ST MARY MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ST MARY MEDICAL CENTER (EIN 95-1914489)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-10
IRS object ID: 201831309349304263
Schema version: 2016v3.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-10T18:36:47-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18101 VON KARMAN AVE STE 1700	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951914489	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% TRACEY FERNANDEZ	InCareOfNm
Business Name Control	STMA	BusinessNameControlTxt
Phone	7602422311	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18300 US HIGHWAY 18	AddressLine1Txt
City	APPLE VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92307	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TRACEY FERNANDEZ	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7602422311	PhoneNum
Signature	2018-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KARA ADAMS	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ALAN H GARRETT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18300 US HIGHWAY 18	AddressLine1Txt
City	APPLE VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92307	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$342,359,622	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STMARYAPPLEVALLEY.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH & QUALITY OF LIFE IN THE COMMUNITY WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1948	TotalEmployeeCnt
Total Volunteers	206	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,374,202	PYContributionsGrantsAmt
CY Contributions Grants	$2,757,743	CYContributionsGrantsAmt
PY Program Service Revenue	$334,320,085	PYProgramServiceRevenueAmt
CY Program Service Revenue	$334,175,690	CYProgramServiceRevenueAmt
PY Investment Income	$5,800,360	PYInvestmentIncomeAmt
CY Investment Income	$4,816,356	CYInvestmentIncomeAmt
PY Other Revenue	$143,411	PYOtherRevenueAmt
CY Other Revenue	$265,043	CYOtherRevenueAmt
PY Total Revenue	$342,638,058	PYTotalRevenueAmt
CY Total Revenue	$342,014,832	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,681,250	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,857,565	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$152,711,655	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$159,022,847	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,031,672	CYTotalFundraisingExpenseAmt
PY Other Expenses	$136,384,790	PYOtherExpensesAmt
CY Other Expenses	$136,691,544	CYOtherExpensesAmt
PY Total Expenses	$291,777,695	PYTotalExpensesAmt
CY Total Expenses	$297,571,956	CYTotalExpensesAmt
PY Revenues Less Expenses	$50,860,363	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$44,442,876	CYRevenuesLessExpensesAmt
Total Assets BOY	$328,752,982	TotalAssetsBOYAmt
Total Assets EOY	$366,968,462	TotalAssetsEOYAmt
Total Liabilities BOY	$100,019,250	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$102,270,990	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$228,733,732	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$264,697,472	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE ARE COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$241,402,827	ExpenseAmt
Grant	$1,857,565	GrantAmt
Revenue	$334,176,322	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$241,402,827	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1948	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TRACEY FERNANDEZ	PersonNm
Phone	7609468727	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18300 HIGHWAY 18	AddressLine1Txt
City	APPLE VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92307	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Sister Paulette Deters
Board of Directors	2.0	0.0	Yes (X)	$0	$0	$0
Zoheir El-Hajjaoui MD
Board of Directors	2.0	0.0	Yes (X)	$0	$0	$0
Henry Gonzalez MD
Board of Directors	2.0	0.0	Yes (X)	$0	$0	$0
Paul Gostanian
Board of Directors/Vice Chair	5.0	0.0	Yes (X)	$0	$0	$0
Sister Theresa LaMetterey
Board of Directors/Chair	5.0	0.0	Yes (X)	$0	$0	$0
Sister Mary Elizabeth Nelsen
Board of Directors	2.0	0.0	Yes (X)	$0	$0	$0
Valerie Smith
Board of Directors	2.0	0.0	Yes (X)	$0	$0	$0
Om Sood MD
Board of Dirs/Pres Med Staff	5.0	0.0	Yes (X)	$0	$0	$0
Joline Treanor
Board of Directors (PART YEAR)	2.0	50.0	Yes (X)	$0	$803,930	$23,327
Regina Weatherspoon-Bell
Board of Directors	2.0	0.0	Yes (X)	$0	$0	$0
Alan Garrett
President/CEO	50.0	2.0	Yes (X)	$0	$1,284,213	$49,453	Yes (X)
DAVID GREINER
BOARD OF DIRECTORS (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
KEVIN MURPHY
BOARD OF DIRECTORS (PART YEAR)	2.0	50.0	Yes (X)	$0	$272,153	$26,282
Sister Claudette Des Forges
BD OF DIR/COMMITTEE CH (PT YR)	5.0	0.0	Yes (X)	$0	$0	$0
BRUCE FAY
BOARD OF DIRECTORS (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
ROB TURNER
BOARD OF DIRECTORS (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
Tara Cowell
Secretary	2.0	52.0		$0	$471,848	$49,377	Yes (X)
Tracey Fernandez
Chief Financial Officer	50.0	0.0		$403,695	$0	$36,623	Yes (X)
Kelly Linden
Chief Operating Officer	50.0	0.0		$457,212	$0	$35,641		Yes (X)
Riad Abdelkarim MD
VP Medical Affairs	50.0	0.0		$389,247	$0	$25,223		Yes (X)
Marilyn Drone
Vice President/CNO	50.0	0.0		$378,489	$0	$34,065		Yes (X)
Dennis Haghighat MD
VP Medical Affairs	50.0	0.0		$365,467	$0	$23,771		Yes (X)
Randy Bevilacqua
VP Strategic Services	50.0	0.0		$299,106	$0	$32,944		Yes (X)
Jean Holtman
VP Human Resources	50.0	0.0		$282,840	$0	$24,924		Yes (X)
Judy Wagner
VP Mission Integration	50.0	0.0		$261,084	$0	$18,403		Yes (X)
Paul Kaminski
VP Foundation	50.0	0.0		$226,548	$0	$29,849		Yes (X)
Matthew Chandler
Director, Pharmacy	50.0	0.0		$191,883	$0	$42,297			Yes (X)
Gloria Peak
Dir. Comm Health Svcs	50.0	0.0		$192,412	$0	$39,045			Yes (X)
Vivian Brooks
Dir, Respirator & Rehab Svcs	50.0	0.0		$165,776	$0	$40,002			Yes (X)
Tamara Brown
Exec. Dir Nursing	50.0	0.0		$187,551	$0	$16,173			Yes (X)
Marilyn Platt
Supv. Certified Nurse Midwife	50.0	0.0		$176,161	$0	$22,315			Yes (X)
David O'Brien MD
Former Key Employee	0.0	50.0		$0	$874,136	$44,573				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,977,471	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,706,280	TotReportableCompRltdOrgAmt
Total Other Compensation	$614,287	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	381	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Medical Staffing Network
PO Box 840292	Dallas	TX	75284	Medical Services	$4,747,270
MULLIN RICHTER AND HAMPTON
333 S HOPE ST 48TH FLR	LOS ANGELES	CA	90071	LEGAL SERVICES	$316,126
OBHG CALIFORNIA PC
10 CENTIMETERS DR	MAULDIN	SC	29662	MEDICAL SERVICES	$263,972
GENETIC DISEASE SCREENING PROGRAM
CA DEPT OF PUBLIC HEALTH ACCOUNTIN	EL CERRITO	CA	94530	MEDICAL SERVICES	$238,419
SIEBERT ELECTRIC
PO BOX 2286	APPLE VALLEY	CA	92307	CONTRACT ELECTR SVCS	$200,735

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	19	CntrctRcvdGreaterThan100KCnt
Fundraising	$62,850	FundraisingAmt
Related Organizations	$2,001,279	RelatedOrganizationsAmt
Government Grants	$469,594	GovernmentGrantsAmt
All Other Contributions	$224,020	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$2,757,743	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	622110	$313,759,612	$313,759,612	$0	$0
CAPITATION PREMIUM REVENUE	622110	$18,447,369	$18,447,369	$0	$0
HOSPITAL FEE REVENUE	900099	$1,370,745	$1,370,745	$0	$0
CAFETERIA REVENUE	722110	$531,049	$531,049	$0	$0
FINANCE CHARGES REVENUE	900099	$10,352	$10,352	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$56,563	TotalRevenueColumnAmt
Related Or Exempt Func Income	$56,563	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$334,175,690	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,816,356	TotalRevenueColumnAmt
Exclusion	$4,816,356	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$62,078	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$39,304	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$22,774	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,774	TotalRevenueColumnAmt
Exclusion	$22,774	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$283,332	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$62,850	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$41,695	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$241,637	TotalRevenueColumnAmt
Exclusion	$241,637	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$264,423	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$263,791	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$632	TotalRevenueColumnAmt
Related Or Exempt Func Income	$632	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$342,014,832	TotalRevenueColumnAmt
Related Or Exempt Func Income	$334,176,322	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,080,767	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,857,565	TotalAmt
Program Services	$1,857,565	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,438,440	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,438,440	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$109,184,774	TotalAmt
Program Services	$105,781,138	ProgramServicesAmt
Management And General	$2,810,869	ManagementAndGeneralAmt
Fundraising	$592,767	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,666,947	TotalAmt
Program Services	$5,486,547	ProgramServicesAmt
Management And General	$136,967	ManagementAndGeneralAmt
Fundraising	$43,433	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,298,783	TotalAmt
Program Services	$31,569,947	ProgramServicesAmt
Management And General	$1,576,089	ManagementAndGeneralAmt
Fundraising	$152,747	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,433,903	TotalAmt
Program Services	$8,068,127	ProgramServicesAmt
Management And General	$320,225	ManagementAndGeneralAmt
Fundraising	$45,551	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$35,880,233	TotalAmt
Program Services	$15,461,175	ProgramServicesAmt
Management And General	$20,419,058	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$677,153	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$677,153	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$25,250	TotalAmt
Program Services	$25,250	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$540,826	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$540,826	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$27,552,026	TotalAmt
Program Services	$17,301,130	ProgramServicesAmt
Management And General	$10,113,686	ManagementAndGeneralAmt
Fundraising	$137,210	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$130,054	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$130,054	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$376,636	TotalAmt
Program Services	$277,400	ProgramServicesAmt
Management And General	$91,760	ManagementAndGeneralAmt
Fundraising	$7,476	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$474,784	TotalAmt
Program Services	$469,258	ProgramServicesAmt
Management And General	$5,526	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,273,082	TotalAmt
Program Services	$3,898,741	ProgramServicesAmt
Management And General	$370,548	ManagementAndGeneralAmt
Fundraising	$3,793	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$170,001	TotalAmt
Program Services	$97,109	ProgramServicesAmt
Management And General	$60,210	ManagementAndGeneralAmt
Fundraising	$12,682	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$62,893	TotalAmt
Program Services	$46,462	ProgramServicesAmt
Management And General	$15,141	ManagementAndGeneralAmt
Fundraising	$1,290	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,713,662	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,713,662	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,778,997	TotalAmt
Program Services	$4,542,405	ProgramServicesAmt
Management And General	$6,233,271	ManagementAndGeneralAmt
Fundraising	$3,321	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,396,171	TotalAmt
Program Services	$146,423	ProgramServicesAmt
Management And General	$2,249,748	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$46,013,020	$45,689,416	$316,899	$6,705
SPECIAL FEES	$2,432,608	$0	$2,432,608	$0
BOND RETIREMENT	$1,726,292	$0	$1,726,292	$0
FREIGHT	$444,732	$444,205	$527	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,023,124	TotalAmt
Program Services	$240,529	ProgramServicesAmt
Management And General	$757,898	ManagementAndGeneralAmt
Fundraising	$24,697	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$297,571,956	TotalAmt
Program Services	$241,402,827	ProgramServicesAmt
Management And General	$55,137,457	ManagementAndGeneralAmt
Fundraising	$1,031,672	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$17,709,414	BOYAmt
EOY	$13,566,506	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$56,504,668	BOYAmt
EOY	$60,413,262	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$952,900	BOYAmt
EOY	$1,051,600	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$40,695,893	BOYAmt
EOY	$39,213,383	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$702,572	BOYAmt
EOY	$692,485	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,269,946	BOYAmt
EOY	$4,498,875	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$19,333,448	BOYAmt
EOY	$10,060,866	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$259,691,203	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$139,157,532	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$119,574,247	BOYAmt
EOY	$120,533,671	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$66,848,224	BOYAmt
EOY	$115,569,714	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,161,670	BOYAmt
EOY	$1,368,100	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$328,752,982	BOYAmt
EOY	$366,968,462	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$25,326,148	BOYAmt
EOY	$25,898,625	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$4,040,110	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$74,693,102	BOYAmt
EOY	$72,332,255	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$100,019,250	BOYAmt
EOY	$102,270,990	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$222,853,429	BOYAmt
EOY	$258,538,120	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,742,817	BOYAmt
EOY	$4,957,540	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,137,486	BOYAmt
EOY	$1,201,812	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$228,733,732	BOYAmt
EOY	$264,697,472	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$328,752,982	BOYAmt
EOY	$366,968,462	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$44,442,876	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,560,939	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$14,040,075	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$0	LobbyingCeilingAmt
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$25,250	OtherActivitiesAmt
