MISSION HOSPITAL REGIONAL MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MISSION HOSPITAL REGIONAL MEDICAL CENTER (EIN 95-1643360)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201721359349308932
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-15T14:36:45-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951643360	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TAREK SALAWAY	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	9493641400	PhoneNum
Signature	2017-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TAREK SALAWAY	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$598,915,252	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MISSION4HEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1941	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	WE ARE COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRA MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY IMPROVING THE HEALTH AND QUALITY OF LIFE IN OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2777	TotalEmployeeCnt
Total Volunteers	795	TotalVolunteersCnt
Total Gross UBI	$816,548	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$327,732	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,004,959	PYContributionsGrantsAmt
CY Contributions Grants	$15,702,542	CYContributionsGrantsAmt
PY Program Service Revenue	$541,591,696	PYProgramServiceRevenueAmt
CY Program Service Revenue	$574,711,038	CYProgramServiceRevenueAmt
PY Investment Income	$11,683,753	PYInvestmentIncomeAmt
CY Investment Income	$6,792,910	CYInvestmentIncomeAmt
PY Other Revenue	$358,263	PYOtherRevenueAmt
CY Other Revenue	$438,189	CYOtherRevenueAmt
PY Total Revenue	$562,638,671	PYTotalRevenueAmt
CY Total Revenue	$597,644,679	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,912,473	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,943,861	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$204,741,006	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$224,258,818	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$37,395	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$4,004,346	CYTotalFundraisingExpenseAmt
PY Other Expenses	$319,866,281	PYOtherExpensesAmt
CY Other Expenses	$326,988,607	CYOtherExpensesAmt
PY Total Expenses	$531,557,155	PYTotalExpensesAmt
CY Total Expenses	$559,191,286	CYTotalExpensesAmt
PY Revenues Less Expenses	$31,081,516	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$38,453,393	CYRevenuesLessExpensesAmt
Total Assets BOY	$621,287,911	TotalAssetsBOYAmt
Total Assets EOY	$591,291,434	TotalAssetsEOYAmt
Total Liabilities BOY	$331,369,656	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$316,081,728	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$289,918,255	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$275,209,706	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE ARE COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$496,403,563	ExpenseAmt
Grant	$7,943,861	GrantAmt
Revenue	$574,711,038	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$496,403,563	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2777	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	AARON NEUHARTH	PersonNm
Phone	9493647767	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SISTER LINDA BUCK
BOARD CHAIR	5.0	0.0	Yes (X)	$0	$0	$0
SISTER MARYANNE HUEPPER
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ELLEN LEWIS MSN FAAN
BOARD VICE CHAIR	2.0	0.0	Yes (X)	$0	$0	$0
FARZAD MASSOUDI MD
BOARD MEMBER	2.0	0.0	Yes (X)	$59,130	$0	$0
SISTER EILEEN MCNERNEY
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ROBERT WINOKUR MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
RUDY MARQUEZ MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
JOSEPH ROBBEN
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ED JORDAN
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
TODD LEMPERT MD
BOARD MEMBER	2.0	0.0	Yes (X)	$166,860	$0	$0
SISTER MARY BETH INGHAM
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
LAUREN DWINELL MD
BOARD MEMBER, CHIEF OF STAFF	2.0	0.0	Yes (X)	$17,300	$0	$0
STEVEN PAL
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
MICHAEL MARINO DO
BOARD MEMBER, CEO	50.0	2.0	Yes (X)	$0	$619,475	$15,955	Yes (X)
KENNETH MCFARLAND
BOARD MEMBER & CEO (PART YEAR)	2.0	50.0	Yes (X)	$0	$810,893	$53,149	Yes (X)
BETH SCHIMMEL
BOARD MEMBER (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
GEORGE SCHIFFMAN MD
BD MMBR/CHIEF OF STAFF (PT YR)	2.0	0.0	Yes (X)	$0	$0	$0
TARA COWELL
VP/ASSOC. GENERAL COUNSEL/SEC.	2.0	52.0		$0	$443,782	$48,813	Yes (X)
EILEEN HAUBL
VP & CHIEF FINANCIAL OFFICER	50.0	0.0		$434,131	$0	$45,182	Yes (X)
CYNTHIA MUELLER
VP MISSION INTEGRATION	50.0	0.0		$293,107	$0	$42,561	Yes (X)
RICHARD AFABLE
INTERIM CEO	50.0	2.0		$0	$1,279,774	$36,583	Yes (X)
LINDA JOHNSON
CHIEF CLINICAL OFFICER	50.0	0.0		$438,832	$0	$50,596		Yes (X)
MICHAEL BECK
VP INTEGRATED OPERATIONS	50.0	0.0		$387,974	$0	$54,128		Yes (X)
LINDA SIEGLEN
CHIEF MEDICAL OFFICER	50.0	0.0		$501,835	$0	$34,775		Yes (X)
TERRI FOX-COVERT
VP HUMAN RESOURCES	50.0	0.0		$285,934	$0	$53,730			Yes (X)
CATHLEEN COLLINS
CHIEF DEVELOPMENT OFFICER	50.0	0.0		$286,227	$0	$27,892			Yes (X)
JOCELYN CHOPRA
CHARGE NURSE	50.0	0.0		$279,267	$0	$35,361			Yes (X)
PHUC MAI
DIRECTOR - PHARMACY	50.0	0.0		$236,414	$0	$31,219			Yes (X)
NANETTE PLAZA
REGISTERED NURSE	50.0	0.0		$234,300	$0	$28,253			Yes (X)
DENNIS HAGHIGHAT MD
FORMER KEY EMPLOYEE	0.0	50.0		$0	$418,321	$24,211				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,621,311	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,572,245	TotReportableCompRltdOrgAmt
Total Other Compensation	$582,408	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	440	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
REPUBLIC BUSINESS CREDIT LLC
24863 NETWORK PLACE	DALLAS	TX	75320	STAFFING SERVICES	$4,471,827
AMN HEALTHCARE INC
PO BOX 56157	LOS ANGELES	CA	90074	STAFFING SERVICES	$2,220,052
DECTON STAFFING SERVICES
PO BOX 75371	CHICAGO	IL	60675	STAFFING SERVICES	$1,944,509
ORTHOPEDIC TRAUMA SPECIALIST OF OC
26730 CROWN VALLEY PKWY	MISSION VIEJO	CA	92691	MEDICAL SERVICES	$1,867,505
SOUTHERN CALIFORNIA OB GYN
PO BOX 17033	DANA POINT	CA	92629	MEDICAL SERVICES	$1,115,875

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	53	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,724,607	FundraisingAmt
Related Organizations	$6,477,814	RelatedOrganizationsAmt
Government Grants	$175,731	GovernmentGrantsAmt
All Other Contributions	$7,324,390	AllOtherContributionsAmt
Noncash Contributions	$604,993	NoncashContributionsAmt
Total Contributions	$15,702,542	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	622110	$520,285,547	$520,285,547	$0	$0
CAPITATION REVENUE	622110	$27,506,630	$27,506,630	$0	$0
MOB RENTAL REVENUE	531120	$14,067,420	$14,067,420	$0	$0
CHILDREN'S HOSPITAL AT MISSION	622110	$8,044,582	$8,044,582	$0	$0
NUTRITIONAL SERVICES	722310	$2,417,194	$2,417,194		$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,389,665	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,573,117	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$816,548	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$574,711,038	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,805,126	TotalRevenueColumnAmt
Exclusion	$6,805,126	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$595,371	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$607,587	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$12,216	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$12,216	TotalRevenueColumnAmt
Exclusion	-$12,216	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$533,416	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,724,607	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$620,236	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$86,820	TotalRevenueColumnAmt
Exclusion	-$86,820	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$132,310	GamingGrossIncomeAmt
Gaming Direct Expenses	$42,750	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$89,560	TotalRevenueColumnAmt
Exclusion	$89,560	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$435,449	GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$435,449	TotalRevenueColumnAmt
Exclusion	$435,449	ExclusionAmt

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$597,644,679	TotalRevenueColumnAmt
Related Or Exempt Func Income	$573,894,490	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$816,548	UnrelatedBusinessRevenueAmt
Exclusion	$7,231,099	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$7,864,501	TotalAmt
Program Services	$7,864,501	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$79,360	TotalAmt
Program Services	$79,360	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,273,792	TotalAmt
Program Services	$1,436,147	ProgramServicesAmt
Management And General	$837,645	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$156,782,172	TotalAmt
Program Services	$145,647,307	ProgramServicesAmt
Management And General	$9,033,323	ManagementAndGeneralAmt
Fundraising	$2,101,542	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,255,989	TotalAmt
Program Services	$8,551,273	ProgramServicesAmt
Management And General	$613,414	ManagementAndGeneralAmt
Fundraising	$91,302	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$43,190,399	TotalAmt
Program Services	$40,078,012	ProgramServicesAmt
Management And General	$2,703,669	ManagementAndGeneralAmt
Fundraising	$408,718	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,756,466	TotalAmt
Program Services	$11,958,502	ProgramServicesAmt
Management And General	$558,146	ManagementAndGeneralAmt
Fundraising	$239,818	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$33,276,324	TotalAmt
Program Services	$26,392,902	ProgramServicesAmt
Management And General	$6,883,422	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,353,031	TotalAmt
Program Services	-$9,246	ProgramServicesAmt
Management And General	$2,355,577	ManagementAndGeneralAmt
Fundraising	$6,700	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$146,608	TotalAmt
Program Services	$1,000	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$145,608	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$49,639	TotalAmt
Program Services	$49,639	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$86,657,507	TotalAmt
Program Services	$65,180,630	ProgramServicesAmt
Management And General	$21,263,248	ManagementAndGeneralAmt
Fundraising	$213,629	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,605,547	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,525,421	ManagementAndGeneralAmt
Fundraising	$80,126	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,774,122	TotalAmt
Program Services	$15,917,632	ProgramServicesAmt
Management And General	$796,092	ManagementAndGeneralAmt
Fundraising	$60,398	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$997,412	TotalAmt
Program Services	$997,412	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$36,214,670	TotalAmt
Program Services	$34,166,807	ProgramServicesAmt
Management And General	$1,572,090	ManagementAndGeneralAmt
Fundraising	$475,773	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$657,849	TotalAmt
Program Services	$532,308	ProgramServicesAmt
Management And General	$105,693	ManagementAndGeneralAmt
Fundraising	$19,848	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$109,266	TotalAmt
Program Services	$81,909	ProgramServicesAmt
Management And General	$27,357	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,176,818	TotalAmt
Program Services	$7,265,734	ProgramServicesAmt
Management And General	$1,911,084	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,273,811	TotalAmt
Program Services	$20,943,621	ProgramServicesAmt
Management And General	$2,323,266	ManagementAndGeneralAmt
Fundraising	$6,924	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,538,638	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$3,538,638	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$79,120,700	$79,106,393	$14,307	$0
HOSPITAL FEE PROGRAM	$28,155,092	$28,155,092	$0	$0
INVENTORY VARIANCE	$972,843	$972,843	$0	$0
LICENSES/TAXES/DUES	$732,233	$216,578	$502,541	$13,114

