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PORT CITY OPERATING COMPANY LLC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
PORT CITY OPERATING COMPANY LLC (EIN 46-5322209)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-04
IRS object ID
202001869349301000
Schema version
2018v3.3
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)
Return2020-07-04T08:29:47-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line155 SECOND STREET SUITE 1400AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN465322209EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Port City Operating Company LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% LARA CARTOSCELLI - FINANCEInCareOfNm
Business Name ControlPORTBusinessNameControlTxt
Phone2099432000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13400 Data DriveAddressLine1Txt
CityRancho CordovaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95670ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNIKKI OCHOAPersonNm
Person TitleCFOPersonTitleTxt
Phone2094676442PhoneNum
Signature2020-06-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLISA L MEYER MANAGERPreparerPersonNm
PTINP01490170PTIN
Phone4159635100PhoneNum
Preparation2020-07-03PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address162.135.0.63IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id94661320201865000013FederalOriginalSubmissionId
Federal Original Submission Id2020-07-04FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6C6F510C6DBB30CB6B3A10A52E01BBA2D1FA3EEFAtSubmissionCreationDeviceId
At Submission Filing Device Id58D2EFD71874899272368D0A62EB83F204FE69E4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-06 18:47:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONALD WILEY PRESIDENTCEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13400 Data DriveAddressLine1Txt
CityRancho CordovaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95670ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$687,464,501GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DIGNITYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPORT CITY LLC IS COMMITTED TO FURTHERING THE HEALING MINISTRY OF JESUS THROUGH THE DELIVERY OF AFFORDABLE HEALTH CARE, ADVOCACY FOR THE POOR AND COMMUNITY PARTNERSHIPS.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers248TotalVolunteersCnt
Total Gross UBI$247,136TotalGrossUBIAmt
PY Contributions Grants$2,202,809PYContributionsGrantsAmt
CY Contributions Grants$1,963,029CYContributionsGrantsAmt
PY Program Service Revenue$608,441,349PYProgramServiceRevenueAmt
CY Program Service Revenue$647,779,550CYProgramServiceRevenueAmt
PY Investment Income$2,868,512PYInvestmentIncomeAmt
CY Investment Income$4,762,408CYInvestmentIncomeAmt
PY Other Revenue$2,720,757PYOtherRevenueAmt
CY Other Revenue$2,580,065CYOtherRevenueAmt
PY Total Revenue$616,233,427PYTotalRevenueAmt
CY Total Revenue$657,085,052CYTotalRevenueAmt
PY Grants And Similar Paid$12,721,068PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$11,665,745CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$561,057,916PYOtherExpensesAmt
CY Other Expenses$591,542,367CYOtherExpensesAmt
PY Total Expenses$573,778,984PYTotalExpensesAmt
CY Total Expenses$603,208,112CYTotalExpensesAmt
PY Revenues Less Expenses$42,454,443PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$53,876,940CYRevenuesLessExpensesAmt
Total Assets BOY$458,215,003TotalAssetsBOYAmt
Total Assets EOY$592,142,580TotalAssetsEOYAmt
Total Liabilities BOY$169,655,835TotalLiabilitiesBOYAmt
Total Liabilities EOY$172,415,126TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$288,559,168NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$419,727,454NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPORT CITY LLC IS COMMITTED TO FURTHERING THE CHARITABLE AND COMMUNITY-BASED HEALTH CARE PURPOSES, MISSION, VISION AND CORE VALUES OF DIGNITY HEALTH AND KAISER FOUNDATION HOSPITALS BY PROMOTING HEALTH AND PROVIDING AND EXPANDING ACCESS TO HEALTH CARE SERVICES FOR A BROAD CROSS-SECTION OF THE INDIVIDUALS WHO RESIDE IN STOCKTON, CALIFORNIA AND THE SURROUNDING COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$497,276,828ExpenseAmt
Grant$11,665,745GrantAmt
Revenue$613,364,156RevenueAmt
DescEFFECTIVE JUNE 1, 2016, DIGNITY HEALTH ASSIGNED, TRANSFERRED AND OTHERWISE CONVEYED ALL RIGHTS, TITLE AND INTEREST IN AND TO ALL ASSETS AND PROPERTIES, AND RELATED LIABILITIES, OF ST. JOSEPH'S MEDICAL CENTER (SJMC) TO PORT CITY OPERATING COMPANY, LLC (PORT CITY). IN RETURN, DIGNITY HEALTH RETAINED 80% OWNERSHIP OF PORT CITY AND MANAGEMENT RIGHTS TO SJMC. KAISER FOUNDATION HOSPITALS BOUGHT IN, FOR VALUED RECEIVED, THE REMAINING 20% OWNERSHIP OF PORT CITY. ST. JOSEPH'S MEDICAL CENTER, PRIOR TO JUNE 1, 2016, WAS A WHOLLY OWNED AFFILIATE OF DIGNITY HEALTH; SJMC IS NOW WHOLLY OWNED BY PORT CITY, A 501(C)(3) TAX EXEMPT ORGANIZATION, WHICH IS AN 80% AFFILIATE OF DIGNITY HEALTH. SJMC CONTINUES TO OPERATE UNDER THE SAME (ASSIGNED) MEDICARE AND MEDI-CAL PROVIDER NUMBERS, AND IS LICENSED AT THE SAME LEVEL WITH THE STATE OF CALIFORNIA, SERVING THE COUNTY OF SAN JOAQUIN AND OUTLYING AREAS. SJMC IS A 355-BED LICENSED ACUTE CARE FACILITY, PROVIDING GENERAL MEDICAL/ SURGICAL CARE, OBSTETRICS, NEONATAL ICU, EMERGENCY SERVICES, CANCER SERVICES, WITH SPECIALITIES IN CARDIAC SURGERY AND CARDIOVASCULAR CARE, RESPIRATORY, AND ORTHOPEDICS. THERE ARE NUMEROUS ANCILLARY AND OUTPATIENT SUPPORT SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$24,189,374ExpenseAmt
Revenue$23,442,154RevenueAmt
DescEFFECTIVE JUNE 1, 2016, DIGNITY HEALTH ASSIGNED, TRANSFERRED AND OTHERWISE CONVEYED ALL RIGHTS, TITLE AND INTEREST IN AND TO ALL ASSETS AND PROPERTIES, AND RELATED LIABILITIES OF ST. JOSEPH'S BEHAVIORAL HEALTH CENTER (BHC) TO PORT CITY OPERATING COMPANY, LLC (PORT CITY). IN RETURN, DIGNITY HEALTH RETAINED 80% OWNERSHIP OF PORT CITY AND MANAGEMENT RIGHTS TO BHC. KAISER FOUNDATION HOSPITALS BOUGHT IN, FOR VALUE RECEIVED, THE REMAINING 20% OWNERSHIP OF PORT CITY. ST. JOSEPH'S BEHAVIORAL HEALTH CENTER, PRIOR TO JUNE 1, 2016, WAS A WHOLLY OWNED AFFILIATE OF DIGNITY HEALTH. BHC IS NOW WHOLLY OWNED BY PORT CITY, A 501(C)(3) TAX EXEMPT ORGANIZATION, WHICH IS AN 80% AFFILIATE OF DIGNITY HEALTH. BHC CONTINUES TO OPERATE UNDER THE SAME (ASSIGNED) MEDICARE AND MEDI-CAL PROVIDER NUMBERS, AND IS LICENSED AT THE SAME LEVEL WITH THE STATE OF CALIFORNIA, SERVING THE COUNTY OF SAN JOAQUIN AND OUTLYING AREAS. BHC IS A 35 BED ACUTE PSYCHIATRIC AND CHEMICAL DEPENDENCY HOSPITAL, PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$7,239,136ExpenseAmt
Revenue$10,973,240RevenueAmt
DescEFFECTIVE JUNE 1, 2016, DIGNITY HEALTH ASSIGNED, TRANSFERRED AND OTHERWISE CONVEYED ALL RIGHTS, TITLE AND INTEREST IN AND TO ALL ASSETS AND PROPERTIES, AND RELATED LIABILITIES OF ST. JOSEPH'S MEDICAL CENTER HOME HEALTH (SJHHA) TO PORT CITY OPERATING COMPANY, LLC (PORT CITY). IN RETURN, DIGNITY HEALTH RETAINED 80% OWNERSHIP OF PORT CITY AND MANAGEMENT RIGHTS TO SJHHA. KAISER FOUNDATION HOSPITALS BOUGHT IN, FOR VALUE RECEIVED, THE REMAINING 20% OWNERSHIP OF PORT CITY. SJHHA, PRIOR TO JUNE 1, 2016 WAS A HOSPITAL BASED HOME HEALTH AGENCY (ATTACHED TO SJMC), SEPARATELY LICENSED, AND THEREFORE A WHOLLY OWNED AFFILIATE OF DIGNITY HEALTH. SJHHA CONTINUES TO BE ATTACHED TO ST. JOSEPH'S MEDICAL CENTER, WHICH IS WHOLLY OWNED BY PORT CITY, THEREBY MAKING SJHHA WHOLLY OWNED BY PORT CITY. PORT CITY IS A 501(C)(3) TAX EXEMPT ORGANIZATION, WHICH IS AN 80% AFFILIATE OF DIGNITY HEALTH. SJHHA CONTINUES TO OPERATE UNDER THE SAME (ASSIGNED) MEDICARE AND MEDI-CAL PROVIDER NUMBERS, AND IS LICENSED AS A HOSPITAL BASED HOME HEALTH AGENCY WITH THE STATE OF CALIFORNIA. SJHHA PROVIDES SKILLED NURSING CARE SERVICES, SOCIAL SERVICES, OCCUPATIONAL, PHYSICAL, AND SPEECH THERAPIES, AS WELL AS HOME HEALTH AIDES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$528,705,338TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document231IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLARA CARTOSCELLI - FINANCEPersonNm
Phone9166313337PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110901 GOLD CENTER DRIVE STE 300AddressLine1Txt
CityRancho CordovaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95670ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Richard Carvolth MD
Board Member2.040.0Yes (X)$0$731,088$88,201
Elise Dempsey
Board Member (THRU 4/2019)2.040.0Yes (X)$0$386,948$84,995
Tom Hanenburg
Board Member2.00.0Yes (X)$0$0$0
Jon VanBoening
Board Member2.050.0Yes (X)$0$1,436,503$190,485
Kevin Walters
Board Member2.040.0Yes (X)$0$592,495$93,777
Debra Cunningham
Chair2.00.0Yes (X)$0$0$0Yes (X)
Corwin Harper
Secretary2.00.0Yes (X)$0$0$0Yes (X)
John Petersdorf
Vice Chair2.040.0Yes (X)$0$920,742$139,685Yes (X)
Karl Silberstein
Chair (THRU 12/2018)2.050.0Yes (X)$0$2,527,260$167,690Yes (X)
Andrea Nikki Ochoa
Chief Financial Officer40.00.0$0$255,468$41,395Yes (X)
Donald Wiley
President and CEO50.00.0$0$1,099,456$122,942Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,949,960TotReportableCompRltdOrgAmt
Total Other Compensation$929,170TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ANESTHESIA SERVICES OF SAN JOAQUIN
10 C0MMERCE DRNEW ROCHELLENY10801Medical Services$6,833,681
INPATIENT SPECIALISTS OF CALIFORNIA
PO BOX 742936LOS ANGELESCA900742936Medical Services$5,986,896
MEDICAL SOLUTIONS LLC
1010 N 102ND STOMAHANE68114staffing services$4,482,611
COLIN CONSTRUCTION CO
210 LINCOLN WAYAUBURNCA95603Contractors$1,694,766
HILL PHYSICIAN MEDICAL GROUP
2409 CAMINO RAMONSAN RAMONCA945830980Medical Services$1,560,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K76CntrctRcvdGreaterThan100KCnt
Related Organizations$1,856,739RelatedOrganizationsAmt
All Other Contributions$106,290AllOtherContributionsAmt
Noncash Contributions$7,050NoncashContributionsAmt
Total Contributions$1,963,029TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
MEDICARE/MEDICAID PAYMENTS900099$212,348,502$212,348,502$0$0
PATIENT NET OF CHARITY & BAD DEBT/PRICE CONCESSI900099$433,828,140$433,828,140$0$0
MEDICAL OFFICE BUILDING621300$614,797$614,797$0$0
PROGRAM RELATED RENTAL INCOME(NOT MOB)900099$560,666$560,666$0$0
MANAGEMENT SERVICES541610$249,743$249,743$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$177,702TotalRevenueColumnAmt
Related Or Exempt Func Income-$69,434RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$247,136UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$647,779,550TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,674,247TotalRevenueColumnAmt
Exclusion$2,674,247ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$139,201RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$139,201RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$139,201TotalRevenueColumnAmt
Exclusion$139,201ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$32,450,703SecuritiesAmt
Other$16,907OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$30,379,449SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,071,254SecuritiesAmt
Other$16,907OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,088,161TotalRevenueColumnAmt
Exclusion$2,088,161ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA722514$1,412,472$0$0$1,412,472
LIFELINE900099$246,838$0$246,838
RECEIPTS WRITE OFF900099$57,606$0$0$57,606

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$723,948TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$723,948ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,440,864OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$657,085,052TotalRevenueColumnAmt
Related Or Exempt Func Income$647,532,414RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$247,136UnrelatedBusinessRevenueAmt
Exclusion$7,342,473ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$11,577,653TotalAmt
Program Services$11,577,653ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$88,092TotalAmt
Program Services$88,092ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$709,085TotalAmt
Management And General$709,085ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$114,012TotalAmt
Management And General$114,012ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$47,449TotalAmt
Management And General$47,449ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$246,386TotalAmt
Management And General$246,386ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$421,624,655TotalAmt
Program Services$371,827,028ProgramServicesAmt
Management And General$49,797,627ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,308,540TotalAmt
Program Services$32,920ProgramServicesAmt
Management And General$1,275,620ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,340,464TotalAmt
Program Services$8,572,345ProgramServicesAmt
Management And General$1,768,119ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$19,018,550TotalAmt
Program Services$426,047ProgramServicesAmt
Management And General$18,592,503ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,475,192TotalAmt
Program Services$5,371,896ProgramServicesAmt
Management And General$103,296ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$626,416TotalAmt
Program Services$411,716ProgramServicesAmt
Management And General$214,700ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$216,135TotalAmt
Program Services$120,276ProgramServicesAmt
Management And General$95,859ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,989,863TotalAmt
Program Services$3,989,863ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,503,728TotalAmt
Program Services$24,503,728ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,785,296TotalAmt
Program Services$2,785,296ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$68,505,692$68,498,184$7,508
MEDI-CAL PROVIDER FEE$28,270,056$28,270,056
DUES AND SUBSCRIPTIONS$980,210$344,939$635,271
LICENSES AND TAXES$442,342$73,451$368,891

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,338,296TotalAmt
Program Services$1,811,848ProgramServicesAmt
Management And General$526,448ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$603,208,112TotalAmt
Program Services$528,705,338ProgramServicesAmt
Management And General$74,502,774ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,570BOYAmt
EOY$13,775EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$56,758,423BOYAmt
EOY$33,320,531EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$92,846BOYAmt
EOY$101,843EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$88,033,907BOYAmt
EOY$88,254,354EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,677,948BOYAmt
EOY$1,775,122EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,255,601BOYAmt
EOY$5,741,494EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$97,553,058BOYAmt
EOY$80,717,708EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$264,324,992LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,596,990LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$183,490,257BOYAmt
EOY$257,728,002EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,418,835BOYAmt
EOY$94,328,854EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,833,819BOYAmt
EOY$2,500,617EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$365,677BOYAmt
EOY$10,310,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,721,062BOYAmt
EOY$17,350,280EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$458,215,003BOYAmt
EOY$592,142,580EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$68,321,073BOYAmt
EOY$74,929,302EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,532,179BOYAmt
EOY$2,585,660EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,315,002BOYAmt
EOY$4,236,510EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,487,581BOYAmt
EOY$90,663,654EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$169,655,835BOYAmt
EOY$172,415,126EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$288,559,168BOYAmt
EOY$419,727,454EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$288,559,168BOYAmt
EOY$419,727,454EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$458,215,003BOYAmt
EOY$592,142,580EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$53,876,940ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$532,737NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$77,824,083OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

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)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$47,449OtherActivitiesAmt
Total Lobbying Expenditures$47,449TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationLOBBYING EXPENDITURES PAID DIRECTLY BY THE FILING ORGANIZATION FOR ANNUAL MEMBERSHIP DUES: AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES $ 3 AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS $ 64 CALIFORNA SOCIETY OF HEALTH SYSTEMS PHARMACISTS $ 41 GREATER STOCKTON CHAMBER OF COMMERCE $ 10 CALCPA $ 20 INTERNATIONAL FACILITY MANAGEMENT ASSOCIATION $ 22 AMERICAN ACADEMY OF EMERGENCY MEDICINE $ 26 LOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: 340 B HEALTH $ 230 CATHOLIC HEALTH ASSOCIATION $ 3,326 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA $ 28,235 AMERICAN HOSPITAL ASSOCIATION $ 7,668 ALLIANCE OF CATHOLIC HEALTH $ 7,492 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES $ 90 ELEVATING HOME $ 132 NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE $ 90 -------- TOTAL EXPENDITURES PAID TO ORGANIZATIONS $ 47,449 ========ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$13,660,000OtherCostOrOtherBasisAmt
Book Value$13,660,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$189,827,027OtherCostOrOtherBasisAmt
Depreciation$2,890,561DepreciationAmt
Book Value$186,936,466BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$267,900OtherCostOrOtherBasisAmt
Depreciation$14,985DepreciationAmt
Book Value$252,915BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,641,716OtherCostOrOtherBasisAmt
Depreciation$3,657,592DepreciationAmt
Book Value$41,984,124BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$14,928,349OtherCostOrOtherBasisAmt
Depreciation$33,852DepreciationAmt
Book Value$14,894,497BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$257,728,002TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$74,453,995
PENSION PAYABLE$10,437,358
ASSET RETIREMENT OBLIGATION LI$5,741,601
OTHER LONG-TERM LIABILITIES$30,700
FieldValueIRS element (for citing)
Total Liability$90,663,654TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART VI LAND, BUILDING, AND EQUIPMENTDUE TO THE ACQUISITION ACCOUNTING TREATMENT APPLIED TO THE AFFILIATION BETWEEN DIGNITY HEALTH AND CHI, THE ASSETS AND LIABILITIES OF DIGNITY HEALTH AND ITS RELATED ORGANIZATIONS WERE MEASURED AND RECORDED AT FAIR VALUE UPON THE EFFECTIVE DATE OF FEBRUARY 1, 2019.
