MISSION HOSPITAL REGIONAL MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MISSION HOSPITAL REGIONAL MEDICAL CENTER (EIN 95-1643360)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-15
IRS object ID: 201831359349313248
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	2018-05-15T18:11:14-05:00	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	951643360	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MISSION HOSPITAL REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% AARON NEUHARTH	InCareOfNm
Business Name Control	MISS	BusinessNameControlTxt
Phone	9493641400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	27700 MEDICAL CENTER ROAD	AddressLine1Txt
City	MISSION VIEJO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92691	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	EILEEN HAUBL	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9493641400	PhoneNum
Signature	2018-05-15	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	TAREK SALAWAY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	27700 MEDICAL CENTER ROAD	AddressLine1Txt
City	MISSION VIEJO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92691	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$634,210,688	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MISSION4HEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1941	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	WE ARE COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY IMPROVING THE HEALTH AND QUALITY OF LIFE IN OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	2959	TotalEmployeeCnt
Total Volunteers	806	TotalVolunteersCnt
Total Gross UBI	$684,146	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$233,764	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$15,702,542	PYContributionsGrantsAmt
CY Contributions Grants	$10,284,158	CYContributionsGrantsAmt
PY Program Service Revenue	$574,711,038	PYProgramServiceRevenueAmt
CY Program Service Revenue	$619,125,831	CYProgramServiceRevenueAmt
PY Investment Income	$6,792,910	PYInvestmentIncomeAmt
CY Investment Income	$2,696,184	CYInvestmentIncomeAmt
PY Other Revenue	$438,189	PYOtherRevenueAmt
CY Other Revenue	$757,015	CYOtherRevenueAmt
PY Total Revenue	$597,644,679	PYTotalRevenueAmt
CY Total Revenue	$632,863,188	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,943,861	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,572,914	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$224,258,818	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$236,217,121	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,631,424	CYTotalFundraisingExpenseAmt
PY Other Expenses	$326,988,607	PYOtherExpensesAmt
CY Other Expenses	$367,567,322	CYOtherExpensesAmt
PY Total Expenses	$559,191,286	PYTotalExpensesAmt
CY Total Expenses	$611,357,357	CYTotalExpensesAmt
PY Revenues Less Expenses	$38,453,393	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,505,831	CYRevenuesLessExpensesAmt
Total Assets BOY	$591,291,434	TotalAssetsBOYAmt
Total Assets EOY	$547,837,581	TotalAssetsEOYAmt
Total Liabilities BOY	$316,081,728	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$306,114,707	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$275,209,706	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$241,722,874	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE ARE COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$546,271,154	ExpenseAmt
Grant	$7,572,914	GrantAmt
Revenue	$619,125,831	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$546,271,154	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	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	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	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	2959	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
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	AARON NEUHARTH	PersonNm
Phone	9493647767	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	27700 MEDICAL CENTER ROAD	AddressLine1Txt
City	MISSION VIEJO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92691	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SISTER LINDA BUCK
BOARD CHAIR	5.0	0.0	Yes (X)	$0	$0	$0
SISTER MARYANNE HUEPPER
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ELLEN LEWIS MSN FAAN
BOARD MEMBER (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
FARZAD MASSOUDI MD
BOARD MEMBER	2.0	0.0	Yes (X)	$122,880	$0	$0
SISTER EILEEN MCNERNEY
BOARD MEMBER (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
ROBERT WINOKUR MD
BOARD MEMBER (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
RUDY MARQUEZ MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
JOSEPH ROBBEN
BOARD VICE CHAIR (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
ED JORDAN
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
TODD LEMPERT MD
BOARD MEMBER	2.0	0.0	Yes (X)	$133,650	$0	$0
SISTER MARY BETH INGHAM
BOARD MEMBER (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
LAUREN DWINELL MD
BOARD MEMBER/COS (PART YEAR)	2.0	0.0	Yes (X)	$24,167	$0	$0
STEVEN PAL
BOARD VICE CHAIR	2.0	0.0	Yes (X)	$0	$0	$0
KENT ADAMSON MD
BOARD MEMBER, CHIEF OF STAFF	2.0	0.0	Yes (X)	$16,566	$0	$0
JAIME MUNOZ
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
SISTER JO-ANN EANNARENO
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
MICHAEL MARINO DO
BOD, SVP, CHIEF MED INFO OFCR	50.0	2.0	Yes (X)	$0	$692,796	$16,087	Yes (X)
RICHARD F AFABLE MD
INTERIM CEO (PART YEAR)	50.0	2.0		$0	$2,659,428	$247,980	Yes (X)
TAREK SALAWAY
CHIEF EXECUTIVE	50.0	2.0		$0	$539,859	$11,947	Yes (X)
TARA COWELL
VP/ASSOC. GENERAL COUNSEL/SEC.	2.0	52.0		$0	$471,848	$49,377	Yes (X)
EILEEN HAUBL
SVP & CHIEF FINANCIAL OFFICER	50.0	0.0		$533,245	$0	$45,696	Yes (X)
CYNTHIA MUELLER
VP MISSION INTEGRATION	50.0	0.0		$417,793	$0	$46,036	Yes (X)
MICHAEL BECK
VP, CHIEF ADMIN OFFICER - LB	50.0	0.0		$395,830	$0	$54,766		Yes (X)
TERRENCE WOOTEN
VP INTEGRATED OPERATIONS	50.0	0.0		$268,998	$0	$24,968		Yes (X)
DEANNE NIEDZIELA
EXEC DIR, NURSING	50.0	0.0		$203,079	$0	$39,383		Yes (X)
LINDA SIEGLEN
CHIEF MEDICAL OFFICER	50.0	0.0		$540,736	$0	$35,333			Yes (X)
LINDA JOHNSON
CHIEF NURSING OFFICER	50.0	0.0		$452,689	$0	$27,017			Yes (X)
TERRI FOX-COVERT
VP HUMAN RESOURCES	50.0	0.0		$355,410	$0	$53,737			Yes (X)
JOCELYN CHOPRA
REGISTERED NURSE	50.0	0.0		$283,616	$0	$35,905			Yes (X)
PHUC MAI
DIRECTORY PHARMACY	50.0	0.0		$255,888	$0	$31,966			Yes (X)
KENNETH MCFARLAND
FORMER CEO (FORMER OFFICER)	2.0	50.0		$0	$1,043,841	$10,736				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,004,547	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,407,772	TotReportableCompRltdOrgAmt
Total Other Compensation	$730,934	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	523	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
REPUBLIC BUSINESS CREDIT LLC
PO BOX 203152	DALLAS	TX	75320	STAFFING SERVICES	$5,730,049
DECTON STAFFING SERVICES
PO BOX 75371	CHICAGO	IL	60675	STAFFING SERVICES	$1,896,631
AMN HEALTHCARE INC
PO BOX 56157	LOS ANGELES	CA	90074	STAFFING SERVICES	$1,525,361
BLOODBUY
5910 N CENTRAL EXPRESSWAY	DALLAS	TX	75206	MEDICAL SERVICES	$1,469,152
PROCARE ONE NURSES LLC
FILE 57074 SUITE 1000	LOS ANGELES	CA	90074	STAFFING SERVICES	$1,424,739

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	54	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,283,823	FundraisingAmt
Related Organizations	$4,458,860	RelatedOrganizationsAmt
Government Grants	$246,835	GovernmentGrantsAmt
All Other Contributions	$4,294,640	AllOtherContributionsAmt
Noncash Contributions	$963,105	NoncashContributionsAmt
Total Contributions	$10,284,158	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	$556,125,611	$556,125,611	$0	$0
CAPITATION REVENUE	622110	$34,867,093	$34,867,093	$0	$0
MOB RENTAL REVENUE	531120	$14,542,608	$14,542,608	$0	$0
CHILDREN'S HOSPITAL AT MISSION	622110	$8,106,965	$8,106,965	$0	$0
NUTRITIONAL SERVICES	722310	$2,638,234	$2,638,234	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,845,320	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,161,174	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$684,146	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$619,125,831	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,699,082	TotalRevenueColumnAmt
Exclusion	$2,699,082	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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$573,748	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$576,646	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$2,898	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,898	TotalRevenueColumnAmt
Exclusion	-$2,898	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$973,759	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,283,823	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$767,104	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$206,655	TotalRevenueColumnAmt
Exclusion	$206,655	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$279,146	GamingGrossIncomeAmt
Gaming Direct Expenses	$3,750	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$275,396	TotalRevenueColumnAmt
Exclusion	$275,396	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$274,964	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$274,964	TotalRevenueColumnAmt
Exclusion	$274,964	ExclusionAmt

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$632,863,188	TotalRevenueColumnAmt
Related Or Exempt Func Income	$618,441,685	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$684,146	UnrelatedBusinessRevenueAmt
Exclusion	$3,453,199	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	$7,472,398	TotalAmt
Program Services	$7,472,398	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$100,516	TotalAmt
Program Services	$100,516	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	$1,866,556	TotalAmt
Program Services	$1,261,885	ProgramServicesAmt
Management And General	$604,671	ManagementAndGeneralAmt

