARTNER, AIMING FOR PHYSICAL, SPIRITUAL AND EMOTIONAL WELL-BEING. WE SEEK TO EASE THE WAY OF OUR NEIGHBORS IN THEIR JOURNEY TO GOOD LIFE. -TRANSFORM OUR FUTURE: WE WILL RESPOND TO THE SIGNS OF THE TIMES, PURSUING NEW OPPORTUNITIES THAT TRANSFORM OUR SERVICES. WE SEEK TO EXPAND AND SUSTAIN OUR MISSION.PROVIDENCE SOCAL REGION STRATEGIC VISION: BE OUR COMMUNTIY'S HEALTH PARTNER OF CHOICE KNOWN FOR EASE-OF-USE, KEEPING OUR PATIENTS WELL AND OUTSTANDING QUALITY.-STRENGTHEN THE CORE: PROVIDING EXCEPTIONAL, PERSONALIZED CARE WITH COMPASSION.-SIMPLIFY ACCESS: KNOW OUR COMMUNITIES AND EASE THEIR WAY THROUGH THE CARE CONTINUUM. TRANSFORM CARE, IMPROVE POPULATION HEALTH OUTCOMES AND REDUCE HEALTH DISPARITIES, ESPECIALLY FOR THE POOR AND VULNERABLE POPULATIONS. LEAD THE WAY IN IMPROVING OUR NATION'S MENTAL AND EMOTIONAL WELL-BEING. ENGAGING WITH PARTNERS TO ENSURE HEALTH EQUITY FOR ALL BY ADDRESSING SYSTEMIC RACISM AND THE SOCIAL DETERMINANTS OF HEALTH, WITH A FOCUS ON EDUCATION< HOUSING AND THE ENVIRONMENT-TRANSFORM HEALTH: USE OUR HIGH VALUE NETWORK OF CARE TO KEEP PATIENTS WELL AND PROVIDE COORDINATED CARE WHEN SICK.
Part VI, Line 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEREASONABLE EFFORTS WILL BE MADE TO NOTIFY AND INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, UTILIZING THE METHODS OUTLINED BELOW:- PATIENT BILLING STATEMENTS WILL INCLUDE A CLEAR AND CONSPICUOUS NOTICE ADVISING OF THE AVAILABILITY OF THE SJH FINANCIAL ASSISTANCE PROGRAM.- A PLAIN LANGUAGE SUMMARY OF THE FAP (BROCHURE) SHALL BE PROVIDED AS PART OF THE ADMISSION OR DISCHARGE PROCESS- THE FAP POLICY, PLAIN LANGUAGE SUMMARY (BROCHURE) AND FINANCIAL ASSISTANCE APPLICATION WILL BE AVAILABLE ON EACH SJH HOSPITAL'S WEBSITE.- THE PLAIN LANGUAGE SUMMARY OF THE FAP (BROCHURE) WILL BE PRINTED IN ENGLISH AND SPANISH, AT A MINIMUM, AND SHALL BE AVAILABLE AT EACH HOSPITAL IN PUBLIC ADMISSION AREAS, INCLUDING, BUT NOT LIMITED TO, THE EMERGENCY ROOM, INPATIENT AND OUTPATIENT ADMISSION AREAS.- TRANSLATIONS OF THE SJH FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND PLAIN LANGUAGE SUMMARY OF THE FAP (BROCHURE) SHALL BE MADE AVAILABLE IN OTHER LANGUAGES AS DETERMINED BY EACH HOSPITAL, IN ACCORDANCE WITH SECTION 501 (R) OF THE INTERNAL REVENUE CODE.- SJH PERSONNEL WILL MAKE A REASONABLE EFFORT TO ORALLY NOTIFY PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE WHEN DISCUSSING PAYMENT OPTIONS.- EACH SJH HOSPITAL SHALL POST NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM.SUCH NOTICES SHALL:- BE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS OF THE HOSPITAL INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICE, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS OR OTHER COMMON PATIENT WAITING AREAS OF THE HOSPITAL AND ANY LOCATION WHERE A PATIENT MAY PAY HIS OR HER HOSPITAL BILL.- INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE.- BE IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT REPRESENT THE LESSOR OF 1,000 INDIVIDUALS OR 5 PERCENT OF THE COMMUNITY SERVED BY THE HOSPITAL.ANY INDIVIDUAL WHO BELIEVES THAT HE OR SHE MAY QUALIFY FOR FINANCIAL ASSISTANCE OR HAS REQUESTED FINANCIAL ASSISTANCE MUST SUBMIT A FINANCIAL ASSISTANCE APPLICATION.THE FINANCIAL ASSISTANCE APPLICATION MAY BE OBTAINED FOR FREE AT THE LOCATIONS DESIGNATED BY EACH SJH HOSPITAL, BY MAIL OR BY VISITING THE SJH HOSPITAL'S WEBSITE.EACH SJH HOSPITAL SHALL MAKE DESIGNATED PERSONNEL AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND DETERMINING ELIGIBILITY FOR THE SJH FINANCIAL ASSISTANCE OR FINANCIAL ASSISTANCE FROM GOVERNMENT-FUNDED INSURANCE PROGRAMS, IF APPLICABLE.INTERPRETATION SERVICES ARE AVAILABLE TO ADDRESS ANY QUESTIONS OR CONCERNS AND TO ASSIST IN THE COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATIONS.
Part VI, Line 4:COMMUNITY INFORMATIONST. JOSEPH HOSPITAL OF ORANGE PROVIDES ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S TOTAL SERVICE AREA EXTENDS FROM YORBA LINDA IN THE NORTH, LAKE FOREST IN THE SOUTH, CORONA IN THE EAST AND HUNTINGTON BEACH IN THE WEST. OUR HOSPITAL TOTAL SERVICE AREA (TSA), INCLUDES THE CITIES OF ANAHEIM, BUENA PARK, CORONA, COSTA MESA, CYPRESS, FOOTHILL RANCH, FOUNTAIN VALLEY, FULLERTON, GARDEN GROVE, IRVINE, LAKE FOREST, ORANGE, PLACENTIA, SANTA ANA, SILVERADO, STANTON, TUSTIN, VILLA PARK, WESTMINSTER AND YORBA LINDA. TOTAL SERVICE AREA (TSA): THE TOTAL SERVICE AREA FOR ST. JOSEPH HOSPITAL OF ORANGE WAS DEFINED USING CENSUS TRACTS INSIDE NORTH AND CENTRAL ORANGE COUNTY WITH THE EXCLUSION OF THE CITY OF YORBA LINDA. IN TOTAL, THERE ARE 458 CENSUS TRACTS WITHIN THE SERVICE AREA OF ST. JOSEPH HOSPITAL. THE TOTAL SERVICE AREA WAS LATER DIVIDED INTO THE "BROADER SERVICE AREA AND "HIGH NEED SERVICE AREA" (TOTAL SERVICE AREA = BROADER SERVICE AREA + HIGH NEED SERVICE AREA). OF THE OVER 2,590,000 PERMANENT RESIDENTS IN THE TOTAL SERVICE AREA, ROUGHLY 47% LIVE IN THE HIGH NEED AREA, DEFINED BY LOWER LIFE EXPECTANCY AT BIRTH, LOWER HIGH SCHOOL GRADUATION RATES, AND MORE HOUSEHOLDS AT OR BELOW 200% FEDERAL POVERTY LEVEL (FPL) COMPARED TO CENSUS TRACTS IN THE TOTAL SERVICE AREA. FOR REFERENCE, 200% FPL IS EQUIVALENT TO AN ANNUAL HOUSEHOLD INCOME OF $51,500 OR LESS FOR A FAMILY OF 4. THESE HOUSEHOLDS ARE MORE LIKELY TO REGULARLY MAKE SPENDING TRADEOFFS REGARDING UTILITIES, RENT, GROCERIES, MEDICINE, AND OTHER BASIC EXPENSES. POPULATION AND AGE DEMOGRAPHICS:THE POPULATION IN ST. JOSEPH HOSPITAL OF ORANGE'S TOTAL SERVICE AREA MAKES UP 80% OF ORANGE COUNTY. THE MALE-TO-FEMALE DISTRIBUTION IS ROUGHLY EQUAL ACROSS GEOGRAPHIES. INDIVIDUALS UNDER THE AGE OF 35 ARE MORE LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. POPULATION BY RACE AND ETHNICITY:INDIVIDUALS WHO