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,176,497	TotalAmt
Program Services	$817,207	ProgramServicesAmt
Management And General	$2,218,444	ManagementAndGeneralAmt
Fundraising	$140,846	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$559,191,286	TotalAmt
Program Services	$496,403,563	ProgramServicesAmt
Management And General	$58,783,377	ManagementAndGeneralAmt
Fundraising	$4,004,346	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$6,675,648	BOYAmt
EOY	-$4,601,650	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$59,835,786	BOYAmt
EOY	$49,585,426	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$506,675	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$71,076,078	BOYAmt
EOY	$63,823,223	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,019,876	BOYAmt
EOY	$7,079,433	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,344,459	BOYAmt
EOY	$1,158,189	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$582,707,060	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$248,170,733	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$331,721,262	BOYAmt
EOY	$334,536,327	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$96,457,389	BOYAmt
EOY	$94,498,136	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$24,849,618	BOYAmt
EOY	$16,354,828	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$20,984,538	BOYAmt
EOY	$14,633,775	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$621,287,911	BOYAmt
EOY	$591,291,434	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$57,200,826	BOYAmt
EOY	$63,646,397	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$274,168,830	BOYAmt
EOY	$252,435,331	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$331,369,656	BOYAmt
EOY	$316,081,728	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$197,632,775	BOYAmt
EOY	$191,081,132	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$87,787,309	BOYAmt
EOY	$82,114,574	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,498,171	BOYAmt
EOY	$2,014,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$289,918,255	BOYAmt
EOY	$275,209,706	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$621,287,911	BOYAmt
EOY	$591,291,434	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$38,453,393	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$8,921,576	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$44,240,366	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$49,639	OtherActivitiesAmt
Total Lobbying Expenditures	$49,639	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,257,495	BeginningYearBalanceAmt
Contributions	$514,556	ContributionsAmt
Investment Earnings Or Losses	$10,588	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$16,084	AdministrativeExpensesAmt
End Year Balance	$1,766,555	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.55450	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.44550	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$184,600	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$38,938,134	OtherCostOrOtherBasisAmt
Book Value	$39,122,734	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$307,876,339	OtherCostOrOtherBasisAmt
Depreciation	$98,891,262	DepreciationAmt
Book Value	$208,985,077	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,039,467	OtherCostOrOtherBasisAmt
Depreciation	$14,668,279	DepreciationAmt
Book Value	$6,371,188	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$190,522,703	OtherCostOrOtherBasisAmt
Depreciation	$134,582,878	DepreciationAmt
Book Value	$55,939,825	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,145,817	OtherCostOrOtherBasisAmt
Depreciation	$28,314	DepreciationAmt
Book Value	$24,117,503	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$334,536,327	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
INTERCO WITH HEALTH SYSTEM - BONDS	$172,775,482
INTERCOMPANY PAYABLE	$671,369
THIRD PARTY PAYABLE	$13,972,912
OTHER LIABILITIES	$4,015,568
DUE TO SJHS	$61,000,000

Field	Value	IRS element (for citing)
Total Liability	$252,435,331	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

INTENDED USE OF ENDOWMENT FUNDS THE USE OF THE RESTRICTED ENDOWMENTS ARE SPECIFIED WHEN PUT IN PLACE BY THE DONORS. LIKE ALL ENDOWMENTS, ONLY THE DISTRIBUTED EARNED INCOME IS AVAILABLE FOR USE. THE UNRESTRICTED ENDOWMENT INCOME IS USED AT THE DISCRETION OF THE EXECUTIVE LEADERSHIP OF THE HOSPITAL FOR CAPITAL/BUILDING, EQUIPMENT AND PROGRAM NEEDS.

SCHEDULE D, PART X, LINE 2

ASC 740 (FIN 48) FOOTNOTE ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2016 OR 2015.

Schedule G IRS990ScheduleG

Fundraiser Activity Info FundraiserActivityInfoGrp

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

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf	Event1Nm
Gross Receipts Event1	$423,034	GrossReceiptsEvent1Amt
Charitable Contri Event1	$422,042	CharitableContriEvent1Amt
Gross Revenue Event1	$992	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$69,516	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$33,086	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$91,750	OtherDirectExpensesEvent1Amt
Event2	Gala	Event2Nm
Gross Receipts Event2	$1,093,502	GrossReceiptsEvent2Amt
Charitable Contri Event2	$821,693	CharitableContriEvent2Amt
Gross Revenue Event2	$271,809	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$36,250	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$124,685	FoodAndBeverageEvent2Amt
Entertainment Event2	$11,500	EntertainmentEvent2Amt
Other Direct Expenses Event2	$78,131	OtherDirectExpensesEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$741,487	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$480,872	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$260,615	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$92,213	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$10,000	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$73,105	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$2,258,023	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,724,607	CharitableContributionsTotAmt
Gross Revenue Total Events	$533,416	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$105,766	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$249,984	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$21,500	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$242,986	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$620,236	DirectExpenseSummaryEventsAmt
Net Income Summary	-$86,820	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$132,310	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$3,750	CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming	$39,000	NonCashPrizesOtherGamingAmt
Rent Fclty Costs Other Gaming	$0	RentFcltyCostsOtherGamingAmt
Oth Direct Expnss Other Gaming	$0	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	Yes (true)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$132,310	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$3,750	CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming	$39,000	NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming	$0	RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming	$0	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$42,750	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$89,560	NetGamingIncomeSummaryAmt

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

Persons With Books US Address PersonsWithBooksUSAddress

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

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	GWEN ANDERSON	GamingManagerPersonNm
Gaming Manager Compensation	$8,971	GamingManagerCompensationAmt
Gaming Manager Services Prov	Director/officer	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	Yes (true)	CharitableDistributionRqrInd
Distributed	$119,079	DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART III, LINE 9B	FormAndLineReferenceDesc
Explanation	GAMING MISSION HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION AND GAMING IS NOT THE PRIMARY FUNDRAISING ACTIVITY; THESE WERE RAFFLES FOR A VEHICLE, PRIZE BASKETS, AND CASH PRIZES TOTALLING $3,750. THE PRIZES NOTED ON LINES 2-5 WERE PURCHASED IN ADVANCE, AND 90% OF THE PROCEEDS WERE RETAINED AS REQUIRED.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,939,894	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,939,894	NetCommunityBenefitExpnsAmt
Total Expense	0.01230	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,859,967	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,281,362	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,578,605	NetCommunityBenefitExpnsAmt
Total Expense	0.05430	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,799,861	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,281,362	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,518,499	NetCommunityBenefitExpnsAmt
Total Expense	0.06660	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,746,348	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$234,559	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,511,789	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$347,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$347,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,158	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$87,158	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,344,776	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,344,776	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,525,282	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$234,559	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,290,723	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,325,143	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,515,921	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,809,222	NetCommunityBenefitExpnsAmt
Total Expense	0.07950	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,927	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,927	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,982	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,982	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$119,171	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$119,171	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$111,038	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$111,038	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$303,118	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$303,118	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$33,824,093	BadDebtExpenseAmt
Reimbursed By Medicare	$102,166,830	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$136,609,481	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$34,442,651	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
MECC - SEE PART VI
PHYSICIAN OFFICE&CONF ED CTR	0.5	0.5
MAS - SEE PART VI
OUTPATIENT SURGERY CENTER	0.38451	0.61549

