ST JOSEPH HOSPITAL OF EUREKA: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ST JOSEPH HOSPITAL OF EUREKA (EIN 94-1156596)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-14
IRS object ID: 201831349349310513
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-14T18:29:29-05:00	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	941156596	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH HOSPITAL OF EUREKA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JONI MURPHY	InCareOfNm
Business Name Control	STJO	BusinessNameControlTxt
Phone	7074458121	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2700 DOLBEER STREET	AddressLine1Txt
City	EUREKA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95501	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERTA LUSKIN-HAWK MD	PersonNm
Person Title	CHIEF EXECUTIVE	PersonTitleTxt
Signature	2018-05-14	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	ROBERTA LUSKIN-HAWK MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2700 DOLBEER STREET	AddressLine1Txt
City	EUREKA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95501	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$292,281,089	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://www.stjoehumboldt.org/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1942	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 HEALTH & QUALITY OF LIFE OF THE PEOPLE IN THE COMM WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	1496	TotalEmployeeCnt
Total Volunteers	108	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$2,593,911	PYContributionsGrantsAmt
CY Contributions Grants	$3,583,307	CYContributionsGrantsAmt
PY Program Service Revenue	$265,757,322	PYProgramServiceRevenueAmt
CY Program Service Revenue	$287,547,067	CYProgramServiceRevenueAmt
PY Investment Income	$161,176	PYInvestmentIncomeAmt
CY Investment Income	$897,966	CYInvestmentIncomeAmt
PY Other Revenue	$85,849	PYOtherRevenueAmt
CY Other Revenue	$231,530	CYOtherRevenueAmt
PY Total Revenue	$268,598,258	PYTotalRevenueAmt
CY Total Revenue	$292,259,870	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,521,350	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,731,041	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$93,195,469	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$103,127,483	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$509,945	CYTotalFundraisingExpenseAmt
PY Other Expenses	$129,644,659	PYOtherExpensesAmt
CY Other Expenses	$142,098,160	CYOtherExpensesAmt
PY Total Expenses	$226,361,478	PYTotalExpensesAmt
CY Total Expenses	$249,956,684	CYTotalExpensesAmt
PY Revenues Less Expenses	$42,236,780	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$42,303,186	CYRevenuesLessExpensesAmt
Total Assets BOY	$271,280,496	TotalAssetsBOYAmt
Total Assets EOY	$284,042,683	TotalAssetsEOYAmt
Total Liabilities BOY	$121,077,388	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$119,868,228	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$150,203,108	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$164,174,455	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ST. JOSEPH HOSPITAL OF EUREKA IS 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 THE PEOPLE IN THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$237,358,873	ExpenseAmt
Grant	$4,731,041	GrantAmt
Revenue	$287,696,571	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$237,358,873	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	false	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	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (true)	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	1496	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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	JONI MURPHY	PersonNm
Phone	7074458121	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2700 DOLBEER ST	AddressLine1Txt
City	EUREKA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95501	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 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
SCOTT SAGEMAN MD
BOARD MEMBER (PART YEAR)	2.0	2.0	Yes (X)	$21,000	$0	$0
MEGAN SMITH-ZAGONE MD
BOARD MEMBER (PART YEAR)	2.0	2.0	Yes (X)	$0	$0	$0
EVAN BUXBAUM MD
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$13,500	$0
RICK CENTER
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
SISTER KAREN CLOCK
BOARD CHAIRMAN	2.0	2.0	Yes (X)	$0	$0	$0
PAUL OHTA
BOARD MEMBER	2.0	52.0	Yes (X)	$0	$394,459	$27,683
BECKY GIACOMINI
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
SISTER PAT HAYHURST CSJ
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
RON JONES MD
BOARD VICE CHAIR	4.0	6.0	Yes (X)	$0	$2,450	$0
DENNIS LEONARDI
BOARD CHAIR	4.0	5.0	Yes (X)	$0	$0	$0
ELLEN MAHONEY MD
BOARD MEMBER	4.0	5.0	Yes (X)	$0	$0	$0
JEFF NELSON
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
DAVID SOMERVILLE
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
SR MARY THERESE SWEENEY CSJ
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
DAVID WELLS
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
DONALD WHEELER MD
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
DAVID O'BRIEN MD
PRESIDENT	43.0	14.0	Yes (X)	$0	$874,136	$44,573	Yes (X)
PATRICK CLEARY
BOARD MEMBER (PART YEAR)	2.0	2.0	Yes (X)	$0	$0	$0
JOHN GIEREK JR
BOARD CHAIRMAN (PART YEAR)	4.0	5.0	Yes (X)	$0	$0	$0
OLUYEMI ADEYANJU
SECRETARY	2.0	52.0		$0	$475,496	$10,990	Yes (X)
MICHEL RICCIONI
CFO (PART YEAR)	12.0	44.0		$0	$602,515	$53,316	Yes (X)
JULIE MALVEY
VP, MISSION INTEGRATION	43.0	9.0		$144,038	$0	$33,673	Yes (X)
ROBERT PETRINA
INTERIM CFO (BEG. 5/1/17)	14.0	36.0		$0	$0	$0	Yes (X)
DAVID SOUTHERLAND
VP, COO	43.0	7.0		$374,583	$0	$19,394		Yes (X)
MAUREEN DISBOT
VP, QUALITY AND SAFETY	10.0	49.0		$0	$437,276	$32,124		Yes (X)
WILLIAM PARKS
VP, MEDICAL AFFAIRS/CMO	43.0	7.0		$449,355	$0	$44,091		Yes (X)
TAMMY BARK
VP, CNO	43.0	7.0		$312,330	$0	$14,239		Yes (X)
LAURIE WATSON-STONE
VP, ANCILLARY & SUPPORT SRVCS	43.0	7.0		$298,631	$0	$37,903		Yes (X)
KEVIN KLOCKENGA
REGIONAL CEO	10.0	40.0		$0	$1,270,400	$31,292		Yes (X)
JAYNIE BOREN
N. CA REG VP - STRATEGIC SVCS	10.0	49.0		$0	$444,251	$33,304		Yes (X)
ROBERT EISEN
REGIONAL VP, HR NOCAL (PT YR)	12.0	38.0		$0	$370,407	$21,488		Yes (X)
JASON DURANT
CHIEF MEDICAL PHYSICIST	40.0	0.0		$230,098	$0	$24,999			Yes (X)
TERRY LERMA
DIRECTOR OF PHARMACY	40.0	0.0		$252,314	$0	$33,028			Yes (X)
HENRY BOOK
RN FIRST ASSIST-CHARGE	36.0	0.0		$223,504	$0	$46,565			Yes (X)
PHILIP SAMS
CLINICAL PHARMACIST	40.0	0.0		$223,171	$0	$43,050			Yes (X)
BRUCE BOSWICK
AREA DIRECTOR OF ONCOLOGY	40.0	0.0		$214,218	$0	$45,264			Yes (X)
JOSHUA ALLEE
VP, MISSION INTEGRATION	0.0	45.0		$0	$269,051	$17,330				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,743,242	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,153,941	TotReportableCompRltdOrgAmt
Total Other Compensation	$614,306	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	199	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
AMN HEALTHCARE INC
PO BOX 56157	LOS ANGELES	CA	90074	STAFFING SERVICES	$5,944,203
ST JOSEPH HERITAGE HEALTHCARE
200 W CENTER PROMENADE STE 800	ANAHEIM	CA	92805	PHYSICIAN SERVICES	$5,040,790
MEDICAL STAFFING NETWORK HEALTHCARE
PO BOX 840292	DALLAS	TX	75284	STAFFING SERVICES	$3,252,666
HEALTHCARE CODING AND CONSULTING SV
8000 SUMMERLIN LAKES DR	FORT MYERS	FL	33907	CONSULTING	$1,387,353
NORTH COAST SURGICAL SPECIALISTS
2321 HARRISON AVE	EUREKA	CA	95501	PHYSICIAN SERVICES	$1,036,752

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	39	CntrctRcvdGreaterThan100KCnt
Fundraising	$20,904	FundraisingAmt
Related Organizations	$2,333,100	RelatedOrganizationsAmt
Government Grants	$125,909	GovernmentGrantsAmt
All Other Contributions	$1,103,394	AllOtherContributionsAmt
Noncash Contributions	$20,904	NoncashContributionsAmt
Total Contributions	$3,583,307	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	$286,341,981	$286,341,981	$0	$0
EHR REVENUE	622110	$218,471	$218,471	$0	$0
CAFETERIA REVENUE	722514	$751,670	$751,670	$0	$0
MOB REVENUE	531120	$70,724	$70,724	$0	$0
340B REVENUE	900099	$153,898	$153,898	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,323	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,323	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$287,547,067	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$897,966	TotalRevenueColumnAmt
Exclusion	$897,966	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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Field	Value	IRS element (for citing)
Fundraising Gross Income	$103,245	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$20,904	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$21,219	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$82,026	TotalRevenueColumnAmt
Exclusion	$82,026	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	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
REBATES AND REFUNDS	900099	$2,872	$2,872	$0	$0
DEBT EXTINGUISHEMENT	900099	$146,632	$146,632	$0	$0

Field	Value	IRS element (for citing)
Other Revenue Total	$149,504	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$292,259,870	TotalRevenueColumnAmt
Related Or Exempt Func Income	$287,696,571	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$979,992	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,731,041	TotalAmt
Program Services	$4,731,041	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	$1,991,200	TotalAmt
Program Services	$305,653	ProgramServicesAmt
Management And General	$1,423,675	ManagementAndGeneralAmt
Fundraising	$261,872	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$69,073,847	TotalAmt
Program Services	$65,781,554	ProgramServicesAmt
Management And General	$3,247,415	ManagementAndGeneralAmt
Fundraising	$44,878	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,785,692	TotalAmt
Program Services	$3,568,471	ProgramServicesAmt
Management And General	$205,637	ManagementAndGeneralAmt
Fundraising	$11,584	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,621,624	TotalAmt
Program Services	$21,404,251	ProgramServicesAmt
Management And General	$1,136,431	ManagementAndGeneralAmt
Fundraising	$80,942	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,655,120	TotalAmt
Program Services	$5,370,279	ProgramServicesAmt
Management And General	$264,545	ManagementAndGeneralAmt
Fundraising	$20,296	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$14,337,376	TotalAmt
Program Services	$14,337,376	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,332,995	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,332,995	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$40,282	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$40,282	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$18,836	TotalAmt
Program Services	$18,836	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	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,227,829	TotalAmt
Program Services	$36,575,483	ProgramServicesAmt
Management And General	$2,637,420	ManagementAndGeneralAmt
Fundraising	$14,926	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$182,792	TotalAmt
Program Services	$130,151	ProgramServicesAmt
Management And General	$51,440	ManagementAndGeneralAmt
Fundraising	$1,201	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,949,309	TotalAmt
Program Services	$7,746,992	ProgramServicesAmt
Management And General	$194,078	ManagementAndGeneralAmt