IDENTIFY AS HISPANIC AND "OTHER" RACE ARE SUBSTANTIALLY MORE LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. PEOPLE IDENTIFYING AS WHITE ARE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS.SOCIOECONOMIC INDICATORS:THE HIGH NEED SERVICE AREA'S MEDIAN HOUSEHOLDS INCOME IS APPROXIMATELY $40,000 LESS THAN THE BROADER SERVICE AREA, AND $28,000 LESS THAN ORANGE COUNTY OVERALL.HOUSING COST BURDEN:SEVERE HOUSING COST BURDEN IS DEFINED AS HOUSEHOLDS THAT SPEND 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. THE TOTAL SERVICE AREA AND ORANGE COUNTY HAVE ROUGHLY THE SAME PERCENTAGE OF RENTER HOUSEHOLDS THAT ARE SEVERELY HOUSING COST BURDENED (28%). IN THE HIGH NEED SERVICE AREA, 32% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED COMPARED TO 24% IN THE BROADER SERVICE AREA.OTHER HOSPITALS IN THE TOTAL SERVICE AREA:OTHER HOSPITALS IN THE COMMUNITY INCLUDE: HOAG, AHMC ANAHEIM, CHOC, CORONA REGIONAL MEDICAL CENTER, KAISER, KPC HEALTHCARE, INC., ORANGE COAST MEMORIAL, PRIME HEALTHCARE, TENET HEALTH, AND UCI MEDICAL CENTER. HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREAS (MUA) & MEDICALLY UNDERSERVED POPULATIONS (MUP):THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA) DEMOGRAPHICS (I.E., LOW-INCOME POPULATION) OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). ST JOSEPH HOSPITAL IS NOT LOCATED IN A SHORTAGE AREA. LARGE PORTIONS OF THE TOTAL SERVICE AREA TO THE WEST AND SOUTH OF ST. JOSEPH HOSPITAL ARE DESIGNATED AS SHORTAGE AREAS. MEDICALLY UNDERSERVED AREAS (MUA) AND MEDICALLY UNDERSERVED POPULATIONS (MUP) ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MUA ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE." MUP ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MUA AND MUP ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. ALTHOUGH ST. JOSEPH HOSPITAL IS NOT LOCATED IN A MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATIONS AREA, AREAS TO THE SOUTH AND WEST OF ST. JOSEPH HOSPITAL ARE LOCATED IN A MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATIONS AREA, SIGNIFYING THE IMPORTANCE OF ST JOSEPH HOSPITAL TO THE COMMUNITY IT SERVES.
Part VI, Line 5:PROMOTION OF COMMUNITY HEALTHST. JOSEPH HOSPITAL OF ORANGE PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. ST. JOSEPH HOSPITAL OF ORANGE IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES2) OPEN MEDICAL STAFF3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.LOCAL COMMUNITY BENEFIT COMMITTEE:THE ROLE OF ST. JOSEPH HEALTH, ST. JOSEPH OF ORANGE'S COMMUNITY 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 AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS 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 SIX (6) BOARD OF TRUSTEES AND SEVEN (7) COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE CB COMMITTEE GENERALLY MEETS EVERY VIRTUALLY EVERY QUARTER.