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	WWW.MISSION4HEALTH.COM	WebsiteAddressTxt
State License	06000146	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	INPUT FROM COMMUNITY REPRESENTATIVES THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS EMPLOYED A VARIETY OF METHODS TO GATHER DATA TO FULLY UNDERSTAND THE SIGNIFICANT HEALTH AND QUALITY OF LIFE NEEDS FACING THE MOST VULNERABLE AND TO ENSURE THE PRIORITIES SELECTED WERE ALIGNED WITH THE GREATEST NEEDS: A TELEPHONE SURVEY (AUGDEC 2013), KEY STAKEHOLDER PANELS (FALL 2013), AND RESIDENT FOCUS GROUPS (JAN 2014). - A TELEPHONE SURVEY WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) USING QUESTIONS FROM THE NATIONAL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM TO DETERMINE THE HEALTH STATUS AND NEEDS OF RESIDENTS. THE TELEPHONE SURVEY GATHERED A REPRESENTATIVE SAMPLE OF 763 INTERVIEWS ACROSS ALL FIVE CITIES. - STAKEHOLDER PANELS WERE CONDUCTED BY THE OLIN GROUP WHO USED A SEMI-STRUCTURED, SIX-QUESTION INTERVIEW GUIDE TO FACILITATE DISCUSSION WITH 46 KEY INFORMANTS REPRESENTING 37 DIFFERENT ORGANIZATIONS. THERE WERE A TOTAL OF FOUR PANEL DISCUSSIONS WITH THE GOAL OF IDENTIFYING CURRENT AND EMERGING COMMUNITY HEALTH AND QUALITY OF LIFE ISSUES. IN ADDITION, FEEDBACK WAS GATHERED FROM MISSION HOSPITAL REGIONAL MEDICAL CENTER'S (MISSION HOSPITAL) LAGUNA BEACH ADVISORY COUNCIL, A COUNCIL ESTABLISHED BY THE ATTORNEY GENERAL IN 2009. THIS GROUP IS COMPRISED OF LOCAL RESIDENTS AND LEADERS WHO PROVIDED THEIR PERSPECTIVES ON THE GREATEST NEEDS OF THE LAGUNA BEACH COMMUNITY. - RESIDENT FOCUS GROUPS INCLUDED THE PARTICIPATION OF 209 RESIDENTS ACROSS NINE GROUPS. RESIDENTS PROVIDED INPUT ON THE TOP HEALTH AND QUALITY OF LIFE NEEDS IDENTIFIED THROUGH THE TELEPHONE SURVEY AND STAKEHOLDER PANELS. THEY VALIDATED EARLY FINDINGS, IDENTIFIED ANY MISSING HEALTH AND QUALITY OF LIFE ISSUES, AND PRIORITIZED AND PROVIDED FEEDBACK ON THE TOP CONCERNS. ENGLISH FORUMS HAD A TOTAL OF 32 PARTICIPANTS. SPANISH FORUMS INCLUDED 177 PARTICIPANTS. MISSION HOSPITAL ALSO REVIEWED SECONDARY SOURCES TO IDENTIFY TRENDS AND SYNERGIES ACROSS IDENTIFIED SIGNIFICANT HEALTH NEEDS. AMONG THE MAIN DATA SOURCES WERE: - CAMINO HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN SAN JUAN CAPISTRANO. CAMINO PROVIDED INFORMATION REGARDING THEIR LEADING DIAGNOSES FOR MEDICAL OFFICE VISITS, AS WELL AS THEIR OWN HEALTH NEEDS ASSESSMENT REPORT CONDUCTED IN FALL 2013. - HEALTHY PEOPLE 2020, A NATIONAL INITIATIVE SPONSORED BY THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES. THIS SOURCE PROVIDED 10-YEAR NATIONAL OBJECTIVES FOR IMPROVING THE HEALTH OF ALL AMERICANS. - MISSION HOSPITAL EMERGENCY ROOM VISIT DATA HELPED DEMONSTRATE THE HIGHEST NEEDS BASED ON EMERGENCY ROOM VISITS FOR RESIDENTS WHO WERE UNINSURED OR UNDERINSURED DURING 2013. - ORANGE COUNTY HEALTH CARE AGENCY, HEALTHY PLACES, HEALTHY PEOPLE 2012 AND ORANGE COUNTYS HEALTHIER TOGETHER 2013 REPORTS PROVIDED A VARIETY OF SOCIAL, ECONOMIC, AND ENVIRONMENTAL CONDITIONS KNOWN TO INFLUENCE THE HEALTH OF COMMUNITIES AND TRENDS AND DISPARITIES IN KEY HEALTH INDICATORS.
SCHEDULE H, PART V, SECTION B, LINE 7A	THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: http://www.mission4health.com/documents/MH-CHNA-Written-Report_All_Final.p df
SCHEDULE H, PART V, SECTION B, LINE 10A	THE IMPLEMENTATION STRATEGY IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: http://www.mission4health.com/documents/Community-Benefit/FY15-17-Mission- CB-Plan-and-IS-Report.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	MISSION HOSPITAL IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS TO FOCUS ITS EFFORTS FOR FY15-17. THESE INCLUDE INCREASING ACCESS TO HEALTH CARE, REDUCING THE PREVALENCE OF MENTAL HEALTH, AND PREVENTING YOUTH SUBSTANCE USE. EACH PRIORITY AREA HAS A FULLY DEVELOPED STRATEGIC PLAN TO ADDRESS WIDE COMMUNITY NEEDS RELATING TO THESE PRIORITY AREAS. IN FY16, MISSION HOSPITAL REPORTED THE FOLLOWING ACHIEVEMENTS FOR THESE PRIORITIES: O INCREASING ACCESS TO HEALTH CARE: THIS INITIATIVE AIMS TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR THE MOST VULNERABLE MEMBERS OF THE SOUTH ORANGE COUNTY COMMUNITY. HIGHLIGHTS FROM FY16 INCLUDE ENROLLING 2,962 NEW PEOPLE INTO HEALTH INSURANCE, SERVING 982 PEOPLE THROUGH OUR NURSE NAVIGATOR PROGRAM, AND CONNECTING 1,690 RESIDENTS TO ESSENTIAL HEALTH CARE SERVICES THROUGH COMMUNITY SCREENINGS, FLU CLINICS AND VISION EXAMS. SINCE THE IMPLEMENTATION OF THE COMMUNITY CARE NAVIGATOR PROGRAM, PATIENTS WHO HAVE ENGAGED WITH THE CARE NAVIGATOR HAVE REDUCED FREQUENT VISITS TO THE EMERGENCY ROOM FROM AN AVERAGE OF 6.39 VISITS/3 MONTHS TO 2.14 VISITS. THE OVERALL RATE OF REPEAT VISITS HAS DECLINED FROM 46.0/1,000 VISITS EARLIER THIS YEAR TO 38.6/1,000 VISITS. O IMPROVING MENTAL HEALTH: THE BILINGUAL MENTAL HEALTH COUNSELORS AND SUPERVISED CLINICAL INTERNS AT THE FAMILY RESOURCE CENTERS SERVED 448 ADULTS AND CHILDREN WITH INDIVIDUAL AND FAMILY THERAPY, SUPPORT GROUPS AND WORKSHOPS. 11 ADULTS RECEIVED PSYCHIATRIC ASSESSMENTS AND MEDICATION MANAGEMENT. 37 FAMILIES RECEIVED FINANCIAL SUPPORT THROUGH THE EMERGENCY ASSISTANCE PROGRAM. THE SOCIAL MARKETING CAMPAIGN TO REDUCE THE STIGMA SURROUNDING MENTAL HAD 7,715 ENCOUNTERS AND 40,985,240 IMPRESSIONS. 5,888 COMMUNITY RESIDENTS WERE REACHED THROUGH OUR OUTREACH AND EDUCATION EFFORTS ON THE TOPIC OF MENTAL HEALTH. O SUBSTANCE USE PREVENTION AMONG YOUTH: THE INITIATIVE SUPPORTED OUTREACH ENCOUNTERS TO 21,656 RECIPIENTS, AND PRESENTATIONS TO 3,059 COMMUNITY MEMBERS. WE FACILITATED 747 ENCOUNTERS WITH PARENTS AND CHILDREN IN FACILITATED RELATIONSHIP-BUILDING ACTIVITIES, 605 STUDENTS AND TEACHERS PARTICIPATED IN MENTAL HEALTH AWARENESS EVENTS, AND 177 INDIVIDUALS PARTICIPATED IN PARENTING CLASSES. NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH COMMUNITY BENEFIT PROGRAMS AND BY FUNDING OTHER NON-PROFITS THROUGH OUR CARE FOR THE PROGRAM MANAGED BY THE MISSION HOSPITAL FURTHERMORE, ST. JOSEPH HEALTH, MISSION HOSPITAL WILL ENDORSE LOCAL NON-PROFIT ORGANIZATION PARTNERS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES, RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGH ST. JOSEPH HEALTH COMMUNITIES. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW: ACCESS TO SOCIAL SERVICES: ACCESS TO SOCIAL SERVICES WAS IDENTIFIED AS A NEED IN THE RESIDENT FOCUS GROUPS. EFFORTS WILL CONTINUE TO CREATE AWARENESS ABOUT LOCAL SOCIAL SERVICES TO THE COMMUNITY AND MISSION HOSPITAL STAFF WILL SHARE THIS ISSUE WITH LOCAL PARTNERS TO HELP THEIR EFFORTS TO EXPAND AWARENESS OF SERVICES. ACTIVITIES FOR TEENS: SEVERAL AGENCIES DEDICATED TO YOUTH AND TEENS EXIST IN THE COMMUNITY, SUCH AS THE BOYS & GIRLS CLUB, YMCA, ETC. IN ADDITION, MANY LOCAL SCHOOLS OFFER AFTER-SCHOOL ENRICHMENT PROGRAMS AND MAINTAIN A SKILL-SET THAT EXCEEDS OUR OWN. AFFORDABLE HOUSING: WE HAVE CONCENTRATED ON AFFORDABLE HOMES FOR MANY YEARS IN SOUTH ORANGE COUNTY. RESIDENTS SHARE THAT HOUSING COSTS REMAIN UNAFFORDABLE. WITH THE RECENT CHANGES IN REDEVELOPMENT FUNDS AND THE LACK OF LOCAL RESOURCES AND COLLABORATIVE EFFORTS NEEDED TO FOCUS ON THIS ISSUE, THE COMMITTEE FELT OUR MINISTRY RESOURCES COULD BE BETTER UTILIZED IN ANOTHER AREA. DENTAL CARE: WHILE DENTAL CARE WAS IDENTIFIED AS A PRIORITY NEED, OUR PRIORITY PROCESS IDENTIFIED ACCESS TO PRIMARY HEALTH CARE SERVICES AS A GREATER NEED IN THE COMMUNITY. WE WILL WORK COLLABORATIVELY WITH OTHER AGENCIES TO BRING DENTAL SERVICES TO SOUTH ORANGE COUNTY WHENEVER POSSIBLE. DIABETES: CAMINO HEALTH CENTER HAS IDENTIFIED THIS CONDITION AS ONE OF THEIR 16 AREAS OF CLINICAL FOCUS. WE WILL CONTINUE TO WORK COLLABORATIVELY WITH CAMINO TO CONNECT RESIDENTS IN NEED OF MEDICAL SERVICES WITH THEIR CENTER. ECONOMIC BURDEN: THE LACK OF AFFORDABLE JOBS, ABILITY TO PAY FOR CHILD CARE AND OTHER BASIC NEEDS WAS SO BROAD A TOPIC THAT WE DECIDED TO FOCUS OUR EFFORTS ON ISSUES MORE SPECIFIC. MISSION HOSPITAL WILL BRING THIS ISSUE TO OUR ST. JOSEPH HEALTH SYSTEM ADVOCACY BRANCH AND CONTINUE TO ADVOCATE FOR THE NEEDS OF THE POOR TO IMPROVE THEIR QUALITY OF LIFE. EDUCATION: MISSION HOSPITAL WORKED WITH DOZENS OF AGENCIES TO DEVELOP CPATHE: (CAPISTRANO PROMOTING ACCESS TO HIGHER EDUCATION) FROM 2008-2011. THIS COLLABORATION STILL EXISTS, PRIMARILY THROUGH PARTNERSHIP BETWEEN UNIVERSITY OF CALIFORNIA, IRVINE AND CAPISTRANO UNIFIED SCHOOL DISTRICT. THE SCHOOL DISTRICT HAS CREATED A SPECIFIC PLAN TO ADDRESS THE EDUCATION GRADUATION GAP AND HAS MADE SIGNIFICANT EFFORTS WITHIN THE TEACHING MODEL. OVERWEIGHT/OBESITY: MISSION HOSPITAL FOCUSED ON OVERWEIGHT/OBESITY FOR OVER 10 YEARS, AND RECENT RESULTS HAVE DEMONSTRATED THE RATES OF OBESITY, PARTICULARLY CHILDHOOD OBESITY IS DECLINING IN OUR LOW-INCOME AREAS. WE WILL REMAIN INVOLVED ON A CONSULTATIVE BASIS WITH THE MANY AGENCIES THAT ARE DIRECTLY FOCUSED ON THIS ISSUE AND WILL CONTINUE TO SUPPORT THEM IN THEIR BROAD COMMUNITY EFFORTS. SAFETY: SAFETY WAS IDENTIFIED PRIMARILY THROUGH THE RESIDENT FOCUS GROUPS IN PARTICULAR AREAS, AND RELATED PRIMARILY TO LIGHTING IN NEIGHBORHOOD PARKS. THE COMMITTEE FELT THERE WERE MORE PRESSING COMMUNITY NEEDS THAT REQUIRED OUR RESOURCES. SENIOR/AGING RELATED ISSUES: SOUTH ORANGE COUNTY HAS FIVE SENIOR CENTERS IN THE AREA IN ADDITION TO AGE WELL SENIOR SERVICES, AN AGENCY WHOLLY DEDICATED TO THE NEEDS OF SENIORS. WE WILL CONTINUE TO PARTNER WITH AGE WELL AND COMMUNITY CENTERS AROUND OUR IDENTIFIED PRIORITY AREAS. IN ADDITION, MISSION HOSPITAL COLLABORATES WITH MANY LOCAL ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS.
SCHEDULE H, PART V, SECTION B, LINE 13H	OTHER BASIS FOR CALCULATING AMOUNT CHARGED TO PATIENTS THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT.
SCHEDULE H, PART V, SECTION B, LINE 16A	http://www.mission4health.com/documents/Patient-Financial-Assistance/Finan cial-Assistance-Policy-ENGLISH_4.20.16.pdf
SCHEDULE H, PART V, SECTION B, LINE 16B	http://www.mission4health.com/documents/Patient-Financial-Assistance/Finan cial-Assistance-Application-SCAL-ENGLISH_3.8.16.pdf
SCHEDULE H, PART V, SECTION B, LINE 16C	http://www.mission4health.com/Patients-Visitors/For-Patients/Patient-Finan cial-Assistance.aspx
SCHEDULE H, PART V, SECTION B, LINE 16I	OTHER METHOD FOR PUBLICIZING POLICIES THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA.
SCHEDULE H, PART V, SECTION B, LINE 22D	OTHER METHOD FOR DETERMINING MAXIMUM CHARGED AMOUNT FOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USED MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE HOSPITAL FACILITY USED THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MISSION AMBULATORY SURGICENTER LTD
26730 CROWN VALLEY PARKWAY	MISSION VIEJO	CA	92691	OUTPATIENT SURGERY CENTER
FAMILY RESOURCE CENTER
23832 ROCKFIELD BLVD SUITE 270	LAKE FOREST	CA	92630	COMMUNITY OUTREACH CENTER
CHEC FAMILY RESOURCE CENTER
27412 CALLE ARROYO	MISSION VIEJO	CA	92675	COMMUNITY OUTREACH CENTER

