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ST MARY MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ST MARY MEDICAL CENTER (EIN 95-1914489)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-14
IRS object ID
202133189349300658
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)
Return2021-11-14T08:33:42-06:00ReturnTs
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 Line155 IVAN ALLEN JR BLVD SUITE 1000AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30308ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951914489EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST MARY MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTMABusinessNameControlTxt
Phone7602422311PhoneNum

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)
PersonEUGENE GUTIERREZPersonNm
Person TitleCFOPersonTitleTxt
Phone7602422311PhoneNum
Signature2021-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstEUGENEPersonFirstNm
Person LastGUTIERREZPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAERRIAL ORRPreparerPersonNm
PTINP01598400PTIN
Phone4048748300PhoneNum

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 MARY MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerEUGENE GUTIERREZPrincipalOfficerNm

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$376,059,313GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressPROVIDENCE.ORG/LOCATIONS/ST-MARY-MEDICAL-CENTERWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
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 Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1910TotalEmployeeCnt
Total Volunteers145TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,130,316PYContributionsGrantsAmt
CY Contributions Grants$8,561,078CYContributionsGrantsAmt
PY Program Service Revenue$369,732,214PYProgramServiceRevenueAmt
CY Program Service Revenue$352,088,747CYProgramServiceRevenueAmt
PY Investment Income$8,716,150PYInvestmentIncomeAmt
CY Investment Income$14,623,500CYInvestmentIncomeAmt
PY Other Revenue$185,908PYOtherRevenueAmt
CY Other Revenue$453,810CYOtherRevenueAmt
PY Total Revenue$381,764,588PYTotalRevenueAmt
CY Total Revenue$375,727,135CYTotalRevenueAmt
PY Grants And Similar Paid$2,667,263PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,713,900CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$140,695,079PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$141,265,081CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,195,672CYTotalFundraisingExpenseAmt
PY Other Expenses$175,011,051PYOtherExpensesAmt
CY Other Expenses$186,902,958CYOtherExpensesAmt
PY Total Expenses$318,373,393PYTotalExpensesAmt
CY Total Expenses$329,881,939CYTotalExpensesAmt
PY Revenues Less Expenses$63,391,195PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$45,845,196CYRevenuesLessExpensesAmt
Total Assets BOY$498,998,340TotalAssetsBOYAmt
Total Assets EOY$601,987,223TotalAssetsEOYAmt
Total Liabilities BOY$87,207,774TotalLiabilitiesBOYAmt
Total Liabilities EOY$110,810,302TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$411,790,566NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$491,176,921NetAssetsOrFundBalancesEOYAmt
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$318,414,555ExpenseAmt
Grant$1,713,900GrantAmt
Revenue$362,114,271RevenueAmt
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. REALIZING OUR MISSIONST. MARY MEDICAL CENTER IS PART OF NEWLY FORMED PROVIDENCE ST. JOSEPH HEALTH. ST. MARY MEDICAL CENTER IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1956 IN APPLE VALLEY, CA. IT BECAME A MEMBER OF ST. JOSEPH HEALTH IN 1994. THE FACILITY HAS 212 LICENSED BEDS AND A STAFF OF MORE THAN 1,751 AND PROFESSIONAL RELATIONSHIPS WITH MORE THAN 300 LOCAL PHYSICIANS. MAJOR PROGRAMS AND SERVICES INCLUDE CARDIAC CARE, CRITICAL CARE, DIAGNOSTIC IMAGING, EMERGENCY MEDICINE AND OBSTETRICS.2020 PROGRAM SERVICE ACCOMPLISHMENTS: (JANUARY 1 - DECEMBER 31, 2020) IN 2020, PROVIDENCE ST. MARY MEDICAL CENTER CONTINUED ITS TRADITION OF COMPASSION AND DEDICATION TO OUR COMMUNITIES BY INVESTING TO ADDRESS COMMUNITY NEED. IN 2020, SMMC FOCUSED ON ADDRESSING COVID-19, ACCESS TO RESOURCES, MENTAL HEALTH & SUBSTANCE USE, HOUSING AND HOMELESSNESS, AND OBESITY.IN 2020, WHEN THE COVID-19 PANDEMIC STRUCK THE REGION PARTICULARLY HARD, THE NEED FOR ACCESS TO FOOD SKYROCKETED. "WE LISTENED TO OUR COMMUNITY PARTNERS, LEARNED ABOUT THE CHALLENGES THEY WERE FACING AND COMMITTED ADDITIONAL SUPPORT TO GET FOOD TO THOSE WHO NEEDED IT," SAYS KEVIN MAHANY, DIRECTOR OF COMMUNITY INVESTMENT AT PROVIDENCE ST. MARY.HIGH DESERT SECOND CHANCE SERVES AS THE CENTRAL HUB OF A MASSIVE FOOD DISTRIBUTION SYSTEM, BUT PARTNERS BOTH INSIDE AND OUTSIDE THE REGION, INCLUDING PROVIDENCE ST. MARY, PLAY INTEGRAL ROLES IN KEEPING THIS SYSTEM RUNNING. FOOD FORWARD, A LOCAL NONPROFIT ORGANIZATION, DONATED 2.8 MILLION POUNDS OF PRODUCE GROWN IN SURROUNDING AREAS THAT WAS DISTRIBUTED TO MORE THAN 140,000 PEOPLE IN THE HIGH DESERT. NINETY FOOD PANTRIES, SHELTERS AND CHURCHES OFFERED TO SERVE AS DISTRIBUTION SITES TO GET FOOD TO EVEN MORE PEOPLE. EXPANDED OPERATIONS IN THE REGION MEANT MORE PEOPLE HAD ACCESS TO FOOD, BUT IT ALSO MEANT NEW CHALLENGES NEEDED TO BE SOLVED. BRYAN KAWASAKI, COMMUNICATIONS MANAGER FOR PROVIDENCE ST. MARY, SAYS THE TEAMS WORKED TIRELESSLY TO FIND CREATIVE AND EFFECTIVE SOLUTIONS TO A VARIETY OF LOGISTICAL COMPLEXITIES. "BECAUSE OF THE HURDLES THAT OUR REGION'S GEOGRAPHY PRESENTS, PROVIDENCE'S INVESTMENTS AIM TO EQUIP PARTNERS WITH RESOURCES THEY NEED TO RETRIEVE FOOD FROM OUTSIDE THE REGION, TRANSPORT IT BACK TO HIGH DESERT AND DISTRIBUTE IT IN A TIMELY WAY TO INDIVIDUALS AND FAMILIES IN VULNERABLE COMMUNITIES," SAYS KAWASAKI. OF ALL THE CHALLENGES CAUSED BY THE PANDEMIC, THE IMPACT ON THE SENIOR COMMUNITY WAS ONE OF THE MOST SIGNIFICANT. WHEN THE STATEWIDE EMERGENCY ORDER STRONGLY ENCOURAGED SENIORS TO SHELTER IN PLACE, FOOD BANKS LOST A LARGE PORTION OF THEIR VOLUNTEER BASE. ADDITIONALLY, MANY LOW-INCOME SENIORS WERE NOW STRANDED AT HOME AND UNABLE TO GET THEIR OWN GROCERIES AND HOUSEHOLD ITEMS. THEY WERE ALSO LEFT WITHOUT REGULAR SOCIAL INTERACTION.IN RESPONSE TO THIS ACUTE NEED, PROVIDENCE ST. MARY PARTNERED WITH VICTOR VALLEY COMMUNITY SERVICES COUNCIL, A SENIOR-FOCUSED NONPROFIT ORGANIZATION, TO DELIVER FOOD AND HOUSEHOLD ITEMS TO MORE THAN 300 SENIORS PER WEEK. A LICENSED CLINICAL THERAPY STUDENT FROM PROVIDENCE ST. MARY ACCOMPANIED THE COUNCIL STAFF ON THESE DELIVERIES TO CONDUCT A PHYSICALLY DISTANCED WELLNESS CHECK AND TO OFFER SENIORS AN OPPORTUNITY TO SOCIALIZE AND INTERACT WITH A FRIENDLY, TRAINED PROFESSIONAL. PRIORITY 1: ACCESS TO RESOURCES INCLUDES MOST BARRIERS TO ACCESSING HEALTH CARE SERVICES AND OTHER NECESSARY RESOURCES, SUCH AS TRANSPORTATION, A SHORTAGE OF PROVIDERS, PARTICULARLY SPECIALISTS SUCH AS PEDIATRICIANS, DENTISTS, AND ORTHOPEDISTS, LANGUAGE BARRIERS, AND RESOURCES BEING UNAVAILABLE OUTSIDE OF WORKING HOURS. THIS NEED EMERGED AS A CONSISTENT PRIORITY. IN THE PREVIOUS CHNA PROCESS, ACCESS TO RESOURCES WAS A MAJOR DISCUSSION POINT IN EVERY FOCUS GROUP AND RECEIVED SUBSTANTIAL SUPPORT IN THE COMMUNITY FORUM. DATA SHOWS THAT THE COUNTY OF SAN BERNARDINO HAS RELATIVELY FEW PHYSICIANS AND DENTIST COMPARED TO THE STATE OF CALIFORNIA AVERAGES. THE COMMUNITY BENEFIT COMMITTEE DISCUSSED EXPANDING COMMUNITY BENEFIT PROGRAMS AND CLINIC VISITS TO THE POOR. IN 2020 THIS NEED WAS ADDRESSED BY SIX (6) COMMUNITY BENEFIT PROGRAMS: 1. BRIDGES FOR FAMILIES RESOURCE CENTER OFFERING NURTURING PARENTING PROGRAM TO FAMILIES AND CONNECTING THEM TO OTHER RESOURCES. 2. BRIGHT FUTURES MOBILE CLINIC BRINGING HEALTHCARE INTO COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH NEEDS (DUHN) IN ADELANTO, APPLE VALLEY, HESPERIA, LUCERNE VALLEY AND VICTORVILLE. 3. HEALTHY BEGINNINGS MIDWIFERY PROGRAM BRINGING TRAINED PRENATAL STAFF TO POPULATIONS THAT EXPERIENCES DIFFICULTIES IN OBTAINING NEEDED PREGNANCY RELATED SERVICES IN THE CITIES OF ADELANTO, APPLE VALLEY AND HESPERIA. 4. MOTHER/BABY ASSESSMENT CENTER LACTATION CLINIC IN PATIENT LACTATION SUPPORT AND FOLLOW-UP CLINIC PROVIDES BREASTFEEDING SUPPORT WITH LACTATION SPECIALISTS TO HELP MAKE BREASTFEEDING MORE COMFORTABLE FOR BOTH MOM AND BABY. THEY SEE ANY MOTHER AND BABY, REGARDLESS OF WHAT HOSPITAL THEY DELIVER AT. 5. GRANT TO ST MARY FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THIS NEWLY CREATED FQHC IS BEING FINANCIALLY SUPPORTED ENTIRELY BY OUR HOSPITAL. 6.GRANT TO BORREGO TO PROVIDE PRIMARY CARE AND DENTAL SERVICES TO UNINSURED AND UNDERINSURED IN THE HIGH DESERT.Desc
