2019-11-15T13:42:50-06:00 2018-12-31 ERNST & YOUNG US LLP 18101 VON KARMAN AVE SUITE 1700 IRVINE CA 92612 990 2018-01-01 951643359 ST JOSEPH HOSPITAL OF ORANGE % KRISTI LIBERATORE STJO 7147718000 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 JO ANN ESCASA-HAIGH EVP, ASSIST TREAS 7147718000 2019-11-12 true KARA ADAMS P00023315 9497942300 164.57.159.254 33577420193195000062 2019-11-15 P C8EB7D7F4A43AD7C11A3CC780D94EAED606DA475 9DA6508B19D2C1E02E04D7E56E26FCCCFF46B868 2018 2020-03-31 21:24:44Z X JEREMY ZOCH 1100 WEST STEWART DR ORANGE CA 92868 749043738 false 0928 X WWW.SJO.ORG X 1941 CA AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 19 14 3321 869 625198 0 3893264 10768354 318861225 721696133 4398622 13333726 -242463 637 326910648 745798850 2582848 8810281 0 0 138306347 272252465 0 0 3276731 184621192 359029152 325510387 640091898 1400261 105706952 778488105 752390890 525162412 470158940 253325693 282231950 X AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. false false 610432147 8810281 721696133 SEE SCHEDULE O 610432147 true true false true false false false false false true true false false false true false false true false false false false false false true true true true true true true false false false false false false false true true true false false false true true true false false true X 0 0 true 3321 true true true false false false false true true false false false false false false X 19 14 false false false false true true true true true false false true true true true true true false true true true CA X KRISTI LIBERATORE 7147718000 1100 West Stewart Drive Orange CA 92868 BRIAN BOYD MD TRUSTEE, EX OFFICIO, VICE COS 5.0 0.0 X 145644 0 0 CHRISTOPHER WILLS MD TRUSTEE 2.0 0.0 X 11060 0 0 CURTIS KAUFFMAN TRUSTEE, EX OFFICIO, FND CHAIR 2.0 0.0 X 0 0 0 FRANK QUEVEDO TRUSTEE 2.0 0.0 X 0 0 0 JEREMY ZOCH TRUSTEE, EX OFFICIO, CEO 50.0 0.0 X X 0 647389 41947 JO ANN ESCASA-HAIGH BD MBR/EVP ASSIST TREAS (SJHS) 2.0 50.0 X 0 1110835 527424 JOHN TANGREDI TRUSTEE 2.0 0.0 X 0 0 0 JON COLEMAN TRUSTEE 2.0 0.0 X 0 0 0 KATHLEEN O'LEARY TRUSTEE 2.0 0.0 X 0 0 0 KENNETH COSGROVE TRUSTEE, BOARD CHAIR 5.0 0.0 X 0 0 0 KEVIN SNYDER TRUSTEE 2.0 0.0 X 0 0 0 MARYANNE FOO TRUSTEE 2.0 0.0 X 0 0 0 RUBEN SMITH TRUSTEE 2.0 0.0 X 0 0 0 RUSSELL MONTGOMERY TRUSTEE, EX OFFICIO, COS 5.0 0.0 X 132562 0 0 SR JUDITH DUGAN TRUSTEE 2.0 0.0 X 0 0 0 SR MARTHA FITZPATRICK CSJ TRUSTEE 2.0 0.0 X 0 0 0 SR SUZANNE SASSUS CSJ TRUSTEE 2.0 0.0 X 0 0 0 SUDEEP KUKREJA MD TRUSTEE 2.0 0.0 X 7390 0 0 WILLIAM CAMPBELL TRUSTEE, VICE CHAIR 5.0 0.0 X 0 0 0 KRISTI LIBERATORE CHIEF FINANCIAL OFFICER 50.0 0.0 X 421477 0 33316 LINDA SIMON ED, CHIEF MISSION INTEGRATION 50.0 0.0 X 306441 0 34290 TARA COWELL SECRETARY/VP ASSOC GEN COUNSEL 2.0 50.0 X 0 399477 64180 CATHERINE SKELTON CHIEF PATIENT CARE SVCS/CNO 50.0 0.0 X 392308 0 51248 SCOTT RUSK CHIEF MEDICAL OFFICER 50.0 0.0 X 440219 0 39502 THOMAS HILL CHIEF OPS GENERAL SERVICES 50.0 0.0 X 378198 0 58612 CHANDA PARRETT MNSTRY CHF, PHILANTHROPY OFCR 50.0 0.0 X 273929 0 30455 DENISE FRIDAY LEAD I.R./CATH LAB TECH 50.0 0.0 X 267006 0 39679 KRISTINA MACALALAG SALACUP REG NURSE III 50.0 0.0 X 241082 0 36281 LAWRENCE WAGMAN EXECUTIVE MEDICAL DIRECTOR 50.0 0.0 X 786259 0 29697 SAIED AMIRPOOR ED, PHARMACY, SCA REGION 50.0 0.0 X 255433 0 43343 STEVEN MOREAU FORMER CE & REG VP, SOCAL 50.0 2.0 X 0 821489 0 MARY LEAHY FORMER KEY EMPLOYEE 0.0 50.0 X 0 415511 56215 4059008 3394701 1086189 665 true true false INTEGRATED CRITICAL CARE AND PULMON 24422 AVENIDA DE LA CARLOTA SUITE LAGUNA HILLS CA 92653 MEDICAL SERVICES 2091683 OC PROGRESSIVE RECOVERY INC 2102 BUSINESS CENTER DRIVE IRVINE CA 92612 MEDICAL SERVICES 1307243 ALLIED ANESTHESIA MEDICAL GROUP INC 400 NORTH TUSTIN SUITE 400 SANTA ANA CA 92705 MEDICAL SERVICES 839559 BLOODBUY 4849 GREENVILLE AVENUE SUITE 1480 DALLAS TX 75206 MEDICAL SERVICES 766763 POLSINELLI PC PO BOX 878681 KANSAS CITY MO 64187 MEDICAL SERVICES 683909 49 885297 4489925 123786 5269346 320150 10768354 Net Patient Services 622210 703947883 703947883 0 0 Lease Revenue 531110 3884142 3884142 0 0 340B DRUG DISCOUNT PROGRAM REVENUE 622210 2696535 2696535 0 0 CAFETERIA REVENUE 722514 1748166 1748166 0 0 PARKING REVENUE 900099 1678652 1678652 0 0 7740755 7115557 625198 0 721696133 4043771 4043771 0 0 0 0 0 12040939 2750984 9289955 9289955 9289955 461551 885297 493904 -32353 -32353 32990 0 32990 32990 0 0 0 0 745798850 721070935 625198 13334363 8783018 8783018 27263 27263 0 0 0 0 2216612 2174001 42611 0 0 0 0 0 207331541 194115910 11524249 1691382 12430228 12120770 197176 112282 34688163 30679796 3748176 260191 15585921 15001016 456355 128550 43404622 42717706 686916 0 805550 0 781021 24529 0 0 0 0 51249 51249 0 0 0 0 771865 0 771865 0 70641467 66748545 3831492 61430 168758 165288 0 3470 7749317 6474256 1139672 135389 1421748 1421748 0 0 0 0 0 0 23756412 23402130 348594 5688 350045 191654 128762 29629 0 0 0 0 132614 63636 63189 5789 13402573 12564019 713340 125214 0 0 0 0 29126705 28533845 463992 128868 3625107 2875534 749573 0 MEDICAL SUPPLIES 130416614 130416614 0 0 HOSPITAL FEE 29992741 29992741 0 0 ALL OTHER EXPENSES 3211765 1911408 736037 564320 640091898 610432147 26383020 3276731 0 5667948 5252648 6571850 4211794 0 0 58062029 56894173 0 0 0 0 483118 1012294 10342389 10528590 8307804 1307161 920853902 524175895 405679929 396678007 255360286 245207955 0 0 12339014 3558430 450000 5042917 15223738 22696921 778488105 752390890 138532487 84341002 0 0 0 241717 0 0 0 0 0 0 0 0 176000 164000 386453925 385412221 525162412 470158940 X 224596716 254362745 20625092 19512973 8103885 8356232 253325693 282231950 778488105 752390890 X 105706952 -20994380 0 0 0 -55806315 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 51249 51249 false OTHER ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO ST. JOSEPH HOSPITAL OF ORANGE. 25887675 242508 -1246719 2437429 22446035 24124999 182523 1676240 0 96087 0 25887675 21121773 289315 2722845 8934 24124999 20648875 913878 -298769 142211 21121773 19797682 402310 501968 53085 20648875 0.62770 0.37230 false false 22771660 22771660 576888051 266286032 310602019 2453229 1653743 799486 302080718 256236120 45844598 16660244 16660244 396678007 0 INTERCOMPANY W/ HEALTH SYSTEM BONDS 293882490 CAPITAL LEASE OBLIGATION 64754987 PAYABLE TO AFFILIATES 13784170 NON CURRENT LIABILITIES 5433107 PAYABLE TO THIRD PARTY PAYORS 3931731 PAYABLE TO HOMG/MOCA 3567857 DEPOSITS TO MOB AND OFFSITES 57879 385412221 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS MAINTAINED BY THE HOSPITAL ARE INTENDED TO SUPPORT THE MISSION OF THE HOSPITAL, INCLUDING ACQUISITION OF BUILDINGS AND EQUIPMENT, AND SUPPORT OF VARIOUS HOSPITAL PROGRAMS, RESEARCH, EDUCATION AND COMMUNITY OUTREACH. Celebration 908128 509847 398281 0 0 134245 79675 88055 31153 Golf 438720 375450 63270 32000 0 72772 35500 0 20504 0 1346848 885297 461551 32000 0 207017 115175 88055 51657 493904 -32353 32990 true 1.00000 32990 32990 CA false THE ORGANIZATION IS NOT REQUIRED TO REGISTER WITH THE CALIFORNIA ATTORNEY GENERAL'S OFFICE. false false false 1.00000 John Kohl Director of Foundation F 1010 W La Veta Avenue Suite 300 Orange CA 92868 false Shannon King Manager of Fundraisin 200 Employee/Independent X true 29691 true true X true X true X 500. true true true false true true 8114162 0 8114162 0.01250 151338615 158357136 0 0.00000 0 0 0 0.00000 159452777 158357136 8114162 0.01250 2499770 1438074 1061696 0.00160 337298 90625 246673 0.00040 16580281 14590648 1989633 0.00310 2326250 789915 1536335 0.00240 21743599 16909262 4834337 0.00750 181196376 175266398 12948499 0.02000 false 1642792 0 120488980 145464795 -24975815 X true true COMPREHENSIVE IMAGIN DIAGNOSTIC IMAGING CENTER 0.45 0.55 ST JOSEPH PHYSICIAN REAL ESTATE: DOCTOR OFFICES 0.59195 0.40805 ST JOSEPH SATELLITE DIALYSIS SERVICE 0.6077 0.3923 PAVILION SURGERY CEN OUTPATIENT SURGERY CENTER 0.46 0.54 1 1 ST JOSEPH HOSPITAL OF ORANGE 1100 West Stewart Drive Orange CA 92868 WWW.SJO.ORG 060000172 X X X X ST JOSEPH HOSPITAL OF ORANGE 1 false false true X X X X X X X X X 16 true false false true X SEE SCHEDULE H, PART V, SECTION C X true 17 true SEE SCHEDULE H, PART V, SECTION C false true X 200. 