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
SCHEDULE H, PART I, LINE 6A	MISSION HOSPITAL REGIONAL MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: http://www.mission4health.com/documents/Community-Benefit/MH_FY16-CB-Repor t-Final-.pdf
SCHEDULE H, PART I, LINE 7A-I	COST-TO-CHARGE RATIO METHODOLOGY A COST-TO-CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COST OF ALL REPORTED CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST. IT INCLUDED ALL PATIENT TYPES (I.E. INPATIENT OUTPATIENT, EMERGENCY ROOM), AND WOULD ONLY INCLUDE CHARGES OR RELATED COSTS THAT PERTAIN TO EACH RESPECTIVE AREA (I.E. CHARITY, MEDICAID, MANAGED CARE, PRIVATE INSURANCE, SELF-PAY, UNINSURED, ETC.). FOR UNREIMBURSED COSTS THAT WOULD BE THE DIFFERENCE BETWEEN THE DETERMINED COSTS UTILIZING THE COST-TO-CHARGE RATIO LESS ANY PAYMENTS RECEIVED FOR THAT PARTIAL PAYOR GROUP. THE COST-TO-CHARGE RATIO USED WAS NOT DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER.
SCHEDULE H, PART I, LINE 7, COLUMN (F)	JOINT VENTURE EXPENSES OF $3,724,181 WERE INCLUDED IN THE TOTAL EXPENSE AMOUNT USED TO CALCULATE PERCENTAGES IN PART I, LINE 7, COLUMN F.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED HEALTH SERVICES RECUPERATIVE PROGRAMS - $60,050 PHARMACY & DME - $27,108
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES OUR MISSION CALLS US TO IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. A KEY EMPHASIS IS PUT ON DEVELOPING PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS. FOSTERING A PREPARED AND PRODUCTIVE WORKFORCE IS THE PRIMARY FOCUS OF OUR COMMUNITY BUILDING AT MISSION HOSPITAL. WE COMPLETE THIS EFFORT THROUGH CONTINUED COLLABORATION WITH CAPISTRANO UNIFIED SCHOOL DISTRICT ADULT TRANSITION PROGRAM. SINCE 2006, MISSION HOSPITAL HOSTS INTERNS EACH FALL TO PROVIDE WORK EXPERIENCE IN A HOSPITAL SETTING. THESE STUDENT INTERNS ARE PLACED IN HOSPITAL DEPARTMENTS SUCH AS NUTRITIONAL CARE SERVICES, ENVIRONMENTAL SERVICES AND CENTRAL SUPPLY TO LEARN JOB SKILLS THAT WILL HELP THEM ATTAIN LONG-TERM EMPLOYMENT EITHER AT THE HOSPITAL OR A LOCAL ORGANIZATION. SINCE THE PROGRAM STARTED 10 YEARS AGO, MISSION HOSPITAL HAS EMPLOYED SEVERAL GRADUATES TO ENABLE THEM TO EARN A LIVING WAGE AND BECOME MORE INDEPENDENT MEMBERS IN OUR COMMUNITY. MISSION HOSPITAL ALSO SUPPORTS THE COMMUNITY THROUGH THE PROVISION OF IN-KIND FOOD DONATIONS TO LOCAL FOOD PANTRIES AND HOMELESS ORGANIZATIONS. AS PART OF THIS PROGRAM, WE PROVIDE NUTRITIOUS MEALS TO 25 HOMELESS INDIVIDUALS IN LAGUNA BEACH DAILY IN PARTNERSHIP WITH THE LOCAL HOMELESS SHELTER. IN ADDITION, THE HOMELESS SHELTER ASKED IF WE COULD SUPPORT THEIR CLIENTS BY PROVIDING COFFEE AND ASSOCIATED SUPPLIES TO THEIR CLIENTS DURING THEIR OVERNIGHT STAYS AT THE SHELTER. THIS WAS A LARGE EXPENSE FOR THE SHELTER. WE ARE ABLE TO PROVIDE THESE SUPPLIES FOR THE HOMELESS, WHICH PROVIDE COMFORT AND ALLOWS FOR OPEN DIALOGUE TO OCCUR MORE EASILY BETWEEN CLIENTS. ANOTHER COMMUNITY BUILDING PROGRAM WE SUPPORT IS OUR SAFE RIDES PROGRAM. SAFE RIDES IS A PEER-RUN PROGRAM OVERSEEN BY ADULT SUPERVISORS. STUDENTS FROM NUMEROUS LOCAL HIGH SCHOOLS STAFF A TOLL-FREE HOTLINE FOR TEENS TO CALL WHEN IN NEED OF A RIDE HOME DUE TO ALCOHOL, DRUGS OR UNSAFE DATE SITUATION. IN FY16, OVER 200 SAFE RIDES WERE PROVIDED TO YOUTH IN SOUTH COUNTY.
SCHEDULE H, PART III, SECTION A, LINE 2	METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
SCHEDULE H, PART III, SECTION A, LINE 3	METHODOLOGY OF ESTIMATING BAD DEBT EXPENSE ATTRIBUTABLE TO FAP PATIENTS THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, SECTION A, LINE 4	FINANCIAL STATEMENT BAD DEBT EXPENSE FOOTNOTE THE HEALTH SYSTEM RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT CREDIT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED PAYORS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE HEALTH SYSTEM. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HEALTH SYSTEM REGULARLY ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, SECTION B, LINE 8	TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING CMS STANDARD COSTING METHODS. THIS INCLUDES STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS.
SCHEDULE H, PART III, SECTION C, LINE 9B	APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
SCHEDULE H, PART IV, COLUMN (A)	NAME OF ENTITY 1. MISSION EDUCATION CONFERENCE CENTER, LLC 2. MISSION AMBULATORY SURGICENTER, LTD, DBA MISSION SURGERY CENTER
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT AN ANNUAL MARKET ASSESSMENT IS COMPLETED FOR OUR LOCAL MARKET THAT PROVIDES INFORMATION ON DEMOGRAPHICS, COUNTY HEALTH RANKINGS, PHYSICIAN LANDSCAPE, ACUTE CARE UTILIZATION RATES, MARKET SHARE, OUTMIGRATION TO OTHER MEDICAL FACILITIES FOR TREATMENT, EMERGENCY DEPARTMENT AND ANCILLARY UTILIZATION, AS WELL AS SERVICE LINE FORECASTS.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION MISSION HOSPITAL PROVIDES SOUTH ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING THROUGH TWO CONVENIENT LOCATIONS, MISSION VIEJO AND LAGUNA BEACH. (THE LAGUNA BEACH CAMPUS WAS PURCHASED IN JULY 2009). THE HOSPITAL'S SERVICE AREA EXTENDS FROM THE JUNCTION OF THE 405 AND 5 FREEWAYS IN THE NORTH TO CAMP PENDLETON IN THE SOUTH. GEOGRAPHICALLY, SOUTH COUNTY IS BORDERED BY THE PACIFIC OCEAN TO THE WEST, THE SANTA ANA MOUNTAINS TO THE NORTH AND EAST, AND THE MARINE BASE CAMP PENDLETON TO THE SOUTH. OUR PRIMARY SERVICE AREA INCLUDES THE COMMUNITIES OF MISSION VIEJO, LAGUNA BEACH, LAGUNA NIGUEL, SAN JUAN CAPISTRANO, SAN CLEMENTE, RANCHO SANTA MARGARITA, LAKE FOREST, LAGUNA HILLS, DANA POINT LADERA RANCH TRABUCO CANYON, CAPISTRANO BEACH AND ALISO VIEJO. THIS INCLUDES A POPULATION OF APPROXIMATELY 623,000 PEOPLE, AN INCREASE OF 4% FROM THE PRIOR ASSESSMENT. MISSION HOSPITALS SECONDARY SERVICE AREA INCLUDES LAGUNA WOODS, IRVINE, FOOTHILL RANCH AND SILVERADO. SOUTH ORANGE COUNTY IS A RELATIVELY AFFLUENT COMMUNITY WITH A MEDIAN HOUSEHOLD INCOME OF $92,124 COMPARED TO THE ORANGE COUNTY MEDIAN HOUSEHOLD INCOME OF $58,605 (US CENSUS QUICK FACTS). THE AVERAGE HOUSEHOLD SIZE IS 2.70 COMPARED TO THE ORANGE COUNTY-WIDE HOUSEHOLD SIZE OF 3.00. DEMOGRAPHICALLY, THE AREA IS PRIMARILY CAUCASIAN (78%), WITH THE HISPANIC POPULATION GROWING TO 19.2%. HOWEVER, THERE ARE ISOLATED AREAS OF NEED THROUGHOUT THE SERVICE AREA. SOUTH ORANGE COUNTY ENCOMPASSES 69,512 PEOPLE LIVING BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL) ACROSS 11 ZIP CODES. PART OF OUR SERVICE AREA IS CONSIDERED A MEDICALLY UNDERSERVED POPULATION (MUP) AREA (#00319). THE MUP COVERS PORTIONS OF DANA POINT, SAN CLEMENTE AND SAN JUAN CAPISTRANO AND HAS THE HIGHEST CONCENTRATION OF MEDICALLY UNDERSERVED RESIDENTS BELOW 200% FPL IN SOUTH ORANGE COUNTY. THESE AREAS ARE VASTLY DIFFERENT THAN THE WEALTHY COASTAL ENCLAVES PORTRAYED ON TELEVISION SHOWS ABOUT ORANGE COUNTY. (SOURCE: CAMINO HEALTH CENTER HEALTH NEEDS ASSESSMENT REPORT 2013) MANY OF THE LOW-INCOME RESIDENTS IN THE AREA ARE LARGELY LATINO IMMIGRANTS WHO ARE EMPLOYED IN LOW-WAGE/NO BENEFIT JOBS AT LOCAL RESORTS, AS CONSTRUCTION WORKERS, JANITORS, LANDSCAPERS, DOMESTIC WORKERS, AND IN OTHER SERVICE JOBS THAT SUPPORT SOUTH ORANGE COUNTYS ECONOMY. ALMOST ONE IN THREE LATINO RESIDENTS LIVE IN A HOUSEHOLD IN AN INCOME UNDER 200% FPL. UNEMPLOYMENT OR UNDEREMPLOYMENT REMAINS HIGH FOR MANY OF THESE RESIDENTS. IN ADDITION, EDUCATIONAL ATTAINMENT REMAINS A BARRIER FOR THIS POPULATION. AMONG LATINOS IN THE AREA, 25.3% HAD LESS THAN A HIGH SCHOOL DIPLOMA. IN SAN JUAN CAPISTRANO, SOUTH ORANGE COUNTYS ENTRY-POINT FOR LATINO IMMIGRANTS, CLOSE TO 50% OF ADULTS OVER AGE 25 HAVE LESS THAN A HIGH SCHOOL DIPLOMA. (SOURCE: CAMINO HEALTH CENTER HEALTH NEEDS ASSESSMENT REPORT 2013) THE FOLLOWING NON-PROFIT HOSPITALS ARE WITHIN THE MISSION HOSPITAL SERVICE AREA: SADDLEBACK MEMORIAL-LAGUNA HILLS, SADDLEBACK MEMORIAL, SAN CLEMENTE, CHILDREN'S HOSPITAL OF ORANGE COUNTY AT MISSION.