DIGNITY HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: DIGNITY HEALTH (EIN 94-1196203)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-15
IRS object ID: 201241369349303379
Schema version: 2010v3.7
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 F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-15T11:23:50-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	55 SECOND STREET SUITE 1400	AddressLine1
City	SAN FRANCISCO	City
State	CA	State
ZIP Code	94105	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	941196203	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Catholic Healthcare West	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	DIGN	NameControl
Phone	4154385500	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	185 Berry Street	AddressLine1
City	San Francisco	City
State	CA	State
ZIP Code	94107	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL BLASZYK	Name
Title	SEVP/CFO	Title
Date Signed	2012-05-14	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	4159635100	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Michael Blaszyk	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	185 BERRY STREET	AddressLine1
City	SAN FRANCISCO	City
State	CA	State
ZIP Code	94580	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	13266734465	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.chwhealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1954	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	Catholic Healthcare West and our Sponsoring Congregations are committed to furthering the healing ministry of Jesus.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	52481	TotalNbrEmployees
Total Nbr Volunteers	7328	TotalNbrVolunteers
Total Gross UBI	25195373	TotalGrossUBI
Net Unrelated Business Txbl Income	-1439087	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	97575926	ContributionsGrantsPriorYear
Contributions Grants Current Year	97147541	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	7833539936	ProgramServiceRevenuePriorYear
Program Service Revenue CY	8779351242	ProgramServiceRevenueCY
Investment Income Prior Year	113216061	InvestmentIncomePriorYear
Investment Income Current Year	285531034	InvestmentIncomeCurrentYear
Other Revenue Prior Year	112917285	OtherRevenuePriorYear
Other Revenue Current Year	49678394	OtherRevenueCurrentYear
Total Revenue Prior Year	8157249208	TotalRevenuePriorYear
Total Revenue Current Year	9211708211	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	68346972	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	104771301	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4187378160	SalariesEtcPriorYear
Salaries Etc Current Year	4423096831	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	222427	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3719617259	OtherExpensePriorYear
Other Expenses Current Year	4173204334	OtherExpensesCurrentYear
Total Expenses Prior Year	7975342391	TotalExpensesPriorYear
Total Expenses Current Year	8701072466	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	181906817	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	510635745	RevenuesLessExpensesCY
Total Assets BOY	10197049833	TotalAssetsBOY
Total Assets EOY	11364399198	TotalAssetsEOY
Total Liabilities BOY	7422975561	TotalLiabilitiesBOY
Total Liabilities EOY	7233832220	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2774074272	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4130566978	NetAssetsOrFundBalancesEOY
Mission Description	OUR MISSION: CATHOLIC HEALTHCARE WEST AND OUR SPONSORING CONGREGATIONS ARE COMMITTED TO FURTHERING THE HEALING MINISTRY OF JESUS. WE DEDICATE OUR RESOURCES TO DELIVERING COMPASSIONATE, HIGH-QUALITY, AFFORDABLE HEALTH SERVICES; SERVING AND ADVOCATING FOR OUR SISTERS AND BROTHERS WHO ARE POOR AND DISENFRANCHISED; AND PARTNERING WITH OTHERS IN THE COMMUNITY TO IMPROVE THE QUALITY OF LIFE. OUR VISION: A GROWING AND DIVERSIFIED HEALTH CARE MINISTRY DISTINGUISHED BY EXCELLENT QUALITY AND COMMITTED TO EXPANDING ACCESS TO THOSE IN NEED. OUR VALUES: CATHOLIC HEALTHCARE WEST IS COMMITTED TO PROVIDING HIGH-QUALITY, AFFORDABLE HEALTH CARE TO THE COMMUNITIES WE SERVE. ABOVE ALL ELSE WE VALUE: DIGNITY - RESPECTING THE INHERENT VALUE AND WORTH OF EACH PERSON. COLLABORATION - WORKING TOGETHER WITH PEOPLE WHO SUPPORT COMMON VALUES AND VISION TO ACHIEVE SHARED GOALS. JUSTICE - ADVOCATING FOR SOCIAL CHANGE AND ACTING IN WAYS THAT PROMOTE RESPECT FOR ALL PERSONS AND DEMONSTRATE COMPASSION FOR OUR SISTERS	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	7624879738	Expense
Grants	104538568	Grants
Revenue	8756742816	Revenue
Description	Catholic Healthcare West is a California nonprofit public benefit corporation headquartered in San Francisco, California. Catholic Healthcare West, together with its subsidiary corporations (CHW), is one of the largest not-for-profit acute healthcare delivery systems in the United States as measured by annual revenue. CHW operates 40 hospitals throughout major California markets and in the Phoenix, Arizona and Las Vegas and Reno, Nevada metropolitan markets. CHW's facilities include approximately 7,735 licensed acute care beds and approximately 619 licensed skilled nursing beds. CHW maintains prominent market shares in many of its service areas, and many of its hospitals rank among the finest in the nation. With a significant presence in Sacramento, San Francisco, Southern California, San Joaquin Valley, Central Coast, Central California, Northern California and Santa Cruz, CHW's California operations are well dispersed throughout the state. The hospital activities of the sponsors of CHW date back to 1856. CHW was founded in 1986 when two religious congregations brought together the 10 facilities they sponsored at the time. Since then, CHW has grown significantly in size through mergers, affiliations and development of expanded markets. Today, CHW includes many facilities that are non-Catholic community sponsored facilities, as well as those that are Catholic religiously sponsored facilities. CHW's hospitals operate emergency rooms that are open to all persons regardless of ability to pay; have open medical staffs with privileges available to all qualified physicians in the area; have governing bodies in which primarily independent persons representative of the community comprise a majority; engage in the training and education of healthcare professionals; and participate in Medicaid, Medicare, CHAMPUS, Tricare and/or other government-sponsored healthcare programs. This organization is a public benefit corporation exempt from taxation under section 501(c)(3) of the internal revenue code. CHW is listed in the Official Catholic Directory (OCD). Qualified Catholic Organizations which are listed in the OCD qualify for automatic exemption under 501(c)(3) via a group ruling. The annual ruling dated July 12, 2010 reaffirmed the original ruling dated March 25, 1946.	Description
Total Program Service Expense	7624879738	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	true	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	true	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	true	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	5761	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	52481	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Name Of Foreign Country	GR	NameOfForeignCountry
Name Of Foreign Country	KS	NameOfForeignCountry
Name Of Foreign Country	MY	NameOfForeignCountry
Name Of Foreign Country	PL	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form1098 C Filed	true	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	AZ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MARY CONNICK - FINANCE DEPT	NamePerson
Telephone Number	4154385500	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	185 BERRY STREET	AddressLine1
City	SAN FRANCISCO	City
State	CA	State
ZIP Code	94107	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (49 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Andrew C Agwunobi MD
Board Member	2.0	X	0	0	0
Sheila Browne RSM
Board Member	2.0	X	0	0	0
Judy Carle RSM
Board Member	2.0	X	0	0	0
Morgan Clayton
Board Member	2.0	X	0	0	0
Mark DeMichele
Board Member	2.0	X	0	0	0
James M Givens CFA
Board Member	2.0	X	0	0	0
Peter G Hanelt CPA
Board Member	2.0	X	0	0	0
Lillian Anne Healy CCVI
Board Member	2.0	X	0	0	0
Rodney F Hochman MD
Board Member	2.0	X	0	0	0
Julie Hyer OP
Board Member	2.0	X	0	0	0
Maureen McInerney OP
Board Member	2.0	X	0	0	0
Kenneth Mills MD
Board Member/Medical Director	8.0	X	36658	0	0
Patricia Rayburn OSF
Board Member	2.0	X	0	0	0
Susan Snyder OP
Board Member	2.0	X	0	0	0
Jarrett Anderson Esq
Board Chair	10.0	X	0	0	0	X
Caretha Coleman
Board Member/Secretary	2.0	X	0	0	0	X
Tessie Guillermo
Board Vice Chair	2.0	X	0	0	0	X
Lloyd H Dean
Board Member, President/ CEO	40.0	X	3907346	0	1229537	X
Michael D Blaszyk
EVP, Chief Financial Officer	40.0		2419590	0	525537	X
Derek F Covert
SVP, Legal Svcs/Gen Counsel	40.0		1093842	0	106794	X
William J Hunt
EVP, Chief Operating Officer	40.0		1956692	0	158629	X
Diane Lee
VP & Assoc Gen Cnsl, Asst Sec	40.0		336363	0	49505	X
Marvin O'Quinn
EVP, Chief Operating Officer	40.0		2055467	0	331617	X
Elizabeth Shih
SVP, Chief Admin Officer/Asst	40.0		1384420	0	373117	X
Keith Callahan
VP, Supply Chain Mgmt & E.comm	40.0		544711	0	66048		X
Gary F Conner
VP, Financial Operations	40.0		868562	0	80562		X
Mary Connick
VP Finance, Corp Controller	40.0		566987	0	64289		X
Charles P Francis
SVP, Chief Strategy Officer	40.0		1310501	0	257317		X
Linda Hunt
President & CEO of SJHMC	40.0		843511	0	89269		X
Jeffrey W Land
VP, Corporate Real Estate	40.0		491401	0	70583		X
Bernita McTernan
SVP, Sponsorship, Mission Inte	40.0		1045850	0	110528		X
Timothy Moran
President & CEO of Methodist	40.0		608828	0	79837		X
Karl Silberstein
VP, Financial Operations	40.0		668603	0	80378		X
LeAnne Trachok
VP, Revenue Services	40.0		504659	0	54704		X
Ernest H Urquhart
SVP, Chief HR Officer	40.0		1762301	0	96194		X
Herbert Vallier
EVP/Chief HR Officer	40.0		507759	0	73933		X
Robert Wiebe MD
SVP, CMO	40.0		1187920	0	219942		X
Benjamin R Williams
SVP, Chief Information Officer	40.0		965573	0	95738		X
John M Wray
SVP, Managed Care	40.0		921962	0	97219		X
Lisa Zuckerman
VP, Treasury Services	40.0		502671	0	69064		X
Lishan Aklog MD
Div Chief Adult Cardio-Vascula	40.0		866669	0	77247			X
David Cleveland MD
Exec Dir Heart & Lung Inst	40.0		807949	0	61481			X
Thomas Hennessy
President and CEO SFMH	40.0		789687	0	74790			X
Scott R Petersen MD
Faculty Physician	40.0		791505	0	74426			X
Dana G Seltzer MD
Chairman - Orthopedics	40.0		836165	0	73033			X
Saliba Salo
VP, COO Northridge Hospital	40.0		397115	0	42449				X
Mike Uboldi
President and CEO SMRMC	40.0		603243	0	71386				X
William Fuchs
President Group Operations			569524	0	0				X
Jeff Winter
President Group Operations			673378	0	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	32827412	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	4855153	TotalOtherCompensation
Number Individuals GT100 K	8227	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
KITCHELL CONTRACTORS INC
1707 E HIGHLAND AVE SUITE 200	PHOENIX	AZ	85016	Contractor	46054944
ANGELICA TEXTILE SERVICES
925 S 8TH ST	COLTON	CA	92324	Laundry Services	23683358
DPR CONSTRUCTION INC
2480 NATOMAS PARK DR STE 100	SACRAMENTO	CA	95833	Contractor	23303784
MCCARTHY BUILDING COMPANIES
1341 NORTH ROCK HILL RD	ST LOUIS	MO	63124	Contractor	19808862
TURNER CONSTRUCTION CO
1211 H ST	SACRAMENTO	CA	95814	Contractor	17753581