Part VI, Line 6:AFFILIATED HEALTH CARE SYSTEMAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:- PROVIDENCE ACROSS FIVE WESTERN STATES- COVENANT HEALTH IN WEST TEXAS- PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA.- HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA.- KADLEC IN SOUTHEAST WASHINGTON- PACIFIC MEDICAL CENTERS IN SEATTLE, WA.- SWEDISH HEALTH SERVICES IN SEATTLE, WA.2020 - 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 StatesCA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ORANGE COUNTY ASIAN AND PACIFIC ISLANDER COMMUNITY ALLIANCE INC
12912 BROOKHURST ST STE 410GARDEN GROVECA92840912047245501(C)(3)$49,710COMMUNITY BENEFIT RESTRICTED GRANT
LATINO HEALTH ACCESS
450 W 4TH ST SUITE 130SANTA ANACA92701330562943501(C)(3)$66,281COMMUNITY BENEFIT RESTRICTED GRANT
COUNCIL ON AGING - SOUTHERN CALIFORNIA
2 EXECUTIVE CIRCLE SUITE 175IRVINECA92614952874089501(C)(3)$75,000OPERATIONAL SUPPORT
THE ILLUMINATION FOUNDATION
1091 N BATAVIA STORANGECA92867711047686501(C)(3)$333,300OPERATIONAL SUPPORT
UNITED CEREBRAL PALSY ASSOCIATION OF ORANGE COUNTY
980 ROOSEVELT SUITE 100IRVINECA92520951856340501(C)(3)$30,000OPERATIONAL SUPPORT
CAMINO HEALTH CENTER
30300 CAMINO CAPISTRANOSAN JUAN CAPISTRANOCA92675330574214501(C)(3)$245,915SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationDESCRIPTION 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

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEREMY ZOCH
CHIEF EXECUTIVE - SJO$0$508,457$0$278,347$0$6,009$0$153,854$0$34,974$0$981,641$0$0
THOMAS HILL
CHIEF OPERATIONS GENERAL SERVICES$205,335$0$83,444$0$590,705$0$2,850$0$18,692$0$901,026$0$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
KRISTI LIBERATORE
FORMER CHIEF FINANCIAL OFFICER$216,131$0$92,264$0$386,256$0$5,715$0$22,523$0$722,889$0$0$0
SCOTT RUSK
CHIEF MEDICAL OFFICER - SJO$414,994$0$119,097$0$7,757$0$4,275$0$32,017$0$578,140$0$0$0
CATHERINE SKELTON
CHIEF PATIENT CARE SERVICES/CNO$376,799$0$111,782$0$15,180$0$2,850$0$25,581$0$532,192$0$0$0
EILEEN HAUBL
CFO SERVICE AREA$0$367,835$0$58,037$0$16,052$0$3,266$0$23,189$0$468,379$0$0
SAIED AMIRPOOR
DIRECTOR PHARMACY$299,319$0$84,689$0$6,031$0$8,550$0$14,535$0$413,124$0$0$0
MARY LEAHY
FORMER KEY EMPLOYEE$0$313,652$0$56,316$0$8,521$0$2,850$0$30,400$0$411,739$0$0
AMY DAUGHERTY
MINISTRY CHIEF, PHILANTHROPY OFFICER$255,452$0$47,484$0$2,905$0$2,469$0$14,633$0$322,943$0$0$0
BRIAN BOYD MD
TRUSTEE, CHIEF OF STAFF$0$280,874$0$0$0$0$0$0$0$0$0$280,874$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aPROVIDENCE 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 3DESCRIPTION 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-bTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN 2020: THOMAS HILL - $555,703 KRISTI LIBERATORE - $357,157 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. NO INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR.