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH REALIZING OUR MISSION: MISSION HOSPITAL IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1971, LOCATED IN MISSION VIEJO SERVING THE FOLLOWING REGION OF SOUTH ORANGE COUNTY. MISSION HOSPITAL PROVIDES VITAL HOSPITAL AND COMMUNITY SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE (TRADITIONAL CHARITY CARE) AND DISCOUNTED CARE. MISSION HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE OF ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) A COMMUNITY BENEFIT COMMITTEE THAT 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. MISSION HOSPITALS FY15-FY17 COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSES ON INCREASING ACCESS TO HEALTH CARE, IMPROVING MENTAL HEALTH, AND SUBSTANCE USE PREVENTION AMONG YOUTH. O INCREASING ACCESS TO HEALTH CARE: THIS INITIATIVE AIMS TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR THE MOST VULNERABLE MEMBERS OF THE SOUTH ORANGE COUNTY COMMUNITY. HIGHLIGHTS FROM FY16 INCLUDE ENROLLING 2,962 NEW PEOPLE INTO HEALTH INSURANCE, SERVING 982 PEOPLE THROUGH OUR NURSE NAVIGATOR PROGRAM, AND CONNECTING 1,690 RESIDENTS TO ESSENTIAL HEALTH CARE SERVICES THROUGH COMMUNITY SCREENINGS, FLU CLINICS AND VISION EXAMS. SINCE THE IMPLEMENTATION OF THE COMMUNITY CARE NAVIGATOR PROGRAM, PATIENTS WHO HAVE ENGAGED WITH THE CARE NAVIGATOR HAVE REDUCED FREQUENT VISIT TO THE EMERGENCY ROOM FROM AN AVERAGE OF 6.39 VISITS/3 MONTHS TO 2.14 VISITS. THE OVERALL RATE OF REPEAT VISITS HAS DECLINED FROM 46.0/1,000 VISITS EARLIER THIS YEAR TO 38.6/1,000 VISITS. O IMPROVING MENTAL HEALTH: THE BILINGUAL MENTAL HEALTH COUNSELORS AND SUPERVISED CLINICAL INTERNS AT THE FAMILY RESOURCE CENTERS SERVED 448 ADULTS AND CHILDREN WITH INDIVIDUAL AND FAMILY THERAPY, SUPPORT GROUPS AND WORKSHOPS. 11 ADULTS RECEIVED PSYCHIATRIC ASSESSMENTS AND MEDICATION MANAGEMENT. 37 FAMILIES RECEIVED FINANCIAL SUPPORT THROUGH THE EMERGENCY ASSISTANCE PROGRAM. THE SOCIAL MARKETING CAMPAIGN TO REDUCE THE STIGMA SURROUNDING MENTAL HAD 7,715 ENCOUNTERS AND 40,985,240 IMPRESSIONS. 5,888 COMMUNITY RESIDENTS WERE REACHED THROUGH OUR OUTREACH AND EDUCATION EFFORTS ON THE TOPIC OF MENTAL HEALTH. O SUBSTANCE USE PREVENTION AMONG YOUTH: THE INITIATIVE SUPPORTED OUTREACH ENCOUNTERS TO 21,656 RECIPIENTS, AND PRESENTATIONS TO 3,059 COMMUNITY MEMBERS. WE FACILITATED 747 ENCOUNTERS WITH PARENTS AND CHILDREN IN FACILITATED RELATIONSHIP-BUILDING ACTIVITIES, 605 STUDENTS AND TEACHERS PARTICIPATED IN MENTAL HEALTH AWARENESS EVENTS, AND 177 INDIVIDUALS PARTICIPATED IN PARENTING CLASSES. LOCAL COMMUNITY BENEFIT COMMITTEE: THE ROLE OF THE MISSION HOSPITAL'S COMMUNITY BENEFIT COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMITTEE ACTS IN ACCORDANCE WITH A BOARD-APPROVED CHARTER. THE COMMUNITY BENEFIT COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS IDENTIFIED NEEDS IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS, AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY BENEFIT COMMITTEE HAS A MINIMUM OF EIGHT MEMBERS INCLUDING THREE MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES THREE MEMBERS OF THE BOARD OF TRUSTEES AND EIGHT COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE GENERALLY MEETS BI-MONTHLY.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM MISSION HOSPITAL IS A HEALING MINISTRY OF ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES WE SERVE. SJH COMMUNITY PARTNERSHIP FUND (FORMERLY THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) IN 1986, ST. JOSEPH HEALTH SYSTEM 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 TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. EVERY YEAR, EACH ST. JOSEPH HEALTH HOSPITAL CONTRIBUTES 10% OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT OUTREACH EFFORTS FOR THE ECONOMICALLY POOR. IN FY16 THIS AMOUNT TOTALED $5.5 MILLION FOR MISSION HOSPITAL. 75% OF THE CONTRIBUTIONS ARE USED TO SUPPORT CARE FOR POOR PROGRAMS BY EACH HOSPITAL. 17.5% OF FUNDS ARE USED TO SUPPORT ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND INITIATIVES. THE REMAINING 7.5% ARE DESIGNATED TOWARD AN ENDOWMENT WHICH HELPS ENSURE THE FUNDS 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. THE SJH COMMUNITY INVESTMENT FUND PROVIDES CAPITAL IN THE FORM OF LOANS, DEPOSITS AND OTHER FORMS OF SUPPORT TO NON-PROFITS TO ENABLE THEM TO PROMOTE SOCIAL GOOD THROUGH THE DEVELOPMENT OF HEALTHIER COMMUNITIES. IN FY16, A TOTAL OF $11.2 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 GO TO STJHS.ORG.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Camino Health Center
30300 Camino Capistrano	San Juan Capistrano	CA	92675	330574214	501(c)(3)	$1,338,633	PROGRAM SUPPORT OUTREACH
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR STE 100	IRVINE	CA	92612	330143024	501(c)(3)	$5,533,000	CARE FOR THE POOR
THE ILLUMINATION FOUNDATION
2691 RICHTER AVE STE 107	IRVINE	CA	92606	711047686	501(c)(3)	$57,800	PROGRAM SUPPORT
Community Health Initiative OC
1505 EAST 17TH ST SUITE 121	SANTA ANA	CA	92705	472671013	501(c)(3)	$100,000	PROGRAM SUPPORT
BOYS & GIRLS CLUB OF LAGUNA BEACH
1085 LAGUNA CANYON RD	LAGUNA BEACH	CA	92651	951878822	501(c)(3)	$50,000	PROGRAM SUPPORT
Friendship Shelter
PO BOX 4252	LAGUNA BEACH	CA	92652	330218404	501(c)(3)	$290,000	PROGRAM SUPPORT
Laguna Beach Community Clinic
362 THIRD ST	LAGUNA BEACH	CA	92651	952637633	501(c)(3)	$330,000	PROGRAM SUPPORT
Family Assistance Ministries
1030 CALLE NEGOCIO	SAN CLEMENTE	CA	92673	330864870	501(c)(3)	$30,000	PROGRAM SUPPORT
ST TIMOTHY'S CATHOLIC CHURCH
29102 CROWN VALLEY PARKWAY	LAGUNA NIGUEL	CA	92677	953656905	501(c)(3)		PROGRAM SUPPORT	$46,913	Other	FOOD BANK DONATION
MISSION BASILICA SAN JUAN CAPISTRANO
31520 CAMINO CAPISTRANO	SAN JUAN CAPISTRANO	CA	92675	951904079	501(c)(3)		FOOD BANK DONATION	$47,051	Other	FOOD BANK DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
HELPING HANDS PD TO PATIENTS	161	$14,763
HOME HEALTH SERVICES	40	$4,163
INDIVIDUAL FUNERALS	9	$15,494
BENEFITS PRVD TO THE COMMUNITY	5	$8,673
ASSISTANCE	123	$36,267