Total Lobbying Expenditures	$25,250	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES DURING THE YEAR, ST. JOSEPH HEALTH SYSTEM CONDUCTED ADVOCACY EFFORTS WHICH INCLUDED SOME LOBBYING ACTIVITIES. THESE ACTIVITIES INCLUDED MEETING WITH LOCAL, STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS, AS WELL AS COMMUNICATION TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION. THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO ST. MARY MEDICAL CENTER.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,027,182	BeginningYearBalanceAmt
Contributions	$12,701	ContributionsAmt
Investment Earnings Or Losses	$151,440	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$56,258	GrantsOrScholarshipsAmt
End Year Balance	$1,135,065	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$623,378	BeginningYearBalanceAmt
Contributions	$400,000	ContributionsAmt
Investment Earnings Or Losses	$8,629	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,825	GrantsOrScholarshipsAmt
End Year Balance	$1,027,182	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$634,240	BeginningYearBalanceAmt
Investment Earnings Or Losses	$10,138	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$21,000	GrantsOrScholarshipsAmt
End Year Balance	$623,378	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$566,823	BeginningYearBalanceAmt
Investment Earnings Or Losses	$70,417	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,000	GrantsOrScholarshipsAmt
End Year Balance	$634,240	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$549,770	BeginningYearBalanceAmt
Investment Earnings Or Losses	$20,053	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,000	GrantsOrScholarshipsAmt
End Year Balance	$566,823	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,153,187	OtherCostOrOtherBasisAmt
Book Value	$30,153,187	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$115,724,480	OtherCostOrOtherBasisAmt
Depreciation	$75,293,712	DepreciationAmt
Book Value	$40,430,768	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$328,078	OtherCostOrOtherBasisAmt
Depreciation	$239,569	DepreciationAmt
Book Value	$88,509	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$79,657,997	OtherCostOrOtherBasisAmt
Depreciation	$61,806,034	DepreciationAmt
Book Value	$17,851,963	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,827,461	OtherCostOrOtherBasisAmt
Depreciation	$1,818,217	DepreciationAmt
Book Value	$32,009,244	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$120,533,671	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
INTERCOMPANY W/ HEALTH SYSTEM BONDS	$62,934,994
DUE TO 3RD PARTY PAYORS	$6,049,752
CAPITAL LEASE	$1,345,352
457F LIABILITY	$1,260,417
ANNUITY & TRUST PAYABLE	$740,086
SECURITY DEPOSIT	$1,654

Field	Value	IRS element (for citing)
Total Liability	$72,332,255	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	ENDOWMENT FUNDS USE ENDOWMENT FUNDS WERE DESIGNATED TO PROVIDE SCHOLARSHIP FUNDS FOR NURSING STUDENTS.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	ANNUAL GALA	Event1Nm
Gross Receipts Event1	$346,182	GrossReceiptsEvent1Amt
Charitable Contri Event1	$62,850	CharitableContriEvent1Amt
Gross Revenue Event1	$283,332	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$4,843	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$5,438	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$16,908	FoodAndBeverageEvent1Amt
Entertainment Event1	$3,900	EntertainmentEvent1Amt
Other Direct Expenses Event1	$10,606	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$346,182	GrossReceiptsTotalAmt
Charitable Contributions Tot	$62,850	CharitableContributionsTotAmt
Gross Revenue Total Events	$283,332	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$4,843	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$5,438	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$16,908	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$3,900	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$10,606	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$41,695	DirectExpenseSummaryEventsAmt
Net Income Summary	$241,637	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,869,217	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,869,217	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,053,240	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$78,517,819	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,535,421	NetCommunityBenefitExpnsAmt
Total Expense	0.08850	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$105,922,457	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$78,517,819	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,404,638	NetCommunityBenefitExpnsAmt
Total Expense	0.09500	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$832,874	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$111,627	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$721,247	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$371,719	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$371,719	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,805,843	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,391,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,414,121	NetCommunityBenefitExpnsAmt
Total Expense	0.01530	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$209,204	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$209,204	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,219,640	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,503,349	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,716,291	NetCommunityBenefitExpnsAmt
Total Expense	0.01980	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,142,097	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,021,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,120,929	NetCommunityBenefitExpnsAmt
Total Expense	0.11480	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$113	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,828	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,828	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,383	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,507	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,876	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,798	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,798	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,405	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$45,405	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$228	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$228	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,755	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,507	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,248	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$8,901,133	BadDebtExpenseAmt
Reimbursed By Medicare	$67,514,073	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$51,295,358	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$16,218,715	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18300 US HIGHWAY 18	AddressLine1Txt
City	APPLE VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92307	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.stmaryapplevalley.com	WebsiteAddressTxt
State License	240000207	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT IN CONDUCTING THE 2017 CHAN TO IDENTIFY NEEDS, THE HOSPITAL INVITED BOTH LOCAL RESIDENTS AND LEADERS TO THREE (3) RESIDENT FOCUS GROUPS ONE (1) RESIDENT COMMUNITY FORUM AND ONE (1) NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, FACILITATED BY THE CONSULTANT, THE OLIN GROUP. THE THREE (3) RESIDENT FOCUS GROUPS WERE CONDUCTED IN THE CITIES OF ADELANTO, APPLE VALLEY AND HESPERIA IN AREAS WHERE HEALTH, PHYSICAL ENVIRONMENT AND SOCIOECONOMIC MATTERS ARE OF GREAT CONCERN. THESE WERE HOSTED AT COMMUNITY-BASED ORGANIZATIONS AND THESE WERE ASKED TO RECRUIT PARTICIPANTS. BOTH THE COMMUNITY-BASED ORGANIZATIONS AND PARTICIPANTS WERE INCENTIVIZED. THESE FOCUS GROUPS WERE FACILITATED BY AN OUTSIDE CONSULTANT, THE OLIN GROUP. THE SESSION IN ADELANTO WAS CONDUCTED IN SPANISH, WHILE THE OTHERS WERE SCHEDULED TO BE IN ENGLISH. HOWEVER, SEVERAL PEOPLE WHO ATTENDED THE SESSION IN APPLE VALLEY WERE MORE COMFORTABLE SPEAKING SPANISH, SO ONE OF THE OTHER PARTICIPANTS TRANSLATED FOR THEM DURING THE SESSION. THE ADELANTO RESIDENT FOCUS GROUP WAS HOSTED BY THE ORGANIZATION, ANOTHER LEVEL FOR WOMEN ON FEBRUARY 24, 2017, 10:00 AM, IN SPANISH, WITH 15 RESIDENTS PARTICIPATING. ANOTHER LEVEL FOR WOMEN IS A FAITH-BASED NONPROFIT ORGANIZATION DEDICATED TO PROVIDING FINANCIAL, EMOTIONAL, AND EDUCATIONAL SUPPORT SERVICES FOR WOMEN IN THE HIGH DESERT COMMUNITY, PARTICULARLY EXTREMELY LOW-INCOME WOMEN WITH CHILDREN. ANOTHER LEVEL FOR WOMEN RECRUITED FOR AND HOSTED A RESIDENT FOCUS GROUP CONDUCTED IN SPANISH IN ADELANTO. THE HESPERIA RESIDENT FOCUS GROUP WAS HOSTED BY HESPERIA UNIFIED SCHOOL DISTRICT FAMILY RESOURCE CENTER ON MARCH 2, 2017, 5:00 PM, IN ENGLISH, WITH 12 RESIDENTS PARTICIPATING. THE FAMILY RESOURCE CENTER (FRC) SERVES FAMILIES IN HESPERIA AND BEYOND WITH SUCH SERVICES AS EDUCATIONAL CLASSES, A LENDING LIBRARY, A TECHNOLOGY CENTER, AND EMERGENCY FOOD AND CLOTHING RESOURCES. THE FRC RECRUITED FOR AND HOSTED A RESIDENT FOCUS GROUP. THE APPLE VALLEY RESIDENT FOCUS GROUP WAS HOSTED BY PHOENIX ACADEMY ON MARCH 1, 2017, 2:30 PM, IN ENGLISH WITH SPANISH TRANSLATION, WITH 14 RESIDENTS PARTICIPATING. PART OF THE APPLE VALLEY UNIFIED SCHOOL DISTRICT, PHOENIX ACADEMY SERVES APPROXIMATELY 1,500 KINDERGARTEN THROUGH 8TH GRADE STUDENTS. PHOENIX ACADEMY RECRUITED FOR AND HOSTED A RESIDENT FOCUS GROUP FOR THE VISTA LOMA AND YUCCA LOMA NEIGHBORHOODS OF APPLE VALLEY. THE THREE (3) RESIDENT FOCUS GROUPS FOLLOWED THE SAME PROTOCOL, AND THE SAME LINE OF QUESTIONS. FIRST THEY SHARED THE HEALTH NEEDS THAT EMERGED FROM GATHERING PUBLICALLY AVAILABLE RELIABLE GOVERNMENT SECONDARY DATA, AND ASKED THE RESIDENTS TO COMMENT ON THEM, AND FINALLY TOOK A VOTE TO DOCUMENT THEIR GREATEST CONCERNS. EVERY ATTENDEE WAS FEMALE, AND 86% IDENTIFIED AS LATINO. 74% SAID THEY EARNED LESS THAN $35,000/ANNUALLY. PARTICIPANTS GENERALLY SEEMED VERY ENGAGED AND INTERESTED IN DISCUSSING BOTH THEIR IMMEDIATE HEALTH CONCERNS BUT ALSO THE SOCIAL DETERMINANTS OF HEALTH. THEY UNDERSTOOD THE PURPOSE AND STRUCTURE OF THE SESSIONS. IN ALL THREE SESSIONS, THE MAJORITY OF PARTICIPANTS KNEW EACH OTHER ALREADY, WHICH, IN SOME WAYS, AIDED THE POSITIVE ATMOSPHERE. HOWEVER, THIS MAY HAVE HAD THE UNINTENDED CONSEQUENCE OF DIMINISHING THE PARTICIPATION OF THOSE WHO DID NOT KNOW THE REST OF THE PARTICIPANTS. FACILITATORS ATTEMPTED TO MITIGATE THIS EFFECT AS BEST AS THEY WERE ABLE. IN THE APPLE VALLEY SESSION, THE IMPROMPTU SPONTANEOUS TRANSLATION HAD THE EFFECT OF DIVIDING THE ROOM INTO TWO GROUPS. UPON HEARING QUESTIONS, THE SPANISH SPEAKING PARTICIPANTS OFTEN HAD SIDE DISCUSSIONS AMONG THEMSELVES BEFORE THE TRANSLATOR SHARED THEIR THOUGHTS. THIS DYNAMIC, COMBINED WITH THE COMFORT LEVEL OF THE PARTICIPANTS WITH EACH OTHER, LED TO A SOMEWHAT LESS STRUCTURED GROUP WITH A GREAT DEAL OF CROSSTALK. THE FACILITATORS WERE ABLE TO ADJUST AND STILL HAVE A SUCCESSFUL GROUP. AFTER ALL OF THE FOCUS GROUPS CONCLUDED, A COMMUNITY FORUM WAS HELD IN VICTORVILLE ON MARCH 9TH, 5:00 PM. THE SESSION WAS CONDUCTED IN ENGLISH WITH SPANISH SIMULTANEOUS INTERPRETATION, ALTHOUGH ONLY ONE PERSON REQUIRED THE INTERPRETATION. APPROXIMATELY 31 PEOPLE ATTENDED THE FORUM. ABOUT HALF OF THE ATTENDEES WORKED FOR A LOCAL NONPROFIT OR GOVERNMENT AGENCY. THE RESIDENT COMMUNITY FORUM WAS CONDUCTED IN THE CITY OF VICTORVILLE, THE OLD TOWN SECTION, AND WAS HOSTED BY TRINITY LUTHERAN CHURCH, PART OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA, WHICH SERVES THE SPIRITUAL NEEDS OF THE VICTORVILLE AREA AND BEYOND. THE RESIDENT COMMUNITY FORUM WAS BROADLY ADVERTISED, OPEN TO ANYONE IN THE PUBLIC, NO INCENTIVE WAS PROVIDED. THE OUTSIDE CONSULTANT, OLIN GROUP, FACILITATED THE FORUM BY SHARING THE HEALTH NEEDS THAT EMERGED THROUGH RESEARCH OF RELIABLE SECONDARY DATA, AND ASKED THE PARTICIPANTS TO COMMENT ON THEM, AND FINALLY TAKE A VOTE ON THEIR GREATEST CONCERNS. 77% OF ATTENDEES WERE FEMALE. THERE WAS A MORE DIVERSE GROUP THAN THE RESIDENT FOCUS GROUPS WITH 32% IDENTIFIED AS LATINO, 39% AS NON-LATINO WHITE, 19% BLACK/AFRICAN-AMERICAN, 3% NATIVE AMERICAN, 3% NATIVE HAWAIIAN OR PACIFIC ISLANDER AND 6% AS OTHER ARAB/NORTH AFRICAN. 35% SAID THEY EARNED LESS THAN $35,000/ANNUALLY. THE NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP WAS HOSTED BY THE ACADEMY FOR GRASSROOTS ORGANIZATIONS (GO), LOCATED IN VICTORVILLE, ON MARCH 2, 2017, 11:00 AM, WITH 20 DIFFERENT ORGANIZATIONS PRESENT. ACADEMY GO WORKS TO IMPROVE THE QUALITY OF LIFE IN THE HIGH DESERT REGION BY SUPPORTING AND STRENGTHENING THE SOCIAL SERVICE SECTOR. THEY PROVIDE A VARIETY OF RESOURCES AND NONPROFIT LEARNING OPPORTUNITIES THROUGHOUT THE REGION AND SERVE A NETWORK OF MORE THAN 1,000 NONPROFIT PROFESSIONALS AND VOLUNTEERS. PARTICIPANTS IN THIS FOCUS GROUP WERE INVITED BY THE HOSPITAL AND NO INCENTIVE WAS PROVIDED. THE NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP WAS FACILITATED BY THE SAME OUTSIDE CONSULTANT, THE OLIN GROUP. 23 PARTICIPANTS REPRESENTING 20 ORGANIZATIONS WERE PRESENT IN THE NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP WHICH INCLUDED: - THE ACADEMY FOR GRASSROOTS ORGANIZATION (GO). THIS IS A NON-PROFIT ENGAGED IN CAPACITY BUILDING OF OTHER NON-PROFITS IN THE HIGH DESERT REGION. THIS ORGANIZATION SERVES PEOPLE WHO HAVE LOW INCOMES. - THE CITY OF HESPERIA, WHICH ALSO CONDUCTS HEALTHY HESPERIA A CITY LED INITIATIVE FOCUSED ON CREATING HEALTHIER COMMUNITIES. THE CITY SERVES PEOPLE WHO HAVE LOW INCOMES. - COMMUNITY ACTION PARTNERSHIP OF SAN BERNARDINO COUNTY, A NON-PROFIT, WHICH HAS A FOOD BANK, PROVIDES UTILITY ASSISTANCE AND HAS A WEATHERIZATION PROGRAM. THIS ORGANIZATION SERVES PEOPLE THAT ARE FROM MINORITY COMMUNITIES AND PEOPLE THAT HAVE LOW INCOMES. - DESERT/MOUNTAIN CHILDRENS CENTER, A COUNSELING CENTER DESIGNED TO MEET THE THERAPEUTIC NEEDS OF NEWBORNS TO 22 YEARS OF AGE. THIS ORGANIZATION SERVES PEOPLE THAT HAVE CHRONIC CONDITIONS, ARE FROM MINORITY COMMUNITIES, ARE MEDICALLY UNDERSERVED AND HAVE LOW INCOMES. - DEPARTMENT OF PUBLIC HEALTH, COUNTY OF SAN BERNARDINO. THIS IS A PUBLIC HEALTH DEPARTMENT THAT SERVES PEOPLE THAT HAVE CHRONIC CONDITIONS, ARE FROM MINORITY COMMUNITIES, ARE MEDICALLY UNDERSERVED AND HAVE LOW INCOMES. - FAMILY ASSISTANCE PROGRAM, A NON-PROFIT THAT PROVIDES SHELTER FOR HOMELESS YOUTH, VICTIMS OF DOMESTIC VIOLENCE WITH THEIR FAMILIES AND PETS, AND VICTIMS OF SEXUAL TRAFFICKING. THIS ORGANIZATION SERVES PEOPLE THAT HAVE CHRONIC CONDITIONS, ARE FROM MINORITY COMMUNITIES, ARE MEDICALLY UNDERSERVED AND HAVE LOW INCOMES. - GLOBAL INSTITUTE FOR PUBLIC STRATEGIES, A NON PROFIT ORGANIZING RESIDENTS TO REVIVE OLD TOWN VICTORVILLE (R.O.O.T.). THIS ORGANIZATION SERVES PEOPLE THAT HAVE CHRONIC CONDITIONS, ARE FROM MINORITY COMMUNITIES, ARE MEDICALLY UNDERSERVED AND HAVE LOW INCOMES. - HEALTHY SNOWLINE, AN INITIATIVE ENGAGED IN CREATING HEALTHIER COMMUNITIES IN UNINCORPORATED PHELAN AND PION HILLS. THIS ORGANIZATION SERVES PEOPLE THAT HAVE CHRONIC CONDITIONS, ARE MEDICALLY UNDERSERVED AND HAVE LOW INCOMES. - INLAND EMPIRE HEALTH PLAN (IEHP), A NON-PROFIT MEDICAID HEALTH PLAN SERVING BOTH THE RIVERSIDE AND SAN BERNARDINO COUNTIES. THIS ORGANIZATION SERVES PEOPLE THAT HAVE CHRONIC CONDITIONS, ARE FROM MINORITY COMMUNITIES, ARE MEDICALLY UNDERSERVED AND HAVE LOW INCOMES. - INLAND EMPIRE UNITED WAY IS A NON-PROFIT THAT CONNECTS INDIVIDUALS IN CRISIS WITH NEEDED RESOURCES THROUGH 2-1-1, AND INCREASES THE POWER OF LOCAL CHARITIES BY PROVIDING DEDICATED VOLUNTEERS. THIS ORGANIZATION SERVES PEOPLE THAT ARE FROM MINORITY COMMUNITIES AND PEOPLE THAT HAVE LOW INCOMES. - INLAND EMPIRE UNITED WAY DESERT COMMUNITIES REGION IS PART OF THE INLAND EMPIRE UNITED WAY WITH A SPECIFIC FOCUS ON THE HIGH DESERT REGION. THIS ORGANIZATION SERVES PEOPLE THAT ARE FROM MINORITY COMMUNITIES, ARE MEDICALLY UNDERSERVED AND HAVE LOW INCOMES. - THE FIRST DISTRICT SUPERVISORS OFFICE FOR THE COUNTY OF SAN BERNARDINO. THIS DISTRICT OFFICE REPRESENTS, AMONG OTHERS, THE HIGH DESERT REGION. THIS ORGANIZATION SERVES PEOPLE THAT HAVE CHRONIC CONDITIONS, ARE FROM MINORITY COMMUNITIES, ARE MED
