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MISSION HOSPITAL REGIONAL MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MISSION HOSPITAL REGIONAL MEDICAL CENTER (EIN 95-1643360)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201913199349316456
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-15T17:37:25-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118101 VON KARMAN AVE STE 1700AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951643360EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSION HOSPITAL REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% AARON NEUHARTHInCareOfNm
Business Name ControlMISSBusinessNameControlTxt
Phone9493641400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP980579016ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEILEEN HAUBLPersonNm
Person TitleCFOPersonTitleTxt
Phone9493641400PhoneNum
Signature2019-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKARA ADAMSPreparerPersonNm
PTINP00023315PTIN
Phone9497942300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address164.57.159.254IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id33577420193195000103FederalOriginalSubmissionId
Federal Original Submission Id2019-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC8EB7D7F4A43AD7C11A3CC780D94EAED606DA475AtSubmissionCreationDeviceId
At Submission Filing Device Id9DA6508B19D2C1E02E04D7E56E26FCCCFF46B868AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerEILEEN HAUBLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CENTER ROADAddressLine1Txt
CityMISSION VIEJOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92691ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$724,009,310GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MISSION4HEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1941FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee3164TotalEmployeeCnt
Total Volunteers759TotalVolunteersCnt
Total Gross UBI$542,981TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$117,634NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,624,064PYContributionsGrantsAmt
CY Contributions Grants$20,623,860CYContributionsGrantsAmt
PY Program Service Revenue$318,301,788PYProgramServiceRevenueAmt
CY Program Service Revenue$695,552,123CYProgramServiceRevenueAmt
PY Investment Income$1,437,782PYInvestmentIncomeAmt
CY Investment Income$5,138,169CYInvestmentIncomeAmt
PY Other Revenue-$168,277PYOtherRevenueAmt
CY Other Revenue-$192,913CYOtherRevenueAmt
PY Total Revenue$328,195,357PYTotalRevenueAmt
CY Total Revenue$721,121,239CYTotalRevenueAmt
PY Grants And Similar Paid$3,554,389PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$8,668,104CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$125,614,940PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$269,359,338CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,389,233CYTotalFundraisingExpenseAmt
PY Other Expenses$177,924,154PYOtherExpensesAmt
CY Other Expenses$341,908,907CYOtherExpensesAmt
PY Total Expenses$307,093,483PYTotalExpensesAmt
CY Total Expenses$619,936,349CYTotalExpensesAmt
PY Revenues Less Expenses$21,101,874PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$101,184,890CYRevenuesLessExpensesAmt
Total Assets BOY$568,706,675TotalAssetsBOYAmt
Total Assets EOY$542,602,706TotalAssetsEOYAmt
Total Liabilities BOY$342,918,054TotalLiabilitiesBOYAmt
Total Liabilities EOY$291,380,529TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$225,788,621NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$251,222,177NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$540,072,247ExpenseAmt
Grant$8,668,104GrantAmt
Revenue$695,552,123RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$540,072,247TotalProgramServiceExpensesAmt
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 EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
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 ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
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 ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3164EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
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 ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
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 OtherYes (true)CompensationProcessOtherInd
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)
PersonAARON NEUHARTHPersonNm
Phone9493647767PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CENTER ROADAddressLine1Txt
CityMISSION VIEJOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92691ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SISTER LINDA BUCK
BOARD CHAIR5.00.0Yes (X)$0$0$0
SISTER JO-ANN EANNARENO
BOARD MEMBER2.02.0Yes (X)$0$0$0
ED JORDAN
BOARD MEMBER, COMMITTEE CHAIR4.00.0Yes (X)$0$0$0
TODD LEMPERT MD
BOARD MEMBER2.00.0Yes (X)$91,530$0$0
MICHAEL MARINO DO
SVP, CHIEF MED INFO OFFICER2.050.0Yes (X)$0$698,684$52,839Yes (X)
RUDY MARQUEZ MD
BOARD MEMBER2.00.0Yes (X)$0$0$0
JAIME MUNOZ
BOARD MEMBER2.00.0Yes (X)$0$0$0
STEVEN PAL
BOARD VICE - CHAIR2.00.0Yes (X)$0$0$0
TAREK SALAWAY
CHIEF EXECUTIVE50.02.0Yes (X)$0$640,285$23,950Yes (X)
PATRICIA WALLACE MD
BOARD MEMBER2.00.0Yes (X)$0$0$0
JAMES WICKHAM MD
BOARD MEMBER, CHIEF OF STAFF2.00.0Yes (X)$41,667$0$0
TARA COWELL
VP/ASSOC. GENERAL COUNSEL/SEC.2.052.0$0$399,477$64,180Yes (X)
EILEEN HAUBL
CHIEF FINANCIAL OFFICER50.00.0$455,820$0$50,856Yes (X)
MARK JABLONSKI
CHIEF MISSION INTEGRATION2.050.0$0$358,148$45,700Yes (X)
MICHAEL BECK
CHIEF ADMIN OFFICER - LB50.00.0$344,029$0$64,392Yes (X)
JENNIFER CORD
CHIEF NURSING OFFICER50.00.0$352,276$0$29,730Yes (X)
WENDY FERRO-GRANT
DIRECTOR, SURGICAL SERVICES50.00.0$207,309$0$45,755Yes (X)
DEANNE NIEDZIELA
DIRECTOR, NURSING50.00.0$239,969$0$45,100Yes (X)
TERRENCE WOOTEN
VP, INTEGRATED OPERATIONS50.00.0$263,201$0$28,711Yes (X)
ANNABELLE BRAUN
DIRECTOR, NURSING50.00.0$256,803$0$35,726Yes (X)
LAUREN DWINELL
EXEC DIR, CHIEF OPS-PAT. FLOW50.00.0$296,917$0$43,985Yes (X)
TERRI FOX-COVERT
DIRECTOR, HUMAN RESOURCES50.00.0$301,704$0$51,212Yes (X)
EVELYN SCHLOSSER
EXEC DIR, QLTY & PAT SAFETY50.00.0$254,912$0$26,332Yes (X)
LINDA SIEGLEN
CHIEF MEDICAL OFFICER50.00.0$491,693$0$40,808Yes (X)
KENNETH MCFARLAND
FORMER OFFICER & TRUSTEE0.00.0$0$295,676$0Yes (X)
LINDA JOHNSON
FORMER KEY EMPLOYEE0.00.0$112,375$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,710,205TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,392,270TotReportableCompRltdOrgAmt
Total Other Compensation$649,276TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K590IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
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
SOUTH ORANGE COUNTY SURGICAL MED GR
24411 HEALTH CENTER DR STE 350LAGUNA HILLSCA92653MEDICAL SERVICES$3,724,871
THE GREELEY COMPANY LLC
5 CHERRY HILL DRIVEDANVERSMA01923STAFF SUPPORT SVCS$1,453,400
PERIOPERATIVE CARE MGMT PARTNERS IN
25721 NELLIE GAIL ROADLAGUNA HILLSCA92653ADMIN SERVICES$1,260,472
MISSION VIEJO ANESTHESIA CONSULTANT
26522 LA ALAMEDA STREET STE 370MISSION VIEJOCA92691MEDICAL SERVICES$1,216,672
AEROTEK INC
7301 PARKWAY DRIVE SOUTHHANOVERMD21076STAFF SUPPORT SVCS$660,036
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K55CntrctRcvdGreaterThan100KCnt
Fundraising$1,878,253FundraisingAmt
Related Organizations$2,032,728RelatedOrganizationsAmt
Government Grants$197,271GovernmentGrantsAmt
All Other Contributions$16,515,608AllOtherContributionsAmt
Noncash Contributions$2,376,349NoncashContributionsAmt
Total Contributions$20,623,860TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT REVENUE622110$622,155,475$622,155,475$0$0
CAPITATION REVENUE621511$44,392,106$44,392,106$0$0
MOB RENTAL REVENUE531120$13,507,547$13,507,547$0$0
CHILDRENS' HOSPITAL AT MISSION622110$5,541,318$5,541,318$0$0
NUTRITIONAL SERVICES722310$3,031,071$3,031,071$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,924,606TotalRevenueColumnAmt
Related Or Exempt Func Income$6,381,625RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$542,981UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$695,552,123TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,138,947TotalRevenueColumnAmt
Exclusion$5,138,947ExclusionAmt

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,075,979SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,076,757SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$778SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$778TotalRevenueColumnAmt
Exclusion-$778ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$458,126FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$1,878,253ContriRptFundraisingEventAmt
Fundraising Direct Expenses$768,814FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$310,688TotalRevenueColumnAmt
Exclusion-$310,688ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$160,275GamingGrossIncomeAmt
Gaming Direct Expenses$42,500GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$117,775TotalRevenueColumnAmt
Exclusion$117,775ExclusionAmt
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
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$721,121,239TotalRevenueColumnAmt
Related Or Exempt Func Income$695,009,142RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$542,981UnrelatedBusinessRevenueAmt
Exclusion$4,945,256ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$8,601,150TotalAmt
Program Services$8,601,150ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$66,954TotalAmt
Program Services$66,954ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,799,860TotalAmt
Program Services$1,970,690ProgramServicesAmt
Management And General$829,170ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$120,972TotalAmt
Program Services$120,972ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$209,624,607TotalAmt
Program Services$198,344,791ProgramServicesAmt
Management And General$9,623,856ManagementAndGeneralAmt
Fundraising$1,655,960FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,315,394TotalAmt
Program Services$9,904,924ProgramServicesAmt
Management And General$329,439ManagementAndGeneralAmt
Fundraising$81,031FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,756,197TotalAmt
Program Services$28,636,572ProgramServicesAmt
Management And General$2,790,931ManagementAndGeneralAmt
Fundraising$328,694FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,742,308TotalAmt
Program Services$13,982,801ProgramServicesAmt
Management And General$625,976ManagementAndGeneralAmt
Fundraising$133,531FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$35,857,309TotalAmt
Program Services$28,443,711ProgramServicesAmt
Management And General$7,413,598ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,265,195TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,265,195ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$148,489TotalAmt
Program Services$1,100ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$147,389FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$40,257TotalAmt
Program Services$40,257ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$324,951TotalAmt
Program Services$0ProgramServicesAmt
Management And General$262,951ManagementAndGeneralAmt
Fundraising$62,000FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$84,340,939TotalAmt
Program Services$63,014,997ProgramServicesAmt
Management And General$21,237,954ManagementAndGeneralAmt
Fundraising$87,988FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,693,813TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,654,463ManagementAndGeneralAmt
Fundraising$39,350FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,539,802TotalAmt
Program Services$18,316,831ProgramServicesAmt
Management And General$180,671ManagementAndGeneralAmt
Fundraising$42,300FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,032,860TotalAmt
Program Services$2,032,860ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$37,319,250TotalAmt
Program Services$19,011,596ProgramServicesAmt
Management And General$18,052,910ManagementAndGeneralAmt
Fundraising$254,744FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$782,048TotalAmt
Program Services$441,016ProgramServicesAmt
Management And General$324,754ManagementAndGeneralAmt
Fundraising$16,278FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$87,567TotalAmt
Program Services$78,857ProgramServicesAmt
Management And General$1,370ManagementAndGeneralAmt
Fundraising$7,340FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,348,651TotalAmt
Program Services$6,595,434ProgramServicesAmt
Management And General$1,753,217ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$25,070,812TotalAmt
Program Services$20,302,899ProgramServicesAmt
Management And General$4,760,989ManagementAndGeneralAmt
Fundraising$6,924FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,974,484TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,974,484ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$86,277,764$86,234,749$43,015$0
HOSPITAL FEE PROGRAM$32,453,446$32,453,446$0$0
LICENSEES / TAXES / DUES$1,003,666$440,290$557,432$5,944
ALL OTHER EXPENSES$2,347,604$1,035,350$792,494$519,760

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$619,936,349TotalAmt
Program Services$540,072,247ProgramServicesAmt
Management And General$76,474,869ManagementAndGeneralAmt
Fundraising$3,389,233FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,663,031BOYAmt
EOY$18,227,623EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,957,776BOYAmt
EOY$14,472,863EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$70,951,610BOYAmt
EOY$67,060,446EOYAmt

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$3,334,634BOYAmt
EOY$2,745,929EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,364,494BOYAmt
EOY$8,391,529EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,107,513BOYAmt
EOY$1,312,763EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$636,713,612LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$300,351,901LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$350,442,574BOYAmt
EOY$336,361,711EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$83,783,677BOYAmt
EOY$85,302,167EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,415,109BOYAmt
EOY$2,467,328EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,686,257BOYAmt
EOY$6,260,347EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$568,706,675BOYAmt
EOY$542,602,706EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$100,881,518BOYAmt