Part I, Line 7NON-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 (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$5,804,051CONSTRUCTION SVCS0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$345,862MEDICAL SVCS0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$267,098REPAIR SVC0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$250,796MEDICAL SVCS0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$204,671REPAIR SVC0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution7ContributionCnt
Noncash Contributions Rpt F990$1,845,649NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationTHE AMOUNTS REPORTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a (continued):PRIORITY 3: HOUSING & HOMELESSNESS PRIMARILY FOCUSED ON THE CONDITION OF HOMELESSNESS, INCLUDING HELPING HOMELESS INDIVIDUALS, PREVENTION OF HOMELESSNESS, AND MITIGATING ITS IMPACT ON COMMUNITIES. HOMELESSNESS AND AFFORDABLE HOUSING ARE SIGNIFICANT NEEDS IN OUR COMMUNITIES. HOMELESSNESS HAS A RIPPLE EFFECT THROUGHOUT THE COMMUNITY; IT IMPACTS THE AVAILABILITY OF HEALTHCARE RESOURCES, CRIME AND SAFETY, THE WORKFORCE, AND THE USE OF TAX DOLLARS. AFFORDABLE HOUSING BENEFITS OUR COMMUNITIES AND CREATES STRONGER OUTCOMES - IN EMPLOYMENT, HEALTH AND EDUCATION. WE WILL BE WORKING TO REDUCE CHRONIC HOMELESSNESS, SUPPORT THE NUMBER OF PERSONS ENTERING BRIDGE AND SUPPORTIVE HOUSING AND STRENGTHEN AFFORDABLE HOUSING POLICIES IN THE 2021-2028 HOUSING ELEMENT PLANS. SOCIAL DETERMINANTS OF HEALTH, LIKE HOUSING, HAVE A SUBSTANTIAL IMPACT ON HEALTH BEHAVIORS AND HEALTH OUTCOMES. ADDRESSING HOUSING INSTABILITY, HOUSING AFFORDABILITY, AND PREVENTING HOMELESSNESS WILL IMPROVE HEALTH AND THE COMMUNITIES WE SERVE. IN 2020 THIS NEED WAS ADDRESSED BY: 1. WHOLE PERSON CARE (WPC) GRANT - WPC IS A MULTIPLE ACCESS APPROACH TO ADDRESSING THE NEEDS OF THE HOMELESS POPULATION WITH MEDICAID. HOMELESSNESS AND MENTAL HEALTH ARE DEEPLY INTERTWINED. WPC IS THE COORDINATION OF PHYSICAL, BEHAVIORAL HEALTH, AND SOCIAL SERVICES IN A PATIENT CENTERED APPROACH WITH THE GOALS OF IMPROVED HEALTH AND WELL-BEING. WHEN A PERSON EXPERIENCING HOMELESSNESS SEEKS SERVICES AT A HOSPITAL, COMMUNITY CLINIC, OR SHELTER, THEIR INFORMATION IS ENTERED INTO AN ELECTRONIC SYSTEM "WPC CONNECT." THIS SYSTEM HAS THE CAPACITY TO SHARE DATA ACROSS MULTIPLE PROVIDERS. THE CLIENT IS THEN CONNECTED TO WRAP-AROUND PROGRAMS THAT MAY INCLUDE: RECUPERATIVE CARE, ONE-ON-ONE CALOPTIMA (ORANGE COUNTY MEDICAID HEALTH PLAN) PERSONAL CARE COORDINATOR, PERMANENT SUPPORTIVE HOUSING, LINKAGE TO MENTAL HEALTH AND OR SUBSTANCE USE DISORDER TREATMENT, AND OTHER COMMUNITY REFERRALS. ST. JOSEPH HOSPITAL PROVIDES A CERTIFIED ADDICTION SPECIALIST FOR THIS GRANT. 2. HOMELESS NAVIGATOR PROGRAM HAS A SOCIAL WORKER HELPING PATIENTS EXPERIENCING HOMELESSNESS CONNECT TO SERVICES. 3. PROVIDING GRANT FUNDS TO LA AMISTAD FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND FOR THE HOMELESS REGIONAL INITIATIVE. THE RECIPIENT IS THE NON-PROFIT ILLUMINATION FOUNDATION, HELPING THOSE EXPERIENCING HOMELESSNESS WITH INTERDISCIPLINARY SERVICES. 4. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE ARE CONNECTED TO ILLUMINATION FOUNDATION. ILLUMINATION FOUNDATION PROVIDES CASE MANAGEMENT AND CONNECTS PEOPLE EXPERIENCING HOMELESSNESS WITH HOUSING, MEDICAL CARE, MENTAL HEALTH AND WORKFORCE SERVICES. FOR MORE INFORMATION GO TO: https://www.providence.org/locations/st-joseph-hospital-orange
Form 990, Part VI, Section A, line 6CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE SOLE CORPORATE MEMBERS OF ST. JOSEPH HOSPITAL OF ORANGE.