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	976	NumberOfContractorsGT100K
Related Organizations	57872411	RelatedOrganizations
Government Grants	27945774	GovernmentGrants
All Other Contributions	11329356	AllOtherContributions
Noncash Contributions	1963805	NoncashContributions
Total Contributions	97147541	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT/CHARITY	900099	5127521138	5127521138
MEDICARE/MEDICAID PAYMENTS	900099	3480502329	3480502329
MED OFFICE BLDG	621300	14161162	14161162
LABORATORY	541380	12777616		12777616
MANAGEMENT SERVICES	541610	73127005	72649847	477158

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	71261992	TotalRevenueColumn
Related Or Exempt Function Income	61908340	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	9353652	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	8779351242	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	89496391	TotalRevenueColumn
Unrelated Business Revenue	373908	UnrelatedBusinessRevenue
Exclusion	$89,122,483	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	339557	TotalRevenueColumn
Exclusion	$339,557	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	339726	TotalRevenueColumn
Exclusion	$339,726	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2493109	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	113739	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2379370	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2379370	TotalRevenueColumn
Exclusion	$2,379,370	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	4200646014	Securities
Other	49961587	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	4053676227	Securities
Other	1236288	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	146969787	Securities
Other	48725299	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	195695086	TotalRevenueColumn
Exclusion	$195,695,086	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA	900099	22437513	$22,437,513
PARKING LOT	812930	2756610	$2,583,321	173289
CHILD CARE	624410	2128910	$1,243,169	885741

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	19636265	TotalRevenueColumn
Unrelated Business Revenue	1154009	UnrelatedBusinessRevenue
Exclusion	$18,482,256	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	46959298	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9211708211	TotalRevenueColumn
Related Or Exempt Function Income	8756742816	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	25195373	UnrelatedBusinessRevenue
Exclusion	$332,622,481	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	104223834	Total
Program Services	104223834	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	547248	Total
Program Services	547248	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	219	Total
Program Services	219	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	30564189	Total
Program Services	26599784	ProgramServices
Management And General	3964405	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	245258	Total
Program Services	97067	ProgramServices
Management And General	148191	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	3364818632	Total
Program Services	2961218474	ProgramServices
Management And General	403402923	ManagementAndGeneral
Fundraising	197235	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	308309145	Total
Program Services	275139567	ProgramServices
Management And General	33169578	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	481870555	Total
Program Services	443920438	ProgramServices
Management And General	37949897	ManagementAndGeneral
Fundraising	220	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	237289052	Total
Program Services	219187312	ProgramServices
Management And General	18101740	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	12788169	Total
Program Services	22283	ProgramServices
Management And General	12765886	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	8390927	Total
Management And General	8390927	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	1387910	Total
Program Services	182876	ProgramServices
Management And General	1205034	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	13903761	Total
Management And General	13903761	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	711110931	Total
Program Services	505667302	ProgramServices
Management And General	205443629	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	21642673	Total
Program Services	1249695	ProgramServices
Management And General	20392978	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	202397520	Total
Program Services	168252766	ProgramServices
Management And General	34137438	ManagementAndGeneral
Fundraising	7316	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	129207058	Total
Program Services	34593648	ProgramServices
Management And General	94613410	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	109358572	Total
Program Services	91246268	ProgramServices
Management And General	18112304	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	13789718	Total
Program Services	5664712	ProgramServices
Management And General	8110693	ManagementAndGeneral
Fundraising	14313	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	6510622	Total
Program Services	2624251	ProgramServices
Management And General	3883921	ManagementAndGeneral
Fundraising	2450	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	149638975	Total
Program Services	149638975	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	385291615	Total
Program Services	278447913	ProgramServices
Management And General	106843702	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	60397231	Total
Program Services	44349010	ProgramServices
Management And General	16048221	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
MEDICAL SUPPLIES	1091501384	1091501384
BAD DEBT	777008692	777008692
MEDICAL PRVDR/OUT-OF NTWRK CST	64644768	64644768
MEDI-CAL PROVIDER FEE	317453045	317453045
UNRELATED BUSINESS INC TAXES	23883	23883

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	96756880	Total
Program Services	61374324	ProgramServices
Management And General	35381663	ManagementAndGeneral
Fundraising	893	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	8701072466	Total
Program Services	7624879738	ProgramServices
Management And General	1075970301	ManagementAndGeneral
Fundraising	222427	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	21838	BOY
EOY	209628	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1258073060	BOY
EOY	1366641634	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	9029148	BOY
EOY	15845346	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1055515244	BOY
EOY	1103971165	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	533333	BOY
EOY	866667	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	86439693	BOY
EOY	81007175	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	137666675	BOY
EOY	143678916	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	243180236	BOY
EOY	447266947	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	7473130125	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3862453149	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3435314323	BOY
EOY	3610676976	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	2739423276	BOY
EOY	3169224216	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	588527356	BOY
EOY	605767197	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	571750574	BOY
EOY	752252844	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	6212886	BOY
EOY	6197886	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	65362191	BOY
EOY	60792601	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	10197049833	BOY
EOY	11364399198	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1753060141	BOY
EOY	1686427192	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	6022731	BOY
EOY	2848549	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	32833601	BOY
EOY	193634991	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	3584111299	BOY
EOY	3542101637	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	553930080	BOY
EOY	574590964	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1493017709	BOY
EOY	1234228887	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	7422975561	BOY
EOY	7233832220	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2646990892	BOY
EOY	3975743442	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	100281591	BOY
EOY	122431687	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	26801789	BOY
EOY	32391849	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2774074272	BOY
EOY	4130566978	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10197049833	BOY
EOY	11364399198	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	510635745	ReconcilationRevenueExpenses
Reconcilation Other Changes	845856961	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	930	PoliticalExpenditures
Amt Of4955 Tax	94	AmtOf4955Tax
Form4720 Filed4955 Tax	true	Form4720Filed4955Tax
Correction Made	true	CorrectionMade
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	true	MailingsMembers
Mailings Members	$54,280	MailingsMembersAmount
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$468,204	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$227,275	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$638,151	OtherActivitiesAmount
Total Lobbying Expenditures IIB	1387910	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier

ExplanationExplanation

PART I-B, LINE 4B

During the year, Catholic Healthcare West paid membership dues to The Chamber, Cal Chamber and Folsom Chamber of Commerce (Chambers). The invoices provided for voluntary contributions to the Chambers' Political Action Committee (PACs). The check requests for the annual dues inadvertently included an amount for the voluntary contributions to the PACs. Catholic Healthcare West has policies and procedures in place to avoid such transactions, and once the organization became aware of this situation, immediate action was taken to obtain a refund from the Chambers for the amounts designated for the PAC. Attached are copies of the refund checks, dated 3/26/2012, 3/20/2012 and 4/19/2011, evidencing that $930.00 has been recovered. This represents the full amount of inadvertent payments made related to voluntary contributions to The Chambers' PACs.

PART II-B

THE ORGANIZATION PAID FEES TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES, PAID AS COMPENSATION TO STAFF AND MANAGEMENT IN THE PERFORMANCE OF THEIR DUTIES IN ATTEMPTING TO INFLUENCE LEGISLATION, WHICH INCLUDED MEETING WITH AND CALLING GOVERNMENT OFFICIALS, AND DEVELOPED AND SENT LETTERS AND PUBLICATIONS. IN ADDITION, THIS ORGANIZATION IS A MEMBER OF HEALTHCARE ASSOCIATIONS WHOSE PURPOSEs include DIRECTing, DEVELOPing, AND AFFECTing PUBLIC POLICY AND LEGISLATION WITH REGARD TO ISSUES AFFECTING HEALTHCARE. THE ORGANIZATION PAID ANNUAL DUES TO THESE ASSOCIATIONS, which may be used FOR LOBBYING PURPOSES AS REFLECTED ON PART II-B, LINE 1i, OTHER ACTIVITIES.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	92617477	BeginningOfYearBalance
Contributions	9388271	Contributions
Investment Earnings Or Losses	14666246	InvestmentEarningsOrLosses
Grants Or Scholarships	304610	GrantsOrScholarships
Other Expenditures	1542648	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	114824736	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	78739233	BeginningOfYearBalance
Contributions	12468055	Contributions
Investment Earnings Or Losses	7851317	InvestmentEarningsOrLosses
Grants Or Scholarships	87952	GrantsOrScholarships
Other Expenditures	6353176	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	92617477	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	89391160	BeginningOfYearBalance
Contributions	1411823	Contributions
Investment Earnings Or Losses	-10569881	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	1493869	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	78739233	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.13000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.87000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	true	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	199330214	OtherCostOrOtherBasis
Book Value	199330214	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	3519136546	OtherCostOrOtherBasis
Depreciation	1705540868	Depreciation
Book Value	1813595678	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	53853520	OtherCostOrOtherBasis
Depreciation	30165830	Depreciation
Book Value	23687690	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	3031240357	OtherCostOrOtherBasis
Depreciation	2053148465	Depreciation
Book Value	978091892	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	669569487	OtherCostOrOtherBasis
Depreciation	73597986	Depreciation
Book Value	595971501	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3610676975	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	POOLED INVESTMENTS	Description
Book Value	605767197	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	605767197	TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INTEREST IN NET ASSETS OF	138609129	F
INVESTMENTS IN HEALTH RELATED	613643715	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	752252844	TotalOfBookValueProgramRelated
Federal Income Tax Liability	59883	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
DEFERRED COMPENSATION	$12,066,075
OTHER NON-CURRENT LIABILITIES	$9,683,871
ASSET RETIREMENT OBLIGATIONS	$28,698,852
OTHER LIABILITY FEMA	$17,726,610
PHYSICIAN GUARANTEES	$6,629,319
ANNUITIES PAYABLE	$21,649
DUE TO RELATED PARTIES	$281,956,801
PENSION & OTHER RETIREMENT OBLIGATION	$877,385,827