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	$165,569,116	TotalAmt
Program Services	$154,410,376	ProgramServicesAmt
Management And General	$9,167,095	ManagementAndGeneralAmt
Fundraising	$1,991,645	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,061,146	TotalAmt
Program Services	$8,881,361	ProgramServicesAmt
Management And General	$107,011	ManagementAndGeneralAmt
Fundraising	$72,774	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$46,424,372	TotalAmt
Program Services	$42,769,964	ProgramServicesAmt
Management And General	$3,320,306	ManagementAndGeneralAmt
Fundraising	$334,102	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,295,931	TotalAmt
Program Services	$12,653,080	ProgramServicesAmt
Management And General	$499,871	ManagementAndGeneralAmt
Fundraising	$142,980	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$35,341,853	TotalAmt
Program Services	$28,046,913	ProgramServicesAmt
Management And General	$7,294,940	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,689,527	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,689,527	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$161,568	TotalAmt
Program Services	$1,000	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$160,568	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$43,084	TotalAmt
Program Services	$43,084	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	$100,364,727	TotalAmt
Program Services	$78,344,776	ProgramServicesAmt
Management And General	$21,849,027	ManagementAndGeneralAmt
Fundraising	$170,924	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,217,797	TotalAmt
Management And General	$1,169,074	ManagementAndGeneralAmt
Fundraising	$48,723	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,519,914	TotalAmt
Program Services	$15,461,466	ProgramServicesAmt
Management And General	$1,021,027	ManagementAndGeneralAmt
Fundraising	$37,421	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,854,420	TotalAmt
Program Services	$2,854,420	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	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	$37,083,928	TotalAmt
Program Services	$34,578,641	ProgramServicesAmt
Management And General	$1,976,078	ManagementAndGeneralAmt
Fundraising	$529,209	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$752,074	TotalAmt
Program Services	$617,720	ProgramServicesAmt
Management And General	$118,504	ManagementAndGeneralAmt
Fundraising	$15,850	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$151,064	TotalAmt
Program Services	$122,397	ProgramServicesAmt
Management And General	$28,667	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,323,309	TotalAmt
Program Services	$6,593,430	ProgramServicesAmt
Management And General	$1,729,879	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	$23,514,107	TotalAmt
Program Services	$20,955,222	ProgramServicesAmt
Management And General	$2,551,961	ManagementAndGeneralAmt
Fundraising	$6,924	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,624,072	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$3,624,072	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$83,216,809	$83,202,012	$14,797	$0
HOSPITAL FEE PROGRAM	$22,087,696	$22,087,696	$0	$0
LICENSES/TAXES/DUES	$743,079	$215,463	$524,956	$2,660
INVENTORY VARIANCE	$560,524	$560,524	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,317,770	TotalAmt
Program Services	$25,036,810	ProgramServicesAmt
Management And General	$3,163,316	ManagementAndGeneralAmt
Fundraising	$117,644	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$611,357,357	TotalAmt
Program Services	$546,271,154	ProgramServicesAmt
Management And General	$61,454,779	ManagementAndGeneralAmt
Fundraising	$3,631,424	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	-$4,601,650	BOYAmt
EOY	-$4,641,033	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$49,585,426	BOYAmt
EOY	$5,082,966	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$506,675	BOYAmt
EOY	$5,573,067	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$63,823,223	BOYAmt
EOY	$70,682,931	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	$0	BOYAmt
EOY	$3,440,168	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,079,433	BOYAmt
EOY	$6,843,817	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,158,189	BOYAmt
EOY	$1,450,617	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$615,666,136	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$267,484,602	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$334,536,327	BOYAmt
EOY	$348,181,534	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$94,498,136	BOYAmt
EOY	$88,122,404	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$16,354,828	BOYAmt
EOY	$15,671,581	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,717,072	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,633,775	BOYAmt
EOY	$7,429,529	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$591,291,434	BOYAmt
EOY	$547,837,581	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$63,646,397	BOYAmt
EOY	$61,090,952	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	$252,435,331	BOYAmt
EOY	$245,023,755	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$316,081,728	BOYAmt
EOY	$306,114,707	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$191,081,132	BOYAmt
EOY	$145,841,359	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$82,114,574	BOYAmt
EOY	$93,867,515	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,014,000	BOYAmt
EOY	$2,014,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$275,209,706	BOYAmt
EOY	$241,722,874	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$591,291,434	BOYAmt
EOY	$547,837,581	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,505,831	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,617,046	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$61,609,709	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$43,084	OtherActivitiesAmt
Total Lobbying Expenditures	$43,084	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	OTHER 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 MISSION HOSPITAL.	ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,573,054	BeginningYearBalanceAmt
Contributions	$47,943	ContributionsAmt
Investment Earnings Or Losses	$118,728	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$46,007	AdministrativeExpensesAmt
End Year Balance	$4,693,718	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,009,707	BeginningYearBalanceAmt
Contributions	$2,176,600	ContributionsAmt
Investment Earnings Or Losses	$421,408	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$34,661	AdministrativeExpensesAmt
End Year Balance	$4,573,054	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,766,554	BeginningYearBalanceAmt
Contributions	$102,259	ContributionsAmt
Investment Earnings Or Losses	$161,946	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$21,052	AdministrativeExpensesAmt
End Year Balance	$2,009,707	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.61000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.39000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,188,370	OtherCostOrOtherBasisAmt
Book Value	$49,188,370	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$329,679,714	OtherCostOrOtherBasisAmt
Depreciation	$109,348,542	DepreciationAmt
Book Value	$220,331,172	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,128,621	OtherCostOrOtherBasisAmt
Depreciation	$16,598,893	DepreciationAmt
Book Value	$8,529,728	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$200,621,524	OtherCostOrOtherBasisAmt
Depreciation	$141,508,853	DepreciationAmt
Book Value	$59,112,671	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,047,907	OtherCostOrOtherBasisAmt
Depreciation	$28,314	DepreciationAmt
Book Value	$11,019,593	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$348,181,534	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
INTERCO WITH HEALTH SYSTEM - BONDS	$176,822,148
INTERCOMPANY PAYABLE	$20,039,112
THIRD PARTY PAYABLE	$4,387,590
OTHER LIABILITIES	$3,774,905
DUE TO SJHS	$40,000,000

Field	Value	IRS element (for citing)
Total Liability	$245,023,755	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule G IRS990ScheduleG

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	Harris Connect INC CHESAPEAKE VA	PersonNm
Activity	Telephone OUTREACH	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf	Event1Nm
Gross Receipts Event1	$404,253	GrossReceiptsEvent1Amt
Charitable Contri Event1	$372,690	CharitableContriEvent1Amt
Gross Revenue Event1	$31,563	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$38,973	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$38,973	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$142,861	OtherDirectExpensesEvent1Amt
Event2	Gala	Event2Nm
Gross Receipts Event2	$1,079,639	GrossReceiptsEvent2Amt
Charitable Contri Event2	$516,374	CharitableContriEvent2Amt
Gross Revenue Event2	$563,265	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$158,027	FoodAndBeverageEvent2Amt
Entertainment Event2	$12,900	EntertainmentEvent2Amt
Other Direct Expenses Event2	$160,236	OtherDirectExpensesEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$773,690	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$394,759	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$378,931	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$24,341	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$85,384	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$13,000	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$92,409	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$2,257,582	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,283,823	CharitableContributionsTotAmt
Gross Revenue Total Events	$973,759	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$63,314	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$282,384	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$25,900	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$395,506	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$767,104	DirectExpenseSummaryEventsAmt
Net Income Summary	$206,655	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$279,146	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$3,750	CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming	$0	NonCashPrizesOtherGamingAmt
Rent Fclty Costs Other Gaming	$0	RentFcltyCostsOtherGamingAmt
Oth Direct Expnss Other Gaming	$0	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	Yes (true)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$279,146	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$3,750	CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming	$0	NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming	$0	RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming	$0	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$3,750	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$275,396	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	CA	StatesWhereGamingConductedCd
Licensed	false	LicensedInd
Explanation If No	SEE SCHEDULE G, PART IV	ExplanationIfNoTxt
License Suspended Etc	false	LicenseSuspendedEtcInd
Gaming With Nonmembers	false	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Own Facility	0.00000	GamingOwnFacilityPct
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	GWEN ANDERSON	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	27700 MEDICAL CENTER ROAD	AddressLine1Txt
City	MISSION VIEJO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92691	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	GWEN ANDERSON	GamingManagerPersonNm
Gaming Manager Compensation	$12,522	GamingManagerCompensationAmt
Gaming Manager Services Prov	Director/Officer	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	false	CharitableDistributionRqrInd
Distributed	$251,231	DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART III, LINE 9B	FormAndLineReferenceDesc
Explanation	GAMING MISSION HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION AND GAMING IS NOT THE PRIMARY FUNDRAISING ACTIVITY. AS A HOSPITAL, THEY ARE NOT REQUIRED TO REGISTER WITH THE CALIFORNIA ATTORNEY GENERAL. THERE WERE RAFFLES FOR PRIZE BASKETS AND CASH PRIZES TOTALLING $3,750. 90% OF THE PROCEEDS WERE RETAINED AS REQUIRED.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,387,477	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,387,477	NetCommunityBenefitExpnsAmt
Total Expense	0.01850	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,823,554	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,219,483	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,604,071	NetCommunityBenefitExpnsAmt
Total Expense	0.05950	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,211,031	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,219,483	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,991,548	NetCommunityBenefitExpnsAmt
Total Expense	0.07800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,092,770	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$312,991	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,779,779	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$378,301	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$378,301	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$455,443	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$455,443	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,729,485	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,729,485	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,655,999	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$312,991	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,343,008	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,867,030	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,532,474	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,334,556	NetCommunityBenefitExpnsAmt
Total Expense	0.09150	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,101	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,101	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,082	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,082	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$180,950	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$180,950	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$101,583	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$101,583	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$358,716	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$358,716	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$11,548,423	BadDebtExpenseAmt
Reimbursed By Medicare	$112,287,410	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$141,820,657	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$29,533,247	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
MECC - SEE PART VI
PHYSICIAN OFFICE&CONF ED CTR	0.5	0.5
MAS - SEE PART VI
OUTPATIENT SURGERY CENTER	0.3958	0.6042
MVPPI - SEE PART VI
MEDICAL OFFICE BUILDING	0.248	0.1144