Form 990, Part VI, Section A, line 7aCLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JOSEPH HOSPITAL OF ORANGE HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. JOSEPH HOSPITAL OF ORANGE BOARD. ALL TRUSTEE NOMINATIONS THAT COME FROM THE ST. JOSEPH HOSPITAL OF ORANGE BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS A CORPORATE MEMBER, AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD.
Form 990, Part VI, Section A, line 7bCLASSES 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 11bPROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
Form 990, Part VI, Section B, line 12cPROCESS 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 15bPROCESS 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 19GOVERNING 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 11gAGENCY & CONTRACT LABOR: Program service expenses 19,897,264. Management and general expenses 483,908. Fundraising expenses 68,449. Total expenses 20,449,621. BILLING & COLLECTIONS: Program service expenses 68,058,030. Total expenses 68,058,030. GENERAL CONSULTING FEES: Program service expenses 19,569,148. Management and general expenses 2,533,276. Fundraising expenses 1,408,528. Total expenses 23,510,952. MEDICAL DIRECTOR & MED PHYSICIAN FEES: Program service expenses 24,469,750. Management and general expenses 902,345. Total expenses 25,372,095. OTHER PATIENT SERVICES: Program service expenses 3,248,353. Management and general expenses 17,703. Total expenses 3,266,056. REPAIRS & MAINTENANCE: Program service expenses 5,285,775. Management and general expenses 256,932. Fundraising expenses 25. Total expenses 5,542,732.
Form 990, Part XI, line 9:NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 29,824,021. CHANGE IN EQUITY RELATED TO INVESTMENTS 1,716,002. OTHER CHANGES IN NET ASSETS 7,559,545. CHANGE IN INVESTMENT IN JOINT VENTURES 9,812,047.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (111 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611573313HEALTHCARETX501(c)(3)12,ICHSYes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057461259908HEALTHCARECA501(c)(3)12, IIISJHSYes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057463516417HEALTHCARETX501(c)(3)12, ICHSYes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752765566HEALTHCARETX501(c)(3)3SJHSYes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACELUBBOCKTX79410752897026HEALTHCARETX501(c)(3)7CHSYes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057844273963HEALTHCARETX501(c)(3)3CHSYes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057822913146HEALTHCARETX501(c)(3)3CHSYes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752743883HEALTHCARETX501(c)(3)3CHSYes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANSITIONAL CAREWA501(c)(3)100N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057201910170SUPPORTWA501(c)(3)7PHS WAYes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(c)(3)7SHSYes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057203856995HEALTHCARETX501(c)(3)3CHSYes (1)
HMTS INC
1 HOAG DRIVENEWPORT BEACHCA92658453583707HEALTHCARECA501(c)(3)12, IHMHPYes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195NEWPORT BEACHCA92663452982422SUPPORTCA501(c)(3)7HHFYes (1)
HOAG CLINIC
1 HOAG DRIVENEWPORT BEACHCA92658330676831HEALTHCARECA501(c)(3)10HMHPYes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVENEWPORT BEACHCA92663953222343FUNDRAISINGCA501(c)(3)7HMHPYes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100NEWPORT BEACHCA92663951643327HEALTHCARECA501(c)(3)3CHNYes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752133781HEALTHCARETX501(c)(3)10CHSYes (1)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911307555HEALTHCAREWA501(c)(3)3PHS WAYes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814260130HEALTHCAREWA501(c)(3)7PHS SJHSYes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912003593HEALTHCAREWA501(c)(3)7WHCYes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057916033089SUPPORTWA501(c)(3)12, IIIKRMCYes (1)
KADLEC FOUNDATION