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TODD LEMPERT MD
BOARD MEMBER	$0	$0	$0	$0	$166,860	$0	$0	$0	$0	$0	$166,860	$0	$0	$0
MICHAEL MARINO DO
BOARD MEMBER, CEO	$0	$398,587	$0	$171,878	$0	$49,010	$0	$13,250	$0	$2,705	$0	$635,430	$0	$0
KENNETH MCFARLAND
BOARD MEMBER & CEO (PART YEAR)	$0	$527,330	$0	$202,684	$0	$80,879	$0	$20,819	$0	$32,330	$0	$864,042	$0	$0
TARA COWELL
VP/ASSOC. GENERAL COUNSEL/SEC.	$0	$291,327	$0	$113,980	$0	$38,475	$0	$18,495	$0	$30,318	$0	$492,595	$0	$0
EILEEN HAUBL
VP & CHIEF FINANCIAL OFFICER	$320,050	$0	$61,965	$0	$52,116	$0	$22,109	$0	$23,073	$0	$479,313	$0	$0	$0
LINDA JOHNSON
CHIEF CLINICAL OFFICER	$326,639	$0	$63,825	$0	$48,368	$0	$32,256	$0	$18,340	$0	$489,428	$0	$0	$0
MICHAEL BECK
VP INTEGRATED OPERATIONS	$219,212	$0	$43,379	$0	$125,383	$0	$33,420	$0	$20,708	$0	$442,102	$0	$99,752	$0
LINDA SIEGLEN
CHIEF MEDICAL OFFICER	$361,457	$0	$70,227	$0	$70,151	$0	$24,175	$0	$10,600	$0	$536,610	$0	$0	$0
CYNTHIA MUELLER
VP MISSION INTEGRATION	$222,667	$0	$43,401	$0	$27,039	$0	$21,976	$0	$20,585	$0	$335,668	$0	$0	$0
TERRI FOX-COVERT
VP HUMAN RESOURCES	$218,251	$0	$43,401	$0	$24,282	$0	$33,188	$0	$20,542	$0	$339,664	$0	$0	$0
CATHLEEN COLLINS
CHIEF DEVELOPMENT OFFICER	$223,040	$0	$43,376	$0	$19,811	$0	$19,466	$0	$8,426	$0	$314,119	$0	$0	$0
JOCELYN CHOPRA
CHARGE NURSE	$259,265	$0	$17,664	$0	$2,338	$0	$14,421	$0	$20,940	$0	$314,628	$0	$0	$0
PHUC MAI
DIRECTOR - PHARMACY	$211,157	$0	$21,688	$0	$3,569	$0	$22,909	$0	$8,310	$0	$267,633	$0	$0	$0
DENNIS HAGHIGHAT MD
FORMER KEY EMPLOYEE	$0	$299,492	$0	$85,075	$0	$33,754	$0	$10,961	$0	$13,250	$0	$442,532	$0	$0
RICHARD AFABLE
INTERIM CEO	$0	$769,487	$0	$387,619	$0	$122,668	$0	$9,275	$0	$27,308	$0	$1,316,357	$0	$0
NANETTE PLAZA
REGISTERED NURSE	$212,234	$0	$14,762	$0	$7,304	$0	$11,890	$0	$16,363	$0	$262,553	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	DESCRIPTION OF CEO PAID BY EXEMPT PARENT THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY ST. JOSEPH HEALTH SYSTEM.
SCHEDULE J, PART I, LINE 4B	DESCRIPTION OF A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR AGE 65 VESTING SCHEDULE. EXECUTIVES PREVIOUSLY PARTICIPATED IN ANOTHER NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT WAS FROZEN EFFECTIVE DECEMBER 2007, AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED. THIS FROZEN PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. THE FOLLOWING INDIVIDUAL RECEIVED A PAYOUT DURING THE YEAR: MICHAEL BECK - $99,752
SCHEDULE J, PART I, LINE 7	DESCRIBE ANY NON-FIXED PAYMENTS PROVIDED A PORTION OF EXECUTIVE SALARIES ARE PLACED AT-RISK AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE STRATEGIC OBJECTIVES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CONTRIBUTOR 28
SUBSTANTIAL CONTRIBUTOR	$396,094	MECHANICAL HVAC CONTRACTOR	false
CONTRIBUTOR 30
SUBSTANTIAL CONTRIBUTOR	$236,879	MEDICAL SERVICES	false
CONTRIBUTOR 114
SUBSTANTIAL CONTRIBUTOR	$816,074	ANESTHESIOLOGY SERVICES	false
CONTRIBUTOR 161
SUBSTANTIAL CONTRIBUTOR	$362,247	FLOORING CONTRACTOR	false