Field	Value	IRS element (for citing)
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	MISSION HOSPITAL REGIONAL MEDICAL CTR	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	27700 MEDICAL CENTER ROAD	AddressLine1Txt
City	MISSION VIEJO CA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92691	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MISSION4HEALTH.COM	WebsiteAddressTxt
State License	06000146	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	MISSION HOSPITAL REGIONAL MEDICAL CTR	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	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE 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 PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	INPUT FROM COMMUNITY THE PROCESS OF COLLECTING QUALITATIVE COMMUNITY INPUT TOOK THREE MAIN FORMS: COMMUNITY RESIDENT FOCUS GROUPS, A NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, AND COMMUNITY FORUMS. EACH GROUP WAS DESIGNED TO CAPTURE THE COLLECTED KNOWLEDGE AND OPINIONS OF PEOPLE WHO LIVE AND WORK IN THE COMMUNITIES SERVED BY MISSION HOSPITAL. WE DEVELOPED A PROTOCOL (NOTED IN APPENDIX 4B TO THE CHNA) FOR EACH GROUP TO ENSURE CONSISTENCY ACROSS INDIVIDUAL FOCUS GROUPS, ALTHOUGH THE FACILITATORS HAD SOME DISCRETION ON ASKING FOLLOW-UP QUESTIONS OR PROBES AS THEY SAW FIT. INVITATION AND RECRUITMENT PROCEDURES VARIED FOR EACH TYPE OF GROUP. APPENDIX 4 INCLUDES A FULL REPORT OF THE COMMUNITY INPUT PROCESS AND FINDINGS ALONG WITH DESCRIPTIONS OF THE PARTICIPANTS. RESIDENT FOCUS GROUPS FOR COMMUNITY RESIDENT GROUPS, COMMUNITY BENEFIT STAFF, IN COLLABORATION WITH THEIR COMMITTEES AND THE SYSTEM OFFICE, IDENTIFIED GEOGRAPHIC AREAS WHERE DATA SUGGESTED THERE WERE SIGNIFICANT HEALTH, PHYSICAL ENVIRONMENT, AND SOCIOECONOMIC CONCERNS. THIS PROCESS ALSO IDENTIFIED THE LANGUAGE NEEDS OF THE COMMUNITY, WHICH DETERMINED THE LANGUAGE IN WHICH EACH FOCUS GROUP WAS CONDUCTED. COMMUNITY BENEFIT STAFF THEN PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS THAT SERVE THOSE AREAS TO RECRUIT FOR AND HOST THE FOCUS GROUPS. PARTICIPANTS WERE PROMISED A SMALL INCENTIVE FOR THEIR TIME. TWO CONSULTANTS STAFFED EACH FOCUS GROUP, SERVING AS FACILITATORS AND NOTE TAKERS. THESE CONSULTANTS WERE NOT DIRECTLY AFFILIATED WITH THE MINISTRY TO ENSURE CANDOR FROM THE PARTICIPANTS. 55 HISPANIC RESIDENTS PARTICIPATED IN 4 FOCUS GROUPS, WITH OVER 75% REPRESENTING INCOME LEVELS BELOW $75,000 ANNUALLY. THE MAJORITY OF RESIDENTS WERE BETWEEN THE AGES OF 18 64 YEARS OF AGE. NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP FOR THE NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, COMMUNITY BENEFIT STAFF DEVELOPED A LIST OF LEADERS FROM ORGANIZATIONS THAT SERVE DIVERSE CONSTITUENCIES WITHIN THE HOSPITALS SERVICE AREA. MINISTRY STAFF SOUGHT TO INVITE ORGANIZATIONS WITH WHICH THEY HAD EXISTING RELATIONSHIPS, BUT ALSO USED THE FOCUS GROUP AS AN OPPORTUNITY TO BUILD NEW RELATIONSHIPS WITH STAKEHOLDERS. PARTICIPANTS WERE NOT GIVEN A MONETARY INCENTIVE FOR ATTENDANCE. AS WITH THE RESIDENT FOCUS GROUPS, THIS GROUP WAS FACILITATED BY OUTSIDE CONSULTANTS WITHOUT A DIRECT LINK TO ST. JOSEPH HEALTH. RESIDENT COMMUNITY FORUMS RECRUITMENT FOR THE COMMUNITY RESIDENT FORUMS WAS MUCH BROADER TO ENCOURAGE AS MANY PEOPLE AS POSSIBLE TO ATTEND THE SESSION. COMMUNITY BENEFIT STAFF PUBLICIZED THE EVENT THROUGH FLYERS AND EMAILS USING THEIR EXISTING OUTREACH NETWORKS, AND ALSO ASKED THEIR PARTNER ORGANIZATIONS TO INVITE AND RECRUIT PARTICIPANTS. NO FORMAL INVITATION LIST WAS USED FOR THE FORUMS AND ANYONE WHO WISHED TO ATTEND WAS WELCOMED. THE FORUMS WERE CONDUCTED BY AN OUTSIDE CONSULTANT IN ENGLISH, WITH SIMULTANEOUS SPANISH LANGUAGE TRANSLATION FOR ANYONE WHO REQUESTED IT. THE COMMUNITY FORUMS CONSISTED PRIMARILY OF HISPANIC RESIDENTS WHOSE HOUSEHOLD INCOME WAS LESS THAN $75,000 ANNUALLY. WHILE THE FOCUS GROUPS FOLLOWED A SIMILAR PROTOCOL TO EACH OTHER IN WHICH FIVE TO SIX QUESTIONS WERE ASKED OF THE GROUP, THE FORUMS FOLLOWED A DIFFERENT PROCESS. THE LEAD FACILITATOR SHARED THE HEALTH NEEDS THAT HAD EMERGED FROM THE CHNA PROCESS SO FAR AND ASKED THE PARTICIPANTS TO COMMENT ON THEM AND ADD ANY OTHER CONCERNS. ONCE THE DISCUSSION WAS COMPLETE, THE PARTICIPANTS ENGAGED IN A CUMULATIVE VOTING PROCESS USING DOTS TO INDICATE THEIR GREATEST CONCERNS. THROUGH THIS DESIGN, THE FORUMS SERVED AS SOMETHING OF A "CAPSTONE" TO THE COMMUNITY INPUT PROCESS.
SCHEDULE H, PART V, SECTION B, LINE 7A	THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: https://www.mission4health.com/documents/MH-CBR-FY17.pdf
SCHEDULE H, PART V, SECTION B, LINE 10A	THE IMPLEMENTATION STRATEGY IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: https://www.mission4health.com/documents/Community-Benefit/MH-CBPlan-ISRep ort-FY18-20.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH COMMUNITY BENEFIT PROGRAMS AND BY FUNDING OTHER NON-PROFITS THROUGH OUR CARE FOR THE POOR PROGRAM MANAGED BY THE MISSION HOSPITAL FURTHERMORE, MISSION HOSPITAL WILL ENDORSE LOCAL NON-PROFIT ORGANIZATION PARTNERS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT MISSION HOSPITAL SERVICE AREAS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW: ACCESS TO RESOURCES: MISSION HOSPITAL WILL CONTINUE TO FINANCIALLY SUPPORT CAMINO HEALTH CENTER TO PROVIDE PRIMARY CARE SERVICES TO THE LOW-INCOME RESIDENTS OF SOUTH ORANGE COUNTY AND DEPENDING ON THEIR EXPERTISE FOR SERVICE PROVISION. WE WILL MAINTAIN MANY OF THE PROGRAMS CURRENTLY IN PLACE THROUGH ITS COMMUNITY BENEFIT PROGRAM TO CONTINUE PROVIDING ACCESS TO CARE SUCH AS HEALTH INSURANCE ENROLLMENT, PREVENTIVE SCREENINGS, EDUCATIONAL CLASSES AND MEDICAL TRANSPORTATION SERVICES. DENTAL CARE: MISSION HOSPITAL DOES NOT DIRECTLY ADDRESS DENTAL NEEDS AS THIS IS OUTSIDE OUR SCOPE OF EXPERTISE; HOWEVER, WE WILL WORK IN COLLABORATION WITH CAMINO HEALTH CENTER DENTAL SERVICES, LINKING CLIENTS OF THE FAMILY RESOURCE CENTERS TO CAMINO SERVICES. DIABETES: CAMINO HEALTH CENTER IS THE PRIMARY MEDICAL PROVIDER FOR LOW-INCOME RESIDENTS AND HAS IDENTIFIED THIS CONDITION AS ONE OF THEIR 16 AREAS OF CLINICAL FOCUS. WE WILL CONTINUE TO WORK COLLABORATIVELY WITH CAMINO TO CONNECT RESIDENTS IN NEED OF MEDICAL SERVICES WITH THEIR CENTER. FOOD AND NUTRITION: GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. HOMELESSNESS: MISSION HOSPITAL DOES NOT HAVE THE EXPERTISE TO DIRECTLY ADDRESS HOMELESSNESS; HOWEVER WE PARTNER WITH SEVERAL ORGANIZATIONS THAT SERVE THE HOMELESS, INCLUDING FAMILY ASSISTANCE MINISTRY, FRIENDSHIP SHELTER AND THE ILLUMINATION FOUNDATION. HOUSING CONCERNS: WE HAVE CONCENTRATED ON AFFORDABLE HOMES FOR MANY YEARS IN SOUTH ORANGE COUNTY. RESIDENTS SHARE THAT HOUSING COSTS REMAIN UNAFFORDABLE. WITH THE RECENT CHANGES IN REDEVELOPMENT FUNDS AND THE LACK OF LOCAL RESOURCES AND COLLABORATIVE EFFORTS NEEDED TO FOCUS ON THIS ISSUE, THE COMMITTEE FELT OUR MINISTRY RESOURCES COULD BE BETTER UTILIZED IN THE OTHER AREAS IDENTIFIED. WE WILL CONTINUE TO WORK WITH AGENCIES WHO PROVIDE HOUSING ASSISTANCE SUCH AS ILLUMINATION FOUNDATION, FRIENDSHIP SHELTER, AND FAMILY ASSISTANCE MINISTRY. INSURANCE AND COST OF CARE: GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. LACK OF EDUCATION: GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. LACK OF EXERCISE: GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS. LANGUAGE AND CULTURAL BARRIERS: MISSION HOSPITAL MAY CONSIDER HOW TO ADDRESS BARRIERS RELATED TO LANGUAGE AND CULTURE IN THE IMMIGRATION AND ECONOMIC STABILITY INITIATIVES. OBESITY: GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS.
SCHEDULE H, PART V, SECTION B, LINE 13H	OTHER BASIS FOR CALCULATING AMOUNT CHARGED TO PATIENTS THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO 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	https://www.mission4health.com/documents/Patient-Financial-Assistance/Fina ncial-Assistance-Policy-ENGLISH_4.20.16.pdf
SCHEDULE H, PART V, SECTION B, LINE 16B	https://www.mission4health.com/documents/Patient-Financial-Assistance/Fina ncial-Assistance-Application-SCAL-ENGLISH_3.8.16.pdf
SCHEDULE H, PART V, SECTION B, LINE 16C	https://www.mission4health.com/documents/Patient-Financial-Assistance/Miss ion_FABrochure_2016.pdf
SCHEDULE H, PART V, SECTION B, LINE 16J	OTHER METHOD FOR PUBLICIZING POLICIES 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	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MISSION AMBULATORY SURGICENTER LTD
26730 CROWN VALLEY PARKWAY	MISSION VIEJO	CA	92691	OUTPATIENT SURGERY CENTER
CALIFORNIA SPECIALTY SURGERY CENTER LP
26371 CROWN VALLEY PARKWAY	MISSION VIEJO	CA	92691	OUTPATIENT SURGERY CENTER
FAMILY RESOURCE CENTER
22481 ASPAN STREET	LAKE FOREST	CA	92630	COMMUNITY OUTREACH CENTER
CHEC FAMILY RESOURCE CENTER
27412 CALLE ARROYO	MISSION VIEJO	CA	92675	COMMUNITY OUTREACH CENTER