500. X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE SECTION C X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 THE PROCESS OF COLLECTING QUALITATIVE COMMUNITY INPUT TOOK THREE MAIN FORMS: COMMUNITY RESIDENT FOCUS GROUPS, A NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, AND A COMMUNITY FORUM. EACH GROUP WAS DESIGNED TO CAPTURE THE COLLECTED KNOWLEDGE AND OPINIONS OF PEOPLE WHO LIVE AND WORK IN THE COMMUNITIES SERVED BY ST. JOSEPH HOSPITAL ORANGE (SJO). WE DEVELOPED A PROTOCOL (NOTED IN APPENDIX 3B OF THE CHNA) 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 3 OF THE CHNA INCLUDES A FULL REPORT OF THE COMMUNITY INPUT PROCESS AND FINDINGS ALONG WITH DESCRIPTIONS OF THE PARTICIPANTS. PUBLIC HEALTH REPRESENTATIVE ST. JOSEPH HOSPITAL INVITED REPRESENTATIVES FROM THE ORANGE COUNTY PUBLIC HEALTH DEPARTMENT TO ATTEND THE STAKEHOLDER FOCUS GROUP. UNFORTUNATELY DUE TO A COUNTY HOLIDAY ON THE DAY OF THE FOCUS GROUP, THEY WERE UNABLE TO ATTEND. PUBLIC HEALTH OFFICIALS REVIEWED THE FINAL DRAFT OF THE 2017 CHNA REPORT. THEIR FEEDBACK STATED THAT MANY OF THE PRIORITIES IDENTIFIED WERE CONSISTENT WITH THOSE IN THE 2017 OC HEALTH IMPROVEMENT PLAN. FOCUS GROUP AND COMMUNITY FORUM PARTICIPANTS RESIDENTS WHO PARTICIPATED IN FOCUS GROUPS AND COMMUNITY FORUMS COMPLETED AN ANONYMOUS SURVEY TO ALLOW REPORTING ON DEMOGRAPHICS OF THE PARTICIPANTS. THE NUMBER AND PERCENTAGES ARE SHOWN FOR THE FOCUS GROUPS, COMMUNITY FORUMS, AND THEN FOR ALL PARTICIPANTS IN BOTH THE FOCUS GROUPS AND COMMUNITY FORUMS. PERCENTAGES WERE CALCULATED USING THE NUMBER OF RESPONDENTS FOR EACH QUESTION, WHICH MAY BE LESS THAN THE TOTAL NUMBER OF RESPONDENTS BECAUSE PEOPLE COULD CHOOSE TO LEAVE A QUESTION UNANSWERED. NOT ALL ATTENDEES COMPLETED A SURVEY OR ANSWERED EVERY QUESTION. THERE WERE A TOTAL OF 45 RESPONDENTS FOR THE RESIDENT FOCUS GROUPS, 27 FOR THE COMMUNITY FORUM AND 72 IN TOTAL FOR ALL COMMUNITY MEMBERS. 80% OF THE RESIDENT FOCUS GROUPS RESPONDENTS WERE FEMALE AND 20% WERE MALE. 77% FEMALE AND 23% MALE RESPONDENTS FOR THE COMMUNITY FORUM. IN TOTAL ALL COMMUNITY MEMBERS WERE MADE UP OF 79% FEMALE AND 21% MALE. OF THE RESIDENT FOCUS GROUPS RESPONDENTS 57% IDENTIFIED AS HISPANIC/LATINO, 34% VIETNAMESE, 9% NON-LATINO WHITE. IN THE COMMUNITY FORUM PARTICIPANTS IDENTIFIED AS 46% HISPANIC/LATINO, 8% AS VIETNAMESE, 12% NON-LATINO WHITE, 15% CAMBODIAN, 4% JAPANESE, 4% FILIPINO, 4% CHINESE, 4% NATIVE HAWAIIAN OR PACIFIC ISLANDER, 4% ASIAN OR PACIFIC ISLANDER-UNSPECIFIED AND 4% NATIVE AMERICAN. 35% OF THE RESIDENT FOCUS GROUP AND 62% OF THE COMMUNITY FORUM RESPONDENTS WERE A PERSON WITH A CHRONIC CONDITION OR A LEADER/REPRESENTATIVE OF INDIVIDUALS WITH CHRONIC CONDITIONS. COMMUNITY FOCUS GROUPS ST. JOSEPH HOSPITAL ORANGE HELD 4 COMMUNITY RESIDENT FOCUS GROUPS IN 3 CITIES: ANAHEIM (2), SANTA ANA, AND WESTMINSTER. TO ENSURE THAT LANGUAGE BARRIERS WOULD NOT PREVENT ANYONE FROM PARTICIPATING, TWO FOCUS GROUPS WERE CONDUCTED IN SPANISH (ANAHEIM AND SANTA ANA) AND ONE WAS CONDUCTED IN VIETNAMESE (WESTMINSTER). IN TOTAL, 45 INDIVIDUALS PARTICIPATED IN COMMUNITY RESIDENT FOCUS GROUPS. STAKEHOLDER FOCUS GROUP THE STAKEHOLDER FOCUS GROUP WAS HELD IN ORANGE AT ST. JOSEPH HOSPITAL. THERE WERE 8 PARTICIPANTS REPRESENTING VARIOUS COMMUNITY ORGANIZATIONS (A COMPLETE LIST OF PARTICIPANTS IS AVAILABLE IN THE SJO CHNA REPORT APPENDIX 3B). ABOUT HALF OF THE PARTICIPANTS KNEW ONE ANOTHER PRIOR TO PARTICIPATION IN THE FOCUS GROUP. THERE WAS VALUABLE NETWORKING THAT TOOK PLACE AMONG PARTICIPANTS. LIST OF STAKEHOLDER FOCUS GROUP PARTICIPANTS AND ORGANIZATIONS THE NON-PROFIT/GOVERNMENT STAKEHOLDER FOCUS GROUP WAS HELD ON FEBRUARY 13, 2017 IN ORANGE. THE LIST OF PARTICIPANTS IS PRESENTED IN THE TABLE IN THE CHNA, ALONG WITH INFORMATION ABOUT THE POPULATION SERVED BY THE NON-PROFIT OR GOVERNMENT ORGANIZATION. THE PARTICIPANTS OF THE STAKEHOLDER FOCUS GROUP WERE REPRESENTATIVES OF NON-PROFIT OR GOVERNMENT ORGANIZATIONS THAT SERVE THE FOLLOWING POPULATIONS: MINORITY COMMUNITIES, LOW INCOME AND MEDICALLY UNDERSERVED ADDITIONALLY, TWO OF THE ORGANIZATIONS ALSO SERVE THOSE WHO HAVE CHRONIC CONDITIONS. SCHEDULE H, PART V, SECTION B, LINE 7A ST. JOSEPH HOSPITAL OF ORANGE'S CHNA CAN BE FOUND ON THE HOSPITAL'S WEBSITE AT: https://www.sjo.org/documents/Community_Benefit/SJO-CHNA-FY17.pdf SCHEDULE H, PART V, SECTION B, LINE 10 https://www.sjo.org/documents/SJO-CBPlan-IS-Report-FY18-20.pdf SCHEDULE H, PART V, SECTION B, LINE 11 Community Health Needs Prioritized St. Joseph Hospital Orange will address the following priority areas as part of its FY18-FY20 CB Plan/Implementation Strategy Report: - Access to Care for the Uninsured and Underinsured - Mental Health - Diabetes/Obesity/Food and Nutrition Access to Care for the Uninsured and Underinsured is a concern that emerged in both the data and through community input. Although the data used for the CHNA do not reflect the most recent enrollments due to the Affordable Care Act, they show that rates of uninsured children and adults were slightly higher in the TSA than for Orange County. Rates in parts of Santa Ana and Anaheim were especially high. Community input focused on the challenges people face with using insurance, talking about the cost of premiums and co-pays, the difficulty navigating an unfamiliar health care system, and the need for linguistically and culturally sensitive care. Access to Care tied with Mental Health as the top priority after the first 3 steps of the prioritization process. Mental Health received the most votes by far at the community forum and was tied with Access to Care as the top priority after the first 3 steps of the prioritization process. Mental health, and specifically stress and depression, was linked to many other issues such as economic challenges, housing, and immigration. Community members also noted the continued stigma associated with mental illness and the difficulties they face navigating the mental health system and finding culturally appropriate mental health services. Emergency Room usage rates for mental health reasons are extremely high in lower-income areas of Santa Ana and Anaheim. Diabetes/Obesity/Food and Nutrition were originally considered as separate issues but combined by the Community Benefit Committee. The Committee agreed that these three significant health needs had enough correlation and a "cause and effect" implication among them that by addressing one or two, we could essentially address all three. While the overall rate of diabetes in the TSA is similar to Orange Countys rate (7.8% in the TSA compared to 7.4% in the County), the rate in the PSA is higher (8.7%). Certain communities have much higher rates of diabetes, ranging from 10.2% to 11.9% in Westminster and Garden Grove. Rates in Santa Ana and Anaheim hover between 9 and 10 percent. The data on overweight and obesity shows the TSA has slightly higher rates than Orange County (24.2% of teenagers in the TSA are overweight or obese compared to 20.9% across the county), but those rates are below the California rate of 33.1%. The highest rates of overweight and obesity in teenagers in the PSA were found in Santa Ana and Anaheim, where the highest rate was 29.0%. Data on obesity in adults showed a similar pattern, with more than 25% of the adult population considered obese in some zip codes of Santa Ana and Anaheim, compared to 20.3% in the TSA and 18.4% in Orange County. Concerns about Food and Nutrition, a root cause of diabetes and obesity, were raised both in the data and through community input. The data shows high rates of food insecurity, especially in the PSA (11.3% compared to 6.8% in Orange County) and the PSA communities of Santa Ana and Anaheim (as high as 22.6% in one zip code area of Santa Ana). Concerns about the cost, availability, and ease of preparing healthy food compared to abundant, cheap, and