Fundraising	$8,239	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,946,251	TotalAmt
Program Services	$2,800,317	ProgramServicesAmt
Management And General	$143,448	ManagementAndGeneralAmt
Fundraising	$2,486	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,297,018	TotalAmt
Program Services	$3,283,043	ProgramServicesAmt
Management And General	$13,199	ManagementAndGeneralAmt
Fundraising	$776	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$525,058	TotalAmt
Program Services	$215,409	ProgramServicesAmt
Management And General	$297,744	ManagementAndGeneralAmt
Fundraising	$11,905	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$5,361	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$5,361	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$28,136	TotalAmt
Program Services	$27,397	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$739	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,346,382	TotalAmt
Program Services	$4,346,382	ProgramServicesAmt
Management And General	$0	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	$10,123,103	TotalAmt
Program Services	$10,116,219	ProgramServicesAmt
Management And General	$6,884	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,210,740	TotalAmt
Program Services	$1,210,740	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$40,029,802	$40,029,802	$0	$0
CA HOSPITAL FEE	$8,196,333	$8,196,333	$0	$0
REPAIRS AND MAINTENANCE	$3,084,504	$2,915,506	$168,209	$789
TAX AND LICENSES	$473,387	$279,278	$194,109	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,742,666	TotalAmt
Program Services	$3,968,360	ProgramServicesAmt
Management And General	$724,994	ManagementAndGeneralAmt
Fundraising	$49,312	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$249,956,684	TotalAmt
Program Services	$237,358,873	ProgramServicesAmt
Management And General	$12,087,866	ManagementAndGeneralAmt
Fundraising	$509,945	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	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,963,523	BOYAmt
EOY	$22,766,722	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,333,780	BOYAmt
EOY	$3,759,980	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$21,435,977	BOYAmt
EOY	$30,479,540	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	$165,133	BOYAmt
EOY	$555,774	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,837,201	BOYAmt
EOY	$7,201,504	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,870,356	BOYAmt
EOY	$1,630,552	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$333,766,124	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$137,980,639	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$197,190,266	BOYAmt
EOY	$195,785,485	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$9,626,809	BOYAmt
EOY	$10,637,892	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	$2,111,396	BOYAmt
EOY	$2,039,167	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	$12,746,055	BOYAmt
EOY	$9,186,067	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$271,280,496	BOYAmt
EOY	$284,042,683	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,729,074	BOYAmt
EOY	$16,824,397	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	$0	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	$101,348,314	BOYAmt
EOY	$103,043,831	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$121,077,388	BOYAmt
EOY	$119,868,228	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$131,876,737	BOYAmt
EOY	$144,570,824	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,326,371	BOYAmt
EOY	$19,603,631	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$150,203,108	BOYAmt
EOY	$164,174,455	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$271,280,496	BOYAmt
EOY	$284,042,683	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$42,303,186	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$696,732	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$17,364	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$29,045,935	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	false	FederalGrantAuditRequiredInd

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
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	$18,836	OtherActivitiesAmt
Total Lobbying Expenditures	$18,836	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. JOSEPH HOSPITAL EUREKA.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$5,131,708	OtherCostOrOtherBasisAmt
Book Value	$5,131,708	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$214,211,136	OtherCostOrOtherBasisAmt
Depreciation	$59,133,482	DepreciationAmt
Book Value	$155,077,654	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$1,094,644	OtherCostOrOtherBasisAmt
Depreciation	$838,356	DepreciationAmt
Book Value	$256,288	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$99,124,984	OtherCostOrOtherBasisAmt
Depreciation	$78,008,801	DepreciationAmt
Book Value	$21,116,183	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,203,652	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$14,203,652	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$195,785,485	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
INTERCO. WITH HEALTH SYSTEM-BONDS	$90,808,556
PAYABLE TO THRID PARTIES	$3,609,939
INTERCOMPANY PAYABLES	$4,300,462
OTHER LIABILITIES	$1,446,611
ACCRUED LIABILITIES	$2,878,263

Field	Value	IRS element (for citing)
Total Liability	$103,043,831	TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	DINNER&AUCTION	Event1Nm
Gross Receipts Event1	$124,149	GrossReceiptsEvent1Amt
Charitable Contri Event1	$20,904	CharitableContriEvent1Amt
Gross Revenue Event1	$103,245	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$5,002	NonCashPrizesEvent1Amt
Food And Beverage Event1	$10,144	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$6,073	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$124,149	GrossReceiptsTotalAmt
Charitable Contributions Tot	$20,904	CharitableContributionsTotAmt
Gross Revenue Total Events	$103,245	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$5,002	NonCashPrizesTotalEventsAmt
Food And Beverage Total Events	$10,144	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$6,073	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$21,219	DirectExpenseSummaryEventsAmt
Net Income Summary	$82,026	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	false	ExpensesExceedBudgetInd
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	$1,454,144	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,454,144	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,153,678	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,382,644	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$771,034	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$121,514	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,528	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$98,986	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,729,336	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,405,172	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,324,164	NetCommunityBenefitExpnsAmt
Total Expense	0.00930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,309,514	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$92,538	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,216,976	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,933	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$79,933	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$336,991	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$247,765	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,226	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,699,317	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,890	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,696,427	NetCommunityBenefitExpnsAmt
Total Expense	0.00680	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,425,755	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$343,193	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,082,562	NetCommunityBenefitExpnsAmt
Total Expense	0.02040	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,155,091	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,748,365	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,406,726	NetCommunityBenefitExpnsAmt
Total Expense	0.02970	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,418	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,418	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,925	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$815	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$815	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$675	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,483	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$6,715,672	BadDebtExpenseAmt
Reimbursed By Medicare	$89,133,240	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$114,915,538	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$25,782,298	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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 JOSEPH HOSPITAL OF EUREKA	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2700 DOLBEER STREET	AddressLine1Txt
City	EUREKA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95501	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.STJOSEPHEUREKA.ORG	WebsiteAddressTxt
State License	D-0189726	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 JOSEPH HOSPITAL OF EUREKA	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	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
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	COLLECTING COMMUNITY INPUT IS AN INTEGRAL PART OF THE NEEDS ASSESSMENT PROCESS. QUANTITATIVE DATA ONLY TELLS PART OF THE STORY, BUT HEARING DIRECTLY FROM RESIDENTS AND STAKEHOLDERS WORKING IN HEALTH-RELATED FIELDS PROVIDES CONTEXT AND FIRST-HAND EXPERIENCE OF THE NEEDS OCCURRING WHERE PEOPLE LIVE, WORK AND PLAY. OVER A TWO WEEK PERIOD IN FEBRUARY 2017 WE HELD THREE RESIDENT FOCUS GROUPS IN DIFFERENT GEOGRAPHIC LOCATIONS OF OUR SERVICE AREA AND WITH POPULATIONS WHO HAVE KNOWN HEALTH DISPARITIES. IN TOTAL, MORE THAN 30 PEOPLE PARTICIPATED. THE FOCUS GROUPS WERE HELD IN FORTUNA AND EUREKA AND INCLUDED SENIORS LIVING IN THE EEL RIVER VALLEY AS WELL AS ELDERS FROM THE TABLE BLUFF RANCHERIA, LOW-INCOME FAMILIES AND SPANISH-SPEAKING COMMUNITY MEMBERS. A FOURTH FOCUS GROUP WITH GOVERNMENT AND NON-PROFIT STAKEHOLDERS WAS ALSO HELD IN EUREKA. ELEVEN REPRESENTATIVES FROM NINE ENTITIES ATTENDED. AT EACH FOCUS GROUP PARTICIPANTS WERE PROVIDED WITH SUMMARY SECONDARY AND PUBLICALLY AVAILABLE DATA HIGHLIGHTING AREAS OF NEED AND ASKED TO PROVIDE FEEDBACK. FOR CONSISTENCY PURPOSES, THE SAME QUESTIONS WERE ASKED AT EACH OF THE FOCUS GROUPS BUT PARTICIPANTS WERE ENCOURAGED TO SHARE THEIR PERSONAL EXPERIENCES ABOUT THE VARIOUS FACTORS INFLUENCING THEIR HEALTH AND THE HEALTH OF THEIR COMMUNITY. THEY WERE ALSO ASKED TO IDENTIFY ANY GAPS OR MISSING INFORMATION. AFTER GATHERING INPUT FROM FOCUS GROUPS, A RESIDENT COMMUNITY FORUM WAS HELD AT THE SEQUOIA CONFERENCE CENTER IN EUREKA. THE FORUM WAS OPEN TO ALL COMMUNITY MEMBERS. CALIFORNIA CENTER FOR RURAL POLICY FACILITATED THE FORUM AND SHARED THE HEALTH NEEDS THAT HAD EMERGED FROM THE CHNA PROCESS SO FAR. AFTER ROBUST DISCUSSION, PARTICIPANTS ENGAGED IN A CUMULATIVE VOTING PROCESS USING DOTS TO INDICATE THEIR GREATEST CONCERNS. THROUGH THIS DESIGN, THE FORUM SERVED AS SOMETHING OF A "CAPSTONE" TO THE COMMUNITY INPUT.