Field	Value	IRS element (for citing)
Total Of Amounts	1234228887	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	SCH D, Part V, Line 4	Identifier
Explanation	CHW has various supporting 501(C)(3)fundraising foundations. AS sUPPORTING ORGANIZATIONs, THEy OPERATE TO RAISE FUNDS FOR THE BENEFIT OF, AND TO CARRY OUT THE PURPOSES OF, CHW's HOSPITALs. CHW'S INTENDED USE FOR THE FUNDS IS TO INVEST IN EXPANDING ACCESS TO CARE, PURCHASE or construct STATE-OF-THE-ART EQUIPMENT and buildings, AND PROVIDE ADVANCED TRAINING AND EDUCATION TO CAREGIVERS AND PATIENTS.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (7 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
Central America and the Caribbean	Program Services	see Sch F, Part IV	100462
Central America and the Caribbean	Investments	N/A	250104
Central America and the Caribbean	Investments	N/A	183771
East Asia and the Pacific	Investments	N/A	39185038
Europe (Including Iceland and Greenland)	Investments	N/A	419804513
North America	Investments	N/A	21118227
Sub-Saharan Africa	Investments	N/A	404258

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	481046373	SubtotalAmountSpent
Total Amount Spent	481046373	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	true	PassiveForeignInvestCo
Foreign Partnership	true	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	Part I, Line 3 (1)	Identifier
Explanation	CHW SENDS MEDICAL MISSION TEAMS ANNUALLY TO ESQUIPULAS, GUATEMALA, A REMOTE AREA SOUTHEAST OF GUATEMALA CITY, IN SUPPORT OF THE SISTERS OF CHARITY OF THE INCARNATE WORD AND THE SISTERS OF MERCY OF THE AMERICAS. WITH A TOTAL POPULATION OF NEARLY 13 MILLION PEOPLE, APPROXIMATELY 10 MILLION GUATEMALANS LIVE IN POVERTY AND TWO-THIRDS OF THAT NUMBER LIVE IN EXTREME POVERTY. CHW'S VOLUNTEER DOCTORS, NURSES, AND SPECIALISTS PROVIDE PRIMARY CARE TREATMENT TO ABOUT 200 PEOPLE PER CLINIC. NURSE EDUCATORS ARE ALSO PRESENT TO OFFER HEALTH AND WELLNESS EDUCATION TO COMMUNITY LEADERS AND FAMILIES. EXPENDITURES REPORTED ARE FOR MEDICAL SUPPLIES AND EQUIPMENT, SALARIES, WAGES, AND OTHER EMPLOYMENT-RELATED COSTS, AND TRAVEL COSTS. THESE EXPENDITURES WERE BASED ON THE ACCRUAL METHOD OF ACCOUNTING AS REPORTED ON THE ORGANIZATION'S FINANCIAL STATEMENTS. AFTER FULFILING THE PROGRAM'S INITIAL FIVE-YEAR COMMITMENT, AND KNOWING THAT THE WORK IN ESQUIPULAS WAS FAR FROM COMPLETE, CHW HAS SHIFTED FROM THE PRIMARY CARE CLINIC MODEL TO FOCUS ON CLINICAL EDUCATION AND TRAINING. THIS SHIFT IS IN DIRECT RESPONSE TO THE FEEDBACK FROM BOTH THOSE IN GUATEMALA AND THE CHW TEAM MEMBERS.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	82535	PersonsServed
Total Community Benefit Expense	145932408	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6223691	DirectOffsettingRevenue
Net Community Benefit Expense	139708717	NetCommunityBenefitExpense
Percent Of Total Expense	0.01760	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	897589	PersonsServed
Total Community Benefit Expense	1939779862	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1515918078	DirectOffsettingRevenue
Net Community Benefit Expense	423861784	NetCommunityBenefitExpense
Percent Of Total Expense	0.05350	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	241708	PersonsServed
Total Community Benefit Expense	96349597	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41450322	DirectOffsettingRevenue
Net Community Benefit Expense	54899275	NetCommunityBenefitExpense
Percent Of Total Expense	0.00690	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	1221832	PersonsServed
Total Community Benefit Expense	2182061867	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1563592091	DirectOffsettingRevenue
Net Community Benefit Expense	618469776	NetCommunityBenefitExpense
Percent Of Total Expense	0.07800	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	824	NumberOfActivitiesOrPrograms
Persons Served	2494037	PersonsServed
Total Community Benefit Expense	86108481	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9116043	DirectOffsettingRevenue
Net Community Benefit Expense	76992438	NetCommunityBenefitExpense
Percent Of Total Expense	0.00970	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	146	NumberOfActivitiesOrPrograms
Persons Served	72995	PersonsServed
Total Community Benefit Expense	84607154	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9044344	DirectOffsettingRevenue
Net Community Benefit Expense	75562810	NetCommunityBenefitExpense
Percent Of Total Expense	0.00950	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	74	NumberOfActivitiesOrPrograms
Persons Served	270186	PersonsServed
Total Community Benefit Expense	54102895	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8012238	DirectOffsettingRevenue
Net Community Benefit Expense	46090657	NetCommunityBenefitExpense
Percent Of Total Expense	0.00580	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	24	NumberOfActivitiesOrPrograms
Persons Served	5057	PersonsServed
Total Community Benefit Expense	24498789	TotalCommunityBenefitExpense
Direct Offsetting Revenue	340758	DirectOffsettingRevenue
Net Community Benefit Expense	24158031	NetCommunityBenefitExpense
Percent Of Total Expense	0.00300	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	265	NumberOfActivitiesOrPrograms
Persons Served	376039	PersonsServed
Total Community Benefit Expense	38856951	TotalCommunityBenefitExpense
Direct Offsetting Revenue	196331	DirectOffsettingRevenue
Net Community Benefit Expense	38660620	NetCommunityBenefitExpense
Percent Of Total Expense	0.00490	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1333	NumberOfActivitiesOrPrograms
Persons Served	3218314	PersonsServed
Total Community Benefit Expense	288174270	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26709714	DirectOffsettingRevenue
Net Community Benefit Expense	261464556	NetCommunityBenefitExpense
Percent Of Total Expense	0.03290	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1333	NumberOfActivitiesOrPrograms
Persons Served	4440146	PersonsServed
Total Community Benefit Expense	2470236137	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1590301805	DirectOffsettingRevenue
Net Community Benefit Expense	879934332	NetCommunityBenefitExpense
Percent Of Total Expense	0.11090	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	55	PersonsServed
Total Community Building Expense	2196279	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1575442	DirectOffsettingRevenue
Net Community Building Expense	620837	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	3720	PersonsServed
Total Community Building Expense	166475	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	166475	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	41	NumberOfActivitiesOrPrograms
Persons Served	11678	PersonsServed
Total Community Building Expense	1434142	TotalCommunityBuildingExpense
Direct Offsetting Revenue	3539	DirectOffsettingRevenue
Net Community Building Expense	1430603	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	1458	PersonsServed
Total Community Building Expense	17111	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	17111	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	28	NumberOfActivitiesOrPrograms
Persons Served	7437	PersonsServed
Total Community Building Expense	3738356	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1960	DirectOffsettingRevenue
Net Community Building Expense	3736396	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	60	NumberOfActivitiesOrPrograms
Persons Served	52498	PersonsServed
Total Community Building Expense	1442335	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1442335	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	39	NumberOfActivitiesOrPrograms
Persons Served	1548	PersonsServed
Total Community Building Expense	452618	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	452618	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	242	PersonsServed
Total Community Building Expense	1924154	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1924154	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	193	NumberOfActivitiesOrPrograms
Persons Served	78636	PersonsServed
Total Community Building Expense	11371470	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1580941	DirectOffsettingRevenue
Net Community Building Expense	9790529	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$165,838,628	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	1707708631	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	2005696342	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-297987711	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (31 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
See Prt VIEntity 1
Surgery	0.56900	0.00000	0.36000
See Prt VIEntity 2
Real Estate	0.11630	0.00000	0.88370
See Prt VIEntity 3
Surgery	0.50100	0.00000	0.13000
See Prt VIEntity 4
Litho/Kidney	0.09000	0.00000	0.79000
See Prt VIEntity 5
Surgery	0.14240	0.00000	0.70810
See Prt VIEntity 6
Surgery	0.20000	0.00000	0.33330
See Prt VIEntity 7
Surgery	0.51790	0.00000	0.24240
See Prt VIEntity 8
Imaging	0.51000	0.00000	0.49000
See Prt VIEntity 9
Surgery	0.57260	0.00000	0.45000
See Prt VIEntity 10
Surgery	0.55000	0.00000	0.37330
See Prt VIEntity 11
Real Estate (Rent/Lease)	0.04700	0.00000	0.33500
See Prt VIEntity 12
Ambulance	0.50100	0.00000	0.16600
See Prt VIEntity 13
Surgery	0.20000	0.00000	0.80000
See Prt VIEntity 14
Surgery	0.51000	0.00000	0.49000
See Prt VIEntity 15
Surgery	0.61030	0.00000	0.38970
See Prt VIEntity 16
Surgery	0.57530	0.00000	0.18310
See Prt VIEntity 17
Surgery	0.45610	0.00000	0.31590
See Prt VIEntity 18
Surgery	0.62340	0.00000	0.36470
See Prt VIEntity 19
Surgery	0.80000	0.00000	0.13300
See Prt VIEntity 20
Surgery	0.60000	0.00000	0.40000
See Prt VIEntity 21
Surgery	0.50000	0.00000	0.50000
See Prt VIEntity 22
Imaging	0.50000	0.00000	0.50000
See Prt VIEntity 23
Imaging	0.50000	0.00000	0.50000
See Prt VIEntity 24
Imaging	0.80000	0.00000	0.20000
See Prt VIEntity 25
Surgery	0.51000	0.00000	0.49000
See Prt VIEntity 26
Surgery	0.65260	0.00000	0.34740
See Prt VIEntity 27
Surgery	0.51000	0.00000	0.49000
See Prt VIEntity 28
Surgery	0.25000	0.00000	0.75000
See Prt VIEntity 29
Real Estate (Rent/Lease)	0.25000	0.00000	0.64680
See Prt VIEntity 30
Imaging	0.50000	0.00000	0.50000
See Prt VIEntity 31
Surgery	0.68500	0.00000	0.29500

