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COVENANT HEALTH SYSTEM: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COVENANT HEALTH SYSTEM (EIN 75-2765566)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-14
IRS object ID
201841349349302699
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-14T11:44:09-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118101 VON KARMAN AVE STE 1700AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752765566EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COVENANT HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DYANA KERRInCareOfNm
Business Name ControlCOVEBusinessNameControlTxt
Phone8067250000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13615 19TH STREETAddressLine1Txt
CityLUBBOCKCityNm
State AbbreviationTXStateAbbreviationCd
ZIP794101203ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD PARKSPersonNm
Person TitleCEOPersonTitleTxt
Phone8067250000PhoneNum
Signature2018-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKARA ADAMSPreparerPersonNm
PTINP00023315PTIN
Phone9497942300PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1COVENANT HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRICHARD PARKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13615 19TH STREETAddressLine1Txt
CityLUBBOCKCityNm
State AbbreviationTXStateAbbreviationCd
ZIP794101203ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$726,402,555GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COVENANTHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee4375TotalEmployeeCnt
Total Volunteers86TotalVolunteersCnt
Total Gross UBI$6,513,624TotalGrossUBIAmt
PY Contributions Grants$10,560,788PYContributionsGrantsAmt
CY Contributions Grants$6,645,850CYContributionsGrantsAmt
PY Program Service Revenue$703,316,607PYProgramServiceRevenueAmt
CY Program Service Revenue$717,280,661CYProgramServiceRevenueAmt
PY Investment Income$3,803,864PYInvestmentIncomeAmt
CY Investment Income$2,476,044CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$717,681,259PYTotalRevenueAmt
CY Total Revenue$726,402,555CYTotalRevenueAmt
PY Grants And Similar Paid$4,045,752PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,354,800CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$215,238,478PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$216,064,268CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$430,974,061PYOtherExpensesAmt
CY Other Expenses$444,164,689CYOtherExpensesAmt
PY Total Expenses$650,258,291PYTotalExpensesAmt
CY Total Expenses$665,583,757CYTotalExpensesAmt
PY Revenues Less Expenses$67,422,968PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$60,818,798CYRevenuesLessExpensesAmt
Total Assets BOY$794,676,007TotalAssetsBOYAmt
Total Assets EOY$742,712,027TotalAssetsEOYAmt
Total Liabilities BOY$178,570,192TotalLiabilitiesBOYAmt
Total Liabilities EOY$143,788,580TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$616,105,815NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$598,923,447NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$605,529,992ExpenseAmt
Grant$5,354,800GrantAmt
Revenue$715,030,640RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$605,529,992TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4375EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDYANA KERRPersonNm
Phone8067255234PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12107 OxfordAddressLine1Txt
CityLUBBOCKCityNm
State AbbreviationTXStateAbbreviationCd
ZIP79410ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
VAL COCHRAN
BOARD MEMBER/COMMITTEE V CHAIR4.04.0Yes (X)$0$0$0
JACK L COX MD
BOARD MEMBER2.048.0Yes (X)$0$776,839$27,425
MIKE CUNNINGHAM
BOARD MEMBER/COMMITTEE V CHAIR4.04.0Yes (X)$0$0$0
JEREMY DALTON MD
BOARD MBR/CHIEF OF STAFF CCH2.048.0Yes (X)$0$408,602$21,595
JIM GILBREATH
BOARD MEMBER/BOARD V. CHAIR5.05.0Yes (X)$0$0$0
JOHN HAMILTON
BD MBR/COMMITTEE CHAIR (PT YR)4.04.0Yes (X)$0$0$0
ROSALINDA R JIMENEZ
BOARD MEMBER2.02.0Yes (X)$0$0$0
KEITH MANN
BOARD CHAIR5.05.0Yes (X)$0$0$0
EDDIE MCBRIDE
BOARD MEMBER/COMMITTEE V CHAIR4.04.0Yes (X)$0$0$0
CHRISTY MCCLENDON
BOARD MEMBER/COMMITTEE V CHAIR4.04.0Yes (X)$0$0$0
JESSIE MENDOZA
BOARD MEMBER2.02.0Yes (X)$0$0$0
DARRIN MONTALVO
BOARD MEMBER (PART YEAR)2.048.0Yes (X)$0$1,649,173$75,410
BRIAN NICHOLSON MD
BOARD MEMBER2.048.0Yes (X)$0$562,204$20,557
MICHAEL O'NEILL MD
BOARD MEMBER (PART YEAR)2.048.0Yes (X)$0$446,369$30,504
RICHARD PARKS
EVP W TX E NM/BD MBR/PRESIDENT50.00.0Yes (X)$0$1,503,687$31,065Yes (X)
DONALD QUICK MD
BOARD MBR/CHIEF OF STAFF CMC2.048.0Yes (X)$0$670,532$27,647
SISTER CHRISTINE RAY CSJ
BOARD MEMBER/ COMMITTEE CHAIR4.046.0Yes (X)$0$0$0
TEB THAMES MD
BOARD MEMBER (PART YEAR)2.02.0Yes (X)$0$0$0
LARRY WARMOTH MD
BOARD MEMBER (PART YEAR)2.048.0Yes (X)$0$481,953$30,275
KAREN WORLEY
BOARD MEMBER/COMMITTEE V CHAIR4.04.0Yes (X)$0$0$0
SISTER SHARON BECKER CSJ
BOARD MEMBER/COMMITTEE CHAIR4.046.0Yes (X)$0$0$0
DAVID BAYOUTH
BOARD MEMBER2.02.0Yes (X)$0$0$0
BRIAN BRUENING MD
BOARD MEMBER/COMMITTEE CHAIR4.04.0Yes (X)$0$1,750$0
WALTER CATHEY
CHS CEO50.00.0$588,790$0$40,262Yes (X)
JOHN GRIGSON
SVP CHIEF FINANCIAL OFFICER26.024.0$661,926$0$29,359Yes (X)
JAMES KELLY
SECRETARY20.030.0$0$437,797$34,800Yes (X)
ROBERT TURNER
VP MISSION INGEGRATION26.024.0$311,595$0$31,696Yes (X)
CRAIG RHYNE MD
REGIONAL CMO50.00.0$866,196$0$40,023Yes (X)
KAREN BAGGERLY
CNO/VP of Nursing50.00.0$431,417$0$30,947Yes (X)
SHARON PRATHER
CHIEF GOVERNANCE OFFICER31.019.0$368,042$0$38,363Yes (X)
CHRISTINE SHAVER
REGIONAL VP, HR - COVHS50.00.0$326,299$0$35,238Yes (X)
DYANA KERR
REGIONAL VP, FINANCE50.00.0$273,697$0$34,952Yes (X)
ROBERT SALEM MD
SVP MEDICAL DIRECTOR50.00.0$570,905$0$42,457Yes (X)
LAWRENCE MARTINELLI MD
CHIEF MED INFORMATICS OFFICER50.00.0$458,088$0$22,140Yes (X)
STEVEN BECK
SVP REG SVCS & GOV'T RELATION30.020.0$400,687$0$39,740Yes (X)
KELLY MCDANIEL
VP SUPPORT SERVICES50.00.0$293,183$0$34,890Yes (X)
REUBEN LACY
VP REVENUE CYCLE50.00.0$286,528$0$20,878Yes (X)
TROY THIBODEAUX
FORMER CEO0.00.0$0$467,364$0Yes (X)
STEVE MCCAMY
PRES./CMG CEO (FMR KEY EMPL)5.045.0$0$609,476$14,765Yes (X)
CHRIS DOUGHERTY
CHIEF CULTURAL & EXP OFFICER40.00.0$194,475$0$25,889Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,031,828TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,015,746TotReportableCompRltdOrgAmt
Total Other Compensation$780,877TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K232IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NORTHSTAR ANESTHESIA PA
6225 N STATE HIGHWAY 161IRVINGTX75038ANESTHESIA SERVICES$11,948,981
SOUND INPATIENT PHYSICIANS
1123 PACIFIC AVENUETACOMAWA98402PHYSICIAN SERVICES$8,026,055
ARAMARK
25271 NETWORK PLCCHICAGOIL60673FOOD SERVICES$6,586,796
TEXAS TECH UNIV HEALTH SCIENCES CE
3601 4TH STREETLUBBOCKTX79430RESIDENCY PROGRAM$5,297,028
UNITED BLOOD SERVICES
2523 48TH STLUBBOCKTX79413BLOOD SERVICES$2,099,058
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K185CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
Related Organizations$6,645,850RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
Noncash Contributions$1,546,036NoncashContributionsAmt
Total Contributions$6,645,850TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT SERVICES REVENUE622110$558,906,125$558,906,125$0$0
MOB RENTAL REVENUE531120$12,616,721$12,616,721$0$0
OUTREACH LAB SERVICES621511$3,501,243$0$3,501,243$0
CAFETERIA REVENUE722310$3,240,597$3,240,597$0$0
BILLING/ MANAGEMENT FEE541611$3,012,381$0$3,012,381$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,003,594TotalRevenueColumnAmt
Related Or Exempt Func Income$136,003,594RelatedOrExemptFuncIncomeAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$717,280,661TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,476,044TotalRevenueColumnAmt
Exclusion$2,476,044ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$726,402,555TotalRevenueColumnAmt
Related Or Exempt Func Income$710,767,037RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,513,624UnrelatedBusinessRevenueAmt
Exclusion$2,476,044ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,354,800TotalAmt
Program Services$5,354,800ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,654,278TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,654,278ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$149,109,613TotalAmt
Program Services$138,398,936ProgramServicesAmt
Management And General$10,710,677ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,186,279TotalAmt
Program Services$8,088,577ProgramServicesAmt
Management And General$1,097,702ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$41,790,087TotalAmt
Program Services$39,707,380ProgramServicesAmt
Management And General$2,082,707ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,324,011TotalAmt
Program Services$11,523,251ProgramServicesAmt
Management And General$800,760ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$152,983,724TotalAmt
Program Services$150,293,520ProgramServicesAmt
Management And General$2,690,204ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,119,102TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,119,102ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$48,466TotalAmt
Program Services$48,466ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$91,851,803TotalAmt
Program Services$69,050,270ProgramServicesAmt
Management And General$22,801,533ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,604,903TotalAmt
Program Services$58,130ProgramServicesAmt
Management And General$2,546,773ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,706,925TotalAmt
Program Services$5,248,668ProgramServicesAmt
Management And General$2,458,257ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$918,503TotalAmt
Program Services$918,503ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,607,118TotalAmt
Program Services$8,603,109ProgramServicesAmt
Management And General$4,009ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$722,415TotalAmt
Program Services$335,786ProgramServicesAmt
Management And General$386,629ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$270,161TotalAmt
Program Services$159,330ProgramServicesAmt
Management And General$110,831ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,968,675TotalAmt
Program Services$0ProgramServicesAmt
Management And General$5,968,675ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$30,077,253TotalAmt
Program Services$30,077,253ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,194,521TotalAmt
Program Services$2,026,989ProgramServicesAmt
Management And General$167,532ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$134,287,817$133,463,237$824,580$0
ALL OTHER EXPENSES$2,803,303$2,173,787$629,516$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$665,583,757TotalAmt
Program Services$605,529,992ProgramServicesAmt
Management And General$60,053,765ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,604,915BOYAmt
EOY$7,232,641EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$43,646,276BOYAmt
EOY$16,782,859EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$77,017,573BOYAmt
EOY$63,633,768EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$102,298BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,092,136BOYAmt
EOY$8,619,344EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,740,702BOYAmt
EOY$2,320,732EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$963,187,270LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$643,988,254LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$275,624,644BOYAmt
EOY$319,199,016EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$87,232,354BOYAmt
EOY$92,059,679EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$24,201,165BOYAmt
EOY$36,121,799EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$263,413,944BOYAmt
EOY$196,742,189EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$794,676,007BOYAmt
EOY$742,712,027EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$41,615,036BOYAmt
EOY$38,511,490EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,721,128BOYAmt
EOY$1,444,491EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$135,234,028BOYAmt
EOY$103,832,599EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$178,570,192BOYAmt
EOY$143,788,580EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$616,105,815BOYAmt