SCHEDULE H, PART V, SECTION B, LINE 6A	CHNA HOSPITAL FACILITIES: REDWOOD MEMORIAL HOSPITAL
SCHEDULE H, PART V, SECTION B, LINE 6B	CHNA OTHER ORGANIZATIONS: COUNTY OF HUMBOLDT DEPARTMENT OF HEALTH & HUMAN SERVICES - PUBLIC HEALTH BRANCH THE OLIN GROUP CALIFORNIA CENTER FOR RURAL POLICY
SCHEDULE H, PART V, SECTION B, LINE 7A	THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: https://www.stjoehumboldt.org/documents/Community-Benefit/SJE-CHNA-FY17.pd f
SCHEDULE H, PART V, SECTION B, LINE 10A	THE IMPLEMENTATION STRATEGY IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: https://www.stjoehumboldt.org/documents/Community-Benefit/SJE-CBPlan-IS-Re port-FY18-20.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	IN FY17 ST. JOSEPH HOSPITAL OF EUREKA (SJE) PRIORITIZED THREE AREAS OF SIGNIFICANT HEALTH NEED AS WE HEARD IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THEY ARE 1) NUTRITION, HEALTHY FOOD AND FOOD SECURITY; 2) MENTAL AND BEHAVIORAL HEALTH SERVICES; AND 3) CARE COORDINATION AND REFERRAL. ST. JOSEPH HOSPITAL OF EUREKA IS ADDRESSING THESE IDENTIFIED NEEDS IN THE FOLLOWING WAYS: NUTRITION, HEALTHY FOOD AND FOOD SECURITY - GRANTED $157,000 TO 13 ORGANIZATIONS THAT PROVIDE HEALTHY FOOD TO INDIVIDUALS FACING FOOD INSECURITY (IN PARTNERSHIP WITH REDWOOD MEMORIAL HOSPITAL) - FOR THE PAST FIVE YEARS ST. JOSEPH HOSPITAL OF EUREKA HAS PARTICIPATED IN THE COUNTY-WIDE EFFORT TO INCREASE ENROLLMENT IN CALFRESH IN ORDER TO INCREASE ACCESS TO FRESH PRODUCE AND NUTRITIOUS FOODS FOR LOW INCOME FAMILIES AND INDIVIDUALS - 33 FREE COMMUNITY DINNERS/EVENTS FEATURING FRESH PRODUCE AND NUTRITIOUS FOODS HOSTED BY ST. JOSEPH AND REDWOOD MEMORIAL HOSPITALS COMMUNITY BENEFIT PROGRAMS MENTAL AND BEHAVIOR HEALTH SERVICES - INCREASED PARTICIPATION IN MAY IS MENTAL HEALTH AWARENESS MONTH WITH THE GOAL OF INCREASING AWARENESS OF AND REDUCING STIGMA ASSOCIATED WITH MENTAL ILLNESS - CONTINUED TO CONTRACT WITH BI-LINGUAL LICENSED MARRIAGE AND FAMILY THERAPIST TO PROVIDE FREE COUNSELING SERVICES TO LOW-INCOME SPANISH-SPEAKING FAMILIES; ADDED CONTRACT WITH A LICENSED THERAPIST TO PROVIDE SERVICES TO WILLOW CREEK CRC - GRANTED $131,000 TO 12 ORGANIZATIONS OFFERING MENTAL/BEHAVIORAL HEALTH SERVICES OR RESOURCES (IN PARTNERSHIP WITH REDWOOD MEMORIAL HOSPITAL) CARE COORDINATION AND REFERRAL - IMPROVED COMMUNICATION BETWEEN EMERGENCY DEPARTMENT AND PRIMARY CARE BY ADDING A FULL TIME SOCIAL WORKER IN THE EMERGENCY DEPARTMENT, AND PILOTING PATIENT DISCHARGE FOLDERS - EXPANDED ACCESS TO MEDICAL RESPITE SERVICES BY OPENING BETTYS HOUSE IN JANUARY 2017 IN PARTNERSHIP WITH THE BETTY KWAN CHINN HOMELESS FOUNDATION - 1,543 AVOIDABLE BED DAYS IN MEDICAL RESPITE AT OUR THREE LOCATIONS: HEALING RING, SERENITY INN AND BETTYS HOUSE SUPPORTED BY CARE TRANSITIONS; A 63% INCREASE FROM FY16 - UPGRADED DOCUMENTATION SYSTEM FOR CARE TRANSITIONS AND PASO A PASO BY INVESTING IN ACTMD PLATFORM WHICH FEATURES COMMUNITY-WIDE CASE MANAGEMENT CAPABILITIES - PARTICIPATION IN THE RX SAFE HUMBOLDT WORKGROUP, CARE IMPROVEMENT MEETING, COMMUNITY HUDDLE, MDT (MULTI-DISCIPLINARY TEAM) MEETINGS HOSTED BY ADULT PROTECTIVE SERVICES AND THE LONG-TERM CARE ALTERNATIVES MEETING NEEDS BEYOND THE HOSPITALS SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH CORE COMMUNITY BENEFIT PROGRAMING (CARE TRANSITIONS, EVERGREEN LODGE, COMMUNITY RESOURCE CENTERS, PASO A PASO AND HEALTHY KIDS HUMBOLDT) AND BY FUNDING OTHER NON-PROFITS THROUGH OUR CARE FOR THE POOR COMMUNITY GRANTS PROGRAM MANAGED BY THE ST. JOSEPH HOSPITAL COMMUNITY BENEFIT DEPARTMENT. FURTHERMORE, ST. JOSEPH HOSPITAL WILL ENDORSE LOCAL NON-PROFIT ORGANIZATION PARTNERS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT ST. JOSEPH HOSPITAL SERVICE AREAS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW: WHILE WE COULD NOT PRIORITIZE ALL OF THE NEEDS IDENTIFIED, WE WILL BE ABLE TO EFFECT MANY OF THE NEEDS BY WORKING ON ROOT CAUSE. FOR EXAMPLE, HEART DISEASE IS NOT A PRIORITY NEED, BUT WE WILL IMPACT THIS HEALTH OUTCOME BY FOCUSING OUR EFFORTS ON PROMOTING GOOD NUTRITION AND FOOD SECURITY. DENTAL CARE IS NOT A PRIORITIZED NEED BUT ST. JOSEPH HOSPITAL IS COMMITTED TO WORKING WITH PARTNERS ON THE MULTI-YEAR DENTAL TRANSFORMATION GRANT OUR PUBLIC HEALTH DEPARTMENT RECEIVED FROM THE CA DEPARTMENT OF HEALTH CARE SERVICES. ADDITIONALLY, ST. JOSEPH HOSPITAL DOES NOT HAVE A PROGRAM IN PLACE TO DIRECTLY PREVENT ASTHMA OCCURRENCE IN OUR SERVICE AREA; HOWEVER, WE PARTNER WITH SEVERAL ENTITIES, INCLUDING THE PUBLIC HEALTH DEPARTMENT THAT DO ADDRESS ASTHMA PREVENTION. FURTHERMORE, OUR EFFORTS TO IMPROVE THE QUALITY OF HOUSING IN OUR SERVICE HAS THE POTENTIAL TO IMPACT ASTHMA OCCURRENCE. IN ADDITION, ST. JOSEPH HOSPITAL WILL COLLABORATE WITH LOCAL ORGANIZATION(S) THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS.
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	FINANCIAL ASSISTANCE POLICY https://www.stjoehumboldt.org/documents/Patient-Financial-Assistance/Finan cial-Assistance-Policy-ENGLISH_4.20.16.pdf SCHEDULE H, PART V, SECTION B, LINE 16B FINANCIAL ASSISTANCE APPLICATION https://www.stjoehumboldt.org/documents/Patient-Financial-Assistance/Finan cial-Assistance-Application-Humboldt-ENGLISH_3.8.16.pdf SCHEDULE H, PART V, SECTION B, LINE 16C PLAIN LANGUAGE SUMMARY https://www.stjoehumboldt.org/documents/Patient-Financial-Assistance/Humbo ldt_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
NORTHCOAST SURGERY CENTER
2705 HARRIS AVENUE	EUREKA	CA	95501	SURGERY CENTER
OUTPATIENT IMAGING CENTER
2330 BUHNE STREET	EUREKA	CA	95501	IMAGING CENTER
HUMBOLDT HOME INFUSION PROGRAM
2612 HARRISON AVENUE	EUREKA	CA	95501	AMBULATORY HOME INFUSION CTR.
INPATIENT REHABILITATION CENTER
2200 HARRISON AVENUE	EUREKA	CA	95501	REHABILITATION CENTER
OUTPATIENT REHABILITATION CENTER
2024 HARRISON AVENUE	EUREKA	CA	95501	REHABILITATION CENTER

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE 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 HOSPITAL OF EUREKA PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT https://www.stjoehumboldt.org/for-community/community-benefit/ SCHEDULE H, PART I, LINE 7A-I THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS. SCHEDULE H, PART I, LINE 7G NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES THE ST. JOSEPH HOSPITAL OF EUREKA COMMUNITY BUILDING ACTIVITIES IN FY17 FOCUS ON THE UNDERLYING OR ROOT CAUSES OF POOR INDIVIDUAL AND COMMUNITY HEALTH. FOR EXAMPLE, OUR CEO PARTICIPATED IN A COMMUNITY-WIDE COALITION THAT SEEKS TO TRANSFORM OUR LOCAL HEALTH SYSTEM TO AN ACCOUNTABLE COMMUNITY FOR HEALTH AS WELL AS INVESTIGATE ROOT CAUSES OF WORKFORCE RELATED ISSUES AND PLAN FOR THE FUTURE OF HEALTHCARE WORKFORCE DEVELOPMENT IN OUR RURAL COMMUNITY. OUR CEO SERVED ON THE BOARD OF A LOCAL NON-PROFIT, NORTHCOAST HEALTH INFORMATION AND IMPROVEMENT NETWORK (NCHIIN) IN AN EFFORT TO DEEPEN ALIGNMENT AND IMPACT OF THESE TRANSFORMATIONAL HEALTHCARE GOALS. ALL OF THESE ACTIVITIES WERE UNDERTAKEN TO ASSURE EQUAL ACCESS TO A ROBUST HEALTHCARE SYSTEM FOR FUTURE GENERATIONS AND FOR EVERYONE IN OUR COMMUNITY, ESPECIALLY THE POOR AND VULNERABLE. ST. JOSPEH HOSPITAL OF EUREKA ALSO PROVIDED FUNDING TO SUPPORT ENGLISH LANGUAGE LEARNERS IN OUR COMMUNITY. ENGLISH EXPRESS CLASSES WERE HELD AT CENTRALLY LOCATED COMMUNITY CENTERS SO THEY WERE ACCESSIBLE BY NON-ENGLISH SPEAKING IMMIGRANTS. THROUGH THESE LOW-BARRIER TO ENTRY AND ENGAGING CLASSES, STUDENTS GAINED ENGLISH LANGUAGE PROFICIENCY WHILE TAKING FIELD TRIPS AND LEARNING ABOUT THEIR NEW COMMUNITY. WITH INCREASED ENGLISH LANGUAGE SKILLS, IMMIGRANTS ARE ABLE TO SECURE AND RETAIN EMPLOYMENT, COMMUNICATE WITH MEDICAL PROFESSIONALS AND THEIR CHILDREN'S TEACHERS. ST. JOSEPH HOSPITAL OF EUREKA ALSO HOSTS A QUARTERLY ADVOCACY COMMITTEE MEETING WITH SENIOR HOSPITAL LEADERSHIP, SENIOR LEADERS FROM THE NON-PROFIT SECTOR, ELECTED OFFICIALS AND GOVERNMENT EMPLOYEES. AT THIS MEETING, ISSUES FACING THE POOR AND VULNERABLE ARE DISCUSSED AND AREAS NEEDING LOCAL, STATE OR FEDERAL ADVOCACY ARE IDENTIFIED.