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	34	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (34 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	Critical Access HospitalCriticalAccessHospital
St Joseph's Hospital and Medical Center
1	350 W Thomas Rd	Phoenix	AZ	85013	X	X	X	X	X
Mercy San Juan Medical Center
2	6501 Coyle Ave	Carmichael	CA	95608	X	X			X
Mercy General Hospital
3	4001 J st	Sacramento	CA	95819	X	X	X		X
St Josephs Medical Center of Stockton
4	1800 N California St	Stockton	CA	95204	X	X	X		X
Northridge Hospital Medical Center
5	1830 Roscoe Blvd	Northridge	CA	91328	X	X	X		X
Mercy Medical Center Redding
6	2175 Rosaline Ave	Redding	CA	96001	X	X	X		X
Mercy Southwest Hospital
7	400 Old River Rd	Bakersfield	CA	93311	X	X			X
Chandler Regional Hospital
8	475 South Dobson rd	Chandler	AZ	85224	X	X			X
St Rose Dominican Hospital - Siena
9	3001 St Rose Parkway	Henderson	NV	89052	X	X			X
Dominican Hospital
10	1555 Soquel dr	Santa Cruz	CA	95065	X	X			X
St Bernardine Medical Center
11	2101 N Waterman Ave	San Bernardino	CA	92404	X	X			X
California Hospital Medical Center
12	1401 South Grand Ave	Los Angeles	CA	90015	X	X	X		X
Saint Mary's Regional Medical Center
13	235 West Sixth St	Reno	NV	89503	X	X			X
Mercy Gilbert Medical Center
14	3555 S Val Vista Dr	Gilbert	AZ	85297	X	X			X
St Mary Medical Center
15	1050 Linden Ave	Long Beach	CA	90813	X	X	X		X
St John's Regional Medical Center
16	1600 North Rose Ave	Oxnard	CA	93030	X	X			X
Mercy Medical Center Merced
17	333 Mercy Avenue	Merced	CA	95340	X	X	X		X
Sequoia Hospital
18	170 Alameda de las Pulgas	Redwood City	CA	94062	X	X			X
Methodist Hospital of Sacramento
19	7500 Hospital Dr	Sacramento	CA	95823	X	X	X		X
Glendale Memorial Hospital & Health Ctr
20	1420 South Central Ave	Glendale	CA	91204	X	X			X
Marian Regional Medical Center
21	1400 E Church st	Santa Maria	CA	93454	X	X			X
St Mary's Medical Center
22	450 Stanyan St	San Francisco	CA	94117	X	X	X		X
St Rose Dominican Hospital - San Martin
23	8280 West Warm Springs Rd	Las Vegas	NV	89113	X	X			X
Mercy Hospital of Folsom
24	1650 Creekside Dr	Folsom	CA	95630	X	X			X
St Rose Dominican Hospital-Rose de Lima
25	102 E Lake Mead Dr	Henderson	NV	89015	X	X			X
Woodland Memorial Hospital
26	1325 Cottonwood St	Woodland	CA	95695	X	X			X
French Hospital Medical Center
27	1911 Johnson Ave	San Luis Obispo	CA	93401	X	X			X
St Elizabeth Community Hospital
28	2550 Sister Mary Columba Dr	Red Bluff	CA	96080	X	X			X
St John's Pleasant Valley Hospital
29	2309 Antonio Ave	Camarillo	CA	93010	X	X			X
Arroyo Grande Community Hospital
30	345 S Halcyon rd	Arroyo Grande	CA	93420	X	X			X
Mercy Medical Center Mt Shasta
31	914 Pine St	Mt Shasta	CA	96067	X	X			X	X
St Joseph's Behavioral Health Center
32	2510 N California St	Stockton	CA	95204	X
Marian Medical Center West
33	505 East Plaza Drive	Santa Maria	CA	93454	X
Mercy Hospital
34	2215 Truxtun Ave	Bakersfield	CA	93301	X	X			X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (34 entries)

Hospital Facility NumberHospitalFacilityNumber
St Joseph's Hospital and Medical Center
1
Mercy San Juan Medical Center
2
Mercy General Hospital
3
St Josephs Medical Center of Stockton
4
Northridge Hospital Medical Center
5
Mercy Medical Center Redding
6
Mercy Southwest Hospital
7
Chandler Regional Hospital
8
St Rose Dominican Hospital - Siena
9
Dominican Hospital
10
St Bernardine Medical Center
11
California Hospital Medical Center
12
Saint Mary's Regional Medical Center
13
Mercy Gilbert Medical Center
14
St Mary Medical Center
15
St John's Regional Medical Center
16
Mercy Medical Center Merced
17
Sequoia Hospital
18
Methodist Hospital of Sacramento
19
Glendale Memorial Hospital & Health Ctr
20
Marian Regional Medical Center
21
St Mary's Medical Center
22
St Rose Dominican Hospital - San Martin
23
Mercy Hospital of Folsom
24
St Rose Dominican Hospital-Rose de Lima
25
Woodland Memorial Hospital
26
French Hospital Medical Center
27
St Elizabeth Community Hospital
28
St John's Pleasant Valley Hospital
29
Arroyo Grande Community Hospital
30
Mercy Medical Center Mt Shasta
31
St Joseph's Behavioral Health Center
32
Marian Medical Center West
33
Mercy Hospital
34