Total Program Service Expenses$318,414,555TotalProgramServiceExpensesAmt
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 Contri0DeductibleNonCashContriInd
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
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document201IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1910EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 Venture0InvestmentInJointVentureInd
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 (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JIM WATSON ESQ
SECRETARY0.1059.90Yes (X)$0$744,481$120,056
TRACEY FERNANDEZ
FORMER VP FINANCE AND CFO40.000.00$642,375$0$19,606Yes (X)
RANDY CASTILLO
BOARD OF DIRECTORS/CEO2.000.00Yes (X)$0$520,027$111,425Yes (X)
MARILYN DRONE
COO SMMC50.000.00$460,430$0$31,773Yes (X)
KELLIE GWALTNEY
CERTIFIED NURSE MIDWIFE40.000.00$286,784$0$11,405Yes (X)
KIMBERLY DEIMLING
CERTIFIED NURSE MIDWIFE - NE40.000.00$274,899$0$21,860Yes (X)
GENE GUTIERREZ
CHIEF FINANCIAL OFFICER50.000.00Yes (X)$0$261,178$33,935
JOHN KOZYRA
MINISTRY CHIEF, PHILANTHROPY OFFICER40.000.00$251,951$0$31,628Yes (X)
JACKIE PIERCE
CERTIFIED NURSE MIDWIFE NE (PART YR)40.000.00$242,043$0$19,280Yes (X)
BRIAN HENNEBRY
EXEC DIR, BUSINESS DEVELOPMENT40.000.00$231,280$0$27,255Yes (X)
JEAN HOLTMAN
FORMER MINISTRY CHRO PSJH40.000.00$0$227,040$29,478Yes (X)
OMER AHMED MD
BOARD OF DIRECTORS/CHIEF OF STAFF5.000.00$0$65,813$0Yes (X)
ADOLPH COLLASO
BOARD OF DIRECTORS/VICE CHAIR5.000.00$0$0$0Yes (X)
CR BURKE
BOARD OF DIRECTORS2.000.00$0$0$0Yes (X)
MARK YATES
BOARD OF DIRECTORS2.000.00$0$0$0Yes (X)
PAUL GOSTANIAN
BOARD OF DIRECTORS/CHAIR5.000.00$0$0$0Yes (X)
REGINA WEATHERSPOON-BELL
BOARD OF DIRECTORS2.000.00$0$0$0Yes (X)
SISTER JUDITH DUGAN
BOARD OF DIRECTORS2.000.00$0$0$0Yes (X)
SISTER PAULETTE DETERS
BOARD OF DIRECTORS2.000.00$0$0$0Yes (X)
SYED RAZA M D
BOARD OF DIRECTORS2.000.00$0$0$0Yes (X)
ZOHEIR EL-HAJJAOUI MD
BOARD OF DIRECTORS2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,389,762TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,818,539TotReportableCompRltdOrgAmt
Total Other Compensation$457,701TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K525IndivRcvdGreaterThan100KCnt
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
AMN HEALTHCARE INC
2735 COLLECTION CTR DRCHICAGOIL60693OPERATIONAL SUPPORT SERVICES$10,092,201
MEDLINE INDUSTRIES INC
DEPT LA 21558PASADENACA91185MEDICAL SERVICES$8,711,102
CARDINAL HEALTH 411 INC CO BANK OF AMER
PO BOX 56412LOS ANGELESCA90074MEDICAL SERVICES$7,093,761
HEALTHCARE DESIGN AND CONSTRUCTION LLC
18302 IRVINE BOULEVARD STE 120TUSTINCA92780CONSTRUCTION SERVICES$3,915,755
INTUITIVE SURGICAL INC DEPT 33629
PO BOX 39000SAN FRANCISCOCA94139MEDICAL SERVICES$2,088,407
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K130CntrctRcvdGreaterThan100KCnt
Fundraising$152,087FundraisingAmt
Related Organizations$1,105,000RelatedOrganizationsAmt
Government Grants$6,902,574GovernmentGrantsAmt
All Other Contributions$401,417AllOtherContributionsAmt
Total Contributions$8,561,078TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE622110$350,136,820$350,136,820
HOSPITAL FEE900099$1,867,334$1,867,334

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,593TotalRevenueColumnAmt
Related Or Exempt Func Income$84,593RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$352,088,747TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,597,983TotalRevenueColumnAmt
Exclusion$4,597,983ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$380,058RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$318,088RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$61,970RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,970TotalRevenueColumnAmt
Exclusion$61,970ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,025,517SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,025,517SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,025,517TotalRevenueColumnAmt
Related Or Exempt Func Income$10,025,517RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$9,071FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$152,087ContriRptFundraisingEventAmt
Fundraising Direct Expenses$14,090FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,019TotalRevenueColumnAmt
Exclusion-$5,019ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE722514$396,852$396,852
CASH PURCHASES & DISCO$7$7
FieldValueIRS element (for citing)
Other Revenue Total$396,859OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$375,727,135TotalRevenueColumnAmt
Related Or Exempt Func Income$362,114,271RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,051,786ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,713,900TotalAmt
Program Services$1,713,900ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$125,253,326TotalAmt
Program Services$121,554,461ProgramServicesAmt
Management And General$3,180,497ManagementAndGeneralAmt
Fundraising$518,368FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,249,324TotalAmt
Program Services$5,197,509ProgramServicesAmt
Management And General$41,065ManagementAndGeneralAmt
Fundraising$10,750FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,165,417TotalAmt
Program Services$755,346ProgramServicesAmt
Management And General$409,371ManagementAndGeneralAmt
Fundraising$700FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,597,014TotalAmt
Program Services$9,455,128ProgramServicesAmt
Management And General$105,420ManagementAndGeneralAmt
Fundraising$36,466FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$619,612TotalAmt
Program Services$27,374ProgramServicesAmt
Management And General$592,238ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$649,993TotalAmt
Management And General$649,993ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$38,560,859TotalAmt
Program Services$37,665,219ProgramServicesAmt
Management And General$558,635ManagementAndGeneralAmt
Fundraising$337,005FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$18,833TotalAmt
Management And General$18,833ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,765,712TotalAmt
Program Services$5,525,806ProgramServicesAmt
Management And General$237,404ManagementAndGeneralAmt
Fundraising$2,502FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,448,436TotalAmt
Program Services$2,444,300ProgramServicesAmt
Management And General$2,143ManagementAndGeneralAmt
Fundraising$1,993FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$63,114TotalAmt
Program Services$55,024ProgramServicesAmt
Management And General$5,033ManagementAndGeneralAmt
Fundraising$3,057FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$25,355TotalAmt
Program Services$25,231ProgramServicesAmt
Management And General$25ManagementAndGeneralAmt
Fundraising$99FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,541,503TotalAmt
Program Services$1,541,503ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,463,613TotalAmt
Program Services$7,901,390ProgramServicesAmt
Management And General$558,902ManagementAndGeneralAmt
Fundraising$3,321FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SYSTEM COST ALLOCATION$78,756,525$76,037,934$2,441,379$277,212
MEDICAL SUPPLIES$42,352,368$42,298,231$53,551$586
HOSPITAL FEE$4,728,588$4,728,588
OTHER$1,113,439$12,214$1,101,184$41

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,795,008TotalAmt
Program Services$1,475,397ProgramServicesAmt
Management And General$316,039ManagementAndGeneralAmt
Fundraising$3,572FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$329,881,939TotalAmt
Program Services$318,414,555ProgramServicesAmt
Management And General$10,271,712ManagementAndGeneralAmt
Fundraising$1,195,672FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,533,297BOYAmt
EOY$1,243,952EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,675,057BOYAmt
EOY$24,159,676EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,051,600BOYAmt
EOY$1,717,458EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$42,099,653BOYAmt
EOY$50,068,757EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$667,220BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,671,266BOYAmt
EOY$4,173,919EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$56,025BOYAmt
EOY$723,300EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$286,998,275LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$157,662,991LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$129,281,368BOYAmt