EOY$64,643,281EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$100,943EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$242,036,536BOYAmt
EOY$226,636,305EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$342,918,054BOYAmt
EOY$291,380,529EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$123,720,288BOYAmt
EOY$142,105,482EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$100,054,237BOYAmt
EOY$107,299,233EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,014,096BOYAmt
EOY$1,817,462EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$225,788,621BOYAmt
EOY$251,222,177EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$568,706,675BOYAmt
EOY$542,602,706EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$101,184,890ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$8,509,564NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts-$1,436,000DonatedServicesAndUseFcltsAmt
Investment Expense-$262,951InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$65,542,819OtherChangesInNetAssetsAmt
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
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$40,257OtherActivitiesAmt
Total Lobbying Expenditures$40,257TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationOTHER ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO MISSION HOSPITAL.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,520,369BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$654,184InvestmentEarningsOrLossesAmt
Administrative Expenses$11,474AdministrativeExpensesAmt
End Year Balance$5,163,079EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,693,718BeginningYearBalanceAmt
Contributions$40,365ContributionsAmt
Investment Earnings Or Losses-$73,142InvestmentEarningsOrLossesAmt
Other Expenditures$95,886OtherExpendituresAmt
Administrative Expenses$44,686AdministrativeExpensesAmt
End Year Balance$4,520,369EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,573,054BeginningYearBalanceAmt
Contributions$47,943ContributionsAmt
Investment Earnings Or Losses$118,728InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$46,007AdministrativeExpensesAmt
End Year Balance$4,693,718EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.50000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.33340PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.16660TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$334,100,317OtherCostOrOtherBasisAmt
Depreciation$119,867,937DepreciationAmt
Book Value$214,232,380BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,336,833OtherCostOrOtherBasisAmt
Depreciation$16,726,590DepreciationAmt
Book Value$6,610,243BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$208,070,214OtherCostOrOtherBasisAmt
Depreciation$157,729,795DepreciationAmt
Book Value$50,340,419BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,104,342OtherCostOrOtherBasisAmt
Depreciation$6,027,579DepreciationAmt
Book Value$16,076,763BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$336,361,711TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
INTERCO WITH HEALTH SYSTEM - BONDS$217,184,118
INTERCOMPANY PAYABLE$1,272,323
THIRD PARTY PAYABLE$4,650,244
OTHER LIABILITIES$3,529,620
FieldValueIRS element (for citing)
Total Liability$226,636,305TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule G IRS990ScheduleG

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonHarris Connect INC CHESAPEAKE VAPersonNm
ActivityTelephone OUTREACHActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$1,000,999GrossReceiptsEvent1Amt
Charitable Contri Event1$818,343CharitableContriEvent1Amt
Gross Revenue Event1$182,656GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$14,495RentFacilityCostsEvent1Amt
Food And Beverage Event1$99,074FoodAndBeverageEvent1Amt
Entertainment Event1$19,950EntertainmentEvent1Amt
Other Direct Expenses Event1$198,350OtherDirectExpensesEvent1Amt
Event2FASHION SHOWEvent2Nm
Gross Receipts Event2$420,354GrossReceiptsEvent2Amt
Charitable Contri Event2$295,167CharitableContriEvent2Amt
Gross Revenue Event2$125,187GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$0NonCashPrizesEvent2Amt
Rent Facility Costs Event2$4,029RentFacilityCostsEvent2Amt
Food And Beverage Event2$52,425FoodAndBeverageEvent2Amt
Entertainment Event2$10,000EntertainmentEvent2Amt
Other Direct Expenses Event2$40,707OtherDirectExpensesEvent2Amt
Other Events Total5OtherEventsTotalCnt
Gross Receipts Other Events$915,026GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$764,743CharitableContriOtherEventsAmt
Gross Revenue Other Events$150,283GrossRevenueOtherEventsAmt
Cash Prizes Other Events$0CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$0NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$90,719RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$75,296FoodAndBeverageOtherEventsAmt
Entertainment Other Events$0EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$163,769OthDirectExpnssOtherEventsAmt
Gross Receipts Total$2,336,379GrossReceiptsTotalAmt
Charitable Contributions Tot$1,878,253CharitableContributionsTotAmt
Gross Revenue Total Events$458,126GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$0NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$109,243RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$226,795FoodAndBeverageTotalEventsAmt
Entertainment Total Events$29,950EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$402,826OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$768,814DirectExpenseSummaryEventsAmt
Net Income Summary-$310,688NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$160,275GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$3,500CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming$39,000NonCashPrizesOtherGamingAmt
Rent Fclty Costs Other Gaming$0RentFcltyCostsOtherGamingAmt
Oth Direct Expnss Other Gaming$0OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingYes (true)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$160,275GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$3,500CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$39,000NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming$0RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming$0OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$42,500DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$117,775NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConductedCd
LicensedfalseLicensedInd
Explanation If NoSEE SCHEDULE G, PART IV.ExplanationIfNoTxt
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersfalseGamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksJOHN D MILLERIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CENTER ROADAddressLine1Txt
CityMISSION VIEJOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92691ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonJOHN D MILLERGamingManagerPersonNm
Gaming Manager Compensation$11,990GamingManagerCompensationAmt
Gaming Manager Services ProvDirector/officerGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrYes (true)CharitableDistributionRqrInd
Distributed$144,248DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE G, PART III, LINE 9BFormAndLineReferenceDesc
ExplanationGAMING MISSION HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION AND GAMING IS NOT THE PRIMARY FUNDRAISING ACTIVITY. AS A HOSPITAL, THEY ARE NOT REQUIRED TO REGISTER WITH THE CALIFORNIA ATTORNEY GENERAL. THERE WERE RAFFLES FOR PRIZE BASKETS AND CASH PRIZES TOTALING $160,275. 90% OF THE PROCEEDS WERE RETAINED AS REQUIRED.ExplanationTxt

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
Percent200Yes (X)Percent200Ind
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)
Total Community Benefit Expns$8,543,217TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,543,217NetCommunityBenefitExpnsAmt
Total Expense0.01370TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$93,562,394TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$110,075,614DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,105,611TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$110,075,614DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,543,217NetCommunityBenefitExpnsAmt
Total Expense0.01370TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,632,952TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$214,122DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,418,830NetCommunityBenefitExpnsAmt
Total Expense0.00550TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,427TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$106,427NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$307,668TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$305,168NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,974,364TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,974,364NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,021,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$216,622DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,804,789NetCommunityBenefitExpnsAmt
Total Expense0.01260TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$110,127,022TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$110,292,236DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,348,006NetCommunityBenefitExpnsAmt
Total Expense0.02620TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,090TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$51,090NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,244TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,244NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$168,104TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$168,104NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,850TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$58,850NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$315,288TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$315,288NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$7,050,282BadDebtExpenseAmt
Reimbursed By Medicare$120,266,705ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$147,520,355CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$27,253,650MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
MECC - SEE PART VI
PHYSICIAN OFFICE & CONF ED CT0.50.5
MAS - SEE PART VI
OUTPATIENT SURGERY CENTER0.3670.633
MVPPI - SEE PART VI
MEDICAL OFFICE BUILDING0.2480.1264
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSION HOSPITAL REGIONAL MEDICAL CTRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line127700 MEDICAL CENTER ROADAddressLine1Txt
CityMISSION VIEJOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92691ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MISSION4HEALTH.COMWebsiteAddressTxt
State License06000146StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MISSION HOSPITAL REGIONAL MEDICAL CTRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM COMMUNITY THE PROCESS OF COLLECTING QUALITATIVE COMMUNITY INPUT TOOK THREE MAIN FORMS BETWEEN JANUARY MAY 2016: COMMUNITY RESIDENT FOCUS GROUPS, A NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, AND COMMUNITY FORUMS. EACH GROUP WAS DESIGNED TO CAPTURE THE COLLECTIVE KNOWLEDGE AND OPINIONS OF PEOPLE WHO LIVE AND WORK IN THE COMMUNITIES SERVED BY MISSION HOSPITAL. WE DEVELOPED A PROTOCOL FOR EACH GROUP TO ENSURE CONSISTENCY ACROSS INDIVIDUAL FOCUS GROUPS, ALTHOUGH THE FACILITATORS HAD SOME DISCRETION ON ASKING FOLLOW-UP QUESTIONS OR PROBES AS THEY SAW FIT. INVITATION AND RECRUITMENT PROCEDURES VARIED FOR EACH TYPE OF GROUP. APPENDIX OF THE CHNA INCLUDES A FULL REPORT OF THE COMMUNITY INPUT PROCESS AND FINDINGS ALONG WITH DESCRIPTIONS OF THE PARTICIPANTS. RESIDENT FOCUS GROUPS FOR COMMUNITY RESIDENT GROUPS, COMMUNITY BENEFIT STAFF, IN COLLABORATION WITH THEIR COMMITTEES AND THE SYSTEM OFFICE, IDENTIFIED GEOGRAPHIC AREAS WHERE DATA SUGGESTED THERE WERE SIGNIFICANT HEALTH, PHYSICAL ENVIRONMENT, AND SOCIOECONOMIC CONCERNS. THIS PROCESS ALSO IDENTIFIED THE LANGUAGE NEEDS OF THE COMMUNITY, WHICH DETERMINED THE LANGUAGE IN WHICH EACH FOCUS GROUP WAS CONDUCTED. COMMUNITY BENEFIT STAFF THEN PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS THAT SERVE THOSE AREAS TO RECRUIT FOR AND HOST THE FOCUS GROUPS. PARTICIPANTS WERE PROMISED A SMALL INCENTIVE FOR THEIR TIME. TWO CONSULTANTS STAFFED EACH FOCUS GROUP, SERVING AS FACILITATORS AND NOTE TAKERS. THESE CONSULTANTS WERE NOT DIRECTLY AFFILIATED WITH THE MINISTRY TO ENSURE CANDOR FROM THE PARTICIPANTS. 55 HISPANIC RESIDENTS PARTICIPATED IN 4 FOCUS GROUPS, WITH OVER 75% REPRESENTING INCOME LEVELS BELOW $75,000 ANNUALLY. THE MAJORITY OF RESIDENTS WERE BETWEEN THE AGES OF 18 64 YEARS OF AGE. NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP FOR THE NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, COMMUNITY BENEFIT STAFF DEVELOPED A LIST OF LEADERS FROM ORGANIZATIONS THAT SERVE DIVERSE CONSTITUENCIES WITHIN THE HOSPITALS SERVICE AREA. MINISTRY STAFF SOUGHT TO INVITE ORGANIZATIONS WITH WHICH THEY HAD EXISTING RELATIONSHIPS, BUT ALSO USED THE FOCUS GROUP AS AN OPPORTUNITY TO BUILD NEW RELATIONSHIPS WITH STAKEHOLDERS. PARTICIPANTS WERE NOT GIVEN A MONETARY INCENTIVE FOR ATTENDANCE. AS WITH THE RESIDENT FOCUS GROUPS, THIS GROUP WAS FACILITATED BY OUTSIDE CONSULTANTS WITHOUT A DIRECT LINK TO ST. JOSEPH HEALTH. RESIDENT COMMUNITY FORUMS RECRUITMENT FOR THE COMMUNITY RESIDENT FORUMS WAS MUCH BROADER TO ENCOURAGE AS MANY PEOPLE AS POSSIBLE TO ATTEND THE SESSION. COMMUNITY BENEFIT STAFF PUBLICIZED THE EVENT THROUGH FLYERS AND EMAILS USING THEIR EXISTING OUTREACH NETWORKS, AND ALSO ASKED THEIR PARTNER ORGANIZATIONS TO INVITE AND RECRUIT PARTICIPANTS. NO FORMAL INVITATION LIST WAS USED FOR THE FORUMS AND ANYONE WHO WISHED TO ATTEND WAS WELCOMED. THE FORUMS WERE CONDUCTED BY AN OUTSIDE CONSULTANT IN ENGLISH, WITH SIMULTANEOUS SPANISH LANGUAGE TRANSLATION FOR ANYONE WHO REQUESTED IT. THE COMMUNITY FORUMS CONSISTED PRIMARILY OF HISPANIC RESIDENTS WHOSE HOUSEHOLD INCOME WAS LESS THAN $75,000 ANNUALLY. WHILE THE FOCUS GROUPS FOLLOWED A SIMILAR PROTOCOL TO EACH OTHER IN WHICH FIVE TO SIX QUESTIONS WERE ASKED OF THE GROUP, THE FORUMS FOLLOWED A DIFFERENT PROCESS. THE LEAD FACILITATOR SHARED THE HEALTH NEEDS THAT HAD EMERGED FROM THE CHNA PROCESS SO FAR AND ASKED THE PARTICIPANTS TO COMMENT ON THEM AND ADD ANY OTHER CONCERNS. ONCE THE DISCUSSION WAS COMPLETE, THE PARTICIPANTS ENGAGED IN A CUMULATIVE VOTING PROCESS USING DOTS TO INDICATE THEIR GREATEST CONCERNS. THROUGH THIS DESIGN, THE FORUMS SERVED AS SOMETHING OF A "CAPSTONE" TO THE COMMUNITY INPUT PROCESS.