quick unhealthy options were raised at all of the focus groups and the community forum. Needs Beyond the Hospitals 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 the St. Joseph Health Community Partnership Fund. As previously mentioned, St Joseph Hospital will endorse local non-profit organization partners to apply for funding through the St. Joseph Health Community Partnership fund. Local nonprofits that receive funding provide specific services and resources to meet the identified needs of underserved communities throughout St. Joseph Hospitals service areas. The following community health needs identified in the St. Joseph Hospital CHNA will not be addressed and an explanation is provided below: Housing concerns: The hospital does not directly address housing needs. However, we support and endorse grant applications to the St. Joseph Health Community Partnership Fund Emergency Food and Shelter Initiative for several local central Orange County community based organizations. In addition, the hospital will be available to support maintenance/custodial services to the new Mercy House project to convert the Sisters of St. Joseph Mother House into affordable housing units for women and children. Language and Cultural Barriers: The hospital does not directly address language and cultural needs except to patient population. The hospital provides cultural competency training for its employees. However, these trainings are not open to the public. Economic Insecurity: The hospital does not directly address the effects of poverty and economic concerns. However, the hospital partners with Taller San Jose Hope Builders to support their graduating participants secure employment by providing pre-employment health screenings. Immigration Status: The hospital does not directly address immigration issues. However, La Amistad Family Health Center (SJNHC) partners with the Public Law Center in referring patients who request immigration services. Furthermore, SJO may disclose Protected Health Information to Law enforcement including the US Immigration and Customs Enforcement (ICE) for the following purposes only: a) Injury resulting from a deadly weapon or from other criminal act; b) Rape or other sexual assault. Access to Resources: The hospital does not directly offer access to resources in general. However, a Patient Advocate is stationed in the Emergency Care Center to assist low income underserved persons seeking care to enroll in appropriate and affordable health insurance programs and social services programs. In addition, we support and endorse grant applications to the St. Joseph Health Community Partnership Fund for several local central Orange County community based organizations seeking funds to address access to health and social services resources. Public Safety: The hospital does not directly address issues around public safety. However, we support and endorse grant applications to the St. Joseph Community Partnership Fund Community Building Initiative for local community based organizations who directly address these social and infrastructure issues. Without this funding, these organizations would not be able to sustain and/or further their work in this area. Parks: The hospital does not directly address the provision of parks in the community. However, we support and endorse grant applications to the St. Joseph Community Partnership Fund- Community Building Initiative for local community based organizations who directly address these social and infrastructure issues. Without this funding, these organizations would not be able to sustain and/or further their work in this area. In addition, St. Joseph Hospital will collaborate when feasible with organizations that address aforementioned community needs, to coordinate care and referral to address these unmet needs. SCHEDULE H, PART V, SECTION B, LINE 13H THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDER-INSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 16A HTTPS://WWW.STJHS.ORG/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE/SOCAL/FINANCI AL-ASSISTANCE-POLICY-SJH-SOCAL.OCHD.ENGLISH.PDF SCHEDULE H, PART V, SECTION B, LINE 16B HTTPS://WWW.STJHS.ORG/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE/SOCAL/FINANCI AL-ASSISTANCE-APPLICATION-SJH-SOCAL.OCHD.ENGLISH.PDF SCHEDULE H, PART V, SECTION B, LINE 16C HTTPS://WWW.STJHS.ORG/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE/SOCAL/FINANCI AL-ASSISTANCE-BROCHURE-ENGLISH.PDF SCHEDULE H, PART V, SECTION B, LINE 16J THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS TO PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON REQUEST. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA. 13 CENTER FOR CANCER PREVENTION & TREATMENT 1000 WEST LA VETA ORANGE CA 92868 CANCER CENTER RADIOLOGYIMAGING CENTER 1140 WEST LA VETA ORANGE CA 92868 RADIOLOGY AND IMAGING CENTER OUTPATIENT SURGICENTER 1140 WEST LA VETA ORANGE CA 92868 OUTPATIENT SURGERY ST JOSEPH SISTER ELIZABETH BUILDING 1300 WEST PALMYRA ORANGE CA 92868 DIALYSIS, BEHAVIORAL HLTH, RENAL TRANS & SLEEP CTR MATERNAL FETAL TESTING 1140 WEST LA VETA ORANGE CA 92868 FETAL TESTING PHYSICAL REHABILITATION 1310 WEST STEWART DRIVE SUITE 203 ORANGE CA 92868 PHYSICAL THERAPY ST JOSEPH HOSPITAL WOUND CARE CENTER 1140 WEST LA VETA ORANGE CA 92868 WOUND CARE CENTER CARDIAC REHABILITATION CENTER 1140 WEST LA VETA ORANGE CA 92868 CARDIOLOGY SERVICES COMPREHENSIVE IMAGING PARTNERS OF OC LLC 1 CITY BOULEVARD WEST SUITE 1100 ORANGE CA 92868 IMAGING CENTER SANTA ANA DIALYSIS CENTER 2212 EAST 4TH STREET SUITE 101 SANTA ANA CA 92705 DIALYSIS SERVICE HEART & VASCULAR WELLNESS CLINIC 1120 WEST LA VETA ORANGE CA 92868 HEART WELLNESS MOTHER BABY 363 SOUTH MAIN STREET ORANGE CA 92868 WOMEN & CHILDREN SINUS CENTER 1140 WEST LA VETA SUITE 510 ORANGE CA 92868 SINUS CENTER SCHEDULE H, PART I, LINE 3C IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. SCHEDULE H, PART I, LINE 6A ST. JOSEPH HOSPITAL OF ORANGE PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.SJO.ORG/FOR-COMMUNITY/COMMUNITY-BENEFIT/2018/. SCHEDULE H, PART I, LINE 7 THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS. SCHEDULE H, PART I, LINE 7G NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. SCHEDULE H, PART III, LINE 2 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, SECTION A, LINE 3 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, SECTION A, LINE 4 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 8 THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT WITH THE INPUT OF MORE THAN 450 KEY STAKEHOLDERS, ST. JOSEPH HOSPITAL OF ORANGE DEFINED ITS FIVE-YEAR STRATEGIC JOURNEY, WHICH FORMS THE FOUNDATION FOR OUR COMMITMENT TO EACH PATIENT WE SERVE: -PERFECT CARE: EVERY PATIENT WILL RECEIVE THE RIGHT CARE, AT THE RIGHT TIME, IN THE RIGHT SETTING. -SACRED ENCOUNTERS: WE BELIEVE IN THE DIGNITY OF EACH INDIVIDUAL AND DESIRE TO SERVE EACH PERSON. WE WILL FIRST SEEK TO UNDERSTAND THEN DELIVER A COMBINATION OF COMPASSION, RESPECT AND COMPETENCY TO EACH INDIVIDUAL WE SERVE (PATIENTS, PHYSICIANS, CAREGIVERS, STAFF, ETC.) -HEALTHIEST COMMUNITIES: TO IMPROVE THE HEALTH STATUS OF ALL RESIDENTS IN THE AREAS WE SERVE. -GROWTH: TO EXPAND OUR SERVICE INTO THE COMMUNITY. LOCAL STRATEGIC PLAN INCLUDINGS: EXPANDED HOSPITAL SERVICES AND THE NETWORK OF CARE THROUGH NEW DELIVERY MODELS, VENTURES AND PARTNERSHIPS. ACHIEVE A HOSPITAL COST STRUCTURE THAT IS MORE COMPETITIVE AND AFFORDABLE. ASPIRE TO DELIVER PERFECT CARE BY DRIVING IMPROVEMENT IN CLINICAL EXCELLENCE, QUALITY, SAFETY AND OUTCOMES. 