EOY$598,923,447EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$616,105,815BOYAmt
EOY$598,923,447EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$794,676,007BOYAmt
EOY$742,712,027EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$60,818,798ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,213,809NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$72,787,357OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$48,466OtherActivitiesAmt
Total Lobbying Expenditures$48,466TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationPORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES DURING THE YEAR, ST. JOSEPH HEALTH SYSTEM CONDUCTED ADVOCACY EFFORTS WHICH INCLUDED SOME LOBBYING ACTIVITIES. THESE ACTIVITIES INCLUDED MEETING WITH LOCAL, STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS, AS WELL AS COMMUNICATION TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION. THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO COVENANT HEALTH SYSTEM.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,307,431OtherCostOrOtherBasisAmt
Book Value$18,307,431BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$436,447,749OtherCostOrOtherBasisAmt
Depreciation$332,535,307DepreciationAmt
Book Value$103,912,442BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,310,863OtherCostOrOtherBasisAmt
Depreciation$17,695,352DepreciationAmt
Book Value$8,615,511BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$359,511,466OtherCostOrOtherBasisAmt
Depreciation$293,757,595DepreciationAmt
Book Value$65,753,871BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$122,609,761OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$122,609,761BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$319,199,016TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
LT DUE TO AFFILIATES$190,598,742
OTHER RECEIVABLES$4,006,159
ASSETS HELD IN TRUST$2,034,990
NOTE RECEIVABLES$102,298
FieldValueIRS element (for citing)
Total Book Value Other Assets$196,742,189TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
LT NOTES$83,638,321
CURRENT MATURITIES OF LT DEBT$15,110,475
PAYABLE TO THIRD PARTY PAYORS$2,103,162
OTHER LIABILITIES$2,980,641
FieldValueIRS element (for citing)
Total Liability$103,832,599TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other175.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,471,830TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,471,830NetCommunityBenefitExpnsAmt
Total Expense0.03650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$48,784,041TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,927,204DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,856,837NetCommunityBenefitExpnsAmt
Total Expense0.01840TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,053,186TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,146DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,002,040NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,309,057TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,978,350DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,330,707NetCommunityBenefitExpnsAmt
Total Expense0.05630TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,031,492TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$92,273DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,939,219NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,975,281TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,636,080DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,339,201NetCommunityBenefitExpnsAmt
Total Expense0.02340TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$271,378TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,350DirectOffsettingRevenueAmt
Net Community Benefit Expns$268,028NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$497,636TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$497,636NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,775,787TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,731,703DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,044,084NetCommunityBenefitExpnsAmt
Total Expense0.02730TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$100,084,844TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,710,053DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,374,791NetCommunityBenefitExpnsAmt
Total Expense0.08360TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$41,003,849BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$116,096,618ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$179,576,002CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$63,479,384MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
METHODIST DIAGNOSTIC
HEALTHCARE0.60.4
COVENANT L-T CARE LP
HEALTHCARE0.815290.18471
COVENANT HP SURG CTR
HEALTHCARE0.30890.6911
COVENANT REHABIL HOL
HEALTHCARE0.490.51
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
COVENANT MED CENTER-LAKESIDE CAMPUS
14000 24TH STREETLUBBOCKTX79410WWW.COVENANTHEALTH.ORG465Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
COVENANT MEDICAL CENTER
23616 19TH STREETLUBBOCKTX794101203WWW.COVENANTHEALTH.ORG465Yes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility12FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care175.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5INPUT FROM COMMUNITY REPRESENTATIVES THE PROCESS OF COLLECTING QUALITATIVE COMMUNITY INPUT TOOK THREE MAIN FORMS: COMMUNITY RESIDENT FOCUS GROUPS, A NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, AND A COMMUNITY FORUM. EACH GROUP WAS DESIGNED TO CAPTURE THE COLLECTED KNOWLEDGE AND OPINIONS OF PEOPLE WHO LIVE AND WORK IN THE COMMUNITIES SERVED BY COVENANT HEALTH. WE DEVELOPED A PROTOCOL (NOTED IN CHNA APPENDIX 3B, POSTED ON THE COVENANT WEBSITE) 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. CHNA APPENDIX 3, AVAILABLE ONLINE, ON COVENANT HEALTH WEBSITE, INCLUDES A FULL REPORT OF THE COMMUNITY INPUT PROCESS AND FINDINGS ALONG WITH DESCRIPTIONS OF THE PARTICIPANTS. SPRING 2017 - 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. THE COMMUNITY-BASED ORGANIZATION DEVELOPED AN INVITATION LIST USING THEIR CONTACTS AND KNOWLEDGE OF THE AREA, AND PARTICIPANTS WERE PROMISED A SMALL INCENTIVE FOR THEIR TIME. DESCRIPTION OF MEDICALLY UNDERSERVED, LOW INCOME AND/OR MINORITY POPULATIONS REPRESENTED IN COMMUNITY INPUT PROCESS: 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. THE DEMOGRAPHICS OF THE RESIDENT FOCUS GROUPS ARE AS FOLLOWS: FEMALE - 81% MALE - 19% RACE/ETHNICITY: HISPANIC/LATINO - 69% NON-LATINO WHITE - 15% BLACK/AFRICAN-AMERICAN - 12% NATIVE AMERICAN 4% CHRONIC CONDITIONS: PERSON WITH CHRONIC CONDITIONS OR A LEADER OR REPRESENTATIVE OF INDIVIDUALS WITH CHRONIC CONDITIONS - 58% INCOME: TOTAL HOUSEHOLD INCOME BEFORE TAXES LESS THAN $20,000 - 68%. SPRING 2017 NONPROFIT & 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. SPRING 2017 - RESIDENT COMMUNITY FORUM: RECRUITMENT FOR THE COMMUNITY RESIDENT FORUM WAS MUCH BROADER TO ENCOURAGE AS MANY PEOPLE AS POSSIBLE TO ATTEND THE SESSION. COMMUNITY BENEFIT STAFF PUBLICIZED THE EVENT THROUGH FLYERS AND EMAILS USING THEIR EXISTING OUTREACH NETWORKS, AND ALSO ASKED THEIR PARTNER ORGANIZATIONS TO INVITE AND RECRUIT PARTICIPANTS. NO FORMAL INVITATION LIST WAS USED FOR THE FORUMS AND ANYONE WHO WISHED TO ATTEND WAS WELCOMED. THE FORUM WAS CONDUCTED BY AN OUTSIDE CONSULTANT IN ENGLISH, WITH SIMULTANEOUS SPANISH LANGUAGE TRANSLATION FOR ANYONE WHO REQUESTED IT. WHILE THE FOCUS GROUPS FOLLOWED A SIMILAR PROTOCOL TO EACH OTHER IN WHICH FIVE TO SIX QUESTIONS WERE ASKED OF THE GROUP, THE FORUM 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 PROCESS, THE FORUM SERVED AS SOMETHING OF A "CAPSTONE" TO THE COMMUNITY INPUT PROCESS.
SCHEDULE H, PART V, SECTION B, LINE 6CHNA HOSPITAL FACILITIES THE NEEDS ASSESSMENT WAS CONDUCTED AS A COLLABORATIVE EFFORT BETWEEN THE FOLLOWING COVENANT HEALTH ENTITIES: COVENANT HEALTH MEDICAL CENTER, COVENANT HEALTH CHILDRENS, COVENANT HEALTH PLAINVIEW, COVENANT HEALTH LEVELLAND AND COVENANT SPECIALTY HOSPITAL (JOINT VENTURE). THESE FACILITIES ARE REFERRED TO COLLECTIVELY AS COVENANT HEALTH AND ALL SERVE THE SAME GEOGRAPHIC SERVICE AREA OF WEST TEXAS AND EASTERN NEW MEXICO.
SCHEDULE H, PART V, SECTION B, LINE 7ATHE CHNA FOR COVENANT HEALTH SYSTEM CAN BE FOUND ON ITS WEBSITE AT HTTPS://WWW.COVENANTHEALTH.ORG/DOCUMENTS/CMC-CC-CSH-CHNA-FY17.PDF
SCHEDULE H, PART V, SECTION B, LINE 10AHTTPS://WWW.COVENANTHEALTH.ORG/DOCUMENTS/CMC-CC-CSH-CBPLAN-ISREPORT-FY18-2 0.PDF
SCHEDULE H, PART V, SECTION B, LINE 11COVENANT HEALTH IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFY BY THE FY17 COMMUNITY HEALTH NEEDS ASSESSMENT. COVENANT HEALTHS FY18-FY20 COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSES ON THREE AREAS, MENTAL/BEHAVIORAL HEALTH, DIABETES PREVENTION AND INTERVENTION, AND DENTAL HEALTH. BELOW IS A HIGH-LEVEL SUMMARY OF THE THE FY18-FY20 CB PLAN/IMPLEMENTATION STRATEGY REPORT: MENTAL/BEHAVIORAL HEALTH - WORK WITH COMMUNITY PARTNERS TO EXPAND AND INVESTIGATE CREATIVE SOLUTIONS ACCESS TO CARE, TO CREATE COMMUNITY RESILIENCE, REDUCE DEPRESSION AND ANXIETY, AND EXPAND SUBSTANCE ABUSE (INCLUDING ALCOHOL) PREVENTION/INTERVENTION INITIATIVES THROUGH EITHER DIRECT PROGRAMMING OR FINANCIAL SUPPORT OF PARTNER AGENCIES. DIABETES PREVENTION AND INTERVENTION EXPAND CURRENT OUTREACH TO INCLUDE MORE INNOVATIVE APPROACHES TO PREVENTION WITH EMPHASIS ON EARLY INTERVENTIONS WITH CHILDREN AND FAMILIES, COLLABORATE WITH INTERNAL AND EXTERNAL PARTNERS TO IMPLEMENT EVIDENCE BASED PRACTICES, AND INCREASE ACCESS TO MEDICATION. INCLUDING FOCUS ON PREVENTIVE LIFESTYLE ISSUES SUCH AS OBESITY REDUCTION, UNHEALTHY LIFESTYLES, FOOD CHOICES AND EXERCISE. DENTAL HEALTH ENHANCE CURRENT OUTREACH PRACTICES TO INCLUDE MORE EARLY INTERVENTION WITH CHILDREN AND NEW PARENTS, INCREASE SCHOOL PARTNERSHIPS AND EXPLORE WAYS TO CONTINUE TO IMPROVE ACCESS TO SERVICES NEEDS BEYOND THE HOSPITALS SERVICE PROGRAM THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA ARE NOT ADDRESSED THROUGH DIRECT ONGOING HOSPITAL PROGRAMMING HOWEVER ARE ADDRESSED BY COVENANT HEALTH COMMUNITY PARTNERSHIPS: RESOURCE AWARENESS, POVERTY, TEEN PREGNANCY, CRIME AND FOOD INSECURITY COVENANT HEALTH PARTNERS WITH AND PROVIDES FUNDING TO SEVERAL ORGANIZATIONS THAT PROVIDE SERVICES IN THESE AREAS, INCLUDING BUT NOT LIMITED TO CATHOLIC CHARITIES, LOCAL FQHCS, THE SOUTH PLAINS FOOD BANK, YWCA, WOMENS PROTECTIVE SERVICES, MEALS ON WHEELS, AND FAMILY GUIDANCE AND OUTREACH CENTER. WE ALSO HAVE BEGUN HOSTING AN ANNUAL CHILD ABUSE PREVENTION SUMMIT AND HAVE AN INTERNAL FOOD PANTRY FOR PATIENTS FAMILIES IN NEED. WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH COMMUNITY BENEFIT PROGRAM AND BY FUNDING OTHER LOCAL NON-PROFITS THROUGH OUR WELLNESS AND PREVENTION GRANTS FUNDED THROUGH OUR CARE FOR THE POOR DOLLARS AND MANAGED BY COVENANT HEALTH COMMUNITY OUTREACH. IN ADDITION, WE COLLABORATE WITH LOCAL ORGANIZATION(S) AND LOCAL FEDERALLY QUALIFIED HEALTH CLINICS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE. FOR MORE INFORMATION ON THE KEY STRATEGIES FOR ADDRESSING THIS HEALTH NEEDS GO TO THE COVENANT HEALTH FY18-FY20 CB PLAN LOCATED AVAILABLE ONLINE AT HTTPS://WWW.COVENANTHEALTH.ORG/DOCUMENTS/CMC-CC-CSH-CBPLAN-ISREPORT-FY18-2 0.PDF
SCHEDULE H, PART V, SECTION B, LINE 13HTHE 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 16AHTTP://WWW.COVENANTHEALTH.ORG/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE/FINAN CIAL-ASSISTANCE-POLICY-ENGLISH_4.20.16.PDF
SCHEDULE H, PART V, SECTION B, LINE 16BHTTP://WWW.COVENANTHEALTH.ORG/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE/FINAN CIAL-ASSISTANCE-APPLICATION-ENGLISH_2.24.16.PDF
SCHEDULE H, PART V, SECTION B, LINE 16CHTTP://WWW.COVENANTHEALTH.ORG/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE/COVEN ANT_FABROCHURE_2016.PDF
SCHEDULE H, PART V, SECTION B, LINE 16JTHE ORGANIZATION POSTS ITS SUMMARIZED FINANCIAL ASSISTANCE NOTICE IN ALL ADMITTING AREAS IN BOTH ENGLISH AND SPANISH AND PROVIDES THE FULL POLICY UPON REQUEST. SUMMARIZED NOTICES OF THE POLICY ARE AVAILABLE ON ITS WEBSITE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR UNINSURED PATIENTS. BILINGUAL PATIENT ACCOUNT REPRESENTATIVES ARE AVAILABLE TO ADDRESS QUESTIONS AND ASSIST IN THE COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION IN ENGLISH OR SPANISH.