SCHEDULE H, PART III, SECTION A, LINE 2	THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE. SCHEDULE H, PART III, SECTION A, LINE 3 CRITERIA USED TO DETERMINE ELIGIBILITY FOR PROVIDING FREE CARE THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART III, SECTION A, LINE 4 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, SECTION B, LINE 8 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, SECTION C, 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 THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS GUIDED BY THE FUNDAMENTAL UNDERSTANDING THAT MUCH OF A PERSON AND COMMUNITYS HEALTH IS DETERMINED BY THE CONDITIONS IN WHICH THEY LIVE, WORK, PLAY, AND PRAY. IN GATHERING INFORMATION ON THE COMMUNITIES SERVED BY THE HOSPITAL, WE LOOKED NOT ONLY AT THE HEALTH CONDITIONS OF THE POPULATION, BUT ALSO AT SOCIOECONOMIC FACTORS, THE PHYSICAL ENVIRONMENT, HEALTH BEHAVIORS, AND THE AVAILABILITY OF CLINICAL CARE. THIS FRAMEWORK, DEPICTED IN THE GRAPHIC BELOW FROM COUNTY HEALTH RANKINGS AND ROADMAPS, FOCUSES ATTENTION ON THE SOCIAL DETERMINANTS OF HEALTH TO LEARN MORE ABOUT OPPORTUNITIES FOR INTERVENTION THAT WILL HELP PEOPLE BECOME AND STAY HEALTHY WITHIN THEIR COMMUNITY. IN ADDITION, WE RECOGNIZED THAT WHERE PEOPLE LIVE TELLS US A LOT ABOUT THEIR HEALTH AND HEALTH NEEDS, AND THAT THERE CAN BE POCKETS WITHIN COUNTIES AND CITIES WHERE THE CONDITIONS FOR SUPPORTING HEALTH ARE SUBSTANTIALLY WORSE THAN NEARBY AREAS. WHEN DATA WAS PUBLICLY AVAILABLE, IT WAS COLLECTED AT THE ZIP CODE LEVEL TO SHOW THE DISPARITIES IN HEALTH AND THE SOCIAL DETERMINANTS OF HEALTH THAT OCCUR WITHIN THE HOSPITAL SERVICE AREA. METHODOLOGY COLLABORATIVE PARTNERS THE OLIN GROUP IS A SOCIALLY CONSCIOUS CONSULTING FIRM WORKING ACROSS NONPROFIT, PUBLIC, PRIVATE, AND PHILANTHROPIC SECTORS TO BRING ABOUT COMMUNITY TRANSFORMATION. BASED IN SANTA ANA, CALIFORNIA, THE OLIN GROUP HAS 15 YEARS OF EXPERIENCE WORKING ON EVALUATION, PLANNING, ASSESSMENT, FUNDRAISING, COMMUNICATION, AND OTHER SERVICES FOR NONPROFIT ORGANIZATIONS, AND HAD PREVIOUSLY SUPPORTED THE CHNA PROCESS OF MULTIPLE HOSPITALS IN THE ST. JOSEPH HEALTH SYSTEM. THE OLIN GROUP SERVED AS THE LEAD CONSULTANT IN THE CHNA PROCESS, COORDINATING THE QUANTITATIVE AND QUALITATIVE DATA COLLECTION PROCESSES AND ASSISTING IN THE PRIORITIZATION AND SELECTION OF HEALTH NEEDS. THE CALIFORNIA CENTER FOR RURAL POLICY (CCRP) FOSTERS "RURAL RESEARCH, FOR AND BY RURAL COMMUNITIES" TO IMPROVE THE HEALTH AND WELL-BEING OF RURAL PEOPLE AND ENVIRONMENTS. CCRP VALUES A RESEARCH APPROACH PARTNERING WITH RURAL PEOPLE TO ADDRESS THEIR PRIORITIES AND TO BUILD UPON COMMUNITY STRENGTHS. THE CENTER IS A LEADER IN INNOVATIVE METHODS OF RURAL RESEARCH. OUR EXPLORATION OF THE RELATIONSHIPS BETWEEN PEOPLE AND THEIR ENVIRONMENTS IS GROUNDED IN AN ECOLOGICAL APPROACH INVESTIGATING THE DETERMINANTS OF HEALTH AND WELL-BEING. CCRP EXAMINES THE INTERSECTIONS BETWEEN THE HEALTH OF INDIVIDUALS, THE HEALTH OF THE ECONOMY AND THE HEALTH OF THE ENVIRONMENT. CCRP ASSISTED IN THE PLANNING OF THE COMMUNITY INPUT SESSIONS, FACILITATED ALL FOCUS GROUPS AND THE FORUM, AND AIDED IN THE REPORTING ON THEIR FINDINGS. THE HUMBOLDT COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH BRANCH HAS BEEN WORKING COLLABORATIVELY WITH ST. JOSEPH HOSPITAL EUREKA TO ALIGN NEEDS ASSESSMENT PROCESS AND IMPLEMENTATION PLANS FOR THE PAST FOUR YEAR. NON-PROFIT HOSPITALS AND ACCREDITED PUBLIC HEALTH AGENCIES HAVE SIMILAR REQUIREMENTS TO PERIODICALLY SURVEY THE HEALTH NEEDS OF THEIR COMMUNITIES AND CRAFT COMPREHENSIVE PLANS TO ADDRESS THE PRIORITIZED SIGNIFICANT HEALTH NEEDS. USING A COLLECTIVE IMPACT APPROACH, ST. JOSEPH HOSPITAL EUREKA AND PUBLIC HEALTH ARE WORKING TO DEEPEN THEIR PARTNERSHIP BY SHARING DATA AND SETTING GOALS TOGETHER. THE RESULTING COMMUNITY-WIDE HEALTH IMPROVEMENT EFFORTS ARE BEING BRANDED LIVE WELL HUMBOLDT. COMMUNITY PARTNERS: ST. JOSEPH HOSPITAL EUREKA PARTNERED WITH THE FOLLOWING COMMUNITY GROUPS TO RECRUIT FOR AND HOST THE FOCUS GROUPS AND FORUM AS WELL AS PROVIDE LOCAL-LEVEL DATA SPECIFIC TO RURAL COMMUNITIES: - MULTIGENERATIONAL CENTER AND THE FORTUNA SENIOR CENTER - WESTSIDE COMMUNITY IMPROVEMENT ASSOCIATION AND THE JEFFERSON COMMUNITY CENTER - HUMBOLDT SENIOR RESOURCE CENTER - TABLE BLUFF RANCHERIA - BETTY KWAN CHINN HOMELESS FOUNDATION AND DAY CENTER - EUREKA RESCUE MISSION - ALCOHOL AND DRUG CARE SERVICES - REDWOOD COMMUNITY ACTION AGENCY - LIVE WELL HUMBOLDT, COMMUNITY STRATEGIES TEAM - ENGLISH EXPRESS - HUMBOLDT DEL-NORTE MEDICAL SOCIETY - HUMBOLDT COUNTY OFFICE OF EDUCATION - LATINONET AND HUMBOLDT PROMOTORES DE SALUD SECONDARY DATA/PUBLICLY AVAILABLE DATA WITHIN THE GUIDING HEALTH FRAMEWORK FOR THE CHNA, PUBLICLY-AVAILABLE DATA WAS SOUGHT THAT WOULD PROVIDE INFORMATION ABOUT THE COMMUNITIES (AT THE CITY AND ZIP CODE LEVEL WHEN AVAILABLE) AND PEOPLE WITHIN OUR SERVICE AREA. IN ADDITION, COMPARISON DATA WAS GATHERED TO SHOW HOW THE SERVICE AREA COMMUNITIES ARE FARING COMPARED TO THE COUNTY OR STATE. INDICATORS WERE CHOSEN IF THEY WERE WIDELY ACCEPTED AS VALID AND APPROPRIATE MEASURES AND WOULD READILY COMMUNICATE THE HEALTH NEEDS OF THE SERVICE AREA. PREFERENCE WAS GIVEN TO DATA THAT WAS OBTAINED IN THE LAST 5 YEARS AND WAS AVAILABLE AT THE ZIP CODE LEVEL. THE DATA SOURCES USED ARE HIGHLY REGARDED AS RELIABLE SOURCES OF DATA (E.G., ESRI BUSINESS ANALYST ONLINE, US CENSUS BUREAU AMERICAN FACTFINDER, AND CALIFORNIA HEALTH INTERVIEW SURVEY NEIGHBORHOOD EDITION). IN TOTAL, 81 INDICATORS WERE SELECTED TO DESCRIBE THE HEALTH NEEDS IN THE HOSPITALS SERVICE AREA. IF AN INDICATOR HAD ZIP CODE LEVEL DATA AVAILABLE, DATA WAS POOLED TO DEVELOP INDICATOR VALUES FOR THE TOTAL SERVICE AREA (TSA), PRIMARY SERVICE AREA (PSA), AND SECONDARY SERVICE AREA (SSA) OF THE HOSPITAL. THIS ENABLED COMPARISONS OF ZIP CODE LEVEL DATA TO THE HOSPITAL SERVICE AREA AND COMPARISONS OF THE HOSPITAL SERVICE AREA TO COUNTY AND STATE MEASURES. AFTER THE DATA WAS GATHERED, THE ZIP CODE LEVEL DATA WAS COMPARED TO THE TOTAL SERVICE AREA VALUES AND COLOR CODED LIGHT PINK TO DARK RED DEPENDING ON HOW MUCH WORSE A ZIP CODE AREA WAS COMPARED TO THE TSA VALUE. COMMUNITY INPUT THE PROCESS OF COLLECTING QUALITATIVE COMMUNITY INPUT TOOK THREE MAIN FORMS: COMMUNITY RESIDENT FOCUS GROUPS, A NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, AND A COMMUNITY FORUM. EACH GROUP WAS DESIGNED TO CAPTURE THE COLLECTED KNOWLEDGE AND OPINIONS OF PEOPLE WHO LIVE AND WORK IN THE COMMUNITIES SERVED BY