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, OUT MIGRATION TO OTHER MEDICAL FACILITIES FOR TREATMENT, EMERGENCY DEPARTMENT AND ANCILLARY UTILIZATION, AS WELL AS SERVICE LINE FORECASTS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE REASONABLE EFFORTS WILL BE MADE TO NOTIFY AND INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, UTILIZING THE METHODS OUTLINED BELOW: - PATIENT BILLING STATEMENTS WILL INCLUDE A CLEAR AND CONSPICUOUS NOTICE ADVISING OF THE AVAILABILITY OF THE SJH FINANCIAL ASSISTANCE PROGRAM. - A PLAIN LANGUAGE SUMMARY OF THE FAP (BROCHURE) SHALL BE PROVIDED AS PART OF THE ADMISSION OR DISCHARGE PROCESS - THE FAP POLICY, PLAIN LANGUAGE SUMMARY (BROCHURE) AND FINANCIAL ASSISTANCE APPLICATION WILL BE AVAILABLE ON EACH SJH HOSPITAL'S WEBSITE. - THE PLAIN LANGUAGE SUMMARY OF THE FAP (BROCHURE) WILL BE PRINTED IN ENGLISH AND SPANISH, AT A MINIMUM, AND SHALL BE AVAILABLE AT EACH HOSPITAL IN PUBLIC ADMISSION AREAS, INCLUDING, BUT NOT LIMITED TO, THE EMERGENCY ROOM, INPATIENT AND OUTPATIENT ADMISSION AREAS. - TRANSLATIONS OF THE SJH FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND PLAIN LANGUAGE SUMMARY OF THE FAP (BROCHURE) SHALL BE MADE AVAILABLE IN OTHER LANGUAGES AS DETERMINED BY EACH HOSPITAL, IN ACCORDANCE WITH SECTION 501 (R) OF THE INTERNAL REVENUE CODE. - SJH PERSONNEL WILL MAKE A REASONABLE EFFORT TO ORALLY NOTIFY PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE WHEN DISCUSSING PAYMENT OPTIONS. - EACH SJH HOSPITAL SHALL POST NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. SUCH NOTICES SHALL: - BE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS OF THE HOSPITAL INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICE, INPATIENT ADMISSION AND OUTPATIENT REGISTRATION AREAS OR OTHER COMMON PATIENT WAITING AREAS OF THE HOSPITAL AND ANY LOCATION WHERE A PATIENT MAY PAY HIS OR HER HOSPITAL BILL. - INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE. - BE IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT REPRESENT THE LESSOR OF 1,000 INDIVIDUALS OR 5 PERCENT OF THE COMMUNITY SERVED BY THE HOSPITAL. ANY INDIVIDUAL WHO BELIEVES THAT HE OR SHE MAY QUALIFY FOR FINANCIAL ASSISTANCE OR HAS REQUESTED FINANCIAL ASSISTANCE MUST SUBMIT A FINANCIAL ASSISTANCE APPLICATION. THE FINANCIAL ASSISTANCE APPLICATION MAY BE OBTAINED FOR FREE AT THE LOCATIONS DESIGNATED BY EACH SJH HOSPITAL, BY MAIL OR BY VISITING THE SJH HOSPITAL'S WEBSITE. EACH SJH HOSPITAL SHALL MAKE DESIGNATED PERSONNEL AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND DETERMINING ELIGIBILITY FOR THE SJH FINANCIAL ASSISTANCE OR FINANCIAL ASSISTANCE FROM GOVERNMENT-FUNDED INSURANCE PROGRAMS, IF APPLICABLE. INTERPRETATION SERVICES ARE AVAILABLE TO ADDRESS ANY QUESTIONS OR CONCERNS AND TO ASSIST IN THE COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATIONS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION ST. JOSEPH HOSPITAL OF ORANGE IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1929, IS LOCATED AT ORANGE, CALIFORNIA. IT BECAME A MEMBER OF ST. JOSEPH HEALTH IN 1982. THE FACILITY HAS 465 LICENSED BEDS, 379 OF WHICH ARE CURRENTLY AVAILABLE, AND A CAMPUS THAT IS APPROXIMATELY 38 ACRES IN SIZE. ST. JOSEPH HOSPITAL HAS A STAFF OF MORE THAN 3,100 AND PROFESSIONAL RELATIONSHIPS WITH MORE THAN 1,000 LOCAL PHYSICIANS. MAJOR PROGRAMS AND SERVICES INCLUDE CARDIAC CARE, CRITICAL CARE, DIAGNOSTIC IMAGING, EMERGENCY MEDICINE AND OBSTETRICS. ST. JOSEPH HOSPITAL OF ORANGE PROVIDES ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S TOTAL SERVICE AREA EXTENDS FROM YORBA LINDA IN THE NORTH, LAKE FOREST IN THE SOUTH, CORONA IN THE EAST AND HUNTINGTON BEACH IN THE WEST. OUR HOSPITAL TOTAL SERVICE AREA INCLUDES THE CITIES OF ORANGE, SANTA ANA, TUSTIN, ANAHEIM, GARDEN GROVE, VILLA PARK, WESTMINSTER, YORBA LINDA, PLACENTIA, IRVINE, CORONA, FULLERTON, FOUNTAIN VALLEY, COSTA MESA, BUENA PARK, STANTON, SILVERADO, LAKE FOREST, CYPRESS AND FOOTHILL RANCH. THIS INCLUDES A POPULATION OF APPROXIMATELY 2,380,838 PEOPLE, AN INCREASE OF APPROXIMATELY 5% FROM THE PRIOR ASSESSMENT. ST. JOSEPH HOSPITAL, ORANGE TOTAL HOSPITAL SERVICE AREA INCLUDES ORANGE AND RIVERSIDE COUNTIES. OVER 90 PERCENT OF THE POPULATION OF THE TSA IS IN ORANGE COUNTY, AND APPROXIMATELY 10 PERCENT OF RIVERSIDE COUNTYS POPULATION IS WITHIN THE TSA. THE TOTAL HOSPITAL SERVICE AREA POPULATION IS 2,380,838 WITH A MEDIAN HOUSHOLD INCOME OF $73,637. THE TOTAL SERVICE AREA HAS 27.8% PERCENT OF THE POPULATION WITH A HOUSEHOLD INCOME BELOW 200% FPL AND 20.2% PERCENT OF CHILDREN AND 9.6% PERCENT OF OLDER ADULTS LIVE BELOW 100% OF POVERTY LEVEL. WHEN LOOKING AT THE PRIMARY SERVICE AREA, 25.8% PERCENT OF THE POPULATION IS UNDER THE AGE OF 18 AND 11% OF THE POPULATION IS OVER THE AGE OF 65. FURTHERMORE, 35.5% OF THE POPULATIONS HOUSEHOLD INCOME IS BELOW 200% FPL THAT INCLUDES ZIP CODES 92683, 92701, 92703, 92704, 92706, 92707, 92780, 92801, 92802, 92804, 92805, 92806, 92840, 92841, 92843, 92844, 90621, AND 90680. 25.2% PERCENT OF CHILDREN AND 11.6% PERCENT OF OLDER ADULTS LIVE BELOW 100% OF FEDERAL POVERTY LEVEL THAT INCLUDES ZIP CODES 92683, 92701, 92703, 92704, 92706, 92707, 92801, 92802, 92804, 92805, 92841, 92843, 92844, 90621, AND 90680. WHEN LOOKING AT THE TOTAL SERVICE AREA, 42% PERCENT OF THE POPULATION IS LATINO, 30.4% PERCENT IS NON-LATINO WHITE, 22.6% PERCENT IS ASIAN/PACIFIC ISLANDER, 2.2% PERCENT IS BLACK, AND 2.4% PERCENT IS MORE THAN 1 RACE. WHEN LOOKING AT THE PRIMARY SERVICE AREA, 53% PERCENT OF THE POPULATION IS LATINO, 22.7% PERCENT IS NON-LATINO WHITE, 20.7% PERCENT IS ASIAN/PACIFIC ISLANDER, 1.6% PERCENT IS BLACK, AND 1.7% PERCENT IS MORE THAN 1 RACE. OTHER HOSPITALS IN THE COMMUNITY INCLUDE: HOAG, AHMC ANAHEIM, CHOC, CORONA REGIONAL MEDICAL CENTER, KAISER, KPC HEALTHCARE, INC., ORANGE COAST MEMORIAL, PRIME HEALTHCARE, TENET HEALTH, UCI MEDICAL CENTER. 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). ST. JOSEPH HOSPITAL, ORANGE IS NOT LOCATED IN A SHORTAGE AREA, LARGE PORTIONS OF THE SERVICE AREA TO THE WEST AND SOUTH OF ST. JOSEPH HOSPITAL, ORANGE ARE DESIGNATED AS SHORTAGE AREAS. 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. ALTHOUGH ST. JOSEPH HOSPITAL, ORANGE, IS NOT LOCATED IN A MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATION AREA, AREAS TO THE SOUTH AND WEST OF ST. JOSEPH HOSPITAL ARE LOCATED IN A MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATIONS AREA, SIGNIFYING THE IMPORTANCE OF ST. JOSEPH HOSPITAL, ORANGE TO THE COMMUNITY IT SERVES. FOR MORE INFORMATION, GO TO THE ST. JOSEPH HOSPITAL, ORANGE FY17 COMMUNITY BENEFIT REPORT POSTED AT HTTPS://WWW.SJO.ORG/FOR-COMMUNITY SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH ST. JOSEPH HOSPITAL OF ORANGE PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. ST. JOSEPH HOSPITAL OF ORANGE IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF 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 6 AFFILIATED 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 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA true ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 Michaelson Drive Ste 100 Irvine CA 92612 330143024 501(c)(3) 5689100 CARE FOR THE POOR SPONSOR ST JUDE NEIGHBORHOOD HEALTH CENTERS 731 S Highland Avenue Fullerton CA 92832 453977605 501(c)(3) 2869635 CARE FOR THE POOR COUNCIL ON AGING 2 EXECUTIVE CIRCLE SUITE 175 IRVINE CA 92614 952874089 501(c)(3) 50000 SENIOR SUPPORT KOREAN COMMUNITY SERVICES INC 7212 ORANGETHORPE AVE 9A BUENA PARK CA 90621 953245254 501(c)(3) 20000 ACCESS TO CARE TALLER SAN JOSE 801 N BROADWAY SANTA ANA CA 92701 593815864 501(c)(3) 10000 LIGHT UP A LIFE MERCY HOUSE LIVING QUARTERS PO BOX 1905 SANTA ANA CA 90755 330315864 501(c)(3) 77799 FMV SUPPORT FOR LIVING COMBAT HOMELESSNESS ORANGE ELDERLY SERVICES 170 SOUTH OLIVE STREET ORANGE CA 92866 330035445 501(c)(3) 26996 FMV MEALS ELDER COMMUNITY SUPPORT FOOD FINDERS 2301 E 28TH STREET SIGNAL HILL CA 90455 330412749 501(c)(3) 7265 FMV FOOD FIGHTING FOOD INSECURITY 8 0 Patient Housing Assistance 11 8592 Patient Insurance Assistance 3 581 Patient Utilities Assistance 1 759 Patient Transportation 2 504 Patient Medications 150 16827 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANTS ALL ORGANIZATIONS RECEIVING FUNDS MUST BE 501(C)(3) WHICH ARE ENGAGED IN A CHARITABLE FUNCTION WHICH IS IN LINE WITH THE MISSION OF THE HOSPITAL AND BENEFITS THE COMMUNITY. NO FURTHER MONITORING IS DONE AFTER THE INITIAL REQUIREMENTS ARE MET. SCHEDULE I, PART III ASSISTANCE