SCHEDULE H, PART V, SECTION B, LINE 7ATHE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: HTTPS://WWW.STJHS.ORG/OUR-PROGRAMS/COMMUNITY-PARTNERSHIPS/COMMUNITY-BENEFI T/REPORTS-COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/
SCHEDULE H, PART V, SECTION B, LINE 10ATHE IMPLEMENTATION STRATEGY IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: HTTPS://WWW.MISSION4HEALTH.COM/SUPPORT-SERVICES/COMMUNITY-BENEFIT/
SCHEDULE H, PART V, SECTION B, LINE 11IN RESPONSE TO IDENTIFIED UNMET NEEDS IN THE 2016/17 COMMUNITY HEALTH NEEDS ASSESSMENT, MISSION HOSPITAL WILL FOCUS ON THREE INITIATIVES FOR THE BROADER AND UNDERSERVED MEMBERS OF OUR COMMUNITIES: 1) MENTAL HEALTH 2) IMMIGRANT SUPPORT & SOLIDARITY 3) ECONOMIC STABILITY. MENTAL HEALTH WILL BE ADDRESSED THROUGH BOTH FAMILY RESOURCE CENTERS BY UTILIZING THE PHQ-9 AS A TOOL TO ASSESS PARTICIPANTS DEPRESSION AND WORKING ON LOWERING THE SCORE. IT WILL ALSO BE ADDRESSED THROUGH THE EACH MIND MATTERS CAMPAIGN AND BY COLLABORATING WITH SCHOOLS. BOTH IMMIGRANT SUPPORT AND SOLIDARITY AND ECONOMIC STABILITY WILL BE ADDRESSED BY CONNECTING PARTICIPANTS TO A VARIETY OF SOCIAL SERVICES. WE WILL ALSO ADDRESS ECONOMIC STABILITY BY OFFERING PROGRAMS AT BOTH FAMILY RESOURCE CENTERS. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH COMMUNITY BENEFIT PROGRAMS AND BY FUNDING OTHER NON-PROFITS THROUGH OUR CARE FOR THE POOR PROGRAM MANAGED BY THE MISSION HOSPITAL. FURTHERMORE, MISSION HOSPITAL WILL ENDORSE LOCAL NON-PROFIT ORGANIZATION PARTNERS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT MISSION HOSPITAL SERVICE AREAS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW: ACCESS TO RESOURCES: MISSION HOSPITAL WILL CONTINUE TO FINANCIALLY SUPPORT CAMINO HEALTH CENTER TO PROVIDE PRIMARY CARE SERVICES TO THE LOW-INCOME RESIDENTS OF SOUTH ORANGE COUNTY AND DEPENDING ON THEIR EXPERTISE FOR SERVICE PROVISION. WE WILL MAINTAIN MANY OF THE PROGRAMS CURRENTLY IN PLACE THROUGH ITS COMMUNITY BENEFIT PROGRAM TO CONTINUE PROVIDING ACCESS TO CARE SUCH AS HEALTH INSURANCE ENROLLMENT, PREVENTIVE SCREENINGS, EDUCATIONAL CLASSES AND MEDICAL TRANSPORTATION SERVICES. DENTAL CARE: MISSION HOSPITAL DOES NOT DIRECTLY ADDRESS DENTAL NEEDS AS THIS IS OUTSIDE OUR SCOPE OF EXPERTISE; HOWEVER, WE WILL WORK IN COLLABORATION WITH CAMINO HEALTH CENTER DENTAL SERVICES, LINKING CLIENTS OF THE FAMILY RESOURCE CENTERS TO CAMINO SERVICES. DIABETES: CAMINO HEALTH CENTER IS THE PRIMARY MEDICAL PROVIDER FOR LOW-INCOME RESIDENTS AND HAS IDENTIFIED THIS CONDITION AS ONE OF THEIR 16 AREAS OF CLINICAL FOCUS. WE WILL CONTINUE TO WORK COLLABORATIVELY WITH CAMINO TO CONNECT RESIDENTS IN NEED OF MEDICAL SERVICES WITH THEIR CENTER. FOOD AND NUTRITION: GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. HOMELESSNESS: MISSION HOSPITAL DOES NOT HAVE THE EXPERTISE TO DIRECTLY ADDRESS HOMELESSNESS; HOWEVER WE PARTNER WITH SEVERAL ORGANIZATIONS THAT SERVE THE HOMELESS, INCLUDING FAMILY ASSISTANCE MINISTRY, FRIENDSHIP SHELTER AND THE ILLUMINATION FOUNDATION. HOUSING CONCERNS: WE HAVE CONCENTRATED ON AFFORDABLE HOMES FOR MANY YEARS IN SOUTH ORANGE COUNTY. RESIDENTS SHARE THAT HOUSING COSTS REMAIN UNAFFORDABLE. WITH THE RECENT CHANGES IN REDEVELOPMENT FUNDS AND THE LACK OF LOCAL RESOURCES AND COLLABORATIVE EFFORTS NEEDED TO FOCUS ON THIS ISSUE, THE COMMITTEE FELT OUR MINISTRY RESOURCES COULD BE BETTER UTILIZED IN THE OTHER AREAS IDENTIFIED. WE WILL CONTINUE TO WORK WITH AGENCIES WHO PROVIDE HOUSING ASSISTANCE SUCH AS ILLUMINATION FOUNDATION, FRIENDSHIP SHELTER, AND FAMILY ASSISTANCE MINISTRY. INSURANCE AND COST OF CARE: GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. LACK OF EDUCATION: GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. LACK OF EXERCISE: GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. LANGUAGE AND CULTURAL BARRIERS: MISSION HOSPITAL MAY CONSIDER HOW TO ADDRESS BARRIERS RELATED TO LANGUAGE AND CULTURE IN THE IMMIGRATION AND ECONOMIC STABILITY INITIATIVES. OBESITY: GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS.
SCHEDULE H, PART V, SECTION B, LINE 13HOTHER BASIS FOR CALCULATING AMOUNT CHARGED TO PATIENTS THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDER-INSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT.
SCHEDULE H, PART V, SECTION B, LINE 16AHTTP://WWW.MISSION4HEALTH.COM/PATIENTS-VISITORS/FOR-PATIENTS/PATIENT-FINAN CIAL-ASSISTANCE.ASPX
SCHEDULE H, PART V, SECTION B, LINE 16BHTTP://WWW.MISSION4HEALTH.COM/PATIENTS-VISITORS/FOR-PATIENTS/PATIENT-FINAN CIAL-ASSISTANCE.ASPX
SCHEDULE H, PART V, SECTION B, LINE 16CHTTP://WWW.MISSION4HEALTH.COM/PATIENTS-VISITORS/FOR-PATIENTS/PATIENT-FINAN CIAL-ASSISTANCE.ASPX
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
MISSION AMBULATORY SURGICENTER LTD
26730 CROWN VALLEY PARKWAYMISSION VIEJOCA92691OUTPATIENT SURGERY CENTER
CALIFORNIA SPECIALTY SURGERY CENTER LP
26371 CROWN VALLEY PARKWAYMISSION VIEJOCA92691OUTPATIENT SURGERY CENTER
FAMILY RESOURCE CENTER
22481 ASPAN STREETLAKE FORESTCA92630COMMUNITY OUTREACH CENTER
CHEC FAMILY RESOURCE CENTER
27412 CALLE ARROYOMISSION VIEJOCA92675COMMUNITY OUTREACH CENTER

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CIN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
SCHEDULE H, PART I, LINE 6AMISSION HOSPITAL REGIONAL MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT WWW.MISSION4HEALTH.COM
SCHEDULE H, PART I, LINE 7THE AMOUNTS REPORTED IN THE TABLE WERE DERIVED FROM THE COST ACCOUNTING SYSTEM AND GENERAL LEDGER.