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
COVENANT LT CARE LP DBA COVENANT SP HOSP
4000 24TH STREETLUBBOCKTX79410LONG TERM CARE
COVENANT HEART & VASCULAR
3615 19TH STREETLUBBOCKTX794101203GENERAL MEDICAL & SURGICAL
COVENANT HIGH PLAINS SURGERY CENTER LLC
10000 MEMORIAL DR STE 540HOUSTONTX77024SURGERY CENTER
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOCKTX79410DIAGNOSTIC CENTER
FAMILY HEALTHCARE CENTER
7601 QUAKERLUBBOCKTX79410MEDICAL CLINIC
SOUTHWEST MEDICAL PARK
9812 SLIDE ROADLUBBOCKTX79424GENERAL MEDICAL & SURGICAL
NORTHWEST CLINIC
611 N FRANKFORDLUBBOCKTX79410MEDICAL CLINIC
FAMILY HEALTHCARE CENTER
416 FRANKFORD ROADLUBBOCKTX79410MEDICAL CLINIC
COVENANT REHABILITATION HOSP OF LUBBOCK
7770 JEFFERSON ST NE SUITE 320ALBUQUERQUENM87109MEDICAL CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

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SCHEDULE H, PART I, LINE 3CIN 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 6ACOVENANT HEALTH PREPARES AN ANNUAL REPORT AS A SYSTEM WHICH INCLUDES COVENANT MEDICAL CENTER, COVENANT CHILDREN'S HOSPITAL AND COVENANT SPECIALTY HOSPITAL (JOINT VENTURE), AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.COVENANTHEALTH.ORG/DOCUMENTS/CH-CBR-FY17.PDF
SCHEDULE H, PART I, LINE 7A-ITHE AMOUNTS REPORTED IN THE TABLE WERE DERIVED FROM THE COST ACCOUNTING SYSTEM AND GENERAL LEDGER. THE ORGANIZATION'S COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS.
SCHEDULE H, PART III, SECTION A, LINE 2THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
SCHEDULE H, PART III, SECTION A, LINE 3THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS RECEIVED A 100 PERCENT WRITE-OFF OF THE BALANCE DUE. AFTER THE RECLASSIFICATION THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, SECTION A, LINE 4FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT FOOTNOTE FROM THE PROVIDENCE ST. JOSEPH HEALTH COMBINED FINANCIAL STATEMENTS FOR THE YEAR ENDED 12/31/2017 THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
SCHEDULE H, PART III, SECTION B, LINE 8THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES (EXCEPT FOR AMOUNTS REPORTED IN PART I, LINE 7) AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT. THE MEDICARE COST REPORT SUBMITTED FOR THE FISCAL YEAR USES CMS STANDARD COSTING METHODS. THIS METHOD INCLUDES SPECIFIC STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS.
SCHEDULE H, PART III, SECTION C, LINE 9BCOVENANT HEALTH SYSTEM PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESMENT A NEEDS ASSESSMENT IS COMPILED EVERY THREE YEARS WHICH DETAILS OVERARCHING HEALTHCARE CONCERNS FOR TEXAS IN GENERAL AS WELL AS MANY DETAILS AFFECTING THE LUBBOCK COMMUNITY BENEFIT SERVICE AREA IN PARTICULAR. SOME OF THE OTHER SOURCES USED FOR COVENANT'S NEEDS ASSESSMENT INCLUDES: INTERCITY HARDSHIP INDEX (IHI) MAPPING COMPLETED BYST. JOSEPH HEALTH, THE UNITED WAY COMMUNITY STATUS REPORT, AND THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES DATA. THE PROCESS USED FOR THE PRIORITIZATION OF THE PROGRAMS WAS DETERMINED BY GENERAL CONSENSUS. ALL ASSESSMENTS USED FOR THIS PLAN, PRIMARY AND SECONDARY DATA THAT WAS ANALYZED, INDIVIDUAL MEETINGS WITH GROUPS OF STAKEHOLDERS, AND MEMBERS OF THE COMMUNITY BENEFIT COMMITTEE ALL CONFIRMED THE PROGRAMS WHICH ARE PRIORITIZED FOR THIS STAKEHOLDERS, AND MEMBERS OF THE COMMUNITY BENEFIT COMMITTEE ALL CONFIRMED THE PROGRAMS WHICH ARE PRIORITIZED FOR THIS PLAN.
SCHEDULE H, PART VI, LINE 3Patient Education of Eligibility for Assistance THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION COVENANT HEALTHS TOTAL HOSPITAL SERVICE AREA INCLUDES 25 COUNTIES. THE MOST DENSE POPULATION OF THE TSA IS IN LUBBOCK COUNTY, AND APPROXIMATELY 100 PERCENT OF LUBBOCK COUNTYS POPULATION IS WITHIN THE TSA. THE TOTAL HOSPITAL SERVICE AREA POPULATION IS 750,000 WITH A MEDIAN HOUSEHOLD INCOME OF $45,365. THE TOTAL SERVICE HAS 34.6 PERCENT OF THE POPULATION WITH A HOUSEHOLD INCOME BELOW 200% FPL AND 24.5 PERCENT OF CHILDREN AND 10.8 PERCENT OF OLDER ADULTS LIVE BELOW 100% OF POVERTY LEVEL. WHEN LOOKING AT THE PRIMARY SERVICE AREA, 25.4 PERCENT OF THE POPULATION IS UNDER THE AGE OF 18 13.2 OF THE POPULATION IS OVER THE AGE OF 65. LEVEL. LUBBOCK COUNTY DEMOGRAPHICS INCLUDE: 54% - WHITE NON-HISPANIC, 35% - HISPANIC/LATINO, 2.4% - ASIAN/PACIFIC ISLANDER, 7.8% - AFRICAN AMERICAN, 1% - NATIVE AMERICAN. COVENANT HEALTHS TOTAL SERVICE AREA INCLUDES: 43.9% - HISPANIC/LATINO, 47.8% - WHITE NON-HISPANIC, 5% - AFRICAN AMERICAN, 1.4% - ASIAN/PACIFIC ISLANDER, 0.5% - NATIVE AMERICAN THE FOLLOWING ZIP CODE HAVE HIGH LEVELS OF POVERTY 79401,79411,79404,79415,79403,79412,79064,79041,79357,79410,79339,79316, 79414,79072,79241. OTHER HOSPITALS IN THE TSA INCLUDE: COCHRAN MEMORIAL HOSPITAL CROSBYTON CLINIC HOSPITAL MEDICAL ARTS HOSPITAL W.J. MANGOLD MEMORIAL HOSPITAL MEMORIAL HOSPITAL YOAKUM COUNTY HOSPITAL COVENANT HEALTH PLAINVIEW COVENANT HEALTH LEVELLAND LAMB HEALTHCARE CENTER COVENANT MEDICAL CENTER COVENANT CHILDRENS HOSPITAL LUBBOCK HEART HOSPITAL GRACE HOSPITAL UNIVERSITY MEDICAL CENTER LYNN COUNTY HOSPITAL DISTRICT BROWNFIELD REGIONAL MEDICAL CENTER YOAKUM COUNTY HOSPITAL COGDELL MEMORIAL HOSPITAL PLAINS REGIONAL MEDICAL CENTER LEA REGIONAL MEDICAL CENTER NOR-LEA GENERAL HOSPITAL. 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). COVENANT HEALTH IS LOCATED IN A SHORTAGE AREA, THE MAJORITY OF THE TOTAL SERVICE AREA IS DESIGNATED AS SHORTAGE AREAS. MEDICAL UNDERSERVED AREA/MEDICAL PROFESSIONAL SHORTAGE AREA MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MEDICALLY UNDERSERVED AREAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREAS LEVEL OF MEDICAL "UNDER SERVICE". MEDICALLY UNDERSERVED POPULATIONS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. THE MAJORITY OF THE COVENANT HEALH SERVICE AREA, IS LOCATED IN A MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATIONS AREA, SIGNIFYING THE IMPORTANCE OF COVENANT MEDICAL CENTER TO THE COMMUNITY IT SERVES. FOR MORE INFORMATION, GO TO THE COVENANT MEDICAL CENTERS FY17 COMMUNITY BENEFIT REPORT POSTED AT HTTPS://WWW.COVENANTHEALTH.ORG/DOCUMENTS/CH-CBR-FY17.PDF.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH REALIZING OUR MISSION: COVENANT MEDICAL CENTER IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1998, LOCATED IN LUBBOCK, TX SERVING THE FOLLOWING REGION: WEST TEXAS AND EASTERN NEW MEXICO REGION. COVENANT HEALTH MEDICAL CENTER 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. COVENANT HEALTH MEDICAL CENTER IS COMMITED 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 COVENANT HEALTH 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 SIX MEMBERS OF THE BOARD OF TRUSTEES AND SEVEN COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE GENERALLY MEETS BI-MONTHLY. COVENANT HEALTH MEDICAL CENTER FY15-FY17 CB PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSED ON: WELLNESS AND PREVENTION FOCUSED PRIMARILY ON ADULT DIABETIC EDUCATION, OBESITY PREVENTION FOR CHILDREN, ADULT CARDIAC HEALTH EDUCATION AND EARLY ORAL HEALTH INTERVENTIONS FOR CHILDREN; A FULL TIME HEALTH EDUCATOR WILL BE DEDICATED TO DIABETES EDUCATION/PREVENTION AND GENERAL HEALTH/NUTRITION EDUCATION FOR ALL AGES; FUNDING FOR CHILDHOOD OBESITY AND WELLNESS PROGRAMS WILL BE PROVIDED TO COMMUNITY AGENCIES; PARTICIPATION IN HEALTH SCREENINGS AND HEALTH FAIRS; FUNDING FOR WELL HEART PRESENTATIONS; ORAL HEALTH EDUCATION PROVIDED ON-SITE AT ELEMENTARY