ST. JOSEPH HOSPITAL EUREKA. WE DEVELOPED A PROTOCOL FOR EACH GROUP TO ENSURE CONSISTENCY ACROSS INDIVIDUAL FOCUS GROUPS, ALTHOUGH THE FACILITATORS HAD SOME DISCRETION ON ASKING FOLLOW-UP QUESTIONS OR PROBES AS THEY SAW FIT. INVITATION AND RECRUITMENT PROCEDURES VARIED FOR EACH TYPE OF GROUP. RESIDENT FOCUS GROUPS FOR COMMUNITY RESIDENT FOCUS GROUPS, HOSPITAL COMMUNITY BENEFIT STAFF, IN COLLABORATION WITH THEIR COMMUNITY BENEFIT COMMITTEES AND THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIPS DEPARTMENT, IDENTIFIED GEOGRAPHIC AREAS WHERE DATA SUGGESTED THERE WERE SIGNIFICANT HEALTH, PHYSICAL ENVIRONMENT, AND SOCIOECONOMIC CONCERNS. THIS PROCESS ALSO IDENTIFIED THE LANGUAGE NEEDS OF THE COMMUNITY, WHICH DETERMINED THE LANGUAGE IN WHICH EACH FOCUS GROUP WAS CONDUCTED. COMMUNITY BENEFIT STAFF THEN PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS THAT SERVE THOSE AREAS TO RECRUIT FOR AND HOST THE FOCUS GROUPS. COMMUNITY BENEFIT STAFF DEVELOPED AN INVITATION LIST USING THEIR CONTACTS - AS WELL AS CONTACTS OF THE COMMUNITY-BASED ORGANIZATIONS - AND KNOWLEDGE OF THE AREA. TRANSPORTATION ASSISTANCE WAS OFFERED AND PARTICIPANTS WERE PROMISED A SMALL INCENTIVE FOR THEIR TIME. A NOURISHING MEAL (LUNCH OR DINNER DEPENDING ON THE TIME OF DAY) WAS PROVIDED AND CHILDCARE WAS OFFERED AT THE FOCUS GROUPS THAT INCLUDED FAMILIES. TWO FOCUS GROUPS WERE CONDUCTED IN ENGLISH AND ONE IN SPANISH. TWO CONSULTANTS STAFFED EACH FOCUS GROUP, SERVING AS FACILITATORS AND NOTE TAKERS. THESE CONSULTANTS WERE NOT DIRECTLY AFFILIATED WITH THE MINISTRY TO ENSURE CANDOR FROM THE PARTICIPANTS. NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP FOR THE NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, COMMUNITY BENEFIT STAFF DEVELOPED A LIST OF LEADERS FROM ORGANIZATIONS THAT SERVE DIVERSE CONSTITUENCIES WITHIN THE HOSPITALS SERVICE AREA. MINISTRY STAFF SOUGHT TO INVITE ORGANIZATIONS WITH WHICH THEY HAD EXISTING RELATIONSHIPS, BUT ALSO USED THE FOCUS GROUP AS AN OPPORTUNITY TO BUILD NEW RELATIONSHIPS WITH STAKEHOLDERS. SPECIFIC EFFORT WAS MADE TO REACH OUT TO STAKEHOLDERS IN NON-HEALTH SECTORS, SUCH AS EDUCATION AND LAW ENFORCEMENT. PARTICIPANTS WERE NOT GIVEN A MONETARY INCENTIVE FOR ATTENDANCE, BUT A CATERED LUNCH WAS PROVIDED. AS WITH THE RESIDENT FOCUS GROUPS, THIS GROUP WAS FACILITATED BY OUTSIDE CONSULTANTS WITHOUT A DIRECT LINK TO ST. JOSEPH HEALTH. RESIDENT COMMUNITY FORUM RECRUITMENT FOR THE RESIDENT COMMUNITY FORUM WAS MUCH BROADER TO ENCOURAGE AS MANY PEOPLE AS POSSIBLE TO ATTEND THE SESSION. COMMUNITY BENEFIT STAFF PUBLICIZED THE EVENT THROUGH FLYERS AND EMAILS USING THEIR EXISTING OUTREACH NETWORKS, AND ALSO ASKED THEIR PARTNER ORGANIZATIONS TO INVITE AND RECRUIT PARTICIPANTS. EVERYONE WHO ATTENDED A FOCUS GROUP WAS INVITED TO THE COMMUNITY FORUM. NO FORMAL INVITATION LIST WAS USED FOR THE FORUM AND ANYONE WHO WISHED TO ATTEND WAS WELCOMED. THE FORUM WAS CONDUCTED BY AN OUTSIDE CONSULTANT IN ENGLISH, WITH SIMULTANEOUS SPANISH LANGUAGE TRANSLATION FOR ANYONE WHO REQUESTED IT.
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 HOSPITAL OF EUREKA PROVIDES NORTH COAST COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL IS LOCATED ON THE FAR NORTH COAST IN HUMBOLDT COUNTY - ONE OF THE LARGEST COUNTIES IN CALIFORNIA BY GEOGRAPHY, COVERING 3,568 SQUARE MILES. THE COUNTY IS DENSELY FORESTED, MOUNTAINOUS AND RURAL WITH NEARLY 1.5 MILLION ACRES OF COMBINED PUBLIC AND PRIVATE FORESTS. A LARGE PORTION - 680,000 ACRES OF REDWOOD FORESTS ARE PROTECTED OR STRICTLY CONSERVED. THE COUNTY IS THE SOUTHERN GATEWAY TO THE PACIFIC NORTHWEST AND IS SURROUNDED BY DEL NORTE COUNTY TO THE NORTH, TRINITY COUNTY TO THE EAST, MENDOCINO COUNTY TO THE SOUTH AND THE PACIFIC OCEAN ON THE WEST. THE COUNTY WAS ESTABLISHED IN MAY OF 1853 AND DERIVES ITS NAME FROM HUMBOLDT BAY, DISCOVERED BY A SEA OTTER HUNTING PARTY IN 1806 AND REDISCOVERED IN 1849, AND THE STATES SECOND LARGEST NATURAL BAY. THE COUNTY HAS A POPULATION OF 136,375 OR 38.2 PEOPLE PER SQUARE MILE. NEIGHBORING, TRINITY COUNTY, POPULATION 13,526 HAS ONLY 4.3 PEOPLE PER SQUARE MILE (COVERING 3,179 SQUARE MILES). CALIFORNIA AVERAGES 239.1 RESIDENTS PER SQUARE MILE AND CLASSIFIES RURAL COUNTIES AS UP TO 52 RESIDENTS PER SQUARE MILE. HUMBOLDT COUNTY IS CLASSIFIED AS A RURAL COUNTY AND TRINITY COUNTY IS CONSIDERED FRONTIER, BASED ON THIS PEOPLE PER SQUARE MILE AVERAGE. SEVEN PERCENT OF HUMBOLDT COUNTY HOUSEHOLDS ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, WHICH IS HIGHER THAN BOTH THE STATE AND NATIONAL LEVEL. IN SOME POCKETS OF HUMBOLDT COUNTY, MORE THAN A QUARTER OF HOUSEHOLDS ARE LIVING IN POVERTY. THE REGIONS ECONOMICALLY POOR RESIDENTS HAVE BEEN SEVERELY IMPACTED BY THE RECESSION AND THE ELIMINATION OF PROGRAMS AND SERVICES THAT LOCAL GOVERNMENTS ARE NO LONGER ABLE TO FUND. THE GROWING GAP IN NEEDED SERVICES HAS PLACED AT RISK THE HEALTH OF THOUSANDS OF UNDERSERVED INDIVIDUALS AND FAMILIES. HEALTH INSURANCE OPTIONS FOR LOCAL RESIDENTS HAVE INCREASED WITH MEDICAID EXPANSION AND OPENING OF THE STATE HEALTH INSURANCE EXCHANGE, COVERED CALIFORNIA. HOWEVER, THE COUNTY LACKS PROVIDERS TO CARE FOR THE REGIONS NEWLY INSURED. HUMBOLDT COUNTY IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA AND A MEDICALLY UNDERSERVED AREA. ATTRACTING AND RETAINING PRIMARY CARE AND SPECIALTY PHYSICIANS AS WELL AS OTHER HEALTH PROFESSIONALS IS AN ONGOING CHALLENGE FOR THIS RURAL COMMUNITY. ACCESS TO AFFORDABLE HEALTHCARE AND BASIC NEEDS HAS ELEVATED TO A CRITICAL LEVEL FOR PEOPLE LIVING IN HUMBOLDT COUNTY. TO RESPOND EFFECTIVELY REQUIRES COLLABORATIVE PROBLEM SOLVING AT THE COMMUNITY LEVEL. NONPROFIT HEALTH PROVIDERS LARGE AND SMALL MUST WORK TOGETHER TO LEVERAGE RESOURCES AND MAXIMIZE HEALTH ASSETS IN INNOVATIVE WAYS TO RESTORE WHAT HAS BEEN LOST, ENHANCE WHAT STILL EXISTS AND ENSURE SUSTAINABLE HEALTH PROGRAMS AND SERVICES ARE AVAILABLE OVER THE LONG-TERM TO POPULATIONS THAT NEED THEM THE MOST. COMMUNITY-BASED COLLABORATION HAS BEEN A PRIORITY FOR HUMBOLDT COUNTY NONPROFIT ORGANIZATIONS, AND WILL CONTINUE TO DRIVE THIS HOSPITALS COMMUNITY BENEFIT EFFORTS IN THE FUTURE. HOSPITAL TOTAL SERVICE AREA THE COMMUNITY SERVED BY THE HOSPITAL IS DEFINED BASED ON THE GEOGRAPHIC ORIGINS OF THE HOSPITALS INPATIENTS. THE HOSPITAL TOTAL SERVICE AREA IS COMPRISED OF BOTH THE PRIMARY SERVICE AREA (PSA) AS WELL AS THE SECONDARY SERVICE AREA (SSA) AND IS ESTABLISHED BASED ON THE FOLLOWING CRITERIA: - PSA: 70 PERCENT OF DISCHARGES (EXCLUDING NORMAL NEWBORNS) - SSA: 71 PERCENT-85 PERCENT OF DISCHARGES (DRAW RATES PER ZIP CODE ARE CONSIDERED AND PSA/SSA ARE MODIFIED ACCORDINGLY) - INCLUDES ZIP CODES FOR CONTINUITY - NATURAL BOUNDARIES ARE CONSIDERED (I.E., FREEWAYS, MOUNTAIN RANGES, ETC.) - CITIES ARE PLACED IN PSA OR SSA, BUT NOT BOTH THE PRIMARY SERVICE AREA ("PSA") IS THE GEOGRAPHIC AREA FROM WHICH THE MAJORITY OF THE HOSPITALS PATIENTS ORIGINATE. THE SECONDARY SERVICE AREA ("SSA") IS WHERE AN ADDITIONAL POPULATION OF THE HOSPITALS INPATIENTS RESIDE. THE PSA IS COMPRISED OF EUREKA, ARCATA, MCKINLEYVILLE, BAYSIDE, SAMOA AND FORTUNA. THE SSA INCLUDES TRINIDAD, BLUE LAKE AND NORTHERN HUMBOLDT COUNTY, KLAMATH AND CRESCENT CITY AS WELL AS FERNDALE, RIO DELL, LOLETA AND KNEELAND. OTHER HOSPITALS IN THE COMMUNITY INCLUDE: JEROLD PHELPS COMMUNITY HOSPITAL MAD RIVER COMMUNITY HOSPITAL REDWOOD MEMORIAL HOSPITAL SEMPERVIRENS PSYCHIATRIC HOSPITAL