EOY$129,335,284EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$264,958,121BOYAmt
EOY$315,291,445EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,041,253BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$1,654,195EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$89,467BOYAmt
EOY$82,594EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$42,874,013BOYAmt
EOY$73,536,643EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$498,998,340BOYAmt
EOY$601,987,223EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,529,754BOYAmt
EOY$25,848,638EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$3,506,152EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$62,678,020BOYAmt
EOY$81,455,512EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,207,774BOYAmt
EOY$110,810,302EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$402,542,936BOYAmt
EOY$480,971,929EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,247,630BOYAmt
EOY$10,204,992EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$411,790,566BOYAmt
EOY$491,176,921EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$498,998,340BOYAmt
EOY$601,987,223EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$45,845,196ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$15,350,880NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$18,190,279OtherChangesInNetAssetsAmt
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$26,913OtherActivitiesAmt
Total Lobbying Expenditures$26,913TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationOTHER ACTIVITIES THE 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$1,748,966BeginningYearBalanceAmt
Contributions$12,338ContributionsAmt
Investment Earnings Or Losses-$15,298InvestmentEarningsOrLossesAmt
End Year Balance$1,746,006EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,196,864BeginningYearBalanceAmt
Contributions$439,605ContributionsAmt
Investment Earnings Or Losses$160,042InvestmentEarningsOrLossesAmt
Grants Or Scholarships$35,500GrantsOrScholarshipsAmt
Other Expenditures$12,045OtherExpendituresAmt
End Year Balance$1,748,966EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,246,694BeginningYearBalanceAmt
Contributions$21,740ContributionsAmt
Investment Earnings Or Losses-$69,070InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,500GrantsOrScholarshipsAmt
End Year Balance$1,196,864EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,135,065BeginningYearBalanceAmt
Contributions$7,661ContributionsAmt
Investment Earnings Or Losses$175,784InvestmentEarningsOrLossesAmt
Grants Or Scholarships$71,816GrantsOrScholarshipsAmt
End Year Balance$1,246,694EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,027,182BeginningYearBalanceAmt
Contributions$12,701ContributionsAmt
Investment Earnings Or Losses$151,440InvestmentEarningsOrLossesAmt
Grants Or Scholarships$56,258GrantsOrScholarshipsAmt
End Year Balance$1,135,065EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,434,072OtherCostOrOtherBasisAmt
Book Value$47,434,072BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,858,942OtherCostOrOtherBasisAmt
Depreciation$71,690,525DepreciationAmt
Book Value$37,168,417BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$148,211OtherCostOrOtherBasisAmt
Depreciation$99,673DepreciationAmt
Book Value$48,538BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$107,874,948OtherCostOrOtherBasisAmt
Depreciation$85,872,793DepreciationAmt
Book Value$22,002,155BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,682,102OtherCostOrOtherBasisAmt
Book Value$22,682,102BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$129,335,284TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
HOSPITAL FEE/PROVIDER TAX RECEIVABLE$72,920,592
OTHER ASSETS$616,051
FieldValueIRS element (for citing)
Total Book Value Other Assets$73,536,643TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO AFFILIATES$51,288,304
OTHER LIABILITIES$26,370,946
DUE TO THIRD PARTY$958,060
CAPITAL LEASE OBLIGATIONS$1,184,007
ACCRUED RETIREMENT COMPENSATION$1,654,195
FieldValueIRS element (for citing)
Total Liability$81,455,512TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART V, LINE 4FormAndLineReferenceDesc
ExplanationENDOWMENT FUNDS USE ENDOWMENT FUNDS WERE DESIGNED TO PROVIDE SCHOLARSHIP FUNDS FOR NURSING STUDENTS.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$161,158GrossReceiptsEvent1Amt
Charitable Contri Event1$152,087CharitableContriEvent1Amt
Gross Revenue Event1$9,071GrossRevenueEvent1Amt
Entertainment Event1$350EntertainmentEvent1Amt
Other Direct Expenses Event1$13,740OtherDirectExpensesEvent1Amt
Gross Receipts Total$161,158GrossReceiptsTotalAmt
Charitable Contributions Tot$152,087CharitableContributionsTotAmt
Gross Revenue Total Events$9,071GrossRevenueTotalEventsAmt
Entertainment Total Events$350EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$13,740OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$14,090DirectExpenseSummaryEventsAmt
Net Income Summary-$5,019NetIncomeSummaryAmt

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 Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served6216PersonsServedCnt
Total Community Benefit Expns$5,530,013TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,530,013NetCommunityBenefitExpnsAmt
Total Expense0.01680TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served40452PersonsServedCnt
Total Community Benefit Expns$121,656,083TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$137,246,712DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served46668PersonsServedCnt
Total Community Benefit Expns$127,186,096TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$137,246,712DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,530,013NetCommunityBenefitExpnsAmt
Total Expense0.01680TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served4978PersonsServedCnt
Total Community Benefit Expns$2,602,660TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$371,280DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,231,380NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served422PersonsServedCnt
Total Community Benefit Expns$95,559TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$95,559NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served16482PersonsServedCnt
Total Community Benefit Expns$5,719,623TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,837,190DirectOffsettingRevenueAmt
Net Community Benefit Expns$882,433NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$734,884TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$734,884NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served21882PersonsServedCnt
Total Community Benefit Expns$9,152,726TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,208,470DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,944,256NetCommunityBenefitExpnsAmt
Total Expense0.01200TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served68550PersonsServedCnt
Total Community Benefit Expns$136,338,822TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$142,455,182DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,474,269NetCommunityBenefitExpnsAmt
Total Expense0.02880TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Reimbursed By Medicare$49,026,020ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$61,199,699CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$12,173,679MedicareSurplusOrShortfallAmt

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
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST MARY MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line118300 US HIGHWAY 18AddressLine1Txt
CityAPPLE VALLEYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92307ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.STMARYAPPLEVALLEY.COMWebsiteAddressTxt
State License240000207StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST MARY MEDICAL CENTERBusinessNameLine1Txt
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 Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE LINE 10A URL BELOWOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSStrategyWebsiteURLTxt
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
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