888 SWIFT BLVDRICHLANDWA99352237005501SUPPORTWA501(c)(3)7KRMCYes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910655392HEALTHCAREWA501(c)(3)3WHCYes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330844408IMAGING SERVICESCA501(c)(3)10PHS SOCALYes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057264021016HEALTHCARETX501(c)(3)3CHSYes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911562797SUPPORTOR501(c)(3)7PHS ORYes (1)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912054035RESEARCHWA501(c)(3)7SHSYes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752428911HEALTHCARETX501(c)(3)3CHSYes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752246348HEALTHCARETX501(c)(3)3CHSYes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752426010HEALTHCARETX501(c)(3)3CHSYes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643360HEALTHCARECA501(c)(3)3CHNYes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069SEATTLEWA98116200799737SUPPORTWA501(c)(3)12, ISHSYes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057562290878HEALTHCAREWA501(c)(3)10WHCYes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREETBURBANKCA915054809953544877HEALTHCARECA501(c)(3)7PHS SOCALYes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021ANCHORAGEAK99508920093565HEALTHCAREAK501(c)(3)7PHS WAYes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN STMT ANGELOR97362911940286HEALTHCAREOR501(c)(3)7PHS ORYes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911789266SUPPORTWA501(c)(3)7PHS WAYes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35PORTLANDOR97213930800140SUPPORTOR501(c)(3)7PHS ORYes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410MEDFORDOR97504930692907HEALTHCAREOR501(c)(3)7PHS ORYes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057473385506SUPPORTWA501(c)(3)70N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954322584SUPPORTCA501(c)(3)7PHS SOCALYes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311744654SUPPORTWA501(c)(3)7PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911549796HEALTHCAREWA501(c)(3)12, IIPSJH0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231793HEALTHCAREMT501(c)(3)3PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216587HEALTHCAREOR501(c)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216586HEALTHCAREWA501(c)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911303277HEALTHCAREWA501(c)(3)3PMWHCYes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057550828701MEDICAID HEALTHCARE PROVIDEROR501(c)(4)N/APHPYes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
101 W 8TH AVESPOKANEWA99204320014330HEALTHCAREWA501(c)(3)7PHS WAYes (1)
PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
413 LILLY ROAD NEOLYMPIAWA985065166911433382HEALTHCAREWA501(c)(3)7PHS W WAYes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057930863097HEALTHCAREOR501(c)(4)N/APPPYes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216589HEALTHCARECA501(c)(3)3PHSYes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149HOOD RIVEROR97031930921990HEALTHCAREOR501(c)(3)7PHS ORYes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
2731 WETMORE AVE STE 500EVERETTWA98201272552749HEALTHCAREWA501(c)(3)7PHS W WAYes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220TUKWILAWA98168912077378HEALTHCAREWA501(c)(3)7PHS W WAYes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVDTORRANCECA90503510224944HEALTHCARECA501(c)(3)7PHS SOCALYes (1)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SEISSAQUAHWA980297219931554288HEALTHCAREWA501(c)(3)7PHS W WAYes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330185031HEALTHCARECA501(c)(3)3SJHSYes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330283773HEALTHCARECA501(c)(3)12, IPHS SOCALYes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVEMILWAUKIEOR97222943079515HEALTHCAREOR501(c)(3)7PHS ORYes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057RELIGIOUS ORGWA501(c)(3)10N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SWSEATTLEWA981262799911188119HEALTHCAREWA501(c)(3)7PHS WAYes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVENEWBERGOR97132930889144HEALTHCAREOR501(c)(3)7PHS ORYes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311629656SUPPORTWA501(c)(3)7PHS WAYes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911861964HEALTHCAREWA501(c)(4)N/APHS ORYes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN STPORTLANDOR972132967931231494HEALTHCAREOR501(c)(3)7PHS ORYes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311584166SUPPORTWA501(c)(3)10PHS WAYes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951684082HEALTHCARECA501(c)(3)3PHS SOCALYes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814542216HEALTHCARECA501(c)(3)3PHS SOCALYes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROADSEASIDEOR97138930927320HEALTHCAREOR501(c)(3)7PHS ORYes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
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PROVIDENCE ST FRANCIS ASSOCIATION