SCHEDULE H, PART V, SECTION B, LINE 7A	CHNA WEBSITE ADDRESS HTTPS://WWW.STMARYAPPLEVALLEY.COM/DOCUMENTS/SMMC-CHNA-FY17.PDF
SCHEDULE H, PART V, SECTION B, LINE 10A	IMPLEMENTATION STRATEGY WEBSITE ADDRESS HTTPS://WWW.STMARYAPPLEVALLEY.COM/DOCUMENTS/COMMUNITY-BENEFIT/SMMC-CBPLAN- IS-REPORT-FY18-20.PDF
SCHEDULE H, PART V, SECTION B, LINE 11	FOR CALENDAR YEAR 2018-2020 THE HOSPITAL IDENTIFIED AND WILL FOCUS ON THE FOLLOWING THREE (3) PRIORITIES: 1. ACCESS TO RESOURCES THIS NEED EMERGED AS A CONSISTENT PRIORITY THROUGHOUT THE CHNA PROCESS. IT WAS A MAJOR DISCUSSION POINT IN EVERY FOCUS GROUP AND RECEIVED SUSTANTIAL SUPPORT IN THE COMMUNITY FORUM. THE SECONDARY DATA SHOWS THAT THE COUNTY HAS RELATIVELY FEW PHYSICIANS AND DENTIST COMPARED TO CALIFORNIA AVERAGES. THE ISSUE WAS IDENTIFIED AS A TOP PRIORITY THROUGH THE PRIORITIZATION PROCESS AND WAS ENDORSED BY THE COMMUNITY BENEFIT COMMITTEE. THE COMMITTEE DISCUSSED EXPANDING PROGRAMS AND CLINIC VISITS TO THE POOR. 2. MENTAL HEALTH AND SUBSTANCE ABUSE THESE WERE COMBINED BY THE COMMUNITY BENEFIT COMMITTEE. COMMITTEE MEMBERS DISCUSSED THAT MENTAL HEALTH WILL BE A PRIORITY FOCUS OF PROVIDENCE ST. JOSEPH HEALTH OVER THE NEXT TEN YEARS. MENTAL HEALTH WAS A FREQUENT THEME IN THE FOCUS GROUPS AND THE FORUM, PARTICULARLY FOCUSING ON THE STRESSES CAUSED BY ECONOMIC INSECURITY, THE CHALLENGES FACED BY CHILDREN AND TEENS, AND THE LACK OF PROVIDERS. THE LACK OF PROVIDERS IS SUPPORTED BY RELIABLE SECONDARY DATA. MENTAL HEALTH WAS THE SECOND HIGHEST PRIORITY THROUGH THE PRIORITIZATION PROCESS; SUBSTANCE ABUSE CAME IN SIXTH, AND WAS ALSO A STRONG THEME ACROSS ALL FOCUS GROUPS. 3. OBESITY RATES FOR OBESITY ARE HIGHER FOR OUR REGION IN COMPARISON TO STATE AVERAGES. THE ADULT OBESITY RATE IS 37% REGIONALLY VERSUS 26% FOR THE STATE OF CALIFORNIA. TEEN OBESITY RATES ARE 38% IN OUR REGION, VERSUS 33% FOR THE STATE. OBESITY WAS FREQUENTLY DISCUSSED IN THE FOCUS GROUPS, PARTICULARLY IN CONJUNCTION WITH ROOT CAUSES SUCH AS NUTRITION AND LACK OF EXERCISE, WITH CHALLENGES WITH WALKABILITY. OBESITY WAS IDENTIFIED AS THE THIRD HIGHEST PRIORITY IN THE PRIORITIZATION PROCESS. THE COMMUNITY BENEFIT COMMITTEE DISCUSSED THE PROGRESS IT HAS MADE WITH NUTRITION AND EXERCISE CAMPAIGNS INCLUDING EFFORTS EXPANDING STUDENT NUTRITION AND FITNESS CAMPAIGNS IN LOCAL SCHOOLS. NEEDS BEYOND THE HOSPITALS SERVICE PROGRAM OUR COMMUNITY BENEFIT PHILOSOPHY, DATING BACK TO 1650, COMPELS US TO, "GO OUT, FIND THE NEED AND PARTNER WITH LIKE-MINDED INDIVIDUALS TO ADDRESS THE NEEDS." 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 ST. JOSEPH HEALTH, ST. MARY. NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY AND IN ALIGNMENT WITH OUR COMMUNITY BENEFIT PHILOSOPHY, WE PARTNER WITH ORGANIZATIONS THAT COUNT WITH THE CAPACITY AND EXPERTISE TO ADDRESS OUR REGIONALS NEEDS FURTHERMORE, ST. JOSEPH HEALTH, ST. MARY 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 ST. JOSEPH HEALTH, ST. MARYS SERVICE AREAS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW: DIABETES: SPECIFICALLY FOCUSED ON THE HEALTH CONDITION OF DIABETES, AND AWARENESS AND PREVENTION OF IT. THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT RANKED THE EXPERTISE IN ADDRESSING THIS HEALTH OUTCOME IN 4TH PLACE. DIABETES IS A COMMUNITY BENEFIT PROGRAM ADDRESSED BY OUR HOSPITAL. ST. JOSEPH HEALTH, ST. MARYS DIABETES PROGRAM REMAINS THE ONLY AMERICAN DIABETES ASSOCIATION CERTIFIED PROGRAM IN THE HOSPITALS TOTAL SERVICE AREA. THE PROGRAM EXPANDS NUTRITIONAL AND CERTIFIED DIABETES TRAINED STAFF FROM HOSPITAL-BASED DIABETES AND CHILD OBESITY PROGRAMS. PROGRAM STAFF BEGAN PARTICIPATING IN A SJH REGIONAL DIABETES WORKGROUP SHARING BEST PRACTICES. A REFERRAL RELATIONSHIP WAS ESTABLISHED FROM PHYSICIANS OF ST. MARY HIGH DESERT MEDICAL GROUP. THE TARGETING OF DIABETES EDUCATION IN NEIGHBORHOODS WITH POOR AND UNINSURED PERSONS AND POPULATIONS HAS INCREASED THROUGH INTRODUCTION TO RESIDENTS OF COMMUNITIES OF EXCELLENCE PROGRAM NUTRITION AND PHYSICAL ACTIVITY CAMPAIGN. EFFORTS TO DISCUSS DIABETES SCREENING DURING FOOD PANTRY GIVEAWAYS STARTED. IN ADDITION, THE HOSPITALS DIABETES PROGRAM IS STARTING TO IMPLEMENT A CDC CURRICULUM, "DIABETES PREVENTION PROGRAM," THROUGHOUT THE HIGH DESERT. FOOD AND NUTRITION: CONCERNS ABOUT HEALTHY EATING HABITS, NUTRITION KNOWLEDGE, AND CHALLENGES OF COST AND AVAILABILITY OF HEALTHY OPTIONS. THIS NEED IS ADDRESSED BY LIKE-MINDED PARTNERS. AN INTEGRATED APPROACH TO ADDRESS ISSUES OF BEING A FOOD DESERT ARE BEING TACKLED THROUGH A REGIONAL APPROACH THE COMMUNITY ACTION PARTNERSHIP HIGH DESERT FOOD COLLABORATIVE. OUTSIDE NON-PROFITS ARE BEING APPROACHED, FOR EXAMPLE, FOOD FORWARD. THIS LOS ANGELES BASED NON-PROFIT WAS RECRUITED TO PROVIDE DONATIONS OF FRESH FRUITS AND VEGETABLES TO LOCAL FOOD PANTRIES OPERATED IN ADELANTO, APPLE VALLEY, PHELAN AND VICTORVILLE. THE MAJORITY OF FOOD PANTRIES ARE OPERATED BY CHURCHES: BROKEN HEARTS MINISTRY, THE LORDS TABLE, ANOTHER LEVEL FOR WOMEN, VICTOR VALLEY RESCUE MISSION. OTHER NON-PROFITS WORKING AROUND THIS NEED ARE THE HIGH DESERT OUTREACH CENTER, SQUASH4FRIENDS, AND SCHOOLS THAT ARE HOSTING SUMMER MEAL PROGRAMS. COMMUNITY ACTION PARTNERSHIP RECEIVED A PLANNING GRANT TO BEGIN DEVELOPING A TIMELINE FOR OPENING A LOCAL HIGH DESERT OFFICE THAT WOULD INCLUDE A SMALL FOOD BANK. SUBSTANCE ABUSE: PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY AND NOT IDENTIFIED AS A SIGNIFICANT HEALTH NEED. OUR HOSPITALS LACK OF EXPERTISE IN THIS MATTER HAS PLACED US IN CONTACT WITH OTHER NON-PROFITS; A LIKE-MINDED PARTNER. WE GAVE, AND FORESEE CONTINUING GIVING, CARE FOR THE POOR RESTRICTED FUNDS, TO PROVIDE COUNSELING FOR PARTICIPANTS OF ST. JOHN OF GODS HEALTHCARE SERVICES 90-DAY DRUG AND ALCOHOL CENTER. PRIOR TO THIS GRANT, THIS EXTRA LEVEL OF SERVICE WAS NOT OFFERED, AND NOW PARTICIPANTS ON THIS SUBSTANCE ABUSE PROGRAM CAN EXPLORE THE UNDERLYING REASONS BEHIND THEIR SUBSTANCE ABUSE, ADDRESS THAT TRAUMA, AND CAN DEVISE A PLAN TO COPE WITHOUT THE USE OF DRUGS AND LIQUOR. LACK OF EXERCISE: IN ADDITION TO THE BEHAVIOR ITSELF, IT ALSO INCLUDES ISSUES AROUND ACCESS TO PLACES TO EXERCISE AND PEOPLE NOT HAVING ENOUGH TIME TO EXERCISE. THIS ISSUE IS TIED VERY CLOSELY TO OBESITY (WHICH WAS IDENTIFIED AS A PRIORITY) AND WILL BE ADDRESSED THROUGH ST. JOSEPH HEALTH, ST. MARYS COMMUNITIES OF EXCELLENCE WORK, AND WITH LIKE-MINDED PARTNERS THE ADELANTO SENIOR CENTER AND THE VICTORVILLE PARKS AND RECREATION DEPARTMENT, BOTH HOST FREE WEEKLY PHYSICAL ACTIVITY CLASSES. WE ARE ACTIVELY SEEKING NEW FAITH BASED ORGANIZATIONS AND OTHER PARKS AND RECREATION DEPARTMENTS TO HOST FREE PHYSICAL ACTIVITY CLASSES IN LOW INCOME NEIGHBORHOODS. ALSO, THROUGH THE HEALTHY CITIES INITIATIVES IN ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE, WE CONSTANTLY ADVOCATE CITY LEADERS TO CREATE BIKE PATHWAYS, MORE PARKS AND SAFETY MEASURES SO THAT MORE FAMILIES CAN ENJOY THE PARKS AND THEIR SURROUNDING NEIGHBORHOODS. ECONOMIC INSECURITY: IDENTIFIED AS A ROOT CAUSE OF OTHER HEALTH ISSUES, THIS ISSUE COVERS THE EFFECTS OF POVERTY AND ECONOMIC CONCERNS AS WELL AS DIFFICULTIES AROUND FINDING JOBS THAT PAY LIVABLE SALARIES. ST. JOSEPH HEALTH, ST. MARY WILL COLLABORATE WITH LOCAL CITY ECONOMIC DEVELOPMENT DEPARTMENTS, AND THE WORKFORCE DEVELOPMENT FORCE THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS. EDUCATION: INCLUDES BOTH FORMAL EDUCATION GOALS AND ATTAINMENT, INCLUDING JOB TRAINING, AND COMMUNITY-BASED EDUCATION AROUND ISSUES SUCH AS EXERCISE, NUTRITION, HEALTH ACCESS, AND FINANCES. HEALTH EDUCATION IS TIED VERY CLOSELY TO OBESITY (WHICH WAS IDENTIFIED AS A PRIORITY) AND WILL BE ADDRESSED THROUGH ST. JOSEPH HEALTH, ST. MARYS COMMUNITIES OF EXCELLENCE WORK, WHICH TEACHES NUTRITION CLASSES IN ADELANTO, APPLE VALLEY, HESPERIA, PION HILLS AND VICTORVILLE. IN ADDITION, OUR FACILITY HAS FORMAL UNDERSTANDINGS WITH SEVERAL UNIVERSITIES AND COLLEGES TO PROVIDE "HEALTH PROFESSIONS EDUCATION" THAT RESULT IN A DEGREE, CERTIFICATE, OR TRAINING NECESSARY TO BE LICENSED TO PRACTICE AS A HEALTH PROFESSIONAL, AS REQUIRED BY STATE LAW, OR CONTINUING EDUCATION NECESSARY TO RETAIN STATE LICENSE OR CERTIFICATION BY A BOARD IN THE INDIVIDUAL'S HEALTH PROFESSION SPECIALTY. WALKABILITY: THE LACK OF WALKABLE AREAS AND STREETS, INCLUDING THE LACK OF SIDEWALKS, CROSSWALKS, STREET LIGHTS, AS WELL AS THE LONG DISTANCES NECESSARY TO GO PLACES AND THE PREVALENCE OF HIGH-SPEED BUSY STREETS. THIS ISSUE IS TIED VERY CLOSELY TO OBESITY (WHICH WAS IDENTIFIED AS A PRIORITY) AND WILL BE ADDRESSED THROUGH ST. JOSEPH HEALTH, ST. MARYS COMMUNITIES OF EXCELLENCE WORK. IN NOVEMBER OF 2017 CITY LEADERS OF ADELANTO, APPLE VALLEY, HESPERIA, PION HILLS AND VICTORVILLE WILL RECEIVE A "REPORT CARD" ON THE STATE OF WALKABILITY IN LOW INCOME NEIGHBORHOODS, AS WELL AS THE ACCESS OF FRE
SCHEDULE H, PART V, SECTION B, LINE 13H	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 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 16A	THE FAP IS MADE WIDELY AVAILABLE AT: HTTP://WWW.STMARYAPPLEVALLEY.COM/DOCUMENTS/FINANCIAL-ASSISTANCE-POLICY.PDF
SCHEDULE H, PART V, SECTION B, LINE 16B	THE FAP APPLICATION FORM IS MADE WIDELY AVAILABLE AT: HTTP://WWW.STMARYAPPLEVALLEY.COM/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE/FI NANCIAL-ASSISTANCE-APPLICATION-SCAL-ENGLISH_3.8.16.PDF SCHEDULE H, PART V, SECTION B, LINES 16c A PLAIN LANGUAGE SUMMARY OF THE FAP IS MADE WIDELY AVAILABLE AT: http://www.stmaryapplevalley.com/documents/Patient-Financial-Assistance/St Mary_FABrochure_2016.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 FOR 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 INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
OUTPATIENT SURGERY PAVILLION
18122 US HIGHWAY 18	APPLE VALLEY	CA	92307	AMBULATORY SURGERY CENTER
WOUND CARE CENTER
16077 KAMANA ROAD	APPLE VALLEY	CA	92307	WOUND CARE
HEALTHY BEGINNINGS CLINIC
18977 S OUTER HWY 18 A	APPLE VALLEY	CA	92307	CLINIC
ADELANTO CLINIC
11424 CHAMBERLAIN WAY STE 89	ADELANTO	CA	92301	CLINIC
HESPERIA CLINIC
17091 MAIN STREET STE 100	HESPERIA	CA	92345	CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, 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 HEALTH, ST. MARY PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.STMARYAPPLEVALLEY.COM/DOCUMENTS/COMMUNITY-BENEFIT/SMMC-CBR-FY1 7.PDF
SCHEDULE H, PART I, LINE 7	THE COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COST OF ALL REPORTED CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST. IT INCLUDED ALL PATIENT TYPES (I.E. INPATIENT OUTPATIENT, EMERGENCY ROOM), AND WOULD ONLY INCLUDE CHARGES OR RELATED COSTS THAT PERTAIN TO EACH RESPECTIVE AREA (I.E. CHARITY, MEDICAID, MANAGED CARE, PRIVATE INSURANCE, SELF PAY, UNINSURED, ETC.). FOR UNREIMBURSED COSTS, THAT WOULD BE THE DIFFERENCE BETWEEN THE DETERMINED COSTS LESS PAYMENTS RECEIVED FOR THAT PARTIAL PAYOR GROUP. THE COSTS USED WERE NOT DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED HEALTH SERVICES NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES PROMOTING THE HEALTH OF HIGH DESERT COMMUNITIES IS OF DEEP IMPORTANCE TO ST. JOSEPH HEALTH, ST. MARY. THIS EXTENDS FROM OUR VISION TO BRING PEOPLE TOGETHER TO PROVIDE COMPASSIONATE CARE, PROMOTE HEALTH IMPROVEMENT AND CREATE HEALTHY COMMUNITIES. ONE OF THE COMMUNITY BUILDING ACTIVITIES ENGAGED TO CREATE HEALTHIER COMMUNITIES WAS THE MENDED HEARTS PROGRAM. THIS PROGRAM SAW OUR CARDIAC NURSES TEACH HEART PATIENTS HOW TO SHARE THEIR EXPERIENCES AND TALK TO OTHER HEART PATIENTS ABOUT WHAT THEY MAY FACE INCLUDING LIFESTYLE CHANGES, DEPRESSION, RECOVERY, AND TREATMENT. THE COMMUNITY BENEFIT FOR THIS PROGRAM WAS $15,798. APART FROM THE CAPACITY BUILDING OF THE MENDED HEARTS PROGRAM, THE HOSPITAL ENGAGED IN ADVOCACY THAT PROMOTED HEALTH. ADVOCACY FOR MENTAL HEALTH, WHICH WAS ONE OF OUR FOUR IDENTIFIED NEEDS FOR FY15-FY17, AND ADVOCACY FOR THE HOMELESS, TOTALED $45,405. THIS ADVOCACY INCLUDED WORKING WITH A PARTNER TO ADD MENTAL HEALTH SERVICES TO PARTICIPANTS OF A SUBSTANCE ABUSE PROGRAM, MOST OF WHICH ARE HOMELESS, AND ANOTHER PARTNER PROVIDING COUSENLING TO AT RISK YOUTH. A PARTNERSHIP WITH THE DEPARTMENT OF BEHAVIORAL HEALTH, COUNTY OF SAN BERNARDINO, TO ADDRESS THE MASSIVE MENTAL HEALTH NEEDS OF HIGH DESERT COMMUNIITES, SOLIDIFIED IN FY17. IT BROUGHT OUR ER DEPARTMENT AND THE DEPARTMENT OF BEHAVIORAL HEALTH, COUNTY OF SAN BERNARDINOS RESPONSE TEAM TO DISCUSS WAYS TO PROVIDE IMPROVED SERVICES TO 5,150 PATIENTS. THE COUNTY ALSO APPROVED A 16 BED RESIDENTIAL TREATMENT FACILITY TO BE OPENED IN 2018 IN THE THE CITY OF VICTORVILLE. VICTORVILLE SERVES AS A CENTRAL LOCATION FOR THE HIGH DESERT COMMUNITY, ACCESSIBLE THROUGH PUBLIC TRANSPORTATION, ALSO A HIGH NEED AMONG LOW INCOME RESIDENTS. MENTAL HEALTH ADVOCACY ALSO BROUGHT THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO A HIGH DESERT CHURCH, OFFERING A FAMILY TO FAMILY SUPPORT GROUP. THIS WAS THE FIRST OF ITS KIND IN OUR REGION. OTHER COMMUNITY BUILDING ACTIVITIES INCLUDED CLEAN UP CAMPAIGNS IN A HIGH DESERT COMMUNITY TO IMPROVE THE ENVIRONMENT TO MAKE IT MORE INVITING FOR RESIDENTS TO WALK IN THEIR NEIGHBORHOODS. OUR HOSPITAL PROVIDED OFFICE SPACE TO THE NON-PROFIT CATHOLIC CHARITIES TO PROVIDE RENTAL, UTILITY AND FOOD ASSISTANCE TO INDIVIDUALS AND FAMILIES IN NEED. IN TOTAL, OUR COMMUNITY BUILDING ACTIVITIES FOR FY17 AMOUNTED TO $65,248.