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE PRIORITIZED BASED ON THE METHODOLOGY DESCRIBED IN THE MOST RECENT CHNA SECTION ON SIGNIFICANT HEALTH NEEDS.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 THE DEPARTMENT OF PUBLIC HEALTH, COUNTY OF SAN BERNARDINO, COMMUNITY VITAL SIGNS (CVS) WOULD BE UTILIZED IN PLACE OF PLANNED FOCUS GROUPS THAT WERE CANCELLED DUE TO THE COVID-19 PANDEMIC. TO BETTER UNDERSTAND THE UNIQUE PERSPECTIVES, OPINIONS, EXPERIENCES, AND KNOWLEDGE OF COMMUNITY MEMBERS, DEPARTMENT OF PUBLIC HEALTH, COUNTY OF SAN BERNARDINO, AND THE COMMUNITY VITAL SIGN DEPARTMENT, FIELDED AN ONLINE SURVEY TO COMMUNITY RESIDENTS AND STAKEHOLDERS. THE SURVEY ALLOWED COMMUNITY MEMBERS AND NONPROFIT AND GOVERNMENT STAKEHOLDERS TO SHARE THEIR PERSPECTIVE ON THE ISSUES AND OPPORTUNITIES OF THE PEOPLE, NEIGHBORHOODS, AND CITIES OF THE SERVICE AREA. THERE WERE THREE CATEGORIES OF QUESTIONS: 1. HEALTH 2. COMMUNITY SAFETY, EDUCATION AND ECONOMY 3. NEIGHBORHOOD RATINGS A FULL REPORT OF FINDINGS FROM THE SURVEY CAN BE FOUND ON THE SAN BERNARDINO COUNTY PUBLIC HEALTH WEBSITE. FINDINGS SHARED HERE ARE FILTERED TO INCLUDE RESPONDENTS FROM THE SERVICE AREA, INCLUDING ADELANTO, APPLE VALLEY, HESPERIA, VICTORVILLE, AND THE ADELANTO-HIGH DESERT DETENTION CENTER (FINDINGS FROM THE DETENTION CENTER WERE NOT AVAILABLE FOR THE HEALTH PRIORITIES SECTION). A TOTAL OF 222 STAKEHOLDERS AND OVER 1,000 RESIDENTS RESPONDED TO THE SURVEY ACROSS SAN BERNARDINO COUNTY. STAKEHOLDERS WERE RESPONDING ON BEHALF OF THEIR ORGANIZATIONS AND RESIDENTS RESPONDED BASED ON THEIR OWN EXPERIENCES. COMMUNITY RESIDENT SURVEY FINDINGS IN THE "HEALTH CATEGORY," COMMUNITY RESIDENTS IN THE SERVICE AREA IDENTIFIED THE FOLLOWING TOP THREE HEALTH PRIORITIES FOR THEIR COMMUNITIES: 1. MENTAL HEALTH PROBLEMS (ANXIETY, DEPRESSION, ETC.) 2. OBESITY/OVERWEIGHT 3. SMOKING / TOBACCO USE / VAPING / E-CIGARETTE ACCESS THE NUMBER OF VOTES FOR MENTAL HEALTH PROBLEMS WAS SUBSTANTIALLY HIGHER (114 VOTES) THAN OBESITY/OVERWEIGHT (85 VOTES). IN THE "COMMUNITY SAFETY, EDUCATION AND ECONOMIC CATEGORY," COMMUNITY RESIDENTS IN THE SERVICE AREA IDENTIFIED THE FOLLOWING TOP THREE HEALTH PRIORITIES: 1. HOMELESSNESS 2. POVERTY 3. HIGH HOUSING COSTS (PURCHASE OR RENTAL) THIS CATEGORY RECEIVED AN OVERWHELMING RESPONSE FOR HOMELESSNESS. THERE WERE 138 VOTES FOR HOMELESSNESS COMPARED TO 86 FOR POVERTY. IN THE "NEIGHBORHOOD RATINGS CATEGORY," RESIDENTS WERE ASKED TO RATE THEIR NEIGHBORHOODS (ON A POOR TO EXCELLENT SCALE) ON THE FOLLOWING CATEGORIES: - HEALTH AND WELLNESS: THE MOST COMMON RATING WAS "FAIR," FOLLOWED BY "GOOD." - ECONOMY: THE MOST COMMON RATING WAS "FAIR," FOLLOWED BY "POOR." - EDUCATION: THE MOST COMMON RATING WAS "FAIR," FOLLOWED CLOSELY BY "GOOD." - SAFETY: THE MOST COMMON RATING WAS "FAIR," FOLLOWED CLOSELY BY "POOR." - ENVIRONMENT: SURVEY RESPONDENTS WERE PRIMARILY SPLIT BETWEEN "POOR," "FAIR, AND "GOOD." - HOUSING: THE MOST COMMON RATING WAS "POOR," ALTHOUGH "FAIR AND "GOOD" WERE ALSO COMMON. - TRANSPORTATION: THE MOST COMMON RATING WAS "FAIR," ALTHOUGH "POOR AND "GOOD" WERE ALSO COMMON. COMMUNITY STAKEHOLDER SURVEY FINDINGS IN THE "HEALTH CATEGORY," COMMUNITY STAKEHOLDERS IN THE SERVICE AREA IDENTIFIED THE FOLLOWING TOP THREE HEALTH PRIORITIES FOR THEIR COMMUNITIES: 1. MENTAL HEALTH PROBLEMS (ANXIETY, DEPRESSION, ETC.) 2. SHORTAGE OF HEALTH PROFESSIONALS 3. POOR NUTRITION/DIET. THE NUMBER OF VOTES FOR MENTAL HEALTH PROBLEMS WAS SUBSTANTIALLY HIGHER (30 VOTES) THAN SHORTAGE OF HEALTH PROFESSIONALS AND POOR NUTRITION/DIET (BOTH 19 VOTES). IN THE "COMMUNITY SAFETY, EDUCATION AND ECONOMIC CATEGORY," COMMUNITY STAKEHOLDERS IN THE SERVICE AREA IDENTIFIED THE FOLLOWING TOP THREE HEALTH PRIORITIES: 1. HOMELESSNESS 2. POVERTY 3. VIOLENT CRIME THERE WERE 24 VOTES FOR HOMELESSNESS COMPARED TO 14 FOR POVERTY.THE SEVENTEEN (17) PARTICIPANTS OF THE STAKEHOLDER SURVEY (OUR HOSPITAL PARTICIPATED) SPANNED THE FOLLOWING SECTORS: CLINICAL, COMMUNITY ORGANIZATIONS, DENTAL, EDUCATION, FAITH-BASED, HOSPITAL, LOCAL GOVERNMENT, LOCAL MEDICAID PLAN, MENTAL HEALTH, PUBLIC HEALTH MENTAL HEALTH, PUBLIC HEALTH AND PUBLIC SAFETY. THE PARTICIPATING AGENCIES ARE AS FOLLOWS:1. BORREGO HEALTH 2. CENTER FOR ORAL HEALTH 3. COMMUNITY HEALTH ACTION NETWORK (C.H.A.N.) 4. EL SOL 5. FAITH ADVISORY COUNCIL FOR COMMUNITY TRANSFORMATION 6. FIRST 5, SAN BERNARDINO 7. HEALTH ASSESSMENT AND RESEARCH COMMUNITIES (H.A.R.C.) 8. INLAND EMPIRE HEALTH PLAN (I.E.H.P.) 9. INSTITUTE FOR PUBLIC STRATEGIES (R.O.O.T.) 10. SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH 11. SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH12. SAN BERNARDINO COUNTY SHERIFF DEPARTMENT13. SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS14. SAN BERNARDINO COUNTY TRANSITIONAL ASSISTANCE DEPARTMENT15. ST. MARY MEDICAL CENTER16. THE GATE CHURCH17. VICTOR VALLEY RESCUE MISSION
SCHEDULE H, PART V, SECTION B, LINE 11FOR CALENDAR YEARS 2020 - 2022 THE HOSPITAL IDENTIFIED AND WILL FOCUS ON THE FOLLOWING FOUR (4) PRIORITIES:PRIORITY 1: ACCESS TO RESOURCES INCLUDES MOST BARRIERS TO ACCESSING HEALTH CARE SERVICES AND OTHER NECESSARY RESOURCES, SUCH AS TRANSPORTATION, A SHORTAGE OF PROVIDERS, PARTICULARLY SPECIALISTS SUCH AS PEDIATRICIANS, DENTISTS, AND ORTHOPEDISTS, LANGUAGE BARRIERS, AND RESOURCES BEING UNAVAILABLE OUTSIDE OF WORKING HOURS. THIS NEED EMERGED AS A CONSISTENT PRIORITY.IN THE PREVIOUS 2017 CHNA PROCESS, ACCESS TO RESOURCES WAS A MAJOR DISCUSSION POINT IN EVERY FOCUS GROUP AND RECEIVED SUBSTANTIAL SUPPORT IN THE COMMUNITY FORUM. DATA SHOWS THAT THE COUNTY OF SAN BERNARDINO HAS RELATIVELY FEW PHYSICIANS AND DENTIST COMPARED TO THE STATE OF CALIFORNIA AVERAGES. THE COMMUNITY BENEFIT COMMITTEE DISCUSSED EXPANDING COMMUNITY BENEFIT PROGRAMS AND CLINIC VISITS TO THE POOR.IN 2020 THIS NEED WAS ADDRESSED BY SIX (6) COMMUNITY BENEFIT PROGRAMS:1. BRIDGES FOR FAMILIES RESOURCE CENTER OFFERING NURTURING PARENTING PROGRAM TO FAMILIES AND CONNECTING THEM TO OTHER RESOURCES.2. BRIGHT FUTURES MOBILE CLINIC BRINGING HEALTHCARE INTO COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH NEEDS (DUHN) IN ADELANTO, APPLE VALLEY, HESPERIA, LUCERNE VALLEY AND VICTORVILLE.3. HEALTHY BEGINNINGS MIDWIFERY PROGRAM BRINGING TRAINED PRENATAL STAFF TO POPULATIONS THAT EXPERIENCES DIFFICULTIES IN OBTAINING NEEDED PREGNANCY RELATED SERVICES IN THE CITIES OF ADELANTO, APPLE VALLEY AND HESPERIA. 4. MOTHER/BABY ASSESSMENT CENTER LACTATION CLINIC IN PATIENT LACTATION SUPPORT AND FOLLOW-UP CLINIC PROVIDES BREASTFEEDING SUPPORT WITH LACTATION SPECIALISTS TO HELP MAKE BREASTFEEDING MORE COMFORTABLE FOR BOTH MOM AND BABY. THEY SEE ANY MOTHER AND BABY, REGARDLESS OF WHAT HOSPITAL THEY DELIVER AT.5. GRANT TO ST MARY FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THIS NEWLY CREATED FQHC IS BEING FINANCIALLY SUPPORTED ENTIRELY BY OUR HOSPITAL.6.GRANT TO BORREGO TO PROVIDE PRIMARY CARE AND DENTAL SERVICES TO UNINSURED AND UNDERINSURED IN THE HIGH DESERT. ON FORM 990, PART III, LINE 4A, ARE THE FULL YEAR ACCOMPLISHMENTS REPORTED FOR THIS IDENTIFIED NEED.PRIORITY 2: MENTAL HEALTH & SUBSTANCE USE COVERS ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. INCLUDES ISSUES OF STRESS, DEPRESSION, COPING SKILLS, AS WELL AS MORE SERIOUS HEALTH CONDITIONS SUCH AS MENTAL ILLNESS AND ADVERSE CHILDHOOD EXPERIENCES. SUBSTANCE USE PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY. MENTAL HEALTH CHALLENGES CAN IMPEDE PEOPLE'S ABILITIES TO REALIZE THEIR POTENTIAL, COPE WITH STRESSES, WORK PRODUCTIVELY AND FRUITFULLY, AND MAKE CONTRIBUTIONS TO THEIR COMMUNITIES. THESE WERE COMBINED BY THE COMMUNITY BENEFIT COMMITTEE. COMMITTEE MEMBERS DISCUSSED THAT MENTAL HEALTH WILL BE A PRIORITY FOCUS OF PROVIDENCE ST. JOSEPH HEALTH OVER THE NEXT TEN YEARS. MENTAL HEALTH WAS A FREQUENT THEME IN THE 2017 CHNA FOCUS GROUPS AND THE FORUM, PARTICULARLY FOCUSING ON THE STRESSES CAUSED BY ECONOMIC.INSECURITY, THE CHALLENGES FACED BY CHILDREN AND TEENS, AND THE LACK OF PROVIDERS. DATA SHOWS THAT THERE ARE RELATIVELY LOW PROVIDERS IN THE COUNTY OF SAN BERNARDINO WHEN COMPARED TO THE STATE.IN 2020 THIS NEED WAS ADDRESSED BY FOUR (4) COMMUNITY BENEFIT PROGRAMS:1. BRIDGES FOR FAMILIES RESOURCE CENTER PROVIDED SHORT-TERM COUNSELING FOR INDIVIDUALS, COUPLES OR FAMILY.2. LIFE SKILLS AWARENESS YOUTH SUICIDE PREVENTION NAVIGATION PROGRAM.3. WORK 2 BE WELL PROGRAM WORKING WITH HESPERIA UNIFIED SCHOOL DISTRICT TO ADDRESS MENTAL HEALTH NEEDS OF SCHOOL AGE STUDENTS.4. GRANT - ST. JOHN OF GOD GRANT TO INTEGRATE MENTAL HEALTH SERVICES WITH 90 DAY SUBSTANCE ABUSE TREATMENT AND REHABILITATION PROGRAM.ON FORM 990, PART III, LINE 4A, ARE THE FULL YEAR ACCOMPLISHMENTS REPORTED FOR THIS IDENTIFIED NEED.