MONIES IDENTIFIED IN PART III ARE DISBURSED DIRECTLY TO THE VENDOR OR TO THE PATIENT AFTER APPROPRIATE SUPPORTING DOCUMENTS HAVE BEEN PROVIDED. false true false false false false false true false JEREMY ZOCH TRUSTEE, EX OFFICIO, CEO 0 425432 0 172985 0 48972 0 13750 0 28197 0 689336 0 0 JO ANN ESCASA-HAIGH BD MBR/EVP ASSIST TREAS (SJHS) 0 676469 0 396611 0 37755 0 503453 0 23971 0 1638259 0 0 KRISTI LIBERATORE CHIEF FINANCIAL OFFICER 334413 0 53382 0 33682 0 11000 0 22316 0 454793 0 0 0 LINDA SIMON ED, CHIEF MISSION INTEGRATION 239276 0 38010 0 29155 0 21372 0 12918 0 340731 0 0 0 TARA COWELL SECRETARY/VP ASSOC GEN COUNSEL 0 314661 0 43479 0 41337 0 22000 0 42180 0 463657 0 0 CATHERINE SKELTON CHIEF PATIENT CARE SVCS/CNO 304291 0 48923 0 39094 0 24750 0 26498 0 443556 0 0 0 SCOTT RUSK CHIEF MEDICAL OFFICER 367776 0 64620 0 7823 0 9359 0 30143 0 479721 0 0 0 THOMAS HILL CHIEF OPS GENERAL SERVICES 281520 0 50633 0 46045 0 21980 0 36632 0 436810 0 0 0 CHANDA PARRETT MNSTRY CHF, PHILANTHROPY OFCR 214746 0 34150 0 25033 0 17368 0 13087 0 304384 0 0 0 DENISE FRIDAY LEAD I.R./CATH LAB TECH 261359 0 650 0 4997 0 12957 0 26722 0 306685 0 0 0 KRISTINA MACALALAG SALACUP REG NURSE III 217341 0 1150 0 22591 0 11560 0 24721 0 277363 0 0 0 LAWRENCE WAGMAN EXECUTIVE MEDICAL DIRECTOR 334416 0 39062 0 412781 0 19396 0 10301 0 815956 0 0 0 SAIED AMIRPOOR ED, PHARMACY, SCA REGION 238909 0 10612 0 5912 0 17038 0 26305 0 298776 0 0 0 MARY LEAHY FORMER KEY EMPLOYEE 0 324046 0 44107 0 47358 0 18547 0 37668 0 471726 0 0 STEVEN MOREAU FORMER CE & REG VP, SOCAL 0 0 0 0 0 821489 0 0 0 0 0 821489 0 0 SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY ST. JOSEPH HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4B NONQUALIFIED 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. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. SCHEDULE J, PART I, LINE 7 NON-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. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 540430 COPIER SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 292734 MEDICAL SUPPLY SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 839559 MEDICAL SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3678797 FOOD SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 135881 PLUMBING SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 121140 FIRE SAFETY SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 232128 ELECTRICAL SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 186224 MEDICAL SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 635145 PRINTING SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 7154350 CONSTRUCTION SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2091683 MEDICAL SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 199448 PAINTING SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 10967480 MEDICAL SUPPLY SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2300973 LINEN SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 201260 ELEVATOR SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 165196 ENVIRONMENTAL SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2355461 PARKING SERVICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 255721 SAFETY SERVICE false X 1 1090 COST X 13829 COST X 44 11362 COST X Gift Certificates 41 16413 COST X Trips 10 16567 COST X Entertainment 1 250000 COST X Auction various items 9 10524 COST X Wheelchair 1 365 COST false true false SCHEDULE M, PART I, COLUMN B THE AMOUNTS REPORTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED. SCHEDULE M, PART I, LINE 19 INCLUDES FOOD ITEMS SERVED TO ATTENDEES AT VARIOUS EVENTS VALUED AT $11,362. FORM 990, PART III, LINE 4A PROVIDENCE ST. JOSEPH HEALTH 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, 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, UNTAMED 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 SYSTEM IN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, 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, CALIFORNIA. REALIZING OUR MISSION - AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. PROGRAM SERVICE ACCOMPLISHMENTS - LA AMISTAD FAMILY HEALTH CENTER (ST. JUDE NEIGHBORHOOD HEALTH CENTERS FEDERALLY QUALIFIED HEALTH CENTER) PROVIDES MEDICAL, DENTAL, VISION, AND MENTAL HEALTH SERVICES TO LOW INCOME, VULNERABLE, AND UNDERSERVED COMMUNITIES IN CENTRAL ORANGE COUNTY. IN 2018, ST. JOSEPH HOSPITAL INCURRED THE TOTAL COSTS FOR A NEW CLINIC LOCATION WHICH TOTALED $2,490,468. SWEET BEGINNINGS PROGRAM- A PREVENTIVE HEALTH MODEL FOR PREGNANT WOMEN WITH GESTATIONAL DIABETES. PROVIDES TEACHING, NUTRITION COUNSELING, INSTRUCTION ON HOW TO USE MEDICAL EQUIPMENT, AND MAINTENANCE OF BLOOD SUGARS. TOTAL COST IN 2018, $608,025. JAMBOREE HOUSING PARTNERSHIP-RECUPERATIVE CARE FOR HOMELESS PATIENTS BEING DISCHARGED FROM HOSPITAL. THE GOAL IS TO IDENTIFY AND CARE FOR INDIVIDUALS IDENTIFIED AS HOMELESS (MAY OR MAY NOT BE MEDI-CAL ELIGIBLE) AND PLACE INTO RECUPERATIVE CARE AS NEEDED. RECUPERATIVE CARE PROGRAM WORKS ON IDENTIFICATION OF HOUSING AS WELL AS PROVIDING POST-ACUTE HOSPITALIZATION CARE. TOTAL COST IN 2018, $250,000. FOR MORE INFORMATION ABOUT ST. JOSEPH HOSPITAL, PLEASE VISIT HTTPS://WWW.SJO.ORG/ FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG. FOR MORE INFORMATION ABOUT PROVIDENCE ST. JOSEPH HEALTH, PLEASE VISIT HTTPS://WWW.PSJHEALTH.ORG/ FORM 990, PART V, LINE 1A ST. JOSEPH HEALTH SYSTEM PAYS ALL VENDORS FOR ST. JOSEPH HOSPITAL OF ORANGE FROM ITS SHARED SERVICES. ST. JOSEPH HEALTH SYSTEM 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 6 CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE SOLE CORPORATE MEMBERS OF ST. JOSEPH HOSPITAL OF ORANGE. FORM 990, PART VI, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JOSEPH HOSPITAL OF ORANGE HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. JOSEPH HOSPITAL OF ORANGE BOARD. ALL TRUSTEE NOMINATIONS THAT COME FROM THE ST. JOSEPH HOSPITAL OF ORANGE BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS A CORPORATE MEMBER, AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD. FORM 990, PART VI, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBERS, ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, RESERVE THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. FORM 990, PART VI, LINE 11B PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSELS OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. MANAGEMENT PRESENTED THE RETURNS TO THE FINANCE COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, LINE 12C PROCESS 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 AND 15B PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE 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 MARCH 5, 2019. FORM 990, PART VI, LINE 19 GOVERNING 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 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES EQUITY TRANSFER TO ST. JOSEPH HERITAGE HEALTHCARE ($ 49,184,046) EQUITY TRANSFERS TO SYSTEM OFFICE ($ 12,299,148) EQUITY TRANSFERS TO PROVIDENCE HEALTH FOR HOSPITAL FEES ($ 9,939,917) RECL. OF INVESTMENT IN ST JOSEPH PHYSICIAN VENTURES ($ 8,429,046) ST JOSEPH DIALYSIS & PAVILION SURGERY JV ($ 602,301) POPULATION HEALTH RECLASSIFICATIONS $ 18,338,479 ST JOSEPH FOUNDATION ACTIVITY $ 3,742,928 FQHC RELOCATION AND CAP LEASE $ 2,533,746 -------------- TOTAL ($ 55,839,305) FORM 990 PART IX LINE 11G DESCRIPTION:REVENUE CYCLE SERVICES TOTAL FEES:20712996 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PHYSICIANS TOTAL FEES:12476783 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL DIRECTORS TOTAL FEES:3721695 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT NURSES TOTAL FEES:3039207 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT THERAPISTS AND OTHERS TOTAL FEES:2642773 FORM 990 PART IX LINE 11G DESCRIPTION:ON-CALL PHYSICIANS TOTAL FEES:2405000 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:2377993 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:2287942 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT CLINICAL TOTAL FEES:1004401 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:19469899 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:248854 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACT SERVICES TOTAL FEES:253924 COVENANT ACO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS true COVENANT HEALTH NETWORK INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS true COVENANT HEALTH PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS true COVENANT HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS true COVENANT HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752897026 HEALTHCARE TX 501(C)(3) 7 CHS true COVENANT MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 822913146 HEALTHCARE TX 501(C)(3) 3 CHS true COVENANT MEDICAL GROUP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752743883 HEALTHCARE TX 501(C)(3) 3 CHS true E WA & MT UNEMPLOYMENT COMP INSR TRUST 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911082119 UNEMPLOYMENT WA 501(C)(3) 12, I PHS WA true EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANS. CARE WA 501(C)(3) 10 NA false FACEY MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL true GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 201910170 SUPPORT WA 501(C)(3) 7 PHS WA true GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS true HMTS INC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12, I HMHP true HOAG CHARITY SPORTS 2081 BUSINESS CTR DR STE 195 IRVINE CA 92612 452982422 SUPPORT CA 501(C)(3) 7 HHF true HOAG CLINIC (FKA COASTAL MGMT SVCS ORG) 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 330676831 HEALTHCARE CA 501(C)(3) 10 HMHP true HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP true HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 951643327 HEALTHCARE CA 501(C)(3) 3 CHN true HOSPICE OF LUBBOCK 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752133781 HEALTHCARE TX 501(C)(3) 10 CHS true INLAND NORTHWEST HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911307555 HEALTHCARE WA 501(C)(3) 3 PHS WA true INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 814260130 HEALTHCARE WA 501(C)(3) 7 PHSSJHS true INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 912003593 HEALTHCARE WA 501(C)(3) 7 WHC true JOHN WAYNE CANCER INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 954291515 HEALTHCARE CA 501(C)(3) 4 PSJHC true KADLEC AUXILIARY INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 916033089 SUPPORT WA 501(C)(3) 12, III KRMC true KADLEC FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 237005501 SUPPORT WA 501(C)(3) 12, I KRMC true KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 910655392 HEALTHCARE WA 501(C)(3) 3 WHC true LITTLE COMPANY OF MARY ANCILLARY SVCS CO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 330844408 IMAGING SVCS CA 501(C)(3) 10 PHS SOCAL true LUBBOCK METHODIST HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752220963 HEALTHCARE TX 501(C)(3) 7 CHS true LUNDBERG ASSOCIATIONPROVIDENCE HOUSE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911562797 SUPPORT OR 501(C)(3) 7 PHS OR true MARSHA RIVKIN CTR FOR OVARIAN CANCER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 912054035 RESEARCH WA 501(C)(3) 7 SHS true METHODIST CHILDREN'S HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752428911 HEALTHCARE TX 501(C)(3) 3 CHS true METHODIST HOSPITAL LEVELLAND 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752246348 HEALTHCARE TX 501(C)(3) 3 CHS true METHODIST HOSPITAL PLAINVIEW 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752426010 HEALTHCARE TX 501(C)(3) 3 CHS true MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 951643360 HEALTHCARE CA 501(C)(3) 3 CHN true NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501(C)(3) 12,I SHS true PACMED CLINICS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 562290878 HEALTHCARE WA 501(C)(3) 10 WHC true PH&S FOUNDATIONSFVSA & SCVSA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL true PROVIDENCE ALASKA FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 920093565 HEALTHCARE AK 501(C)(3) 12, I PHS WA true PROVIDENCE BENEDICTINE NURSING CTR FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911940286 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911789266 SUPPORT WA 501(C)(3) 7 PHS WA true PROVIDENCE CHILDREN'S HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930800140 SUPPORT OR 501(C)(3) 7 PHS OR true PROVIDENCE COMMUNITY HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930692907 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE DETHMAN HOUSE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 473385506 SUPPORT WA 501(C)(3) 7 NA false PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 311744654 SUPPORT WA 501(C)(3) 7 PHS WA true PROVIDENCE HEALTH & SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911549796 HEALTHCARE WA 501(C)(3) 12, II PSJH false PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 810231793 HEALTHCARE MT 501(C)(3) 3 PHS WA true PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 510216587 HEALTHCARE OR 501(C)(3) 3 PHS true PROVIDENCE HEALTH & SERVICES - WA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 510216586 HEALTHCARE WA 501(C)(3) 3 PHS true PROVIDENCE HEALTH & SERVICES - WEST WA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911303277 HEALTHCARE WA 501(C)(3) 3 PMWHC true PROVIDENCE HEALTH ASSURANCE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 550828701 MEDICAID OR 501(C)(4) N/A PHP true PROVIDENCE HEALTH CARE FNDN - E WA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 320014330 HEALTHCARE WA 501(C)(3) 7 PHS WA true PROVIDENCE HEALTH CARE FNDN (CENTRALIA) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911433382 HEALTHCARE WA 501(C)(3) 7 PHS W WA true PROVIDENCE HEALTH PLAN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930863097 HEALTHCARE OR 501(C)(4) N/A PPP true PROVIDENCE HEALTH SYSTEM - SO CAL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 510216589 HEALTHCARE CA 501(C)(3) 3 PHS true PROVIDENCE HOOD RIVER MEM HOSP FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930921990 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE HOSPICE AND HOME CARE FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 272552749 HEALTHCARE WA 501(C)(3) 7 PHS W WA true PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 912077378 HEALTHCARE WA 501(C)(3) 7 PHS W WA true PROVIDENCE LITTLE COMPANY OF MARY FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 510224944 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL true PROVIDENCE MARIANWOOD FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 931554288 HEALTHCARE WA 501(C)(3) 12, I PHS W WA true PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 330283773 HEALTHCARE CA 501(C)(3) 12, I PHS SOCAL true PROVIDENCE MILWAUKIE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 943079515 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE MINISTRIES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 RELIGIOUS ORG WA 501(C)(3) 1 NA false PROVIDENCE MOUNT ST VINCENT FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911188119 HEALTHCARE WA 501(C)(3) 7 PHS WA true PROVIDENCE NEWBERG HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930889144 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 311629656 SUPPORT WA 501(C)(3) 7 PHS WA true PROVIDENCE PLAN PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911861964 HEALTHCARE WA 501(C)(4) N/A PHS OR true PROVIDENCE PORTLAND MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 931231494 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 311584166 SUPPORT WA 501(C)(3) 10 PHS WA true PROVIDENCE SAINT JOHN'S HEALTH CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 951684082 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL true PROVIDENCE SAINT JOHN'S MEDICAL FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 814542216 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL true PROVIDENCE