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH ST. JOSEPH HOSPITAL OF EUREKA IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1920, LOCATED IN EUREKA, CA SERVING THE HUMBOLDT REGION. ST. JOSEPH HOSPITAL OF EUREKA PROVIDES VITAL HOSPITAL AND COMMUNITY SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE (TRADITIONAL CHARITY CARE) AND DISCOUNTED CARE. ST. JOSEPH HOSPITAL OF EUREKA 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 AND 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 ST. JOSEPH HOSPITAL OF EUREKA'S 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 EVERY OTHER MONTH. ST. JOSEPH HOSPITAL OF EUREKA'S FY15-FY17 CB PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSED ON: NUTRITION, HEALTHY FOOD AND FOOD SECURITY - GRANTED $157,000 TO 13 ORGANIZATIONS THAT PROVIDE HEALTHY FOOD TO INDIVIDUALS FACING FOOD INSECURITY (IN PARTNERSHIP WITH REDWOOD MEMORIAL HOSPITAL) - FOR THE PAST FIVE YEARS ST. JOSEPH HOSPITAL OF EUREKA HAS PARTICIPATED IN THE COUNTY-WIDE EFFORT TO INCREASE ENROLLMENT IN CALFRESH IN ORDER TO INCREASE ACCESS TO FRESH PRODUCE AND NUTRITIOUS FOODS FOR LOW INCOME FAMILIES AND INDIVIDUALS - 33 FREE COMMUNITY DINNERS/EVENTS FEATURING FRESH PRODUCE AND NUTRITIOUS FOODS HOSTED BY ST. JOSEPH AND REDWOOD MEMORIAL HOSPITALS COMMUNITY BENEFIT PROGRAMS MENTAL AND BEHAVIOR HEALTH SERVICES - INCREASED PARTICIPATION IN MAY IS MENTAL HEALTH AWARENESS MONTH WITH THE GOAL OF INCREASING AWARENESS OF AND REDUCING STIGMA ASSOCIATED WITH MENTAL ILLNESS - CONTINUED TO CONTRACT WITH BI-LINGUAL LICENSED MARRIAGE AND FAMILY THERAPIST TO PROVIDE FREE COUNSELING SERVICES TO LOW-INCOME SPANISH-SPEAKING FAMILIES; ADDED CONTRACT WITH A LICENSED THERAPIST TO PROVIDE SERVICES TO WILLOW CREEK CRC - GRANTED $131,000 TO 12 ORGANIZATIONS OFFERING MENTAL/BEHAVIORAL HEALTH SERVICES OR RESOURCES (IN PARTNERSHIP WITH REDWOOD MEMORIAL HOSPITAL) CARE COORDINATION AND REFERRAL - IMPROVED COMMUNICATION BETWEEN EMERGENCY DEPARTMENT AND PRIMARY CARE BY ADDING A FULL TIME SOCIAL WORKER IN THE EMERGENCY DEPARTMENT, AND PILOTING PATIENT DISCHARGE FOLDERS - EXPANDED ACCESS TO MEDICAL RESPITE SERVICES BY OPENING BETTYS HOUSE IN JANUARY 2017 IN PARTNERSHIP WITH THE BETTY KWAN CHINN HOMELESS FOUNDATION - 1,543 AVOIDABLE BED DAYS IN MEDICAL RESPITE AT OUR THREE LOCATIONS: HEALING RING, SERENITY INN AND BETTYS HOUSE SUPPORTED BY CARE TRANSITIONS; A 63% INCREASE FROM FY16 - UPGRADED DOCUMENTATION SYSTEM FOR CARE TRANSITIONS AND PASO A PASO BY INVESTING IN ACTMD PLATFORM WHICH FEATURES COMMUNITY-WIDE CASE MANAGEMENT CAPABILITIES - PARTICIPATION IN THE RX SAFE HUMBOLDT WORKGROUP, CARE IMPROVEMENT MEETING, COMMUNITY HUDDLE, MDT (MULTI-DISCIPLINARY TEAM) MEETINGS HOSTED BY ADULT PROTECTIVE SERVICES AND THE LONG-TERM CARE ALTERNATIVES MEETING FY17 OTHER COMMUNITY BENEFIT PROGRAM ACCOMPLISMENTS INCLUDED: THE EMPLOYEES, VOLUNTEERS AND PHYSICIANS OF ST. JOSEPH HOSPITAL OF EUREKA ARE THE GREATEST NON-FINANCIAL ASSET THE ORGANIZATION PROVIDES FOR THE COMMUNITY. OUR TEAM OF CAREGIVERS IS DEDICATED TO PROVIDING THE BEST PATIENT-CENTERED HEALTH CARE AVAILABLE ON THE NORTH COAST AND VOLUNTEER IN THE COMMUNITY ON A REGULAR BASIS. IN FY17 ST. JOSEPH HOSPITAL OF EUREKA LAUNCHED TWO NEW PROGRAMS FOR CAREGIVERS A LIVING THE LEGACY FORMATION OPPORTUNITY AND SCHWARTZ ROUNDS WHICH IS A NATIONALLY RECOGNIZED PROGRAM TO PRESERVE AND PROTECT THE HUMAN CONNECTION IN HEALTH CARE. CARING FOR THE CAREGIVER AND PROVIDING AN EXCELLENT EXPERIENCE FOR EVERY PATIENT THAT NEEDS OUR CARE ARE A CENTRAL FOCUS FOR ST. JOSEPH HOSPITAL OF EUREKA. FROM QUIET HOURS TO FRIENDLY GREETINGS, ST. JOSEPH HOSPITAL OF EUREKA EMPLOYEES, VOLUNTEERS AND PHYSICIANS EMBRACE OUR VISION OUTCOMES OF PERFECT CARE, SACRED ENCOUNTERS AND HEALTHY COMMUNITIES. OUR CAREGIVERS SPEND COUNTLESS HOURS VOLUNTEERING IN OUR COMMUNITY. FROM FEEDING THE HOMELESS WITH CHURCH AND NON-PROFIT GROUPS, TO STAFFING MEDICAL SERVICES AT MUSICAL EVENTS TO ORGANIZING TEAMS FOR RELAY FOR LIFE, OUR CAREGIVERS CONSISTENTLY GIVE BACK. CAREGIVERS VOLUNTEER TIME TO SERVE ON NON-PROFIT COMMUNITY BOARDS AND THEY GENEROUSLY DONATE THEIR HARD-EARNED DOLLARS TOWARDS EFFORTS TO ASSURE STABLE HEALTH CARE ACCESS FOR FUTURE GENERATIONS. COMMUNITY PARTNERSHIP IS SOMETHING WE BELIEVE IN AND ANOTHER NON-FINANCIAL BENEFIT WE PROVIDE THE COMMUNITY. THE COMMUNITY BENEFIT DEPARTMENT PARTNERS WITH LOCAL FOUNDATIONS AND FUNDERS VIA THE NORTH COAST GRANTMAKING PARTNERSHIP TO JOINTLY SUPPORT LOCAL PROJECTS AND PROGRAMS. WE PARTNER WITH FOOD FOR PEOPLE - OUR AREAS FOOD BANK BY PARTICIPATING IN THEIR ANNUAL HUNGER FIGHTER CHALLENGE DURING THE HOLIDAYS. WE ORGANIZE A BACK-TO-SCHOOL SUPPLY DRIVE FOR OUR AREAS CHILDREN AND A COLD WEATHER CLOTHING DRIVE FOR THOSE IN NEED. IN FY17 WE COLLECTED OVER 181 ITEMS OF CLOTHING INCLUDING JACKETS, SOCKS, RAIN PONCHOS AND STURDY SHOES. WE DONATE EXCESS HOSPITAL FOOD TO CHURCHES AND FOOD-SECURITY ORGANIZATION AND IN FY17 WE DONATED MEDICAL SUPPLIES TO SUPPORT TWO INTERNATIONAL MEDICAL MISSION TRIPS ORGANIZED BY OUR CAREGIVERS. IT IS THIS SELFLESSNESS AND PHILANTHROPIC SPIRIT THAT BINDS THIS RURAL AND ISOLATED COMMUNITY TOGETHER AND ENABLES US TO CARE FOR THE DEAR NEIGHBOR WITHOUT DISTINCTION, JUST AS OUR FOUNDING SISTERS HAVE DONE SINCE 1912.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM ST JOSEPH HOSPITAL 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, CALIF., AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, THE CALIFORNIA HIGH DESERT, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, 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 $4,118,700 FOR ST. JOSEPH HOSPITAL OF EUREKA. 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 (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