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	44	NumberOfOtherFacilities

Other Facilities OtherFacilities (44 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Court Street Surgery Center
2184 Court Street	Redding	CA	96001	Surgery Center
Mercy Surgery Center
2175 Rosaline Ave Suite A	Redding	CA	96001	Surgery Center
Arizona Orthopedic Specialty Hospital
2905 West Warner Road	Chandler	AZ	85224	Orthopedic Hospital
NICU Operating CO of Santa Cruz LLC
1555 Soquel dr	Santa Cruz	CA	95065	Neonatal Healthcare
Mercy Home Health
9912 Business Park Drive Ste 100	Sacramento	CA	95827	Home Health Care
Trinity Care LLC
18440 Roscoe Boulevard	Northridge	CA	91325	Home Health
Redding Surgery Center
2439 Sonoma	Redding	CA	96001	Surgery Center
Folsom Outpatient Surgery Center
1651 Creekside Drive	Folsom	CA	95630	Surgery Center
Mercy Hospice
9912 Business Park Drive Ste 100	Sacramento	CA	95827	Hospice Care
CHW Nevada Imaging Center Galleria
715 Mall Ring Circle 100	Henderson	NV	89014	Imaging Clinic
Santa Cruz Surgery Center
3003 Paul Sweet Rd	Santa Cruz	CA	95065	Surgery Center
Saint Mary's Home Care Services
18653 Wedge parkway	Reno	NV	89511	Home Health
Saint Mary's Hospice of Northern Nevada
429 Elm Street	Reno	NV	89503	Hospice Services
21st Century Oncology
963 Butte Street	Redding	CA	96001	Oncology
Folsom Sierra Endoscopy Center
1600 Creekside Drive	Folsom	CA	95630	Endoscopy Center
Warner Park Ambulatory Surgical
604 West Warner Road Bldg A	Chandler	AZ	85225	Surgery Center
Roseville USP Surgery Center
1420 E Roseville Parkway 100	Roseville	CA	95661	Surgery Center
Plaza Surgery Center
525 E Plaza 100	Santa Maria	CA	93454	Surgery Center
St John's Regional Imaging Center LLC
1700 N Rose Ave 110	Oxnard	CA	93030	Imaging center
CHW Nevada Imaging Center Spring Valley
5495 S Rainbow Blvd 101 103 203	Las Vegas	NV	89118	Imaging Clinic
Coastal Surgical Specialist Inc
921 Oak Park Boulevard 100B	Pismo Beach	CA	93449	Cancer Diagnostic Ctr
Renaissance Imaging Center at Northridge
18436 Roscoe Blvd	Northridge	CA	91328	Imaging
Trinity Care Infusion Services
18440 Roscoe Boulevard	Northridge	CA	91325	Infusion Center
Radiation Oncology Ctr of Ventura County
1700 N Rose Ave 120	OxnardCamarillo	CA	93030	Surgery Center
Radiation Oncology Ctr of Ventura County
5301 Mission Oaks Boulevard Suite	OxnardCamarillo	CA	93012	Surgery Center
Santa Cruz Comprehensive Imaging LLC
1685 Commercial Way	Santa Cruz	CA	95065	Imaging Center
Huger Mercy Living Center
2345 W Orangewood	Phoenix	AZ	85021	Asst Living Facility
CHW Nevada Imaging Center Siena
861 Coronada Center Drive 101	Henderson	NV	89052	Imaging Clinic
Siskiyou Home Health Services
317 Deetz Rd	Mt Shasta	CA	96067	Home Health
Sacramento Midtown Endoscopy
3941 J St	Sacramento	CA	95819	Surgery Center
Dominican Breast Center
1661 Soquel Drive Bldg G	Santa Cruz	CA	95065	Imaging Center
Dominican Magnetic Resonance Imaging Ctr
1545 Soquel Dr	Santa Cruz	CA	95065	Imaging Clinic
CHWUSP Oxnard Surgery Centers LLC
1700 N ROSE AVENUE STE 100	Oxnard	CA	93030	Surgery Center
St Joseph Medical Group East Valley
3420 S Mercy Road Suite 121	Gilbert	AZ	85297	Clinic
Woodland Adult Day Health
20 N Cottonwood St	Woodland	CA	95695	Health Center
Child Abuse Assessment Center of St Jos
2346 N Central Ave	Phoenix	AZ	85004	Health Center
The Medical Pavilion at St John's
1700 Rose Avenue	Oxnard	CA	93012	Surgery Center
Northern Arizona Congenital Heart Center
1330 Rim Drive Ste A	Flagstaff	AZ	86001	Clinic
USP Surgery Center - Durango
8530 W Sunset Rd	Las Vegas	NV	89113	Surgery Center
USP Surgery Center - Parkway
100 N Green Valley Pkwy 125	Henderson	NV	89074	Surgery Center
The Barbara Greenspun Women's Care Cente
100 N Green Valley Pkwy Suite 330	Henderson	NV	89074	Health Center
Crockett School Family Practice Clinic
4825 E Roosevelt Street	Phoenix	AZ	85008	Clinic
St Joseph's Medical Group - Chandler
485 S Dobson Road Suite 101	Chandler	AZ	85224	Clinic
CHW Nevada Imaging Center Peccole
9499 W Charleston Blvd 100	Las Vegas	NV	89117	Imaging Clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Part I, Line 6a and 6b	EACH HOSPITAL FACILITY LISTED IN SCHEDULE H, PART V, PREPARES A SEPARATE COMMUNITY BENEFIT REPORT. CALIFORNIA HOSPITALS SUBMIT THEIR REPORTS TO THE OFFICE OF STATEWIDE HEALTH PLANNING DEPARTMENT AND NEVADA HOSPITALS SUBMIT THEIR REPORTS TO THE NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES. CHW INCLUDES A CONSOLIDATED COMMUNITY BENEFIT REPORT IN ITS ANNUAL AUDITED FINANCIAL STATEMENTS FOR ITS HOSPITALS AND THE HOSPITALS OF RELATED ORGANIZATIONS THAT ARE CONSOLIDATED FOR FINANCIAL REPORTING PURPOSES (SEE PART VI, LINE 7). CHW'S FINANCIAL STATEMENTS ARE POSTED ON CHW'S EXTERNAL WEB SITE. SUMMARIES OF THE INDIVIDUAL HOSPITALS' REPORTS ARE POSTED ONLINE AND FULL REPORTS ARE AVAILABLE BY REQUEST.
Part I, Line 7g	CHW REPORTED $7,591,496 OF SUBSIDIZED HEALTH SERVICES ASSOCIATED WITH PHYSICIAN CLINICS AS THESE SERVICES ARE PROVIDED TO THE COMMUNITIES AT A FINANCIAL LOSS. IF CHW DID NOT PROVIDE THESE SERVICES, THEY WOULD BE UNAVAILABLE IN THE COMMUNITY, THERE WOULD BE INSUFFICIENT AVAILABILITY IN THE COMMUNITY, OR THE SERVICE WOULD BECOME THE RESPONSIBILITY OF THE GOVERNMENT OR ANOTHER TAX-EXEMPT ORGANIZATION.
Part I, Line 7, column (f)	THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) IS $777,008,692 AND HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN COLUMN (F).
Part I, Line 7	FOR PURPOSES OF CALCULATING THE AMOUNTS PROVIDED IN THE TABLE, CHW USES A COST ACCOUNTING SYSTEM THAT COMBINES RELATIVE VALUE UNITS (RVU) AND COST TO CHARGE RATIOS (CCR) TO ALLOCATE COSTS TO THE PATIENT LEVEL. THE COST ACCOUNTING SYSTEM ALGORITHM ALLOCATES TOTAL OPERATING EXPENSES TO THE PROCEDURE CHARGE CODE LEVEL BASED UPON AN RVU FOR PROCEDURES THAT HAVE BEEN STUDIED AND ASSIGNED AN RVU, OR BASED UPON A CCR FOR UNSTUDIED PROCEDURES THAT DO NOT HAVE AN RVU ASSIGNED. WHEN A CCR IS USED, THE SYSTEM CALCULATES THAT CCR ON A DEPARTMENTAL SPECIFIC BASIS AT EACH INDIVIDUAL HOSPITAL WHERE THE SERVICES WERE PROVIDED. THE CALCULATION IS SIMILAR TO THE CALCULATION ON WORKSHEET 2 OF SCHEDULE H, RATIO OF PATIENT CARE COST TO CHARGES, EXCEPT IT IS CALCULATED ON A DEPARTMENTAL SPECIFIC BASIS, NOT IN THE AGGREGATE. THE ALLOCATED PROCEDURE CHARGE CODE LEVEL COSTS ARE THEN ROLLED UP TO THE PATIENT LEVEL BASED UPON THE BILLED PROCEDURE CHARGE CODES ASSOCIATED WITH THOSE SERVICES PROVIDED TO EACH SPECIFIC PATIENT. THIS IS DONE FOR ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF PAY. THE COST ACCOUNTING SYSTEM IS UTILIZED TO DETERMINE THE UNREIMBURSED COST OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE COST OF FINANCIAL ASSISTANCE IS CALCULATED BY APPLYING THE CCR DERIVED FROM THE COST ACCOUNTING SYSTEM ON A PER FACILITY BASIS, TO THE CHARGES INCURRED ON PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE AT THE RESPECTIVE FACILITY. THE ACTUAL COST IS REPORTED FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH AND CASH AND IN-KIND DONATIONS.