SCHEDULE H, PART V, SECTION B, LINE 11 (CONT'D)PRIORTY 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. 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. BRIDGES FAMILY RESOURCE CENTER, WHICH PROVIDED HEALTH AND SOCIAL SERVICES TO THE LOW-INCOME RESIDENTS IN THE HIGH DESERT. SERVICES INCLUDE CONNECTING RESIDENTS TO HOUSING RESOURCES. 2. PROVIDING A HOMELESS REGIONAL GRANT AND AWARDING IT TO THE HIGH DESERT HOMELESS SHELTER IN VICTORVILLE. 3. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE ARE CONNECTED TO LOCAL ROOM AND BOARD AND IT IS PAID BY THE HOSPITAL.4. ADVOCATING FOR MORE AFFORDABLE HOUSING. PRIORITY 4: OBESITY PRIMARILY DEFINED AS THE HEALTH CONDITION IN WHICH INDIVIDUALS ARE SUFFICIENTLY OVERWEIGHT AS TO HAVE DETRIMENTAL EFFECTS ON THEIR OVERALL HEALTH. THIS DOES NOT INCLUDE ISSUES OF EXERCISE OR FOOD CHOICES, WHICH ARE LISTED AS SEPARATE ISSUES. OBESITY WAS FREQUENTLY DISCUSSED IN THE 2017 CHNA FOCUS GROUPS, PARTICULARLY IN CONJUNCTION WITH ROOT CAUSES SUCH AS NUTRITION AND LACK OF EXERCISE, WITH CHALLENGES WITH WALKABILITY. IN 2020 THIS NEED WAS ADDRESSED BY ONE (1) COMMUNITY BENEFIT PROGRAM:1. DEPARTMENT OF PUBLIC HEALTH, COUNTY OF SAN BERNARDINO GRANT - TARGETING ADULTS BY PROVIDING NUTRITION CLASSES AND FREE OPPORTUNITIES TO DO PHYSICAL ACTIVITY. ON FORM 990, PART III, LINE 4A, ARE THE FULL YEAR ACCOMPLISHMENTS REPORTED FOR THIS IDENTIFIED NEED.ST. MARY MEDICAL CENTER: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, PROVIDENCE ST. MARY MEDICAL CENTER (WHICH WILL BE ADDRESSED SIMPLY AS "ST. MARY MEDICAL CENTER" THROUGHOUT THE REST OF THIS REPORT) WILL ENDORSE LOCAL NON-PROFIT ORGANIZATIONS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT MISSION'S SERVICE AREAS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE HOSPITAL'S 2019 CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:DIABETES:SPECIFICALLY FOCUSED ON THE HEALTH CONDITION OF DIABETES, AND AWARENESS AND PREVENTION OF IT. LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) PROVIDE PRIMARY MEDICAL CARE TO RESIDENTS WITH LOW INCOMES WHO HAVE DIABETES. THE ST. MARY DIABETES PROGRAM, RUN BY OUR COMMUNITY CLINICS, ADDRESSED THIS NEED. THIS IS THE ONLY AMERICAN DIABETES ASSOCIATION CERTIFIED PROGRAM IN THE HOSPITAL'S TOTAL SERVICE AREA. THE PROGRAM EXPANDS NUTRITIONAL AND CERTIFIED DIABETES TRAINED STAFF FROM HOSPITAL-BASED DIABETES AND CHILD OBESITY PROGRAMS. PROGRAM STAFF CONTINUE PARTICIPATING IN REGIONAL DIABETES WORKGROUP SHARING BEST PRACTICES. A REFERRAL RELATIONSHIP HAS BEEN ESTABLISHED FROM PHYSICIANS OF ST. MARY HIGH DESERT MEDICAL GROUP.
SCHEDULE H, PART V, SECTION B, LINE 11 (CONT'D)FOOD AND NUTRITION:CONCERNS ABOUT HEALTHY EATING HABITS, NUTRITION KNOWLEDGE, AND CHALLENGES OF COST AND AVAILABILITY OF HEALTHY OPTIONS. THIS NEED IS ADDRESSED BY LIKE-MINDED PARTNERS. AN INTEGRATED APPROACH TO ADDRESS ISSUES OF BEING A FOOD DESERT ARE BEING TACKLED THROUGH A REGIONAL APPROACH - THE COMMUNITY ACTION PARTNERSHIP - HIGH DESERT FOOD COLLABORATIVE. NON-PROFITS OUTSIDE OUR REGION ARE BEING APPROACHED, AS WAS THE CASE WITH LOS ANGELES BASED FOOD FORWARD. THIS NON-PROFIT WAS RECRUITED TO PROVIDE DONATIONS OF FRESH FRUITS AND VEGETABLES TO LOCAL FOOD PANTRIES OPERATED IN ADELANTO, APPLE VALLEY, PHELAN AND VICTORVILLE. THE MAJORITY OF FOOD PANTRIES ARE OPERATED BY CHURCHES: BROKEN HEARTS MINISTRY, THE LORD'S TABLE, ANOTHER LEVEL FOR WOMEN, VICTOR VALLEY RESCUE MISSION. OTHER NON-PROFITS WORKING AROUND THIS NEED ARE THE HIGH DESERT OUTREACH CENTER, SQUASH4FRIENDS, AND SCHOOLS THAT ARE HOSTING SUMMER MEAL PROGRAMS. COMMUNITY ACTION PARTNERSHIP RECEIVED A PLANNING GRANT FROM THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND, TO BEGIN DEVELOPING A TIMELINE FOR OPENING A LOCAL HIGH DESERT OFFICE THAT WOULD INCLUDE A SMALL FOOD BANK. IN 2019 COMMUNITY ACTION PARTNERSHIP SECURED A SPACE INSIDE THE IEHP RESOURCE CENTER (IEHP IS THE COUNTY RUN MEDICAID HEALTH PLAN) IN THE CITY OF VICTORVILLE WHERE THEY CONTINUE DOING FOOD DISTRIBUTION, WEATHERIZATION, RENTAL AND UTILITY ASSISTANCE. PHYSICAL ACTIVITY: IN ADDITION TO THE BEHAVIOR ITSELF, IT ALSO INCLUDES ISSUES AROUND ACCESS TO PLACES TO EXERCISE AND PEOPLE NOT HAVING ENOUGH TIME TO EXERCISE. THIS ISSUE IS TIED VERY CLOSELY TO OBESITY (WHICH WAS IDENTIFIED AS A PRIORITY) AND WILL BE ADDRESSED BY "DEPARTMENT OF PUBLIC HEALTH, COUNTY OF SAN BERNARDINO GRANT." DUE TO COVID-19, AND STATE ORDER TO MAINTAIN SOCIAL DISTANCING, PHYSICAL ACTIVITY CLASSES WERE CANCELLED TO AVOID THE SPREADING OF THE NOVEL VIRUS. POVERTY:IDENTIFIED AS A ROOT CAUSE OF OTHER HEALTH ISSUES, THIS ISSUE COVERS THE EFFECTS OF POVERTY AND ECONOMIC CONCERNS AS WELL AS DIFFICULTIES AROUND FINDING JOBS THAT PAY LIVABLE SALARIES. GIVEN OTHER PRIORITIES, RESOURCE CONSTRAINTS AND LACK OF EXPERTISE TO OFFER THIS PROGRAM, THIS ISSUE WAS NOT SELECTED. ST. MARY MEDICAL CENTER WILL COLLABORATE WITH LOCAL CITY ECONOMIC DEVELOPMENT DEPARTMENTS, AND THE WORKFORCE DEVELOPMENT DEPARTMENT THAT ADDRESS THIS NEED. IN ADDITION, AS A CATHOLIC INSTITUTION WE FOLLOW CATHOLIC SOCIAL TEACHING, WHICH IN REGARDS TO JOBS AND SALARIES WE BELIEVE THAT, "THE ECONOMY MUST SERVE PEOPLE, NOT THE OTHER WAY AROUND. WORK IS MORE THAN A WAY TO MAKE A LIVING; IT IS A FORM OF CONTINUING PARTICIPATION IN GOD'S CREATION. IF THE DIGNITY OF WORK IS TO BE PROTECTED, THEN THE BASIC RIGHTS OF WORKERS MUST BE RESPECTED - THE RIGHT TO PRODUCTIVE WORK, TO DECENT AND FAIR WAGES, TO THE ORGANIZATION AND JOINING OF UNIONS, TO PRIVATE PROPERTY AND TO ECONOMIC INITIATIVE." ENVIRONMENTAL POLLUTION: INCLUDES INDUSTRIAL POLLUTION BUT ALSO VERMIN, TRASH, AND DUST DUE TO DRYNESS AND A LACK OF PAVED ROADS. ORGANIZATIONS WORKING ON THIS NEED ARE THE MOJAVE AIR QUALITY MANAGEMENT DISTRICT, SAN BERNARDINO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH AND THE COMMUNITY ACTION PARTNERSHIP THROUGH THEIR LEAD PAINT ABATEMENT OF RESIDENTIAL HOUSING. GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT CHNA, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS.PROVIDENCE ST. JOSEPH HEALTH HAS COMMITTED TO BEING CARBON NEGATIVE BY 2030. THIS EFFORT WILL INVOLVE ALL HOSPITAL STAFF. THE REGIONAL DIRECTOR, COMMUNITY HEALTH INVESTMENT HAS BEEN APPOINTED TO THE SYSTEM ENVIRONMENTAL JUSTICE WORK GROUP. CRIME: 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, NEGATIVELY IMPACTING WALKABILITY. BY WORKING WITH LOCAL LAW ENFORCEMENT OFFICES, SCHOOL DISTRICTS, AND ELECTED OFFICIALS, OUR HOPE IS THAT CRIME WILL GO DOWN AND THE IMAGE OF THE HIGH DESERT REGION WILL IMPROVE, ATTRACTING NEW EMPLOYERS TO THIS REGION. ONE PROJECT FUNDED BY ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND, ADDRESSES CRIME AND SAFETY. RESIDENTS OF OLD TOWN VICTORVILLE (R.O.O.T.) IS A GRASSROOTS EFFORTS RUN BY VICTORVILLE RESIDENTS TO ADDRESS SAFETY ISSUES THAT IMPACT THE HEALTH OF THEIR NEIGHBORHOOD. OLD TOWN VICTORVILLE IS PARTICULAR IN THAT THE MAJORITY OF THE HOMELESS POPULATION (VICTORVILLE HAS THE SECOND HIGHEST HOMELESS POPULATION IN THE ENTIRE SAN BERNARDINO COUNTY) IS CONCENTRATED IN THAT SECTION. THE HIGH DESERT HAS MANY JAILS AND PRISONS, AND MOST RELEASE THEIR PRISONER POPULATION IN OLD TOWN VICTORVILLE. R.O.O.T. BEGAN ADVOCATING FOR ENVIRONMENTAL CHANGES, LIKE BRIGHTER STREET LIGHTS AND NEW LIGHTS IN ALLEYS, WHICH HAS HAPPENED, AND RESIDENTS ARE REPORTING THAT THEY FEEL CRIME HAS LOWERED. A NAVIGATION PARTNERSHIP ENSURES THAT NEWLY RELEASED PRISONERS ARE HOUSED AND/OR REUNITED WITH FAMILY AND NOT JUST DROPPED OFF IN OLD TOWN VICTORVILLE, AS WAS