SCHOOLS ORAL HEALTH - COMMUNITY OUTREACH DENTAL CLINIC SERVES LOW-INCOME FAMILIES OFFERING COMPREHENSIVE DENTAL CARE TO PATIENTS AGED 5 AND UP; MOBILE DENTAL UNIT THAT SERVES PATIENTS IN A 75-MILE RADIUS OF LUBBOCK; FREE REGIONAL DENTAL SEALANT CLINICS FOR SCHOOL CHILDREN MENTAL HEALTH - COVENANT COMMUNITY OUTREACH COUNSELING CENTER PROVIDES COUNSELING SERVICES TO UNDERSERVED AND LOW-INCOME PERSONS IN OUR COMMUNITY OFFERING INDIVIDUAL, COUPLES AND FAMILY THERAPY TO PEOPLE OF ALL AGES HEALTH AND WELLNESS INITIATIVE: COVENANT BODY MIND INITIATIVE WELLNESS AND PREVENTION PROGRAM. GOAL: OVERALL IMPROVEMENT IN THE HEALTH AND WELLNESS OF CBMI PROGRAM PARTICIPANTS. THIS IS A TEN YEAR LONGITUDINAL RESEARCH PROJECT COLLABORATION WITH TEXAS TECH. MEASURES ARE SET AND TRACKED BY TTU. FOR THE 2016-17 SCHOOL YEAR THERE WAS A COMBINED 4.3% CHANGE TO A HEALTHY BMI AND AN OVERALL 3% REDUCTION IN OBESITY AMONG OUR RESEARCH SCHOOLS. (I.E. A STUDENTS BMI IN THE OVERWEIGHT PERCENTILE RANGE IMPROVED, MOVING THEM IN A POSITIVE DIRECTION TOWARD THE HEALTHY RANGE). ACCOMPLISHMENTS: FIT4FUN KIDS TRIATHLON - 144 PARTICIPANTS, PLUS FAMILY SWIM THAT INVOLVED 250 PEOPLE, TOP CHEF ENRICHMENT ACTIVITY FOR 6TH GRADERS, EXPRESS YOURSELF ENHANCEMENT ACTIVITY - 8TH GRADERS, COMPREHENSIVE WELLNESS SECOND EDITION HAS BEEN PRINTED AND IS READY FOR DISTRIBUTION. IT INCLUDES AN UPDATE ON HOW THE LESSONS AND ACTIVITIES ARE INFORMED BY RESEARCH. IMPLEMENTATION STRATEGIES AND EVALUATION PLAN: DENTAL HEALTH OUTREACH INITIATIVE: SEALANT PROGRAM GOAL: IMPROVE THE ORAL HEALTH AND INCREASE PREVENTION OF CAVITIES FOR THIRD GRADE CHILDREN IN AREA LOW INCOME SCHOOLS KEY COMMUNITY PARTNERS: LARRY COMBEST CENTER, STARCARE, THE DREAM CENTER, LUBBOCK CHILDRENS HEALTH CLINIC, AND TITLE 1 ELEMENTARY SCHOOLS IN THE REGION. ACCOMPLISHMENTS: COLLECTED INFORMATION TO ESTABLISH BASELINE FOR OUTCOME MEASURE, EXPANDED MOBILE DENTAL SERVICES TO BOTH THE COVENANT LEVELLAND AND COVENANT PLAINVIEW HOSPITALS, EXPANDED WALK-IN EMERGENCY DENTAL SERVICES FOR THE LUBBOCK DENTAL CLINIC. HEALTH AND WELLNESS INITIATIVE: MENTAL HEALTH INITIATIVE: ANXIETY REDUCTION GOAL: REDUCE ANXIETY AMONG ADULT COVENANT COUNSELING CENTER CLIENTS WITH A GAD-7 SCORE OF 5 OR ABOVE KEY COMMUNITY PARTNERS: LARRY COMBEST CENTER (FQHC), CATHOLIC CHARITIES, AND STARCARE FY17 ACCOMPLISHMENTS: EXCEEDED TARGET FOR OUR OUTCOME MEASURE BY 3.6% AND EXCEEDED TARGETS ON TWO OF THE THREE STRATEGY MEASURES. THE TOTAL NUMBER OF UNIQUE CLIENT SERVED AT THE COUNSELING OUTREACH CLINIC WAS 616 IN FY17 AS COMPARED TO 407 IN FY16. COLLABORATED WITH COVENANT CHILDRENS HOSPITAL TO OFFER POST-PARTUM DEPRESSION SERVICES AND WORKED WITH TEXAS TECH FAMILY THERAPY CLINIC TO EXPANDED OUTPATIENT COUNSELING SERVICES TO COVENANT LEVELLAND.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM COVENANT MEDICAL CENTER IS A HEALING MINISTRY OF PROVIDENCE ST. JOSEPH HEALTH, A NEW ORGANIZATION CREATED BY PROVIDENCE HEALTH & SERVICES AND ST. JOSEPH HEALTH WITH THE GOAL OF IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. TOGETHER, OUR 111,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 50 HOSPITALS, 829 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE SYSTEM INCLUDES 50 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. ST. JOSEPH HEALTH IN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, 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 $4,838,800 FOR COVENANT HEALTH SYSTEM. 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 7STATE FILING OF COMMUNITY BENEFIT REPORT TEXAS

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
DIOCESE OF LUBBOCK
4620 4TH STREETLUBBOCKTX79416751889213501(c)(3)$50,000GENERAL SUPPORT CARE FOR THE POOR HEALTH COMM & CHILD OB PRG COMMUNITY WELLNESS COMMUNITY WELLNESS COMMUNITY WELLNESS COMMUNITY WELLNESS COMMUNITY WELLNESS PRESCRIPTION ASSISTANCE
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR 100IRVINECA92612330143024501(c)(3)$4,838,800CARE FOR THE POOR
TEXAS TECH UNIVERSITY
BOX 41105LUBBOCKTX79409752668014GOVT$215,000HEALTH COMM & CHILD OB PRG
CATHOLIC CHARITIES OF LUBBOCK
102 AVE JLUBBOCKTX79401751966688501(c)(3)$75,000COMMUNITY WELLNESS
LUBBOCK CHILDREN'S HEALTH CLINIC
PO BOX 12103LUBBOCKTX79452750968315501(c)(3)$68,000COMMUNITY WELLNESS
LUBBOCK FAMILY GUIDANCE CENTER INC
5 BRIERCROFT OFFICE PARKLUBBOCKTX79412751890384501(c)(3)$37,000COMMUNITY WELLNESS
SOUTH PLAINS COMMUNITY ACTION ASSOCIATION
411 AUSTINLEVELLANDTX79336751230219501(c)(3)$25,000COMMUNITY WELLNESS
CARPENTER'S CHURCH
1918 13TH STREETLUBBOCKTX79401501(c)(3)$10,000COMMUNITY WELLNESS
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS DONATIONS MADE TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF COVENANT HEALTH SYSTEM. NO ADDITIONAL MONITORING IS DONE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WALTER CATHEY
CHS CEO$355,663$0$180,514$0$52,613$0$18,550$0$21,712$0$629,052$0$0$0
JACK L COX MD
BOARD MEMBER$0$464,367$0$223,445$0$89,027$0$10,600$0$16,825$0$804,264$0$0
JEREMY DALTON MD
BOARD MBR/CHIEF OF STAFF CCH$0$310,612$0$83,983$0$14,007$0$8,000$0$13,595$0$430,197$0$0
JOHN GRIGSON
SVP CHIEF FINANCIAL OFFICER$432,609$0$172,905$0$56,412$0$13,250$0$16,109$0$691,285$0$0$0
JAMES KELLY
SECRETARY$0$291,296$0$118,855$0$27,646$0$10,600$0$24,200$0$472,597$0$0
DARRIN MONTALVO
BOARD MEMBER (PART YEAR)$0$845,507$0$727,147$0$76,519$0$39,750$0$35,660$0$1,724,583$0$0
BRIAN NICHOLSON MD
BOARD MEMBER$0$404,221$0$151,261$0$6,722$0$0$0$20,557$0$582,761$0$0
MICHAEL O'NEILL MD
BOARD MEMBER (PART YEAR)$0$410,846$0$5,337$0$30,186$0$9,167$0$21,337$0$476,873$0$0
RICHARD PARKS
EVP W TX E NM/BD MBR/PRESIDENT$0$742,680$0$661,296$0$99,711$0$13,250$0$17,815$0$1,534,752$0$0
DONALD QUICK MD
BOARD MBR/CHIEF OF STAFF CMC$0$477,677$0$145,460$0$47,395$0$10,000$0$17,647$0$698,179$0$0
ROBERT TURNER
VP MISSION INGEGRATION$206,559$0$84,257$0$20,779$0$8,652$0$23,044$0$343,291$0$0$0
LARRY WARMOTH MD
BOARD MEMBER (PART YEAR)$0$349,278$0$0$132,675$0$8,000$0$22,275$0$512,228$0$0
CRAIG RHYNE MD
REGIONAL CMO$546,594$0$227,481$0$92,121$0$21,200$0$18,823$0$906,219$0$0$0
ROBERT SALEM MD
SVP MEDICAL DIRECTOR$304,261$0$117,155$0$149,489$0$23,850$0$18,607$0$613,362$0$0$0
TROY THIBODEAUX
FORMER CEO$0$0$0$0$0$467,364$0$0$0$0$0$467,364$0$0
LAWRENCE MARTINELLI MD
CHIEF MED INFORMATICS OFFICER$308,672$0$117,650$0$31,766$0$7,950$0$14,190$0$480,228$0$0$0
KAREN BAGGERLY
CNO/VP of Nursing$289,135$0$104,453$0$37,829$0$23,850$0$7,097$0$462,364$0$0$0
STEVEN BECK
SVP REG SVCS & GOV'T RELATION$263,635$0$105,389$0$31,663$0$23,850$0$15,890$0$440,427$0$0$0
SHARON PRATHER
CHIEF GOVERNANCE OFFICER$244,991$0$89,802$0$33,249$0$22,574$0$15,789$0$406,405$0$0$0
CHRISTINE SHAVER
REGIONAL VP, HR - COVHS$214,939$0$85,927$0$25,433$0$19,853$0$15,385$0$361,537$0$0$0
KELLY MCDANIEL
VP SUPPORT SERVICES$196,964$0$72,342$0$23,877$0$18,372$0$16,518$0$328,073$0$0$0
REUBEN LACY
VP REVENUE CYCLE$186,381$0$75,502$0$24,645$0$5,817$0$15,061$0$307,406$0$0$0
DYANA KERR
REGIONAL VP, FINANCE$177,380$0$72,453$0$23,864$0$13,002$0$21,950$0$308,649$0$0$0
CHRIS DOUGHERTY
CHIEF CULTURAL & EXP OFFICER$106,799$80,865$6,811$4,694$21,195$220,364$0
STEVE MCCAMY
PRES./CMG CEO (FMR KEY EMPL)$0$393,007$0$161,291$0$55,178$0$13,250$0$1,515$0$624,241$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3THE ORGANIZATION'S PRESIDENT 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 NARRATIVE FOR THE PROCESS THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM.