SCHEDULE H, PART III, LINE 2	METHODOLOGY FOR CALCULATING BAD DEBT 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 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 USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS RECEIVED A 100 PERCENT WRITE-OFF OF THE BALANCE DUE. 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 4	FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT FOOTNOTE FROM THE PROVIDENCE ST. JOSEPH HEALTH COMBINED FINANCIAL STATEMENTS FOR THE YEAR ENDED 12/31/2017 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	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING CMS STANDARD COSTING METHODS. THIS INCLUDES STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS.
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 OUR COMMUNITY BENEFIT PLAN IS ALIGNED WITH ST. JOSEPH HEALTH, ST. MARYS STRATEGIC PLAN. 1. DEVELOPING A NETWORK OF CARE COMMUNITY CLINICS, WHICH INCLUDES THE BRIGHT FUTURES MOBILE VAN IS EXPANDING CLINIC SERVICE DAYS AND GOING TO OTHER CITIES LIKE LUCERNE VALLEY, A HIGH NEED AREA. HIGH DESERT ST. MARY MEDICAL GROUP, AN AFFILIATE OF THE HOSPITAL, IS ALSO POISED TO INCREASE THE NETWORK OF CARE IN THE HIGH DESERT REGION THROUGH PRIMARY CARE AND CHRONIC DISEASE MANAGEMENT CLINICAL SERVICES OF ONGOING PATIENTS. 2. POPULATION HEALTH FAITH-BASED ORGANIZATIONS FROM ALL DENOMINATIONS ARE APPROACHED ON CREATING AND CONTINUING A HEALTH MINISTRY, ADDRESSING BOTH SPIRITUAL AND HEALTHCARE NEEDS.
SCHEDULE H, PART VI, LINE 3	PATIENT 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 4	COMMUNITY INFORMATION ST. JOSEPH HEALTH, ST. MARY PROVIDES THE VICTOR VALLEY AND BARSTOW COMMUNITIES WITH ACCESS TO ADVANCED CARE. THE FACILITY IS THE ONLY ST. JOSEPH HEALTH HOSPITAL OPERATING IN SAN BERNARDINO COUNTY AND THE ONLY NON-PROFIT HOSPITAL IN THE HIGH DESERT. THE HOSPITAL'S SERVICE AREA EXTENDS FROM HIGHWAY 58 AND THE 15 FREEWAY IN THE NORTH, HIGHWAY 395 AND THE 15 FREEWAY IN THE SOUTH, UNINCORPORATED COMMUNITIES INCLUDING LUCERNE VALLEY IN THE EAST AND UNINCORPORATED COMMUNITIES OF EL MIRAGE IN THE WEST. OUR HOSPITAL TOTAL SERVICE AREA INCLUDES THE CITIES OF ADELANTO, APPLE VALLEY, BARSTOW, HESPERIA, ORO GRANDE AND VICTORVILLE AND SEVERAL SMALLER UNINCORPORATED COMMUNITIES INCLUDING HELENDALE, LUCERNE VALLEY, OAK HILLS, PHELAN, SNOWLINE COMMUNITIES AND WRIGHTWOOD. THIS INCLUDES A POPULATION OF APPROXIMATELY 372,642 PEOPLE, AN INCREASE OF 13% FROM THE PRIOR ASSESSMENT. THE COMMUNITY PROFILE OF THE TOTAL SERVICE AREA OF ST. JOSEPH HEALTH, ST. MARY HAS ALMOST 375,000 PEOPLE, WITH A MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $50,000. COMPARED TO CALIFORNIA, THE SERVICE AREA HAS MORE LATINOS AND AFRICAN-AMERICANS AND FEWER ASIAN/ASIAN-AMERICANS. COMPARED TO THE COUNTY AND, PARTICULARLY, THE STATE, THE SERVICE AREA IS LESS PROSPEROUS, WITH LOWER MEDIAN INCOMES AND GREATER POVERTY. THE HOSPITALS PRIMARY AND SECONDARY SERVICE AREAS CURRENTLY SERVE RESIDENTS OF THREE (3) OF SAN BERNARDINO COUNTYS FIVE (5) SUPERVISORY DISTRICTS. THE REGION IS 90% DESERT AND THE LARGEST NEAREST METROPOLITAN AREA, THE CITY OF SAN BERNARDINO, IS 40 MILES AWAY. THE SERVICE AREA IS NOTED AS HAVING SIGNIFICANTLY HIGHER PERCENTAGES OF INDIGENT AND UNINSURED POPULATIONS WHEN COMPARED WITH BOTH STATE AND NATIONAL LEVELS. ADDITIONALLY, RESIDENTS SUFFER FROM HEART DISEASE, DIABETES, ADULT OBESITY AND STROKE AT LEVELS WELL ABOVE CALIFORNIA AND NATIONAL BENCHMARKS. OVER 90% OF THE HOSPITALS COMMUNITY BENEFIT AREA HAS BEEN IDENTIFIED AS "HIGH NEED" FROM SCORING AND AGGREGATING SOCIOECONOMIC INDICATORS (E.G. INCOME, RACE, FAMILY SIZE) CONTRIBUTING TO SOCIAL AND HEALTH DISPARITIES. AREAS WITHIN THE HOSPITALS PRIMARY AND SECONDARY SERVICE AREAS ARE LISTED AS MEDICALLY UNDERSERVED AREAS INCLUDING THE COMMUNITY OF BARSTOW AND ADELANTO. ADDITIONALLY, THE REGION IS LISTED AS A MEDICAL HEALTH PROFESSIONAL SHORTAGE AREA FOR MENTAL HEALTH. WITH SOME EXCEPTIONS, THESE HEALTH AND SOCIAL CONDITIONS ARE LARGELY HOMOGENOUS ACROSS SAN BERNARDINO COUNTY. FOR THIS REASON NONPROFIT HOSPITALS IN SAN BERNARDINO ARE SIMILAR INCREASES IN CHRONIC DISEASE AND SOCIAL DISPARITIES. IN RESPONSE A COUNTY-WIDE HEALTH IMPROVEMENT PLAN HAS BEEN DEVELOPED WHICH THE HOSPITAL IS ACTIVE IN. THIS PLAN PRIORITIZES IMPROVING (1) EDUCATION, (INCREASING GRADUATION RATES) (2) THE ECONOMY (REDUCING POVERTY) (3) SAFETY (IMPROVING SCHOOL AND COMMUNITY SAFETY) AND (4) HEALTH & WELLNESS (REDUCING OBESITY). THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATE MEDICALLY UNDERSERVED AREAS (MUAS) AND HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). THE AREA WEST OF THE HOSPITAL INCLUDING PORTIONS OF VICTORVILLE AND ADELANTO ARE DESIGNED AS MUAS AND HPSA POPULATIONS. THE ENTIRE SERVICE AREA OF ST. JOSEPH HEALTH, ST. MARY IS LOCATED IN A HPSA WITH LARGE PORTIONS OF THE SERVICE AREA NEEDING INCREASED ACCESS TO PRIMARY CARE AND MENTAL HEALTH
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH ST. JOSEPH HEALTH, ST. MARY (SMMC) IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1956, LOCATED IN APPLE VALLEY SERVING THE HIGH DESERT REGION. ST. JOSEPH HEALTH, ST. MARY PROVIDES VITAL HOSPITAL AND COMMUNITY SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE (TRADITIONAL CHARITY CARE) AND DISCOUNTED CARE. ST. JOSEPH HEALTH, ST. MARY IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE OF ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION OR IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES, 2) AN OPEN MEDICAL STAFF AND 3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ARE IN PART FUNDED BY CARE FOR THE POOR DOLLARS. LOCAL COMMUNITY BENEFIT COMMITTEE: THE ROLE OF THE INSERT MINISTRY NAME COMMUNITY BENEFIT COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMITTEE ACTS IN ACCORDANCE WITH A BOARD-APPROVED CHARTER. THE COMMUNITY BENEFIT COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS IDENTIFIED NEEDS IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS, AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY BENEFIT COMMITTEE HAS A MINIMUM OF EIGHT MEMBERS INCLUDING THREE MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES THREE MEMBERS OF THE BOARD OF TRUSTEES AND EIGHT COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE GENERALLY MEETS BI-MONTHLY. PROGRAM SERVICE ACCOMPLISHMENTS FOR FY17 IDENTIFIED PRIORITIES IMPROVING ACCESS TO MEDICAL CARE & PROVIDING ADDITIONAL COMPREHENSIVE DIABETES CARE INCREASING ACCESS TO MEDICAL CARE AND DIABETES WAS AN IDENTIFIED NEED THAT WAS ADDRESSED THROUGH OUR COMMUNITY CLINICS. THE HOSPITALS 2014 COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS ACCESS CONCERNS BY 41.5% OF RESPONDENTS, AN INCREASE OVER 38.4% REPORTED IN 2007. THE HOSPITALS 2017 COMMUNITY HEALTH NEEDS ASSESSMENT REVEALED THAT THE TOTAL SERVICE AREA IS SLIGHTLY WORSE IN UNINSURED, 20.3% OF ADULTS, VERSUS 19.3% FOR THE STATE OF CALIFORNIA, AND HAS LOWER RATES OF PRENATAL CARE AS WELL, 79.9% IN OUR REGION VS. 83.8% FOR THE STATE. ACCORDING TO THE 2014 COMMUNITY HEALTH NEEDS ASSESSMENT, DIABETES IS A CHRONIC CONDITION THAT IMPACTED 15.3% OF THE COMMUNITY IN COMPARISON TO 8.6% STATEWIDE. THE SERVICES PROVIDED THROUGH THE ST. JOSEPH HEALTH, ST. MARY COMMUNITY CLINICS INCLUDED PHYSICAL EXAMINATIONS, IMMUNIZATIONS, DIABETES SCREENING AND MANAGEMENT, CANCER SCREENINGS, AND CHRONIC DISEASE MANAGEMENT THROUGH OUR MOBILE VAN, BRIGHT FUTURES, SERVING MOSTLY UNINSURED PEOPLE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS SUCH AS MEDICAID OR ARE NOT ELIGIBLE FOR SUBSIDIES THROUGH OUR INSURANCE EXCHANGE, COVERED CALIFORNIA. THE BRIGHT FUTURES MOBILE VAN HELPED LOW AND MODERATE-INCOME FAMILIES GET HEALTH CARE FOR WOMEN AND CHILDREN AND BROUGHT HEALTHCARE SERVICES INTO COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH NEEDS (DUHN) IN ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE, WHICH ARE BOTH OUR PRIMARY AND SECONDARY AREAS OF SERVICE. THE ST. JOSEPH HEALTH, ST. MARY COMMUNITY CLINICS ALSO HAVE A MIDWIFERY PROGRAM OPEN TO THE UNINSURED AND UNDERINSURED (MEDICAID) PATIENTS, OFFERING PRENATAL AND MIDWIFERY SERVICES. THE LACTATION CLINIC IS OPEN TO ANYONE IN THE COMMUNITY, AND RECEIVED REFERRALS OF PATIENTS FROM LOCAL HOSPITALS. SHORT TERM COUNSELING AND LIFE COACHING WAS ALSO PROVIDED TO INDIVIDUALS, COUPLES OR FAMILIES WITH CHILDREN 0-5 YEARS OF AGE. IN FY17, ST. JOSEPH HEALTH, ST. MARY ACHIEVED THE FOLLOWING IN RESPECTS TO IMPROVING ACCESS TO MEDICAL CARE AND PROVIDING ADDITIONAL COMPREHENSIVE DIABETES CARE: - ST. JOSEPH HEALTH, ST. MARY WAS AND STILL REMAINS AS THE ONLY PROVIDER IN THE REGION PROVIDING COMPREHENSIVE DIABETES EDUCATION TO THE UNDERINSURED AND UNINSURED. - PROVIDING 28,704 COMMUNITY CLINIC ENCOUNTERS WHILE SERVING POOR AND RURAL PERSONS LIVING IN THE HIGH DESERT REGION. 