THE PREVIOUS PRACTICE. VICTORVILLE RESIDENTS PASSED MEASURE P IN NOVEMBER OF 2020. THIS LOCAL SALES TAX WILL GO INTO EFFECT IN 2021 AND WILL ADD MORE FIRE AND POLICE PERSONNEL (30 MORE DEPUTIES), CODE ENFORCEMENT AND WILL ALSO ADD RESOURCES TO HELP THOSE EXPERIENCING HOMELESSNESS. MEASURE P WILL SET UP A COMMITTEE TO OVERSEE THAT THESE TAXES WILL BE USED IN THE INTENDED FORM - ADDRESSING SAFETY AND HOMELESSNESS.SMOKING/TOBACCO/VAPING: GIVEN OTHER PRIORITIES RAISED DURING THE MOST RECENT 2019 CHNA, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. THE CALIFORNIA HEALTH COLLABORATIVE IS ACTIVE IN THE HIGH DESERT. THIS ORGANIZATION EDUCATES, INFORMS AND DRIVES POLICY TO REDUCE TOBACCO RELATED HEALTH DISPARITIES, IMPROVE HEALTH EQUITY, AND REDUCE SECONDHAND SMOKE IN PUBLIC AND NON-RECREATIONAL PLACES. THIS ORGANIZATION WAS INVOLVED IN TEACHING HIGH SCHOOL STUDENTS IN ADELANTO HIGH SCHOOL TO ADDRESSED CITY COUNCIL MEMBERS DURING CITY COUNCIL MEETINGS ABOUT THE HARM OF VAPING AT THEIR SCHOOL AND ADVOCATE FOR MORE POLICY TO REDUCE UNDERAGE USE BY PENALIZING RETAILERS SELLING TO MINORS. IN ADDITION, ST. MARY MEDICAL CENTER WILL COLLABORATE, WHEN FEASIBLE, WITH ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL TO ADDRESS THESE UNMET NEEDS.
SCHEDULE H, PART V, SECTION B, LINE 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
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/PLAIN-LANGUAGE-SUMMARY
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - OUTPATIENT SURGERY PAVILLION
18122 US HIGHWAY 18APPLE VALLEYCA92307AMBULATORY SURGERY CENTER
2 - WOUND CARE CENTER
16077 KAMANA ROADAPPLE VALLEYCA92307WOUND CARE
3 - HEALTHY BEGINNINGS CLINIC
18977 S OUTER HWY 18 AAPPLE VALLEYCA92307CLINIC
4 - ADELANTO CLINIC
11424 CHAMBERLAIN WAY STE 89ADELANTOCA92301CLINIC
5 - HESPERIA CLINIC
17091 MAIN STREET STE100HESPERIACA92345CLINIC

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 HEALTH, ST. MARY PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE ATHTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-MARY-MEDICAL-CENTER/ABOUT-US/COMMUNITY-BENEFIT
PART I, LINE 7:THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS.
PART I, LINE 7G:NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART III, LINE 4:AS A RESULT OF ADOPTING ASU 2014-09 AS DESCRIBED IN NOTE 1, 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:COMMUNITY BENEFITSTHE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
PART VI, LINE 2:NEEDS ASSESSMENTOUR COMMUNITY BENEFIT PLAN IS ALIGNED WITH ST. MARY MEDICAL CENTER'S STRATEGIC PLAN.1. DEVELOPING A NETWORK OF CARE - COMMUNITY CLINICS, WHICH INCLUDES THE "BRIGHT FUTURES MOBILE VAN" IS EXPANDING CLINIC SERVICE DAYS AND GOING TO OTHER CITIES LIKE LUCERNE VALLEY, LOCATED IN OUR SECONDARY SERVICE AREA (SSA). HIGH DESERT ST. MARY MEDICAL GROUP, AN AFFILIATE OF THE HOSPITAL, IS ALSO POISED TO INCREASE THE NETWORK OF CARE IN THE HIGH DESERT REGION THROUGH PRIMARY CARE AND CHRONIC DISEASE MANAGEMENT CLINICAL SERVICES OF ONGOING PATIENTS.2. POPULATION HEALTH - FAITH-BASED ORGANIZATIONS FROM ALL DENOMINATIONS ARE APPROACHED ON CREATING AND CONTINUING A HEALTH MINISTRY, ADDRESSING BOTH SPIRITUAL AND HEALTHCARE NEEDS.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.
PART VI, LINE 4:COMMUNITY INFORMATIONST. MARY MEDICAL CENTER PROVIDES THE VICTOR VALLEY AND BARSTOW COMMUNITIES WITH ACCESS TO ADVANCED CARE. THE FACILITY IS THE ONLY PROVIDENCE ST. JOSEPH HEALTH HOSPITAL OPERATING IN SAN BERNARDINO COUNTY AND THE ONLY NON-PROFIT HOSPITAL IN THE HIGH DESERT REGION. THE HOSPITAL'S TOTAL SERVICE AREA EXTENDS FROM HIGHWAY 58 AND THE 15 FREEWAY IN THE NORTH, HIGHWAY 395 AND THE 15 FREEWAY IN THE SOUTH, UNINCORPORATED COMMUNITIES INCLUDING LUCERNE VALLEY IN THE EAST AND UNINCORPORATED COMMUNITIES OF EL MIRAGE IN THE WEST. OUR HOSPITAL TOTAL SERVICE AREA (TSA), INCLUDES THE CITIES OF ADELANTO, APPLE VALLEY, BARSTOW, HESPERIA, ORO GRANDE AND VICTORVILLE AND SEVERAL SMALLER UNINCORPORATED COMMUNITIES INCLUDING HELENDALE, LUCERNE VALLEY, OAK HILLS, PHELAN, SNOWLINE COMMUNITIES AND WRIGHTWOOD.TOTAL SERVICE AREA:THE TOTAL SERVICE AREA FOR MISSION HOSPITAL WAS DEFINED USING CENSUS TRACTS INSIDE SOUTH ORANGE COUNTY. THE HOSPITAL'S SERVICE AREA INCLUDES CENSUS TRACTS INSIDE THE CITIES OF ADELANTO, APPLE VALLEY, HELENDALE, HESPERIA, LUCERNE VALLEY, PHELAN, ORO GRANDE, AND VICTORVILLE. THIS IS INCLUSIVE OF A POPULATION OF APPROXIMATELY 375,000 PEOPLE AND REPRESENTS DISTRICT 1 OF THE COUNTY'S PUBLIC HEALTH COMMUNITY VITAL SIGNS PROJECT. 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 370,000 PERMANENT RESIDENTS IN THE TOTAL SERVICE AREA, ROUGHLY 44% 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. ADELANTO IN ITS ENTIRETY IS DESIGNATED AS A HIGH NEED SERVICE AREA, AS WELL AS SOME SECTIONS OF APPLE VALLEY, HESPERIA, AND VICTORVILLE.POPULATION AND AGE DEMOGRAPHICS:THE POPULATION IN ST. MARY MEDICAL CENTER'S TOTAL SERVICE AREA MAKES UP 17% OF SAN BERNARDINO COUNTY. THE HIGH NEED SERVICE AREA HAS A HIGHER PERCENTAGE OF PEOPLE UNDER 34 YEARS COMPARED TO THE BROADER SERVICE AREA.POPULATION BY RACE AND ETHNICITY: INDIVIDUALS WHO IDENTIFY AS HISPANIC, "OTHER" RACE, AND BLACK ARE MORE LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS. PEOPLE IDENTIFYING AS ASIAN AND WHITE ARE LESS LIKELY TO LIVE IN HIGH NEED CENSUS TRACTS.SOCIOECONOMIC INDICATORS:THE POPULATION IN ST. MARY MEDICAL CENTER'S TOTAL SERVICE AREA IS MORE LIKELY TO BE AT OR BELOW 200% FPL COMPARED TO SAN BERNARDINO COUNTY OVERALL, INCLUDING NEARLY 60% OF HOUSEHOLDS IN THE "HIGH NEED SERVICE AREA." THE MEDIAN INCOME IN ST. MARY MEDICAL CENTER'S TOTAL SERVICE AREA IS ALMOST $8,000 LOWER THAN THAT OF THE COUNTY OVERALL. THE MEDIAN INCOME FOR HOUSEHOLDS IN THE HIGH NEED CENSUS TRACTS ARE APPROXIMATELY $20,000 LOWER THAN THE "BROADER SERVICE AREA."HOUSING COST BURDEN:SEVERE HOUSING COST BURDEN REPRESENTS HOUSEHOLDS THAT SPEND 50% OR MORE OF THEIR INCOME ON HOUSING COSTS. A SLIGHTLY GREATER PROPORTION OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED IN ST. MARY MEDICAL CENTER'S TOTAL SERVICE AREA COMPARED TO SAN BERNARDINO COUNTY. ON AVERAGE, ABOUT 31% OF HOUSEHOLDS IN THE TOTAL SERVICE AREA ARE SEVERELY HOUSING COST BURDENED. IN THE "HIGH NEED SERVICE AREA," 35% OF RENTER HOUSEHOLDS ARE SEVERELY HOUSING COST BURDENED, COMPARED TO 26% IN THE "BROADER SERVICE AREA."OTHER HOSPITALS IN THE TOTAL SERVICE AREA:OTHER HOSPITAL IN THE COMMUNITY INCLUDE: DESERT VALLEY HOSPITAL AND VICTOR VALLEY GLOBAL MEDICAL CENTER. ST. MARY MEDICAL CENTER IS THE ONLY NON-PROFIT HOSPITAL IN THE ENTIRE HIGH DESERT REGION. 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. MARY MEDICAL CENTER IS LOCATED IN A REGION LISTED AS A MEDICAL HEALTH PROFESSIONAL SHORTAGE AREA FOR PRIMARY CARE AND MENTAL HEALTH. 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. THE AREA WEST OF THE HOSPITAL INCLUDING PORTIONS OF VICTORVILLE AND ADELANTO ARE DESIGNATED MUAS, SIGNIFYING THE IMPORTANCE OF ST. MARY MEDICAL CENTER TO THE COMMUNITY IT SERVES.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTHST. MARY MEDICAL CENTER 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. MARY MEDICAL CENTER 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. PLEASE SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.LOCAL COMMUNITY BENEFIT COMMITTEE:THE ROLE OF THE ST. JOSEPH HEALTH, ST. MARY 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 FOUR (4) MEMBERS OF THE BOARD OF TRUSTEES AND FIVE (5) 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 QUARTERLY.