SCHEDULE H, PART I, LINE 7, COLUMN (F)JOINT VENTURE COSTS OF $3,945,338 WERE INCLUDED IN THE TOTAL EXPENSE AMOUNT USED TO CALCULATE PERCENTAGES IN PART I, LINE 7, COLUMN F. SCHEDULE H, PART I, LINE 7G NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES FOSTERING A PREPARED AND PRODUCTIVE WORKFORCE IS THE PRIMARY FOCUS OF OUR COMMUNITY BUILDING AT MISSION HOSPITAL. WE COMPLETE THIS EFFORT THROUGH CONTINUED COLLABORATION WITH CAPISTRANO UNIFIED SCHOOL DISTRICT ADULT TRANSITION PROGRAM. SINCE 2006, MISSION HOSPITAL HOSTS YOUNG ADULTS WITH DISABILITIES EACH FALL TO PROVIDE WORK EXPERIENCE IN A HOSPITAL SETTING. THESE STUDENT INTERNS ARE PLACED IN HOSPITAL DEPARTMENTS SUCH AS NUTRITIONAL CARE SERVICES, ENVIRONMENTAL SERVICES AND CENTRAL SUPPLY TO LEARN JOB SKILLS THAT WILL HELP THEM ATTAIN LONG-TERM EMPLOYMENT EITHER AT THE HOSPITAL OR A LOCAL ORGANIZATION. MANY OF THESE STUDENTS WOULD BE HIGHLY CHALLENGED TO FIND PERMANENT, ON-GOING WORK BECAUSE OF THEIR DISABILITIES. IN 2018, 4 INTERNS RECEIVED MENTORING/JOB COACHING SUPPORT. EMERGENCY ASSISTANCE/HOMELESS OUTREACH: PROVIDED EMERGENCY ASSISTANCE TO RESIDENTS FACING HOMELESSNESS. 55 FAMILIES RECEIVED SUPPORT TO CONTINUE THEIR HOUSING NEEDS. COMMUNITY SUPPORT: MISSION HOSPITAL CONTINUED ITS IMPLEMENTATION OF SAFE RIDES, A FREE, ANONYMOUS PROGRAM THAT PROVIDES TRANSPORTATION FOR YOUTH WHO HAVE FOUND THEMSELVES WITHOUT A RIDE HOME ON THE WEEKENDS DUE TO DRINKING OR OTHER RISKY BEHAVIORS. 186 RIDES WERE PROVIDED TO LOCAL TEENS. LEADERSHIP DEVELOPMENT: MISSION HOSPITAL HAS PARTNERED WITH THE SISTERS OF ST. JOSEPH TO FOSTER LEADERSHIP DEVELOPMENT AS PART OF THEIR ST. JOSEPH WORKER PROGRAM. THIS PROGRAM SUPPORTS WOMEN FOR A 10 MONTH FORMATION PROGRAM WITH THE SISTERS WHILE THEY WORK WITH LOCAL COMMUNITIES AND DEVELOP PUBLIC HEALTH AND ADVOCACY SKILLS. THE FOLLOWING ARE INCLUDED UNDER OTHER COMMUNITY BUILDING EXPENSES: FOOD DONATIONS: MISSION HOSPITAL PARTNERS WITH NON-PROFIT ORGANIZATIONS TO FEED THE HOMELESS. FOOD DONATIONS ARE MADE TO LOCAL CHARITIES AND FAITH COMMUNITIES TO DISTRIBUTE TO HOMELESS RESIDENTS IN SOUTH ORANGE COUNTY.
SCHEDULE H, PART III, LINE 2METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
SCHEDULE H, PART III, LINE 3METHODOLOGY OF ESTIMATING BAD DEBT EXPENSE ATTRIBUTABLE TO FAP PATIENTS THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION, THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, LINE 4FINANCIAL STATEMENT BAD DEBT EXPENSE FOOTNOTE FOOTNOTE FROM THE PROVIDENCE ST. JOSEPH HEALTH COMBINED FINANCIAL STATEMENTS FOR THE YEAR ENDED 12/31/2018 THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
SCHEDULE H, PART III, LINE 8THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 9BPATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
SCHEDULE H, PART IV, COLUMN (A)NAME OF ENTITY 1. MISSION EDUCATION CONFERENCE CENTER, LLC 2. MISSION AMBULATORY SURGICENTER, LTD, DBA MISSION SURGERY CENTER 3. MISSION VIEJO PHYSICIAN PARTNERS I, LLC
SCHEDULE H, PART VI, LINE 2NEEDS ASSESMENT AN ANNUAL MARKET ASSESSMENT IS COMPLETED FOR OUR LOCAL MARKET THAT PROVIDES INFORMATION ON DEMOGRAPHICS, COUNTY HEALTH RANKINGS, PHYSICIAN LANDSCAPE, ACUTE CARE UTILIZATION RATES, MARKET SHARE, OUTMIGRATION TO OTHER MEDICAL FACILITIES FOR TREATMENT, EMERGENCY DEPARTMENT AND ANCILLARY UTILIZATION, AS WELL AS SERVICE LINE FORECASTS.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION MISSION HOSPITAL'S TOTAL HOSPITAL SERVICE AREA (TSA) INCLUDES PORTIONS OF SOUTH ORANGE COUNTY. THE TOTAL HOSPITAL SERVICE AREA POPULATION IS 609,266 WITH A MEDIAN HOUSHOLD INCOME OF NEARLY $100,000. THE TOTAL SERVICE AREA HAS 12.4 PERCENT OF THE POPULATION WITH A HOUSEHOLD INCOME BELOW 200% FPL AND 7.7 PERCENT OF CHILDREN AND 7.1 PERCENT OF OLDER ADULTS LIVE BELOW 100% OF POVERTY LEVEL. WHEN LOOKING AT THE PRIMARY SERVICE AREA, 22.3 PERCENT OF THE POPULATION IS UNDER THE AGE OF 18 AND 15.1 PERCENT OF THE POPULATION IS OVER THE AGE OF 65. FUTHERMORE, 13 PERCENT OF THE POPULATIONS HOUSEHOLD INCOME IS BELOW 200% FPL AND 8.5 PERCENT OF CHILDREN AND 6.6 PERCENT OF OLDER ADULTS LIVE BELOW 100% OF FEDERAL POVERTY LEVEL. MISSION HOSPITALS TSA IS PRIMARILY CAUCASIAN, REPRESENTING 64.1 PERCENT OF THE TOTAL POPULATION. HISPANIC RESIDENTS MAKE UP 20.1 PERCENT AND THE REMAINING 15 PERCENT ARE OTHER ETHNICITIES. THE REPRESENTATION OF RACIAL AND ETHNIC DIVERSITY IS THE VIRTUALLY THE SAME IN MISSION HOSPITALS PSA. BECAUSE OF THE EXTREME DIVERSITY OF INCOME IN MISSION HOSPITAL'S TSA, ONLY ONE ZIP CODE IS IDENTIFIED AS HAVING HIGH NEEDS: SAN JUAN CAPISTRANO, ZIP CODE 92675. HOWEVER, THERE ARE MANY POCKETS OF POVERTY WITHIN THE TSA THAT REMAIN HIDDEN DUE TO THE WIDE VARIANCE OF HOUSEHOLD INCOMES BY ZIP CODE. OTHER HOSPITALS IN THE COMMUNITY INCLUDE: SADDLEBACK HOSPITAL CAN BE FOUND IN MISSION HOSPITALS SECONDARY SERVICE AREA (SSA). HEALTH PROFESSIONS SHORTAGE AREA MENTAL, DENTAL, OTHER THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). MISSION HOSPITAL IS NOT LOCATED IN A SHORTAGE AREA. MEDICAL UNDERSERVED AREA/MEDICAL PROFESSIONAL SHORTAGE AREA MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MEDICALLY UNDERSERVED AREAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREAS LEVEL OF MEDICAL "UNDER SERVICE." MEDICALLY UNDERSERVED POPULATIONS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. MISSION HOSPITAL MISSION VIEJO AND MISSION HOSPITAL LAGUNA BEACH ARE NOT LOCATED IN MEDICALLY UNDERSERVED AREAS. HOWEVER, COASTAL COMMUNITIES WITHIN THEIR SERVICE AREA, STRETCHING BETWEEN DANA POINT AND SAN CLEMENTE, ARE DESIGNATED AS MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATION AREAS, SIGNIFYING THE IMPORTANCE OF MISSION HOSPITAL TO THE COMMUNITY IT SERVES. FOR MORE INFORMATION, GO TO THE MISSION HOSPITAL'S FY18 COMMUNITY BENEFIT REPORT POSTED AT WWW.MISSION4HEALTH.COM.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH MISSION HOSPITAL PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. MISSION HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES. 2) OPEN MEDICAL STAFF. 3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS AND OVER 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtNon Cash AssistanceNonCashAssistanceDesc
AMERICAN HEART ASSOCIATION
PO BOX 50085PRESCOTTCA863045085135613797501(c)(3)$10,000PROGRAM SUPPORT
BOYS AND GIRLS CLUB OF LAGUNA BEACH
1085 LAGUNA CANYON RDLAGUNA BEACHCA92651951878822501(c)(3)$100,000PROGRAM SUPPORT
CAMINO HEALTH CENTER
30300 CAMINO CAPISTRANOSAN JUAN CAPISTRANOCA92675330574214501(c)(3)$1,922,727PROGRAM SUPPORT
CHILD GUIDANCE CENTER
525 CABRILLO PARK DRIVE 300SAN ANACA92701952546170501(c)(3)$81,280PROGRAM SUPPORT
CHOC CHILDREN FOUNDATION
1201 WEST LA VETA AVEORANGECA92868956097416501(c)(3)$15,000PROGRAM SUPPORT
COALITION FOR HUMANE IMMIGRATION RIGHTS
2533 W 3RD STREET SUITE 101LOS ANGELESCA90004954421521501(c)(3)$100,000PROGRAM SUPPORT
FRIENDSHIP SHELTER
PO BOX 4252LAGUNA BEACHCA92652330218404501(C)(3)$102,000PROGRAM SUPPORT
SACRED HEART RETREAT APOSTOLATE
2927 S GREENVILLE STREETSANTA ANACA92704432005333501(c)(3)$6,500PROGRAM SUPPORT
LAGUNA ART MUSEUM
307 CLIFF DRIVELAGUNA BEACHCA92651330717157501(c)(3)$7,500PROGRAM SUPPORT
LAGUNA BEACH COMMUNITY CLINIC
362 THIRD STLAGUNA BEACHCA92651952637633501(c)(3)$262,000PROGRAM SUPPORT
LEGAL AID SOCIETY OF ORANGE COUNTY
2101 N TUSTIN AVESAN ANACA92705951994337501(c)(3)$83,479PROGRAM SUPPORT
OC HUMAN RELATIONS
1801 E EDINGER AVE SUITE 115SAN ANTACA92705330438086501(c)(3)$50,000PROGRAM SUPPORT
RANCHO MISSION VIEJO RODEO
PO BOX 9SAN JUAN CAPISTRANOCA92693330954148$10,000SPONSORSHIPS
ST JOSEPH HEALTH SYSTEM FOUNDATION
1801 LIND AVE SWRENTONWA980579016330143024501(c)(3)$5,742,700CARE FOR THE POOR
THE ILLUMINATION FOUNDATION
2691 RICHTER AVE STE 107IRVINECA92606711047686501(c)(3)$14,950PROGRAM SUPPORT
LAGUNA HILLS HEALTH AND REHABILITATION
24452 HEALTH CENTER DRLAGUNA HILLSCA92653562384926$9,757PROGRAM SUPPORT
ST TIMOTHY CATHOLIC CHURCH
29102 CROWN VALLEY PKWY LAG NIG CALAGUNA NIGUELCA92677953656905501(c)(3)PROGRAM SUPPORT$15,075FOOD DONATION
MISSION BASILICA SAN JUAN CAPISTRANO
31520 CAM CAPISTRANOCAPISTRANOCA92675951904079501(c)(3)PROGRAM SUPPORT$24,898FOOD DONATION
WELCOME INN
30791 MARBELLA VISSAN JUAN CAPISTRANOCA92675611503624501(c)(3)PROGRAM SUPPORT$15,789FOOD DONATION
FieldValueIRS element (for citing)
Total501c3 Org17Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (10 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
HELPING HANDS-PAID TO PATIENTS231$17,367
TRANSPORTATION ASSISTANCE21$13,994
BENEFITS PROVIDED TO COMMUNITY543$7,382
COMMUNITY HEALTH INITIATIVE OF OC$250
KIDS CONNECTED$2,500
WELLNESS AND PREVENTION CENTER$1,000
VARIOUS NON-CASH DONATIONS2898$8,088FMVTURKEYS
ST. TIMOTHY CATHOLIC CHURCH1$100
FUNERALS9$12,506
ST. JOSEPH HOME CARE SERVICES25$3,767

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS MISSION HOSPITAL HAS AN AFFILIATION AGREEMENT WITH CAMINO HEALTH CENTER THAT CALLS FOR THE STEERING COMMITTEE, WHICH INCLUDES AN OFFICER FROM THE HOSPITAL, TO PROVIDE OVERSIGHT OF FUNDS GRANTED TO CAMINO BY THE HOSPITAL. THE CARE FOR THE POOR FUNDS GIVEN TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION IS GOVERNED BY THE HEALTH SYSTEM FOUNDATION. THE DISBURSEMENT OF THE FUNDS FOLLOWS SPECIFICS SET FORTH BY THE HEALTH SYSTEM POLICY "CARE FOR THE POOR PROGRAM ACCOUNTING." THERE IS NO MONITORING DONE IN THE OTHER GRANTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