20% OF OUR COMMUNITY CLINIC ENCOUNTERS, 5,754 CLINICAL ENCOUNTERS, WERE PROVIDED THROUGH OUR BRIGHT FUTURES MOBILE VAN WHICH WENT TO ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE. - PROVIDING 383 DIABETES PATIENTS WITH PRIMARY CARE, CONSULTATIONS WITH A REGISTERED DIETICIAN, AND PARTICIPATION IN A DIABETES SUPPORT GROUP FOR A TOTAL OF 1,327 CLINICAL ENCOUNTERS. OUR COMMUNITY BENEFIT COMMITMENT TO ADDRESS THIS NEED, AFTER SUBTRACTING A RESTRICTED GRANT FROM FIRST 5 SAN BERNARDINO, A RESTRICTED GRANT FROM THE DEPARTMENT OF PUBLIC HEALTH, COUNTY OF SAN BERNARDINO, AND INSURANCE PAYMENTS, TOTALED $4,372,813. IN ADDITION, 1,878 UNINSURED PERSONS WERE ENROLLED INTO COVERED CALIFORNIA (STATE INSURANCE EXCHANGE) AND MEDICAID. INCREASING ACCESS TO MEDICAL CARE BY ASSISTING FUTURE HEALTHCARE PROFESSIONALS PROVIDING AN OPPORTUNITY FOR STUDENTS TO COMPLETE THEIR CLINICAL HOURS NEEDED TO BECOME A PRACTICING HEALTHCARE PROFESSIONAL IN THE STATE OF CALIFORNIA IS ANOTHER COMMUNITY BENEFIT ENGAGED BY OUR HOSPITAL. WHAT EXASPERATES THE PROBLEM OF ACCESS TO MEDICAL CARE IS THE LACK OF HEALTHCARE PROFESSIONALS. ACCORDING TO OUR MOST RECENT 2017 COMMUNITY HEALTH NEEDS ASSESSMENT, THE RATIO OF HEALTHCARE PROFESSIONALS FOR THE COUNTY OF SAN BERNARDINO IS WORSE OFF WHEN COMPARED TO RATIOS STATEWIDE. IN FY17 ST. JOSEPH HEALTH, ST. MARY ACHIEVED THE FOLLOWING: - A TOTAL, 391 COMMUNITY HEALTH WORKERS, PHYSICIAN ASSISTANT, NURSING, PARAMEDIC, PUBLIC HEALTH, AND RESPIRATORY STUDENTS FROM SEVEN COLLEGES AND UNIVERSITIES WERE AT OUR SITE COMPLETING THEIR NECESSARY CLINICAL HOURS. - OUR COMMUNITY BENEFIT COMMITMENT WAS $371,719, WHICH INCLUDED THREE RESTRICTED SCHOLARSHIPS THAT WERE PROVIDED TO HIGH SCHOOL STUDENTS PURSUING A CAREER IN THE MEDICAL FIELD. IDENTIFIED NEED EXPANDING OBESITY PREVENTION PROGRAMS IN THE 2014 COMMUNITY HEALTH NEEDS ASSESSMENT, ADULT OVERWEIGHT AND ADULT OBESITY HAD THE HIGHEST RECORDED PERCENT INCREASE FROM ITS 2007 BASELINE; INCREASING 6.6% (OVERWEIGHT) AND 6.1% (OBESITY). FOR THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT, THE ADULT OBESITY RATES OF 37% WERE HIGHER THAN THAT OF THE STATE WHICH STOOD AT 26%. TEENS ALSO FARED WORSE OFF AT 38% IN COMPARISON TO THE STATE OF 33%. A PROGRAM DEDICATED MOSTLY TO ADDRESSING OBESITY IN AN UPSTREAM FASHION IS COMMUNITIES OF EXCELLENCE. IN FY17, ST. JOSEPH HEALTH, ST. MARY HAD THE FOLLOWING ACHIEVEMENTS TO REPORT: - UNHEALTHY DIETS, WHICH ARE HIGH IN CALORIES AND LOW IN NUTRITION, AND CONSUMPTION OF SUGARY DRINKS FEED INTO THE OBESITY PROBLEM IN THIS REGION. THE COMMUNITIES OF EXCELLENCE PROGRAM PROVIDED NUTRITION HEALTH EDUCATION TO 177 PEOPLE IN THE CITIES OF ADELANTO, HESPERIA, PHELAN AND PION HILLS, FOR A TOTAL ATTENDANCE OF 481. THESE FIVE WEEK NUTRITION CLASSES TAUGHT ON THE IMPORTANCE OF SODIUM REDUCTION, INCREASED PHYSICAL ACTIVITY, MY PLATE, AND HEALTHY BEVERAGES IN BOTH ENGLISH AND SPANISH CLASSES. - ANOTHER CONTRIBUTOR TO THE OBESITY PROBLEM IN THIS REGION IS NOT GETTING ENOUGH PHYSICAL ACTIVITY. THIS PROGRAM PROVIDED AN OPPORTUNITY FOR 221 PEOPLE LIVING IN THE CITY OF ADELANTO TO ENGAGE IN 1 HOUR PHYSICAL ACTIVITY CLASSES THAT LOGGED IN 3,681 ENCOUNTERS IN FY17. - THE SENIOR STRENGTHENING EXERCISE CLASS HAD 90 PARTICIPANTS LOGGING IN 1,504 ENCOUNTERS. - A PILOT PROGRAM TO INCREASE THE PHYSICAL ACTIVITY LEVELS OF STUDENTS AT A LOCAL SCHOOL WAS COMPLETED IN FY17. THE PILOT PROGRAM ADDRESSED WHAT DATA DEMONSTRATES IS THE DECLINE OF PHYSICAL ACTIVITY LEVELS WHEN CHILDREN START PLAYING VIDEO GAMES AND AN INCREASE OF SCREEN TIME BY THE TIME THEY REACH 5TH GRADE. THIS PROGRAM WILL EXPAND TO FIVE ADDITIONAL SCHOOLS IN THE UPCOMING 2017/2018 SCHOOL YEAR, TARGETING THE SAME AGE GROUP. - AFTER SUBTRACTING THE RESTRICTED GRANT FUNDS FROM THE DEPARTMENT OF PUBLIC HEALTH, COUNTY OF SAN BERNARDINO, THE COMMUNITY BENEFIT COMMITMENT FOR THIS PROGRAM TOTALED TO $140,368. IDENTIFIED NEED BUILDING A MENTAL HEALTH COLLABORATIVE ACCORDING TO OUR 2014 COMMUNITY HEALTH NEEDS ASSESSMENT THE LOW SELF-RATED MENTAL HEALTH IN THE HIGH DESERT WAS RECORDED AT 18.4%; NATIONALLY IT STANDS AT 11.7%. FOR OUR MOST CURRENT 2017 COMMUNITY HEALTH NEEDS ASSESSMENT, THE LACK OF MENTAL HEALTH WAS A FREQUENT THEME IN THE FOCUS GROUPS AND FORUM, PARTICULARLY THE LACK OF PROVIDERS. IN FY17, ST. JOSEPH HEALTH, ST. MARY ACHIEVED THE FOLLOWING: - FY17 SAW A 41% INCREASE IN MENTAL HEALTH ENCOUNTERS FROM THE PREVIOUS FISCAL YEAR. - ST. JOSEPH HEALTH, ST. MARYS COMMUNITY CLINICS HIRED NEW COUNSELORS FOR ITS BRIDGES FAMILY RESOURCE CENTER TO PROVIDE SHORT TERM COUNSELING PROGRAM FOR INDIVIDUAL, COUPLES AND FAMILY. THIS PROGRAM PROVIDED A TOTAL OF 568 ENCOUNTERS. - ANOTHER HOSPITAL PROGRAM, THE GRIEF RECOVERY OUTREACH SUPPORT GROUP, A 12 WEE
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM ST. MARY MEDICAL CENTER IS A HEALING MINISTRY OF PROVIDENCE ST. JOSEPH HEALTH, A NEW ORGANIZATION CREATED BY PROVIDENCE HEALTH & SERVICES AND ST. JOSEPH HEALTH WITH THE GOAL OF IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. TOGETHER, OUR 111,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 50 HOSPITALS, 829 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE SYSTEM INCLUDES 50 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. 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, CALIFORNIA, 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, CALIFORNIA. SJH COMMUNITY PARTNERSHIP FUND (FORMERLY THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) IN 1986, ST. JOSEPH HEALTH (SJH) CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND (FORMERLY KNOWN AS THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. EVERY YEAR, EACH ST. JOSEPH HEALTH HOSPITAL CONTRIBUTES TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT OUTREACH EFFORTS FOR THE ECONOMICALLY POOR. IN FY17 THIS AMOUNT TOTALED $1,478,900 FOR ST. MARY MEDICAL CENTER. 75% OF THE CONTRIBUTIONS ARE USED TO SUPPORT CARE FOR POOR PROGRAMS BY EACH HOSPITAL. 17.5% OF FUNDS ARE USED TO SUPPORT ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND INITIATIVES. THE REMAINING 7.5% ARE DESIGNATED TOWARD AN ENDOWMENT WHICH HELPS ENSURE THE FUND'S ABILITY TO SUSTAIN PROGRAMS INTO THE FUTURE THAT ASSIST LOW-INCOME AND UNDERSERVED POPULATIONS. COMMUNITY INVESTMENT FUND ST. JOSEPH HEALTH FURTHERMORE RECOGNIZES THAT THE HEALTH OF ANY COMMUINTY DEPENDS ON THE MAINTENANCE AND CREATION OF STRONG STRUCTURES- BOTH PHYSICAL AND SOCIAL- THAT CONTRIBUTE TO THE LONG-TERM WELL-BEING OF PEOPLE. THAT PHILOSOPHY INSPIRED THE INITIATION OF THE ST. JOSEPH HEALTH COMMUNITY INVESTMENT FUND- AN EFFORT TO ENABLE NON PROFIT 501(C)3 ORGANIZATIONS TO ACHIEVE THEIR FULL POTENTIAL AND PLAY A MAJOR ROLE IN THE GROWTH OF THEIR COMMUNITIES. IN FY17, A TOTAL OF $11.5 MILLION WAS INVESTED INTO THE COMMUNITY THROUGH LOANS AND LINES OF CREDIT. FUNDED NON-PROFITS INCLUDE THOSE THAT SERVE THE HOMELESS, PROVIDE AFFORDABLE HOUSING, PROVIDE ACCESS TO PRIMARY MEDICAL CARE, AND ADDRESS YOUTH DEVELOPMENT. TO LEARN MORE ABOUT ST. JOSEPH HEALTH AND PROVIDENCE JOSEPH HEALTH GO TO HTTP://WWW.STJHS.ORG HTTP://WWW.PSJHEALTH.ORG/ABOUT-US
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
ST JOHN OF GOD
13333 PALMDALE RD	VICTORVILLE	CA	92392	953806996	501(c)(3)	$8,500	$0	PROGRAM SUPPORT PROGRAM SUPPORT
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR SUITE 100	IRVINE	CA	92612	330143024	501(c)(3)	$1,478,900	$0	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS COMMUNITY BENEFIT COMMITTEE OVERSEES/MONITORS GRANT USAGE ON A MONTHLY BASIS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kelly Linden
Chief Operating Officer	$307,890	$0	$120,622	$0	$28,700	$0	$10,600	$0	$25,041	$0	$492,853	$0	$0	$0
Joline Treanor
Board of Directors (PART YEAR)	$0	$437,395	$0	$312,463	$0	$54,072	$0	$10,600	$0	$12,727	$0	$827,257	$0	$0
Riad Abdelkarim MD
VP Medical Affairs	$226,654	$0	$142,535	$0	$20,058	$0	$9,204	$0	$16,019	$0	$414,470	$0	$0	$0
Marilyn Drone
Vice President/CNO	$248,468	$0	$96,985	$0	$33,036	$0	$17,057	$0	$17,008	$0	$412,554	$0	$0	$0
Dennis Haghighat MD
VP Medical Affairs	$217,576	$0	$119,536	$0	$28,355	$0	$15,361	$0	$8,410	$0	$389,238	$0	$0	$0
Randy Bevilacqua
VP Strategic Services	$197,105	$0	$77,167	$0	$24,834	$0	$15,954	$0	$16,990	$0	$332,050	$0	$0	$0
Jean Holtman
VP Human Resources	$188,632	$0	$74,662	$0	$19,546	$0	$5,950	$0	$18,974	$0	$307,764	$0	$0	$0
Judy Wagner
VP Mission Integration	$173,081	$0	$72,879	$0	$15,124	$0	$6,801	$0	$11,602	$0	$279,487	$0	$0	$0
Paul Kaminski
VP Foundation	$152,230	$0	$60,104	$0	$14,214	$0	$6,217	$0	$23,632	$0	$256,397	$0	$0	$0
Matthew Chandler
Director, Pharmacy	$174,696	$0	$14,187	$0	$3,000	$0	$7,422	$0	$34,875	$0	$234,180	$0	$0	$0
Gloria Peak
Dir. Comm Health Svcs	$174,400	$0	$14,323	$0	$3,689	$0	$14,257	$0	$24,788	$0	$231,457	$0	$0	$0
Vivian Brooks
Dir, Respirator & Rehab Svcs	$152,302	$0	$11,033	$0	$2,441	$0	$14,147	$0	$25,855	$0	$205,778	$0	$0	$0
Tamara Brown
Exec. Dir Nursing	$168,130	$0	$16,771	$0	$2,650	$0	$14,723	$0	$1,450	$0	$203,724	$0	$0	$0
Marilyn Platt
Supv. Certified Nurse Midwife	$160,002	$0	$14,934	$0	$1,225	$0	$13,403	$0	$8,912	$0	$198,476	$0	$0	$0
Alan Garrett
President/CEO	$0	$512,936	$0	$660,570	$0	$110,707	$0	$23,850	$0	$25,603	$0	$1,333,666	$0	$0
Tara Cowell
Secretary	$0	$299,623	$0	$130,706	$0	$41,519	$0	$18,523	$0	$30,854	$0	$521,225	$0	$0
Tracey Fernandez
Chief Financial Officer	$272,282	$0	$107,304	$0	$24,109	$0	$10,600	$0	$26,023	$0	$440,318	$0	$0	$0
David O'Brien MD
Former Key Employee	$0	$432,098	$0	$371,997	$0	$70,041	$0	$18,550	$0	$26,023	$0	$918,709	$0	$0
KEVIN MURPHY
BOARD OF DIRECTORS (PART YEAR)	$0	$141,428	$0	$112,341	$0	$18,384	$0	$10,214	$0	$16,068	$0	$298,435	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	TRAVEL FOR COMPANIONS ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL TO CERTAIN PRE-APPROVED MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. ST. MARY MEDICAL CENTER MEMBERS OF THE BOARD AND EXECUTIVE MANAGEMENT TEAM ARE SELECTED TO PARTICIPATE IN AN ANNUAL PILGRIMAGE TO LE PUY, FRANCE, WHERE THE SISTERS' FIRST CONGREGATION WAS FORMED. THE PURPOSE OF THE PILGRIMAGE IS FOR THE ORGANIZATION'S LEADERS TO DEVELOP A DEEPER UNDERSTANDING OF THE ROOTS AND HERITAGE OF THE ORGANIZATION IN ORDER TO CARRY OUT THE MISSION. COMPANION TRAVEL IS CONSIDERED TO BE AN ESSENTIAL PART OF THIS EXPERIENCE AND THE COMPANION ACTS AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING INDIVIDUALS RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. PAUL KAMINSKI - 4,446 TAX INDEMNIFICATION & GROSS-UP PAYMENTS SUPPLEMENTAL COMPENSATION INFORMATION TAX INDEMNIFICATION AND GROSS-UP PAYMENTS GIFT CARDS PROVIDED TO EMPLOYEES DURING CHRISTMAS AND THROUGHOUT THE YEAR FOR REWARD AND RECOGNITION ARE GROSSED UP AND TAXES ARE PAID BY THE MINISTRY.
SCHEDULE J, PART I, LINE 3	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. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM.
SCHEDULE J, PART I, LINE 4B	BEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR 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. NO INDIVIDUALS RECEIVED 457(F) PAYMENTS DURING THE YEAR.