SCHEDULE D, PART X, LINE 2 - FN48(ASC 740) FOOTNOTEST. JOSEPH'S MEDICAL CENTER OF STOCKTON AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER REVIEW ITS TAX QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served3274PersonsServedCnt
Total Community Benefit Expns$3,502,405TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$151,764DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,350,641NetCommunityBenefitExpnsAmt
Total Expense0.00560TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served64478PersonsServedCnt
Total Community Benefit Expns$197,949,212TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$184,186,059DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,763,153NetCommunityBenefitExpnsAmt
Total Expense0.02280TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served67752PersonsServedCnt
Total Community Benefit Expns$201,451,617TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$184,337,823DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,113,794NetCommunityBenefitExpnsAmt
Total Expense0.02840TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs40ActivitiesOrProgramsCnt
Persons Served7238PersonsServedCnt
Total Community Benefit Expns$3,210,258TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$148,792DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,061,466NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served1175PersonsServedCnt
Total Community Benefit Expns$9,192,475TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$572,329DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,620,146NetCommunityBenefitExpnsAmt
Total Expense0.01430TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served254PersonsServedCnt
Total Community Benefit Expns$27,288TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,847DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,441NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served388PersonsServedCnt
Total Community Benefit Expns$545,472TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$100,123DirectOffsettingRevenueAmt
Net Community Benefit Expns$445,349NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served3706PersonsServedCnt
Total Community Benefit Expns$2,126,938TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,126,938NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs64ActivitiesOrProgramsCnt
Persons Served12761PersonsServedCnt
Total Community Benefit Expns$15,102,431TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$825,091DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,277,340NetCommunityBenefitExpnsAmt
Total Expense0.02360TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs64ActivitiesOrProgramsCnt
Persons Served80513PersonsServedCnt
Total Community Benefit Expns$216,554,048TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$185,162,914DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,391,134NetCommunityBenefitExpnsAmt
Total Expense0.05200TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$5,020,607BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$146,323,246ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$152,237,356CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,914,110MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH'S SURGERYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesSURGERY CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.7996OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.0OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.1504PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
St Josephs Medical Center of Stockt
11800 N California StStocktonCA95204www.dignityhealth.org/stjosephs-stockton030000284Yes (X)Yes (X)Yes (X)Yes (X)
St Josephs Behavioral Health Center
22510 N California StStocktonCA95204www.dignityhealth.org/stjosephsbehaviora030000367Yes (X)BEHAVIORAL HEALTH

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
St Josephs Medical Center of Stockt
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (true)18Yes (true)SEE SECTION CfalseYes (true)Yes (X)250.500.Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
St Josephs Behavioral Health Center
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Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE H, PART V, SECTION B, LINE 5 - CHNA INPUT FROM PERSONS WHOFormAndLineReferenceDesc
ExplanationREPRESENT THE COMMUNITY ST. JOSEPH'S MEDICAL CENTER OF STOCKTON ST. JOSEPH'S BEHAVIORAL HEALTH CENTER FOR THE 2019 CHNA, COMMUNITY INPUT WAS OBTAINED FROM A BROAD RANGE OF COMMUNITY MEMBERS USING KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND SURVEYS. INDIVIDUALS WITH KNOWLEDGE, INFORMATION AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM LOCAL GOVERNMENTAL AND PUBLIC HEALTH AGENCIES AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THE HOSPITAL CONDUCTED KEY INFORMANT INTERVIEWS WITH ELEVEN INDIVIDUALS REPRESENTING DIVERSE SECTORS INCLUDING: PUBLIC HEALTH, HEALTH CARE, COMMUNITY-BASED ORGANIZATIONS, SOCIAL SERVICES, EDUCATION AND GOVERNMENT. ORGANIZATIONS REPRESENTED IN INTERVIEWS INCLUDED: SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, COMMUNITY MEDICAL CENTERS, SAN JOAQUIN GENERAL HOSPITAL, SAN JOAQUIN COUNTY OFFICE OF EDUCATION, SAN JOAQUIN COUNTY HUMAN SERVICES AGENCY, SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES, FAMILY RESOURCE AND REFERRAL CENTER, FIRST 5 SAN JOAQUIN COUNTY, ST MARY'S DINING ROOM, SAN JOAQUIN PRIDE CENTER, AND ASIAN PACIFIC SELF DEVELOPMENT AND RESIDENTIAL ASSOCIATION. THIRTY-ONE COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED IN GEOGRAPHIC AREAS WITHIN SAN JOAQUIN COUNTY, INCLUDING STOCKTON, LODI, TRACY AND MANTECA. NINETEEN GROUPS WERE CONDUCTED IN ENGLISH, TEN WERE CONDUCTED IN SPANISH, ONE WAS CONDUCTED IN TAGALOG AND ONE WAS CONDUCTED IN CAMBODIAN. PARTICIPANTS WERE TEENS, ADULTS, AND OLDER ADULTS, WHO REPRESENTED UNDERSERVED, LOW-INCOME, AND VARIED ETHNIC COMMUNITIES. SCHEDULE H, PART V, SECTION B, LINE 6A ST. JOSEPH'S MEDICAL CENTER, ST. JOSEPH'S BEHAVIORAL HEALTH CENTER MEMBERS OF THE HEALTHIER SAN JOAQUIN COLLABORATIVE, INCLUDING: ADVENTIST HEALTH LODI MEMORIAL, DAMERON HOSPITAL, KAISER PERMANENTE HOSPITAL IN MANTECA, SUTTER TRACY COMMUNITY HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 6B MEMBERS OF THE HEALTHIER SAN JOAQUIN COLLABORATIVE, INCLUDING: COMMUNITY MEDICAL CENTERS, FIRST 5 SAN JOAQUIN, HEALTH NET, HEALTH PLAN OF SAN JOAQUIN, SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES. SCHEDULE H, PART V, SECTION B, LINE 7A ALL DIGNITY HEALTH HOSPITAL FACILITY COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS CAN BE ACCESSED AT https://www.dignityhealth.org/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-P ROGRAMS-AND-REPORTS/COMMUNITY-HEALTHNEEDS-ASSESSMENTS. CHNA REPORT WEB SITE LOCATIONS FOR EACH HOSPITAL FACILITY ARE PROVIDED BELOW. ST. JOSEPH'S MEDICAL CENTER OF STOCKTON HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHS-STOCK TON/ABOUT-US/COMMUNITY-PROGRAMS/COMMUNITY-HEALTH-NEEDS-ASSESMENT ST. JOSEPH'S BEHAVIORAL HEALTH CENTER HTTPS://WWW.DIGNITYHEALTH.ORG/CENTRAL-CALIFORNIA/LOCATIONS/STJOSEPHSBEHAVI ORAL/ABOUT-US/COMMUNITY-HEALTH SCHEDULE H, PART V, SECTION B, LINE 7B WWW.HEALTHIERSANJOAQUIN.ORG SCHEDULE H, PART V, SECTION B, LINE 10A THE ORGANIZATION'S IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/COMMUNITY-HEALTH-P ROGRAMS-AND-REPORTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS. IMPLEMENTATION STRATEGY DOCUMENTS ARE ALSO ON EACH HOSPITAL FACILITY'S WEB SITE, AT THE SAME LOCATIONS AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7A ABOVE. SCHEDULE H, PART V, SECTION B, LINE 11 ST. JOSEPH'S MEDICAL CENTER OF STOCKTON THE SIGNIFICANT COMMUNITY HEALTH NEEDS THE HOSPITAL IS HELPING TO ADDRESS WERE IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. NEEDS BEING ADDRESSED BY STRATEGIES AND PROGRAMS ARE: MENTAL HEALTH, ECONOMIC SECURITY, OBESITY/HEALTHY EATING ACTIVE LIVING/DIABETES, AND VIOLENCE/INJURY PREVENTION, ACCESS TO CARE, SUBSTANCE ABUSE/TOBACCO, ORAL HEALTH. MENTAL HEALTH: FRIENDS OF SENIORS & FRIENDS OF SENIORS LINKS PROJECT, COMMUNITY HEALTH SOCIAL WORKER, FAITH COMMUNITY HEALTH PARTNERSHIP, COMMUNITY GRANTS AWARDED FOR MENTAL HEALTH PROJECTS. ECONOMIC SECURITY: CONNECTED COMMUNITY NETWORK, SAN JOAQUIN COUNTY CONTINUUM OF CARE, SAN JOAQUIN COUNTY WHOLE PERSON CARE, GOSPEL CENTER RESCUE MISSION RECUPERATIVE CARE, COMMUNITY GRANTS. OBESITY/HEALTHY EATING ACTIVE LIVING/DIABETES: DIABETES EDUCATION AND EMPOWERMENT PROGRAM, DIABETES NAVIGATOR, CERTIFIED DIABETES EDUCATOR CONSULTATIONS, SWEET JOURNEY 101, SUGAR FIX SUPPORT GROUP, MATTER OF BALANCE, SAN JOAQUIN COMMUNITY HEALTH IMPROVEMENT PLAN. VIOLENCE/INJURY PREVENTION: HUMAN TRAFFICKING EDUCATION AND OUTREACH, COMMUNITY HEALTH SOCIAL WORKER, SAN JOAQUIN COMMUNITY HEALTH IMPROVEMENT PLAN. ACCESS TO CARE: SAN JOAQUIN COUNTY WHOLE PERSON CARE, GRADUATE MEDICAL EDUCATION TO TRAIN NEW PHYSICIANS, FINANCIAL SUPPORT OF ST. MARY'S DINING ROOM'S HEALTH AND DENTAL CLINICS, PATIENT FINANCIAL ASSISTANCE PROGRAM, COMMUNITY GRANTS. SUBSTANCE ABUSE/TOBACCO: CALIFORNIA BRIDGE PROGRAM OPIOID GRANT. ORAL HEALTH: FINANCIAL SUPPORT FOR ST. MARY'S DINING ROOM DENTAL CLINIC. THE HOSPITAL WILL NOT ADDRESS THE NEED OF ASTHMA, SO THAT RESOURCES CAN BE DIRECTED TOWARDS HIGHER PRIORITY NEEDS. IN ADDITION, THE UNIVERSITY OF THE PACIFIC'S SCHOOL OF PHARMACY OFFERS PERSONALIZED EDUCATION FOR BOTH PEDIATRIC AND ADULT PATIENTS VIA THEIR ASTHMA CLINIC WHICH IS OPEN TO ALL MEMBERS OF THE SAN JOAQUIN COMMUNITY. THE HOSPITAL WILL NOT ADDRESS "CLIMATE AND HEALTH" BECAUSE THE TOPIC IS NOT THE HOSPITAL'S AREA OF EXPERTISE. ST. JOSEPH'S BEHAVIORAL HEALTH CENTER THE MENTAL HEALTH SIGNIFICANT COMMUNITY HEALTH NEED THE HOSPITAL IS HELPING TO ADDRESS WAS IDENTIFIED IN THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL INTENDS TO TAKE SEVERAL ACTIONS AND TO DEDICATE RESOURCES TO THESE NEEDS, INCLUDING: BEHAVIORAL EVALUATION SERVICES WHICH PROVIDE FREE EVALUATION TO INDIVIDUALS WITH BEHAVIORAL HEALTH CONCERNS; COMMUNITY SUPPORT GROUPS AND AFTERCARE SERVICES, WHICH PROVIDE FREE SUPPORT PROGRAM TO INDIVIDUALS LIVING WITH LIFE-AFFECTING SUBSTANCE OR CONTINUING BEHAVIOR HEALTH ISSUES; FREE TRANSPORTATION FOR QUALIFIED CLIENTS THAT OTHERWISE WOULD NOT BE ABLE TO ATTEND OUR OUTPATIENT SERVICES GROUPS. OTHER SIGNIFICANT NEEDS IDENTIFIED IN THE HOSPITAL'S COLLABORATIVE CHNA INCLUDE: ECONOMIC SECURITY, OBESITY/HEALTHY EATING ACTIVE LIVING/DIABETES, AND VIOLENCE/INJURY PREVENTION, ACCESS TO CARE, SUBSTANCE ABUSE/TOBACCO, ORAL HEALTH, ASTHMA, AND CLIMATE AND HEALTH. AS A HOSPITAL EXCLUSIVELY DELIVERING BEHAVIORAL HEALTH SERVICES, NEEDS IDENTIFIED IN THE BROADER CHNA BEYOND MENTAL HEALTH ARE NOT ONES THAT THE HOSPITAL IS ABLE TO ADDRESS. OTHER HOSPITALS AND COMMUNITY SERVICE ORGANIZATIONS IN THE REGION ARE ADDRESSING THESE NEEDS. SCHEDULE H, PART V, SECTION B, LINE 16A, 16B AND 16C ST JOSEPH'S MEDICAL CENTER OF STOCKTON HTTP://WWW.DIGNITYHEALTH.ORG/STJOSEPHS-STOCKTON/PATIENTS-AND-VISITORS/PATI ENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE ST JOSEPH'S BEHAVIORAL HEALTH CENTER https://www.dignityhealth.org/central-california/locations/stjosephsbehavi oral/patients-and-visitors/patients/billing-information/financial-ASSISTAN CE SCHEDULE H, PART V, SECTION B, LINE 16J ADDITIONAL MEASURES TAKEN TO PUBLICIZE THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, AND SHARING THE POLICY WITH MEMBERS OF THE HEALTHIER COMMUNITY COALITION THAT INCLUDES ALL AREA HOSPITALS AND CATHOLIC CHARITIES, COMMUNITY MEDICAL CENTERS, COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN, EL CONCILIO, FATHERS AND FAMILIES OF SAN JOAQUIN, GOSPEL CENTER RESCUE MISSION, HEALTH NET, HEALTH PLAN OF SAN JOAQUIN, SAN JOAQUIN COUNTY HEALTH CARE SERVICES, STOCKTON UNIFIED SCHOOL DISTRICT, UNIVERSITY OF THE PACIFIC, YMCA.ExplanationTxt