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 PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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
MICHAEL MARINO DO
SVP, CHIEF MED INFO OFFICER$0$522,502$0$74,228$0$101,954$0$19,250$0$33,589$0$751,523$0$0
TAREK SALAWAY
CHIEF EXECUTIVE$0$440,878$0$193,962$0$5,445$0$9,875$0$14,075$0$664,235$0$0
TARA COWELL
VP/ASSOC. GENERAL COUNSEL/SEC.$0$314,661$0$43,479$0$41,337$0$22,000$0$42,180$0$463,657$0$0
EILEEN HAUBL
CHIEF FINANCIAL OFFICER$344,360$0$53,274$0$58,186$0$23,888$0$26,968$0$506,676$0$0$0
MARK JABLONSKI
CHIEF MISSION INTEGRATION$0$260,438$0$61,515$0$36,195$0$24,750$0$20,950$0$403,848$0$0
MICHAEL BECK
CHIEF ADMIN OFFICER - LB$265,246$0$42,146$0$36,637$0$24,750$0$39,642$0$408,421$0$0$0
JENNIFER CORD
CHIEF NURSING OFFICER$282,920$0$0$0$69,356$0$0$0$29,730$0$382,006$0$0$0
WENDY FERRO-GRANT
DIRECTOR, SURGICAL SERVICES$186,170$0$17,384$0$3,755$0$17,394$0$28,361$0$253,064$0$0$0
DEANNE NIEDZIELA
DIRECTOR, NURSING$199,774$0$34,362$0$5,833$0$18,699$0$26,401$0$285,069$0$0$0
TERRENCE WOOTEN
VP, INTEGRATED OPERATIONS$209,050$0$31,931$0$22,220$0$18,670$0$10,041$0$291,912$0$0$0
ANNABELLE BRAUN
DIRECTOR, NURSING$232,688$0$21,427$0$2,688$0$9,487$0$26,239$0$292,529$0$0$0
LAUREN DWINELL
EXEC DIR, CHIEF OPS-PAT. FLOW$253,506$0$39,967$0$3,444$0$7,688$0$36,297$0$340,902$0$0$0
TERRI FOX-COVERT
DIRECTOR, HUMAN RESOURCES$238,491$0$37,317$0$25,896$0$22,008$0$29,204$0$352,916$0$0$0
EVELYN SCHLOSSER
EXEC DIR, QLTY & PAT SAFETY$217,827$0$33,597$0$3,488$0$3,572$0$22,760$0$281,244$0$0$0
LINDA SIEGLEN
CHIEF MEDICAL OFFICER$388,539$0$60,383$0$42,771$0$11,000$0$29,808$0$532,501$0$0$0
LINDA JOHNSON
FORMER KEY EMPLOYEE$0$0$0$0$112,375$0$0$0$0$0$112,375$0$0$0
KENNETH MCFARLAND
FORMER OFFICER & TRUSTEE$0$0$0$0$0$295,676$0$0$0$0$0$295,676$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY ST. JOSEPH HEALTH SYSTEM.
SCHEDULE J, PART I, LINE 4ATHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FOR EITHER PART OR ALL OF THE YEAR: KENNETH MCFARLAND - $295,676 LINDA JOHNSON - $112,375
SCHEDULE J, PART I, LINE 4BNONQUALIFIED RETIREMENT PLAN ENTITIES WITHIN THE PSJH SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. EXECUTIVES PREVIOUSLY PARTICIPATED IN ANOTHER NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT WAS FROZEN EFFECTIVE DECEMBER 2007, AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED. THIS FROZEN PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY.
SCHEDULE J, PART I, LINE 7NON-FIXED PAYMENTS A PORTION OF EXECUTIVE SALARIES ARE PLACED AT-RISK AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE STRATEGIC OBJECTIVES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution28ContributionCnt
Noncash Contributions Rpt F990$2,075,979NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST / SELLING PRICEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescGIFTS IN KINDDesc
Contribution502ContributionCnt
Noncash Contributions Rpt F990$300,370NoncashContributionsRptF990Amt
Method Of Determining RevenuesSEE PART IIMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE M, PART I, COLUMN (B)AMOUNTS IN THIS COLUMN WERE BASED ON THE NUMBER OF CONTRIBUTIONS.
SCHEDULE M, PART I, LINE 25GIFTS IN KIND WITH AN ESTIMATED VALUE OF $300,370 WERE RECEIVED DURING THE YEAR AND WERE NOT INCLUDED ON THE BOOKS. VALUE WAS ESTIMATED FROM DONOR'S APPROXIMATION OF VALUE. REVENUE FROM THE SALE OF THESE ITEMS IS INCLUDED IN FUNDRAISING REVENUE ON FORM 990, PART VIII, LINE 8A.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4APROVIDENCE ST. JOSEPH HEALTH SYSTEM ON JULY 1, 2016, PROVIDENCE HEALTH AND SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) FORMED A NEW ORGANIZATION, PROVIDENCE ST. JOSEPH HEALTH, WITH THE GOAL OF IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH HAS THE POTENTIAL TO SEEK GREATER AFFORDABILITY, ACHIEVE OUTSTANDING AND RELIABLE CLINICAL CARE, IMPROVE THE PATIENT EXPERIENCE AND INTRODUCE NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS AND 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE A CHANGING HEALTH CARE ENVIRONMENT WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE. PROVIDENCE HEALTH & SERVICES IN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON. ST. JOSEPH HEALTH IN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIF., TO PROVIDE EDUCATION AND HEALTH CARE. THE MINISTRY LATER ESTABLISHED ROOTS IN ORANGE, CALIF., AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, THE CALIFORNIA HIGH DESERT, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIF. REALIZING OUR MISSION MISSION HOSPITAL REGIONAL MEDICAL CENTER IS PART OF NEWLY FORMED PROVIDENCE ST. JOSEPH HEALTH. MISSION HOSPITAL IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1971, LOCATED AT MISSION VIEJO AND LAGUNA BEACH, CALIFORNIA. THE FACILITY HAS 552 LICENSED BEDS AND A STAFF OF MORE THAN 2,600 COMMITTED CAREGIVERS. MAJOR PROGRAMS AND SERVICES INCLUDE CARDIAC CARE, CRITICAL CARE, DIAGNOSTIC IMAGING, EMERGENCY MEDICINE AND OBSTETRICS. PROGRAM SERVICE ACCOMPLISHMENTS FAMILY RESOURCE CENTERS (FRCS): MISSION HOSPITAL OPERATES TWO FAMILY RESOURCE CENTERS TO PROVIDE ACCESS TO SOCIAL SERVICES FOR COMMUNITY MEMBERS WITH LIMITED RESOURCES. THESE CENTERS ARE LIFELINES FOR MANY PEOPLE IN THE COMMUNITY AND SERVE A MUCH-NEEDED LINKAGE TO COMMUNITY PROGRAMS. ESTABLISHED IN 1996, THE SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER (SOCFRC) IS LOCATED IN LAKE FOREST, CA. OUR SECOND LOCATION IN SAN JUAN CAPISTRANO OPENED IN 2001. THE TWO FRCS PROVIDE MENTAL HEALTH SERVICES, HEALTH INSURANCE ACCESS, PARENTING SUPPORT & EDUCATION, CHILDRENS CLASSES, FAMILY ADVOCACY, INFORMATION & RESOURCE SERVICES, PERSONAL EMPOWERMENT PROGRAMS, FINANCIAL COUNSELING, AND LIMITED EMERGENCY ASSISTANCE. IN JANUARY 2017, THE SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER RELOCATED TO A NEW 20,000 SQUARE FOOT BUILDING THAT HOUSES BOTH THE FRC AND A 3RD LOCATION FOR CAMINO HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). BOTH FRCS HAD A COMBINED 28,036 ENCOUNTERS THAT SERVED 3,354 UNIQUE PERSONS. BOTH CENTERS CONTINUE AS DESIGNATED FRCS WITH THE FAMILIES AND COMMUNITIES TOGETHER (FACT) CONTRACT FROM THE COUNTY OF ORANGE, CHILDREN AND FAMILIES COMMISSION. CAMINO HEALTH CENTER: MISSION HOSPITAL CONTRIBUTED $1,922,727 DOLLARS IN 2018 TO SUPPORT THE EFFORTS OF CAMINO HEALTH CENTER. MISSION HOSPITAL IS THE SOLE CORPORATE SPONSOR FOR THIS FEDERALLY QUALIFIED HEALTH CENTER, PROVIDING AFFORDABLE, QUALITY PRIMARY MEDICAL, BEHAVIORAL HEALTH, DENTAL CARE, SPECIALTY CARE AND WIC NUTRITION SERVICES FOR THE LOW-INCOME POPULATION OF SOUTH ORANGE COUNTY. THE CENTER ACCOMMODATED 50,489 VISITS AT ITS THREE FIXED CLINIC SITE LOCATIONS IN LAKE FOREST, SAN CLEMENTE, AND SAN JUAN CAPISTRANO. IN THE EARLIER PART OF 2017, THREE NEW SPECIALTY CARE SERVICES WERE ADDED IN TO THE HEALTH CENTERS SCOPE OF SERVICES: NEPHROLOGY, NEUROLOGY, AND PULMONOLOGY. CAMINO COMPLETED THE BUILDOUT OF THE NEW 10,000 SQUARE FOOT HEALTH CENTER LOCATION IN LAKE FOREST, COMPLETE WITH 16 EXAM ROOMS, FIVE DENTAL OPERATORIES, AND A WIC SUITE. THIS LOCATION IS CO-LOCATED WITH MISSION HOSPITALS FAMILY RESOURCE CENTER AND CREATES WRAP-AROUND SERVICES FOR COMMUNITY MEMBERS. COMMUNITY GRANTS: RECOGNIZING THAT LOCAL NON-PROFITS CONDUCT WORK THAT COMPLEMENTS MISSION HOSPITAL COMMUNITY BENEFIT PRIORITY AREAS, A COMPETITIVE, INVITATION-ONLY COMMUNITY GRANT PROGRAM WAS IMPLEMENTED TO HELP FURTHER ADDRESS IDENTIFIED NEEDS IN THE COMMUNITY AND CREATE STRONGER PARTNERSHIPS WITH LOCAL PROVIDERS. IN 2018, MISSION HOSPITAL AWARDED OVER $511,759 IN GRANTS TO SIX (6) AGENCIES THAT SERVE SOUTH ORANGE COUNTY LOW-INCOME RESIDENTS: 1. CHILD GUIDANCE CENTER 2. FRIENDSHIP SHELTER 3. LEGAL AID SOCIETY OF ORANGE COUNTY 4. OC HUMAN RELATIONS 5. BOYS AND GIRLS CLUB OF LAGUNA BEACH 6. COALITION FOR HUMAN IMMIGRATION RIGHTS THESE AGENCIES WILL BE WORKING IN 2018 TO IMPLEMENT THEIR PROGRAMS TO IMPROVE THE LIVES OF THE VULNERABLE. MENTAL HEALTH INITIATIVE: THROUGH AN INTEGRATED NETWORK OF CARE, MISSION HOSPITAL AIMS TO IMPROVE MENTAL HEALTH SERVICES FOR THE VULNERABLE POPULATION IN SOUTH ORANGE COUNTY THROUGH PREVENTION AND BY ENSURING ACCESS TO APPROPRIATE, QUALITY MENTAL HEALTH SERVICES. MISSION HOSPITAL IS WORKING TO IMPROVE THE MENTAL HEALTH OF THE MOST VULNERABLE MEMBERS OF SOUTH ORANGE COUNTY. IN 2018 MISSION DEDICATED OVER $845,363 IN RESOURCES FOR THE IMPLEMENTATION OF OUR MENTAL HEALTH INITIATVE. THE STIGMA REDUCTION CAMPAIGN IN PARTNERSHIP WITH CALIFORNIAS EACH MIND MATTERS MOVEMENT CONTINUED THROUGH 2018. THIS LOCALLY ACTIVATED CAMPAIGN, PROMISE TO TALK, INCLUDED OUTREACH, CLOSE COLLABORATION WITH COMMUNITY PARTNERS, VIDEO PUBLIC SERVICE ANNOUNCEMENTS, BUS ADVERTISING, ENGAGING BILINGUAL LITERATURE AND SOCIAL MEDIA. THE CAMPAIGN RESULTED IN 750 PROMISES TO TALK ABOUT MENTAL HEALTH, 4,586 ENCOUNTERS AND 6.8 MILLION IMPRESSIONS THROUGH SOCIAL MEDIA HITS AND COMMUNITY PROMOTIONS AND EVENTS. FOR MORE INFORMATION ABOUT MISSION HOSPITAL, PLEASE VISIT MISSION4HEALTH.COM FOR MORE INFORMATION ABOUT PROVIDENCE ST. JOSEPH HEALTH, PLEASE VISIT HTTPS://WWW.PSJHEALTH.ORG/ FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG.