SCHEDULE J, PART I, LINE 7	A PORTION OF EXECUTIVES SALARIES ARE PLACED "AT-RISKARE 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 OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	ST. JOSEPH HEALTH SYSTEM THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORSMINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. PROVIDENCE ST. JOSEPH HEALTH ON JULY 1, 2016, PROVIDENCE HEALTH SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT, THE PURPOSE OF WHICH WAS TO BETTER SERVE BOTH ORGANIZATIONS COMMUNITIES, MAINTAIN STRONG TRADITIONS OF CATHOLIC HEALTHCARE, AND PROVIDE GREATER AFFORDABILITY AND ACCESS TO HEALTHCARE SERVICES. AS PART OF THE BUSINESS COMBINATION, PHS AND SJHS ALIGNED UNDER A SINGLE PARENT CORPORATION, PROVIDENCE ST. JOSEPH HEALTH (PSJH), WITH A CONSOLIDATED BOARD OF DIRECTORS AND CO-SPONSORSHIP FROM THE PUBLIC JURIDIC PERSONS, PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY. REALIZING OUR MISSION ST. JOSEPH HOSPITAL OF ORANGE HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 89 YEARS. SERVING THE COMMUNITIES OF ANAHEIM, GARDEN GROVE, HUNTINGTON BEACH, ORANGE, SANTA ANA, TUSTIN, AND WESTMINISTER, ST. JOSEPH HOSPITAL OF ORANGE IS AN ACUTE CARE HOSPITAL, THAT PROVIDES QUALITY CARE IN THE AREAS OF BARIATRIC SURGERY, BEHAVIORAL HEALTH, CARDIAC CARE, CANCER TREATMENT, NASAL AND SINUS CENTER, KIDNEY DIALYSIS CENTER, ORTHOPEDIC SERVICES, AND OUR CUTTING EDGE MATERNITY CENTER WITH OVER 2,840 EMPLOYEES COMMITTED TO REALIZING THE MISSION, ST. JOSEPH HOSPITAL OF ORANGE IS ONE OF THE LARGEST EMPLOYERS IN THE SOUTHERN CALIFORNIA REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, ST. JOSEPH HEALTH, ST. MARY IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. PATIENT FINANCIAL ASSISTANCE PROGRAM ST. JOSEPH HEALTH, ST. MARY BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST. JOSEPH HEALTH, ST. MARY HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY17, ST. JOSEPH HEALTH, ST. MARY PROVIDED $1,869,217 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM ST. JOSEPH HEALTH, ST. MARY PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY17, ST. JOSEPH HEALTH, ST. MARY PROVIDED $25,535,421 IN MEDICAID SHORTFALL. PROGRAM SERVICE ACCOMPLISHMENTS IDENTIFIED PRIORITIES IMPROVING ACCESS TO MEDICAL CARE & PROVIDING ADDITIONAL COMPREHENSIVE DIABETES CARE INCREASING ACCESS TO MEDICAL CARE AND DIABETES WAS AN IDENTIFIED NEED THAT WAS ADDRESSED THROUGH OUR COMMUNITY CLINICS. THE HOSPITALS 2014 COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS ACCESS CONCERNS BY 41.5% OF RESPONDENTS, AN INCREASE OVER 38.4% REPORTED IN 2007. THE HOSPITALS 2017 COMMUNITY HEALTH NEEDS ASSESSMENT REVEALED THAT THE TOTAL SERVICE AREA IS SLIGHTLY WORSE IN UNINSURED, 20.3% OF ADULTS, VERSUS 19.3% FOR THE STATE OF CALIFORNIA, AND HAS LOWER RATES OF PRENATAL CARE AS WELL, 79.9% IN OUR REGION VS. 83.8% FOR THE STATE. ACCORDING TO THE 2014 COMMUNITY HEALTH NEEDS ASSESSMENT, DIABETES IS A CHRONIC CONDITION THAT IMPACTED 15.3% OF THE COMMUNITY IN COMPARISON TO 8.6% STATEWIDE. THE SERVICES PROVIDED THROUGH THE ST. JOSEPH HEALTH, ST. MARY COMMUNITY CLINICS INCLUDED PHYSICAL EXAMINATIONS, IMMUNIZATIONS, DIABETES SCREENING AND MANAGEMENT, CANCER SCREENINGS, AND CHRONIC DISEASE MANAGEMENT THROUGH OUR MOBILE VAN, BRIGHT FUTURES, SERVING MOSTLY UNINSURED PEOPLE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS SUCH AS MEDICAID OR ARE NOT ELIGIBLE FOR SUBSIDIES THROUGH OUR INSURANCE EXCHANGE, COVERED CALIFORNIA. THE BRIGHT FUTURES MOBILE VAN HELPED LOW AND MODERATE-INCOME FAMILIES GET HEALTH CARE FOR WOMEN AND CHILDREN AND BROUGHT HEALTHCARE SERVICES INTO COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH NEEDS (DUHN) IN ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE, WHICH ARE BOTH OUR PRIMARY AND SECONDARY AREAS OF SERVICE. THE ST. JOSEPH HEALTH, ST. MARY COMMUNITY CLINICS ALSO HAVE A MIDWIFERY PROGRAM OPEN TO THE UNINSURED AND UNDERINSURED (MEDICAID) PATIENTS, OFFERING PRENATAL AND MIDWIFERY SERVICES. THE LACTATION CLINIC IS OPEN TO ANYONE IN THE COMMUNITY, AND RECEIVED REFERRALS OF PATIENTS FROM LOCAL HOSPITALS. SHORT TERM COUNSELING AND LIFE COACHING WAS ALSO PROVIDED TO INDIVIDUALS, COUPLES OR FAMILIES WITH CHILDREN 0-5 YEARS OF AGE. IN FY17, ST. JOSEPH HEALTH, ST. MARY ACHIEVED THE FOLLOWING IN RESPECTS TO IMPROVING ACCESS TO MEDICAL CARE AND PROVIDING ADDITIONAL COMPREHENSIVE DIABETES CARE: - ST. JOSEPH HEALTH, ST. MARY WAS AND STILL REMAINS AS THE ONLY PROVIDER IN THE REGION PROVIDING COMPREHENSIVE DIABETES EDUCATION TO THE UNDERINSURED AND UNINSURED. - PROVIDING 28,704 COMMUNITY CLINIC ENCOUNTERS WHILE SERVING POOR AND RURAL PERSONS LIVING IN THE HIGH DESERT REGION. 20% OF OUR COMMUNITY CLINIC ENCOUNTERS, 5,754 CLINICAL ENCOUNTERS, WERE PROVIDED THROUGH OUR BRIGHT FUTURES MOBILE VAN WHICH WENT TO ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE. - PROVIDING 383 DIABETES PATIENTS WITH PRIMARY CARE, CONSULTATIONS WITH A REGISTERED DIETICIAN, AND PARTICIPATION IN A DIABETES SUPPORT GROUP FOR A TOTAL OF 1,327 CLINICAL ENCOUNTERS. OUR COMMUNITY BENEFIT COMMITMENT TO ADDRESS THIS NEED, AFTER SUBTRACTING A RESTRICTED GRANT FROM FIRST 5 SAN BERNARDINO, A RESTRICTED GRANT FROM THE DEPARTMENT OF PUBLIC HEALTH, COUNTY OF SAN BERNARDINO, AND INSURANCE PAYMENTS, TOTALED $4,372,813. IN ADDITION, 1,878 UNINSURED PERSONS WERE ENROLLED INTO COVERED CALIFORNIA (STATE INSURANCE EXCHANGE) AND MEDICAID. INCREASING ACCESS TO MEDICAL CARE BY ASSISTING FUTURE HEALTHCARE PROFESSIONALS PROVIDING AN OPPORTUNITY FOR STUDENTS TO COMPLETE THEIR CLINICAL HOURS NEEDED TO BECOME A PRACTICING HEALTHCARE PROFESSIONAL IN THE STATE OF CALIFORNIA IS ANOTHER COMMUNITY BENEFIT ENGAGED BY OUR HOSPITAL. WHAT EXASPERATES THE PROBLEM OF ACCESS TO MEDICAL CARE IS THE LACK OF HEALTHCARE PROFESSIONALS. ACCORDING TO OUR MOST RECENT 2017 COMMUNITY HEALTH NEEDS ASSESSMENT, THE RATIO OF HEALTHCARE PROFESSIONALS FOR THE COUNTY OF SAN BERNARDINO IS WORSE OFF WHEN COMPARED TO RATIOS STATEWIDE. IN FY17 ST. JOSEPH HEALTH, ST. MARY ACHIEVED THE FOLLOWING: - A TOTAL, 391 COMMUNITY HEALTH WORKERS, PHYSICIAN ASSISTANT, NURSING, PARAMEDIC, PUBLIC HEALTH, AND RESPIRATORY STUDENTS FROM SEVEN COLLEGES AND UNIVERSITIES WERE AT OUR SITE COMPLETING THEIR NECESSARY CLINICAL HOURS. - OUR COMMUNITY BENEFIT COMMITMENT WAS $371,719, WHICH INCLUDED THREE RESTRICTED SCHOLARSHIPS THAT WERE PROVIDED TO HIGH SCHOOL STUDENTS PURSUING A CAREER IN THE MEDICAL FIELD.
FORM 990, PART III, LINE 4A - CONTINUED	IDENTIFIED NEED EXPANDING OBESITY PREVENTION PROGRAMS IN THE 2014 COMMUNITY HEALTH NEEDS ASSESSMENT, ADULT OVERWEIGHT AND ADULT OBESITY HAD THE HIGHEST RECORDED PERCENT INCREASE FROM ITS 2007 BASELINE; INCREASING 6.6% (OVERWEIGHT) AND 6.1% (OBESITY). FOR THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT, THE ADULT OBESITY RATES OF 37% WERE HIGHER THAN THAT OF THE STATE WHICH STOOD AT 26%. TEENS ALSO FARED WORSE OFF AT 38% IN COMPARISON TO THE STATE OF 33%. A PROGRAM DEDICATED MOSTLY TO ADDRESSING OBESITY IN AN UPSTREAM FASHION IS COMMUNITIES OF EXCELLENCE. IN FY17, ST. JOSEPH HEALTH, ST. MARY HAD THE FOLLOWING ACHIEVEMENTS TO REPORT: - UNHEALTHY DIETS, WHICH ARE HIGH IN CALORIES AND LOW IN NUTRITION, AND CONSUMPTION OF SUGARY DRINKS FEED INTO THE OBESITY PROBLEM IN THIS REGION. THE COMMUNITIES OF EXCELLENCE PROGRAM PROVIDED NUTRITION HEALTH EDUCATION TO 177 PEOPLE IN THE CITIES OF ADELANTO, HESPERIA, PHELAN AND PION HILLS, FOR A TOTAL ATTENDANCE OF 481. THESE FIVE WEEK NUTRITION CLASSES TAUGHT ON THE IMPORTANCE OF SODIUM REDUCTION, INCREASED PHYSICAL ACTIVITY, MY PLATE, AND HEALTHY BEVERAGES IN BOTH ENGLISH AND SPANISH CLASSES. - ANOTHER CONTRIBUTOR TO THE OBESITY PROBLEM IN THIS REGION IS NOT GETTING ENOUGH PHYSICAL ACTIVITY. THIS PROGRAM PROVIDED AN OPPORTUNITY FOR 221 PEOPLE LIVING IN THE CITY OF ADELANTO TO ENGAGE IN 1 HOUR PHYSICAL ACTIVITY CLASSES THAT LOGGED IN 3,681 ENCOUNTERS IN FY17. - THE SENIOR STRENGTHENING EXERCISE CLASS HAD 90 PARTICIPANTS LOGGING IN 1,504 ENCOUNTERS. - A PILOT PROGRAM TO INCREASE THE PHYSICAL ACTIVITY LEVELS OF STUDENTS AT A LOCAL SCHOOL WAS COMPLETED IN FY17. THE PILOT PROGRAM ADDRESSED WHAT DATA DEMONSTRATES IS THE DECLINE OF PHYSICAL ACTIVITY LEVELS WHEN CHILDREN START PLAYING VIDEO GAMES AND AN INCREASE OF SCREEN TIME BY THE TIME THEY REACH 5TH GRADE. THIS PROGRAM WILL EXPAND TO FIVE ADDITIONAL SCHOOLS IN THE UPCOMING 2017/2018 SCHOOL YEAR, TARGETING THE SAME AGE GROUP. - AFTER SUBTRACTING THE RESTRICTED GRANT FUNDS FROM THE DEPARTMENT OF PUBLIC HEALTH, COUNTY OF SAN BERNARDINO, THE COMMUNITY BENEFIT COMMITMENT FOR THIS PROGRAM TOTALED TO $140,368. IDENTIFIED NEED BUILDING A MENTAL HEALTH COLLABORATIVE ACCORDING TO OUR 2014 COMMUNITY HEALTH NEEDS ASSESSMENT THE LOW SELF-RATED MENTAL HEALTH IN THE HIGH DESERT WAS RECORDED AT 18.4%; NATIONALLY IT STANDS AT 11.7%. FOR OUR MOST CURRENT 2017 COMMUNITY HEALTH NEEDS ASSESSMENT, THE LACK OF MENTAL HEALTH WAS A FREQUENT THEME IN THE FOCUS GROUPS AND FORUM, PARTICULARLY THE LACK OF PROVIDERS. IN FY17, ST. JOSEPH HEALTH, ST. MARY ACHIEVED THE FOLLOWING: - FY17 SAW A 41% INCREASE IN MENTAL HEALTH ENCOUNTERS FROM THE PREVIOUS FISCAL YEAR. - ST. JOSEPH HEALTH, ST. MARYS COMMUNITY CLINICS HIRED NEW COUNSELORS FOR ITS BRIDGES FAMILY RESOURCE CENTER TO PROVIDE SHORT TERM COUNSELING PROGRAM FOR INDIVIDUAL, COUPLES AND FAMILY. THIS PROGRAM PROVIDED A TOTAL OF 568 ENCOUNTERS. - ANOTHER HOSPITAL PROGRAM, THE GRIEF RECOVERY OUTREACH SUPPORT GROUP, A 12 WEEK PROGRAM TO HELP PEOPLE MOVE BEYOND THE PAIN CAUSED BY LOSS, PROVIDED 175 ENCOUNTERS. - A HOSPITAL GRANTEE, FAMILY ASSISTANCE PROGRAM PROVIDED 882 ENCOUNTERS TO AT RISK YOUTH. - THE OTHER GRANTEE, ST. JOHN OF GOD, PROVIDED 1,520 COUNSELING SESSIONS TO PERSONS IN SUBSTANCE RECOVERY. IN ADDITION, THIS PROGRAM PROVIDED MARRIAGE FAMILY THERAPIST (MFT) INTERNS WITH THE OPPORTUNITY TO COMPLETE THEIR CLINICAL HOURS NECESSARY FOR THE BOARD OF BEHAVIORAL SCIENCES IN ORDER TO BECOME A MENTAL HEALTHCARE PROFESSIONAL IN THE FUTURE. BY WORKING WITH INTERNS, THIS PROGRAM SERVED ON TWO LEVELS; ASSISTING PARTICIPANTS WITH MENTAL HEALTH SERVICES, AND INCREASING THE NUMBER OF MENTAL HEALTH PROFESSIONALS IN OUR REGION. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, ST. MARY, PLEASE VISIT HTTP://WWW.STMARYAPPLEVALLEY.COM/ABOUT-US/COMMUNITY-BENEFIT.ASPX. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM AND PROVIDENCE ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG AND WWW.PSJHEALTH.ORG.
FORM 990, PART IV, LINE 11F, PART IV, LINE 12; & PART XII, LINE 2	ST. MARY MEDICAL CENTER WAS INCLUDED IN CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS FOR PROVIDENCE ST. JOSEPH HEALTH FOR THE PERIOD ENDED DECEMBER 31, 2017. AS SUCH, AUDITED FINANCIAL STATEMENTS WERE NOT PREPARED FOR THE TAX YEAR ENDED JUNE 30, 2017. THE REPORTING ORGANIZATION WILL CHANGE ITS TAX YEAR END TO DECEMBER 31 FOR 2017. FORM 990, PART V, LINE 1A ST. JOSEPH HEALTH SYSTEM PAYS ALL VENDORS ON BEHALF OF ITS MINISTRY ENTITIES THROUGH ITS SHARED SERVICES AND THEREFORE ISSUES THE RELATED FORM 1099-MISC UNDER ITS TAX IDENTIFICATION NUMBER. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE CORPORATE MEMBERS OF ST. MARY MEDICAL CENTER.
FORM 990, PART VI, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. MARY MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. MARY MEDICAL CENTER BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST. MARY MEDICAL CENTER 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	DESCR CLASSES OF PERSONS, DECISIONS REQ APPR & 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, 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	DESCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE FEBRUARY 2018 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING.