HUMBOLDT AREA FOUNDATION
363 INDIANOLA ROAD	BAYSIDE	CA	95524	237310660	501(c)(3)	$35,439	$0	PROGRAM SUPPORT
HUMBOLDT SENIOR RESOURCE CENTER
1910 CALIFORNIA STREET	EUREKA	CA	95501	942261434	501(c)(3)	$41,250	$0	PROGRAM SUPPORT
ARCATA HOUSE INC
1005 ELEVENTH STREET	ARCATA	CA	95521	943163269	501(c)(3)	$10,000	$0	PROGRAM SUPPORT
EUREKA RESCUE MISSION
1031 BROADWAY	EUREKA	CA	95501	946135983	501(c)(3)	$15,000	$0	PROGRAM SUPPORT
REDWOOD COMMUNITY ACTION AGENCY
904 G STREET	EUREKA	CA	95501	942646370	501(c)(3)	$50,070	$0	PROGRAM SUPPORT
ST VINCENT DE PAUL
PO BOX 1386	EUREKA	CA	95501	941573587	501(c)(3)	$36,250	$0	PROGRAM SUPPORT
REDWOOD TEEN CHALLENGE
2212 2ND STREET	EUREKA	CA	95501	680358004	501(c)(3)	$15,000	$0	PROGRAM SUPPORT
FOOD FOR PEOPLE
307 W 14TH STREET	EUREKA	CA	95501	942772549	501(c)(3)	$43,277	$0	PROGRAM SUPPORT
CASA OF HUMBOLDT
2356 MYRTLE AVENUE	EUREKA	CA	95501	680243040	501(c)(3)	$10,000	$0	PROGRAM SUPPORT
WESTSIDE COMMUNITY IMPROVEMENT
PO BOX 5315	EUREKA	CA	95501	274553664	501(c)(3)	$6,000	$0	PROGRAM SUPPORT
BETTY KWAN CHINN HOMELESS FOUNDATION
PO BOX 736	EUREKA	CA	95501	461413135	501(c)(3)	$62,000	$0	PROGRAM SUPPORT
NORTH COAST GROWERS ASSOC
PO BOX 4232	ARCATA	CA	95521	770212408	501(c)(3)	$10,000	$0	PROGRAM SUPPORT
KLAMATH TRINITY RESOURCE CONSERVATION DIST
PO BOX 279	HOOPA	CA	95546	261992669	501(c)(3)	$15,000	$0	PROGRAM SUPPORT
HEALY SENIOR CENTER OF SOUTHERN
PO BOX 1849	REDWAY	CA	95560	942762224	501(c)(3)	$10,000	$0	PROGRAM SUPPORT
BOYS AND GIRLS CLUB OF REDWOODS
3117 PROSPECT AVENUE	EUREKA	CA	95501	942184464	501(c)(3)	$10,000	$0	PROGRAM SUPPORT
HUMBOLDT NETWORK OF FAMILY
PO BOX 2668	MCKINLEYVILLE	CA	95519	680445130	501(c)(3)	$14,000	$0	PROGRAM SUPPORT
OPEN DOOR COMMUNITY HEALTH CENTERS
670 9TH STREET STE 203	ARCATA	CA	95521	952671433	501(c)(3)	$100,000	$0	PROGRAM SUPPORT
THE MCG
PO BOX 744	FORTUNA	CA	95540	453672349	501(c)(3)	$10,200	$0	PROGRAM SUPPORT
CHANGING TIDES FAMILY SERVICES
2259 MYRTLE AVENUE	EUREKA	CA	95501	942297737	501(c)(3)	$9,230	$0	PROGRAM SUPPORT
KUNLE CENTER
PO BOX 6224	EUREKA	CA	95501	352450940	501(c)(3)	$10,000	$0	PROGRAM SUPPORT
NORTH COAST SUBSTANCE ABUSE COUNCIL
PO BOX 1332	EUREKA	CA	95501	942281020	501(c)(3)	$20,000	$0	PROGRAM SUPPORT
FORTUNA ADVENTIST COMM SERVICES
2331 ROHNERVILLE ROAD	FORTUNA	CA	95540	911776436	501(c)(3)	$10,000	$0	PROGRAM SUPPORT
WIYOT TRIBE
100 WIYOT DRIVE	LOLETA	CA	95551	942714533	501(c)(3)	$12,000	$0	PROGRAM SUPPORT
NEW LIFE & RESPITE HOUSING
1840 MYRTLE AVENUE	EUREKA	CA	95501	680367572	501(c)(3)	$13,600	$0	PROGRAM SUPPORT
ALCOHOLDRUG CARE SERVICES INC
2109 BROADWAY STE A	EUREKA	CA	95501	680218628	501(c)(3)	$7,225	$0	PROGRAM SUPPORT
INK PEOPLE INC
23 5TH STREET	EUREKA	CA	95501	943056179	501(c)(3)	$21,800	$0	PROGRAM SUPPORT
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE	IRVINE	CA	92612	330143024	501(c)(3)	$4,118,700		CARE FOR THE POOR

Field	Value	IRS element (for citing)
Total501c3 Org	27	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS EACH GRANTEE REPORTS ON THE PROGRESS OF THE FUNDED PROGRAM ON A BIANNUAL BASIS EVERY 6 MONTHS TO THE COMMUNITY BENEFIT COMMITTEE. THE COMMUNITY BENEFIT COMMITTEE REVIEWS DOCUMENTATION TO CONFIRM THAT THE GRANTEE IS COMPATIBLE WITH THE MISSION, VISION, AND VALUES OF ST. JOSEPH HEALTH SYSTEM. ALSO THE GRANTEE MUST DEMONSTRATE COLLABORATION, FLEXIBILITY, AND RESPECT FOR DIVERSE CULTURES WHILE UTILIZING EFFECTIVE STRATEGIES AND OUTCOME MEASURES. THE GRANTEE MUST HAVE AN EXISTING GOVERNING AND/OR ADVISORY BOARD WITH SUFFICIENT EXPERTISE AND FAMILIARITY WITH THE PROPOSED PROGRAM/PROJECT. THE GRANTEE MUST BE A NONPROFIT ORGANIZATION IN CALIFORNIA THAT IS TAX EXEMPT. FUNDS THAT ARE TRANSFERRED TO ST. JOSEPH HEALTH SYSTEM FOUNDATION (CARE FOR THE POOR) ARE MONITORED AND DISTRIBUTED BY THE ST. JOSEPH HEALTH SYSTEM, AND ARE NOT MONITORED ON A HOSPITAL LEVEL ONCE THE FUNDS ARE TRANSFERRED.	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
PAUL OHTA
BOARD MEMBER	$0	$252,546	$0	$111,699	$0	$30,214	$0	$20,203	$0	$7,480	$0	$422,142	$0	$0
DAVID SOUTHERLAND
VP, COO	$263,857	$0	$85,744	$0	$24,982	$0	$10,355	$0	$9,039	$0	$393,977	$0	$0	$0
OLUYEMI ADEYANJU
SECRETARY	$0	$324,633	$0	$120,656	$0	$30,207	$0	$2,034	$0	$8,956	$0	$486,486	$0	$0
MICHEL RICCIONI
CFO (PART YEAR)	$0	$387,200	$0	$155,385	$0	$59,930	$0	$18,261	$0	$35,055	$0	$655,831	$0	$0
JULIE MALVEY
VP, MISSION INTEGRATION	$120,652	$0	$18,879	$0	$4,507	$0	$11,279	$0	$22,394	$0	$177,711	$0	$0	$0
JOSHUA ALLEE
VP, MISSION INTEGRATION	$0	$179,890	$0	$72,760	$0	$16,401	$0	$7,860	$0	$9,470	$0	$286,381	$0	$0
DAVID O'BRIEN MD
PRESIDENT	$0	$432,098	$0	$371,997	$0	$70,041	$0	$18,550	$0	$26,023	$0	$918,709	$0	$0
MAUREEN DISBOT
VP, QUALITY AND SAFETY	$0	$289,747	$0	$120,139	$0	$27,390	$0	$7,950	$0	$24,174	$0	$469,400	$0	$0
WILLIAM PARKS
VP, MEDICAL AFFAIRS/CMO	$312,470	$0	$104,124	$0	$32,761	$0	$4,438	$0	$39,653	$0	$493,446	$0	$0	$0
TAMMY BARK
VP, CNO	$221,269	$0	$71,943	$0	$19,118	$0	$5,111	$0	$9,128	$0	$326,569	$0	$0	$0
LAURIE WATSON-STONE
VP, ANCILLARY & SUPPORT SRVCS	$205,941	$0	$67,991	$0	$24,699	$0	$16,493	$0	$21,410	$0	$336,534	$0	$0	$0
KEVIN KLOCKENGA
REGIONAL CEO	$0	$640,039	$0	$548,569	$0	$81,792	$0	$13,250	$0	$18,042	$0	$1,301,692	$0	$0
JAYNIE BOREN
N. CA REG VP - STRATEGIC SVCS	$0	$293,760	$0	$121,508	$0	$28,983	$0	$10,600	$0	$22,704	$0	$477,555	$0	$0
ROBERT EISEN
REGIONAL VP, HR NOCAL (PT YR)	$0	$235,415	$0	$113,682	$0	$21,310	$0	$7,889	$0	$13,599	$0	$391,895	$0	$0
JASON DURANT
CHIEF MEDICAL PHYSICIST	$215,073	$0	$15,000	$0	$25	$0	$9,253	$0	$15,746	$0	$255,097	$0	$0	$0
TERRY LERMA
DIRECTOR OF PHARMACY	$222,155	$0	$10,779	$0	$19,380	$0	$6,928	$0	$26,100	$0	$285,342	$0	$0	$0
HENRY BOOK
RN FIRST ASSIST-CHARGE	$219,363	$0	$0	$0	$4,141	$0	$9,154	$0	$37,411	$0	$270,069	$0	$0	$0
PHILIP SAMS
CLINICAL PHARMACIST	$216,203	$0	$600	$0	$6,368	$0	$20,076	$0	$22,974	$0	$266,221	$0	$0	$0
BRUCE BOSWICK
AREA DIRECTOR OF ONCOLOGY	$170,617	$0	$38,052	$0	$5,549	$0	$5,573	$0	$39,691	$0	$259,482	$0	$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. JOSEPH HOSPITAL 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: JOHN GIEREK - $ 4,358 DAVID SOUTHERLAND - $ 4,212 SUPPLEMENTAL COMPENSATION INFORMATION TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: ST. JOSEPH HOSPITAL OF EUREKA GROSSES UP PAYMENTS FOR LIMITED APPROVED EXPENDITURES.