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Business Name Line1St Joseph's Surgery Center LPBusinessNameLine1Txt

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Address Line11800 N California Street Ste 1AddressLine1Txt
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Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7PORT CITY OPERATING COMPANY, LLC, DBA ST. JOSEPH'S MEDICAL CENTER OF STOCKTON (SJMC) AND ST. JOSEPH'S BEHAVORIAL HEALTH CENTER (BHC) FOLLOWS THE METHOD USED BY DIGNITY HEALTH. FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, SJMC AND BHC USES A COST ACCOUNTING SYSTEM THAT COMBINES RELATIVE VALUE UNITS (RVU) AND COST TO CHARGE RATIOS (CCR) TO ALLOCATE COSTS TO THE PATIENT LEVEL. THE COST ACCOUNTING SYSTEM ALGORITHM ALLOCATES TOTAL OPERATING EXPENSES TO THE PROCEDURE CHARGE CODE LEVEL BASED UPON AN RVU FOR PROCEDURES THAT HAVE BEEN STUDIED AND ASSIGNED AN RVU, OR BASED UPON A CCR FOR UNSTUDIED PROCEDURES THAT DO NOT HAVE AN RVU ASSIGNED. WHEN A CCR IS USED, THE SYSTEM CALCULATES THAT CCR ON A DEPARTMENTAL SPECIFIC BASIS AT EACH INDIVIDUAL FACILITY WHERE THE SERVICES WERE PROVIDED. THE CALCULATION IS SIMILAR TO THE WORKSHEET 2 OF SCHEDULE H, RATIO OF PATIENT CARE COST TO CHARGES, EXCEPT IT IS CALCULATED ON A DEPARTMENTAL SPECIFIC BASIS, NOT IN THE AGGREGATE. THE ALLOCATED PROCEDURE CHARGE CODE LEVEL COSTS ARE THEN ROLLED UP TO THE PATIENT LEVEL BASED UPON THE BILLED PROCEDURE CHARGE CODES ASSOCIATED WITH THOSE SERVICES PROVIDED TO EACH SPECIFIC PATIENT. THIS IS DONE FOR ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF-PAY. THE COST ACCOUNTING SYSTEM IS UTILIZED TO DETERMINE THE UNREIMBURSED COST OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST OF CHARITY CARE IS CALCULATED BY APPLYING THE CCR DERIVED FROM THE COST ACCOUNTING SYSTEM ON A PER FACILITY BASIS, TO THE CHARGES INCURRED ON PATIENTS THAT QUALIFY FOR CHARITY CARE AT THE RESPECTIVE FACILITY. THE ACTUAL COST IS REPORTED FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND DONATIONS.
PART I, LINE 7, COLUMN (F)BEGINNING IN 2009, THE STATE OF CALIFORNIA ESTABLISHED PROVIDER FEE PROGRAMS. THESE PROGRAMS ARE FUNDED BY QUALITY ASSURANCE FEES PAID BY PARTICIPATING HOSPITALS AND MATCHING FEDERAL FUNDS. PORT CITY'S HOSPITAL FACILTIES RECOGNIZED QUALITY ASSURANCE FEES DURING THE YEAR OF $28.3 MILLION WHICH ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO UNREIMBURSED MEDICAID (PART I, LINE 7B, COLUMN C), AND RECOGNIZED FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $72.0 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D). THIS NET REDUCTION IN THE COST OF THE MEDICAID PROGRAM IS DRIVING THE DECREASE IN THE OVERALL COST OF COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES WHEN COMPARED TO PRIOR YEARS. SCHEDULE H, PART I, LINE 7I INCLUDED IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT IS $1.42 MILLION IN GRANTS TO A FUND ESTABLISHED BY THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT") FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA, CONSISTENT WITH CHFT'S MISSION OF SUPPORTING HEALTH CARE, ACCESS TO HEALTH CARE, RESEARCH AND EDUCATION.
PART III, LINE 2THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE ABOVE) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER FINANCIAL ASSISTANCE, AND ARE OTHERWISE UNINSURED. ANY PORTION OF A PATIENT BILL REMAINING AFTER APPLYING FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT THAT ARE ULTIMATELY DETERMINED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO BAD DEBT. PORT CITY PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES; UNDER 250%, 251%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL. PORT CITY ALSO PROVIDES PATIENTS OPTIONS FOR PROMPT PAY DISCOUNTS AND INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 30%. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.
PART III, LINE 3PORT CITY MAKES EVERY EFFORT IN DETERMINING IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. PORT CITY FOLLOWS DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY. DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. DIGNITY HEALTH ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT NO SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE WERE REPORTED AS BAD DEBT. AS SUCH, DIGNITY HEALTH DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE.
PART III, LINE 4THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT HEALTH'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2019, RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCES FOR DOUBTFUL ACCOUNTS AND PATIENT REVENUE: PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES. PORT CITY MANAGES ITS COLLECTION RISK BY REGULARLY REVIEWING ITS ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES. RESERVES FOR CHARITY AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE CONSOLIDATED BALANCE SHEET.
PART III, LINE 8PORT CITY PREPARES MEDICARE COST REPORTS IN A MANNER THAT COMPLIES WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, 2150FF AND PRM 15-2, 1000FF. AS SUCH, THE FOLLOWING LANGUAGE PER THE PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH, INCLUDING DIGNITY HEALTH AND ITS SUBORDINATES, WHICH INCLUDES PORT CITY, BELIEVES THAT THE ENTIRE MEDICARE SHORTFALL OF $2.2 BILLION, AS REPORTED BELOW IN PART VI, LINE 6, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY HOSPITAL FACILITIES IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THIS SHORTFALL INCLUDES $5.9 MILLION REPORTED ON PART III, SECTION B, LINE 7, PRIMARILY FOR FEE FOR SERVICE MEDICARE PATIENTS, AS WELL AS THE UNREIMBURSED PORTION OF MEDICARE MANAGED CARE AND MEDICARE CAPITATED PROGRAMS FOR PORT CITY.
LINE III, LINE 9bPORT CITY ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. PORT CITY ALSO FOLLOWS DIGNITY HEALTH'S BILLING AND COLLECTION POLICY. DIGNITY HEALTH'S COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHOM THE ORGANIZATION KNOWS QUALIFY FOR CHARITY CARE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE HOSPITAL FACILITIES OR THE BILLING COMPANY RETAINED BY DIGNITY HEALTH IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER DIGNITY HEALTH'S FINANCIAL ASISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, PORT CITY WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY DIGNITY HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNTS TO A COLLECTION AGENCY, PORT CITY REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
PART VI, LINE 2 - NEEDS ASSESSMENTIN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT COMPLETED IN COLLABORATION WITH OTHER HOSPITALS, LOCAL PUBLIC HEALTH AND COMMUNITY PARTNERS IN THE HEALTHIER COMMUNITIES COALITION, ST. JOSEPH'S ASSESSES LOCAL NEEDS CONTINUOUSLY THROUGH ONGOING ENGAGEMENT IN THE HEALTHIER COMMUNITY COALITION AND A WIDE RANGE OF OTHER COMMUNITY ORGANIZATIONS, WORK GROUPS AND PROJECTS WITH PARTNERS. MANY OF THESE SPECIFIC ENGAGEMENTS ARE DESCRIBED IN SCHEDULE H, PART VI, LINE 5 BELOW. THE HOSPITALS CREATE AND MAKE WIDELY AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS THAT SUMMARIZE IDENTIFIED HEALTH NEEDS, UPDATE COMMUNITY DEMOGRAPHIC INFORMATION, AND REPORT ON RECENT AND PLANNED COMMUNITY HEALTH PROGRAMS, INCLUDING GOALS, OBJECTIVES AND MEASURABLE RESULTS. THE HOSPITALS UTILIZE DIGNITY HEALTH'S COMMUNITY NEED INDEX (CNI), WHICH PROVIDES AN AGGREGATE SCORE OF THE SOCIOECONOMIC BARRIERS THAT PUT RESIDENTS AT GREATER RISK OF NEEDING HEALTH SERVICES. CREATED WITH TRUVEN HEALTH ANALYTICS, THE CNI AGGREGATES NINE INDICATORS INTO FIVE SOCIOECONOMIC FACTORS KNOWN TO CONTRIBUTE TO HEALTH DISPARITY. THE FIVE INCLUDE INCOME, CULTURE/LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE. THE INDEX IS CALCULATED ANNUALLY FOR EVERY ZIP CODE IN THE UNITED STATES. RESIDENTS OF COMMUNITIES WITH THE HIGHEST CNI SCORES WERE SHOWN TO BE TWICE AS LIKELY TO EXPERIENCE PREVENTABLE HOSPITALIZATION FOR MANAGABLE CONDITIONS AS COMMUNITIES WITH THE LOWEST CNI SCORES. THE CNI PROVIDES COMPELLING EVIDENCE FOR ADDRESSING SOCIOECONOMIC BARRIERS WHEN CONSIDERING HEALTH POLICY AND LOCAL HEALTH PLANNING. THE TOOL HIGHLIGHTS HEALTH CARE DISPARITIES AND ENABLES HEALTHCARE PROVIDERS, POLICYMAKERS, AND OTHERS TO TARGET RESOURCES WHERE THEY ARE MOST NEEDED. ADDITIONAL INFORMATION ABOUT THE CNI IS ACCESSIBLE AT HTTPS://WWW.DIGNITYHEALTH.ORG/ABOUT-uS/COMMUNITY-HEALTH/COMMUNITY-HEALTH-P ROGRAMS-AND-REPORTS