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	11	ContributionCnt
Noncash Contributions Rpt F990	$127,668	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST OR SELLING PRIC	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	GIFTS IN KIND	Desc
Contribution	631	ContributionCnt
Noncash Contributions Rpt F990	$477,325	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE M, PART I, COLUMN (B)	AMOUNTS IN THIS COLUMN WERE BASED ON THE NUMBER OF CONTRIBUTIONS.
SCHEDULE M, PART I, LINE 25	GIFTS IN KIND WITH AN ESTIMATED VALUE OF $477,325 WERE RECEIVED DURING THE YEAR AND WERE NOT INCLUDED ON THE BOOKS. VALUE WAS ESTIMATED FROM DONOR'S APPROXIMATION OF VALUE. REVENUE FROM THE SALE OF THESE ITEMS IS INCLUDED IN FUNDRAISING REVENUE ON FORM 990, PART VIII, LINE 8A.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, BOX F	TAREK SALAWAY BECAME THE PRINCIPAL OFFICER OF THE ORGANIZATION AFTER JUNE 30, 2016. AS A RESULT, HE IS NOT LISTED AS AN OFFICER IN PART VII. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS REALIZING OUR MISSION MISSION HOSPITAL ("MH OR MISSION") HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE PEOPLE IN THE LOCAL COMMUNITY FOR OVER 42 YEARS. SERVING THE COMMUNITIES OF SOUTH ORANGE COUNTY, MISSION HOSPITAL IS AN ACUTE CARE, FULL SERVICE FACILITY THAT HOUSES THE REGION'S DESIGNATED TRAUMA CENTER, ONE OF ONLY THREE IN THE COUNTY. A COMPLETE ARRAY OF TOP-QUALITY HEALTHCARE SERVICES ARE OFFERED INCLUDING 24-HOUR EMERGENCY CARE; IMAGING, CARDIAC REHABILITATION AND CHEST PAIN CENTER; STROKE CENTER, MATERNITY CENTER. MISSION HOSPITAL ALSO OFFERS ORTHOPEDICS, REHABILITATION, CANCER, SPINE AND VASCULAR SERVICES. OUR LAGUNA BEACH HEALTHCARE SERVICES INCLUDE 24-HOUR EMERGENCY, MEDICAL-SURGICAL CARE AS WELL AS BEHAVIORAL HEALTH AND CHEMICAL AND PAIN MEDICATION DEPENDENCY TREATMENT. WITH OVER 2,500 EMPLOYEES COMMITTED TO REALIZING THE MISSION, MISSION HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE REGION. AS A MEMBER OF ST. JOSEPH HEALTH, MISSION HOSPITAL IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORSMINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. MISSION HOSPITAL ("MH"MISSION") IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1971, LOCATED IN MISSION VIEJO SERVING THE FOLLOWING REGION OF SOUTH ORANGE COUNTY. MISSION HOSPITAL PROVIDES VITAL HOSPITAL AND COMMUNITY SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE (TRADITIONAL CHARITY CARE) AND DISCOUNTED CARE. PATIENT FINANCIAL ASSISTANCE PROGRAM MISSION HOSPITAL BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY MISSION HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY16, MISSION HOSPITAL PROVIDED $6,936,558 IN FREE AND DISCOUNTED CARE AND ITS JOINT VENTURE, MISSION SURGERY CENTER, PROVIDED $3,336 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM MISSION HOSPITAL PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY16, MISSION HOSPITAL PROVIDED $30,578,605 IN MEDICAID SHORTFALL. PROGRAM SERVICE ACCOMPLISHMENTS MISSION HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE OF ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) A COMMUNITY BENEFIT COMMITTEE THAT 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. MISSION HOSPITALS FY15-FY17 COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSES ON INCREASING ACCESS TO HEALTH CARE, IMPROVING MENTAL HEALTH, AND SUBSTANCE USE PREVENTION AMONG YOUTH. INCREASING ACCESS TO HEALTH CARE: THIS INITIATIVE AIMS TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR THE MOST VULNERABLE MEMBERS OF THE SOUTH ORANGE COUNTY COMMUNITY. HIGHLIGHTS FROM FY16 INCLUDE ENROLLING 2,962 NEW PEOPLE INTO HEALTH INSURANCE, SERVING 982 PEOPLE THROUGH OUR NURSE NAVIGATOR PROGRAM, AND CONNECTING 1,690 RESIDENTS TO ESSENTIAL HEALTH CARE SERVICES THROUGH COMMUNITY SCREENINGS, FLU CLINICS AND VISION EXAMS. SINCE THE IMPLEMENTATION OF THE COMMUNITY CARE NAVIGATOR PROGRAM, PATIENTS WHO HAVE ENGAGED WITH THE CARE NAVIGATOR HAVE REDUCED FREQUENT VISIT TO THE EMERGENCY ROOM FROM AN AVERAGE OF 6.39 VISITS/3 MONTHS TO 2.14 VISITS/3 MONTHS. THE OVERALL RATE OF REPEAT VISITS HAS DECLINED FROM 46.0/1,000 VISITS EARLIER THIS YEAR TO 38.6/1,000 VISITS. IMPROVING MENTAL HEALTH: THE BILINGUAL MENTAL HEALTH COUNSELORS AND SUPERVISED CLINICAL INTERNS AT THE FAMILY RESOURCE CENTERS SERVED 448 ADULTS AND CHILDREN WITH INDIVIDUAL AND FAMILY THERAPY, SUPPORT GROUPS AND WORKSHOPS. 11 ADULTS RECEIVED PSYCHIATRIC ASSESSMENTS AND MEDICATION MANAGEMENT. 37 FAMILIES RECEIVED FINANCIAL SUPPORT THROUGH THE EMERGENCY ASSISTANCE PROGRAM. THE SOCIAL MARKETING CAMPAIGN TO REDUCE THE STIGMA SURROUNDING MENTAL HAD 7,715 ENCOUNTERS AND 40,985,240 IMPRESSIONS. 5,888 COMMUNITY RESIDENTS WERE REACHED THROUGH OUR OUTREACH AND EDUCATION EFFORTS ON THE TOPIC OF MENTAL HEALTH. SUBSTANCE USE PREVENTION AMONG YOUTH: THE INITIATIVE SUPPORTED OUTREACH ENCOUNTERS TO 21,656 RECIPIENTS, AND PRESENTATIONS TO 3,059 COMMUNITY MEMBERS. WE FACILITATED 747 ENCOUNTERS WITH PARENTS AND CHILDREN IN FACILITATED RELATIONSHIP-BUILDING ACTIVITIES, 605 STUDENTS AND TEACHERS PARTICIPATED IN MENTAL HEALTH AWARENESS EVENTS, AND 177 INDIVIDUALS PARTICIPATED IN PARENTING CLASSES. FOR MORE INFORMATION ABOUT MISSION HOSPITAL, PLEASE VISIT WWW.MISSION4HEALTH.COM FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG.
FORM 990, PART V, LINE 1A	ST. JOSEPH HEALTH SYSTEM (SJHS) PAYS ALL VENDORS FOR SJH ENTITIES UNDER SJH AP SHARED SERVICES. THEREFORE, SJHS ISSUES FORM 1099-MISC UNDER ITS TAX ID. SJHS COMPLIES WITH BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE CORPORATE MEMBERS OF MISSION HOSPITAL REGIONAL MEDICAL CENTER.
FORM 990, PART VI, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS MISSION HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE MISSION HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE MISSION HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD.
FORM 990, PART VI, LINE 7B	DESCR CLASSES OF PERSONS, DECISIONS REQ APPR & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, LINE 11B	DESCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE APRIL 2017 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING.
FORM 990, PART VI, LINE 12C	DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN CONNECTION WITH THAT INDIVIDUAL SATISFYING THEIR FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WITH GUIDANCE FROM THE ST. JOSEPH HEALTH SYSTEM CHIEF COMPLIANCE OFFICER (CCO), THE CHIEF EXECUTIVE AND/OR THE GOVERNING BOARD CHAIRPERSON, AS APPROPRIATE, CONSIDERS THE MATTER INITIALLY. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL, THE MATTER IS ESCALATED TO THE CCO. THE CCO, IN CONSULTATION WITH THE ST. JOSEPH HEALTH SYSTEM GENERAL COUNSEL, REVIEWS THE MATTER AND PRESENTS RECOMMENDATIONS TO THE GOVERNING BOARD AND/OR BOARD COMMITTEE, AS APPROPRIATE, FOR DISCUSSION AND VOTE. THE INDIVIDUAL WHOSE POTENTIAL CONFLICT IS BEING REVIEWED MAY BE REQUESTED TO BE PRESENT DURING ANY MEETING IN WHICH THE BOARD OR BOARD COMMITTEE CONDUCTS ITS EVALUATION BUT SHALL BE EXCUSED FOR ANY DISCUSSION OR VOTE. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE.
FORM 990, PART VI, LINES 15A & 15B	THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. EXECUTIVE COMPENSATION IS APPROVED BY THE MISSION HOSPITAL EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE REVIEWS COMPARABILITY DATA PREPARED FOR AND COMPILED BY THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE, A COMMITTEE OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES COMPRISED OF INDEPENDENT MEMBERS. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE ACTS IN ACCORDANCE WITH A COMMITTEE CHARTER APPROVED BY THE ST. JOSEPH HEATLH SYSTEM BOARD OF TRUSTEES AND AN EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER DIRECTS THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND TO APPROVE PROGRAM CHANGES, AS NECESSARY, TO ENSURE ALIGNMENT WITH THE STATED PHILOSOPHY AND ENSURE CONTINUED COMPLIANCE WITH FEDERAL AND STATE REGULATIONS ON BEHALF OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS RETENTION OF KEY MANAGEMENT TALENT. THE EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF FOR PROFIT AND NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. ST. JOSEPH HEALTH SYSTEM PROVIDES COMPENSATION TO ITS EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO ENSURE COMPENSATION PHILOSOPHY ADHERENCE AND GENERAL FAIR MARKET VALUE COMPENSATION, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA AND ENGAGES LEGAL COUNSEL AND CONSULTING SUPPORT, AS NEEDED. THEY USE THIS INFORMATION TO SUPPORT ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE MEETS AT LEAST 3 TIMES A YEAR AND TAKES ACTION IN EXECUTIVE SESSION. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. A FULL COMPENSATION REVIEW IS CONDUCTED ON A BIENNIAL BASIS AND THE LAST REVIEW WAS PERFORMED IN JUNE 2016. DURING THE YEAR, THE MISSION HOSPITAL EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTNG FIRM WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION. IN ADDITION, ANNUAL INCENTIVE AWARDS ARE REVIEWED AND APPROVED PRIOR TO PAYMENT CONSISTENT WITH THE MOST RECENT COMPENSATION BIENNIAL REVIEW AND IN ACCORDANCE WITH THE PLAN DOCUMENT. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES WHICH ARE SUBSEQUENTLY APPROVED AT THE COMMITTEE MEETING.
FORM 990, PART VI, LINE 19	AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FINANCIAL STMTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE MIMG ACQUISITION FY14 ($2,200,000) CAPITAL CONTRIBUTION TO HERITAGE ($31,625,444) HOME HEALTH PARTNERSHIP TRANSFER TO SJHS ($2,051,526) HOME HEALTH EQUITY TRANSFER ($5,015,360) NET ASSET TRANSFER TO ST. JOSEPH HEALTH SYSTEM ($11,910,397) CHN SOCAL CHARGE FROM SJHS $724,574 INCOME FROM SUBSIDIARIES $1,590,909 POPULATION HEALTH NET INCOME FOR THE 990 $6,619,105 OTHER FOUNDATION ADJUSTMENTS ($372,228) ROUNDING ($1) -------------- TOTAL ($44,240,366) ==============
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESS. & MED PHYSICIAN FEES TOTAL FEES:18243892
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:1300159
FORM 990 PART IX LINE 11G	DESCRIPTION:REGISTRY/TEMPORARY LABOR TOTAL FEES:16502191
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:39973824
FORM 990 PART IX LINE 11G	DESCRIPTION:BIOMEDICAL PURCHASED SERVICES TOTAL FEES:5051980
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:5585461