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
SCHEDULE H, PART I, LINE 6A	MISSION HOSPITAL REGIONAL MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: https://www.mission4health.com/documents/MH-CBR-FY17.pdf
SCHEDULE H, PART I, LINE 7A-I	COST-TO-CHARGE RATIO METHODOLOGY A COST-TO-CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COST OF ALL REPORTED CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST. IT INCLUDED ALL PATIENT TYPES (I.E. INPATIENT OUTPATIENT, EMERGENCY ROOM), AND WOULD ONLY INCLUDE CHARGES OR RELATED COSTS THAT PERTAIN TO EACH RESPECTIVE AREA (I.E. CHARITY, MEDICAID, MANAGED CARE, PRIVATE INSURANCE, SELF-PAY, UNINSURED, ETC.). FOR UNREIMBURSED COSTS THAT WOULD BE THE DIFFERENCE BETWEEN THE DETERMINED COSTS UTILIZING THE COST-TO-CHARGE RATIO LESS ANY PAYMENTS RECEIVED FOR THAT PARTIAL PAYOR GROUP. THE COST-TO-CHARGE RATIO USED WAS NOT DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. SCHEDULE H, PART I, LINE 7, COLUMN (F) JOINT VENTURE COSTS OF $4,206,055 WERE INCLUDED IN THE TOTAL EXPENSE AMOUNT USED TO CALCULATE PERCENTAGES IN PART I, LINE 7, COLUMN F. SCHEDULE H, PART I, LINE 7, COLUMN (G) HELPING HANDS - PHARMACY, DME & MISC. - $23,741 ORANGE COUNTY RECUPERATIVE PROJECT - $99,608 HELPING HANDS - MEALS AND TRANSPORTATION - $28,659 BHS POST HOSPITALIZATION ASSISTANCE PROGRAM - $72,434 FRIENDSHIP SHELTER TRAN. CARE SVC - $231,000 TOTAL - $455,443
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES OUR MISSION CALLS US TO IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. A KEY EMPHASIS IS PUT ON DEVELOPING PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS. FOSTERING A PREPARED AND PRODUCTIVE WORKFORCE IS THE PRIMARY FOCUS OF OUR COMMUNITY BUILDING AT MISSION HOSPITAL. WE COMPLETE THIS EFFORT THROUGH CONTINUED COLLABORATION WITH CAPISTRANO UNIFIED SCHOOL DISTRICT ADULT TRANSITION PROGRAM. SINCE 2006, MISSION HOSPITAL HOSTS INTERNS EACH FALL TO PROVIDE WORK EXPERIENCE IN A HOSPITAL SETTING. THESE STUDENT INTERNS ARE PLACED IN HOSPITAL DEPARTMENTS SUCH AS NUTRITIONAL CARE SERVICES, ENVIRONMENTAL SERVICES AND CENTRAL SUPPLY TO LEARN JOB SKILLS THAT WILL HELP THEM ATTAIN LONG-TERM EMPLOYMENT EITHER AT THE HOSPITAL OR A LOCAL ORGANIZATION. SINCE THE PROGRAM STARTED 10 YEARS AGO, MISSION HOSPITAL HAS EMPLOYED SEVERAL GRADUATES TO ENABLE THEM TO EARN A LIVING WAGE AND BECOME MORE INDEPENDENT MEMBERS IN OUR COMMUNITY. MISSION HOSPITAL ALSO SUPPORTS THE COMMUNITY THROUGH THE PROVISION OF IN-KIND FOOD DONATIONS TO LOCAL FOOD PANTRIES AND HOMELESS ORGANIZATIONS. AS PART OF THIS PROGRAM, WE PROVIDE NUTRITIOUS MEALS TO 25 HOMELESS INDIVIDUALS IN LAGUNA BEACH DAILY IN PARTNERSHIP WITH THE LOCAL HOMELESS SHELTER. IN ADDITION, THE HOMELESS SHELTER ASKED IF WE COULD SUPPORT THEIR CLIENTS BY PROVIDING COFFEE AND ASSOCIATED SUPPLIES TO THEIR CLIENTS DURING THEIR OVERNIGHT STAYS AT THE SHELTER. THIS WAS A LARGE EXPENSE FOR THE SHELTER. WE ARE ABLE TO PROVIDE THESE SUPPLIES FOR THE HOMELESS, WHICH PROVIDE COMFORT AND ALLOWS FOR OPEN DIALOGUE TO OCCUR MORE EASILY BETWEEN CLIENTS. ANOTHER COMMUNITY BUILDING PROGRAM WE SUPPORT IS OUR SAFE RIDES PROGRAM. SAFE RIDES IS A PEER-RUN PROGRAM OVERSEEN BY ADULT SUPERVISORS. STUDENTS FROM NUMEROUS LOCAL HIGH SCHOOLS STAFF A TOLL-FREE HOTLINE FOR TEENS TO CALL WHEN IN NEED OF A RIDE HOME DUE TO ALCOHOL, DRUGS OR UNSAFE DATE SITUATION. IN FY16, OVER 200 SAFE RIDES WERE PROVIDED TO YOUTH IN SOUTH COUNTY.
SCHEDULE H, PART III, LINE 2	METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
SCHEDULE H, PART III, LINE 3	METHODOLOGY OF ESTIMATING BAD DEBT EXPENSE ATTRIBUTABLE TO FAP PATIENTS THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, LINE 4	FINANCIAL STATEMENT BAD DEBT EXPENSE FOOTNOTE FOOTNOTE FROM THE PROVIDENCE ST. JOSEPH HEALTH COMBINED FINANCIAL STATEMENTS FOR THE YEAR ENDED 12/31/2017 THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
SCHEDULE H, PART III, LINE 8	TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING CMS STANDARD COSTING METHODS. THIS INCLUDES STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS.
SCHEDULE H, PART III, LINE 9B	APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE 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 IV, COLUMN (A)	NAME OF ENTITY 1. MISSION EDUCATION CONFERENCE CENTER, LLC 2. MISSION AMBULATORY SURGICENTER, LTD, DBA MISSION SURGERY CENTER 3. MISSION VIEJO PHYSICIAN PARTNERS I, LLC
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESMENT AN ANNUAL MARKET ASSESSMENT IS COMPLETED FOR OUR LOCAL MARKET THAT PROVIDES INFORMATION ON DEMOGRAPHICS, COUNTY HEALTH RANKINGS, PHYSICIAN LANDSCAPE, ACUTE CARE UTILIZATION RATES, MARKET SHARE, OUTMIGRATION TO OTHER MEDICAL FACILITIES FOR TREATMENT, EMERGENCY DEPARTMENT AND ANCILLARY UTILIZATION, AS WELL AS SERVICE LINE FORECASTS.
SCHEDULE H, PART VI, LINE 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 MISSION HOSPITALS TOTAL HOSPITAL SERVICE AREA (TSA) INCLUDES PORTIONS OF SOUTH ORANGE COUNTY. THE TOTAL HOSPITAL SERVICE AREA POPULATION IS 609,266 WITH A MEDIAN HOUSHOLD INCOME OF NEARLY $100,000. THE TOTAL SERVICE HAS 12.4 PERCENT OF THE POPULATION WITH A HOUSEHOLD INCOME BELOW 200% FPL AND 7.7 PERCENT OF CHILDREN AND 7.1 PERCENT OF OLDER ADULTS LIVE BELOW 100% OF POVERTY LEVEL. WHEN LOOKING AT THE PRIMARY SERVICE AREA, 22.3 PERCENT OF THE POPULATION IS UNDER THE AGE OF 18 AND 15.1 PERCENT OF THE POPULATION IS OVER THE AGE OF 65. FUTHERMORE, 13 PERCENT OF THE POPULATIONS HOUSEHOLD INCOME IS BELOW 200% FPL AND 8.5 PERCENT OF CHILDREN AND 6.6 PERCENT OF OLDER ADULTS LIVE BELOW 100% OF FEDERAL POVERTY LEVEL. MISSION HOSPITALS TSA IS PRIMARILY CAUCASIAN, REPRESENTING 64.1 PERCENT OF THE TOTAL POPULATION. HISPANIC RESIDENTS MAKE UP 20.1 PERCENT AND THE REMAINING 15 PERCENT ARE OTHER ETHNICITIES. THE REPRESENTATION OF RACIAL AND ETHNIC DIVERSITY IS THE VIRTUALLY THE SAME IN MISSION HOSPITALS PSA. BECAUSE OF THE EXTREME DIVERSITY OF INCOME IN MISSION HOSPITALS TSA, ONLY ONE ZIP CODE IS IDENTIFIED AS HAVING HIGH NEEDS: SAN JUAN CAPISTRANO, ZIP CODE 92675. HOWEVER, THERE ARE MANY POCKETS OF POVERTY WITHIN THE TSA THAT REMAIN HIDDEN DUE TO THE WIDE VARIANCE OF HOUSEHOLD INCOMES BY ZIP CODE. OTHER HOSPITALS IN THE COMMUNITY INCLUDE: SADDLEBACK MEMORIAL-LAGUNA HILLS AND CHILDREN'S HOSPITAL OF ORANGE COUNTY AT MISSION. HEALTH PROFESSIONS SHORTAGE AREA MENTAL, DENTAL, OTHER THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). MISSION HOSPITAL IS NOT LOCATED IN A SHORTAGE AREA. MEDICAL UNDERSERVED AREA/MEDICAL PROFESSIONAL SHORTAGE AREA MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MEDICALLY UNDERSERVED AREAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREAS LEVEL OF MEDICAL "UNDER SERVICE." MEDICALLY UNDERSERVED POPULATIONS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. MISSION HOSPITAL MISSION VIEJO AND MISSION HOSPITAL LAGUNA BEACH ARE NOT LOCATED IN MEDICALLY UNDERSERVED AREAS. HOWEVER, COASTAL COMMUNITIES WITHIN THEIR SERVICE AREA, STRETCHING BETWEEN DANA POINT AND SAN CLEMENTE, ARE DESIGNATED AS MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATION AREAS, SIGNIFYING THE IMPORTANCE OF MISSION HOSPITAL TO THE COMMUNITY IT SERVES. FOR MORE INFORMATION, GO TO THE MISSION HOSPITALS FY17 COMMUNITY BENEFIT REPORT POSTED AT https://www.mission4health.com/documents/MH-CBR-FY17.pdf
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH REALIZING OUR MISSION: MISSION HOSPITAL IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1971, LOCATED IN THE CITIES OF MISSION VIEJO AND LAGUNA BEACH SERVING THE FOLLOWING COMMUNITIES: MISSION VIEJO, LAGUNA BEACH, LAGUNA NIGUEL, SAN JUAN CAPISTRANO, SAN CLEMENTE, RANCHO SANTA MARGARITA, LAKE FOREST, LAGUNA HILLS, DANA POINT LADERA RANCH TRABUCO CANYON, CAPISTRANO BEACH AND ALISO VIEJO. MISSION HOSPITAL 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. MISSION HOSPITAL 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 MISSION HOSPITAL 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 SIX TIMES ANNUALLY. MISSION HOSPITALS FY15-FY17 CB PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSED ON: INCREASING ACCESS TO HEALTH CARE: HIGHLIGHTS FROM FY17 INCLUDE INCREASING THE NUMBER OF UNDUPLICATED PERSONS SERVED THROUGH CAMINO HEALTH CENTER BY 34.6% FROM 9,052 IN FY14 TO 12,191 IN FY17, ENROLLING 3,037 NEW PEOPLE INTO HEALTH INSURANCE, IMPLEMENTING A COMMUNITY HEALTH WORKER PROGRAM THAT EDUCATED AND EMPOWERED 5,752 INDIVIDUALS (ENCOUNTERS) ON HOW TO ACCESS HEALTH CARE SERVICES, AND ASSISTED 304 RESIDENTS TO LINK TO SERVICES AT OUR FAMILY RESOURCE CENTERS. WE INCREASED THE NUMBER OF SPECIALTY PROVIDERS AT MISSION HOSPITAL COMMUNITY BENEFIT EVENTS FROM 8 PROVIDERS IN FY14 TO 28 IN FY17. IMPROVING MENTAL HEALTH: THE BILINGUAL MENTAL HEALTH COUNSELORS AND SUPERVISED CLINICAL INTERNS AT THE FAMILY RESOURCE CENTERS SERVED 369 ADULTS AND CHILDREN WITH INDIVIDUAL, COUPLE AND FAMILY THERAPY, SUPPORT GROUPS AND WORKSHOPS. 119 CLIENTS RECEIVED PSYCHIATRIC ASSESSMENTS AND MEDICATION MANAGEMENT. 23,047 COMMUNITY RESIDENTS WERE REACHED THROUGH OUR OUTREACH AND EDUCATION EFFORTS ON THE TOPIC OF MENTAL HEALTH. 