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCECOMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC: INFORMATION ABOUT PORT CITY'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS THE PORT CITY'S FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES PORT CITY'S FACILITIES SERVE. THE SIGNAGE INCLUDES NOTIFICATION THAT ALL UNINSURED PATIENTS RECEIVE AN UNINSURED DISCOUNT OF 30%, AND THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION OR WITH PROMPT PAYMENT. FINANCIAL ASSISTANCE INFORMATION, GOVERNMENT PROGRAM RESOURCE INFORMATION, TOOLS TO ASSIST PATIENTS IN FINDING HEALTH COVERAGE, ANSWERS TO FREQUENTLY ASKED BILLING QUESTIONS, AND OTHER SUCH INFORMATION CAN ALSO BE FOUND ON THE HOSPITAL'S WEBSITE AT HTTP://WWW.DIGNITYHEALTH.ORG/STJOSEPHS-STOCKTON/PATIENTS-AND-VISITORS/PATI ENTS/BILLING-INFORMATION AND https://www.dignityhealth.org/central-california/locations/stjosephsbehavi oral/patients-and-visitors/patients/billing-information/financial-assistan ce AT THE POINT OF REGISTRATION, BROCHURES ARE MADE AVAILABLE TO ALL PATIENTS EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS. COPIES OF THE FINANCIAL ASSISTANCE APPLICATION ARE MADE AVAILABLE TO ALL UNINSURED PATIENTS IN ADDITION TO THE BROCHURE UPON ADMISSION TO THE FACILITY. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO UNINSURED PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS WITHOUT INSURANCE COVERAGE THAT THEY MAY BE ELIGIBLE FOR A GOVERNMENT SPONSORED PROGRAM OR FACILITY FUNDED FINANCIAL ASSISTANCE, INSTRUCTIONS ON HOW TO APPLY FOR A GOVERNMENT PROGRAM OR FINANCIAL ASSISTANCE AND THE PROVISION OF SUCH APPLICATIONS. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF PORT CITY REQUIRE ALL INITIAL STATEMENTS TO UNINSURED PATIENTS TO INCLUDE VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE FINANCIAL ASSISTANCE APPLICATION. ALSO, ANY MEMBER OF THE DIGNITY HEALTH FACILITY STAFF OR MEDICAL STAFF MAY MAKE REFERRALS OF PATIENTS FOR FINANCIAL ASSISTANCE. THE PATIENT, A FAMILY MEMBER, A CLOSE FRIEND OR AN ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4 - COMMUNITY INFORMATIONTHE PRIMARY SERVICE AREA OF ST. JOSEPH'S MEDICAL CENTER IS THE CITY OF STOCKTON, WITH A SECONDARY SERVICE AREA OF SAN JOAQUIN COUNTY. MANY OF THE COMMUNITIES SERVED BY THE HOSPITAL ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND THE MIGRANT FARM WORKERS SERVED BY THE HOSPITAL ARE DESIGNATED AS A MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION: 379,203 RACE/ETHNICITY: WHITE - NON-HISPANIC 22.9%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 9.4%; HISPANIC OR LATINO 45.4%; ASIAN/PACIFIC ISLANDER 18.0%; ALL OTHERS 4.3% MEDIAN INCOME: $48,498 UNEMPLOYMENT: 9.1% NO HIGH SCHOOL DIPLOMA: 26.3% MEDICAID: 37.6% UNINSURED: 10.0% OTHER AREA HOSPITALS: 7 THE PRIMARY SERVICE AREA OF ST. JOSEPH'S MEDICAL BEHAVIORAL HEALTH CENTER IS THE CITY OF STOCKTON, WITH A SECONDARY SERVICE AREA OF SAN JOAQUIN COUNTY. MANY OF THE COMMUNITIES SERVED BY THE HOSPITAL ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND THE MIGRANT FARM WORKERS SERVED BY THE HOSPITAL ARE DESIGNATED AS A MEDICALLY UNDERSERVED POPULATION. TOTAL POPULATION: 648,110 RACE/ETHNICITY: WHITE - NON-HISPANIC 32.9%; BLACK/AFRICAN AMERICAN - NON-HISPANIC 6.6%; HISPANIC OR LATINO 42.9%; ASIAN/PACIFIC ISLANDER 13.5%; ALL OTHERS 4.1% MEDIAN INCOME: $54,606 UNEMPLOYMENT: 8.4% NO HIGH SCHOOL DIPLOMA: 23.0% MEDICAID: 32.5% UNINSURED: 8.1% OTHER AREA HOSPITALS: 7
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHPORT CITY OPERATING COMPANY LLC BOARD OF MANAGERS IS RESPONSIBLE FOR ENSURING THAT COMMUNITY HEALTH IS ONE OF THE MAJOR GOALS IN THE STRATEGIC PLANNING PROCESSS. THE BOARD OF MANAGERS IS A GROUP OF BUSINESS HEALTH EXECUTIVES WHO PROVIDE A BROAD SPECTRUM OF PERSPECTIVES ON PLANS PRESENTED FOR THEIR APPROVAL. ST. JOSEPH'S MEDICAL CENTER AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER (A DBA OF PORT CITY OPERATING COMPANY LLC) PRESIDENT IS COMMITTED TO THE COMMUNITY BENEFIT PROCESS AND ACCOUNTABLE TO DIGNITY HEALTH SYSTEM LEADERSHIP. ST. JOSEPH'S MEDICAL CENTER AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER SERVE AN IMPORTANT ROLE IN IMPROVING THE HEALTH OF THE COMMUNITY THROUGH WORKING COLLABORATIVELY WITH COMMUNITY PARTNERS, PROVIDING LEADERERSHIP AND ADVOCACY, CAREFULLY MANAGING RESOURCES, ASSISTING WITH LOCAL CAPACITY BUILDING AND PARTICIPATING IN COMMUNITY-WIDE HEALTH PLANNING. THE LEADERSHIP ROLE IS ESPECIALLY IMPORTANT IN SAN JOAQUIN COUNTY WHERE INDIVIDUAL AND COMMUNITY RESOURCES ARE VERY LIMITED. THE HEALTHIER COMMUNITY COALITION IS A CONSORTIUM OF ALL THE LOCAL HOSPITALS, THE MEDI-CAL MANAGED CARE PLANS, THE COUNTY PUBLIC HEALTH DEPARTMENT, AND NUMEROUS COMMUNITY BASED ORGANIZATIONS. THE COALITION HAS SHARED GOVERNANCE BY ALL MEMBERS, THE CHAIR POSITION ROTATES ANNUALLY, AND ST. JOSEPH'S MEDICAL CENTER SERVES AS THE FIRST FISCAL SPONSOR. THE HEALTHIER COMMUNITY COALITION PROVIDES CONTINUOUS INPUT ON THE COMMUNITY BENEFIT WORK TO THE MANAGEMENT TEAM OF ST. JOSEPH'S MEDICAL CENTER. LEADERS FROM ST. JOSEPH'S SERVE AS BOARD MEMBERS OF NUMEROUS COMMUNITY ORGANIZATIONS AND COLLABORATIVES, INCLUDING THE CALIFORNIA HEALTH CARE FACILITY ADVISORY COMMITTEE FOR THE DEPARTMENT OF CORRECTIONS, ST. MARY'S DINING ROOM, AND COMMUNITY HEALTH CENTERS. THE HOSPITALS HAVE DEDICATED LEADERSHIP AND A COMMUNITY HEALTH DEPARTMENT WORKING CLOSELY WITH OTHER HEALTHCARE PROVIDERS, COMMUNITY BASED ORGANIZATIONS, AND INDIVIDUALS TO DEVELOP AND SHARE RESOURCES. THE DIRECTOR OF COMMUNITY HEALTH LEADS THE DEVELOPMENT OF COMMUNITY-WIDE INITIATIVES TO ADDRESS THE PRIORITY HEALTH NEEDS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITALS ARE ALSO A MEMBER OF THE HOMELESS MEDICAL RECUPERATIVE CARE HEALTHCARE ADVISORY GROUP, THE HOMELESS TASK FORCES, REINVENT SOUTH STOCKTON, SAN JOAQUIN HOMELESS TASK FORCE AND THE SAN JOAQUIN HUMAN TRAFFICKING TASK FORCE. THE HOSPITALS ARE ALSO A PARTNER IN THE DEVELOPMENT OF THE COMMUNITY HEALTH CONNECTOR PROGRAM, WHICH IS A JOINT EFFORT OF THE LOCAL HOSPITALS, COUNTY PUBLIC HEALTH DEPARTMENT AND COMMUNITY PARTNERS.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMPORT CITY IS 80% OWNED BY DIGNTY HEALTH AND THEREFORE AFFILIATED WITH ALL ENTITIES WITHIN DIGNITY HEALTH. AFFILIATES OF DIGNITY HEALTH ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN BAKERSFIELD, SAN BERNARDINO, SAN FRANCISCO, SAN ANDREAS, G RASS VALLEY/NEVADA CITY, CALIFORNIA, PHOENIX, CHANDLER AND GILBERT, ARIZONA, AND LAS VEGAS AND HENDERSON, NEVADA. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE NET OF OFFSETTING REVENUE FOR COMMONSPIRIT HEALTH AND ITS AFFILIATED CORPORATIONS, WHICH INCLUDES PORT CITY, FOR THE YEAR ENDED JUNE 30, 2019, IS AS FOLLOWS (IN MILLIONS): Persons Net Comm % of Served Benefit Exp excl Bad Debt Benefits for the Poor: Traditional Charity Care 317 289 1.4% Unpaid Costs of Medicaid/Medi-Cal 4,550 1,441 6.8% Other Means-tested Programs 23 13 0.1% Community Services: Community Health Services 58 31 0.1% Subsidized Health Services 33 32 0.2% Donations 52 50 0.2% Total Community Services for the poor 143 113 0.5% Total Benefits for the Poor 5,033 1,856 8.8% Benefits for the Broader Community: Community Services: Community Health Services 103 99 0.5% Health Professions Education 128 113 0.5% Subsidized Health Services 23 17 0.1% Research 131 95 0.4% Donations 7 6 0.0% Total Benefits for the Broader Community 392 330 1.5% Total Community Benefits 5,425 2,186 10.3% Unpaid Costs of Medicare 5,957 2,249 10.6% Total Community Benefits including Unpaid Cost of Medicare 11,382 4,435 20.9%

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
Dignity Health Medical Foundation
3400 DATA DRIVERANCHO CORDOVACA95670680220314501(c)(3)$8,661,151$0N/AN/AMedical Fnd Support
St Joseph's Foundation of San Joaquin
1800 N California StreetStocktonCA95204510432777501(c)(3)$1,123,052$0N/AN/AFoundation Support
California Health Foundation and Trust
1215 K STREET STE 800SACRAMENTOCA95814941498697501(c)(3)$1,416,549$0N/AN/ACommunity Health
GOSPEL CENTER RESCUE MISSION
445 S SAN JOAQUIN STSTOCKTONCA95203941375835501(c)(3)$100,000$0N/AN/ACommunity Health
UNIVERSITY OF THE PACIFIC MCGEORGE SCHOOL OF LAW
3601 PACIFIC AVESTOCKTONCA95211941156266501(c)(3)$100,000$0N/AN/ACommunity Health
St Mary's Dining Room
545 W SONORA STSTOCKTONCA95203942687280501(c)(3)$52,302$580BookfoodCommunity Health
Delta College Foundation
5151 Pacific AveSTOCKTONCA95207237367633501(c)(3)$30,000N/AN/ACommunity Health
STOCKTON SYMPHONY ASSOCIATION INC
4629 QUAIL LAKE DRSTOCKTONCA95207941462758501(c)(3)$9,143$0N/AN/ACommunity Health
SAN JOAQUIN DELTA COMMUNITY COLLEGE DISTRICT
5151 PACIFIC AVESTOCKTONCA95207941044400San Joaquin$7,760$0N/AN/AEducation Support
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
PROVISION OF FOOD/CLOTHING/OTHER160$0$47,376BOOKFOOD/CLOTHING
PROVISION OF Pharmaceuticals3$0$5,168BOOKPharmaceuticals
PROVISION OF MEDICAL SUPPLIES TO PATIENTS131$0$35,547BOOKMEDICAL SUPPLIES/EQU

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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
Richard Carvolth MD
Board Member$0$470,598$0$246,012$0$14,478$0$64,596$0$23,605$0$819,289$0$0
Elise Dempsey
Board Member (THRU 4/2019)$0$246,070$0$123,091$0$17,787$0$37,736$0$47,259$0$471,943$0$0
Jon VanBoening
Board Member$0$610,853$0$592,831$0$232,819$0$102,318$0$88,167$0$1,626,988$0$173,085
Kevin Walters
Board Member$0$399,350$0$188,002$0$5,143$0$54,641$0$39,136$0$686,272$0$0
John Petersdorf
Vice Chair$0$409,247$0$504,219$0$7,276$0$79,863$0$59,822$0$1,060,427$0$0
Karl Silberstein
Chair (THRU 12/2018)$0$617,999$0$726,310$0$1,182,951$0$113,558$0$54,132$0$2,694,950$0$1,154,898
Andrea Nikki Ochoa
Chief Financial Officer$0$207,024$0$47,337$0$1,107$0$27,315$0$14,080$0$296,863$0$0
Donald Wiley
President and CEO$0$446,116$0$363,967$0$289,373$0$72,119$0$50,823$0$1,222,398$0$242,684

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3ALTHOUGH THE ORGANIZATION DOES NOT EMPLOY PERSONNEL, THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION.
PART I, LINE 4ACERTAIN OFFICERS PARTICIPATE IN A SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 1 TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE PLAN. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2018.
PART I, LINE 4BCERTAIN OFFICERS ARE ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. NO PAYMENTS PURSUANT TO THE PLAN OCCURRED DURING 2018. DIGNITY HEALTH'S KEY EMPLOYEES AND CERTAIN OFFICERS AND HIGHLY COMPENSATED EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR THREE BOARD MEMBERS AND/OR OFFICERS DURING 2018 INCLUDE J. VANBOENING; $173,085, K. SILBERSTEIN; $1,154,898 AND D. WILEY; $242,684. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)).