SEASIDE HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930927320 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE ST ELIZABETH HOUSE ASSOC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 912171539 SUPPORT WA 501(C)(3) 7 PHS WA true PROVIDENCE ST FRANCIS ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 943244854 SUPPORT WA 501(C)(3) 7 PHS WA true PROVIDENCE ST JOSEPH HEALTH 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 811244422 HEALTHCARE WA 501(C)(3) 12, III NA false PROVIDENCE ST JOSEPH HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 943078543 HEALTHCARE WA 501(C)(3) 12, I PHS WA true PROVIDENCE ST JOSEPH MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 810463482 HEALTHCARE MT 501(C)(3) 3 PHS WA true PROVIDENCE ST MARY FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 452841492 HEALTHCARE WA 501(C)(3) 7 PHS WA true PROVIDENCE ST PETER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911097056 SUPPORT WA 501(C)(3) 7 PHS W WA true PROVIDENCE ST VINCENT MEDICAL FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930575982 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE TRINITYCARE HOSPICE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 953264139 HEALTHCARE CA 501(C)(3) 10 PHS SOCAL true PROVIDENCE TRINITYCARE HOSPICE FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 330261016 HEALTHCARE CA 501(C)(3) 7 PTCH true PROVIDENCE WILLAMETTE FALLS MEDICAL FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 931003750 HEALTHCARE OR 501(C)(3) 12, I PHS OR true QUEEN OF THE VALLEY MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 941243669 HEALTHCARE CA 501(C)(3) 3 SJHS true REDWOOD MEMORIAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 942779313 HEALTHCARE CA 501(C)(3) 7 RMH true REDWOOD MEMORIAL HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 941384665 HEALTHCARE CA 501(C)(3) 3 SJHS true SAINT JOHN'S HOSPITALHEALTH CENTER FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 956100079 SUPPORT CA 501(C)(3) 7 PSJHC true SANTA ROSA MEMORIAL HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 941231005 HEALTHCARE CA 501(C)(3) 3 SJHS true SEATTLE SCIENCE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 611502822 PHYSN COLLAB WA 501(C)(3) 7 WHC true SISTERS OF PROVIDENCE OF MONTANA CORP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 262612415 SHELL CORP MT 501(C)(3) 1 PHS WA false SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ORANGE CA 92868 951643383 RELIGIOUS ORG CA 501(C)(3) 1 NA false SRM ALLIANCE HOSPITAL SERVICES (PVH) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 680395200 HEALTHCARE CA 501(C)(3) 3 SRMH true ST JOSEPH HEALTH MINISTRY 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 271666576 RELIGIOUS ORG CA 501(C)(3) 1 SSJO false ST JOSEPH HEALTH N CALIFORNIA LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 814791043 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JOSEPH HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 953589356 HEALTHCARE CA 501(C)(3) 12, I PSJH false ST JOSEPH HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 330143024 HEALTHCARE CA 501(C)(3) 7 SJHS true ST JOSEPH HERITAGE HEALTHCARE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JOSEPH HOME CARE NETWORK 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 680331084 HEALTHCARE CA 501(C)(3) 10 SJHS true ST JOSEPH HOSPITAL OF EUREKA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 941156596 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JUDE HOSPITAL INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 951643324 HEALTHCARE CA 501(C)(3) 3 CHN true ST LUKE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 943176618 SUPPORT WA 501(C)(3) 7 PHS WA true ST MARY MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 951914489 HEALTHCARE CA 501(C)(3) 3 CHN true ST MARY OF THE PLAINS HOSPITAL FDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 751653181 HEALTHCARE TX 501(C)(3) 7 CHS true ST PATRICK HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 237056976 HEALTHCARE MT 501(C)(3) 7 PHS WA true ST THOMAS CHILD AND FAMILY CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 810233495 EDUCATION MT 501(C)(3) 10 PHS WA true SWEDISH EDMONDS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 272305304 HEALTHCARE WA 501(C)(3) 3 WHC true SWEDISH HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 910433740 HEALTHCARE WA 501(C)(3) 3 WHC true SWEDISH MEDICAL CENTER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 910983214 HEALTHCARE WA 501(C)(3) 7 SHS true SWEDISH MJM HOLDINGS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 273139262 HOLDING CO WA 501(C)(3) 12, I SHS true THE GAMELIN ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911180824 SUPPORT WA 501(C)(3) 7 PHS WA true THE GAMELIN CALIFORNIA ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911293869 SUPPORT CA 501(C)(3) 10 PHS SOCAL true THE GAMELIN OREGON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911214491 SUPPORT OR 501(C)(3) 10 PHS OR true UNIVERSITY OF PROVIDENCE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 810231777 EDUCATION MT 501(C)(3) 2 PHS true WESTERN HEALTHCONNECT 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 454171900 SHELL CORP WA 501(C)(3) 12, II PHS W WA true 20TH STREET SURGERY LLC 1301 20TH STREET STE 140 SANTA MONICA CA 90404 731735618 AMBULATORY SURG CA NA N/A BROADWAY IMAGING LLC 500 W BROADWAY MISSOULA MT 59802 522405971 MEDICAL IMAGING MT NA N/A CENTER FOR SPECIALTY SURGERY LLC 11782 SW BARNES RD PORTLAND OR 97225 263638838 AMBULATORY SURG OR NA N/A CLACKAMAS RADIATION ONCOLOGY CENTER LLC 4400 NE HALSEY ST BLDG II 495 PORTLAND OR 97213 260381897 RADIATION ONCOL OR NA N/A COASTAL ASC HOLDINGS LLC ONE HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 926586100 810986844 HEALTHCARE CA NA N/A COVENANT LONG-TERM CARE LP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 205033419 HEALTHCARE TX NA N/A CTR FOR MED IMAGING-BRIDGEPORT LLC 4400 NE HALSEY 495 PORTLAND OR 97213 260796953 IMAGING DIAG. OR NA N/A CTR FOR MED IMAGING-TANASBOURNE LLC 4400 NE HALSEY 495 PORTLAND OR 97213 200477972 IMAGING DIAG. OR NA N/A FULLERTON SURGICAL CENTER LP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 470927394 AMBULATORY SURG CA NA N/A GREATER VALLEY MEDICAL BUILDING LP 501 S BUENA VISTA ST BURBANK CA 91505 954570858 REAL ESTATE - MOB CA NA N/A HCSA PROPERTIES LLC 1600 M STREET NW AUBURN WA 98001 460620892 REAL ESTATE RENT WA NA N/A HERITAGE INVESTMENT GROUP I LLC 500 S MAIN STREET STE 1000 ORANGE CA 92868 271000061 INVESTMENTS CA NA N/A HOAG ORTHOPEDIC INSTITUTE ONE HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 926586100 611588294 HEALTHCARE CA NA N/A HOAG OUTPATIENT CENTERS LLC 27271 LAS RAMBLAS 350 MISSION VIEJO CA 92691 453587572 HEALTHCARE CA NA N/A INLAND IMAGING LLC 801 S STEVENS ST SPOKANE WA 99204 911855796 MEDICAL IMAGING WA NA N/A LSC REAL PROPERTY LLC 2301 QUAKER AVENUE LUBBOCK TX 79410 474646059 REAL ESTATE TX NA N/A METHODIST DIAGNOSTIC IMAGING 4005 24TH STREET LUBBOCK TX 79410 752343261 HEALTHCARE TX NA N/A NEWPORT BAY SURGERY CENTER LLC 3333 W PACIFIC COAST HWY 100 NEWPORT BEACH CA 92663 562518360 HEALTHCARE CA NA N/A NEWPORT BEACH ENDOSCOPY CENTER LLC 27271 LAS RAMBLAS 350 MISSION VIEJO CA 92691 770368744 HEALTHCARE CA NA N/A NEWPORT IMAGING CENTER 360 SN MIGUEL NEWPORT BEACH CA 92660 330191776 HEALTHCARE CA NA N/A NEWPORT SURGICAL PARTNERS LLC 27271 LAS RAMBLAS 350 MISSION VIEJO CA 92691 392060266 HEALTHCARE CA NA N/A NORTH BAY ENDOSCOPY CENTER 1383 N MCDOWELL BLVD STE 110 PETALUMA CA 94954 611559876 HEALTHCARE CA NA N/A OREGON ADVANCED IMAGING LLC 881 OHARE PARKWAY MEDFORD OR 97504 450471748 MEDICAL IMAGING OR NA N/A OREGON OUTPATIENT SURGERY CENTER 7300 SW CHILDS RD TIGARD OR 97224 223883387 AMBULATORY SURG OR NA N/A PETCT IMAGING AT SWEDISH CANCER INSTITU 1221 MADISON STREET SEATTLE WA 98104 203132044 MEDICAL IMAGING WA NA N/A PHS INVESTMENT TRANSITION PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472279711 