FORM 990, PART V, LINE 1AST. JOSEPH HEALTH SYSTEM (SJHS) PAYS ALL VENDORS FOR MISSION HOSPITAL FROM ITS SHARED SERVICES. SJHS ISSUES FORM 1099-MISC UNDER ITS TAX ID NUMBER AND COMPLIES WITH BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS.
FORM 990, PART VI, LINE 6CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE CORPORATE MEMBERS OF MISSION HOSPITAL REGIONAL MEDICAL CENTER.
FORM 990, PART VI, LINE 7ACLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS MISSION HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE MISSION HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE MISSION HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD.
FORM 990, PART VI, LINE 7BCLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBERS, ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, RESERVE THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, LINE 11BPROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSELS OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, LINE 12CPROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY REAL OR POTENTIAL CONFLICT OF INTEREST (COI) IN ACCORDANCE WITH THE PSJH COI POLICY AND IN CONNECTION WITH THAT INDIVIDUAL SATISFYING HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY AND/OR IF AT ANY TIME AN ACTUAL, REAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PSJH CHIEF LEGAL OFFICER AND/OR THE PSJH CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR CONSIDER MATTERS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER. PSJH CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING WHEN ACTION IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF COI DISCLOSURES IS RETAINED PER ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, LINES 15A & 15BPROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE ST. JOSEPH HEALTH'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ST. JOSEPH HEALTH ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE ST. JOSEPH HEALTH HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE ST. JOSEPH HEALTH MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE ST. JOSEPH HEALTH'S LEGAL ENTITIES. PROVIDENCE ST. JOSEPH HEALTH ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE ST. JOSEPH HEALTH HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE. THE BOARD RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE ST. JOSEPH HEALTH IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS WHOSE REVENUE IS SIMILAR TO THAT OF PROVIDENCE ST. JOSEPH HEALTH. ADDITIONALLY, PROVIDENCE ST. JOSEPH HEALTHS LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, PROVIDENCE ST. JOSEPH HEALTH ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR PROVIDENCE ST. JOSEPH HEALTH EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE ST. JOSEPH HEALTH OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THE PROCESS TO REVIEW COMPENSATION WAS LAST COMPLETED IN MARCH 5, 2019.
FORM 990, PART VI, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE PSJH COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PSJH INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS CHANGE IN TEMPORARY RESTRICTED NET ASSETS $ 7,048,363 GRANTS TO INDVIDUALS & ORGS AND OTHER $ 8,693,278 UNRESTRICTED DISTRIBUTIONS & DIVIDENDS $ 2,892,425 POPULATION HEALTH NET INCOME FOR 990 $ 3,393,193 FDN CAPITAL CONTRIBUTIONS RESTRICTED FUNDS ($ 12,544,915) EQUITY TRANSFERS TO SUBSIDIARIES/JOINT VENTURES ($ 20,702,718) CAPITAL CONTRIBUTION TO HERITAGE ($ 23,046,649) RECLASS TO PY UNRESTRICTED FUNDS ($ 31,289,788) MISCELLANEOUS $ 13,992 --------------- TOTAL ($ 65,542,819)
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:41999059
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESS. & MED PHYSICIAN FEES TOTAL FEES:23326496
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:9605357
FORM 990 PART IX LINE 11GDESCRIPTION:BIOMEDICAL PURCHASED SERVICES TOTAL FEES:5477342
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING FEES TOTAL FEES:3932685

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (112 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COVENANT ACO
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016611573313HEALTHCARETX501(C)(3)12, ICHSYes (true)
COVENANT HEALTH NETWORK INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016461259908HEALTHCARECA501(C)(3)12, IIISJHSYes (true)
COVENANT HEALTH PARTNERS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016463516417HEALTHCARETX501(C)(3)12, ICHSYes (true)
COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752765566HEALTHCARETX501(C)(3)3SJHSYes (true)
COVENANT HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752897026HEALTHCARETX501(C)(3)7CHSYes (true)
COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016822913146HEALTHCARETX501(C)(3)3CHSYes (true)
COVENANT MEDICAL GROUP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752743883HEALTHCARETX501(C)(3)3CHSYes (true)
E WA & MT UNEMPLOYMENT COMP INSR TRUST
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911082119UNEMPLOYMENTWA501(C)(3)12, IPHS WAYes (true)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANS. CAREWA501(C)(3)10NAfalse
FACEY MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016954322584SUPPORTCA501(C)(3)7PHS SOCALYes (true)
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016201910170SUPPORTWA501(C)(3)7PHS WAYes (true)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(C)(3)7SHSYes (true)
HMTS INC
1 HOAG DRIVE PO BOX 6100NEWPORT BEACHCA92658453583707HEALTHCARECA501(C)(3)12, IHMHPYes (true)
HOAG CHARITY SPORTS
2081 BUSINESS CTR DR STE 195IRVINECA92612452982422SUPPORTCA501(C)(3)7HHFYes (true)
HOAG CLINIC (FKA COASTAL MGMT SVCS ORG)
1 HOAG DRIVE PO BOX 6100NEWPORT BEACHCA92658330676831HEALTHCARECA501(C)(3)10HMHPYes (true)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVENEWPORT BEACHCA92663953222343FUNDRAISINGCA501(C)(3)7HMHPYes (true)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG DRIVE PO BOX 6100NEWPORT BEACHCA92658951643327HEALTHCARECA501(C)(3)3CHNYes (true)
HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752133781HEALTHCARETX501(C)(3)10CHSYes (true)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911307555HEALTHCAREWA501(C)(3)3PHS WAYes (true)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016814260130HEALTHCAREWA501(C)(3)7PHSSJHSYes (true)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016912003593HEALTHCAREWA501(C)(3)7WHCYes (true)
JOHN WAYNE CANCER INSTITUTE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016954291515HEALTHCARECA501(C)(3)4PSJHCYes (true)
KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016916033089SUPPORTWA501(C)(3)12, IIIKRMCYes (true)
KADLEC FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016237005501SUPPORTWA501(C)(3)12, IKRMCYes (true)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016910655392HEALTHCAREWA501(C)(3)3WHCYes (true)
LITTLE COMPANY OF MARY ANCILLARY SVCS CO
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330844408IMAGING SVCSCA501(C)(3)10PHS SOCALYes (true)
LUBBOCK METHODIST HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752220963HEALTHCARETX501(C)(3)7CHSYes (true)
LUNDBERG ASSOCIATIONPROVIDENCE HOUSE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911562797SUPPORTOR501(C)(3)7PHS ORYes (true)
MARSHA RIVKIN CTR FOR OVARIAN CANCER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016912054035RESEARCHWA501(C)(3)7SHSYes (true)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752428911HEALTHCARETX501(C)(3)3CHSYes (true)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752246348HEALTHCARETX501(C)(3)3CHSYes (true)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752426010HEALTHCARETX501(C)(3)3CHSYes (true)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069SEATTLEWA98116200799737SUPPORTWA501(C)(3)12,ISHSYes (true)
PACMED CLINICS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016562290878HEALTHCAREWA501(C)(3)10WHCYes (true)
PH&S FOUNDATIONSFVSA & SCVSA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016953544877HEALTHCARECA501(C)(3)7PHS SOCALYes (true)
PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016920093565HEALTHCAREAK501(C)(3)12, IPHS WAYes (true)
PROVIDENCE BENEDICTINE NURSING CTR FNDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911940286HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911789266SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930800140SUPPORTOR501(C)(3)7PHS ORYes (true)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930692907HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016473385506SUPPORTWA501(C)(3)7NAfalse
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016311744654SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911549796HEALTHCAREWA501(C)(3)12, IIPSJHfalse
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016810231793HEALTHCAREMT501(C)(3)3PHS WAYes (true)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016510216587HEALTHCAREOR501(C)(3)3PHSYes (true)
PROVIDENCE HEALTH & SERVICES - WA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016510216586HEALTHCAREWA501(C)(3)3PHSYes (true)
PROVIDENCE HEALTH & SERVICES - WEST WA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911303277HEALTHCAREWA501(C)(3)3PMWHCYes (true)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016550828701MEDICAIDOR501(C)(4)N/APHPYes (true)
PROVIDENCE HEALTH CARE FNDN - E WA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016320014330HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE HEALTH CARE FNDN (CENTRALIA)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911433382HEALTHCAREWA501(C)(3)7PHS W WAYes (true)
PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930863097HEALTHCAREOR501(C)(4)N/APPPYes (true)
PROVIDENCE HEALTH SYSTEM - SO CAL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016510216589HEALTHCARECA501(C)(3)3PHSYes (true)
PROVIDENCE HOOD RIVER MEM HOSP FNDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930921990HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE HOSPICE AND HOME CARE FNDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016272552749HEALTHCAREWA501(C)(3)7PHS W WAYes (true)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016912077378HEALTHCAREWA501(C)(3)7PHS W WAYes (true)
PROVIDENCE LITTLE COMPANY OF MARY FNDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016510224944HEALTHCARECA501(C)(3)7PHS SOCALYes (true)
PROVIDENCE MARIANWOOD FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016931554288HEALTHCAREWA501(C)(3)12, IPHS W WAYes (true)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330283773HEALTHCARECA501(C)(3)12, IPHS SOCALYes (true)