Part I, line 7b, column (f)	IN JANUARY 2010, THE STATE OF CALIFORNIA ENACTED LEGISLATION THAT PROVIDED FOR SUPPLEMENTAL MEDI-CAL PAYMENTS TO CERTAIN HOSPITALS FUNDED BY A QUALITY ASSURANCE FEE PAID BY PARTICIPATING HOSPITALS AND MATCHING FEDERAL FUNDS ("THE 2010 HOSPITAL FEE PROGRAM"). THE LEGISLATION COVERED THE PERIOD OF APRIL 1, 2009 THROUGH DECEMBER 31, 2010. THE CENTERS FOR MEDICARE & MEDICAID SERVICES APPROVED THE 2010 HOSPITAL FEE PROGRAM IN ITS ENTIRETY IN DECEMBER 2010, AND THEREFORE ALL ACTIVITY OF THE PROGRAM WAS RECOGNIZED DURING THE YEAR ENDED JUNE 30, 2011. QUALITY ASSURANCE FEES RECOGNIZED DURING THE YEAR OF $317.6 MILLION ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO UNREIMBURSED MEDICAID (PART I, LINE 7B, COLUMN C), AND FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $500.6 MILLION RECOGNIZED DURING THE YEAR ARE REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D). THIS NET REDUCTION IN THE COST OF THE MEDICAID PROGRAM IS DRIVING THE DECREASE IN THE OVERALL COST OF COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES WHEN COMPARED TO PRIOR YEARS. THE CALIFORNIA HOSPITAL ASSOCIATION CREATED A PRIVATE PROGRAM, THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT"), ESTABLISHED FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA. UPON APPROVAL OF THE LEGISLATION NOTED ABOVE IN DECEMBER 2010, CHW RECORDED A PLEDGE TO A GRANT FUND ESTABLISHED BY CHFT IN THE AMOUNT $21.6 MILLION. THE GRANT IS REPORTED UNDER OTHER BENEFITS (PART I, LINE 7I, COLUMN C), AS CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS.
Part II - Community Building Activities	AT CHW, EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE GO BEYOND PROVIDING HEALTH SERVICES. CHW'S ACTIVITIES SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND SERVICES OF THE ORGANIZATION. CHW TAKES A PROACTIVE APPROACH TO ADDRESSING THE SOCIAL AND ECONOMIC BARRIERS TO GOOD HEALTH AND SUPPORTS THE WORLD HEALTH ORGANIZATION DEFINITION OF HEALTH AS A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING AND NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. THROUGH THE CHW COMMUNITY INVESTMENT PROGRAM LOW INTEREST LOANS AND LINES OF CREDIT ARE PROVIDED TO NON-PROFITS WHO ARE ADDRESSING SOME OF THE SOCIAL DETERMINANTS, INCLUDING AFFORDABLE HOUSING AND SERVICES, VITAL TO A COMMUNITY'S HEALTH. OFTEN THE LARGEST EMPLOYER IN THE COMMUNITY, CHW HOSPITALS PARTICIPATE IN ECONOMIC DEVELOPMENT COUNCILS AND LOCAL CHAMBERS OF COMMERCE. GRANTS ARE OFFERED TO COMMUNITY ORGANIZATIONS FOR THE PURPOSE OF ECONOMIC DEVELOPMENT OR TO HELP ENSURE A CONTINUUM OF CARE FOR THE COMMUNITY. YOUTH PROGRAMS FOCUS ON ACTIVITIES TO DETER DELINQUENCY, DEVELOP LEADERSHIP SKILLS, ENHANCE LITERACY AND ACADEMIC SUCCESS, IMPROVE HEALTH, CULTIVATE COMMUNITY RESPONSIBILITY, PROVIDE EDUCATION WITH CULTURAL ENRICHMENT AND OFFER CAREER EXPLORATION OPPORTUNITIES. THERE ARE ONGOING EFFORTS TO REDUCE COMMUNITY ENVIRONMENTAL HAZARDS IN THE AIR, WATER AND GROUND, AS WELL AS THE SAFE REMOVAL OF OTHER TOXIC WASTE PRODUCTS. LIFE AND CIVIC SKILLS TRAINING PROGRAMS ARE OFFERED, INCLUDING CAREER DEVELOPMENT TO ENSURE GAINFUL EMPLOYMENT IN AN ERA OF UNPRECEDENTED UNEMPLOYMENT. CHW HOSPITALS OPEN THEIR DOORS TO COMMUNITY GROUPS AND ALSO REPRESENT THE HOSPITALS ON COMMUNITY COALITIONS THAT FOCUS ON THE WELL-BEING OF THEIR RESPECTIVE COMMUNITIES. CHW ADVOCACY REPRESENTATIVES ARE TIRELESS AS THEY STRIVE TO IMPROVE ACCESS TO HEALTHCARE, PROMOTE THE HEALTH OF THE PUBLIC, AND ADVOCATE FOR SOCIAL JUSTICE AND HUMAN RIGHTS. IN MEDICALLY UNDERSERVED AREAS, RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS ARE ONGOING, AS ARE THE PARTNERSHIPS WITH COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORK FORCE SHORTAGE. MANY CHW HOSPITALS OFFER HEALTH CAREER MENTORING PROJECTS AND PROVIDE SCHOOL-BASED AND COMMUNITY PROGRAMS THAT DRIVE ENTRY INTO HEALTH CAREERS AND NURSING PRACTICE. COMMUNITY BUILDING - PHYSICAL IMPROVEMENTS / HOUSING o EMPLOYEES PARTNERED WITH REBUILDING TOGETHER TO MAKE CRITICAL REPAIRS TO THREE HOMES IN THE LAS VEGAS VALLEY FOR LOW-INCOME, DISABLED AND/OR AGING RESIDENTS. THIS PROJECT STRIVES TO PRESERVE AFFORDABLE HOME OWNERSHIP AND REVITALIZE COMMUNITIES. COMMUNITY BUILDING - ECONOMIC DEVELOPMENT o LEADERSHIP STAFF MEMBERS OF SEVERAL CHW FACILITIES ACTIVELY PARTICIPATE IN CHAMBERS OF COMMERCE, CIVIC ORGANIZATIONS AND COALITIONS AIMED AT ENSURING THE ECONOMIC DEVELOPMENT, GROWTH AND STABILITY OF THEIR LOCAL COMMUNITIES. COMMUNITY BUILDING - COMMUNITY SUPPORT o CHW FACILITIES LEAD OR COLLABORATE WITH OTHER COMMUNITY-BASED ORGANIZATIONS IN SUPPORT OF THE SUCCESS OF CHILDREN, YOUTH AND FAMILIES, WHICH ALSO ENGAGES AND STRENGTHENS THE SCHOOL COMMUNITY. COMMUNITY BUILDING - ENVIRONMENTAL IMPROVEMENTS o THE COMMITMENT OF CHW TO IMPROVE AND SUSTAIN OUR ENVIRONMENT IS CODIFIED BY POLICIES, INCLUDING A PURCHASING POLICY WHICH PURSUES MULTIPLE ENVIRONMENTAL GOALS. FIRST, WE SEEK TO REDUCE WASTE AT ITS SOURCE BY REDESIGNING PROCESSES AND PURCHASING PRACTICES TO REDUCE THE AMOUNT OF VIRGIN MATERIALS PURCHASED. SECOND, ONCE A PROCUREMENT NEED IS IDENTIFIED, WE TRY TO PURCHASE GOODS WITH RECYCLED CONTENT THAT CAN SPECIFICALLY BE RECYCLED, AND HAVE A LOW LIFE CYCLE IMPACT ON THE ENVIRONMENT. ONCE PURCHASES REACH THE END OF THEIR INITIAL USE, WE FOCUS ON REUSE WITHIN THE HOSPITAL, TRANSFER TO ANOTHER USER (SUCH AS COMMUNITY ORGANIZATIONS), RECYCLING, AND FINALLY TO PROPER WASTE DISPOSAL. o MARIAN MEDICAL CENTER IS ONE OF ONLY A FEW HOSPITALS IN THE NATION TO HAVE A COGENERATION PLANT THAT OPERATES ON METHANE GAS. THE 2000 SQUARE FOOT FACILITY USES WASTE METHANE GAS TO PRODUCE AS MUCH AS ONE MEGAWATT OF ELECTRICITY. THE COGENERATION PROCESS SIGNIFICANTLY REDUCES METHANE EMISSIONS IN THE ENVIRONMENT AND OFFSETS THE USE OF NON-RENEWABLE RESOURCES SUCH AS COAL, NATURAL GAS AND OIL. COMMUNITY BUILDING - LEADERSHIP DEVELOPMENT / TRAINING FOR COMMUNITY MEMBERS o CHW HOSPITALS ARE COMMITTED TO BUILDING HEALTHIER COMMUNITIES THROUGH LEADERSHIP DEVELOPMENT, PARTICULARLY OF ADOLESCENT, TEEN AND YOUNG ADULT LEADERSHIP, AND CAREER DEVELOPMENT. COMMUNITY BUILDING - COALITION BUILDING o THE CHW MISSION STATEMENT SPECIFICALLY CALLS UPON US "TO PARTNER WITH OTHERS IN THE COMMUNITY TO IMPROVE THE QUALITY OF LIFE." CHW FACILITIES PROVIDE REPRESENTATION ON COMMUNITY COALITIONS AND COLLABORATIVE PARTNERSHIPS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY, AND HOST AND/OR PARTICIPATE IN COMMUNITY COALITION MEETINGS AND SPECIFIC PROJECTS AND INITIATIVES. COMMUNITY BUILDING - ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT o STAFF AT CHW HOSPITALS THROUGHOUT THE SYSTEM ADVOCATE ON BEHALF OF THE POOR AND DISENFRANCHISED, PARTICULARLY FOR IMPROVED ACCESS TO HEALTH CARE SERVICES AS WELL AS FOR ENVIRONMENTAL IMPROVEMENTS. o CHW ALSO ADVOCATES FOR SOCIAL JUSTICE AND HUMAN RIGHTS, THROUGH DUES AND GIFTS TO ORGANIZATIONS THAT SUPPORT SOCIAL JUSTICE, AND BY ADVOCATING FOR SOCIAL JUSTICE, ENVIRONMENTAL RESPONSIBILITY AND HUMAN RIGHTS THROUGH INVESTMENTS AS SHAREHOLDERS. COMMUNITY BUILDING - WORKFORCE DEVELOPMENT o CHW AND ITS ASSOCIATED FACILITIES ARE COMMITTED TO THE DEVELOPMENT OF THE HEALTH CARE WORKFORCE AND ACTIVELY ENGAGE IN THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS IN MEDICALLY UNDERSERVED AREAS. CHW SUPPORTS THE TRAINING AND RECRUITMENT OF UNDERREPRESENTED MINORITIES AND PARTICIPATES IN COMMUNITY WORKFORCE BOARDS AND PARTNERSHIPS o SEVERAL CHW FACILITIES, AS WELL AS THE ORGANIZATION ITSELF, HAVE PARTNERED WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORK FORCE SHORTAGE AND ACTIVELY ENGAGE IN HEALTH CAREER MENTORING PROGRAMS.