PART III SUPPLEMENTAL DISCLOSURESTHE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST THE ORGANIZATION IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES DIGNITY HEALTH SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND DIGNITY HEALTH'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2018.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, PART I, LINE 22AFFILIATION OF CHI AND DIGNITY HEALTH ON FEBRUARY 1, 2019 CATHOLIC HEALTH INITIATIVES ("CHI") AND DIGNITY HEALTH EFFECTED A BUSINESS COMBINATION AS DISCUSSED IN NOTE 1 OF COMMONSPIRIT HEALTH'S ("COMMONSPIRIT") AUDITED FINANCIAL STATEMENTS AS OF AND FOR THE YEAR ENDED JUNE 30, 2019. DUE TO THE CIRCUMSTANCES OF THE BUSINESS COMBINATION BETWEEN CHI AND DIGNITY HEALTH, THROUGH THE ALIGNMENT UNDER CATHOLIC HEALTH CARE FEDERATION ("CHCF"), THE TRANSACTION QUALIFIED FOR ACQUISITION ACCOUNTING WITH COMMONSPIRIT (FORMERLY KNOWN AS CHI) AS THE ACCOUNTING ACQUIRER OF DIGNITY HEALTH. NO CASH CONSIDERATION WAS INVOLVED IN THE AFFILIATION. AS PART OF THE AFFILIATION, DIGNITY HEALTH CAUSED TO TRANSFER EIGHT NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS TO DIGNITY COMMUNITY CARE. THE TRANSFER OF THESE NET ASSETS, STEPPED UP TO FAIR VALUE PURSUANT TO THE APPLICATION OF ACQUISITON ACCOUNTING, IS RECORDED IN NET ASSETS (SEE PART XI, LINE 9). FORM 990, PART V, LINE 2A THE ORGANIZATION DOES NOT HAVE EMPLOYEES. THE ORGANIZATION UTILIZES THE EMPLOYEES OF DIGNITY HEALTH PER THE EMPLOYEE LEASE AGREEMENT. THE SALARIES OF THESE EMPLOYEES ARE INCLUDED ON DIGNITY HEALTH'S FORM W-3 AND FEDERAL EMPLOYMENT TAX RETURNS. FORM 990, PART VI, SECTION A, LINE 2 DONALD WILEY, ANDREA NIKKI OCHOA - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 PORT CITY IS 80% OWNED BY DIGNITY HEALTH AND 20% BY KFH, BOTH 501(C)(3) EXEMPT ORGANIZATIONS. DIGNITY HEALTH HOLDS THE MANAGEMENT AGREEMENT WITH PORT CITY, LLC. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY HEALTH AND KFH, KNOWN AS THE COMPANY MEMBERS, APPOINT A BOARD OF MANAGERS. FORM 990, PART VI, SECTION A, LINE 7B RESERVED RIGHTS OF THE COMPANY MEMBERS INCLUDE: SELL, LEASE, EXCHANGE OR OTHERWISE DISPOSE OF ALL, OR SUBSTANTIALLY ALL, OF THE ORGANIZATION'S PROPERTY, WITH OR WITHOUT THE GOODWILL, OUTSIDE OF THE ORDINARY COURSE OF THE ORGANIZATION'S ACTIVITIES, APPROVE A MERGER OR CONVERSION, UNDERTAKE ANY OTHER ACT OUTSIDE OF THE ORDINARY COURSE OF THE ORGANIZATION'S ACTIVITIES, AND AMEND THE ORGANIZATION'S AGREEMENT. FORM 990, PART VI, SECTION B, LINE 11A THE PORT CITY OPERATING COMPANY LLC CFO REVIEWED THE FORM 990. IN ADDITION, THE DIGNITY HEALTH CORPORATE TAX DEPARTMENT WORKED CLOSELY WITH AN INDEPENDENT ACCOUNTING FIRM ENGAGED TO REVIEW THE RETURN. DUE TO TIMING, THE FORM 990 WILL BE REVIEWED BY THE BOARD OF MANAGERS AND/OR SUBCOMMITTEE OF THE BOARD OF MANAGERS SUBSEQUENT TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12A DIGNITY HEALTH EMPLOYEES HAVE ADOPTED DIGNITY HEALTH'S CONFLICTS OF INTEREST POLICY. DIGNITY HEALTH IS CHARGED WITH MONITORING PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRESSING ANY POTENTIAL OR ACTUAL CONFLICTS. PURSUANT TO THESE POLICIES, THE GENERAL COUNSEL IS DESIGNATED AS THE ORGANIZATION'S FILING OFFICER AND RESPONSIBLE FOR COLLECTING, REVIEWING AND VALIDATING ANNUAL DISCLOSURES OF ALL COVERED PERSONS INCLUDING THE MEMBERS OF DIGNITY HEALTH'S GOVERNING BODIES INCLUDING ITS BOARD OF DIRECTORS AND BOARD COMMITTEES, AS WELL AS DIGNITY HEALTH'S OFFICERS AND EXECUTIVE LEADERS, KEY EMPLOYEES, MANAGEMENT PERSONNEL AT THE VICE PRESIDENT LEVEL AND ABOVE, AND ANY OTHER PERSONNEL DESIGNATED BY THE FILING OFFICER (COVERED PERSONS). ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS ARISING FROM THE BUSINESS, OWNERSHIP, FINANCIAL AND PERSONAL INTERESTS HELD BY SUCH COVERED PERSONS OR THEIR FAMILY MEMBERS. COVERED PERSONS ARE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS AND TO RELEVANT DECISION MAKERS ANY INTEREST THAT MAY PRESENT A CONFLICT OF INTEREST, OR THE APPEARANCE OF A CONFLICT OF INTEREST. SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR UPON PROMOTION), AND ANNUALLY THEREAFTER. AS PART OF THE ANNUAL DISCLOSURE SURVEY CONDUCTED PURSUANT TO THE COI POLICIES, EACH COVERED PERSON IS REQUIRED TO CERTIFY THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE COI POLICY OR COI POLICIES APPLICABLE TO HIS/HER POSITION; (2) HAS READ THE COI POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE COI POLICIES, INCLUDING COMPLETING THE CONFLICTS OF INTEREST DISCLOSURE SURVEY AS REQUIRED BY THE COI POLICIES. USING THE INFORMATION FROM THE ANNUAL DISCLOSURE SURVEY, THE FILING OFFICER PREPARES ANNUAL REPORTS OF REPORTED CONFLICTS OF INTEREST AND DISTRIBUTES THOSE REPORTS TO THE GOVERNING BODY CHAIRS, INCLUDING THE CHAIR OF THE BOARD OF DIRECTORS AND THE CHAIR OF DIGNITY HEALTH BOARD COMMITTEES, AS WELL AS TO KEY LEADERS OF THE ORGANIZATION TO ENABLE THE RESPONSIBLE INDIVIDUALS TO MONITOR AND MANAGE DISCLOSED CONFLICTS OF INTEREST AND ASSURE DECISIONS ARE MADE IN THE ORGANIZATION'S BEST INTERESTS. THE PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES INCLUDE, BUT ARE NOT LIMITED TO: (1) THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS FULLY DISCLOSED TO THE APPLICABLE GOVERNING BODY AND ANY OTHER RELEVANT DECISION-MAKERS; (2) THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED, AFTER WHICH HE/SHE SHALL LEAVE THE MEETING; (3) THE INTERESTED PERSON MAY BE EXCLUDED FROM THE DISCUSSION AND MUST BE EXCUSED FROM THE MEETING PRIOR TO AND DURING THE APPROVAL OF SUCH TRANSACTION; (4) IF WARRANTED, ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, AND COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) THE TRANSACTION OR ACTION IS APPROVED BY A MAJORITY OF DISINTERESTED MEMBERS OF THE GOVERNING BODIES, CONSISTENT WITH ANY REQUIREMENTS OF BYLAWS AND COI POLICIES; AND (6) ANY CONFLICTING ISSUES ARISING DURING THE COURSE OF A GOVERNING BODY MEETING WHICH CANNOT BE RESOLVED MAY BE REFERRED TO AN INDEPENDENT COMMITTEE OF THE APPLICABLE GOVERNING BODY. THERE ARE SIMILAR CONFLICTS OF INTEREST PROVISIONS UNDER DIGNITY HEALTH'S STANDARDS OF CONDUCT, WHICH ARE APPLICABLE TO ALL EMPLOYEES AND WHICH ARE ADMINISTERED BY THE EVP/CHIEF COMPLIANCE OFFICER WHO HAS REPORTING RESPONSIBILITY TO THE PRESIDENT/CEO AS WELL AS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S PERSONNEL IS COMPENSATED BY DIGNITY HEALTH. FOR 2018 COMPENSATION, DIGNITY HEALTH'S HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EMPLOYEES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF DIRECTORS. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE TRANSACTION APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED TRANSACTION AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A R CARVOLTH, MD, E DEMPSEY, J PETERSDORF, J VANBOENING, K SILBERSTEIN AND KEVIN WALTERS RECEIVED COMPENSATION FOR SERVICES PROVIDED TO A RELATED ORGANIZATION, DIGNITY HEALTH. ANDREA N OCHOA AND D WILEY ARE EMPLOYEES OF DIGNITY HEALTH BUT PROVIDE SERVICES AS OFFICERS TO PORT CITY. FORM 990, PART XI, LINE 9 CHANGE OF OWNERSHIP INTEREST-JV; $1,614,308 SAN JOAQUIN QUALITY CARE NETWORK CAPITAL FUNDING; $(240,000) ADJUSTMENT OF ASSETS AND LIABILITIES, NET, TO FAIR VALUE PURSUANT TO ACQUISITION ACCOUNTING; $76,449,774 FORM 990, PART XII, LINE 3B THE ORGANIZATION'S FEDERAL AWARDS WERE INCLUDED IN DIGNITY HEALTH AND SUBORDINATE CORPORATIONS' UNIFORM GUIDANCE SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF JULY 1, 2018, TO JANUARY 31, 2019, AND COMMONSPIRIT'S CONSOLIDATED UNIFORM GUIDANCE AUDITED SCHEDULE OF FEDERAL EXPENDITURES FOR THE PERIOD OF FEBRUARY 1, 2019, TO JUNE 30, 2019.
SAFE HARBOR ELECTION DISCLOSURETANGIBLE PROPERTY REGULATION STATEMENT SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION TAXPAYER IS MAKING THE DE MINIMIS SAFE HARBOR ELECTION UNDER TREASURY REGULATION 1.263(A)-1(F) FOR ALL ELIGIBLE AMOUNTS PAID OR INCURRED DURING THE TAXABLE YEAR.
FORM 990 PART IX LINE 11GDESCRIPTION:REVENUE CYCLE SERVICES TOTAL FEES:12948662
FORM 990 PART IX LINE 11GDESCRIPTION:ADMIN SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL FEES TOTAL FEES:29443622
FORM 990 PART IX LINE 11GDESCRIPTION:MAINTENANCE/REPAIRS TOTAL FEES:9373105
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:8029482

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (222 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Bakersfield Memorial Hospital
420 34TH StreetBakersfieldCA93301951802779HospitalCA501(c)(3)3DHDCCfalse
Community Hospital of San Bernardino
1805 Medical Center DriveSan BernardinoCA92411951643373HospitalCA501(c)(3)3DHDCCfalse
Dignity Community Care
185 Berry Street Suite 300San FranciscoCA94107815009488HospitalCO501(c)(3)3CSHfalse
Dignity Health
185 Berry Street Suite 300San FranciscoCA94107941196203HospitalCA501(c)(3)3CSHfalse
Dignity Health Connected Living
200 Mercy Oaks DriveReddingCA96003237115371Senior CenterCA501(c)(3)7Dignity Hlthfalse
Dignity Health HPL Self-Insurance Trust
185 Berry StreetSan FranciscoCA94107943006034AdministratioCA501(c)(3)12A-IDignity Hlthfalse
Dignity Health Insurance Nevada Ltd
185 Berry StreetSan FranciscoNV94107813800752Self Ins FundNV501(c)(3)12A-IDignity Hlthfalse
Dignity Health Medical Foundation
3400 Data DriveRancho CordovaCA95670680220314Multi-sp CLINCA501(c)(3)12A-IDHDCCfalse
Dignity Health Workers' Comp Self-Insura
185 Berry StreetSan FranciscoCA94107946612446AdministratioCA501(c)(3)12A-IDignity Hlthfalse
Dominican Health Services
1555 Soquel DriveSanta CruzCA95065770056778Community HltCA501(c)(3)12A-IDignity Hlthfalse
Dominican Oaks Corporation
1555 Soquel DriveSanta CruzCA95065770127719SR HOUSINGCA501(c)(3)10DHSfalse
Mark Twain Medical Center
768 Mountain Ranch RoadSan AndreasCA95249680127677HospitalCA501(c)(3)3DHDCCfalse
Mercy McMahon Terrace
3865 J StreetSacramentoCA95816680117340SR HOUSINGCA501(c)(3)10Dignity Hlthfalse
Pacific Central Coast Health Centers
1400 E Church StreetSanta MariaCA93454770447575ClinicCA501(c)(3)3DHDCCfalse
Saint Francis Memorial Hospital
900 Hyde StreetSan FranciscoCA94109941156295HospitalCA501(c)(3)3DHDCCfalse
Sierra Nevada Memorial-Miners Hospital
155 Glasson WayGrass ValleyCA95945941439787HospitalCA501(c)(3)3DHDCCfalse
St Francis Hospital Support Corporation
601 E Micheltorena StreetSanta BarbaraCA93103770022302INACTIVECA501(c)(3)12A-IDignity Hlthfalse
St Mary Professional Building Inc
1050 Linden AvenueLong BeachCA90813237373088INACTIVECA501(c)(3)12A-IDignity Hlthfalse
Arroyo Grande Community Hospital Foundat
345 S Halcyon RdArroyo GrandeCA93420203256066FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
Barrow Foundation UK
311724184FNDRSING FND501(c)(3)12D-III-NFINAfalse13 CHURCH STREETNUNNEYENGLANDUKBA11 4LWUK
Barrow Neurological Foundation
350 West Thomas RoadPhoenixAZ85013860174371FNDRSING FNDAZ501(c)(3)7Dignity Hlthfalse
California Hospital Medical Center Found
1401 South Grand AvenueLos AngelesCA90015954000909FNDRSING FNDCA501(c)(3)12A-IDHDCCfalse
Dignity Health Foundation
185 Berry StreetSan FranciscoCA94107462037641FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
Dignity Health Foundation - Inland Empir
2101 N Waterman AvenueSan BernardinoCA92404237440086FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
Dignity Health Foundation East Valley
475 South Dobson RoadChandlerAZ85224742418514FNDRSING FNDAZ501(c)(3)12A-IDignity Hlthfalse
Dominican Hospital Foundation
1555 Soquel DriveSanta CruzCA95065942450442FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
French Hospital Medical Center Foundatio
1911 Johnson AvenueSan Luis ObispoCA93401203256125FNDRSING FNDCA501(c)(3)12A-IDHDCCfalse
Glendale Memorial Health Foundation
1420 South Central AvenueGlendaleCA91204953625651FNDRSING FNDCA501(c)(3)12A-IDHDCCfalse
Marian Regional Medical Center Foundatio
1400 E Church StreetSanta MariaCA93454953818027FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
Mercy Foundation Bakersfield
PO Box 119BakersfieldCA93302770201321FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
Mercy Foundation North
2625 Edith Avenue Suite EReddingCA96001943136799FNDRSING FNDCA501(c)(3)12A-INAfalse
Mercy Foundation Sacramento
3400 Data Drive 3rd FlrRancho CordovaCA95670237072762FNDRSING FNDCA501(c)(3)12A-INAfalse
Mercy Medical Center Merced Foundation
301 E 13th StreetMercedCA95340770035928FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
Northridge Hospital Foundation
18300 Roscoe BlvdNorthridgeCA91328237444901FNDRSING FNDCA501(c)(3)12A-IDHDCCfalse
San Gabriel Valley Medical Center Founda
438 West Las Tunas DriveSan GabrielCA91776953430341INACTIVECA501(c)(3)12A-IDignity Hlthfalse
Sequoia Hospital Foundation
170 Alameda de las PulgasRedwood CityCA94062942909990FNDRSING FNDCA501(c)(3)12D-III-NFINAfalse