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST POLICY OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN CONNECTION WITH THAT INDIVIDUAL SATISFYING THEIR FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WITH GUIDANCE FROM THE ST. JOSEPH HEALTH SYSTEM CHIEF COMPLIANCE OFFICER (CCO), THE CHIEF EXECUTIVE AND/OR THE GOVERNING BOARD CHAIRPERSON, AS APPROPRIATE, CONSIDERS THE MATTER INITIALLY. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL, THE MATTER IS ESCALATED TO THE CCO. THE CCO, IN CONSULTATION WITH THE ST. JOSEPH HEALTH SYSTEM GENERAL COUNSEL, REVIEWS THE MATTER AND PRESENTS RECOMMENDATIONS TO THE GOVERNING BOARD AND/OR BOARD COMMITTEE, AS APPROPRIATE, FOR DISCUSSION AND VOTE. THE INDIVIDUAL WHOSE POTENTIAL CONFLICT IS BEING REVIEWED MAY BE REQUESTED TO BE PRESENT DURING ANY MEETING IN WHICH THE BOARD OR BOARD COMMITTEE CONDUCTS ITS EVALUATION BUT SHALL BE EXCUSED FOR ANY DISCUSSION OR VOTE. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE.
FORM 990, PART VI, LINES 15A & 15B	PROCESS USED TO DETERMINE 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 ST. JOSEPH HEALTH SYSTEM'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW ST. JOSEPH HEALTH SYSTEM 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. ST. JOSEPH HEALTH SYSTEM HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE ST. JOSEPH HEALTH SYSTEM MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF ST. JOSEPH HEALTH SYSTEM'S LEGAL ENTITIES. ST. JOSEPH HEALTH SYSTEM ALSO MAINTAINS A NETWORK OF COMMUNITY MINISTRY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. ST. JOSEPH HEALTH SYSTEM 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 AND APPROVED BY THE FULL BOARD OF DIRECTORS, NONE OF WHOM IS A ST. JOSEPH HEALTH SYSTEM EMPLOYEE. 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. ST. JOSEPH HEALTH SYSTEM 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 ST. JOSEPH HEALTH SYSTEM. ADDITIONALLY, ST. JOSEPH HEALTH SYSTEMS LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, ST. JOSEPH HEALTH SYSTEM ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR ST. JOSEPH HEALTH SYSTEM 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 ST. JOSEPH HEALTH SYSTEM OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH 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. THIS PROCESS WAS LAST COMPLETED IN SEPTEMBER 2016.
FORM 990, PART VI, LINE 19	AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART XI, LINE 9	CHANGES IN NET ASSETS OR FUND BALANCE SJHS EQUITY TRANSFER ($ 8,187,453) SJHHF EQUITY TRANSFER ($ 5,611,471) SJH FOUNDATION TRANSFER ($ 1,109,145) CURRENT YEAR RESTR CONTRIBUTION $ 645,786 GIFT SHOP EQUITY $ 122,208 OTHER ADJUSTMENTS $ 100,000 ------------- TOTAL ($14,040,075)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (111 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COVENANT HEALTH NETWORK INC
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	461259908	HEALTHCARE	CA	501(C)(3)	12,III	SJHS	Yes (true)
COVENANT ACO
3615 19TH STREET	LUBBOCK	TX	79410	611573313	HEALTHCARE	TX	501(C)(3)	12,I	CHS	Yes (true)
COVENANT HEALTH SYSTEM
3615 19TH STREET	LUBBOCK	TX	79410	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (true)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
COVENANT MEDICAL GROUP
3420 22ND PLACE	LUBBOCK	TX	79410	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
COVENANT HEALTH PARTNERS
3615 19TH STREET	LUBBOCK	TX	79410	463516417	HEALTHCARE	TX	501(C)(3)	12,I	CHS	Yes (true)
HMTS INC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(C)(3)	12,I	HMHP	Yes (true)
HOAG CHARITY SPORTS
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (true)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (true)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
HOSPICE OF LUBBOCK
3702 21ST STREET	LUBBOCK	TX	79410	752133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (true)
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREET	LUBBOCK	TX	79410	752220963	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREET	LUBBOCK	TX	79410	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUE	LEVELLAND	TX	79336	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROAD	PLAINVIEW	TX	79072	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
MISSION HOSPITAL REGIONAL MEDICAL CTR
27700 MEDICAL CENTER ROAD	MISSION VIEJO	CA	92691	951643360	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREET	NAPA	CA	94558	941243669	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVE	FORTUNA	CA	95540	942779313	HEALTHCARE	CA	501(C)(3)	7	RMH	Yes (true)
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVE	FORTUNA	CA	95540	941384665	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVE	SANTA ROSA	CA	95405	941231005	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
SRM ALLIANCE HOSPITAL SERVICES (PVH)
400 NORTH MCDOWELL BLVD	PETALUMA	CA	94954	680395200	HEALTHCARE	CA	501(C)(3)	3	SRMH	Yes (true)
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DRIVE	IRVINE	CA	92612	953589356	HEALTHCARE	CA	501(C)(3)	12,I	PSJH	false
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	7	SJHS	Yes (true)
ST JOSEPH HOME CARE NETWORK
1111 SONOMA STE 308	SANTA ROSA	CA	95405	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREET	EUREKA	CA	95501	941156596	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVE	ORANGE	CA	92868	951643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST JOSEPH HERITAGE HEALTHCARE
200 WEST CENTER ST PROMENADE	ANAHEIM	CA	92805	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVE	FULLERTON	CA	92635	951643324	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREET	LUBBOCK	TX	79410	751653181	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
ST JOSEPH HEALTH NOR CAL LLC
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	814791043	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIA	ORANGE	CA	92868	951643383	RELIGIOUS ORG	CA	501(C)(3)	1	NA	false
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	false
E WA & MT UNEMPLOYMENT COMP INSR TRUST
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	911082119	UNEMPLOYMENT	WA	501(C)(3)	12,I	PHS WA	Yes (true)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128	EVERETT	WA	982065128	943264605	TRANS. CARE	WA	501(C)(3)	10	NA	false
FACEY MEDICAL FOUNDATION
15451 SAN FERNANDO MISSION BLVD 2	MISSION HILLS	CA	91345	954322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes (true)
GAMELIN WASHINGTON ASSOCIATION
1423 FIRST AVENUE	SEATTLE	WA	98101	201910170	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (true)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (true)
INLAND NORTHWEST HEALTH SERVICES
601 W 1ST AVENUE	SPOKANE	WA	99201	911307555	HEALTHCARE	WA	501(C)(3)	3	PHS WA	Yes (true)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW 9016	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(C)(3)	7	PHS SJHS	Yes (true)
INSTITUTE FOR SYSTEMS BIOLOGY
401 TERRY AVE N	SEATTLE	WA	98109	912003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes (true)
JOHN WAYNE CANCER INSTITUTE
2200 SANTA MONICA BLVD	SANTA MONICA	CA	90404	954291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes (true)
KADLEC AUXILIARY INC
888 SWIFT BLVD	RICHLAND	WA	99352	916033089	SUPPORT	WA	501(C)(3)	12,III	KRMC	Yes (true)
KADLEC FOUNDATION
888 SWIFT BLVD	RICHLAND	WA	99352	237005501	SUPPORT	WA	501(C)(3)	12,I	KRMC	Yes (true)
KADLEC NEUROLOGICAL RESOURCE CENTER
1268 LEE BLVD	RICHLAND	WA	99352	911266345	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes (true)
KADLEC REGIONAL MEDICAL CENTER
888 SWIFT BLVD	RICHLAND	WA	99352	910655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (true)
LITTLE COMPANY OF MARY ANCILLARY SVCS CO
4101 TORRANCE BLVD	TORRANCE	CA	90503	330844408	IMAGING SVCS	CA	501(C)(3)	10	PHS SOCAL	Yes (true)
LUNDBERG ASSOCIATIONPROVIDENCE HOUSE
5921 E BURNSIDE	PORTLAND	OR	97215	911562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (true)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER
747 BROADWAY	SEATTLE	WA	98122	912054035	RESEARCH	WA	501(C)(3)	7	SHS	Yes (true)
PACMED CLINICS
1200 12TH AVENUE S	SEATTLE	WA	98144	562290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes (true)
PH&S FOUNDATIONSFVSA & SCVSA
501 S BUENA VISTA STREET	BURBANK	CA	91505	953544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (true)
PROVIDENCE ALASKA FOUNDATION
3300 PROVIDENCE DR TOWER 2	ANCHORAGE	AK	99508	920093565	HEALTHCARE	AK	501(C)(3)	12,I	PHS WA	Yes (true)
PROVIDENCE BENEDICTINE NURSING CTR FNDN
540 SOUTH MAIN STREET	MT ANGEL	OR	973629532	911940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (true)
PROVIDENCE BLANCHET ASSOCIATION
1700 PROVIDENCE PL	CENTRALIA	WA	98531	911789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (true)
PROVIDENCE CHILD CENTER FOUNDATION
830 NE 47TH	PORTLAND	OR	97213	930800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (true)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1111 CRATER LAKE AVE	MEDFORD	OR	97504	930692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (true)
PROVIDENCE DETHMAN HOUSE
1205 MONTELLO AVE	HOOD RIVER	OR	97031	473385506	SUPPORT	WA	501(C)(3)	7	NA	false
PROVIDENCE FOUNDATION
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	943078543	HEALTHCARE	WA	501(C)(3)	12,I	PHS WA	Yes (true)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
4515 MLK JR WAY S STE 200	SEATTLE	WA	98108	311744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (true)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	911549796	HEALTHCARE	WA	501(C)(3)	12,II	PSJH	false
PROVIDENCE HEALTH & SERVICES - MONTANA
500 W BROADWAY PO BOX 4587	MISSOULA	MT	598064587	810231793	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (true)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	510216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes (true)
PROVIDENCE HEALTH & SERVICES - WA
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	510216586	HEALTHCARE	WA	501(C)(3)	3	PHS	Yes (true)
PROVIDENCE HEALTH & SERVICES - WEST WA
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	911303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes (true)
PROVIDENCE HEALTH ASSURANCE
4400 NE HALSEY BLDG 2	PORTLAND	OR	97213	550828701	MEDICAID	OR	501(C)(4)	N/A	PHP	Yes (true)
PROVIDENCE HEALTH CARE FNDN - E WA
101 W 8TH AVENUE	SPOKANE	WA	99204	320014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (true)
PROVIDENCE HEALTH CARE FNDN (CENTRALIA)
914 S SCHEUBER ROAD	CENTRALIA	WA	98531	911433382	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (true)
PROVIDENCE HEALTH PLAN
4400 NE HALSEY BLDG 2	PORTLAND	OR	97213	930863097	HEALTHCARE	OR	501(C)(4)	N/A	PPP	Yes (true)
PROVIDENCE HEALTH SYSTEM - SO CAL
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	510216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes (true)
PROVIDENCE HOOD RIVER MEM HOSP FDN
811 13TH ST	HOOD RIVER	OR	97031	930921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (true)
PROVIDENCE HOSPICE AND HOME CARE FNDN
2731 WETMORE AVENUE STE 500	EVERETT	WA	98201	272552749	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (true)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
425 PONTIUS AVENUE NORTH 300	SEATTLE	WA	980195452	912077378	HEALTHCARE	WA	501(C)(3)	12,I	PHS WA	Yes (true)
PROVIDENCE LITTLE COMPANY OF MARY FNDN
4101 TORRANCE BLVD	TORRANCE	CA	90503	510224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (true)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SE	ISSAQUAH	WA	980297219	931554288	HEALTHCARE	WA	501(C)(3)	12,I	PHS WA	Yes (true)
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVD	TORRANCE	CA	90503	330283773	HEALTHCARE	CA	501(C)(3)	12,I	PHS SOCAL	Yes (true)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND	MILWAUKIE	OR	97222	943079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (true)
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVENUE SW	SEATTLE	WA	981262799	911188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (true)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVE	NEWBERG	OR	97132	930889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (true)
PROVIDENCE PETER CLAVER ASSOCIATION
7101 38TH AVENUE SOUTH	SEATTLE	WA	98118	311629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (true)
PROVIDENCE PLAN PARTNERS
4400 NE HALSEY BLDG 2	PORTLAND	OR	97213	911861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes (true)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN STREET	PORTLAND	OR	972132967	931231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (true)
PROVIDENCE ROSSI ASSOCIATION
1700 PROVIDENCE PLACE	CENTRALIA	WA	98531	311584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes (true)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	951684082	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (true)
PROVIDENCE SAINT JOHN'S MEDICAL FNDN
20555 EARL ST	TORRANCE	CA	90503	814542216	HEALTHCARE	CA	501(C)(3)	Pending	PHS SOCAL	Yes (true)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA RD	SEASIDE	OR	97138	930927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (true)
PROVIDENCE ST ELIZABETH HOUSE ASSOC
3201 SW GRAHAM ST	SEATTLE	WA	98126	912171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (true)
PROVIDENCE ST FRANCIS ASSOCIATION
3415 12TH AVENUE NE	OLYMPIA	WA	98506	943244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (true)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW 9016	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(C)(3)	12,III	NA	false
PROVIDENCE ST JOSEPH MEDICAL CENTER
PO BOX 1010	POLSON	MT	598601010	810463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (true)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREET	WALLA WALLA	WA	99362	452841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (true)
PROVIDENCE ST PETER FOUNDATION
413 LILLY ROAD NE	OLYMPIA	WA	985065166	911097056	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (true)
PROVIDENCE ST VINCENT MEDICAL FNDN
9205 SW BARNES ROAD	PORTLAND	OR	97225	930575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (true)
PROVIDENCE TRINITYCARE HOSPICE
5315 TORRANCE BLVD STE B1	TORRANCE	CA	90503	953264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes (true)
PROVIDENCE TRINITYCARE HOSPICE FNDN
5315 TORRANCE BLVD STE B1	TORRANCE	CA	90503	330261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes (true)
PROVIDENCE WILLAMETTE FALLS MEDICAL FNDN
1500 DIVISION STREET	OREGON CITY	OR	97045	931003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes (true)
SAINT JOHN'S HOSPITALHEALTH CENTER FNDN
2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	956100079	SUPPORT	CA	501(C)(3)	7	PSJHC	Yes (true)
SEATTLE SCIENCE FOUNDATION
550 17TH AVENUE	SEATTLE	WA	98122	611502822	PHYSN COLLAB	WA	501(C)(3)	7	WHC	Yes (true)
SISTERS OF PROVIDENCE OF MONTANA CORP
1801 LIND AVENUE SW 9016	RENTON	WA	980579016	262612415	SHELL CORP	MT	501(C)(3)	1	PHS WA
ST LUKE ASSOCIATION