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PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057811244422HEALTHCAREWA501(c)(3)12, III0N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
1801 LIND AVE SWRENTONWA980579016943078543HEALTHCAREWA501(c)(3)7PHS WAYes (1)
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1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810463482HEALTHCAREMT501(c)(3)3PHS WAYes (1)
PROVIDENCE ST MARY FOUNDATION
1025 S 2ND AVENUEWALLA WALLAWA99362452841492HEALTHCAREWA501(c)(3)7PHS WAYes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
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PROVIDENCE TRINITYCARE HOSPICE
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5315 TORRANCE BLVD NO B-1TORRANCECA90503330261016HEALTHCARECA501(c)(3)7PTCHYes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREETOREGON CITYOR97045931003750HEALTHCAREOR501(c)(3)12, IPHS ORYes (1)
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SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954291515HEALTHCARECA501(c)(3)4PSJHCYes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057956100079SUPPORT SAINT JOHN HEALTH CENTER & JWCICA501(c)(3)7PSJHCYes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611502822PHYSICIAN COLLABORATIONWA501(c)(3)7WHCYes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057262612415SHELL CORPORATIONMT501(c)(3)1PHS WA0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643383RELIGIOUS ORGCA501(c)(3)10N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680395200HEALTHCARECA501(c)(3)3SRMHYes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057271666576RELIGIOUS ORGCA501(c)(3)1SSJO0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814791043HEALTHCARECA501(c)(3)3SJHSYes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953589356HEALTHCARECA501(c)(3)12, IPSJH0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100IRVINECA92612330143024HEALTHCARECA501(c)(3)10SJHSYes (1)
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1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680331084HEALTHCARECA501(c)(3)10SJHSYes (1)
ST JUDE HOSPITAL INC
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ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951914489HEALTHCARECA501(c)(3)3CHNYes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREETMISSOULAMT59802237056976HEALTHCAREMT501(c)(3)7PHS WAYes (1)
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SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057272305304HEALTHCAREWA501(c)(3)3WHCYes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910433740HEALTHCAREWA501(c)(3)3WHCYes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAYSEATTLEWA98122910983214HEALTHCAREWA501(c)(3)7SHSYes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057273139262HOLDING COMPANYWA501(c)(3)12, ISHSYes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057833972614HEALTHCARECA501(c)(3)3PHS SOCALYes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911180824SUPPORTWA501(c)(3)7PHS WAYes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911293869SUPPORTCA501(c)(3)10PHS SOCALYes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911214491SUPPORTOR501(c)(3)10PHS ORYes (1)
TRI-CITIES CANCER CENTER
1802 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911594526HEALTHCAREWA501(c)(3)3KADLECYes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING AKENNEWICKWA99336911739024SUPPORTWA501(c)(3)12, IKADLECYes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231777EDUCATIONMT501(c)(3)2PHSYes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057454171900SHELL CORPORATIONWA501(c)(3)12, IIPHS W WAYes (1)

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MISSION VIEJO PARTNERS II LLC
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OREGON ADVANCED IMAGING LLC
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PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
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1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823190634INVESTMENTSWA00PHS WAEXCLUDED$13,741,222$262,408,5750.04390-$268
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1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953943315INVESTMENTCAN/AC0
WESTERN HEALTHCONNECT VENTURES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057800953654INVESTMENTWAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM
P$94,623,522ACCRUAL
ST JOSEPH HEALTH SYSTEM
Q$309,835ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
C$3,357,032ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
B$5,631,400ACCRUAL
ST JOSEPH HEALTH SYSTEM
R$2,707,834ACCRUAL