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MISSION VIEJO PHYSICIAN PARTNERS I LLC	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	471559873	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Total Income	$257,505	TotalIncomeAmt
End Of Year Assets	$17,115,357	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MHRMC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
COVENANT HEALTH NETWORK INC
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	461259908	HEALTHCARE	CA	501(C)(3)	11,III	SJHS	Yes (true)
COVENANT ACO
3615 19TH STREET	LUBBOCK	TX	79410	611573313	HEALTHCARE	TX	501(C)(3)	11,I	CHS	Yes (true)
COVENANT HEALTH SYSTEM
3615 19TH STREET	LUBBOCK	TX	79410	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (true)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
COVENANT MEDICAL GROUP
3420 22ND PLACE	LUBBOCK	TX	79410	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
COVENANT HEALTH PARTNERS
3615 19TH STREET	LUBBOCK	TX	79410	463516417	HEALTHCARE	TX	501(C)(3)	11,I	CHS	Yes (true)
HOAG CHARITY SPORTS
330 PLACENTIA AVE	NEWPORT BEACH	CA	92660	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (true)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (true)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
HOME CARE PARTNERS
1165 MONTGOMERY DR	SANTA ROSA	CA	95405	680318656	INACTIVE	CA	501(c)(3)	3	SRMH	Yes (true)
HOSPICE OF LUBBOCK
3702 21ST STREET	LUBBOCK	TX	79410	752133781	HEALTHCARE	TX	501(c)(3)	9	CHS	Yes (true)
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREET	LUBBOCK	TX	79410	752220963	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (true)
METHODIST CHILDREN'S HOSPITAL
4015 22ND PLACE	LUBBOCK	TX	79410	752428911	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (true)
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUE	LEVELLAND	TX	79336	752246348	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (true)
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROAD	PLAINVIEW	TX	79072	752426010	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (true)
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREET	NAPA	CA	94558	941243669	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (true)
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVE	FORTUNA	CA	95540	942779313	HEALTHCARE	CA	501(c)(3)	7	RMH	Yes (true)
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVE	FORTUNA	CA	95540	941384665	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (true)
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DR	SANTA ROSA	CA	95405	941231005	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (true)
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIA	ORANGE	CA	92868	951643383	RELIGIOUS ORG	CA	501(c)(3)	1	NA	Yes (true)
SRM ALLIANCE HOSPITAL SERVICES (PVH)
400 NORTH MCDOWELL BLVD	PETALUMA	CA	94954	680395200	HEALTHCARE	CA	501(c)(3)	3	SRMH	Yes (true)
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	271666576	RELIGIOUS ORG	CA	501(c)(3)	1	SSJO	false
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	953589356	HEALTHCARE	CA	501(c)(3)	11, I	SJHM	false
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(c)(3)	7	SJHS	Yes (true)
ST JOSEPH HOME CARE NETWORK
1111 SONOMA STE 308	SANTA ROSA	CA	95405	680331084	HEALTHCARE	CA	501(c)(3)	9	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREET	EUREKA	CA	95501	941156596	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVE	ORANGE	CA	92868	951643359	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (true)
ST JUDE HOSPITAL YORBA LINDA
200 WEST CENTER ST PROMENADE	ANAHEIM	CA	92805	330185031	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (true)
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVE	FULLERTON	CA	92635	951643324	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (true)
ST MARY MEDICAL CENTER
18300 HIGHWAY 18	APPLE VALLEY	CA	92307	951914489	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (true)
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREET	LUBBOCK	TX	79410	751653181	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (true)
TALLER SAN JOSE
801 NORTH BROADWAY	SANTA ANA	CA	92701	593816355	WORK DEVELOPM	CA	501(c)(3)	2	SSJO	Yes (true)
HMTS INC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(C)(3)	11,I	HMHP	Yes (true)
AUXILIARY OF MISSION HOSP LAGUNA BEACH
31872 COAST HWY	LAGUNA BEACH	CA	92651	956050019	SUPPORT	CA	501(C)(3)	11, III-O	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	OwnershipOwnershipPct	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd
COVENANT LONG-TERM CARE
4000 24TH STREET	LUBBOCK	TX	79410	205033419	HEALTHCARE	TX	NA	N/A
HERITAGE INVESTMENT GROUP
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	NA	N/A	0.00000
HOAG ORTHOPEDIC INSTITUTE
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	611588294	HEALTHCARE	CA	NA	N/A
LUBBOCK SURGERY CENTER LTD
4000 24TH STREET	LUBBOCK	TX	79410	752177401	HEALTHCARE	TX	NA	N/A
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	NA	N/A
MISSION AMBULATORY SURGICENTER LTD
27800 MEDICAL CENTER ROAD STE 362	MISSION VIEJO	CA	92691	330355575	HEALTHCARE	CA	MHRMC	RELATED	0.38451	$255,915	$1,785,071	false	$0	false
NEWPORT IMAGING CENTER
360 SN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	NA	N/A	0.00000
SHA LLC
12940 NORTH HIGHWAY 183	AUSTIN	TX	78750	752569094	HEALTHCARE	TX	NA	N/A
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVE	ORANGE	CA	92868	454521884	REAL ESTATE	CA	NA	N/A
ST JOSEPH HEALTH SYSTEM HOME CARE SERVI
1845 W ORANGEWOOD AVE STE 100	ORANGE	CA	928682012	330307672	HOME HEALTH	CA	NA	N/A
ST JOSEPH HEALTH SYSTEM HOME HEALTH
1845 W ORANGEWOOD AVE STE 200	ORANGE	CA	928682012	330282945	HOME HEALTH	CA	NA	N/A
THE INNOVATION INSTITUTE
1 CENTERPOINTE DRIVE SUITE 200	LA PALMA	DE	906231052	900745066	HEALTHCARE	DE	NA	N/A
NORTH BAY ENDOSCOPY CENTER
1383 N MCDOWELL BLVD SUITE 110	PETALUMA	CA	94954	611559876	HEALTHCARE	CA	NA	N/A
MISSION VIEJO PHYSICIAN PARTNERS I LLC
27700 MEDICAL CENTER ROAD	MISSION VIEJO	CA	92691	471559873	HEALTHCARE	CA	MHRMC	RELATED	0.60000	$76,667	$9,223,072	false	$0	false
ADVANCED SURGERY INSTITUTE LLC
4 WESTBROOK CORP CENTER 440	WESTCHESTER	IL	60154	262299255	HEALTHCARE	CA	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
AMERICAN UNITY GROUP LTD
90 PITTS BAY ROAD	PEMBROKE	BD	HM08	CAPTIVE INSURANCE	BD	NA	C-CORP
COASTAL MANAGEMENT SERVICES ORGANIZATION
				HEALTHCARE		NA	C-CORP	1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831	CA
DATU HEALTH INC
				IT SVCS		NA	C-CORP	16150 MAIN CIRCLE DR SUITE 250	CHESTERFIELD	MO	63017	463070062	DE
HOAG MANAGEMENT SERVICES INC
				HEALTHCARE		NA	C-CORP	1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	CA
LUBBOCK METHODIST HOSP PRACTICE MGMT
				INACTIVE		NA	C-CORP	2107 OXFORD STREET STE 300	LUBBOCK	TX	79410	752578995	TX
LUBBOCK METHODIST HOSPITAL SVCS
				HEALTHCARE		NA	C-CORP	PO BOX 1201	LUBBOCK	TX	79410	752118585	TX
MISSION VIEJO MEDICAL VENTURES
				HEALTHCARE		MHRMC	C-CORP	27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	CA	$20,782	$283,786	1.00000	Yes (true)
ST JOSEPH HEALTH
				HOLDING COMPANY		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	462340232	CA
ST JOSEPH HEALTH SOURCE INC
				HEALTHCARE		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	461900168	CA
ST JOSEPH PROF SVCS ENTERPRISES INC
				HEALTHCARE		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330155323	CA

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
c	$6,360,729	ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUDNATION
b	$5,533,000	ACCRUAL
ST JUDE HOSPITAL YORBA LINDA
r	$31,625,444	ACCRUAL

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III	FormAndLineReferenceDesc
Explanation	IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP 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 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 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 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE 100, ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE 200, ORANGE, CA 92868-2012 THE INNOVATION INSTITUTE EIN: 90-0745066 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954 MISSION VIEJO PHYSICIAN PARTNERS I LLC EIN: 47-1559873 ADDRESS: 27700 MEDICAL CENTER ROAD, MISSION VIEJO, CA 92691 ADVANCED SURGERY INSTITUTE LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404	ExplanationTxt