SCHEDULE J, PART I, LINE 4ATHE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING THE YEAR: TROY THIBODEAUX - $431,413
SCHEDULE J, PART I, LINE 4BBEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR AGE 65 VESTING SCHEDULE. EXECUTIVES PREVIOUSLY PARTICIPATED IN ANOTHER NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT WAS FROZEN EFFECTIVE DECEMBER 2007, AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED. THIS FROZEN PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. THERE WERE NO PAYOUTS MADE IN 2016. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY.
SCHEDULE J, PART I, LINE 7A PORTION OF EXECUTIVE SALARIES ARE PLACED AT-RISK AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE STRATEGIC OBJECTIVES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMEDICAL EQUIPMENTDesc
Contribution68ContributionCnt
Noncash Contributions Rpt F990$1,546,036NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, LINE 25, COLUMN (B)FormAndLineReferenceDesc
ExplanationTHE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED, NOT THE NUMBER OF ITEMS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1COVENANT HEALTH SYSTEM IS COMMITTED TO EXTENDING THE CHRISTIAN MINISTRY BY CARING FOR THE WHOLE PERSON-BODY, MIND AND SPIRIT, AND BY WORKING WITH OTHERS TO IMPROVE HEALTH AND QUALITY OF LIFE IN OUR COMMUNITIES.
FORM 990, PART III, LINE 4AST. JOSEPH HEALTH SYSTEM THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORSMINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBLITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. PROVIDENCE ST. JOSEPH HEALTH ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT, THE PURPOSE OF WHICH WAS TO BETTER SERVE BOTH ORGANIZATIONS' COMMUNITIES, MAINTAIN STRONG TRADITIONS OF CATHOLIC HEALTHCARE, AND PROVIDE GREATER AFFORDABILITY AND ACCESS TO HEALTHCARE SERVICES. AS PART OF THE BUSINESS COMBINATION, PHS AND SJHS ALIGNED UNDER A SINGLE PARENT CORPORATION (PSJH), PROVIDENCE ST. JOSEPH HEALTH, WITH A CONSOLIDATED BOARD OF DIRECTORS AND CO-SPONSORSHIP FROM THE PUBLIC JURIDIC PERSONS, PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY. REALIZING OUR MISSION: COVENANT HEALTH HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE PEOPLE IN THE LOCAL COMMUNITY FOR OVER 16 YEARS SERVING THE COMMUNITIES OF WEST TEXAS AND EASTERN NEW MEXICO. COVENANT HEALTH LUBBOCK INCLUDES COVENANT MEDICAL CENTER, COVENANT CHILDREN'S HOSPITAL, COVENANT SPECIALITY HOSPITAL AND COVENANT MEDICAL GROUP. COVENANT HEALTH PROVIDES QUALITY CARE IN THE AREAS OF EMERGENT/URGENT CARE, NEURO SCIENCE, ORTHOPEDICS, CARDIAC SERVICES, MOBILE MAMMOGRAPHY, MOBILE DENTAL, OUTPATIENT CANCER TREATMENT, HEALTH EDUCATION, PRIMARY CARE, WOMEN'S AND CHILDREN'S SERVICES, LONG TERM CARE, AND REHAB SERVICES WITH OVER 4,000 EMPLOYEES COMMITTED TO REALIZING THE MISSION, COVENANT HEALTH IS ONE OF THE LARGEST EMPLOYERS IN THE WEST TEXAS REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH, COVENANT HEALTH IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. PATIENT FINANCIAL ASSISTANCE PROGRAM COVENANT HEALTH MEDICAL CENTER BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY COVENANT HEALTH HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY17, COVENANT HEALTH MEDICAL CENTER PROVIDED $25,471,830 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM COVENANT HEALTH MEDICAL CENTER PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY17, COVENANT HEALTH MEDICAL CENTER PROVIDED $12,856,837 IN MEDICAID SHORTFALL. COVENANT HEALTH MEDICAL CENTER 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. COVENANT HEALTH MEDICAL CENTER IS COMMITED 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 COVENANT HEALTH 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 SIX MEMBERS OF THE BOARD OF TRUSTEES AND SEVEN COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE GENERALLY MEETS BI-MONTHLY. COVENANT HEALTH MEDICAL CENTER FY15-FY17 CB PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSED ON: WELLNESS AND PREVENTION FOCUSED PRIMARILY ON ADULT DIABETIC EDUCATION, OBESITY PREVENTION FOR CHILDREN, ADULT CARDIAC HEALTH EDUCATION AND EARLY ORAL HEALTH INTERVENTIONS FOR CHILDREN; A FULL TIME HEALTH EDUCATOR WILL BE DEDICATED TO DIABETES EDUCATION/PREVENTION AND GENERAL HEALTH/NUTRITION EDUCATION FOR ALL AGES; FUNDING FOR CHILDHOOD OBESITY AND WELLNESS PROGRAMS WILL BE PROVIDED TO COMMUNITY AGENCIES; PARTICIPATION IN HEALTH SCREENINGS AND HEALTH FAIRS; FUNDING FOR WELL HEART PRESENTATIONS; ORAL HEALTH EDUCATION PROVIDED ON-SITE AT ELEMENTARY SCHOOLS ORAL HEALTH - COMMUNITY OUTREACH DENTAL CLINIC SERVES LOW-INCOME FAMILIES OFFERING COMPREHENSIVE DENTAL CARE TO PATIENTS AGED 5 AND UP; MOBILE DENTAL UNIT THAT SERVES PATIENTS IN A 75-MILE RADIUS OF LUBBOCK; FREE REGIONAL DENTAL SEALANT CLINICS FOR SCHOOL CHILDREN MENTAL HEALTH - COVENANT COMMUNITY OUTREACH COUNSELING CENTER PROVIDES COUNSELING SERVICES TO UNDERSERVED AND LOW-INCOME PERSONS IN OUR COMMUNITY OFFERING INDIVIDUAL, COUPLES AND FAMILY THERAPY TO PEOPLE OF ALL AGES HEALTH AND WELLNESS INITIATIVE: COVENANT BODY MIND INITIATIVE WELLNESS AND PREVENTION PROGRAM. GOAL: OVERALL IMPROVEMENT IN THE HEALTH AND WELLNESS OF CBMI PROGRAM PARTICIPANTS. THIS IS A TEN YEAR LONGITUDINAL RESEARCH PROJECT COLLABORATION WITH TEXAS TECH. MEASURES ARE SET AND TRACKED BY TTU. FOR THE 2016-17 SCHOOL YEAR THERE WAS A COMBINED 4.3% CHANGE TO A HEALTHY BMI AND AN OVERALL 3% REDUCTION IN OBESITY AMONG OUR RESEARCH SCHOOLS. (I.E. A STUDENTS BMI IN THE OVERWEIGHT PERCENTILE RANGE IMPROVED, MOVING THEM IN A POSITIVE DIRECTION TOWARD THE HEALTHY RANGE). ACCOMPLISHMENTS: FIT4FUN KIDS TRIATHLON - 144 PARTICIPANTS, PLUS FAMILY SWIM THAT INVOLVED 250 PEOPLE, TOP CHEF ENRICHMENT ACTIVITY FOR 6TH GRADERS, EXPRESS YOURSELF ENHANCEMENT ACTIVITY - 8TH GRADERS, COMPREHENSIVE WELLNESS SECOND EDITION HAS BEEN PRINTED AND IS READY FOR DISTRIBUTION. IT INCLUDES AN UPDATE ON HOW THE LESSONS AND ACTIVITIES ARE INFORMED BY RESEARCH. IMPLEMENTATION STRATEGIES AND EVALUATION PLAN: DENTAL HEALTH OUTREACH INITIATIVE: SEALANT PROGRAM GOAL: IMPROVE THE ORAL HEALTH AND INCREASE PREVENTION OF CAVITIES FOR THIRD GRADE CHILDREN IN AREA LOW INCOME SCHOOLS KEY COMMUNITY PARTNERS: LARRY COMBEST CENTER, STARCARE, THE DREAM CENTER, LUBBOCK CHILDRENS HEALTH CLINIC, AND TITLE 1 ELEMENTARY SCHOOLS IN THE REGION. ACCOMPLISHMENTS: COLLECTED INFORMATION TO ESTABLISH BASELINE FOR OUTCOME MEASURE, EXPANDED MOBILE DENTAL SERVICES TO BOTH THE COVENANT LEVELLAND AND COVENANT PLAINVIEW HOSPITALS, EXPANDED WALK-IN EMERGENCY DENTAL SERVICES FOR THE LUBBOCK DENTAL CLINIC. HEALTH AND WELLNESS INITIATIVE: MENTAL HEALTH INITIATIVE: ANXIETY REDUCTION GOAL: REDUCE ANXIETY AMONG ADULT COVENANT COUNSELING CENTER CLIENTS WITH A GAD-7 SCORE OF 5 OR ABOVE KEY COMMUNITY PARTNERS: LARRY COMBEST CENTER (FQHC), CATHOLIC CHARITIES, AND STARCARE FY17 ACCOMPLISHMENTS: EXCEEDED TARGET FOR OUR OUTCOME MEASURE BY 3.6% AND EXCEEDED TARGETS ON TWO OF THE THREE STRATEGY MEASURES. THE TOTAL NUMBER OF UNIQUE CLIENT SERVED AT THE COUNSELING OUTREACH CLINIC WAS 616 IN FY17 AS COMPARED TO 407 IN FY16. COLLABORATED WITH COVENANT CHILDRENS HOSPITAL TO OFFER POST-PARTUM DEPRESSION SERVICES AND WORKED WITH TEXAS TECH FAMILY THERAPY CLINIC TO EXPANDED OUTPATIENT COUNSELING SERVICES TO COVENANT LEVELLAND.
FORM 990, PART IV, LINE 11F; PART IV, LINE 12; & PART XII, LINE 2COVENANT HEALTH SYSTEM 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 VI, LINE 6MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM AND LUBBOCK METHODIST HOSPITAL SYSTEM ARE THE CORPORATE MEMBERS OF COVENANT HEALTH SYSTEM.
FORM 990, PART VI, LINE 7APOWER TO ELECT OR APPOINT MEMBERS COVENANT HEALTH SYSTEM HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE COVENANT HEALTH SYSTEM BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE COVENANT HEALTH SYSTEM 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 ST. JOSEPH HEALTH SYSTEM MEMBER APPROVES 50% OF THE BOARD NOMINATIONS, PLUS THE VOTING CEO. THE LUBBOCK METHODIST HEALTH SYSTEM MEMBER APPROVES THE OTHER 50% OF BOARD NOMINATIONS.