PART VI, LINE 6:AT 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 HIG-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

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HEALTH SYSTEM FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
Recipient EIN330143024RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$1,708,900CashGrantAmt
Purpose Of GrantOPERATIONAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
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
JIM WATSON ESQ
SECRETARY$0$437,006$0$301,877$0$5,598$0$84,307$0$35,749$0$864,537$0$0
TRACEY FERNANDEZ
FORMER VP FINANCE AND CFO$209,631$0$56,613$0$376,131$0$5,929$0$13,677$0$661,981$0$0$0
RANDY CASTILLO
BOARD OF DIRECTORS/CEO$0$417,438$0$85,324$0$17,265$0$78,192$0$33,233$0$631,452$0$0
MARILYN DRONE
COO SMMC$385,569$0$66,028$0$8,833$0$7,125$0$24,648$0$492,203$0$0$0
KELLIE GWALTNEY
CERTIFIED NURSE MIDWIFE$286,784$0$0$0$0$0$3,788$0$7,617$0$298,189$0$0$0
KIMBERLY DEIMLING
CERTIFIED NURSE MIDWIFE - NE$274,874$0$0$0$25$0$5,058$0$16,802$0$296,759$0$0$0
GENE GUTIERREZ
CHIEF FINANCIAL OFFICER$0$256,392$0$0$0$4,786$0$3,818$0$30,117$0$295,113$0$0
JOHN KOZYRA
MINISTRY CHIEF, PHILANTHROPY OFFICER$213,152$0$36,736$0$2,063$0$3,373$0$28,255$0$283,579$0$0$0
JACKIE PIERCE
CERTIFIED NURSE MIDWIFE NE (PART YR)$241,546$0$0$0$497$0$3,259$0$16,021$0$261,323$0$0$0
BRIAN HENNEBRY
EXEC DIR, BUSINESS DEVELOPMENT$199,232$0$27,873$0$4,175$0$6,942$0$20,313$0$258,535$0$0$0
JEAN HOLTMAN
FORMER MINISTRY CHRO PSJH$0$202,288$0$16,658$0$8,094$0$4,222$0$25,256$0$256,518$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: TRACEY FERNANDEZ - $367,099 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

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUBSTANTIAL CONTRIBUTORBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSUBSTANTIAL CONTRIBUTORRelationshipDescriptionTxt
Transaction$218,191TransactionAmt
TransactionMEDICAL SERVICESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONT'D)PRIORITY 2: MENTAL HEALTH & SUBSTANCE USE COVERS ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. INCLUDES ISSUES OF STRESS, DEPRESSION, COPING SKILLS, AS WELL AS MORE SERIOUS HEALTH CONDITIONS SUCH AS MENTAL ILLNESS AND ADVERSE CHILDHOOD EXPERIENCES. SUBSTANCE USE PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY. MENTAL HEALTH CHALLENGES CAN IMPEDE PEOPLE'S ABILITIES TO REALIZE THEIR POTENTIAL, COPE WITH STRESSES, WORK PRODUCTIVELY AND FRUITFULLY, AND MAKE CONTRIBUTIONS TO THEIR COMMUNITIES. THESE WERE COMBINED BY THE COMMUNITY BENEFIT COMMITTEE. COMMITTEE MEMBERS DISCUSSED THAT MENTAL HEALTH WILL BE A PRIORITY FOCUS OF PROVIDENCE ST. JOSEPH HEALTH OVER THE NEXT TEN YEARS. MENTAL HEALTH WAS A FREQUENT THEME IN THE 2017 CHNA FOCUS GROUPS AND THE FORUM, PARTICULARLY FOCUSING ON THE STRESSES CAUSED BY ECONOMIC INSECURITY, THE CHALLENGES FACED BY CHILDREN AND TEENS, AND THE LACK OF PROVIDERS. DATA SHOWS THAT THERE ARE RELATIVELY LOW PROVIDERS IN THE COUNTY OF SAN BERNARDINO WHEN COMPARED TO THE STATE. IN 2020 THIS NEED WAS ADDRESSED BY FOUR (4) COMMUNITY BENEFIT PROGRAMS: 1. BRIDGES FOR FAMILIES RESOURCE CENTER - PROVIDED SHORT-TERM COUNSELING FOR INDIVIDUALS, COUPLES OR FAMILY. 2. LIFE SKILLS AWARENESS - YOUTH SUICIDE PREVENTION NAVIGATION PROGRAM. 3. WORK 2 BE WELL PROGRAM - WORKING WITH HESPERIA UNIFIED SCHOOL DISTRICT TO ADDRESS MENTAL HEALTH NEEDS OF SCHOOL AGE STUDENTS. 4. GRANT - ST. JOHN OF GOD - GRANT TO INTEGRATE MENTAL HEALTH SERVICES WITH 90 DAY SUBSTANCE ABUSE TREATMENT AND REHABILITATION PROGRAM. PRIORTY 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. 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. BRIDGES FAMILY RESOURCE CENTER, WHICH PROVIDED HEALTH AND SOCIAL SERVICES TO THE LOW-INCOME RESIDENTS IN THE HIGH DESERT. SERVICES INCLUDE CONNECTING RESIDENTS TO HOUSING RESOURCES. 2. PROVIDING A HOMELESS REGIONAL GRANT AND AWARDING IT TO THE HIGH DESERT HOMELESS SHELTER IN VICTORVILLE. 3. HOSPITAL PATIENTS REQUIRING HOUSING AND RECUPERATIVE CARE ARE CONNECTED TO LOCAL ROOM AND BOARD AND IT IS PAID BY THE HOSPITAL. 4. ADVOCATING FOR MORE AFFORDABLE HOUSING. PRIORITY 4: OBESITY PRIMARILY DEFINED AS THE HEALTH CONDITION IN WHICH INDIVIDUALS ARE SUFFICIENTLY OVERWEIGHT AS TO HAVE DETRIMENTAL EFFECTS ON THEIR OVERALL HEALTH. THIS DOES NOT INCLUDE ISSUES OF EXERCISE OR FOOD CHOICES, WHICH ARE LISTED AS SEPARATE ISSUES. OBESITY WAS FREQUENTLY DISCUSSED IN THE 2017 CHNA FOCUS GROUPS, PARTICULARLY IN CONJUNCTION WITH ROOT CAUSES SUCH AS NUTRITION AND LACK OF EXERCISE, WITH CHALLENGES WITH WALKABILITY. IN 2020 THIS NEED WAS ADDRESSED BY ONE (1) COMMUNITY BENEFIT PROGRAM: 1. DEPARTMENT OF PUBLIC HEALTH, COUNTY OF SAN BERNARDINO GRANT - TARGETING ADULTS BY PROVIDING NUTRITION CLASSES AND FREE OPPORTUNITIES TO DO PHYSICAL ACTIVITY. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/WA/ST-MARY-MEDICAL-CENTER
FORM 990, PART V, LINE 15INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATIONS SECTION 4960 TAX ANALYSIS AND REPORTING.