Part III, Section A, Line 4	THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE ABOVE) TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER FINANCIAL ASSISTANCE, AND ARE OTHERWISE UNINSURED. ANY PORTION OF A PATIENT BILL REMAINING AFTER APPLYING FINANCIAL, UNINSURED OR OTHER DISCOUNTS OR PAYMENTS RECEIVED ON THE ACCOUNT THAT ARE ULTIMATELY DETERMINED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO BAD DEBT. CHW PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS AT OR BELOW 200% OR 500%, RESPECTIVELY, OF THE FEDERAL POVERTY LEVEL. CHW ALSO PROVIDES PATIENTS OPTIONS FOR PROMPT PAY DISCOUNTS, DISCOUNTS FOR THE MEDICALLY INDIGENT, AND INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 25% FOR PATIENTS SEEN AT CALIFORNIA AND ARIZONA FACILITIES, AND 30% FOR PATIENTS SEEN AT NEVADA FACILITIES. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. CHW MAKES EVERY EFFORT IN DETERMINING IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. CHW'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. CHW ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE FINANCIAL ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIO-ECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT NO SERVICES THAT HAVE QUALIFIED AS CHARITY ARE REPORTED AS BAD DEBT. AS SUCH, CHW DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE FOLLOWING IS AN EXCERPT FROM CHW AND ITS SUBORDINATE CORPORATIONS' CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2011, RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCES FOR CHARITY AND DOUBTFUL ACCOUNTS: PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE ARE REPORTED AT THE NET REALIZABLE AMOUNT FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED. MANAGEMENT PERIODICALLY REVIEWS THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERGE, AND OTHER COLLECTION INDICATORS. RESERVES FOR CHARITY AND UNCOLLECTIBLE AMOUNTS HAVE BEEN ESTABLISHED AND ARE NETTED AGAINST PATIENT ACCOUNTS RECEIVABLE IN THE AUDITED FINANCIAL STATEMENTS.
Part III, Section B, Line 8	CHW HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1, 2150FF AND PRM 15-2, 1000FF. AS SUCH, THE FOLLOWING LANGUAGE PER THE PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. IN HOSPITALS, ANOTHER FACTOR TO BE CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. CHW BELIEVES THAT THE ENTIRE MEDICARE SHORTFALL OF $429.3 MILLION, AS REPORTED BELOW IN PART VI, LINE 6, WHICH IS NET OF PRIOR YEAR COST REPORT SETTLEMENTS OF $33.9 MILLION, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY CHW HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THIS SHORTFALL INCLUDES $298.0 MILLION REPORTED ON PART III, SECTION B, LINE 7, FOR FEE FOR SERVICE MEDICARE PATIENTS, AS WELL AS ADDITIONAL AMOUNTS RELATED TO THE UNREIMBURSED PORTION OF MEDICARE MANAGED CARE AND MEDICARE CAPITATED PROGRAMS FOR CHW'S HOSPITALS AND THE HOSPITALS OF ITS SUBORDINATE ORGANIZATIONS.
Part III, Section C, Line 9b	CHW ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. CHW'S COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE CHW FACILITY OR BILLING COMPANY RETAINED BY CHW IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED FINANCIAL ASSISTANCE OR FOR ASSISTANCE UNDER CHW'S PATIENT PAYMENT ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, CHW WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. LEGAL ACTION WILL NOT BE PURSUED TO COLLECT DEBTS FROM PATIENTS WHO HAVE QUALIFIED FOR CHARITY OR ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DEBT. CHW DOES NOT IMPOSE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF EACH HOSPITAL PATIENT FINANCIAL ASSISTANCE DEPARTMENT. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, CHW REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
Part VI, Line 2 - Needs Assessment	IN ACCORDANCE WITH CHW POLICY AND CALIFORNIA STATE SENATE BILL 697, ALL CHW HOSPITALS ASSESS THE HEALTHCARE NEEDS OF THEIR RESPECTIVE COMMUNITIES ONCE EVERY THREE YEARS. THIS INFORMATION IS UTILIZED IN DEVELOPING A STRATEGY TO ADDRESS PRIORITIZED NEEDS AND IMPROVE THE HEALTH OF THE COMMUNITIES CHW SERVES. MANY CHW HOSPITALS CONDUCT ASSESSMENTS THROUGH THE AUSPICES OF MULTI-HOSPITAL CONSORTIA. OTHER CHW HOSPITALS HIRE OUTSIDE ORGANIZATIONS TO COMPILE DATA AND SOME UTILIZE EXISTING DATA COLLECTED AND MADE ACCESSIBLE BY OTHER ORGANIZATIONS, INCLUDING PUBLIC HEALTH DEPARTMENTS. QUANTITATIVE INDICATOR DATA ARE COLLECTED FROM SECONDARY DATA SOURCES, WHICH MAY INCLUDE CENSUS DATA, PUBLIC HEALTH ASSESSMENTS, THE LOCAL DEPARTMENT OF EDUCATION, AND LAW ENFORCEMENT RECORDS. PRIMARY DATA TO CAPTURE THE PERSPECTIVES OF THE COMMUNITIES' RESIDENTS MAY BE CONDUCTED THROUGH FOCUS GROUPS, IN-PERSON INTERVIEWS, COMMUNITY FORUMS, NEIGHBORHOOD SURVEYS OR THROUGH TELEPHONE INTERVIEWS. CHW ALSO USES UTILIZATION DATA TO ASSESS THE DEMAND FOR CARE FOR PERSONS PRESENTING WITH AMBULATORY CARE SENSITIVE CONDITIONS THAT EVIDENCE SUGGESTS COULD HAVE BEEN AVOIDED, AT LEAST IN PART, THROUGH MORE PROACTIVE OUTPATIENT CARE. HOSPITALS, COMMUNITY LEADERS, AND POLICY MAKERS USE SUCH DATA TO IDENTIFY COMMUNITY NEED LEVELS, TARGET RESOURCES, AND TRACK THE IMPACT OF PROGRAMMATIC AND POLICY INTERVENTIONS. IN ADDITION, CHW, IN PARTNERSHIP WITH THOMSON REUTERS (FORMERLY SOLUCIENT), DEVELOPED A COMMUNITY NEED INDEX (CNI), WHICH PROVIDES AN AGGREGATE SCORE OF THE SOCIO ECONOMIC BARRIERS THAT PUT RESIDENTS AT GREATER RISK OF NEEDING HEALTH SERVICES. THE CNI AGGREGATES FIVE SOCIOECONOMIC INDICATORS LONG KNOWN TO CONTRIBUTE TO HEALTH DISPARITY, WHICH ARE INCOME, CULTURE/ LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE, AND APPLIES THEM TO EVERY ZIP CODE IN THE UNITED STATES. EACH ZIP CODE IS THEN GIVEN A SCORE RANGING FROM 1.0 (LOW NEED) TO 5.0 (HIGH NEED). RESIDENTS OF COMMUNITIES WITH THE HIGHEST CNI SCORES WERE SHOWN TO BE TWICE AS LIKELY TO EXPERIENCE PREVENTABLE HOSPITALIZATION FOR MANAGEABLE CONDITIONS, SUCH AS EAR INFECTIONS, PNEUMONIA OR CONGESTIVE HEART FAILURE, AS COMMUNITIES WITH THE LOWEST CNI SCORES. THE CNI PROVIDES COMPELLING EVIDENCE FOR ADDRESSING SOCIOECONOMIC BARRIERS WHEN CONSIDERING HEALTH POLICY AND LOCAL HEALTH PLANNING. THE TOOL HIGHLIGHTS HEALTH CARE DISPARITIES BETWEEN GEOGRAPHIC REGIONS AND ILLUSTRATES THE ACUTE NEEDS OF SEVERAL NOTABLE GEOGRAPHIES, INCLUDING INNER CITY AND RURAL AREAS. FURTHER, IT SHOULD ENABLE HEALTH CARE PROVIDERS, POLICYMAKERS, AND OTHERS TO ALLOCATE RESOURCES WHERE THEY ARE MOST NEEDED, USING A STANDARDIZED, QUANTITATIVE TOOL. THE CNI PROVIDES CHW WITH AN IMPORTANT MEANS TO STRATEGICALLY ALLOCATE RESOURCES WHERE IT WILL BE MOST EFFECTIVE IN MAINTAINING A HEALTHY COMMUNITY. ADDITIONAL INFORMATION ABOUT THE CNI IS ACCESSIBLE ON CHW'S WEBSITE: HTTP://WWW.CHWHEALTH.ORG/WHO_WE_ARE/COMMUNITY_HEALTH/STGSS044508
Part VI, Line 3 - Patient Education on Eligibility for Assistance	COMMUNICATION OF THE FINANCIAL ASSISTANCE PROGRAM TO PATIENTS AND THE PUBLIC: INFORMATION ABOUT CHW'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS THE CHW FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES CHW'S FACILITIES SERVE. THE SIGNAGE INCLUDES NOTIFICATION THAT ALL UNINSURED PATIENTS WITH ANNUAL INCOMES LESS THAN $250,000 RECEIVE AN UNINSURED DISCOUNT OF 25% FOR SERVICES PROVIDED IN A CALIFORNIA OR ARIZONA FACILITY, AND 30% FOR SERVICES PROVIDED IN A NEVADA FACILITY, AND THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION. PAYMENT ASSISTANCE INFORMATION, GOVERNMENT PROGRAM RESOURCE INFORMATION, TOOLS TO ASSIST PATIENTS IN FINDING HEALTH COVERAGE, ANSWERS TO FREQUENTLY ASKED BILLING QUESTIONS, AND OTHER SUCH INFORMATION CAN ALSO BE FOUND ON CHW'S WEBSITE AT WWW.CHWHEALTH.ORG. AT THE POINT OF REGISTRATION, ALL PATIENTS RECEIVE BROCHURES EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS. UNINSURED PATIENTS RECEIVE COPIES OF THE FINANCIAL ASSISTANCE AND MEDICAID APPLICATIONS IN ADDITION TO THE BROCHURE UPON ADMISSION TO THE FACILITY. IT IS CHW'S POLICY THAT AT THE TIME OF PATIENT BILLING, CHW FACILITIES PROVIDE TO ALL UNINSURED PATIENTS THE SAME BILLING INFORMATION CONCERNING SERVICES AND CHARGES PROVIDED TO ALL OTHER PATIENTS WHO RECEIVE CARE AT CHW FACILITIES. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO UNINSURED PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS WITHOUT INSURANCE COVERAGE THEY MAY BE ELIGIBLE FOR A GOVERNMENT SPONSORED PROGRAM OR FACILITY FUNDED FINANCIAL ASSISTANCE, INSTRUCTIONS ON HOW TO APPLY FOR A GOVERNMENT PROGRAM OR FINANCIAL ASSISTANCE AND THE PROVISION OF SUCH APPLICATIONS. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF CHW REQUIRE ALL INITIAL STATEMENTS TO UNINSURED PATIENTS TO INCLUDE VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE FINANCIAL ASSISTANCE APPLICATION. ALSO, ANY MEMBER OF THE CHW FACILITY STAFF OR MEDICAL STAFF MAY MAKE REFERRALS OF PATIENTS FOR FINANCIAL ASSISTANCE. THE PATIENT, A FAMILY MEMBER, A CLOSE FRIEND OR AN ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIAL ASSISTANCE.