FORM 990, PART VI, LINE 7BDECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, LINE 11BPROCESS USED TO REVIEW THE FORM 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 WAS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE MAY 2018 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING.
FORM 990, PART VI, LINE 12CDESCRIPTION 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 & 15BOFFICERS & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN 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 19PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FORM 990.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS DUE TO FOUNDATION $ 3,694,825 EQUITY RECLASSIFICATIONS $ (11,780,323) EQUITY TRANSFERS $ (64,701,859) -------------- TOTAL $ (72,787,357)
FORM 990, PART XII, LINE 3BREQUIRED AUDIT FOR THE TAX PERIOD JUNE 2017, ST. JOSEPH HEALTH SYSTEM DID NOT HAVE A SEPARATE A133 AUDIT. ST. JOSEPH HEALTH SYSTEM GRANT ACTIVITY FOR JULY-DECEMBER 2016 WAS INCLUDED IN THE PROVIDENCE ST. JOSEPH HEALTH DECEMBER 2016 AUDIT AND ST. JOSEPH HEALTH SYSTEM GRANT ACTIVITY FOR JANUARY-DECEMBER 2017 WILL BE INCLUDED THE PROVIDENCE ST. JOSEPH HEALTH DECEMBER 2017 AUDIT (TO BE COMPLETED IN AUGUST 2018).
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:49240287
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:42611516

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COVENANT LTC-GP LLC
4000 24TH STREETLUBBOCKTX79410205477333HEALTHCARETX$0$0CHS
CHS HOLDING GP LLC
4000 24TH STREETLUBBOCKTX79410205477307HEALTHCARETX$0$0CHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (110 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COVENANT HEALTH NETWORK INC
3345 MICHELSON DRIVE STE 100IRVINECA92612461259908HEALTHCARECA501(C)(3)12,IIISJHSYes (true)
COVENANT ACO
3615 19TH STREETLUBBOCKTX79410611573313HEALTHCARETX501(C)(3)12,ICHSYes (true)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACELUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHSYes (true)
COVENANT MEDICAL GROUP
3420 22ND PLACELUBBOCKTX79410752743883HEALTHCARETX501(C)(3)3CHSYes (true)
COVENANT HEALTH PARTNERS
3615 19TH STREETLUBBOCKTX79410463516417HEALTHCARETX501(C)(3)12,ICHSYes (true)
HMTS INC
1 HOAG DRIVENEWPORT BEACHCA92658453583707HEALTHCARECA501(C)(3)12,IHMHPYes (true)
HOAG CHARITY SPORTS
330 PLACENTIA AVENEWPORT BEACHCA92663452982422SUPPORTCA501(C)(3)7HHFYes (true)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVENEWPORT BEACHCA92663953222343FUNDRAISINGCA501(C)(3)7HMHPYes (true)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100NEWPORT BEACHCA92663951643327HEALTHCARECA501(C)(3)3CHNYes (true)
HOSPICE OF LUBBOCK
3702 21ST STREETLUBBOCKTX79410752133781HEALTHCARETX501(C)(3)10CHSYes (true)
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREETLUBBOCKTX79410752220963HEALTHCARETX501(C)(3)7CHSYes (true)
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREETLUBBOCKTX79410752428911HEALTHCARETX501(C)(3)3CHSYes (true)
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUELEVELLANDTX79336752246348HEALTHCARETX501(C)(3)3CHSYes (true)
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROADPLAINVIEWTX79072752426010HEALTHCARETX501(C)(3)3CHSYes (true)
MISSION HOSPITAL REGIONAL MEDICAL CTR
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691951643360HEALTHCARECA501(C)(3)3CHNYes (true)
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREETNAPACA94558941243669HEALTHCARECA501(C)(3)3SJHSYes (true)
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVEFORTUNACA95540942779313HEALTHCARECA501(C)(3)7RMHYes (true)
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVEFORTUNACA95540941384665HEALTHCARECA501(C)(3)3SJHSYes (true)
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVESANTA ROSACA95405941231005HEALTHCARECA501(C)(3)3SJHSYes (true)
SRM ALLIANCE HOSPITAL SERVICES (PVH)
400 NORTH MCDOWELL BLVDPETALUMACA94954680395200HEALTHCARECA501(C)(3)3SRMHYes (true)
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DRIVEIRVINECA92612953589356HEALTHCARECA501(C)(3)12,IPSJHfalse
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE STE 100IRVINECA92612330143024HEALTHCARECA501(C)(3)7SJHSYes (true)
ST JOSEPH HOME CARE NETWORK
1111 SONOMA STE 308SANTA ROSACA95405680331084HEALTHCARECA501(C)(3)10SJHSYes (true)
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREETEUREKACA95501941156596HEALTHCARECA501(C)(3)3SJHSYes (true)
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVEORANGECA92868951643359HEALTHCARECA501(C)(3)3CHNYes (true)
ST JOSEPH HERITAGE HEALTHCARE
200 WEST CENTER ST PROMENADEANAHEIMCA92805330185031HEALTHCARECA501(C)(3)3SJHSYes (true)
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVEFULLERTONCA92635951643324HEALTHCARECA501(C)(3)3CHNYes (true)
ST MARY MEDICAL CENTER
18300 HIGHWAY 18APPLE VALLEYCA92307951914489HEALTHCARECA501(C)(3)3CHNYes (true)
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREETLUBBOCKTX79410751653181HEALTHCARETX501(C)(3)7CHSYes (true)
ST JOSEPH HEALTH NOR CAL LLC
3345 MICHELSON DRIVE STE 100IRVINECA92612814791043HEALTHCARECA501(C)(3)3SJHSYes (true)
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)1NAfalse
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DRIVE STE 100IRVINECA92612271666576RELIGIOUS ORGCA501(C)(3)1SSJOfalse
E WA & MT UNEMPLOYMENT COMP INSR TRUST
1801 LIND AVENUE SW 9016RENTONWA980579016911082119UNEMPLOYMENTWA501(C)(3)12,IPHS WAYes (true)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANS. CAREWA501(C)(3)10NAfalse
FACEY MEDICAL FOUNDATION
15451 SAN FERNANDO MISSION BLVD 2MISSION HILLSCA91345954322584SUPPORTCA501(C)(3)7PHS SOCALYes (true)
GAMELIN WASHINGTON ASSOCIATION
1423 FIRST AVENUESEATTLEWA98101201910170SUPPORTWA501(C)(3)7PHS WAYes (true)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(C)(3)7SHSYes (true)
INLAND NORTHWEST HEALTH SERVICES
601 W 1ST AVENUESPOKANEWA99201911307555HEALTHCAREWA501(C)(3)3PHS WAYes (true)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW 9016RENTONWA98057814260130HEALTHCAREWA501(C)(3)7PHS SJHSYes (true)
INSTITUTE FOR SYSTEMS BIOLOGY
401 TERRY AVE NSEATTLEWA98109912003593HEALTHCAREWA501(C)(3)7WHCYes (true)
JOHN WAYNE CANCER INSTITUTE
2200 SANTA MONICA BLVDSANTA MONICACA90404954291515HEALTHCARECA501(C)(3)4PSJHCYes (true)
KADLEC AUXILIARY INC
888 SWIFT BLVDRICHLANDWA99352916033089SUPPORTWA501(C)(3)12,IIIKRMCYes (true)
KADLEC FOUNDATION
888 SWIFT BLVDRICHLANDWA99352237005501SUPPORTWA501(C)(3)12,IKRMCYes (true)
KADLEC NEUROLOGICAL RESOURCE CENTER
1268 LEE BLVDRICHLANDWA99352911266345HEALTHCAREWA501(C)(3)10WHCYes (true)
KADLEC REGIONAL MEDICAL CENTER
888 SWIFT BLVDRICHLANDWA99352910655392HEALTHCAREWA501(C)(3)3WHCYes (true)
LITTLE COMPANY OF MARY ANCILLARY SVCS CO
4101 TORRANCE BLVDTORRANCECA90503330844408IMAGING SVCSCA501(C)(3)10PHS SOCALYes (true)
LUNDBERG ASSOCIATIONPROVIDENCE HOUSE
5921 E BURNSIDEPORTLANDOR97215911562797SUPPORTOR501(C)(3)7PHS ORYes (true)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER
747 BROADWAYSEATTLEWA98122912054035RESEARCHWA501(C)(3)7SHSYes (true)
PACMED CLINICS
1200 12TH AVENUE SSEATTLEWA98144562290878HEALTHCAREWA501(C)(3)10WHCYes (true)
PH&S FOUNDATIONSFVSA & SCVSA
501 S BUENA VISTA STREETBURBANKCA91505953544877HEALTHCARECA501(C)(3)7PHS SOCALYes (true)
PROVIDENCE ALASKA FOUNDATION
3300 PROVIDENCE DR TOWER 2ANCHORAGEAK99508920093565HEALTHCAREAK501(C)(3)12,IPHS WAYes (true)
PROVIDENCE BENEDICTINE NURSING CTR FNDN
540 SOUTH MAIN STREETMT ANGELOR973629532911940286HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE BLANCHET ASSOCIATION
1700 PROVIDENCE PLCENTRALIAWA98531911789266SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE CHILD CENTER FOUNDATION
830 NE 47THPORTLANDOR97213930800140SUPPORTOR501(C)(3)7PHS ORYes (true)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1111 CRATER LAKE AVEMEDFORDOR97504930692907HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE DETHMAN HOUSE
1205 MONTELLO AVEHOOD RIVEROR97031473385506SUPPORTWA501(C)(3)7NAfalse
PROVIDENCE FOUNDATION
1801 LIND AVENUE SW 9016RENTONWA980579016943078543HEALTHCAREWA501(C)(3)12,IPHS WAYes (true)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
4515 MLK JR WAY S STE 200SEATTLEWA98108311744654SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW 9016RENTONWA980579016911549796HEALTHCAREWA501(C)(3)12,IIPSJHfalse
PROVIDENCE HEALTH & SERVICES - MONTANA
500 W BROADWAY PO BOX 4587MISSOULAMT598064587810231793HEALTHCAREMT501(C)(3)3PHS WAYes (true)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW 9016RENTONWA980579016510216587HEALTHCAREOR501(C)(3)3PHSYes (true)
PROVIDENCE HEALTH & SERVICES - WA