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST 2015 PRIVATE ASSETS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 473393740 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST 2016 PRIVATE ASSETS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 811532735 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST 2016 PRIVATE REAL E 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 812960145 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST BANK LOANS PORTFOLI 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472357735 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST COMMODITIES PORTFOL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472269004 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST HEDGE FUND PORTFOLI 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472293255 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST LDI PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472392060 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST LONG TREASURIES POR 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472385238 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST MLP PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472367538 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST PUBLIC DEBT PORTFOL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472353569 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST PUBLIC EQUITY PORTF 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472283974 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST RELATIVE VALUE PORT 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472314743 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST RISK PARITY PORTFOL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472336377 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST SHORT TERM INVESTME 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 812701056 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST TACTICAL TRADING PO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472327491 INVESTMENTS WA NA N/A PHS INVESTMENT TRUST TIPS PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 472402609 INVESTMENTS WA NA N/A PORTLAND MEDICAL IMAGING LLC 4400 NE HALSEY 495 PORTLAND OR 97213 201054971 IMAGING DIAG. OR NA N/A PROV RADIATION ONCOLOGY DEVELOP ASSN 4400 NE HALSEY 495 PORTLAND OR 97213 260682491 REAL ESTATE - MOB OR NA N/A PROVIDENCE CHILDREN'S NEONATAL SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 470918549 NEONATAL CARE WA NA N/A PROVIDENCE IMAGING CENTER JOINT VENTURE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 920118807 MEDICAL IMAGING AK NA N/A PROVIDENCE PARTNERS FOR HEALTH LLC 501 S BUENA VISTA ST BURBANK CA 91505 454041798 CLIN QUALITY/INT CA NA N/A PROVIDENCE ST JOSEPH HEALTH LONG TERM P 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 823190634 INVESTMENTS WA NA N/A PROVIDENCE SURGERY CENTER LLC 902 N ORANGE ST MISSOULA MT 59802 841401625 AMBULATORY SURG MT NA N/A PROVIDENCESILVERTON REHAB LLC 4400 NE HALSEY 425 PORTLAND OR 97213 481287267 REHAB SERVICES OR NA N/A PROVIDENCEUSP SANTA CLARITA GP LLC 11550 INDIAN HILLS ROAD 160 MISSION HILLS CA 91345 202829660 AMBULATORY SURG CA NA N/A PROVIDENCEUSP SURGERY CTRS LLC 11550 INDIAN HILLS ROAD 160 MISSION HILLS CA 91345 200905938 AMBULATORY SURG CA NA N/A SHA LLC 12940 NORTH HIGHWAY 183 AUSTIN TX 78750 752569094 HEALTHCARE TX NA N/A SJO ASC HOLDINGS LLC 1140 W LA VETA AVE ORANGE CA 92868 821655501 HEALTHCARE CA SJO RELATED -565513 3024239 false 0 false 0.80392 ST JOSEPH PHYSICIAN VENTURES I LLC 1100 WEST STEWART DRIVE ORANGE CA 92868 454521884 REAL ESTATE CA SJO RELATED 625558 10836947 false 663168 true 0.59195 ST JOSEPHSATELLITE DIALYSIS CENTERS L 300 SANTANA ROW SUITE 300 SAN JOSE CA 95128 814657391 HEALTHCARE CA SJO RELATED 853054 25628069 false 0 true 0.60774 ST JUDE SURGICAL CENTERS LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 823352570 AMBULATORY SURG CA NA N/A SURGERY CENTER AT TANASBOURNE LLC 11221 ROE AVE STE 300 LEAWOOD KS 66211 208187971 AMBULATORY SURG KS NA N/A TARZANA PEDIATRIC VENTURES LLC 18321 CLARK ST TARZANA CA 91356 TARZANA CA 91356 821308306 HEALTHCARE CA NA N/A THE MADISON SPOKANE INN LLC 15 WEST ROCKWOOD BLVD SPOKANE WA 99204 841606484 HOTEL SERVICES WA NA N/A COMPREHENSIVE IMAGING PARTNERS OF OC ONE CITY BLVD WEST SUITE 1100 ORANGE CA 92868 264591502 HEALTHCARE CA SJO RELATED 299151 3407398 false 0 true 0.45000 AMERICAN UNITY GROUP LTD 90 PITTS BAY ROAD PEMBROKE BD HM08 CAPTIVE INSURANCE BD NA C-CORP 1221 MADISON STREET OWNERS ASSOC 747 BROADWAY SEATTLE WA 98122 201954319 OWNERS' ASSOC. WA NA C-CORP AYIN HEALTH SOLUTIONS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 833037172 HEALTHCARE DE NA C-CORP BOURGET HEALTH SERVICES INC PO BOX 2687 SPOKANE WA 99220 911354431 CLIN/MED LAB WA NA C-CORP CARON HEALTH CORPORATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 810486082 MED PHYS SVCS MT NA C-CORP DATU HEALTH INC AND SUBSIDIARIES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 463070062 IT SVCS DE NA C-CORP GRACE CLINIC OF LUBBOCK 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 203856995 HEALTHCARE TX NA C-CORP GRACE CLINIC SERVICES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 203857067 HEALTHCARE TX NA C-CORP HOAG CLINIC (FKA COASTAL MGM SVS ORG) 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 926586100 330676831 HEALTHCARE CA NA C-CORP HOAG MANAGEMENT SERVICES INC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 926586100 330731587 HEALTHCARE CA NA C-CORP LUBBOCK METHODIST HOSP PRACTICE MGMT 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752578995 INACTIVE TX NA C-CORP LUBBOCK METHODIST HOSPITAL SVCS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752118585 HEALTHCARE TX NA C-CORP LUMEDIC ACQUISITION CO INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 833881097 HEALTHCARE WA NA C-CORP MISSION VIEJO MEDICAL VENTURES 27800 MEDICAL CENTER RD 354 MISSION VIEJO CA 92691 330212905 HEALTHCARE CA NA C-CORP PHN HOLDINGS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 461814184 STRAT PLAN SVCS CA NA C-CORP PIONEER INNOVATIONS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 364818191 HEALTH INNOVATNS WA NA C-CORP PROVIDENCE ASSURANCE INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 208194071 CAPTIVE INSURANCE AZ NA C-CORP PROVIDENCE HEALTH CARE VENTURES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 900155714 CLIN/MED LAB WA NA C-CORP PROVIDENCE HEALTH NETWORK 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 800886966 PREPAID HEALTH CA NA C-CORP PROVIDENCE HEALTH VENTURES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 330122216 INVESTMENT CA NA C-CORP ST JOSEPH HEALTH 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 462340232 HOLDING COMPANY CA NA C-CORP ST JOSEPH HEALTH SOURCE INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 461900168 HEALTHCARE CA NA C-CORP ST JOSEPH PROF SVCS ENTERPRSES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 330155323 HEALTHCARE CA NA C-CORP VINSERRA INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 953943315 INVESTMENT CA NA C-CORP WESTERN HEALTHCONNECT VENTURES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 800953654 INVESTMENT WA NA C-CORP YAKIMA MEDICAL ARTS INC 611 N PERRY 100 SPOKANE WA 99202 910787963 RENT REAL ESTATE WA NA C-CORP false true true false false false false false true false true false false false true true true false ST JOSEPH HEALTH SYSTEM FOUNDATION b 5689100 ACCRUAL ST JOSEPH HEALTH SYSTEM FOUNDATION c 3740501 ACCRUAL ST JOSEPH HERITAGE HEALTHCARE l 791105 ACCRUAL ST JOSEPH HERITAGE HEALTHCARE r 32086289 ACCRUAL ST JOSEPH HEALTH SYSTEM p 511830069 ACCRUAL ST JOSEPH HEALTH SYSTEM q 309835 ACCRUAL ST JOSEPH HEALTH SYSTEM r 2707834 ACCRUAL SCHEDULE R, PART III IDENTIFICATION 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 99204 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY EIN: 26-4591502 ADDRESS: ONE CITY BOULEVARD WEST, SUITE 1100, ORANGE, CA 92868