St Francis Foundation of Santa Barbara
2323 De La Vina St Suite 104Santa BarbaraCA93105237137119FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
St John's Healthcare Foundation
1600 North Rose AvenueOxnardCA93030202865781FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
St Joseph's Foundation
350 West Thomas RoadPhoenixAZ85013942941245FNDRSING FNDAZ501(c)(3)12A-IDignity Hlthfalse
St Joseph's Foundation of San Joaquin
1800 N California StreetStocktonCA95204510432777FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
St Mary Medical Center Foundation
1050 Linden AvenueLong BeachCA90813237153876FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
St Mary's Medical Center Foundation
450 Stanyan StreetSan FranciscoCA94117943336143FNDRSING FNDCA501(c)(3)12A-IDignity Hlthfalse
St Rose Dominican Health Foundation
3001 St Rose ParkwayHendersonNV89052880349432FNDRSING FNDNV501(c)(3)12A-IDignity Hlthfalse
Woodland Memorial Hospital Foundation
1321 Cottonwood Street 305WoodlandCA95695946167964FNDRSING FNDCA501(c)(3)7NAfalse
ALEGENT CREIGHTON CLINIC
12809 W DODGE RDOMAHANE68154470765154HEALTHCARENE501(c)(3)3ACHfalse
ALEGENT CREIGHTON HEALTH
12809 W DODGE RDOMAHANE68154470757164HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY RDOMAHANE68124470484764HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - COMMUNITY MEMORIAL HOSP
631 N 8TH STMISSOURI VALLEYIA51555420776568HEALTHCAREIA501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND STOMAHANE68122470376615HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUY
104 W 17TH STSCHUYLERNE68661470399853HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
ALEGENT HEALTH - MERCY HOSPITAL CORNING
PO BOX 368CORNINGIA50841420782518HEALTHCAREIA501(c)(3)3CHI NEBRASKAfalse
ALVERNA APARTMENTS
300 SE 8TH AVELITTLE FALLSMN56345411351177LTERM CAREMN501(c)(3)10CSHfalse
APPLETREE COURT
601 OAK STBRECKENRIDGEMN56520411850500SENIOR LIVINGMN501(c)(3)10SFHfalse
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170THE WOODLANDSTX77384274499340PHYSICIANSTX501(c)(3)12A-ISLCHSfalse
BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100HOUSTONTX77030760458535PHYSICIANSTX501(c)(3)3SLHSfalse
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232187242HEALTHCAREPA501(c)(3)12A-ICSHfalse
BRAZOSPORT HEALTH FOUNDATION INC
1 West Way CtLAKE JACKSONTX77566760080110FUNDRAISINGTX501(c)(3)12A-IBRHSfalse
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVELAKE JACKSONTX77566800240261HEALTHCARETX501(c)(3)3BRHSfalse
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742759890HEALTHCARETX501(c)(3)3SJSCfalse
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742913931HEALTHCARETX501(c)(3)10SJSCfalse
CARRINGTON HEALTH CENTER
800 N 4TH STCARRINGTONND58421450227311HEALTHCAREND501(c)(3)3CSHfalse
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 East Mineral CircleCentennialCO80112840405257HEALTHCARECO501(c)(3)3CSHfalse
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVEDES MOINESIA50314420680448HEALTHCAREIA501(c)(3)3CSHfalse
CATHOLIC HEALTH INITIATIVES COLORADO FOU
1150 Kelly Johnson Blvd 204COLORADO SPRINGSCO80920840902211FUNDRAISINGCO501(c)(3)7CHICfalse
CATHOLIC HEALTH INITIATIVES NATIONAL FOU
1150 Kelly Johnson Blvd 204COLORADO SPRINGSCO80920270930004FUNDRAISINGCO501(c)(3)12A-ICSHfalse
CATHOLIC HEALTH INITIATIVES VIRTUAL HEAL
198 INVERNESS DRIVE WESTENGLEWOODCO80112460992796HEALTHCARECO501(c)(3)12A-ICHINSfalse
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWYROSEBURGOR97471263946191PHYSICIANSOR501(c)(3)10MMCfalse
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAYGREAT BENDKS67530480543724SURGERY CENTEKS501(c)(3)3CSHfalse
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY SFARGOND58104271966847HEALTHCAREMN501(c)(3)10CSHfalse
CHI HEALTH FOUNDATION
12809 W DODGE RDOMAHANE68154470648586FUNDRAISINGNE501(c)(3)7ACHfalse
CHI INSTITUTE FOR RESEARCH AND INNOVATIO
198 INVERNESS DRIVE WESTENGLEWOODCO80112271050565HEALTHCARECO501(c)(3)12A-ICSHfalse
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400ERLANGERKY41018202741651HEALTHCAREKY501(c)(3)12A-ICSHfalse
CHI LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE ATOLEDOOH43623341892096HEALTHCAREOH501(c)(3)12A-IISFHfalse
CHI Memorial Hospital - Georgia
100 GROSS CRESCENT CIRCLEFORT OGLETHORPEGA30742822748395HEALTHCAREGA501(c)(3)3MHCSfalse
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112451261716HEALTHCARECO501(c)(3)10CHI NSfalse
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112452532084HEALTHCARECO501(c)(3)12A-ICSHfalse
CHI NEBRASKA
12809 West Dodge RoadOmahaNE68510363233121HEALTHCARENE501(c)(3)12A-ICSHfalse
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150LANCASTERPA17602232342997HEALTHCAREPA501(c)(3)12A-ICSHfalse
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NWALBUQUERQUENM87102710897107COMMUNITYNM501(c)(3)12A-ICSHfalse
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913710236913HEALTHCAREAR501(c)(3)3CHISVHSfalse
CHI ST VINCENT HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125064HOLDING COAR501(c)(3)12A-IISVIMCfalse
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125131HEALTHCAREAR501(c)(3)3CHISVHSfalse
COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WESTENGLEWOODCO80112470617373HEALTHCARECO501(c)(3)12A-INAfalse
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206237419853HOLDING COOH501(c)(4)N/AGSHfalse
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERV
631 N 8TH STMISSOURI VALLEYIA51555421294399FUNDRAISINGIA501(c)(3)12A-IAH-CMHMVfalse
CONTINUING CARE HOSPITAL
One Saint Joseph DriveLEXINGTONKY40504611400619LT ACHKY501(c)(3)3SJHSfalse
East Texas Clinical Services
2801 VIA FORTUNA SUITE 500AUSTINTX78746454736213HEALTHCARETX501(c)(3)12A-ISLHSfalse
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVEENUMCLAWWA98022910715805HEALTHCAREWA501(c)(3)3FHSfalse
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004611345363HEALTHCAREKY501(c)(3)3KOHfalse
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004562351341FUNDRAISINGKY501(c)(3)12A-IFHfalse
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RDTOLEDOOH43623341931806HEALTHCAREOH501(c)(3)10FLCfalse
FRANCISCAN FOUNDATION
1717 SOUTH J STTACOMAWA98405911145592FUNDRAISINGWA501(c)(3)10FHSfalse
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STTACOMAWA98405910564491HEALTHCAREWA501(c)(3)3CSHfalse
FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAYTACOMAWA98402431882377PHYSICIANSMO501(c)(3)10CSHfalse
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200TACOMAWA98402911939739HEALTHCAREWA501(c)(3)10FHSfalse
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVESOUTH MILWAUKEEWI53172391093829HEALTHCAREWI501(c)(3)10CSHfalse
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEASTGARRISONND58540450227752HEALTHCAREND501(c)(3)3SAMCfalse
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112201536108MINISTRIESCO501(c)(3)12A-ICSHfalse
GOOD SAMARITAN COLLEGE OF NURSING & HEAL
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206311778403EDUCATIONOH501(c)(3)2GSHfalse
GOOD SAMARITAN FOUNDATION OF CINCINNATI
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206311206047FUNDRAISINGOH501(c)(3)12A-IGSHfalse
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848470379755HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STKEARNEYNE68847470659443FUNDRAISINGNE501(c)(3)7GSHfalse
HARRISON MEDICAL CENTER
2520 CHERRY AVEBREMERTONWA98310910565546HEALTHCAREWA501(c)(3)3FHSfalse
HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVEBREMERTONWA98310911197626FUNDRAISINGWA501(c)(3)7HMCfalse
HEALTH FOUNDATION OF KENTUCKYONE INC
1451 HARRODSBURG RD STE D-308LEXINGTONKY40504832170324FUNDRAISINGKY501(c)(3)12A-IIKOHfalse
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRBRECKENRIDGEMN56520760761782FUNDRAISINGMN501(c)(3)12A-ISFMCfalse
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SWBURIENWA98166910712166HEALTHCAREWA501(c)(3)3FHSfalse
HOUSE OF MERCY
1111 6TH AVEDES MOINESIA50314421323808SHELTERIA501(c)(3)7CHI-IA CORPfalse
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE
250 E Liberty St Ste 500LOUISVILLEKY40202611029768HEALTHCAREKY501(c)(3)3KOHfalse
KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E Liberty St Ste 800LOUISVILLEKY40202611352729HEALTHCAREKY501(c)(3)10JHSMHfalse
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611029769HEALTHCAREKY501(c)(3)12A-IICSHfalse
LAKEWOOD HEALTH CENTER
600 MAIN AVE SBAUDETTEMN56623410758434HEALTHCAREMN501(c)(3)3CSHfalse
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE SBAUDETTEMN56623411893795FUNDRAISINGND501(c)(3)7LHCfalse
LINUS OAKES INC
2700 STEWART PKWYROSEBURGOR97471930821381SENIOR LIVINGOR501(c)(3)10MMCfalse
LISBON AREA HEALTH SERVICES
905 MAIN STLISBONND58054820558836HEALTHCAREND501(c)(3)3CSHfalse
LUFKIN VISION ACQUISITIONS
PO BOX 1447LUFKINTX75901820563768PROPERTY MGMTTX501(c)(3)12A-IMHSETfalse
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742761145HEALTHCARETX501(c)(3)3SJSCfalse
MADONNA MANOR INC
2344 AMSTERDAM ROADVILLA HILLSKY51017610654635LIVING ASSISTKY501(c)(3)10FLCfalse
MEMORIAL HEALTH CARE SYSTEM FOUNDATION I
2525 DE SALES AVECHATTANOOGATN37404621839548FUNDRAISINGTN501(c)(3)7MHCSfalse
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVECHATTANOOGATN37404620532345HEALTHCARETN501(c)(3)3CSHfalse
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500CHATTANOOGATN37411300417049HEALTHCARETN501(c)(3)10MHCSfalse
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447LUFKINTX75902750755367HEALTHCARETX501(c)(3)3SLHSfalse
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447LUFKINTX75902760436439HEALTHCARETX501(c)(3)3MHSETfalse
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447LUFKINTX75902752663904HEALTHCARETX501(c)(3)3MHSETfalse
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVELUFKINTX95904752721155PHYSICIANSTX501(c)(3)12A-IMHSETfalse
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447LUFKINTX95902752492741HEALTHCARETX501(c)(3)3MHSETfalse
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVEDES MOINESIA50314426076069AUXILIARYIA501(c)(3)12A-IMF-DM IAfalse
MERCY CLINICS INC
1111 6TH AVEDES MOINESIA50314421193699PHYSICIANSIA501(c)(3)10CHI-IA CORPfalse
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVEDES MOINESIA50314421511682EDUCATIONIA501(c)(3)2CHI-IA CORPfalse
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVEDES MOINESIA50314237358794FUNDRAISINGIA501(c)(3)7CHI-IA CORPfalse
MERCY FOUNDATION INC
2700 STEWART PKWYROSEBURGOR97471936088946FUNDRAISINGOR501(c)(3)7MMCfalse
MERCY HEALTH CARE FOUNDATION
PO BOX 368CORNINGIA50841421461064FUNDRAISINGIA501(c)(3)12A-IAHMH-Corningfalse
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVDVALLEY CITYND58072450435338FUNDRAISINGND501(c)(3)12A-IMHVCfalse
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRCOUNCIL BLUFFSIA51503421178204FUNDRAISINGIA501(c)(3)12A-IAHBMHSfalse
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NEDEVILS LAKEND58301450227012HEALTHCAREND501(c)(3)3CSHfalse
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NEDEVILS LAKEND58301352367360FUNDRAISINGND501(c)(3)7MHDLfalse
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVDVALLEY CITYND58072450226553HEALTHCAREND501(c)(3)3CSHfalse
MERCY MEDICAL CENTER
1301 15TH AVE WESTWILLISTONND58801450231183HEALTHCAREND501(c)(3)3CSHfalse
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVECENTERVILLEIA52544420680308HEALTHCAREIA501(c)(3)3CHI-IA CORPfalse
MERCY MEDICAL CENTER - NEWTON DBA SKIFF
204 N 4th Ave ENewtonIA50314421470935PHYSICIANSIA501(c)(3)3CHI-IA CORPfalse
MERCY MEDICAL CENTER INC
2700 STEWART PKWYROSEBURGOR97471930386868HEALTHCAREOR501(c)(3)3CSHfalse
MERCY MEDICAL FOUNDATION
1301 15TH AVE WESTWILLISTONND58801450381803FUNDRAISINGND501(c)(3)12A-IMMCfalse
NEBRASKA HEART HOSPITAL
7500 S 91ST STLINCOLNNE68526392031968HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
Northland Healthcare Alliance
2223 East Rosser AvenueBismarckND58501911845296MANAGEMENTND501(c)(3)7NCHAfalse
OAKES COMMUNITY HOSPITAL
1200 N 7TH STOAKESND58474450231675HEALTHCAREND501(c)(3)3CSHfalse
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STOAKESND58474710966606FUNDRAISINGND501(c)(3)12A-IOCHfalse
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447LUFKINTX75902752493116PROPERTY MGMTTX501(c)(3)12A-IMHSETfalse
PROVIDENCE CARE CENTER
2025 HAYES AVENUESANDUSKYOH44870341658625HEALTHCAREOH501(c)(3)10FLCfalse
PROVIDENCE CARE CENTERS
2025 HAYES AVENUESANDUSKYOH44870341826099HOLDING COOH501(c)(3)12A-IIFLCfalse
PROVIDENCE RESIDENTIAL COMMUNITY CORPORA
5055 PROVIDENCE DRIVESANDUSKYOH44870341896807LIVING COMMOH501(c)(3)10FLCfalse
PUEBLO STEPUP
1925 E ORMAN AVE STE G52PUEBLOCO81004841234295COMMUNITYCO501(c)(3)7CHICfalse
REGIONAL HOSPITAL FOR RESPIRATORY AND CO