1801 LIND AVENUE SW 9016RENTONWA980579016510216586HEALTHCAREWA501(C)(3)3PHSYes (true)
PROVIDENCE HEALTH & SERVICES - WEST WA
1801 LIND AVENUE SW 9016RENTONWA980579016911303277HEALTHCAREWA501(C)(3)3PMWHCYes (true)
PROVIDENCE HEALTH ASSURANCE
4400 NE HALSEY BLDG 2PORTLANDOR97213550828701MEDICAIDOR501(C)(4)N/APHPYes (true)
PROVIDENCE HEALTH CARE FNDN - E WA
101 W 8TH AVENUESPOKANEWA99204320014330HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE HEALTH CARE FNDN (CENTRALIA)
914 S SCHEUBER ROADCENTRALIAWA98531911433382HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE HEALTH PLAN
4400 NE HALSEY BLDG 2PORTLANDOR97213930863097HEALTHCAREOR501(C)(4)N/APPPYes (true)
PROVIDENCE HEALTH SYSTEM - SO CAL
1801 LIND AVENUE SW 9016RENTONWA980579016510216589HEALTHCARECA501(C)(3)3PHSYes (true)
PROVIDENCE HOOD RIVER MEM HOSP FDN
811 13TH STHOOD RIVEROR97031930921990HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE HOSPICE AND HOME CARE FNDN
2731 WETMORE AVENUE STE 500EVERETTWA98201272552749HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
425 PONTIUS AVENUE NORTH 300SEATTLEWA980195452912077378HEALTHCAREWA501(C)(3)12,IPHS WAYes (true)
PROVIDENCE LITTLE COMPANY OF MARY FNDN
4101 TORRANCE BLVDTORRANCECA90503510224944HEALTHCARECA501(C)(3)7PHS SOCALYes (true)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SEISSAQUAHWA980297219931554288HEALTHCAREWA501(C)(3)12,IPHS WAYes (true)
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVDTORRANCECA90503330283773HEALTHCARECA501(C)(3)12,IPHS SOCALYes (true)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32NDMILWAUKIEOR97222943079515HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVENUE SWSEATTLEWA981262799911188119HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVENEWBERGOR97132930889144HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE PETER CLAVER ASSOCIATION
7101 38TH AVENUE SOUTHSEATTLEWA98118311629656SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE PLAN PARTNERS
4400 NE HALSEY BLDG 2PORTLANDOR97213911861964HEALTHCAREWA501(C)(4)N/APHS ORYes (true)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN STREETPORTLANDOR972132967931231494HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE ROSSI ASSOCIATION
1700 PROVIDENCE PLACECENTRALIAWA98531311584166SUPPORTWA501(C)(3)10PHS WAYes (true)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
2121 SANTA MONICA BLVDSANTA MONICACA90404951684082HEALTHCARECA501(C)(3)3PHS SOCALYes (true)
PROVIDENCE SAINT JOHN'S MEDICAL FNDN
20555 EARL STTORRANCECA90503814542216HEALTHCARECA501(C)(3)PendingPHS SOCALYes (true)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA RDSEASIDEOR97138930927320HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE ST ELIZABETH HOUSE ASSOC
3201 SW GRAHAM STSEATTLEWA98126912171539SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE ST FRANCIS ASSOCIATION
3415 12TH AVENUE NEOLYMPIAWA98506943244854SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW 9016RENTONWA98057811244422HEALTHCAREWA501(C)(3)12,IIINAfalse
PROVIDENCE ST JOSEPH MEDICAL CENTER
PO BOX 1010POLSONMT598601010810463482HEALTHCAREMT501(C)(3)3PHS WAYes (true)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREETWALLA WALLAWA99362452841492HEALTHCAREWA501(C)(3)7PHS WAYes (true)
PROVIDENCE ST PETER FOUNDATION
413 LILLY ROAD NEOLYMPIAWA985065166911097056SUPPORTWA501(C)(3)7PHS WAYes (true)
PROVIDENCE ST VINCENT MEDICAL FNDN
9205 SW BARNES ROADPORTLANDOR97225930575982HEALTHCAREOR501(C)(3)7PHS ORYes (true)
PROVIDENCE TRINITYCARE HOSPICE
5315 TORRANCE BLVD STE B1TORRANCECA90503953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (true)
PROVIDENCE TRINITYCARE HOSPICE FNDN
5315 TORRANCE BLVD STE B1TORRANCECA90503330261016HEALTHCARECA501(C)(3)7PTCHYes (true)
PROVIDENCE WILLAMETTE FALLS MEDICAL FNDN
1500 DIVISION STREETOREGON CITYOR97045931003750HEALTHCAREOR501(C)(3)12, IPHS ORYes (true)
SAINT JOHN'S HOSPITALHEALTH CENTER FNDN
2121 SANTA MONICA BLVDSANTA MONICACA90404956100079SUPPORTCA501(C)(3)7PSJHCYes (true)
SEATTLE SCIENCE FOUNDATION
550 17TH AVENUESEATTLEWA98122611502822PHYSN COLLABWA501(C)(3)7WHCYes (true)
SISTERS OF PROVIDENCE OF MONTANA CORP
1801 LIND AVENUE SW 9016RENTONWA980579016262612415SHELL CORPMT501(C)(3)1PHS WA
ST LUKE ASSOCIATION
350 WASHINGTON AVE SECHEHALISWA98352943176618SUPPORTWA501(C)(3)7PHS WAYes (true)
ST PATRICK HOSPITAL FOUNDATION
500 WEST BROADWAY PO BOX 4587MISSOULAMT598064587237056976HEALTHCAREMT501(C)(3)7PHS WAYes (true)
ST THOMAS CHILD AND FAMILY CENTER
1710 BENEFIS COURTGREAT FALLSMT59405810233495EDUCATIONMT501(C)(3)10PHS WAYes (true)
SWEDISH EDMONDS
21601 76TH AVENUEEDMONDSWA98026272305304HEALTHCAREWA501(C)(3)3WHCYes (true)
SWEDISH HEALTH SERVICES
747 BROADWAYSEATTLEWA98122910433740HEALTHCAREWA501(C)(3)3WHCYes (true)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAYSEATTLEWA98122910983214HEALTHCAREWA501(C)(3)7SHSYes (true)
SWEDISH MJM HOLDINGS
747 BROADWAYSEATTLEWA98122273139262HOLDING COWA501(C)(3)12,ISHSYes (true)
THE GAMELIN ASSOCIATION
312 NORTH FOURTH STREETYAKIMAWA98901911180824SUPPORTWA501(C)(3)7PHS WAYes (true)
THE GAMELIN CALIFORNIA ASSOCIATION
540 23RD STREETOAKLANDCA94612911293869SUPPORTCA501(C)(3)10PHS SOCALYes (true)
THE GAMELIN OREGON ASSOCIATION
5520 NE GLISANPORTLANDOR97213911214491SUPPORTOR501(C)(3)10PHS ORYes (true)
UNIVERSITY OF GREAT FALLS
1301 20TH STREET SOUTHGREAT FALLSMT59405810231777EDUCATIONMT501(C)(3)2PHSYes (true)
WESTERN HEALTHCONNECT
747 BROADWAYSEATTLEWA98122454171900SHELL CORPWA501(C)(3)12,IIPHS W WAYes (true)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW 9016RENTONWA980579016RELIGIOUS ORGWA501(C)(391NAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (60 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
ADVANCED SURGERY INSTITUTE LLC
1739 4TH STREETSANTA ROSACA95404262299255HEALTHCARECANAN/A
COVENANT LONG-TERM CARE LP
4000 24TH STREETLUBBOCKTX79410205033419HEALTHCARETXCHSRELATED$25,989$820,771false$0Yes (true)0.81529
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000ORANGECA92868271000061INVESTMENTSCANAN/A
HOAG ORTHOPEDIC INSTITUTE
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658611588294HEALTHCARECANAN/A
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOVKTX79410752343261HEALTHCARETXNAN/A
MISSION AMBULATORY SURGICENTER LTD
27800 MEDICAL CENTER ROAD STE 362MISSION VIEJOCA92691330355575HEALTHCARECANAN/A
NEWPORT IMAGING CENTER
360 SN MIGUELNEWPORT BEACHCA92660330191776HEALTHCARECANAN/A
SHA LLC
12940 NORTH HIGHWAY 183AUSTINTX78750752569094HEALTHCARETXNAN/A
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVEORANGECA92868454521884REAL ESTATECANAN/A
NORTH BAY ENDOSCOPY CENTER
1383 N MCDOWELL BLVD SUITE 110PETALUMACA94954611559876HEALTHCARECANAN/A
SOUTHERN CALIFORNIA SURGERY CENTER LLC
18321 VENTURA BLVD STE 740TARZANACA91356330939000HEALTHCARECANAN/A
MISSION VIEJO PHYSICIAN PARTNERS I LLC
27700 MEDICAL CENTER ROADMISSION VIEJOCA92691471559873HEALTHCARECANAN/A
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100NEWPORT BEACHCA92664810986844HEALTHCARECANAN/A
ST JOSEPHSATELLITE DIALYSIS CENTERS
300 SANTANA ROW SUITE 300SAN JOSECA95128814657391HEALTHCARECANAN/A
ALPHA MEDICAL LABORATORY LLC
611 N PERRYSPOKANEWA99202912017347OUTPATIENT LABIDNAN/A
BROADWAY IMAGING LLC
500 W BROADWAYMISSOULAMT59802522405971MEDICAL IMAGINGMTNAN/A
CALIFORNIA LABORATORY ASSOCIATES LLC
501 BUENA VISTABURBANKCA91505273888692OUTPATIENT LABCANAN/A
CENTER FOR SPECIALTY SURGERY LLC
11782 SW BARNES RDPORTLANDOR97225263638838AMBULATORY SURGORNAN/A
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY ST BLDG II 495PORTLANDOR97213260381897RADIATION ONCOLORNAN/A
CTR FOR MED IMAGING-BRIDGEPORT LLC
4400 NE HALSEY 495PORTLANDOR97213260796953IMAGING DIAG.ORNAN/A
CTR FOR MED IMAGING-TANASBOURNE LLC
4400 NE HALSEY 495PORTLANDOR97213200477972IMAGING DIAG.ORNAN/A
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA STBURBANKCA91505954570858REAL ESTATE - MOBCANAN/A
MINOR & JAMES MEDICAL PLLC
515 MINOR AVENUE 200SEATTLEWA98104911340223PHYSICIAN CLINICWANAN/A
MOUNTAINSTAR CLINICAL LABORATORIES LLC
611 N PERRYSPOKANEWA99202261345983OUTPATIENT LABMTNAN/A
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAYMEDFORDOR97504450471748MEDICAL IMAGINGORNAN/A
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RDTIGARDOR97224223883387AMBULATORY SURGORNAN/A
PACLAB LLC
611 N PERRY SPOKANESPOKANEWA99202911743952OUTPATIENT LABWANAN/A
PATHOLOGY ASSOCIATES MEDICAL LABORATORIE
611 N PERRY SPOKANESPOKANEWA99202270943279OUTPATIENT LABWANAN/A
PETCT IMAGING AT SWEDISH CANCER INSTITU
1221 MADISON STREETSEATTLEWA98104203132044MEDICAL IMAGINGWANAN/A