PROVIDENCE MILWAUKIE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016943079515HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE MINISTRIES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016RELIGIOUS ORGWA501(C)(3)1NAfalse
PROVIDENCE MOUNT ST VINCENT FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911188119HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930889144HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016311629656SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911861964HEALTHCAREWA501(C)(4)N/APHS ORYes (true)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016931231494HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016311584166SUPPORTWA501(C)(3)10PHS WAYes (true)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016951684082HEALTHCARECA501(C)(3)3PHS SOCALYes (true)
PROVIDENCE SAINT JOHN'S MEDICAL FNDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016814542216HEALTHCARECA501(C)(3)3PHS SOCALYes (true)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930927320HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE ST ELIZABETH HOUSE ASSOC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016912171539SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016943244854SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016811244422HEALTHCAREWA501(C)(3)12, IIINAfalse
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016943078543HEALTHCAREWA501(C)(3)12, IPHS WAYes (true)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016810463482HEALTHCAREMT501(C)(3)3PHS WAYes (true)
PROVIDENCE ST MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016452841492HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE ST PETER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911097056SUPPORTWA501(C)(3)7PHS W WAYes (true)
PROVIDENCE ST VINCENT MEDICAL FNDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016930575982HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (true)
PROVIDENCE TRINITYCARE HOSPICE FNDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330261016HEALTHCARECA501(C)(3)7PTCHYes (true)
PROVIDENCE WILLAMETTE FALLS MEDICAL FNDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016931003750HEALTHCAREOR501(C)(3)12, IPHS ORYes (true)
QUEEN OF THE VALLEY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016941243669HEALTHCARECA501(C)(3)3SJHSYes (true)
REDWOOD MEMORIAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016942779313HEALTHCARECA501(C)(3)7RMHYes (true)
REDWOOD MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016941384665HEALTHCARECA501(C)(3)3SJHSYes (true)
SAINT JOHN'S HOSPITALHEALTH CENTER FNDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016956100079SUPPORTCA501(C)(3)7PSJHCYes (true)
SANTA ROSA MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016941231005HEALTHCARECA501(C)(3)3SJHSYes (true)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016611502822PHYSN COLLABWA501(C)(3)7WHCYes (true)
SISTERS OF PROVIDENCE OF MONTANA CORP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016262612415SHELL CORPMT501(C)(3)1PHS WAfalse
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)1NAfalse
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016680395200HEALTHCARECA501(C)(3)3SRMHYes (true)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016271666576RELIGIOUS ORGCA501(C)(3)1SSJOfalse
ST JOSEPH HEALTH N CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016814791043HEALTHCARECA501(C)(3)3SJHSYes (true)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016953589356HEALTHCARECA501(C)(3)12, IPSJHfalse
ST JOSEPH HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330143024HEALTHCARECA501(C)(3)7SJHSYes (true)
ST JOSEPH HERITAGE HEALTHCARE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330185031HEALTHCARECA501(C)(3)3SJHSYes (true)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016680331084HEALTHCARECA501(C)(3)10SJHSYes (true)
ST JOSEPH HOSPITAL OF EUREKA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016941156596HEALTHCARECA501(C)(3)3SJHSYes (true)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016951643359HEALTHCARECA501(C)(3)3CHNYes (true)
ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016951643324HEALTHCARECA501(C)(3)3CHNYes (true)
ST LUKE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016943176618SUPPORTWA501(C)(3)7PHS WAYes (true)
ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016951914489HEALTHCARECA501(C)(3)3CHNYes (true)
ST MARY OF THE PLAINS HOSPITAL FDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016751653181HEALTHCARETX501(C)(3)7CHSYes (true)
ST PATRICK HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016237056976HEALTHCAREMT501(C)(3)7PHS WAYes (true)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016810233495EDUCATIONMT501(C)(3)10PHS WAYes (true)
SWEDISH EDMONDS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016272305304HEALTHCAREWA501(C)(3)3WHCYes (true)
SWEDISH HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016910433740HEALTHCAREWA501(C)(3)3WHCYes (true)
SWEDISH MEDICAL CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016910983214HEALTHCAREWA501(C)(3)7SHSYes (true)
SWEDISH MJM HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016273139262HOLDING COWA501(C)(3)12, ISHSYes (true)
THE GAMELIN ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911180824SUPPORTWA501(C)(3)7PHS WAYes (true)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911293869SUPPORTCA501(C)(3)10PHS SOCALYes (true)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016911214491SUPPORTOR501(C)(3)10PHS ORYes (true)
UNIVERSITY OF PROVIDENCE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016810231777EDUCATIONMT501(C)(3)2PHSYes (true)
WESTERN HEALTHCONNECT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016454171900SHELL CORPWA501(C)(3)12, IIPHS W WAYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (60 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
20TH STREET SURGERY LLC
1301 20TH STREET STE 140SANTA MONICACA90404731735618AMBULATORY SURGCANAN/A
BROADWAY IMAGING LLC
500 W BROADWAYMISSOULAMT59802522405971MEDICAL IMAGINGMTNAN/A
CENTER FOR SPECIALTY SURGERY LLC
11782 SW BARNES RDPORTLANDOR97225263638838AMBULATORY SURGORNAN/A
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY ST BLDG II 495PORTLANDOR97213260381897RADIATION ONCOLORNAN/A
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE PO BOX 6100NEWPORT BEACHCA926586100810986844HEALTHCARECANAN/A
COVENANT LONG-TERM CARE LP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016205033419HEALTHCARETXNAN/A
CTR FOR MED IMAGING-BRIDGEPORT LLC
4400 NE HALSEY 495PORTLANDOR97213260796953IMAGING DIAG.ORNAN/A
CTR FOR MED IMAGING-TANASBOURNE LLC
4400 NE HALSEY 495PORTLANDOR97213200477972IMAGING DIAG.ORNAN/A
FULLERTON SURGICAL CENTER LP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016470927394AMBULATORY SURGCANAN/A
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA STBURBANKCA91505954570858REAL ESTATE - MOBCANAN/A
HCSA PROPERTIES LLC
1600 M STREET NWAUBURNWA98001460620892REAL ESTATE RENTWANAN/A
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000ORANGECA92868271000061INVESTMENTSCANAN/A
HOAG ORTHOPEDIC INSTITUTE
ONE HOAG DRIVE PO BOX 6100NEWPORT BEACHCA926586100611588294HEALTHCARECANAN/A
HOAG OUTPATIENT CENTERS LLC
27271 LAS RAMBLAS 350MISSION VIEJOCA92691453587572HEALTHCARECANAN/A
INLAND IMAGING LLC
801 S STEVENS STSPOKANEWA99204911855796MEDICAL IMAGINGWANAN/A
LSC REAL PROPERTY LLC
2301 QUAKER AVENUELUBBOCKTX79410474646059REAL ESTATETXNAN/A
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOCKTX79410752343261HEALTHCARETXNAN/A
NEWPORT BAY SURGERY CENTER LLC
3333 W PACIFIC COAST HWY 100NEWPORT BEACHCA92663562518360HEALTHCARECANAN/A
NEWPORT BEACH ENDOSCOPY CENTER LLC
27271 LAS RAMBLAS 350MISSION VIEJOCA92691770368744HEALTHCARECANAN/A
NEWPORT IMAGING CENTER
360 SN MIGUELNEWPORT BEACHCA92660330191776HEALTHCARECANAN/A
NEWPORT SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350MISSION VIEJOCA92691392060266HEALTHCARECANAN/A
NORTH BAY ENDOSCOPY CENTER
1383 N MCDOWELL BLVD STE 110PETALUMACA94954611559876HEALTHCARECANAN/A
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAYMEDFORDOR97504450471748MEDICAL IMAGINGORNAN/A
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RDTIGARDOR97224223883387AMBULATORY SURGORNAN/A
PETCT IMAGING AT SWEDISH CANCER INSTITU
1221 MADISON STREETSEATTLEWA98104203132044MEDICAL IMAGINGWANAN/A
PHS INVESTMENT TRANSITION PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472279711INVESTMENTSWANAN/A
PHS INVESTMENT TRUST 2015 PRIVATE ASSETS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016473393740INVESTMENTSWANAN/A
PHS INVESTMENT TRUST 2016 PRIVATE ASSETS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016811532735INVESTMENTSWANAN/A
PHS INVESTMENT TRUST 2016 PRIVATE REAL E
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016812960145INVESTMENTSWANAN/A
PHS INVESTMENT TRUST BANK LOANS PORTFOLI
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472357735INVESTMENTSWANAN/A
PHS INVESTMENT TRUST COMMODITIES PORTFOL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472269004INVESTMENTSWANAN/A
PHS INVESTMENT TRUST HEDGE FUND PORTFOLI
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472293255INVESTMENTSWANAN/A
PHS INVESTMENT TRUST LDI PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472392060INVESTMENTSWANAN/A
PHS INVESTMENT TRUST LONG TREASURIES POR
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472385238INVESTMENTSWANAN/A
PHS INVESTMENT TRUST MLP PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472367538INVESTMENTSWANAN/A
PHS INVESTMENT TRUST PUBLIC DEBT PORTFOL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472353569INVESTMENTSWANAN/A
PHS INVESTMENT TRUST PUBLIC EQUITY PORTF
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472283974INVESTMENTSWANAN/A
PHS INVESTMENT TRUST RELATIVE VALUE PORT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472314743INVESTMENTSWANAN/A
PHS INVESTMENT TRUST RISK PARITY PORTFOL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472336377INVESTMENTSWANAN/A
PHS INVESTMENT TRUST SHORT TERM INVESTME
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016812701056INVESTMENTSWANAN/A
PHS INVESTMENT TRUST TACTICAL TRADING PO
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472327491INVESTMENTSWANAN/A
PHS INVESTMENT TRUST TIPS PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016472402609INVESTMENTSWANAN/A
PORTLAND MEDICAL IMAGING LLC
4400 NE HALSEY 495PORTLANDOR97213201054971IMAGING DIAG.ORNAN/A
PROV RADIATION ONCOLOGY DEVELOP ASSN
4400 NE HALSEY 495PORTLANDOR97213260682491REAL ESTATE - MOBORNAN/A
PROVIDENCE CHILDREN'S NEONATAL SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016470918549NEONATAL CAREWANAN/A