16251 Sylvester Road SWBurienWA98166911170040HEALTHCAREWA501(c)(3)3FHSfalse
SET OF COLORADO SPRINGS INC
9100 E Mineral CircleCentennialCO80112841183335LTERM CARECO501(c)(3)7CHICfalse
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RDDENVILLENJ07834222876836HEALTHCARENJ501(c)(3)10SCHSfalse
SAINT CLARE'S FOUNDATION INC
25 POCONO RDDENVILLENJ07834222502997FUNDRAISINGNJ501(c)(3)6SCHSfalse
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RDDENVILLENJ07834223639733MANAGEMENTNJ501(c)(3)10CSHfalse
SAINT CLARE'S HOSPITAL INC
25 POCONO RDDENVILLENJ07834223319886HEALTHCARENJ501(c)(3)2SCHSfalse
SAINT ELIZABETH FOUNDATION
555 S 70TH STLINCOLNNE68510470625523FUNDRAISINGNE501(c)(3)7SERMCfalse
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH STLINCOLNNE68510363233120HEALTHCARENE501(c)(3)3SERMCfalse
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH STLINCOLNNE68510470379836HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEYGRAND ISLANDNE68803470376601HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804GRAND ISLANDNE68802470630267FUNDRAISINGNE501(c)(3)7SFMCfalse
SAINT JOSEPH BEREA HOSPITAL FOUNDATION I
305 ESTILL STBEREAKY40403260152877FUNDRAISINGKY501(c)(3)7SJHSfalse
SAINT JOSEPH HEALTH SYSTEM INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611334601HEALTHCAREKY501(c)(3)3KOHfalse
SAINT JOSEPH HOSPITAL FOUNDATION INC
701 Bob Olink Dr 200LEXINGTONKY40504611159649FUNDRAISINGKY501(c)(3)12A-ISJHSfalse
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANELONDONKY40741260438748FUNDRAISINGKY501(c)(3)7SJHSfalse
SAINT JOSEPH MOUNT STERLING FOUNDATION I
225 FALCON DRMOUNT STERLINGKY40353272884584FUNDRAISINGKY501(c)(3)7SJHSfalse
SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 Fairway StreetDICKINSONND58601363418207FUNDRAISINGND501(c)(3)12A-ISJHHCfalse
SCHUYLER MEMORIAL HOSPITAL FOUNDATION IN
104 W 17TH STSCHUYLERNE68661363630014FUNDRAISINGNE501(c)(3)12A-IAHMHSfalse
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WESTENGLEWOODCO80112440545809HEALTHCAREMO501(c)(3)3CSHfalse
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUEBISMARCKND58501450226711HEALTHCAREND501(c)(3)3CSHfalse
ST ANTHONY HOSPITAL
2801 St Anthony WayPENDLETONOR97801930391614HEALTHCAREOR501(c)(3)3CSHfalse
ST ANTHONY HOSPITAL FOUNDATION
2801 St Anthony WayPENDLETONOR97801930992727FUNDRAISINGOR501(c)(3)12A-ISAHfalse
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRMORRILTONAR72110710245507HEALTHCAREAR501(c)(3)3SVIMCfalse
ST CATHERINE HOSPITAL
401 EAST SPRUCE STGARDEN CITYKS67846480543721HEALTHCAREKS501(c)(3)3CSHfalse
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDA
401 EAST SPRUCE STGARDEN CITYKS67846200598702FUNDRAISINGKS501(c)(3)12A-ISCHfalse
ST CLARE COMMONS
12469 Five Point RoadTOLEDOOH43551270163752LIVING COMMOH501(c)(3)10FLCfalse
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WESTENGLEWOODCO80112930433692HEALTHCAREOR501(c)(4)N/ACSHfalse
ST FRANCIS HOME
2400 ST FRANCIS DRBRECKENRIDGEMN56520410729978LTERM CAREMN501(c)(3)10CSHfalse
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RDDENVILLENJ07834222536017ELDERLY CARENJ501(c)(3)8SCHSfalse
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRBRECKENRIDGEMN56520410695598HEALTHCAREMN501(c)(3)3CSHfalse
ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVEBRYANTX77802742351158FUNDRAISINGTX501(c)(3)12A-IISJSCfalse
ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742847594HEALTHCARETX501(c)(3)10SJSCfalse
ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030520591461HEALTHCAREMD501(c)(3)3CSHfalse
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVEBRYANTX77802203159302HEALTHCARETX501(c)(3)3SJSCfalse
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030521311775PHYSICIANSMD501(c)(3)12A-ISJMCfalse
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802741282696HEALTHCARETX501(c)(3)3SJSCfalse
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVEBRYANTX77802454088170HEALTHCARETX501(c)(3)3SJSCfalse
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVEBRYANTX77802463265423HEALTHCARETX501(c)(3)10SJSCfalse
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVEBRYANTX77802742455161MANAGEMENTTX501(c)(3)12A-ISLHSfalse
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVEPARK RAPIDSMN56470410695603HEALTHCAREMN501(c)(3)3CSHfalse
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 Fairway StDICKINSONND58601450226429HEALTHCAREND501(c)(3)3CSHfalse
ST LEONARD
8100 CLYO ROADCENTERVILLEOH45458341940863LIVING COMMOH501(c)(3)10FLCfalse
ST LUKE'S COMMUNITY DEVELOPMENT CORPORAT
6624 FANNIN ST STE 2505HOUSTONTX77030273733278HEALTHCARETX501(c)(3)3SLHSfalse
ST LUKE'S COMMUNITY DEVELOPMENT CORPORAT
6624 FANNIN ST STE 2505HOUSTONTX77030261947374HEALTHCARETX501(c)(3)3SLHSfalse
ST LUKE'S COMMUNITY DEVELOPMENT CORPORAT
6624 FANNIN ST STE 2505HOUSTONTX77030260335902HEALTHCARETX501(c)(3)3SLHSfalse
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100HOUSTONTX77030760536234HEALTHCARETX501(c)(3)3SLHSfalse
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855HOUSTONTX77004453811485FUNDRAISINGTX501(c)(3)7SLHSfalse
ST LUKE'S HEALTH SYSTEM CORPORATION
PO Box 20269HOUSTONTX77225760536232MANAGEMENTTX501(c)(3)12A-ICSHfalse
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505HOUSTONTX77030263734606HEALTHCARETX501(c)(3)3SLHSfalse
ST LUKE'S PROPERTIES CORPORATION
1213 Hermann Drive Ste 855HOUSTONTX77004760531716PROPERTY MGMTTX501(c)(3)12A-ISLHSfalse
ST LUKE'S SUGAR LAND PROPERTIES CORPORAT
6624 FANNIN ST STE 2505HOUSTONTX77030454120549PROPERTY MGMTTX501(c)(3)12A-ISLCDC-SLfalse
ST MARY'S COMMUNITY HOSPITAL
1301 Grundman BoulevardNEBRASKA CITYNE68410470443636HEALTHCARENE501(c)(3)3CHI NEBRASKAfalse
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENEBRASKA CITYNE68410470707604FUNDRAISINGNE501(c)(3)7SMCHfalse
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205510169537FUNDRAISINGAR501(c)(3)12A-ISVIMCfalse
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710236917HEALTHCAREAR501(c)(3)3CSHfalse
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710830696HEALTHCAREAR501(c)(3)10SVIMCfalse
SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200MAUMEEOH43537341412964HEALTHCAREOH501(c)(3)12A-ICSHfalse
SYLVANIA FRANCISCAN HEALTH FOUNDATION
1715 INDIAN WOOD CIR 200MAUMEEOH43537455357161FUNDRAISINGOH501(c)(3)12A-IFLCfalse
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVESANDUSKYOH44870341826097ASSIST LIVINGOH501(c)(3)10FLCfalse
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVELAKE JACKSONTX77566741385192HEALTHCARETX501(c)(3)3SLHSfalse
THE GOOD SAMARITAN HOSPITAL OF CINCINNAT
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206310537486HEALTHCAREOH501(c)(3)3CSHfalse
THE PHYSICIAN NETWORK
2000 Q ST STE 500LINCOLNNE68503470780857PHYSICIANSNE501(c)(3)12A-ICHI NEBRASKAfalse
TOTAL HEALTHCARE
9100 E Mineral CircleCentennialCO80112840927232HEALTHCARECO501(c)(3)3CHICfalse
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUESTEUBENVILLEOH43952311329423FUNDRAISINGOH501(c)(3)12A-ITHSfalse
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUESTEUBENVILLEOH43952341818681HEALTHCAREOH501(c)(3)12A-ISFHfalse
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREETDENNISONOH44621275401105HEALTHCAREOH501(c)(3)3SFHfalse
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVDSTEUBENVILLEOH43952341522484ASSIST LIVINGOH501(c)(3)7THSfalse
UNITY FAMILY HEALTHCARE
815 SE 2ND STLITTLE FALLSMN56345410721642HEALTHCAREMN501(c)(3)3CSHfalse
VILLA NAZARETH INC
801 PAGE DRFARGOND58103450226714LTERM CAREND501(c)(3)10CSHfalse
VISITING NURSE ASSOCIATION OF ST CLARE'S
191 WOODPORT RDSPARTANJ07871221768334HOME HEALTHNJ501(c)(3)10SCHSfalse
KAISER FOUNDATION HOSPITALS
ONE KAISER PLAZA 15LOAKLANDCA94612941105628HOSPITALCA501(C)(3)3NAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (80 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtUBI Code VUBICodeVAmtOwnershipOwnershipPctDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Arizona Care Network LLC (ACN LLC)
4222 E THOMAS RD STE 400PHOENIXAZ85018454494682Care NetworkAZNAN/A$0$0$00.00000
CBCC Outsmarting Cancer LLC
6501 Truxtun AvenueBakersfieldCA93309461602286Radiation / OncolCANAN/A$0$0$00.00000
DE JV LLC
8686 New Trails DriveThe WoodlandsTX77381320496548Emergency CareNVNAN/A$0$0$00.00000
DHHP Surgery Centers LLC
1513 S Grand Avenue Ste 350Los AngelesCA90015831847466SurgeryDENAN/A$0$0$00.00000
DHRT Holdings LLC
185 Berry Street Suite 300San FranciscoCA94107352484591Holding CompanyDENAN/A$0$0$00.00000
Dignity- GoHealth Urgent Care Management
5555 Glenridge Connector Suite 700AtlantaGA30342352548698Management ServicDENAN/A$0$0$00.00000
Dignity Health Specialty Pharmacy LLC
185 Berry Street Suite 300San FranciscoCA94107320589462Specialty PharmacDENAN/A$0$0$00.00000
Dignity Home Recovery Care LLC
49 Music Square West Suite 401NashvilleTN37203832832522Home Recovery ProDENAN/A$0$0$00.00000
DIGNITYUSP LAS VEGAS SURGERY CENTERS LL
15305 Dallas Parkway Suite 1600 LBAddisonTX75001202999237SurgeryTXNAN/A$0$0$00.00000
DignityUSP NorCal Surgery Centers LLC
15305 Dallas Parkway Suite 1600 LBAddisonTX75001202468509SurgeryTXNAN/A$0$0$00.00000
DIGNITYUSP PHOENIX SURGERY CENTERS LLC
15305 Dallas Parkway Suite 1600 LBAddisonTX75001134248908SurgeryTXNAN/A$0$0$00.00000
DignityUSPJohn Muir East Bay Surg Ctrs
15305 Dallas Parkway Suite 1600 LBAddisonTX75001352584991SurgeryTXNAN/A$0$0$00.00000
Dignity-Abrazo Health Network LLC
3030 N Central Avenue Suite 1402PhoenixAZ85012465477985Management ServicAZNAN/A$0$0$00.00000
Dominican Magnetic Resonance Imaging Cen
1545 Soquel DriveSanta CruzCA94065770095477Imaging CenterCANAN/A$0$0$00.00000
Folsom Sierra Endoscopy Center LP
1650 Creekside Drive 1600FolsomCA95630680482416EndoscopyCANAN/A$0$0$00.00000
Memorial Medical Plaza
3838 San Dimas Suite B 201BakersfieldCA93301364510880Real estateCANAN/A$0$0$00.00000
Mercy Davis Cancer Center Management Co
2740 M StreetMercedCA95340943358445Management of CanCANAN/A$0$0$00.00000
NICU Operating CO of Santa Cruz LLC
1555 Soquel DriveSanta CruzCA95065460502935Neonatal HealthcaCANAN/A$0$0$00.00000
NSC Channel Islands LLC
3000 Riverchase Galleria Suite 500BirminghamAL35244770418197Ambulatory surgicCANAN/A$0$0$00.00000
OMG Arizona LLC
130 Sutter Street 2nd FlrSan FranciscoCA94104471708588Medical OfficeAZNAN/A$0$0$00.00000
Plaza Surgery Center LP
525 E Plaza Drive Suite 100Santa MariaCA93454770573567SurgeryCANAN/A$0$0$00.00000
Radiation Oncology Centers of Ventura Co
1700 N ROSE AVENUE SUITE 120OXNARDCA93030770191706IMAGINGCANAN/A$0$0$00.00000
RBR Management LLC
91 Corporate Park Drive Suite 120HendersonNV89074271466450AmbulanceNVNAN/A$0$0$00.00000
Santa Cruz Comprehensive Imaging LLC
1661 Soquel Drive Suite GSanta CruzCA95065010550623ImagingCANAN/A$0$0$00.00000
Santa Cruz Land & Building LP
1555 Soquel DriveSanta CruzCA95065770285236Real estateCANAN/A$0$0$00.00000
Santa Cruz Surgery Center LLC
3003 PAUL SWEET ROADSANTA CRUZCA95065770194916SURGERYCANAN/A$0$0$00.00000
St Joseph's Surgery Center LP
15305 Dallas Parkway Suite 1600 LBAddisonTX75001201019390SurgeryTXPORT CITYRELATED$1,322,366$2,522,482$00.64962falseYes (true)
Templeton Surgery Center LLC
1310 Las Tablas Road Suite 104TempletonCA94365202246616SurgeryCANAN/A$0$0$00.00000
The Medical Pavilion at St John's
1700 Rose AvenueOxnardCA93030770332349Real EstateCANAN/A$0$0$00.00000
Valley Physicians Surgery Center At Nort
18330 Roscoe BlvdNorthridgeCA91328800864336SurgeryCANAN/A$0$0$00.00000
Audubon Land Company LLC
630 Southpointe Court 200COLORADO SPRINGSCO80906841513085Real EstateCONAN/A$0$0$00.00000
AVON EMERGENCY AND URGENT CARE CENTER LL
9100 E Mineral CircleCentennialCO80112811727282HEALTHCARE SRVCCONAN/A$0$0$00.00000
BAYLOR CHI ST LUKES HEALTH SERVICES LLC
6624 Fannin St Ste 1100HOUSTONTX77030472079184HEALTHCARE SRVCTXNAN/A$0$0$00.00000
BERGAN MERCY SURGERY CENTER LLC
7710 Mercy Rd Ste 200OMAHANE68124208671994AMBUL SURG CTRNENAN/A$0$0$00.00000
BERYWOOD OFFICE PROPERTIES LLC
2501 Citico AvenueCHATTANOGATN37404621875199PHYS OFFICETNNAN/A$0$0$00.00000
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310LEXINGTONKY40504611386736DIAGNOSTIC IMAGINKYNAN/A$0$0$00.00000
CENTRAL NEBRASKA REHABILITATION SERVICES
3004 W FAIDLEY AVENUEGRAND ISLANDNE68803810653461Physical TherapyNENAN/A$0$0$00.00000
CENTURA-SCA HOLDINGS LLC
569 BROOK VILLAGE STE 901BIRMINGHAMAL35209474823023OP SURGERY CENTERALNAN/A$0$0$00.00000
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WESTENGLEWOODCO80112470727942INVESTMENTSCONAN/A$0$0$00.00000
CHICAMSURG Surgery Centers LLC
1A Burton Hills BlvdNashvilleTN37215465683027SURGERY CENTERCONAN/A$0$0$00.00000
CHICLARKIN VENTURES LLC
9100 E Mineral CircleCentennialCO80112474210888URGENT CARECONAN/A$0$0$00.00000
Colorado Springs CK Leasing LLC
630 Southpointe Court 200COLORADO SPRINGSCO80906262982714REAL ESTATECONAN/A$0$0$00.00000