1,744 PEOPLE MADE PROMISES TO TALK ABOUT MENTAL HEALTH THROUGH OUR EACH MIND MATTERS CAMPAIGN, AIMED AT REDUCING THE STIGMA SURROUNDING MENTAL HEALTH. SUBSTANCE USE PREVENTION AMONG YOUTH: THE INITIATIVE SUPPORTED SCHOOL ASSEMBLIES, COMMUNITY PRESENTATIONS, MULTI-FAMILY EVENTS, HEALTH FAIRS AND WORKSHOPS FOR 6,171 COMMUNITY MEMBERS. ACTIVITIES INCLUDED SCHOOL-WIDE PREVENTION EDUCATION PRESENTATIONS, PARENT AND CHILD FACILITATED RELATIONSHIP-BUILDING WORKSHOPS, SCHOOL MENTAL HEALTH AWARENESS EVENTS, AND ADOLESCENT MINDFULNESS CLASSES. FY17 OTHER COMMUNITY BENEFIT PROGRAM ACCOMPLISMENTS INCLUDED: FAMILY RESOURCE CENTERS (FRCS) TWO FAMILY RESOURCE CENTERS ARE MANAGED IN THE COMMUNITY TO PROVIDE ACCESS TO SOCIAL SERVICES FOR COMMUNITY MEMBERS WITH LIMITED RESOURCES. THESE CENTERS ARE LIFELINES FOR MANY PEOPLE IN THE COMMUNITY AND SERVE A MUCH-NEEDED LINKAGE TO COMMUNITY PROGRAMS. THE FOLLOWING SERVICES ARE PROVIDED: MENTAL HEALTH SERVICES, SKILLS FOR LIFE PROGRAMS, HEALTH INSURANCE ACCESS, PARENTING SUPPORT & EDUCATION, PARENT/CHILD CLASSES, FAMILY ADVOCACY, INFORMATION & RESOURCE SERVICES, PERSONAL EMPOWERMENT PROGRAMS, FINANCIAL COUNSELING, EDUCATION ASSISTANCE AND LIMITED EMERGENCY ASSISTANCE. IN FY17, 34,392 ENCOUNTERS OCCURRED AT MISSION HOSPITALS TWO FAMILY RESOURCE CENTERS. IN FY17, THE SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER (SOCFRC) COMPLETED THE BUILD OF A NEW 20,000 SQUARE FOOT BUILDING THAT HOUSES BOTH THE FRC AND THE 3RD LOCATION FOR CAMINO HEALTH CENTER. THE NEW, LARGER SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER LOCATION ALSO ALLOWED THE TEAM TO BEGIN INCREASING ITS CAPACITY TO SERVE THE COMMUNITY DURING THE SECOND HALF OF FY17 AFTER THEY OFFICIALLY OPENED THEIR DOORS ON JANUARY 2, 2017. THE TEAM WAS ABLE TO INCREASE THE NUMBER OF CLIENTS SERVED BY 31.77%, FROM 1,240 BETWEEN JULY AND DECEMBER 2016 TO 1,634 BETWEEN JANUARY AND JUNE 2017. IN ADDITION, THE TEAM WAS ABLE TO INCREASE THE NUMBER OF ENCOUNTERS WITH CLIENTS BY 15.55%, FROM 11,684 BETWEEN JULY AND DECEMBER 2016 TO 13,501 BETWEEN JANUARY AND JUNE 2017. SENIOR TRANSPORTATION NON-EMERGENCY TRANSPORTATION SERVICE FOR SENIORS OVER 60 YEARS OF AGE RESIDING IN SOUTH ORANGE COUNTY WHO ARE RECEIVING SERVICES AT MISSION HOSPITAL CAMPUSES IN MISSION VIEJO AND LAGUNA BEACH. TRANSPORTATION SERVICE IS INTENDED FOR MEDICAL APPOINTMENTS INCLUDING OUTPATIENT THERAPY, TESTING AND X-RAYS, PHARMACY, HEALTH CLASSES, REHABILITATION AND SUPPORT GROUPS. PROGRAM WAS EXPANDED TO PROVIDE SERVICES TO LOW INCOME INDIVIDUALS 59 YEARS OLD AND YOUNGER, AND INCLUDED THE 3 FEDERALLY QUALIFIED HEALTH CENTER LOCATIONS IN SOUTH ORANGE COUNTY AND 2 FAMILY RESOURCE CENTERS. THE ENTIRE TRANSPORTATION PROGRAM PROVIDED TRANSPORTATION TO 225 UNDUPLICATED INDIVIDUALS, ACCOUNTING FOR MORE THAN 4,040 ENCOUNTERS. CAMINO HEALTH CENTER (CHC) CAMINO IS A FULLY LICENSED, COMMUNITY-BASED FEDERALLY QUALIFIED HEALTH CENTER (FQHC) PROVIDING AFFORDABLE, QUALITY PRIMARY MEDICAL, BEHAVIORAL HEALTH, DENTAL CARE AND WIC NUTRITION SERVICES. THE CENTER ACCOMMODATES OVER 102,000 VISITS ANNUALLY AT ITS THREE FIXED CLINIC SITE LOCATIONS IN LAKE FOREST, SAN CLEMENTE, AND SAN JUAN CAPISTRANO. MISSION HOSPITAL IS THE SOLE CORPORATE SPONSOR OF CHC. CAMINO GREW ITS STAFFING FROM 80 TO 94 STAFF/CONTRACTORS, AN INCREASE OF 17.5%, TO BETTER MEET THE COMMUNITY NEED FOR ACCESS TO AFFORDABLE, QUALITY, HEALTH CARE SERVICES. CAMINOS PATIENT BASE INCREASED FROM 13,309 IN CY15 TO 14,468 IN CY16, AN INCREASE OF 9%. THIS REPRESENTS A PENETRATION RATE OF 15% INTO THE LOW INCOME COMMUNITY IN SOUTH ORANGE COUNTY. A PEDIATRICIAN WAS HIRED TO BETTER SERVE INFANT AND ADOLESCENT PATIENTS. THREE NEW SPECIALTY CARE SERVICES WERE ALSO ADDED IN FY17 TO THE HEALTH CENTERS SCOPE OF SERVICES: NEPHROLOGY, NEUROLOGY, AND PULMONOLOGY. CHC COMPLETED THE BUILD OUT OF THE NEW 10,000 SQUARE FOOT HEALTH CENTER LOCATION IN LAKE FOREST COMPLETE WITH 16 EXAM ROOMS, FIVE DENTAL OPERATORIES, AND A WIC SUITE. THIS LOCATION ALSO HOUSES THE FRC AND CREATES WRAP-AROUND SERVICES FOR COMMUNITY MEMBERS. IN ADDITION, COLLABORATION AND REFERRAL PROCESSES WERE DEVELOPED BETWEEN THE MEDICAL CLINIC AND THE WIC PROGRAM TO PROMOTE BOTH SERVICES LINES. NEARLY HALF OF THE INFANTS ENROLLED IN THE WIC PROGRAM (46.7%) WERE BREASTFED COMPARED TO THE COUNTY AVERAGE OF 37.9% AND THE STATEWIDE AVERAGE OF 40.5%. CHC HAS BEEN RECOGNIZED BY, AND RECEIVED NEARLY $145,000 IN QUALITY AWARD DOLLARS, BY THE FEDERAL GOVERNMENT FOR DISPLAYING HIGH LEVELS OF QUALITY PERFORMANCE. COMMUNITY SUPPORT GROUPS AT OUR LAGUNA BEACH CAMPUS, WE PROVIDE IN-KIND MEETING SPACE TO OVER 20 COMMUNITY-LED SUPPORT GROUPS SUCH AS ALCOHOLICS ANONYMOUS, AL-ANON FAMILY GROUPS, NATIONAL ALLIANCE FOR THE MENTALLY ILL AND THE DEPRESSION & BIPOLAR SUPPORT ALLIANCE. THERE ARE GROUP MEETINGS SEVEN DAYS A WEEK AT MISSION HOSPITAL LAGUNA BEACH WITH GROUPS RANGING FROM 10 TO 150 PEOPLE EACH WEEK. THIS IN-KIND CONTRIBUTION REPRESENTS CLOSE TO $74,000 TO SUPPORT THE COMMUNITY. ORANGE COUNTY RECUPERATIVE PROJECT (OCRP) THE OCRP IS A REGIONAL PROJECT SUPPORTED BY ORANGE COUNTY HOSPITALS TO PROVIDE INTERIM HOUSING ARRANGEMENTS AFTER A HOSPITALIZATION. HOMELESS INDIVIDUALS RECEIVE REHABILITATIVE CARE BEFORE RETURNING TO THEIR NORMAL LIVING ENVIRONMENT. ON-SITE CASE MANAGEMENT SERVICES ARE PROVIDED TO SECURE PERMANENT HOUSING. IN FY17 45 CLIENTS WERE ADMITTED TO THE PROGRAM WITH AN AVERAGE LENGTH OF STAY OF 10.6 DAYS. 480 BED NIGHTS WERE PROVIDED IN ALL. SOUTH COUNTY SAFE RIDES A PEER-RUN PROGRAM OVERSEEN BY ADULT SUPERVISORS. STUDENTS FROM NUMEROUS LOCAL HIGH SCHOOLS STAFF A TOLL-FREE HOTLINE FOR TEENS TO CALL WHEN IN NEED OF A RIDE HOME DUE TO ALCOHOL, DRUGS OR UNSAFE DATE SITUATION. 104 RIDES WERE PROVIDED TO YOUTH THROUGH OUR MISSION VIEJO AND LAGUNA BEACH CAMPUSES. FLU CLINICS COMPLIMENTARY FLU AND PNEUMONIA VACCINES ARE OFFERED BY OUR NURSES IN THE LO
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM MISSION 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, CALIFORNIA, TO PROVIDE EDUCATION AND HEALTH CARE. THE MINISTRY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, THE CALIFORNIA HIGH DESERT, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA. SJH COMMUNITY PARTNERSHIP FUND (FORMERLY THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) IN 1986, ST. JOSEPH HEALTH (SJH) CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND (FORMERLY KNOWN AS THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. EVERY YEAR, EACH ST. JOSEPH HEALTH HOSPITAL CONTRIBUTES TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT OUTREACH EFFORTS FOR THE ECONOMICALLY POOR. IN FY17 THIS AMOUNT TOTALED $4.82 MILLION FOR MISSION HOSPITAL. 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 (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceDesc
BOYS AND GIRLS CLUB OF LAGUNA BEACH
1085 LAGUNA CANYON RD	LAGUNA BEACH	CA	92651	951878822	501(c)(3)	$100,000	$0	PROGRAM SUPPORT
CAMINO HEALTH CENTER
30300 CAMINO CAPISTRANO	SAN JUAN CAPISTRANO	CA	92675	330574214	501(c)(3)	$1,859,047	$0	PROGRAM SUPPORT
CHOC CHILDREN FOUNDATION
1201 WEST LA VETA AVE	ORANGE	CA	92868	956097416	501(c)(3)	$15,000	$0	PROGRAM SUPPORT
COALITION OF ORANGE COUNTY COMMUNITY
515 N CABRILLO PRK DR SUITE 225	SANTA ANA	CA	92701	952900725	501(c)(3)	$33,000	$0	PROGRAM SUPPORT
COMMUNITY HEALTH INITIATIVE OC
1505 EAST 17TH ST SUITE 121	SANTA ANA	CA	92705	472671013	501(c)(3)	$30,000	$0	PROGRAM SUPPORT
CREER COMUNIDAD Y FAMILIA
PO BOX 1347	SAN JUAN CAPISTRANO	CA	92693	330486106	501(c)(3)	$15,000	$0	PROGRAM SUPPORT
FRANCEL GUEST HOME INC
9441 HOUSTON AVE	ANAHEIM	CA	92801	651293194	501(c)(3)	$7,258	$0	PROGRAM SUPPORT
FRIENDSHIP SHELTER
PO BOX 4252	LAGUNA BEACH	CA	92652	330218404	501(c)(3)	$102,320	$0	PROGRAM SUPPORT
LAGUNA BEACH SENIORS
380 THIRD ST	LAGUNA BEACH	CA	92651	952983350	501(c)(3)	$20,000	$0	PROGRAM SUPPORT
NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPEN
21068 BAKE PARKWAY	IRVINE	CA	92618	951970946	501(c)(3)	$87,581	$0
RANCHO MISSION VIEJO RODEO
PO BOX 9	SAN JUAN CAPISTRANO	CA	92693	330954148	501(c)(3)	$10,000	$0
SECOND HARVEST FOOD BANK
8014 MARINE WY	IRVINE	CA	92618	320362611	501(c)(3)	$34,000	$0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE	IRVINE	CA	92612	330143024	501(c)(3)	$4,820,000	$0
TALLER SAN JOSE
801 N BROADWAY	SANTA ANA	CA	92701	593816355	501(c)(3)	$10,000	$0
THE ILLUMINATION FOUNDATION
2691 RICHTER AVE STE 107	IRVINE	CA	92606	711047686	501(c)(3)	$85,502	$0
WELLNESS AND PREVENTION CENTER SAN CLEMENTE
700 AVENIDA PICO	SAN CLEMENTE	CA	92673	472443093	501(c)(3)	$75,090	$0
WESTERN YOUTH SERVICES
23461 S POINTE DRIVE SUITE 220	LAGUNA HILLS	CA	92653	953507054	501(c)(3)	$60,000	$0
ST TIMOTHY'S CATHOLIC CHURCH
29102 CROWN VALLEY PARKWAY	LAGUNA NIGUEL	CA	92677	953656905	501(c)(3)		$46,819		FOOD DONATION
MISSION BASILICA SAN JUAN CAPISTRANO
31520 CAMINO CAPISTRANO	SAN JUAN CAPISTRANO	CA	92675	951904079	501(c)(3)		$46,781		FOOD DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	20	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (8 entries)