350 WASHINGTON AVE SE	CHEHALIS	WA	98352	943176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (true)
ST PATRICK HOSPITAL FOUNDATION
500 WEST BROADWAY PO BOX 4587	MISSOULA	MT	598064587	237056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes (true)
ST THOMAS CHILD AND FAMILY CENTER
1710 BENEFIS COURT	GREAT FALLS	MT	59405	810233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes (true)
SWEDISH EDMONDS
21601 76TH AVENUE	EDMONDS	WA	98026	272305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (true)
SWEDISH HEALTH SERVICES
747 BROADWAY	SEATTLE	WA	98122	910433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (true)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAY	SEATTLE	WA	98122	910983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (true)
SWEDISH MJM HOLDINGS
747 BROADWAY	SEATTLE	WA	98122	273139262	HOLDING CO	WA	501(C)(3)	12,I	SHS	Yes (true)
THE GAMELIN ASSOCIATION
312 NORTH FOURTH STREET	YAKIMA	WA	98901	911180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (true)
THE GAMELIN CALIFORNIA ASSOCIATION
540 23RD STREET	OAKLAND	CA	94612	911293869	SUPPORT	CA	501(C)(3)	10	PHS SOCAL	Yes (true)
THE GAMELIN OREGON ASSOCIATION
5520 NE GLISAN	PORTLAND	OR	97213	911214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes (true)
UNIVERSITY OF GREAT FALLS
1301 20TH STREET SOUTH	GREAT FALLS	MT	59405	810231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes (true)
WESTERN HEALTHCONNECT
747 BROADWAY	SEATTLE	WA	98122	454171900	SHELL CORP	WA	501(C)(3)	12,II	PHS W WA	Yes (true)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW 9016	RENTON	WA	980579016		RELIGIOUS ORG	WA	501(C)(3)	1	NA	false
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW 9016	RENTON	WA	980579016		RELIGIOUS ORG	WA	501(C)(3)	1		false	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (58 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
ADVANCED SURGERY INSTITUTE LLC
1739 4TH STREET	SANTA ROSA	CA	95404	262299255	HEALTHCARE	CA	NA	N/A
COVENANT LONG-TERM CARE LP
4000 24TH STREET	LUBBOCK	TX	79410	205033419	HEALTHCARE	TX	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
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	611588294	HEALTHCARE	CA	NA	N/A
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOVK	TX	79410	752343261	HEALTHCARE	TX	NA	N/A
NEWPORT IMAGING CENTER
360 SN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	NA	N/A
SHA LLC
12940 NORTH HIGHWAY 183	AUSTIN	TX	78750	752569094	HEALTHCARE	TX	NA	N/A
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVE	ORANGE	CA	92868	454521884	REAL ESTATE	CA	NA	N/A
NORTH BAY ENDOSCOPY CENTER
1383 N MCDOWELL BLVD SUITE 110	PETALUMA	CA	94954	611559876	HEALTHCARE	CA	NA	N/A
SOUTHERN CALIFORNIA SURGERY CENTER LLC
18321 VENTURA BLVD STE 740	TARZANA	CA	91356	330939000	HEALTHCARE	CA	NA	N/A
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92664	810986844	HEALTHCARE	CA	NA	N/A
ST JOSEPHSATELLITE DIALYSIS CENTERS
300 SANTANA ROW SUITE 300	SAN JOSE	CA	95128	814657391	HEALTHCARE	CA	NA	N/A
ALPHA MEDICAL LABORATORY LLC
611 N PERRY	SPOKANE	WA	99202	912017347	OUTPATIENT LAB	ID	NA	N/A
BROADWAY IMAGING LLC
500 W BROADWAY	MISSOULA	MT	59802	522405971	MEDICAL IMAGING	MT	NA	N/A
CALIFORNIA LABORATORY ASSOCIATES LLC
501 BUENA VISTA	BURBANK	CA	91505	273888692	OUTPATIENT LAB	CA	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
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
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	NA	N/A
MINOR & JAMES MEDICAL PLLC
515 MINOR AVENUE 200	SEATTLE	WA	98104	911340223	PHYSICIAN CLINIC	WA	NA	N/A
MOUNTAINSTAR CLINICAL LABORATORIES LLC
611 N PERRY	SPOKANE	WA	99202	261345983	OUTPATIENT LAB	MT	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
PACLAB LLC
611 N PERRY SPOKANE	SPOKANE	WA	99202	911743952	OUTPATIENT LAB	WA	NA	N/A
PATHOLOGY ASSOCIATES MEDICAL LABORATORIE
611 N PERRY SPOKANE	SPOKANE	WA	99202	270943279	OUTPATIENT LAB	WA	NA	N/A
PETCT IMAGING AT SWEDISH CANCER INSTITU
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	NA	N/A
PORTLAND MEDICAL IMAGING LLC
4400 NE HALSEY	PORTLAND	OR	97213	201054971	IMAGING DIAGNOSTI	OR	NA	N/A
PROV RADIATION ONCOLOGY DEVELOP ASSN
4400 NE HALSEY	PORTLAND	OR	97213	260682491	REAL ESTATE - MOB	OR	NA	N/A
PROVIDENCE IMAGING CENTER
3340 PROVIDENCE DRIVE	ANCHORAGE	AK	99508	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 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	MISSION HILLS	CA	91345	202829660	AMBULATORY SURG	CA	NA	N/A
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD	MISSION HILLS	CA	91345	200905938	AMBULATORY SURG	CA	NA	N/A
SOUTHERN IDAHO REGIONAL LABORATORY LLC
611 N PERRY SPOKANE	SPOKANE	WA	99202	820511819	OUTPATIENT LAB	ID	NA	N/A
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	NA	N/A
TRI-CITIES LABORATORY LLC
611 N PERRY	SPOKANE	WA	99202	911773986	OUTPATIENT LAB	WA	NA	N/A
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENT	WA	NA	N/A
PHS INVESTMENT TRUST HEDGE FUND PORTFOLI
1801 Lind Avenue SW No 9016	Renton	WA	98057	472293255	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST BANK LOANS PORTFOLI
1801 Lind Avenue SW No 9016	Renton	WA	98057	472357735	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRANSITION PORTFOLIO
1801 Lind Avenue SW No 9016	Renton	WA	98057	472279711	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST RISK PARITY PORTFOL
1801 Lind Avenue SW No 9016	Renton	WA	98057	472336377	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST LONG TREASURIES POR
1801 Lind Avenue SW No 9016	Renton	WA	98057	472385238	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST MLP PORTFOLIO
1801 Lind Avenue SW No 9016	Renton	WA	98057	472367538	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST RELATIVE VALUE PORT
1801 Lind Avenue SW No 9016	Renton	WA	98057	472314743	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST TIPS PORTFOLIO
1801 Lind Avenue SW No 9016	Renton	WA	98057	472402609	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST PUBLIC EQUITY PORTF
1801 Lind Avenue SW No 9016	Renton	WA	98057	472283974	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST LDI PORTFOLIO
1801 Lind Avenue SW No 9016	Renton	WA	98057	472392060	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST PUBLIC DEBT PORTFOL
1801 Lind Avenue SW No 9016	Renton	WA	98057	472353569	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST TACTICAL TRADING PO
1801 Lind Avenue SW No 9016	Renton	WA	98057	472327491	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST COMMODITIES PORTFOL
1801 Lind Avenue SW No 9016	Renton	WA	98057	472269004	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST 2015 PRIVATE ASSETS
1801 Lind Avenue SW No 9016	Renton	WA	98057	473393740	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST SHORT TERM INVESTME
1801 Lind Avenue SW No 9016	Renton	WA	98057	812701056	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST 2016 PRIVATE ASSETS
1801 Lind Avenue SW No 9016	Renton	WA	98057	811532735	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST 2016 PRIVATE REAL E
1801 Lind Avenue SW No 9016	Renton	WA	98057	812960145	INVESTMENTS	WA	NA	N/A
LSC REAL PROPERTY LLC
2301 QUAKER AVENUE	LUBBOCK	TX	79410	474646059	REAL ESTATE	TX	NA	N/A
CALIFORNIA SPECIALTY SURGERY CENTER LP
26371 CROWN VALLEY PARKWAY	MISSION VIEJO	CA	92691	330939003	HEALTHCARE	CA	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
AMERICAN UNITY GROUP LTD
90 PITTS BAY ROAD	PEMBROKE	BD	HM08	CAPTIVE INSURANCE	BD	NA	C-CORP
COASTAL MANAGEMENT SERVICES ORGANIZATION
				HEALTHCARE		NA	C-CORP	1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831	CA
DATU HEALTH INC AND SUBSIDIARIES
				IT SVCS		NA	C-CORP	16150 MAIN CIRCLE DR SUITE 250	CHESTERFIELD	MO	63017	463070062	DE
HOAG MANAGEMENT SERVICES INC
				HEALTHCARE		NA	C-CORP	1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	CA
LUBBOCK METHODIST HOSP PRACTICE MGMT
				INACTIVE		NA	C-CORP	2107 OXFORD STREET STE 300	LUBBOCK	TX	79410	752578995	TX
LUBBOCK METHODIST HOSPITAL SVCS
				HEALTHCARE		NA	C-CORP	PO BOX 1201	LUBBOCK	TX	79410	752118585	TX
MISSION VIEJO MEDICAL VENTURES
				HEALTHCARE		NA	C-CORP	27800 MEDICAL CENTER RD	MISSION VIEJO	CA	92691	330212905	CA
ST JOSEPH HEALTH
				HOLDING COMPANY		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	462340232	CA
ST JOSEPH HEALTH SOURCE INC
				HEALTHCARE		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	461900168	CA
ST JOSEPH PROF SVCS ENTERPRSES INC
				HEALTHCARE		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330155323	CA
OPHIE HEALTHCARE SERVICES INC
				HEALTHCARE		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	271002825	CA
PROVIDENCE HEALTH VENTURES INC
				INVESTMENT		NA	C-CORP	4101 TORRANCE BLVD	TORRANCE	CA	90503	330122216	CA
CARON HEALTH CORPORATION
				MED PHYS SVCS		NA	C-CORP	510 W FRONT ST	MISSOULA	MT	59802	810486082	MT
PROVIDENCE HEALTH CARE VENTURES INC
				CLIN/MED LAB		NA	C-CORP	101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	900155714	WA
PROVIDENCE PHYSICIAN SERVICES CO
				CLIN/MED LAB		NA	C-CORP	101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911216033	WA
YAKIMA MEDICAL ARTS INC
				RENT REAL ESTATE		NA	C-CORP	611 N PERRY 100	SPOKANE	WA	99202	910787963	WA
BOURGET HEALTH SERVICES INC
				CLIN/MED LAB		NA	C-CORP	PO BOX 2687	SPOKANE	WA	99220	911354431	WA
1221 MADISON STREET OWNERS ASSOC
				OWNERS' ASSOC.		NA	C-CORP	747 BROADWAY	SEATTLE	WA	98122	201954319	WA
WESTERN HEALTHCONNECT VENTURES INC
				INVESTMENTS		NA	C-CORP	1801 LIND AVE SW 9016	RENTON	WA	98057	800953654	WA
PHN HOLDINGS
				STRAT PLAN SVCS		NA	C-CORP	20555 EARL STREET	TORRANCE	CA	90503	461814184	CA
PROVIDENCE HEALTH NETWORK
				PREPAID HEALTH		NA	C-CORP	20555 EARL STREET	TORRANCE	CA	90503	800886966	CA
PIONEER INNOVATIONS INC
				HEALTH INNOVATNS		NA	C-CORP	800 5TH AVE 10TH FLOOR	SEATTLE	WA	98104	364818191	WA
VINSERRA INC
				INVESTMENTS		NA	C-CORP	1328 22ND STREET	SANTA MONICA	CA	90403	953943315	CA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
c	$991,267	CASH
ST JOSEPH HEALTH SYSTEM FOUNDAITON
b	$1,478,900	CASH
ST JOSEPH HERITAGE HEALTHCARE
b	$5,611,471	CASH
ST JOSEPH HERITAGE HEALTHCARE
m	$295,390	CASH

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III	FormAndLineReferenceDesc
Explanation	IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 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, BOX 6100, NEWPORT BEACH, CA 92658 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD, STE 110, PETALUMA, CA 94954 SOUTHERN CALIFORNIA SURGERY CENTER, LLC EIN: 33-0939000 ADDRESS: 18321 VENTURA BLVD, STE 740, TARZANA, CA 91356 COASTAL ASC HOLDINGS LLC EIN: 81-0986844 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92664 ST. JOSEPH/SATELLITE DIALYSIS CENTERS, LLC EIN: 81-4657391 ADDRESS: 300 SANTANA ROW, STE 300, SAN JOSE, CA 95128 ALPHA MEDICAL LABORATORY, LLC EIN: 91-2017347 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 BROADWAY IMAGING, LLC EIN: 52-2405971 ADDRESS: 500 W. BROADWAY, MISSOULA, MT 59802 CALIFORNIA LABORATORY ASSOCIATES, LLC EIN: 27-3888692 ADDRESS: 501 BUENA VISTA, BURBANK, CA 91505 CENTER FOR SPECIALTY SURGERY, LLC EIN: 26-3638838 ADDRESS: 11782 SW BARNES ROAD, PORTLAND, OR 97225 CLACKAMAS RADIATION ONCOLOGY CENTER, LLC EIN: 26-0381897 ADDRESS: 4400 NE HALSEY ST., BLDG. II #495, PORTLAND, OR 97213 CENTER FOR MEDICAL IMAGING-BRIDGEPORT, LLC EIN: 26-0796953 ADDRESS: 4400 NE HALSEY #495, PORTLAND, OR 97213 CENTER FOR MEDICAL IMAGING-TANASBOURNE, LLC EIN: 20-0477972 ADDRESS: 4400 NE HALSEY #495, PORTLAND, OR 97213 GREATER VALLEY MEDICAL BUILDING, LP EIN: 95-4570858 ADDRESS: 501 S. BUENA VISTA STREET, BURBANK, CA 91505 MINOR & JAMES MEDICAL, PLLC EIN: 91-1340223 ADDRESS: 515 MINOR AVENUE #200, SEATTLE, WA 98104 MOUNTAINSTAR CLINICAL LABORATORIES, LLC EIN: 26-1345983 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 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 PACLAB, LLC EIN: 91-1743952 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 PATHOLOGY ASSOCIATES MEDICAL LABORATORIES, LLC EIN: 27-0943279 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 PET/CT IMAGING AT SWEDISH CANCER INSTITUTE, LLC EIN: 20-3132044 ADDRESS: 1221 MADISON STREET, SEATTLE, WA 98104 PORTLAND MEDICAL IMAGING, LLC EIN: 20-1054971 ADDRESS: 4400 NE HALSEY #495, PORTLAND, OR 97213 PROVIDENCE RADIATION ONCOLOGY DEVELOPMENT ASSOCIATION, LLC EIN: 26-0682491 ADDRESS: 4400 NE HALSEY #495, PORTLAND, OR 97213 PROVIDENCE IMAGING CENTER EIN: 92-0118807 ADDRESS: 3340 PROVIDENCE DRIVE, ANCHORAGE, AK 99508 PROVIDENCE PARTNERS FOR HEALTH, LLC EIN: 45-4041798 ADDRESS: 501 S. BUENA VISTA STREET, BURBANK, CA 91505 PROVIDENCE SURGERY CENTER, LLC EIN: 84-1401625 ADDRESS: 902 N. ORANGE STREET, 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 SOUTHERN IDAHO REGIONAL LABORATORY, LLC EIN: 82-0511819 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 THE MADISON SPOKANE INN, LLC EIN: 84-1606484 ADDRESS: 15 WEST ROCKWOOD BLVD, SPOKANE, WA 99204 TRI-CITIES LABORATORY, LLC EIN: 91-1773986 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 HCSA PROPERTIES LLC EIN: 46-0620892 ADDRESS: 1600 M STREET NW, AUBURN, WA 98001 PHS INVESTMENT TRUST HEDGE FUND PORTFOLIO EIN: 47-2293255 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST BANK LOANS PORTFOLIO EIN: 47-2357735 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRANSITION PORTFOLIO EIN: 47-2279711 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST RISK PARITY PORTFOLIO EIN: 47-2336377 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST LONG TREASURIES PORTFOLIO EIN: 47-2385238 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST MLP PORTFOLIO EIN: 47-2367538 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST RELATIVE VALUE PORTFOLIO EIN: 47-2314743 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST TIPS PORTFOLIO EIN: 47-2402609 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST PUBLIC EQUITY PORTFOLIO EIN: 47-2283974 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST LDI PORTFOLIO EIN: 47-2392060 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST PUBLIC DEBT PORTFOLIO EIN: 47-2353569 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST TACTICAL TRADING PORTFOLIO EIN: 47-2327491 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST COMMODITIES PORTFOLIO EIN: 47-2269004 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST 2015 PRIVATE ASSETS PORTFOLIO EIN: 47-3393740 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO EIN: 81-2701056 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST 2016 PRIVATE ASSETS PORTFOLIO EIN: 81-1532735 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST 2016 PRIVATE REAL ESTATE PORTFOLIO EIN: 81-2960145 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 LSC REAL PROPERTY, LLC EIN: 47-4646059 ADDRESS: 2301 QUAKER AVE, LUBBOCK, TX 79410 CALIFORNIA SPECIALTY SURGERY CENTER, LP EIN: 33-0939003 ADDRESS: 26371 CROWN VALLEY PARKWAY, MISSION VIEJO, CA 92691	ExplanationTxt