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. MARY MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7ACLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. MARY MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. MARY MEDICAL CENTER BOARD. ALL TRUSTEE NOMINATIONS THAT COME FROM THE ST. MARY MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETOWRK, 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 MEMBER, ST. JOSEPH HEALTH SYSTEM, RESERVES THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 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 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 19THE 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 11,394,173. MANAGEMENT AND GENERAL EXPENSES 151,572. FUNDRAISING EXPENSES 2,736. TOTAL EXPENSES 11,548,481. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 195,204. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195,204. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 7,637,906. MANAGEMENT AND GENERAL EXPENSES 410,282. FUNDRAISING EXPENSES 334,269. TOTAL EXPENSES 8,382,457. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 13,560,688. MANAGEMENT AND GENERAL EXPENSES -11,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,549,438. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 3,364,970. MANAGEMENT AND GENERAL EXPENSES 110. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,365,080. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 1,512,278. MANAGEMENT AND GENERAL EXPENSES 7,921. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,520,199.
FORM 990, PART XI, LINE 9:NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS -61,040,400. OTHER ADJUSTMENTS 474,154. SYSTEM COST ALLOCATION 78,756,525.

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)
413 LILLY ROAD NEOLYMPIAWA985065166911097056SUPPORTWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912171539SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943244854SUPPORTWA501(C)(3)7PHS WAYes (1)
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)
PROVIDENCE ST JOSEPH MEDICAL CENTER
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
9205 SW BARNES ROAD STE MT2111PORTLANDOR97225930575982HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
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)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREETEUREKACA95501942779313HEALTHCARECA501(C)(3)7RMHYes (1)
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)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680331084HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643359HEALTHCARECA501(C)(3)3CHNYes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643325HEALTHCARECA501(C)(3)3CHNYes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943176618SUPPORTWA501(C)(3)7PHS WAYes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREETMISSOULAMT59802237056976HEALTHCAREMT501(C)(3)7PHS WAYes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810233495EDUCATIONMT501(C)(3)10PHS WAYes (1)
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)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (45 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
20TH STREET SURGERY LLC
1301 20TH STREET STE 140SANTA MONICACA90404731735618AMBULATORY SURGERY CENTERCAN/A00
BRIDGEPORT MEDICAL IMAGING (BMI)
4400 NE HALSEY 495PORTLANDOR97213260796953IMAGING - DIAGNOSTICSORN/A00
BROADWAY IMAGING LLC
500 W BROADWAYMISSOULAMT59802522405971MEDICAL IMAGINGMTN/A00
CENTER FOR MATERNAL NEWBORN AND CHILD
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057813526875HEALTHCARECAN/A00
CENTER FOR MEDICAL IMAGING (CMI)
4400 NE HALSEY 495PORTLANDOR97213200477972IMAGING - DIAGNOSTICSORN/A00
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495PORTLANDOR97213260381897RADIATION ONCOLOGYORN/A00
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100NEWPORT BEACHCA92663810986844HEALTHCARECAN/A0Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
ONE CITY BLVD W STE 1100ORANGECA92868264591502HEALTHCARECAN/A0Yes (1)
COVENANT LONG-TERM CARE LP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057205033419HEALTHCARETXN/A00
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057470927394AMBULATORY SURGERY CENTERCAN/A0Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA STBURBANKCA91505954570858REAL ESTATE - MOBCAN/A00
HCSA PROPERTIES LLC
1600 M STREET NWAUBURNWA98001460620892REAL ESTATE RENTALWAN/A00
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000ORANGECA92868271000061INVESTMENTSCAN/A00
HOAG ORTHOPEDIC INSTITUTE
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658611588294HEALTHCARECAN/A0Yes (1)
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE AANCHORAGEAK99508203906048MEDICAL IMAGINGAKN/A0Yes (1)
INLAND IMAGING LLC
801 S STEVENS STSPOKANEWA99204911855796MEDICAL IMAGINGWAN/A0Yes (1)
LSC REAL PROPERTY LLC
2301 QUAKER AVENUELUBBOCKTX79410474646059REAL ESTATETXN/A00
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOCKTX79410752343261HEALTHCARETXN/A00
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823943675REAL ESTATE - MOBCAN/A0Yes (1)
NEWPORT IMAGING CENTER
360 SN MIGUELNEWPORT BEACHCA92660330191776HEALTHCARECAN/A0Yes (1)
NEWPORT SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350MISSION VIEJOCA92691392060266HEALTHCARECAN/A0Yes (1)
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAYMEDFORDOR97504450471748MEDICAL IMAGINGORN/A00
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RDTIGARDOR97224223883387AMBULATORY SURGERY CENTERORN/A00
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREETSEATTLEWA98104203132044MEDICAL IMAGINGWAN/A00
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057812701056INVESTMENTSWAN/A00
PROV RADIATION ONCOLOGY DEVELOP ASSN LLC
4400 NE HALSEY 495PORTLANDOR97213260682491REAL ESTATE - MOBORN/A00
PROVIDENCE CHILDREN'S NEONATAL SVCS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057470918549NEONATAL CAREWAN/A00
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057920118807MEDICAL IMAGINGAKN/A00
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823190634INVESTMENTSWAN/A00
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE STMISSOULAMT59802841401625AMBULATORY SURGERY CENTERMTN/A00
PROVIDENCE UCLA USP SURGERY CENTER JV
14201 DALLAS PARKWAYDALLASTX75254320503030AMBULATORY SURGERY CENTERCAN/A00
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425PORTLANDOR97213481287267REHAB SERVICESORN/A00
PROVIDENCEUSP SOUTH BAY SURGERY CENTERS
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001475064486AMBULATORY SURGERY CENTERCAN/A00
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160MISSION HILLSCA91345200684116AMBULATORY SURGERY CENTERCAN/A00
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FLSEATTLEWA98104300553035HEALTHCAREWAN/A0Yes (1)
REDMOND AMBULATORY SURGERY CENTER LLC
805 MADISON ST STE 901SEATTLEWA98104813558711AMBULATORY SURGERY CENTERWAN/A0Yes (1)
SANTA ANA MOB LLC
1800 QUAIL STREET STE 100NEWPORT BEACHCA92660753205306REAL ESTATE - MOBCAN/A0Yes (1)
SJO ASC HOLDINGS LLC
1140 W LA VETA AVEORANGECA92868821655501HEALTHCARECAN/A00
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVEORANGECA92868454521884REAL ESTATECAN/A0Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
300 SANTANA ROW SUITE 300SAN JOSECA95128814657391HEALTHCARECAN/A00
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823352570AMBULATORY SURGERY CENTERCAN/A0Yes (1)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300LEAWOODKS66211208187971AMBULATORY SURGERY CENTERKSN/A00
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK STTARZANACA91356821308306HEALTHCARECAN/A00
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVDSPOKANEWA99204841606484HOTEL SERVICESWAN/A0Yes (1)
YELM MEDICAL OFFICE BUILDING
2840 CRITES ST SW STE 104TUMATERWA98512263685020REAL ESTATE - MOBWAN/A0Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAYSEATTLEWA98122201954319OWNERS' ASSOCIATIONWAN/AC0
ACCLARA SOLUTIONS INTERMEDIATE LLC
10713 W SAM HOUSTON PKWY N 500HOUSTONTX77064371783298HEALTHCARE FINANCIAL SERVICESTXN/AC0
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCEN/AC090 PITTS BAY ROAD HM08 PEMBROKEBDBD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057833037172HEALTHCAREDEN/AC0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204911354431CLINICAL/MEDICAL LABWAN/AC0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810486082MEDICAL PHYSICIAN SERVICEMTN/AC0
COMMUNITY TECHNOLOGIES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844722399IT SVCSDEN/AC0
DATU HEALTH INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057463070062IT SVCSDEN/AC0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280SANTA MONICACA90404952880495HEALTHCARECAN/AS0
ENGAGE IT SERVICES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844058573IT SVCSDEN/AC0
HMR WEIGHT MANAGEMENT SERVICES CORP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057463598718HEALTHCAREWAN/AC0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330731587HEALTHCARECAN/AC0
HOAG PHYSICIAN PARTNERS
16148 SAND CANYON AVEIRVINECA92618834276044HEALTHCARECAN/AC0
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752578995INACTIVETXN/AC0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752118585HEALTHCARETXN/AC0
LUMEDIC INC (FKA LUMEDIC ACQ CO INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057833881097HEALTHCAREWAN/AC0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330406218HEALTHCAREWAN/AC0
MEDIREVV INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057208783763HEALTHCAREDEN/AC0
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARECAN/AC0
PERFORMANCE HEALTH TECHNOLOGY LTD
3993 FAIRVIEW INDUSTRIAL DR SESALEMOR97302931211733HEALTHCAREORN/AC0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461814184STRATEGIC PLANNING SERVICESCAN/AC0
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057364818191HEALTHCARE INNOVATIONSWAN/AC0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057208194071CAPTIVE INSURANCEAZN/AC0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057981516461IT SVCSN/AC0IN
PROVIDENCE HCC HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HOLDING COMPANYCAN/AC0
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204900155714CLINICAL/MEDICAL LABWAN/AC0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057800886966PREPAID HEALTHCARECAN/AC0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330122216INVESTMENTCAN/AC0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9SPOKANEWA99204911216033HEALTHCAREWAN/AC0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL STTORRANCECA90503823771547HEALTHCARECAN/AC0
QUIVIQ INC
1400-112TH AVENUE ST SUITE 100BELLEVUEWA98004833879444HEALTHCARE ANALYTICSWAN/AC0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057462340232HOLDING COMPANYCAN/AC0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461900168HEALTHCARECAN/AC0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330155323HEALTHCARECAN/AC0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057842092143HOLDING COMPANYDEN/AC0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844686520HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844704409HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057900872936HEALTHCAREWIN/AC0
VINSERRA INC
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 FOUNDATION
B$1,708,900FMV
ST JOSEPH HEALTH SYSTEM FOUNDATION
C$1,105,000FMV
ST JOSEPH HEALTH SYSTEM
P$39,541,100FMV
ST JOSEPH HEALTH SYSTEM
Q$4,130,716FMV
ST JOSEPH HEALTH SYSTEM
R$1,930,678FMV