Grant TypeGrantTypeTxt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	RecipientRecipientCnt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
CALIFORNIA YELLOW CAB	$15,124	$0
NURSE NEXT DOOR	$11,261	$0
HELPING HANDS-PAID TO PATIENTS	$23,321		215
BENEFITS PROVIDED TO COMMUNITY	$9,542		436
DONATIONS TO INDIVIDUALS<$5K	$12,200	$7,983	484	FMV	TURKEY DONATIONS
FUNERALS	$13,807		8
PALLIATIVE CARE	$4,183		14
MAMMOGRAMS	$2,995		8

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	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 (15 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
MICHAEL MARINO DO
BOD, SVP, CHIEF MED INFO OFCR	$0	$440,509	$0	$198,164	$0	$54,123	$0	$13,250	$0	$2,837	$0	$708,883	$0	$0
KENNETH MCFARLAND
FORMER CEO (FORMER OFFICER)	$0	$72,200	$0	$380,187	$0	$591,454	$0	$5,776	$0	$4,960	$0	$1,054,577	$0	$0
RICHARD F AFABLE MD
INTERIM CEO (PART YEAR)	$0	$826,886	$0	$1,358,356	$0	$474,186	$0	$225,381	$0	$22,599	$0	$2,907,408	$0	$395,044
TAREK SALAWAY
CHIEF EXECUTIVE	$0	$384,312	$0	$124,986	$0	$30,561	$0	$0	$0	$11,947	$0	$551,806	$0	$0
TARA COWELL
VP/ASSOC. GENERAL COUNSEL/SEC.	$0	$299,623	$0	$130,706	$0	$41,519	$0	$18,523	$0	$30,854	$0	$521,225	$0	$0
EILEEN HAUBL
SVP & CHIEF FINANCIAL OFFICER	$329,529	$0	$147,319	$0	$56,397	$0	$23,129	$0	$22,567	$0	$578,941	$0	$0	$0
CYNTHIA MUELLER
VP MISSION INTEGRATION	$266,913	$0	$116,981	$0	$33,899	$0	$23,614	$0	$22,422	$0	$463,829	$0	$0	$0
MICHAEL BECK
VP, CHIEF ADMIN OFFICER - LB	$248,803	$0	$116,549	$0	$30,478	$0	$23,408	$0	$31,358	$0	$450,596	$0	$0	$0
LINDA SIEGLEN
CHIEF MEDICAL OFFICER	$372,152	$0	$166,968	$0	$1,616	$0	$10,600	$0	$24,733	$0	$576,069	$0	$0	$0
TERRENCE WOOTEN
VP INTEGRATED OPERATIONS	$177,584	$0	$72,394	$0	$19,020	$0	$16,129	$0	$8,839	$0	$293,966	$0	$0	$0
DEANNE NIEDZIELA
EXEC DIR, NURSING	$169,122	$0	$30,259	$0	$3,698	$0	$15,691	$0	$23,692	$0	$242,462	$0	$0	$0
LINDA JOHNSON
CHIEF NURSING OFFICER	$157,316	$0	$0	$0	$295,373	$0	$8,341	$0	$18,676	$0	$479,706	$0	$15,098	$0
TERRI FOX-COVERT
VP HUMAN RESOURCES	$225,961	$0	$103,189	$0	$26,260	$0	$21,159	$0	$32,578	$0	$409,147	$0	$0	$0
JOCELYN CHOPRA
REGISTERED NURSE	$260,802	$0	$19,571	$0	$3,243	$0	$21,146	$0	$14,759	$0	$319,521	$0	$0	$0
PHUC MAI
DIRECTORY PHARMACY	$218,426	$0	$33,265	$0	$4,197	$0	$8,524	$0	$23,442	$0	$287,854	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	DESCRIPTION OF CEO PAID BY EXEMPT PARENT 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 4A	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FOR EITHER PART OR ALL OF THE YEAR: KENNETH MCFARLAND - $584,195 SCHEDULE J, PART I, LINE 4B DESCRIPTION OF A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE 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 SCHEUDLE. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECT CURRENT YEAR PAYOUTS FROM THESE PLANS.
SCHEDULE J, PART I, LINE 7	DESCRIBE ANY NON-FIXED PAYMENTS PROVIDED A PORTION OF EXECUTIVE SALARIES ARE PLACED AT-RISK AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE STRATEGIC OBJECTIVES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$298,121	MEDICAL DEVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$775,525	NEUROSURGICAL SERVICES	false
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$261,706	ADVERTISING AGREEMENT	false
COAST RADIOLOGY IMAGING INTERVENT
ENTITY MORE THAN 35% OWNED BY BOARD TRUSTEE TODD LEMPERT, M.D.	$1,425,941	MEDICAL SERVICES	false