PORTLAND MEDICAL IMAGING LLC
4400 NE HALSEYPORTLANDOR97213201054971IMAGING DIAGNOSTIORNAN/A
PROV RADIATION ONCOLOGY DEVELOP ASSN
4400 NE HALSEYPORTLANDOR97213260682491REAL ESTATE - MOBORNAN/A
PROVIDENCE IMAGING CENTER
3340 PROVIDENCE DRIVEANCHORAGEAK99508920118807MEDICAL IMAGINGAKNAN/A
PROVIDENCE PARTNERS FOR HEALTH LLC
501 S BUENA VISTA STBURBANKCA91505454041798CLIN QUALITY/INTCANAN/A
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE STMISSOULAMT59802841401625AMBULATORY SURGMTNAN/A
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425PORTLANDOR97213481287267REHAB SERVICESORNAN/A
PROVIDENCEUSP SANTA CLARITA GP LLC
11550 INDIAN HILLS ROADMISSION HILLSCA91345202829660AMBULATORY SURGCANAN/A
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROADMISSION HILLSCA91345200905938AMBULATORY SURGCANAN/A
SOUTHERN IDAHO REGIONAL LABORATORY LLC
611 N PERRY SPOKANESPOKANEWA99202820511819OUTPATIENT LABIDNAN/A
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVDSPOKANEWA99204841606484HOTEL SERVICESWANAN/A
TRI-CITIES LABORATORY LLC
611 N PERRYSPOKANEWA99202911773986OUTPATIENT LABWANAN/A
HCSA PROPERTIES LLC
1600 M STREET NWAUBURNWA98001460620892REAL ESTATE RENTWANAN/A
PHS INVESTMENT TRUST HEDGE FUND PORTFOLI
1801 Lind Avenue SW No 9016RentonWA98057472293255INVESTMENTSWANAN/A
PHS INVESTMENT TRUST BANK LOANS PORTFOLI
1801 Lind Avenue SW No 9016RentonWA98057472357735INVESTMENTSWANAN/A
PHS INVESTMENT TRANSITION PORTFOLIO
1801 Lind Avenue SW No 9016RentonWA98057472279711INVESTMENTSWANAN/A
PHS INVESTMENT TRUST RISK PARITY PORTFOL
1801 Lind Avenue SW No 9016RentonWA98057472336377INVESTMENTSWANAN/A
PHS INVESTMENT TRUST LONG TREASURIES POR
1801 Lind Avenue SW No 9016RentonWA98057472385238INVESTMENTSWANAN/A
PHS INVESTMENT TRUST MLP PORTFOLIO
1801 Lind Avenue SW No 9016RentonWA98057472367538INVESTMENTSWANAN/A
PHS INVESTMENT TRUST RELATIVE VALUE PORT
1801 Lind Avenue SW No 9016RentonWA98057472314743INVESTMENTSWANAN/A
PHS INVESTMENT TRUST TIPS PORTFOLIO
1801 Lind Avenue SW No 9016RentonWA98057472402609INVESTMENTSWANAN/A
PHS INVESTMENT TRUST PUBLIC EQUITY PORTF
1801 Lind Avenue SW No 9016RentonWA98057472283974INVESTMENTSWANAN/A
PHS INVESTMENT TRUST LDI PORTFOLIO
1801 Lind Avenue SW No 9016RentonWA98057472392060INVESTMENTSWANAN/A
PHS INVESTMENT TRUST PUBLIC DEBT PORTFOL
1801 Lind Avenue SW No 9016RentonWA98057472353569INVESTMENTSWANAN/A
PHS INVESTMENT TRUST TACTICAL TRADING PO
1801 Lind Avenue SW No 9016RentonWA98057472327491INVESTMENTSWANAN/A
PHS INVESTMENT TRUST COMMODITIES PORTFOL
1801 Lind Avenue SW No 9016RentonWA98057472269004INVESTMENTSWANAN/A
PHS INVESTMENT TRUST 2015 PRIVATE ASSETS
1801 Lind Avenue SW No 9016RentonWA98057473393740INVESTMENTSWANAN/A
PHS INVESTMENT TRUST SHORT TERM INVESTME
1801 Lind Avenue SW No 9016RentonWA98057812701056INVESTMENTSWANAN/A
PHS INVESTMENT TRUST 2016 PRIVATE ASSETS
1801 Lind Avenue SW No 9016RentonWA98057811532735INVESTMENTSWANAN/A
PHS INVESTMENT TRUST 2016 PRIVATE REAL E
1801 Lind Avenue SW No 9016RentonWA98057812960145INVESTMENTSWANAN/A
LSC REAL PROPERTY LLC
2301 QUAKER AVELUBBOCKTX79410474646059REAL ESTATETXCHSEXCLUDED$311,465$950,250false$0Yes (true)0.60500
CALIFORNIA SPECIALTY SURGERY CENTER LP
26371 CROWN VALLEY PARKWAYMISSION VIEJOCA92691330939003HEALTHCARECANAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
AMERICAN UNITY GROUP LTD
90 PITTS BAY ROADPEMBROKEBDHM08CAPTIVE INSURANCEBDNAC-CORP
COASTAL MANAGEMENT SERVICES ORGANIZATION
HEALTHCARENAC-CORP1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330676831CA
DATU HEALTH INC AND SUBSIDIARIES
IT SVCSNAC-CORP16150 MAIN CIRCLE DR SUITE 250CHESTERFIELDMO63017463070062DE
HOAG MANAGEMENT SERVICES INC
HEALTHCARENAC-CORP1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330731587CA
LUBBOCK METHODIST HOSP PRACTICE MGMT
INACTIVECHSC-CORP2107 OXFORD STREET STE 300LUBBOCKTX79410752578995TX$0$551,2441.00000Yes (true)
LUBBOCK METHODIST HOSPITAL SVCS
HEALTHCARECHSC-CORPPO BOX 1201LUBBOCKTX79410752118585TX$1,524,704$49,722,6351.00000Yes (true)
MISSION VIEJO MEDICAL VENTURES
HEALTHCARENAC-CORP27800 MEDICAL CENTER RDMISSION VIEJOCA92691330212905CA
ST JOSEPH HEALTH
HOLDING COMPANYNAC-CORP3345 MICHELSON DRIVE SUITE 100IRVINECA92612462340232CA
ST JOSEPH HEALTH SOURCE INC
HEALTHCARENAC-CORP3345 MICHELSON DRIVE SUITE 100IRVINECA92612461900168CA
ST JOSEPH PROF SVCS ENTERPRSES INC
HEALTHCARENAC-CORP3345 MICHELSON DRIVE SUITE 100IRVINECA92612330155323CA
OPHIE HEALTHCARE SERVICES INC
HEALTHCARENAC-CORP3345 MICHELSON DRIVE SUITE 100IRVINECA92612271002825CA
PROVIDENCE HEALTH VENTURES INC
INVESTMENTNAC-CORP4101 TORRANCE BLVDTORRANCECA90503330122216CA
CARON HEALTH CORPORATION
MED PHYS SVCSNAC-CORP510 W FRONT STMISSOULAMT59802810486082MT
PROVIDENCE HEALTH CARE VENTURES INC
CLIN/MED LABNAC-CORP101 W 8TH AVE TAF C-9SPOKANEWA99204900155714WA
PROVIDENCE PHYSICIAN SERVICES CO
CLIN/MED LABNAC-CORP101 W 8TH AVE TAF C-9SPOKANEWA99204911216033WA
YAKIMA MEDICAL ARTS INC
RENT REAL ESTATENAC-CORP611 N PERRY 100SPOKANEWA99202910787963WA
BOURGET HEALTH SERVICES INC
CLIN/MED LABNAC-CORPPO BOX 2687SPOKANEWA99220911354431WA
1221 MADISON STREET OWNERS ASSOC
OWNERS' ASSOC.NAC-CORP747 BROADWAYSEATTLEWA98122201954319WA
WESTERN HEALTHCONNECT VENTURES INC
INVESTMENTSNAC-CORP1801 LIND AVE SW 9016RENTONWA98057800953654WA
PHN HOLDINGS
STRAT PLAN SVCSNAC-CORP20555 EARL STREETTORRANCECA90503461814184CA
PROVIDENCE HEALTH NETWORK
PREPAID HEALTHNAC-CORP20555 EARL STREETTORRANCECA90503800886966CA
PIONEER INNOVATIONS INC
HEALTH INNOVATNSNAC-CORP800 5TH AVE 10TH FLOORSEATTLEWA98104364818191WA
VINSERRA INC
INVESTMENTSNAC-CORP1328 22ND STREETSANTA MONICACA90403953943315CA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgYes (true)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (50 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
b$4,838,800ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
c$2,849,814ACCRUAL
COVENANT HOSPITAL LEVELLAND
i$450,131ACCRUAL
COVENANT HOSPITAL LEVELLAND
q$2,134,627ACCRUAL
COVENANT HOSPITAL LEVELLAND
s$4,904,313ACCRUAL
COVENANT HOSPITAL LEVELLAND
o$2,794,861ACCRUAL
COVENANT HOSPITAL LEVELLAND
p$502,287ACCRUAL
COVENANT HOSPITAL LEVELLAND
r$804,709ACCRUAL
COVENANT HOSPITAL PLAINVIEW
q$6,502,708ACCRUAL
COVENANT HOSPITAL PLAINVIEW
s$20,019,939ACCRUAL
COVENANT HOSPITAL PLAINVIEW
i$9,378,357ACCRUAL
COVENANT HOSPITAL PLAINVIEW
o$4,756,300ACCRUAL
COVENANT HOSPITAL PLAINVIEW
p$399,852ACCRUAL
COVENANT HEALTH PARTNERS
k$164,000ACCRUAL
COVENANT HEALTH PARTNERS
l$1,704,847ACCRUAL
COVENANT HEALTH PARTNERS
s$2,755,037ACCRUAL
COVENANT HEALTH PARTNERS
m$6,243,992ACCRUAL
COVENANT HEALTH PARTNERS
o$2,982,784ACCRUAL
COVENANT HEALTH PARTNERS
r$3,433,371ACCRUAL
COVENANT CHILDREN'S HOSPITAL
h$1,885,688ACCRUAL
COVENANT CHILDREN'S HOSPITAL
i$24,236,800ACCRUAL
COVENANT CHILDREN'S HOSPITAL
l$3,709,953ACCRUAL
COVENANT CHILDREN'S HOSPITAL
q$70,848ACCRUAL
COVENANT CHILDREN'S HOSPITAL
s$1,347,103ACCRUAL
COVENANT CHILDREN'S HOSPITAL
m$8,021,960ACCRUAL
COVENANT CHILDREN'S HOSPITAL
p$15,119,295ACCRUAL
COVENANT CHILDREN'S HOSPITAL
r$12,314,613ACCRUAL
COVENANT CHILDREN'S HOSPITAL
o$10,529,174ACCRUAL
COVENANT MEDICAL GROUP
i$4,909,694ACCRUAL
COVENANT MEDICAL GROUP
q$19,358,458ACCRUAL
COVENANT MEDICAL GROUP
r$1,161,498ACCRUAL
COVENANT MEDICAL GROUP
g$129,672ACCRUAL
COVENANT MEDICAL GROUP
j$6,693,278ACCRUAL
COVENANT MEDICAL GROUP
m$1,659,545ACCRUAL
COVENANT MEDICAL GROUP
o$17,108,267ACCRUAL
COVENANT MEDICAL GROUP
r$2,494,592ACCRUAL
HOSPICE OF LUBBOCK
i$320,269ACCRUAL
HOSPICE OF LUBBOCK
k$102,000ACCRUAL
HOSPICE OF LUBBOCK
q$575,292ACCRUAL
HOSPICE OF LUBBOCK
o$240,089ACCRUAL
HOSPICE OF LUBBOCK
p$244,881ACCRUAL
HOSPICE OF LUBBOCK
r$343,758ACCRUAL
COVENANT HEALTH SYSTEM FOUNDATION
c$3,796,036ACCRUAL
COVENANT HEALTH SYSTEM FOUNDATION
o$191,716ACCRUAL
COVENANT HEALTH SYSTEM FOUNDATION
q$2,266,016ACCRUAL
COVENANT HEALTH SYSTEM FOUNDATION
s$2,788,375ACCRUAL
COVENANT HEALTH SYSTEM FOUNDATION
i$198,294ACCRUAL
COVENANT HEALTH SYSTEM FOUNDATION
p$190,476ACCRUAL
COVENANT HEALTH SYSTEM FOUNDATION
r$369,381ACCRUAL
COVENANT HEALTH SYSTEM FOUNDATION
b$1,716,023ACCRUAL

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIIFormAndLineReferenceDesc
ExplanationIDENTIFICATION 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 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE 362, MISSION VIEJO, CA 92691 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 MISSION VIEJO PHYSICIAN PARTNERS I, LLC EIN: 47-1559873 ADDRESS: 27700 MEDICAL CENTER ROAD, MISSION VIEJO, CA 92691 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 92691ExplanationTxt