FRANCISCAN SPECIALTY CARE LLC
680 SOUTH FOURTH STREETLOUISVILLEKY40202813725123HEALTHCARE SRVCWANAN/A$0$0$00.00000
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250BROOKFIELDWI53045270453767PROPERTY HOLDINGWINAN/A$0$0$00.00000
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNENAN/A$0$0$00.00000
Heartland Oncology LLC
2337 E Crawford StSalinaKS67401464265403ONCOLOGYKSNAN/A$0$0$00.00000
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DROMAHANE68130204267902AMBUL SURG CTRNENAN/A$0$0$00.00000
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201OMAHANE68130205544496ENDOSCOPY SRVCNENAN/A$0$0$00.00000
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREETLincolnNE68510262496856Real EstateNENAN/A$0$0$00.00000
Mercy Rehabilitation Hospital LLC
680 SOUTH FOURTH STREETLOUISVILLEKY40202814437201HEALTHCARE SRVCTXNAN/A$0$0$00.00000
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300OMAHANE68122270263191SPINE HOSPITALNENAN/A$0$0$00.00000
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVESHERWOODAR72120710799771AMBUL SURG CTRARNAN/A$0$0$00.00000
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80228371577105ORTHO HOSPITALCONAN/A$0$0$00.00000
Pasadena Urgency Center LLC
4600 E SAM HOUSTON PKWY SOUTHPASADENATX77505812482854URGENT CARETXNAN/A$0$0$00.00000
PENINSULA RADIATION ONCOLOGY LLC
314 MLK JR WAY STE 11TACOMAWA98405870808610HEALTHCARE SRVCWANAN/A$0$0$00.00000
Penrad Imaging LLC
1390 Kelly Johnson BlvdCOLORADO SPRINGSCO80920841072619Medical ImagingCONAN/A$0$0$00.00000
PMC HOSPITAL LLC
3100 MAIN ST STE 500HOUSTONTX77002273280598HOSPITALTXNAN/A$0$0$00.00000
Pueblo Ambulatory Surgery Center LLC
25 Montebello RdPuebloCO81003621488737SURGERY CENTERCONAN/A$0$0$00.00000
SAINT JOSEPH - SCA HOLDINGS LLC
1451 Harrodsburg RDLEXINGTONKY40503453801157OP SURGERYDENAN/A$0$0$00.00000
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DRMILFORDOH45150263330545HOME HEALTHKYNAN/A$0$0$00.00000
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300COLORADO SPRINGSCO80918263134100REAL ESTATECONAN/A$0$0$00.00000
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800HOUSTONTX77030710959365DIAGNOSTICSTXNAN/A$0$0$00.00000
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505HOUSTONTX77030300427437HOSPITALTXNAN/A$0$0$00.00000
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800HOUSTONTX77030462795726DIAGNOSTICSTXNAN/A$0$0$00.00000
THREE SPRING IMAGING LLC
1 Mercado St STE 200ADURANGOCO81301813571570HEALTHCARE SRVCCONAN/A$0$0$00.00000
WEST LAKES SURGERY CENTER LLC
12499 UNIVERSITY AVENUE STE 100CLIVEIA50325205345295HEALTHCARE SRVCIANAN/A$0$0$00.00000
Precision Medical Alliance LLC
198 INVERNESS DRIVE WESTENGLEWOODCO80112352569159Diagnostic ServicCONAN/A$0$0$00.00000
Dignity Health at Home LLC
1700 EDISON DRMILFORDOH45150824674115HEALTHCARE SRVCDENAN/A$0$0$00.00000
American Mercy Home Care LLC
1700 EDISON DRMILFORDOH45150830486150HOME HEALTHOHNAN/A$0$0$00.00000
Community Mercy Home Care Services of Sp
1700 EDISON DRMILFORDOH45150311746556HOME HEALTHOHNAN/A$0$0$00.00000
Good Samaritan Home Care Services of Vin
1700 EDISON DRMILFORDOH45150201792869HOME HEALTHOHNAN/A$0$0$00.00000
Reid-ANC Home Care Services LLC
1700 EDISON DRMILFORDOH45150371454747HOME HEALTHINNAN/A$0$0$00.00000
Southeastern Home Care LLC
1700 EDISON DRMILFORDOH45150271219638HOME HEALTHOHNAN/A$0$0$00.00000
St Elizabeth Home Care Services LLC
1700 EDISON DRMILFORDOH45150261236191HOME HEALTHKYNAN/A$0$0$00.00000
Patient Transport Services of Columbus I
1700 EDISON DRMILFORDOH45150264601285AmbulanceOHNAN/A$0$0$00.00000
Military Road Properties LLC
181 S 333rd Street STE 250Federal WayWA98003912067879Real EstateWANAN/A$0$0$00.00000
Performance Medical Equipment & Respirat
19625 62nd Avenue South STE 101KentWA98032452901632Holding CompanyWANAN/A$0$0$00.00000
Highline Physical Therapy Group
181 S 333rd Street STE 250Federal WayWA98003911431904Physical TherapyWANAN/A$0$0$00.00000
Franciscan Medical Pavilion Bonney Lake
6622 Wollochet Dr NWGig HarborWA98335463494108Real EstateWANAN/A$0$0$00.00000
Park Rapids Area Health Care
600 Pleasant Avenue SPark RapidsMN56470204926259HEALTHCARE SRVCMNNAN/A$0$0$00.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (68 entries)

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Coastal Surgical Specialists Inc
921 Oak Park Blvd Suite 101Pismo BeachCA93449743000596Ambulatory SurgerCANAS Corp$0$00.00000
Dignity Health Holding Corporation
185 Berry Street Suite 300San FranciscoCA94107460675371Holding CompanyNVNAC Corp$0$00.00000
Dignity Health Insurance Ltd (Cayman Isl
981065338Self Ins FundNAC Corp$0$00.00000PO Box 1051GRAND CAYMAN ISLACJKY1-1102CJ
Dignity Health Provider Resources Inc
185 Berry Street Suite 300San FranciscoCA94107473366764Health PlanCANAC Corp$0$00.00000
Health Services of the Pacific Central C
1400 E Church StreetSanta MariaCA93454770074057Health ServicesCANAC Corp$0$00.00000
Integrated Medical Services
9250 N 3rd Street Suite 4010PhoenixAZ85020860783428Multi-sp phys grpAZNAC Corp$0$00.00000
Management Services Organization of Sant
1400 E Church StreetSanta MariaCA93454770318135INACTIVECANAC Corp$0$00.00000
Millennium Surgery Center Inc
9300 Stockdale Hwy 200BakersfieldCA93311770513445OP SURGERY SVCSCANAS Corp$0$00.00000
St Mary Health Ventures Inc
1050 Linden AvenueLong BeachCA90813951912528Retail PharmacyCANAC Corp$0$00.00000
Alegent HealthCreighton St Joseph Manag
12809 West Dodge RdOmahaNE68154470802396Managed CareNENAC Corp$0$00.00000
All Saints Insurance Company SPC Ltd
980556913InsuranceNAC Corp$0$00.00000PO BOX 10073 APOGRAND CAYMANCJKY1-1001CJGeorgetown
ALLIANCE HEALTH PROVIDERS OF BRAZOS Vall
2801 FRANCISCAN DRIVEBRYANTX77802742466914HealthcareTXNAC Corp$0$00.00000
Alternative Insurance Management Service
3900 OLYMPIC BLVD STE 400ErlangerKY41018841112049Management ServicCONAC Corp$0$00.00000
AMERICAN NURSING CARE Inc
1700 EDISON DRMILFORDOH45150311085414HOME HEALTHOHNAC Corp$0$00.00000
AMERIMED INC
1700 EDISON DRMILFORDOH45150311158699HOME HEALTHOHNAC Corp$0$00.00000
BC HOLDING COMPANY INC
1850 BLUEGRASS AVELOUISVILLEKY40215311542851Fitness ClubKYNAC Corp$0$00.00000
BrazoSport Health Alliance
1 WEST WAY COURTLAKE JACKSONTX77566760518376Health CareTXNAC Corp$0$00.00000
Caduceus Medical Associates INC
5600 Brainerd Road Ste 500ChattanoogaTN37411621570736HealthcareTNNAC Corp$0$00.00000
Captive Management Initiatives Ltd
980663022Captive ManagemenNAC Corp$0$00.00000PO BOX 10073 APOGRAND CAYMANCJKY1-1001CJGeorgetown
Catholic Health Initiatives Center for T
198 INVERNESS DRIVE WESTEnglewoodCO80112272269511ResearchCONAC Corp$0$00.00000
CHI St Luke's Health - Memorial Condomin
1201 W Frank AveLufkinTX75904834184717Condo AssocTXNAC Corp$0$00.00000
ClearRiver Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464495960InsuranceTNNAC Corp$0$00.00000
Comcare Services Inc
5570 DTC ParkwayEnglewoodCO80111840904813InactiveCONAC Corp$0$00.00000
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRMILFORDOH45150311378212HOME HEALTHOHNAC Corp$0$00.00000
Des Moines Medical Center Inc
1111 6TH AVEDes MoinesIA50314420837382Real EstateIANAC Corp$0$00.00000
Diversified Health Resources Inc
100 MEDICAL DRIVELAKE JACKSONTX77566760222679Health CareTXNAC Corp$0$00.00000
First Initiatives Insurance LTD
980203038InsuranceNAC Corp$0$00.00000PO BOX 10073 APOGRAND CAYMANCJKY1-1001CJGeorgetown
Franciscan City Urgent Care Services PS
C/O CPGUSA 1345 AVE OF THE AMERICASNEW YORKNY10105812174959HealthcareNYNAC Corp$0$00.00000
Franciscan Services Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112232487967HealthcareCONAC Corp$0$00.00000
Good Samaritan Outreach Services
PO Box 1990KearneyNE68848470659440Medical ClinicNENAC Corp$0$00.00000
HarvestPlains Health of Iowa
32129 Weyerhaeuser Way S STE 201FEDERAL WAYWA98001473451750InsuranceWANAC Corp$0$00.00000
Health Systems Enterprises Inc
PO BOX 1990KearneyNE68848470664558MGMTNENAC Corp$0$00.00000
Healthcare MGMT Services Organization IN
1149 MARKET STTacomaWA98402911865474Health Org.WANAC Corp$0$00.00000
HeartlandPlains Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464368223InsuranceNENAC Corp$0$00.00000
Highline Medical Group
1717 S J StreetTacomaWA98405911407026Medical ServicesWANAC Corp$0$00.00000
KOMG-Louisville Region Inc
201 Abraham Flexner WayLouisvilleKY40202832481198HealthcareKYNAC Corp$0$00.00000
Medical Office Building Horizontal Prope
300 Werner StHot SpringsAR71913710720429Real EstateARNAC Corp$0$00.00000
Medquest
1301 15TH AVENUE WESTWillistonND58801450392137Sale of DMENDNAC Corp$0$00.00000
Memorial CV Service Line Management Comp
1201 W Frank AveLufkinTX75904463622849Heath CareTXNAC Corp$0$00.00000
Mercy Park Apartments LTD
1111 6th AVEDes MoinesIA50314421202422HousingIANAC Corp$0$00.00000
Mercy Services Corp
2700 STEWART PARKWAYRoseburgOR97471930824308Retail SalesORNAC Corp$0$00.00000
MHI Clinical Services
1201 W Frank AveLufkinTX75904461967952HealthcareTXNAC Corp$0$00.00000
Mountain Management Services Inc
6028 Shallowford RdChattanoogaTN37421621570739MGMT SVC ORGTNNAC Corp$0$00.00000
North Central Health Care Alliance
PO Box 5538BismarkND58506450439894HealthcareNDNAC Corp$0$00.00000
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRMILFORDOH45150311100798HOME HEALTHOHNAC Corp$0$00.00000
QCA Health Plan Inc
12615 Chenal Parkway STE 300Little RockAR72211710794605InsuranceARNAC Corp$0$00.00000
QualChoice Advantage
32129 WEYERHAEUSER WAY S STE 201FEDERAL WAYWA98001473433912InsuranceWANAC Corp$0$00.00000
QualChoice Health Plan Services Inc (fka
198 INVERNESS DRIVE WESTEnglewoodCO80112461224037Admin ServicesCONAC Corp$0$00.00000
QualChoice Health Inc (fka CollabHealth
198 INVERNESS DRIVE WESTEnglewoodCO80112461222808Holding CoCONAC Corp$0$00.00000
QualChoice Holdings Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112274075520Holding CoARNAC Corp$0$00.00000
QualChoice Life and Health Insurance Com
12615 Chenal Parkway STE 300Little RockAR72211710386640InsuranceARNAC Corp$0$00.00000
QualChoice of Nebraska
2401 S 73rd StOmahaNE68124810738827InactiveNENAC Corp$0$00.00000
RiverLink Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464380824InsuranceOHNAC Corp$0$00.00000
RiverLink Health of Kentucky Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112464828332InsuranceKYNAC Corp$0$00.00000
Ross Park Pharmacy Inc
380 SUMMIT AVESTEUBENVILLEOH43952341832654PharmacyOHNAC Corp$0$00.00000
Saint Clare's Primary Care Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112222441202Billing ServicesNJNAC Corp$0$00.00000
SJH Services Corporation
198 INVERNESS DRIVE WESTEnglewoodCO80112232307408HealthcareCONAC Corp$0$00.00000
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160LexingtonKY40503270164198MgmtKYNAC Corp$0$00.00000
SoundPath Health Inc
32129 Weyerhaeuser Way S STE 201Federal WayWA98001421720801InsuranceWANAC Corp$0$00.00000
St Anthony Development Company
1415 SouthgatePendletonOR97801931216943Athletic ClubORNAC Corp$0$00.00000
St Joseph Development Company Inc
1717 SOUTH J STTacomaWA98405911480569RentalWANAC Corp$0$00.00000
St Luke's Health System Holdings Inc
6624 Fannin STE 800HoustonTX77030760637138Holding CoTXNAC Corp$0$00.00000
St Vincent Community Health Services Inc
TWO ST VINCENT CIRCLELittle RockAR72205710710785HealthcareARNAC Corp$0$00.00000
StableView Health Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112464373713InsuranceKYNAC Corp$0$00.00000
STE Holdings
12809 West Dodge RdOmahaNE68154822383629Holding CoNENAC Corp$0$00.00000
Sugar Land Doctor Group
1317 Lake Point ParkwaySugar LandTX77478454270163Medical ClinicTXNAC Corp$0$00.00000
Towson Management Inc
7601 OSLER DRTowsonMD21204521710750Mgmt ServicesMDNAC Corp$0$00.00000
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVESTEUBENVILLEOH43952341471026Mgmt ServicesOHNAC Corp$0$00.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH'S SURGERY CENTER LPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeSTransactionTypeTxt
Involved$1,487,293InvolvedAmt
Method Of Amount DeterminationSEE PART VIIMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE R, PART V, LINE 2 COLUMN (C)PART V, LINE 1S - AMOUNTS REPORTED UNDER TRANSACTION TYPE "S" REPRESENT FUNDING FROM PARTNERSHIPS VIA K-1 DISTRIBUTIONS.
SCHEDULE R, PART VIIAS PART OF THE ALIGNMENT BETWEEN DIGNITY HEALTH AND CHI, ON THE EFFECTIVE DATE OF FEBRUARY 1, 2019, DIGNITY HEALTH CAUSED TO TRANSFER NON-CATHOLIC OWNED COMMUNITY HOSPITALS, NON-CATHOLIC SUBSIDIARY HOSPITALS, AND CERTAIN OTHER NON-CATHOLIC OPERATIONS, AS REPORTED IN PART II, TO DIGNITY COMMUNITY CARE. ENTITIES TRANSFERRED DURING THE YEAR LIST DIGNITY HEALTH AND DIGNITY COMMUNITY CARE, "DH/DCC", AS THE DIRECT CONTROLLING ENTITY ON SCHEDULES R, PART II SINCE BOTH ENTITIES HELD CONTROL AT SOME POINT DURING THE YEAR.