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

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	22	ContributionCnt
Noncash Contributions Rpt F990	$573,748	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
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

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	GIFTS IN KIND	Desc
Contribution	553	ContributionCnt
Noncash Contributions Rpt F990	$389,357	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenuesTxt

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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE M, PART I, COLUMN (B)	AMOUNTS IN THIS COLUMN WERE BASED ON THE NUMBER OF CONTRIBUTIONS.
SCHEDULE M, PART I, LINE 25	GIFTS IN KIND WITH AN ESTIMATED VALUE OF $389,357 WERE RECEIVED DURING THE YEAR AND WERE NOT INCLUDED ON THE BOOKS. VALUE WAS ESTIMATED FROM DONOR'S APPROXIMATION OF VALUE. REVENUE FROM THE SALE OF THESE ITEMS IS INCLUDED IN FUNDRAISING REVENUE ON FORM 990, PART VIII, LINE 8A.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	ST. JOSEPH HEALTH SYSTEM THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORSMINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH MINISTRY. THE MINISTRY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, THE CALIFORNIA HIGH DESERT, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA. PROVIDENCE ST. JOSEPH HEALTH MISSION 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. 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 MISSION HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 46 YEARS. SERVING THE COMMUNITIES OF MISSION VIEJO, LAGUNA BEACH, LAGUNA NIGUEL, SAN JUAN CAPISTRANO, SAN CLEMENTE, RANCHO SANTA MARGARITA, LAKE FOREST, LAGUNA HILLS, DANA POINT LADERA RANCH TRABUCO CANYON, CAPISTRANO BEACH AND ALISO VIEJO. MISSION HOSPITAL IS AN ACUTE CARE, FULL SERVICE HOSPITAL THAT HOUSES THE REGION'S DESIGNATED TRAUMA CENTER, ONE OF ONLY THREE IN THE COUNTY. A COMPLETE ARRAY OF TOP-QUALITY HEALTHCARE SERVICES ARE OFFERED INCLUDING 24-HOUR EMERGENCY CARE; IMAGING, CARDIAC REHABILITATION AND CHEST PAIN CENTER; STROKE CENTER, MATERNITY CENTER. MISSION HOSPITAL ALSO OFFERS ORTHOPEDICS, REHABILITATION, CANCER, SPINE AND VASCULAR SERVIES. OUR LAGUNA BEACH HEALTHCARE SERVICES INCLUDE 24-HOUR EMERGENCY, MEDICAL-SURGICAL CARE AS WELL AS BEHAVIORAL HEALTH AND CHEMICAL AND PAIN MEDICATION DEPENDENCY TREATMENT. WITH OVER 2,500 EMPLOYEES COMMITTED TO REALIZING THE MISSION, MISSION HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE REGION. PATIENT FINANCIAL ASSISTANCE PROGRAM MISSION HOSPITAL BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY MISSION HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY17, MISSION HOSPITAL PROVIDED $11,387,477 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM MISSION HOSPITAL PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY17, MISSION HOSPITAL PROVIDED $36,604,071 IN MEDICAID SHORTFALL, WHICH ACCOUNTED FOR THE HOSPITAL FEE PROGRAM. PROGRAM SERVICE ACCOMPLISHMENTS CAMINO HEALTH CENTER: IN FY17, MISSION HOSPITAL CONTRIBUTED OVER $1 MILLION DOLLARS TO SUPPORT THE EFFORTS OF CAMINO HEALTH CENTER. MISSION HOSPITAL IS THE SOLE CORPORATE SPONSOR FOR THIS FEDERALLY QUALIFIED HEALTH CENTER, PROVIDING AFFORDABLE, QUALITY PRIMARY MEDICAL, BEHAVIORAL HEALTH, DENTAL CARE AND WIC NUTRITION SERVICES FOR THE LOW-INCOME POPULATION OF SOUTH ORANGE COUNTY. THE CENTER ACCOMMODATES OVER 14,468 VISITS ANNUALLY AT ITS THREE FIXED CLINIC SITE LOCATIONS IN LAKE FOREST, SAN CLEMENTE, AND SAN JUAN CAPISTRANO. THREE NEW SPECIALTY CARE SERVICES WERE ALSO ADDED IN FY17 TO THE HEALTH CENTERS SCOPE OF SERVICES: NEPHROLOGY, NEUROLOGY, AND PULMONOLOGY. CAMINO COMPLETED THE BUILDOUT OF THE NEW 10,000 SQUARE FOOT HEALTH CENTER LOCATION IN LAKE FOREST, COMPLETE WITH 16 EXAM ROOMS, FIVE DENTAL OPERATORIES, AND A WIC SUITE. THIS LOCATION IS CO-LOCATED WITH MISSION HOSPITALS FAMILY RESOURCE CENTER AND CREATES WRAP-AROUND SERVICES FOR COMMUNITY MEMBERS. FAMILY RESOURCE CENTERS (FRCS): MISSION HOSPITAL OPERATES TWO FAMILY RESOURCE CENTERS TO PROVIDE ACCESS TO SOCIAL SERVICES FOR COMMUNITY MEMBERS WITH LIMITED RESOURCES. THESE CENTERS ARE LIFELINES FOR MANY PEOPLE IN THE COMMUNITY AND SERVE A MUCH-NEEDED LINKAGE TO COMMUNITY PROGRAMS. ESTABLISHED IN 1996, THE SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER (SOCFRC) IS LOCATED IN LAKE FOREST, CA. OUR SECOND LOCATION IN SAN JUAN CAPISTRANO OPENED IN 2001. THE TWO FRCS PROVIDE MENTAL HEALTH SERVICES, HEALTH INSURANCE ACCESS, PARENTING SUPPORT & EDUCATION, CHILDRENS CLASSES, FAMILY ADVOCACY, INFORMATION & RESOURCE SERVICES, PERSONAL EMPOWERMENT PROGRAMS, FINANCIAL COUNSELING, AND LIMITED EMERGENCY ASSISTANCE. IN FY17, THE SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER COMPLETED THE BUILD OF A NEW 20,000 SQUARE FOOT BUILDING THAT HOUSES BOTH THE FRC AND THE 3RD LOCATION FOR CAMINO HEALTH CENTER. THIS NEW, LARGER LOCATION ALSO ALLOWED THE TEAM TO BEGIN INCREASING ITS CAPACITY TO SERVE THE COMMUNITY DURING THE SECOND HALF OF FY17 AFTER THEY OFFICIALLY OPENED THEIR DOORS ON JANUARY 2, 2017. THE TEAM WAS ABLE TO INCREASE THE NUMBER OF UNIIQUE CLIENTS SERVED BY 31.77%, FROM 1,240 BETWEEN JULY AND DECEMBER 2016 TO 1,634 BETWEEN JANUARY AND JUNE 2017. IN TOTAL, OVER 34,392 ENCOUNTERS OCCURRED THROUGH PROGRAMS AND ACTIVITIES CONDUCTED IN COLLABORATION WITH THE TWO FRCS. BOTH CENTERS CONTINUE AS DESIGNATED FRCS WITH THE FAMILIES AND COMMUNITIES TOGETHER (FACT) CONTRACT FROM THE COUNTY OF ORANGE, CHILDREN AND FAMILIES COMMISSION.
FORM 990, PART III, LINE 4A - CONTINUED	MENTAL HEALTH INITIATIVE: THROUGH AN INTEGRATED NETWORK OF CARE, MISSION HOSPITAL AIMS TO IMPROVE MENTAL HEALTH SERVICES FOR THE VULNERABLE POPULATION IN SOUTH ORANGE COUNTY THROUGH PREVENTION AND BY ENSURING ACCESS TO APPROPRIATE, QUALITY MENTAL HEALTH SERVICES. MISSION HOSPITAL IS WORKING TO IMPROVE THE MENTAL HEALTH OF THE MOST VULNERABLE MEMBERS OF SOUTH ORANGE COUNTY. IN FY17, MISSION HOSPITAL CONTINUED ITS STIGMA REDUCTION CAMPAIGN IN PARTNERSHIP WITH CALIFORNIAS EACH MIND MATTERS MOVEMENT. THIS LOCALLY ACTIVATED CAMPAIGN, PROMISE TO TALK, INCLUDED OUTREACH, CLOSE COLLABORATION WITH COMMUNITY PARTNERS, VIDEO PUBLIC SERVICE ANNOUNCEMENTS, BUS ADVERTISING, ENGAGING BILINGUAL LITERATURE AND SOCIAL MEDIA. THE CAMPAIGN RESULTED IN 1,744 PROMISES TO TALK ABOUT MENTAL HEALTH, 7,937 ENCOUNTERS AND 17,035,959 IMPRESSIONS THROUGH SOCIAL MEDIA HITS, BOOTHS AT COMMUNITY EVENTS AND BUS ADVERTISEMENT. IN ADDITION, COMMUNITY SURVEYING SHOWED THAT 60% OF THE TARGET POPULATION EXPERIENCES THE COMMUNITY AS GENERALLY CARING AND SYMPATHETIC (AN INCREASE FROM 48% IN FY16). FAITH LEADER BREAKFASTS WERE HOSTED TO INCREASE AWARENESS OF MENTAL HEALTH AND PROVIDE TOOLS TO EFFECTIVELY ADDRESS ISSUES FROM PARISHIONERS. 212 LEADERS WERE TRAINED IN FY17 FROM ALL FAITH COMMUNITIES. MISSION HOSPITAL COMPLETED ITS 3-YEAR PARTNERSHIP WITH WESTERN YOUTH SERVICES TO FULFILL THE CONTRACT WITH OC MENTAL HEALTH SERVICES AND PROVIDE OUTREACH AND EDUCATION REGARDING MENTAL HEALTH TO VULNERABLE RESIDENTS IN SOUTH ORANGE COUNTY. MISSION HOSPITAL MET ITS ANNUAL OBLIGATION AND PROVIDED STRONG SUPPORT TO O&E PARTNERS TO MEET THE COLLABORATIVE GOALS. AT LEAST 20,000 PEOPLE HAVE RECEIVED INFORMATION ABOUT MENTAL HEALTH DUE TO THIS COMBINED OUTREACH EFFORT, INCLUDING 7,450 INTERVENTIONS, 854 WORKSHOPS, 5,765 REFERRALS AND 1,924 LINKAGES TO MENTAL HEALTH SERVICES. THE FAMILY RESOURCE CENTERS (FRCS) WERE ABLE TO INCREASE THE NUMBER OF CLIENTS SEEN FOR MENTAL HEALTH SERVICES TO 369 BY INCREASING STAFFING AND RECRUITING AND SUPPORTING INTERN THERAPISTS AND SOCIAL WORKERS. THE FRCS HOSTED TWELVE (12) MENTAL HEALTH INTERNS TO INCREASE CAPACITY OF CULTURALLY-APPROPRIATE MENTAL HEALTH SERVICES IN SOUTH ORANGE COUNTY. IN ADDITION, A CARE NAVIGATOR WAS HIRED FOR THE FRCS TO MEET THE EXPANDING NEEDS IN THE COMMUNITY FOR MENTAL HEALTH AND CASE MANAGEMENT SERVICES. THE INTERNS PROVIDED OVER 5,600 HOURS OF SERVICE TO OUR MOST VULNERABLE RESIDENTS. OUR PSYCHIATRIC PROGRAM THROUGH THE FRC CONTINUED TO FILL AN IDENTIFIED NEED FOR ACCESS TO PSYCHIATRIC SERVICES FOR PEOPLE WITHOUT HEALTH INSURANCE COVERAGE. SUBSTANCE ABUSE IS A SIGNIFICANT ISSUE IN SOUTH ORANGE COUNTY, PARTICULARLY AMONG YOUTH LIVING IN THE BEACH COMMUNITIES. EFFORTS HAVE BEEN MADE OVER THE LAST SEVEN YEARS TO LOWER RATES OF ALCOHOL USE AMONG TEENS THROUGH FACILITATION OF THE LAGUNA BEACH COMMUNITY COALITION AND WORKING STRATEGICALLY WITH THE LAGUNA BEACH UNIFIED SCHOOL DISTRICT. IN FY17, OVER 7,100 COMMUNITY MEMBERS RECEIVED EDUCATION ON SUBSTANCE ABUSE THROUGH LIVE PRESENTATIONS. OVER 3,824 STUDENTS PARTICIPATED IN EVENTS OVER THE YEAR. ADDITIONALLY, WE WERE SUCCESSFUL IN OUR ADVOCACY EFFORTS TO PREVENT MARIJUANA DISPENSARIES IN THE CITY OF LAGUNA BEACH, LIMITING YOUTH EXPOSURE TO ADVERTISEMENTS AND OTHER INDUSTRY TACTICS THAT REDUCE THE YOUTHS PERCEPTION OF HARM FROM MARIJUANA. FOR MORE INFORMATION ABOUT MISSION HOSPITAL, PLEASE VISIT WWW.MISSION4HEALTH.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM AND PROVIDENCE ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG AND HTTP://WWW.PSJHEALTH.ORG/ABOUT-US.
FORM 990 PART IV, LINES 11F AND 12B & PART XII, LINE 2B	MISSION HOSPITAL REGIONAL MEDICAL CENTER WAS INCLUDED IN CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS FOR PROVIDENCE ST. JOSEPH HEALTH FOR THE PERIOD ENDED DECEMBER 31, 2017. AS SUCH, AUDITED FINANCIAL STATEMENTS WERE NOT PREPARED FOR THE TAX YEAR ENDED JUNE 30, 2017. THE REPORTING ORGANIZATION WILL CHANGE ITS TAX YEAR END TO DECEMBER 31 FOR 2017. FORM 990, PART V, LINE 1A ST. JOSEPH HEALTH SYSTEM (SJHS) PAYS ALL VENDORS FOR SJH ENTITIES UNDER SJH AP SHARED SERVICES. THEREFORE, SJHS ISSUES FORM 1099-MISC UNDER ITS TAX ID. SJHS 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 AND COVENANT HEALTH NETWORK, INC. ARE THE CORPORATE MEMBERS OF MISSION HOSPITAL REGIONAL MEDICAL CENTER. FORM 990, PART VI, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS MISSION HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE MISSION HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE MISSION HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD.
FORM 990, PART VI, LINE 7B	DESCR CLASSES OF PERSONS, DECISIONS REQ APPR & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, LINE 11B	DESCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE MARCH 2017 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	DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST 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	THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS ST. JOSEPH HEALTH SYSTEM'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW ST. JOSEPH HEALTH SYSTEM ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. ST. JOSEPH HEALTH SYSTEM HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE ST. JOSEPH HEALTH SYSTEM MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF ST. JOSEPH HEALTH SYSTEM'S LEGAL ENTITIES. ST. JOSEPH HEALTH SYSTEM ALSO MAINTAINS A NETWORK OF COMMUNITY MINISTRY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. ST. JOSEPH HEALTH SYSTEM HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE AND APPROVED BY THE FULL BOARD OF DIRECTORS, NONE OF WHOM IS A ST. JOSEPH HEALTH SYSTEM EMPLOYEE. THE BOARD RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. ST. JOSEPH HEALTH SYSTEM IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS WHOSE REVENUE IS SIMILAR TO THAT OF ST. JOSEPH HEALTH SYSTEM. ADDITIONALLY, ST. JOSEPH HEALTH SYSTEMS LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, ST. JOSEPH HEALTH SYSTEM ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR ST. JOSEPH HEALTH SYSTEM EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING ST. JOSEPH HEALTH SYSTEM OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THIS PROCESS WAS LAST COMPLETED IN SEPTEMBER 2016.
FORM 990, PART VI, LINE 19	AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FINANCIAL STMTS 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 CAPITAL CONTRIBUTION TO HERITAGE $ 106,527,226 HOME HEALTH EQUITY TRANSFER $ 5,015,360 NET ASSET TRANSFER TO ST. JOSEPH HEALTH SYSTEM $ 152,040,357 FOUNDATION OTHER ADJUSTMENT ($ 6,441,704) INVESTMENT IN CSSC - EQUITY TRANSFER ($ 14,667,929) INVESTMENT IN SUBSIDIARIES $ 1,518,362 RECLASS TO PY UNRESTRICTED FUND ($ 329,853,899) UNRESTRICTED DISTRIBUTIONS & DIVIDENDS $ 180,711 TEMPORARY RESTRICTED NET ASSETS $ 11,752,940 CY UNRESTRICTED EQUITY TRANSFERS $ 9,305,946 DONATIONS $ 3,975,290 GAMING ($ 279,146) OTHER MISC RECONCILING ADJUSTMENTS ($ 683,223) --------------- TOTAL ($ 61,609,709)
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESS. & MED PHYSICIAN FEES TOTAL FEES:21808897
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:1932862
FORM 990 PART IX LINE 11G	DESCRIPTION:REGISTRY/TEMPORARY LABOR TOTAL FEES:21533981
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:43614594
FORM 990 PART IX LINE 11G	DESCRIPTION:BIOMEDICAL PURCHASED SERVICES TOTAL FEES:5524683
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:5949710