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016920118807MEDICAL IMAGINGAKNAN/A
PROVIDENCE PARTNERS FOR HEALTH LLC
501 S BUENA VISTA STBURBANKCA91505454041798CLIN QUALITY/INTCANAN/A
PROVIDENCE ST JOSEPH HEALTH LONG TERM P
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016823190634INVESTMENTSWANAN/A
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE STMISSOULAMT59802841401625AMBULATORY SURGMTNAN/A
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425PORTLANDOR97213481287267REHAB SERVICESORNAN/A
PROVIDENCEUSP SANTA CLARITA GP LLC
11550 INDIAN HILLS ROAD 160MISSION HILLSCA91345202829660AMBULATORY SURGCANAN/A
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160MISSION HILLSCA91345200905938AMBULATORY SURGCANAN/A
SHA LLC
12940 NORTH HIGHWAY 183AUSTINTX78750752569094HEALTHCARETXNAN/A
SJO ASC HOLDINGS LLC
1140 W LA VETA AVEORANGECA92868821655501HEALTHCARECANAN/A
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVEORANGECA92868454521884REAL ESTATECANAN/A
ST JOSEPHSATELLITE DIALYSIS CENTERS L
300 SANTANA ROW SUITE 300SAN JOSECA95128814657391HEALTHCARECANAN/A
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016823352570AMBULATORY SURGCANAN/A
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300LEAWOODKS66211208187971AMBULATORY SURGKSNAN/A
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK ST TARZANA CA 91356TARZANACA91356821308306HEALTHCARECANAN/A
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVDSPOKANEWA99204841606484HOTEL SERVICESWANAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (26 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
AMERICAN UNITY GROUP LTD
90 PITTS BAY ROADPEMBROKEBDHM08CAPTIVE INSURANCEBDNAC-CORP
1221 MADISON STREET OWNERS ASSOC
OWNERS' ASSOC.NAC-CORP747 BROADWAYSEATTLEWA98122201954319WA
AYIN HEALTH SOLUTIONS INC
HEALTHCARENAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016833037172DE
BOURGET HEALTH SERVICES INC
CLIN/MED LABNAC-CORPPO BOX 2687SPOKANEWA99220911354431WA
CARON HEALTH CORPORATION
MED PHYS SVCSNAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016810486082MT
DATU HEALTH INC AND SUBSIDIARIES
IT SVCSNAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016463070062DE
GRACE CLINIC OF LUBBOCK
HEALTHCARENAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016203856995TX
GRACE CLINIC SERVICES INC
HEALTHCARENAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016203857067TX
HOAG CLINIC (FKA COASTAL MGM SVS ORG)
HEALTHCARENAC-CORP1 HOAG DRIVE PO BOX 6100NEWPORT BEACHCA926586100330676831CA
HOAG MANAGEMENT SERVICES INC
HEALTHCARENAC-CORP1 HOAG DRIVE PO BOX 6100NEWPORT BEACHCA926586100330731587CA
LUBBOCK METHODIST HOSP PRACTICE MGMT
INACTIVENAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752578995TX
LUBBOCK METHODIST HOSPITAL SVCS
HEALTHCARENAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016752118585TX
LUMEDIC ACQUISITION CO INC
HEALTHCARENAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016833881097WA
MISSION VIEJO MEDICAL VENTURES
HEALTHCAREMHRMCC-CORP27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905CA$11,478$247,4821.00000Yes (true)
PHN HOLDINGS
STRAT PLAN SVCSNAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016461814184CA
PIONEER INNOVATIONS INC
HEALTH INNOVATNSNAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016364818191WA
PROVIDENCE ASSURANCE INC
CAPTIVE INSURANCENAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016208194071AZ
PROVIDENCE HEALTH CARE VENTURES INC
CLIN/MED LABNAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016900155714WA
PROVIDENCE HEALTH NETWORK
PREPAID HEALTHNAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016800886966CA
PROVIDENCE HEALTH VENTURES INC
INVESTMENTNAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330122216CA
ST JOSEPH HEALTH
HOLDING COMPANYNAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016462340232CA
ST JOSEPH HEALTH SOURCE INC
HEALTHCARENAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016461900168CA
ST JOSEPH PROF SVCS ENTERPRSES INC
HEALTHCARENAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016330155323CA
VINSERRA INC
INVESTMENTNAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016953943315CA
WESTERN HEALTHCONNECT VENTURES INC
INVESTMENTNAC-CORP1801 LIND AVE SW ATTN TAX DEPTRENTONWA980579016800953654WA
YAKIMA MEDICAL ARTS INC
RENT REAL ESTATENAC-CORP611 N PERRY 100SPOKANEWA99202910787963WA
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 OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
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 SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
c$2,032,728ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
b$5,742,700ACCRUAL
ST JOSEPH HERITAGE HEALTHCARE
m$318,173ACCRUAL
ST JOSEPH HERITAGE HEALTHCARE
b$22,728,476ACCRUAL
ST JOSEPH HOSPITAL OF ORANGE
m$61,106ACCRUAL

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIIFormAndLineReferenceDesc
ExplanationIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP 20TH STREET SURGERY LLC EIN: 73-1735618 ADDRESS: 1301 20TH STREET, STE 140, SANTA MONICA, CA 90404 BROADWAY IMAGING, LLC EIN: 52-2405971 ADDRESS: 500 W. BROADWAY MISSOULA, MT 59802 CENTER FOR SPECIALTY SURGERY, LLC EIN: 26-3638838 ADDRESS: 11782 SW BARNES RD. PORTLAND, OR 97225 CLACKAMAS RADIATION ONCOLOGY CENTER, LLC EIN: 26-0381897 ADDRESS: 4400 NE HALSEY ST., BLDG. II, #495 PORTLAND, OR 97213 COASTAL ASC HOLDINGS LLC EIN: 81-0986844 ADDRESS: ONE HOAG DRIVE, PO BOX 6100, NEWPORT BEACH, CA 92658 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 CTR. FOR MED. IMAGING-BRIDGEPORT, LLC EIN: 26-0796953 ADDRESS: 4400 NE HALSEY, #495 PORTLAND, OR 97213 CTR. FOR MED. IMAGING-TANASBOURNE, LLC EIN: 20-0477972 ADDRESS: 4400 NE HALSEY, #495 PORTLAND, OR 97213 FULLERTON SURGICAL CENTER LP EIN: 47-0927394 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 GREATER VALLEY MEDICAL BUILDING, L.P. EIN: 95-4570858 ADDRESS: 501 S. BUENA VISTA ST. BURBANK, CA 91505 HCSA PROPERTIES LLC EIN: 46-0620892 ADDRESS: 1600 M STREET NW AUBURN, WA 98001 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 500 S. MAIN STREET, STE 1000, ORANGE, CA 92868 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, PO BOX 6100, NEWPORT BEACH, CA 92658 HOAG OUTPATIENT CENTERS, LLC EIN: 45-3587572 ADDRESS: 27271 LAS RAMBLAS #350, MISSION VIEJO, CA 92691 INLAND IMAGING, LLC EIN: 91-1855796 ADDRESS: 801 S. STEVENS ST., SPOKANE, WA 99204 LSC REAL PROPERTY, LLC EIN: 47-4646059 ADDRESS: 2301 QUAKER AVENUE, LUBBOCK, TX, 79410 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 NEWPORT BAY SURGERY CENTER, LLC EIN: 56-2518360 ADDRESS: 3333 W. PACIFIC COAST HWY, #100 NEWPORT BEACH, CA 92663 NEWPORT BEACH ENDOSCOPY CENTER, LLC EIN: 77-0368744 ADDRESS: 27271 LAS RAMBLAS #350 MISSION VIEJO, CA 92691 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SN MIGUEL, NEWPORT BEACH, CA 92660 NEWPORT SURGICAL PARTNERS, LLC EIN: 39-2060266 ADDRESS: 27271 LAS RAMBLAS #350 MISSION VIEJO, CA 92691 NORTH BAY ENDOSCOPY CENTER EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD, SUITE 110, PETALUMA, CA 94954 OREGON ADVANCED IMAGING, LLC EIN: 45-0471748 ADDRESS: 881 O'HARE PARKWAY, MEDFORD, OR 97504 OREGON OUTPATIENT SURGERY CENTER EIN: 22-3883387 ADDRESS: 7300 SW CHILDS ROAD, TIGARD, OR 97224 PET/CT IMAGING AT SWEDISH CANCER INSTITUTE, LLC EIN: 20-3132044 ADDRESS: 1221 MADISON STREET SEATTLE, WA 98104 PHS INVESTMENT TRANSITION PORTFOLIO EIN: 47-2279711 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST 2015 PRIVATE ASSETS PORTFOLIO EIN: 47-3393740 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST 2016 PRIVATE ASSETS PORTFOLIO EIN: 81-1532735 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST 2016 PRIVATE REAL ESTATE PORTFOLIO EIN: 81-2960145 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST BANK LOANS PORTFOLIO EIN: 47-2357735 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST COMMODITIES PORTFOLIO EIN: 47-2269004 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST HEDGE FUND PORTFOLIO EIN: 47-2293255 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST LDI PORTFOLIO EIN: 47-2392060 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST LONG TREASURIES PORTFOLIO EIN: 47-2385238 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST MLP PORTFOLIO EIN: 47-2367538 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST PUBLIC DEBT PORTFOLIO EIN: 47-2353569 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST PUBLIC EQUITY PORTFOLIO EIN: 47-2283974 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST RELATIVE VALUE PORTFOLIO EIN: 47-2314743 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST RISK PARITY PORTFOLIO EIN: 47-2336377 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO EIN: 81-2701056 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST TACTICAL TRADING PORTFOLIO EIN: 47-2327491 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST TIPS PORTFOLIO EIN: 47-2402609 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PORTLAND MEDICAL IMAGING, LLC EIN: 20-1054971 ADDRESS: 4400 NE HALSEY, #495 PORTLAND, OR 97213 PROV. RADIATION ONCOLOGY DEVELOP. ASSN., LLC EIN: 26-0682491 ADDRESS: 4400 NE HALSEY, #495 PORTLAND, OR 97213 PROVIDENCE CHILDREN'S NEONATAL SERVICES EIN: 47-0918549 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PROVIDENCE IMAGING CENTER JOINT VENTURE EIN: 92-0118807 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PROVIDENCE PARTNERS FOR HEALTH, LLC EIN: 45-4041798 ADDRESS: 501 S. BUENA VISTA ST. BURBANK, CA 91505 PROVIDENCE ST. JOSEPH HEALTH LONG TERM PORTFOLIO EIN: 82-3190634 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PROVIDENCE SURGERY CENTER, LLC EIN: 84-1401625 ADDRESS: 902 N. ORANGE ST MISSOULA, MT 59802 PROVIDENCE/SILVERTON REHAB, LLC EIN: 48-1287267 ADDRESS: 4400 NE HALSEY #425, PORTLAND, OR 97213 PROVIDENCE/USP SANTA CLARITA GP, LLC EIN: 20-2829660 ADDRESS: 11550 INDIAN HILLS ROAD #160, MISSION HILLS, CA 91345 PROVIDENCE/USP SURGERY CENTERS, LLC EIN: 20-0905938 ADDRESS: 11550 INDIAN HILLS ROAD #160, MISSION HILLS, CA 91345 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 SJO ASC HOLDINGS LLC EIN: 82-1655501 ADDRESS: 1140 W. LA VETA AVE ORANGE, CA 92868 ST JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ST. JOSEPH/SATELLITE DIALYSIS CENTERS, LLC EIN: 81-4657391 ADDRESS: 300 SANTANA ROW, SUITE 300 SAN JOSE, CA 95128 ST. JUDE SURGICAL CENTERS, LLC EIN: 82-3352570 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 SURGERY CENTER AT TANASBOURNE, LLC EIN: 20-8187971 ADDRESS: 11221 ROE AVE., STE 300, LEAWOOD, KS 66211 TARZANA PEDIATRIC VENTURES LLC EIN: 82-1308306 ADDRESS: 18321 CLARK ST, TARZANA, CA 91356 THE MADISON SPOKANE INN, LLC EIN: 84-1606484 ADDRESS: 15 WEST ROCKWOOD BLVD. SPOKANE, WA 99204ExplanationTxt