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 USED BY 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 EMPLOYEES RECEIVED PAYMENTS FROM THESE PLANS 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ELLEN MAHONEY MD
SEE PART V	$122,354	MEDICAL SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$166,816	OXYGEN SERVICES	false
JOHN GIEREK JR
SEE PART V	$268,291	MOVING AND STORAGE SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$366,710	ELECTRICAL SERVICES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, COLUMN (B)	FormAndLineReferenceDesc
Explanation	RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION 1. ELLEN MAHONEY, M.D., IS A BOARD TRUSTEE OF SJHE AND MORE THAN 35% OWNER OF M ELLEN MAHONEY MEDICAL CORPORATION. 3. JOHN GIEREK, JR IS A BOARD TRUSTEE OF SJHE AND MORE THAN 35% OWNER OF HUMBOLDT MOVING AND STORAGE.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	GENERAL MERCHANDISE	51	$19,963	COST
Yes (X)	JEWELRY	9	$541	COST
Yes (X)	MEALS/FOOD	1	$400	COST

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	THE AMOUNTS IN COLUMN (B) REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 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 FLEXIBLITY 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, WITH A CONSOLIDATED BOARD OF DIRECTORS AND COSPONSORSHIP FROM THE PUBLIC JURIDIC PERSONS PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY. REALIZING OUR MISSION ST. JOSEPH HOSPITAL OF EUREKA HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 97 YEARS. SERVING THE COMMUNITIES OF THE NORTH COAST OF CA, ST. JOSEPH HOSPITAL IS AN ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF CARDIAC CARE, CRITICAL CARE, DIAGNOSTIC IMAGING, EMERGENCY MEDICINE INCLUDING A LEVEL III TRAUMA DESIGNATED HOSPITAL, WHICH IS THE HIGHEST LEVEL EMERGENCY DEPARTMENT IN THE AREA, CANCER PROGRAM AND OBSTETRICS INCLUDING A LEVEL II NEONATAL INTENSIVE CARE UNIT, AS WELL AS COMMUNITY-BASED PROGRAMS AND RESOURCE CENTERS FOCUSED ON PREVENTION, HEALTH PROMOTION AND COMMUNITY BUILDING. WITH OVER 1150 EMPLOYEES COMMITTED TO REALIZING THE MISSION, ST. JOSEPH HOSPITAL EUREKA IS ONE OF THE LARGEST EMPLOYERS IN THE REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, ST. JOSEPH HOSPITAL EUREKA 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 HOSPITAL BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY ST. JOSEPH HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY17, ST. JOSEPH HOSPITAL PROVIDED $1,454,144 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM ST. JOSEPH HOSPITAL PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY17, ST. JOSEPH HOSPITAL PROVIDED $771,034 IN MEDICAID SHORTFALL. PROGRAM SERVICE ACCOMPLISHMENTS CASH DONATIONS FOR THE POOR AND VULNERABLE THROUGHOUT FY17, ST. JOSEPH HOSPITAL OF EUREKA MADE SEVERAL CASH DONATIONS TO BENEFIT NON-PROFIT ORGANIZATIONS, PROGRAMS OR ACTIVITIES TARGETED FOR POOR AND VULNERABLE PERSONS LIVING IN HUMBOLDT AND THE SURROUNDING COUNTIES. A FEW EXAMPLES OF DONATIONS MADE INCLUDE: SUPPORTING FOOD FOR PEOPLE, THE AREAS LARGEST FOOD BANK THAT HAS 16 PANTRY SITES THROUGHOUT THE COUNTY AND SERVES MORE THAN 12,000 PEOPLE PER MONTH; SUPPORTING THE HUMBOLDT SENIOR RESOURCE CENTER FOR THEIR HOME DELIVERED MEAL PROGRAM TO LOW-INCOME, HOMEBOUND SENIORS. THIS PROGRAM DELIVERS FROZEN MEALS FOR THE WEEK AND PROVIDES A MUCH NEED SOCIAL CHECK BY THE DRIVER. ANOTHER DONATION WAS MADE TO OPEN DOOR COMMUNITY HEALTH CENTERS TO HELP THEM EXPAND ACCESS TO CARE IN THE EEL RIVER VALLEY AND TO INTEGRATE MENTAL HEALTH SERVICES WITH PRIMARY CARE. WE MADE SEVERAL SMALLER DONATIONS TO SUPPORT THE PURCHASE OF DENTAL SUPPLIE FOR KIDS, TO PREVENT ADVERSE CHILDHOOD EXPERIENCES OR ACES, TO PROVIDE BASIC NEEDS TO THE HOMELESS AND TO SUPPORT OUR GOVERNMENT PARTNERS WITH THE POINT IN TIME COUNT. WE ALSO MADE A CASH DONATION TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT GRANT INITIATIVES TARGETED AT IMPROVING THE HEALTH CONDITION OF LOW-INCOME AND UNDER SERVED RESIDENTS LIVING IN THE COMMUNITIES WE SERVE. CARE TRANSITIONS PROGRAM THE CARE TRANSITIONS PROGRAM AT ST. JOSEPH HOSPITAL OF EUREKA, HOUSED WITHIN THE ST. JOSEPH HOSPITAL OF EUREKA COMMUNITY BENEFIT DEPARTMENT, FOCUSES ON COMMUNITY-BASED INTERVENTIONS FOR HIGH-RISK PATIENTS RECENTLY DISCHARGED FROM AN IN-PATIENT SETTING AND PROVIDES INTENSIVE CASE MANAGEMENT SERVICES TO HIGH UTILIZERS OF THE EMERGENCY DEPARTMENT TO LINK THEM TO PRIMARY MEDICAL CARE AND/OR SOCIAL OR MENTAL HEALTH SERVICES. THE MULTI-DISCIPLINARY TEAM OF NURSE, SOCIAL WORKER AND HEALTH COACH PROVIDE TRANSITIONAL SUPPORT TO HOMELESS PATIENTS RECOVERING IN ONE OF OUR RESPITE BEDS AT HEALING RING, SERENITY INN OR BETTYS HOUSE. A SECOND NURSE WORKS WITH FREQUENT UTILIZERS OF THE EMERGENCY DEPARTMENT TO CONNECT THEM WITH PRIMARY CARE AND THE SUPPORT SERVICES THEY NEED WHILE TRYING TO DETERMINE THE ROOT CAUSE OF THEIR EMERGENCY DEPARTMENT OVERUSE. IN FY17 CARE TRANSITIONS PARTNERED WITH THE BETTY KWAN CHINN HOMELESS FOUNDATION TO OPEN A NEW MEDICAL RESPITE FACILITY TO EXPAND OUR CURRENT RESPITE SERVICES. IN FY17 TEN ADDITIONAL BEDS BECAME AVAILABLE TO HOMELESS PATIENTS NEEDING EXTRA TIME TO RECOVER AFTER A HOSPITAL STAY. PHYSICIAN RECRUITMENT AND RETENTION ST. JOSEPH HOSPITAL OF EUREKA ADMINISTRATION HAS IDENTIFIED PHYSICIAN RECRUITMENT AND RETENTION AS BEING A TOP PRIORITY, A NEED THAT WAS CONFIRMED BY THE CHNA. FULL TIME STAFF ARE DEDICATED TO PHYSICIAN RECRUITMENT NOT ONLY FOR ST. JOSEPH HOSPITAL, BUT ALSO FOR ST. JOSEPH HEALTH MEDICAL GROUP AND PRIVATE PRACTICE WHEN NEEDED. OUR HOSPITAL IS LOCATED IN A HEALTH PROFESSIONS SHORTAGE AREA AND A MEDICALLY UNDERSERVED AREA AND IS IN NEED OF PRIMARY CARE PHYSICIANS TO REPLACE AN AGING WORKFORCE OF MEDICAL PROFESSIONALS AS WELL AS PHYSICIANS SPECIALIZING IN MENTAL HEALTH. FURTHERMORE, WE HAVE A LOAN FORGIVENESS PROGRAM THAT IS UTILIZED TO HELP RETAIN PHYSICIANS. FOR MORE INFORMATION ABOUT ST. JOSEPH HOSPITAL OF EUREKA PLEASE VISIT WWW.STJOEHUMBOLDT.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG. FOR MORE INFORMATION ABOUT PROVIDENCE ST. JOSEPH HEALTH, PLEASE VISIT WWW.PSJHEALTH.ORG. FORM 990, PART IV, LINES 11F AND 12B & PART XII, LINE 2B ST. JOSEPH HOSPITAL OF EUREKA 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 1 ST. JOSEPH HEALTH SYSTEM (SJHS) PAYS ALL VENDORS FOR SJHS ENTITIES FROM ITS SHARED SERVICES. SJHS ISSUES FORM 1099-MISC UNDER ITS TAX ID NUMBER AND COMPLIES WITH BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HOSPITAL EUREKA.HOSPITAL EUREKA. ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HOSPITAL EUREKA.
FORM 990, PART VI, LINE 7A	POWER TO ELECT OR APPOINT MEMBERS ST. JOSEPH HOSPITAL OF EUREKA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. JOSEPH HOSPITAL OF EUREKA BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST. JOSEPH HOSPITAL OF EUREKA BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR.
FORM 990, PART VI, LINE 7B	DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS 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	PROCESS USED TO REVIEW THE FORM 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 APRIL 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	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 FOR DETERMINING COMPENSATION 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	PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE 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	OTHER CHANGES IN NET ASSETS OR FUND BALANCE EQUITY TRANSFERS ($29,045,935)
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:14839989
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES (REGISTRY) TOTAL FEES:15328121
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:9059719

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (110 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
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 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 MEDICAL CENTER
18300 HIGHWAY 18	APPLE VALLEY	CA	92307	951914489	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

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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
c	$703,100	ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
b	$4,118,700	ACCRUAL
REDWOOD MEMORIAL HOSPITAL
o	$2,291,754	ACCRUAL
REDWOOD MEMORIAL HOSPITAL
p	$3,074,585	ACCRUAL
REDWOOD MEMORIAL HOSPITAL
q	$2,849,481	ACCRUAL
ST JOSEPH HERITAGE HEALTHCARE
b	$24,092,323	ACCRUAL
SANTA ROSA MEMORIAL HOSPITAL
q	$1,861,437	ACCRUAL
SANTA ROSA MEMORIAL HOSPITAL
p	$5,699,127	ACCRUAL
ST JOSEPH HERITAGE HEALTHCARE
l	$7,880,068	ACCRUAL
ST JOSEPH HERITAGE HEALTHCARE
j	$75,839	ACCRUAL

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