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)
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREET	NAPA	CA	94558	941243669	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVE	FORTUNA	CA	95540	942779313	HEALTHCARE	CA	501(C)(3)	7	RMH	Yes (true)
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVE	FORTUNA	CA	95540	941384665	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVE	SANTA ROSA	CA	95405	941231005	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
SRM ALLIANCE HOSPITAL SERVICES (PVH)
400 NORTH MCDOWELL BLVD	PETALUMA	CA	94954	680395200	HEALTHCARE	CA	501(C)(3)	3	SRMH	Yes (true)
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DRIVE	IRVINE	CA	92612	953589356	HEALTHCARE	CA	501(C)(3)	12,I	PSJH	false
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	7	SJHS	Yes (true)
ST JOSEPH HOME CARE NETWORK
1111 SONOMA STE 308	SANTA ROSA	CA	95405	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREET	EUREKA	CA	95501	941156596	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVE	ORANGE	CA	92868	951643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST JOSEPH HERITAGE HEALTHCARE
200 WEST CENTER ST PROMENADE	ANAHEIM	CA	92805	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVE	FULLERTON	CA	92635	951643324	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST MARY 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	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
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	MHRMC	RELATED	-$102,606	$14,386,513	false	$0	false	0.56780
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	MHRMC	RELATED	$106,291	$8,650,580	false	$0	false	0.55830

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	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
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		MHRMC	C-CORP	27800 MEDICAL CENTER RD	MISSION VIEJO	CA	92691	330212905	CA	1.00000	Yes (true)
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 (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
c	$4,412,735	ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
b	$4,820,000	ACCRUAL
ST JOSEPH HERITAGE HEALTHCARE
b	$31,944,919	ACCRUAL
ST JOSEPH HERITAGE HEALTHCARE
j	$644,429	ACCRUAL
ST JOSEPH HERITAGE HEALTHCARE
m	$4,563,671	ACCRUAL
ST JOSEPH HOSPITAL ORANGE
l	$321,358	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