Part VI, Line 4 - Community Information	CHW DELIVERS CARE TO DIVERSE COMMUNITIES ACROSS ARIZONA, CALIFORNIA AND NEVADA. FOLLOWING IS A SUMMARY OF THE COMMUNITIES SERVED BY CHW, INCLUDING THE DEMOGRAPHICS OF EACH COMMUNITY: ARROYO GRANDE COMMUNITY HOSPITAL (AGCH) - AGCH SERVES THE SOUTHERN PART OF SAN LUIS OBISPO COUNTY INCLUDING THE CITIES OF ARROYO GRANDE, GROVER BEACH, OCEANO, PISMO BEACH AND SHELL BEACH AND THE NORTHERN PART OF THE CITY OF NIPOMO. ARROYO GRANDE COMMUNITY HOSPITAL CONDUCTS ITS NEEDS AND ASSETS ASSESSMENT FOR 2011/2012 BY UTILIZING SECONDARY DATA FROM VARIOUS OTHER AGENCIES SUCH AS KIDSDATA.ORG; CHILDREN IN LUCIA MAR UNIFIED SCHOOL DISTRICT 2010, HUNGER IN AMERICA, HUNGER IN SAN LUIS OBISPO COUNTY, 2010; UNITED STATES CENSUS BUREAU 2009; CHILDREN NOW, CALIFORNIA REPORT CARD 2010; ACTION FOR HEALTHY COMMUNITIES COMPREHENSIVE REPORT 2010; AND CALIFORNIA CANCER FACTS & FIGURES 2010. OTHER SECONDARY DATA COMES FROM LOCAL COMMUNITY-BASED ORGANIZATIONS WHO WORK IN PARTNERSHIP WITH AGCH TO ASSESS THE COMMUNITY, PARTICIPATE IN HEALTHCARE PROGRAM DESIGN AND PARTNER TO RESEARCH FUNDING FOR PROGRAMS OFFERED FOCUSING ON THE DISPROPORTIONATE UNMET HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. COMMUNITY DEMOGRAPHICS (SAN LUIS OBISPO COUNTY) -POPULATION 265,577 -DIVERSITY 72.1% CAUCASIAN, 19.9% HISPANIC, 3.0% ASIAN, 2.0% AFRICAN AMERICAN, .6% AMERICAN INDIAN/ALASKA NATIVE, 2.4% OTHER -AVERAGE INCOME $57,365 -UNINSURED 22.7% -UNEMPLOYMENT 7.4% -NO HS DIPLOMA 7.3% -RENTERS 38.6% -CNI SCORE 3.33 -MEDICAID PATIENTS 11.1% -OTHER AREA HOSPITALS 3 CALIFORNIA HOSPITAL MEDICAL CENTER (CHMC) - THE COMMUNITY THAT CHMC SERVES IS DEFINED AS CHMC'S PRIMARY AND SECONDARY SERVICE AREA AND IS LOCATED IN CENTRAL/DOWNTOWN AND SOUTH CENTRAL LOS ANGELES. CHMC POOLED ITS RESOURCES WITH FIVE OTHER HOSPITALS AND ONE GROUP OF COMMUNITY CLINICS TO COLLECT INFORMATION ABOUT THE HEALTH AND WELL-BEING OF RESIDENTS IN THEIR SERVICE COMMUNITY. THE REPORT WAS DEVELOPED USING BOTH QUANTITATIVE AND QUALITATIVE DATA SOURCES. TO THE EXTENT NECESSARY, SECONDARY OR EXISTING DATASETS WERE ACCESSED TO UPDATE THE PREVIOUS NEEDS ASSESSMENT. DATA SOURCES FOR THIS PURPOSE INCLUDE REPORTS FROM THE LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES, INCLUDING THE LOS ANGELES HEALTH SURVEY, AND ADDITIONAL DATA ON LIVE BIRTHS AND DEATHS. THE PROJECT TEAM UTILIZED 2009 PROJECTION DATA. CALIFORNIA HOSPITAL MEDICAL CENTER IS LOCATED IN A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA AND SERVES A MEDICALLY UNDERSERVED POPULATION. COMMUNITY DEMOGRAPHICS (LOS ANGELES COUNTY) -POPULATION 9,758,256 -DIVERSITY 28.4% CAUCASIAN, 47.1% HISPANIC, 13.6% ASIAN, 8.5% AFRICAN AMERICAN, .2% AMERICAN INDIAN/ALASKA NATIVE, 2.2% OTHER -AVERAGE INCOME $55,476 -UNINSURED 28.9% -UNEMPLOYMENT 8.7% -NO HS DIPLOMA 10.2% -RENTERS 51.8% -CNI SCORE 4.4 -MEDICAID PATIENTS 65.2% -OTHER AREA HOSPITALS 19 CHANDLER REGIONAL HOSPITAL - THE DEFINED SERVICE AREA IS CONSIDERED TO BE ALL OF MARICOPA COUNTY. THE COMMUNITY NEEDS ASSESSMENT WAS COMPLETED THROUGH ARIZONA STATE UNIVERSITY'S HEALTH INFORMATION AND RESEARCH CENTER. MULTIPLE DATA SOURCES WERE INCLUDED IN THE ANALYSIS INCLUDING A COMBINATION OF QUALITATIVE INFORMATION (E.G. SURVEY RESULTS) AND QUANTITATIVE INFORMATION (E.G. ARIZONA HEALTHGRADES ADMINISTRATIVE HEALTH DATA). QUANTITATIVE INFORMATION WAS INCLUDED TO PROVIDE THE BEST PICTURE OF THE COMMUNITY'S HEALTH. SECONDARY DATA WAS OBTAINED FROM THE CHW CNI, THE U.S. CENSUS BUREAU, THE ARIZONA DISEASE CONTROL AND PREVENTIONS, AND THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. COMMUNITY DEMOGRAPHICS (MARICOPA COUNTY) -POPULATION 3,751,410 -DIVERSITY 59.7% CAUCASIAN, 29% HISPANIC, 3.3% ASIAN, 4.5% AFRICAN AMERICAN, 1.5% AMERICAN INDIAN/ALASKA NATIVE, 2.0% OTHER -AVERAGE INCOME $50,448 -UNINSURED 21% -UNEMPLOYMENT 7.7% -NO HS DIPLOMA 7.7% -RENTERS 33.7% -CNI SCORE 2.5 -MEDICAID PATIENTS 17.7 % -OTHER AREA HOSPITALS 7 DOMINICAN HOSPITAL - THE PRIMARY SERVICE AREA IS SANTA CRUZ COUNTY WHICH COVERS 441 SQUARE MILES, AND IS RELATIVELY A PHYSICALLY ISOLATED COMMUNITY. THE TWO MAJOR CITIES ARE SANTA CRUZ, LOCATED ON THE NORTHERN SIDE OF THE MONTEREY BAY, AND WATSONVILLE, SITUATED IN THE SOUTHERN PART OF THE COUNTY. OTHER INCORPORATED AREAS IN THE COUNTY INCLUDE THE CITIES OF SCOTTS VALLEY AND CAPITOLA. APPROXIMATELY 51% OF THE POPULATION LIVES IN THE UNINCORPORATED PARTS OF THE COUNTY, INCLUDING THE TOWNS OF APTOS, DAVENPORT, FREEDOM, SOQUEL, FELTON, BEN LOMOND AND BOULDER CREEK, AND DISTRICTS SUCH AS THE SAN LORENZO VALLEY, LIVE OAK AND PAJARO. DOMINICAN HOSPITAL PARTNERS WITH THE UNITED WAY OF SANTA CRUZ COUNTY IN CONVENING A CONSORTIUM OF PUBLIC AND PRIVATE HEALTH, EDUCATION, HUMAN SERVICE AND CIVIC ORGANIZATIONS IN THE SPONSORSHIP OF THE COMMUNITY ASSESSMENT PROJECT OF SANTA CRUZ COUNTY (CAP). UNDER THE GUIDANCE OF THE CAP STEERING COMMITTEE, APPLIED SURVEY RESEARCH, A NOT-FOR-PROFIT SOCIAL RESEARCH FIRM, MANAGES THE ASSESSMENT, COLLECTING SECONDARY (PRE-EXISTING) DATA AND CONDUCTING THE ANNUAL COMMUNITY SURVEY FOR PRIMARY (PUBLIC OPINION) DATA. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. COMMUNITY DEMOGRAPHICS (SANTA CRUZ COUNTY) -POPULATION 256,901 -DIVERSITY 61% CAUCASIAN, 30.8% HISPANIC, 4% ASIAN, .9% AFRICAN AMERICAN, .2% AMERICAN INDIAN/ ALASKA NATIVE, 3.10% OTHER -AVERAGE INCOME $50,605 -UNINSURED 22.3% -UNEMPLOYMENT 8.3% -NO HS DIPLOMA 6.2% -RENTERS 40.4% -CNI SCORE 2.9 -MEDICAID PATIENTS 14.3% -OTHER AREA HOSPITALS 2 FRENCH HOSPITAL MEDICAL CENTER (FHMC) - THE PRIMARY SERVICE AREA FOR FHMC IS SAN LUIS OBISPO, MORRO BAY, LOS OSOS, ATASCADERO AND PASO ROBLES. A SECONDARY SERVICE AREA IS IDENTIFIED AS ARROYO GRANDE, PISMO BEACH, GROVER BEACH, OCEANO, AND AVILA BEACH. FRENCH HOSPITAL MEDICAL CENTER CONDUCTED ITS NEEDS AND ASSETS ASSESSMENT FOR FY 2011/2012 FOR THE PRIMARY SERVICE AREA BY UTILIZING SECONDARY DATA FROM VARIOUS AGENCY REPORTS SUCH AS: ACTION FOR HEALTHY COMMUNITIES 2010 REPORT, CALIFORNIA HEALTH INTERVIEW SURVEY (CHIS), CHILDREN'S NOW CALIFORNIA REPORT CARD 2010, CALIFORNIA CANCER FACTS AND FIGURES-2010, THE HEALTH STATUS REPORT SAN LUIS OBISPO COUNTY PUBLIC HEALTH DEPARTMENT 2010 AND, THE COMMUNITY NEEDS INDEX. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. COMMUNITY DEMOGRAPHICS (SAN LUIS OBISPO COUNTY) -POPULATION 265,577 -DIVERSITY 72.1% CAUCASIAN, 19.9% HISPANIC, 3% ASIAN, 2% AFRICAN AMERICAN, .6% AMERICAN INDIAN/ALASKA NATIVE 2.4% OTHER -AVERAGE INCOME $57365 -UNINSURED 22.7% -UNEMPLOYMENT 7.4% -NO HS DIPLOMA 7.3% -RENTERS 38.6% -CNI SCORE 3.5 -MEDICAID PATIENTS 11.1 % -OTHER AREA HOSPITALS 3 GLENDALE MEMORIAL HOSPITAL - THE HOSPITAL SERVES RESIDENTS FROM A BROAD GEOGRAPHIC AREA. ITS PRIMARY SERVICE AREA ENCOMPASSES 29 ZIP CODES IN THE COUNTY OF LOS ANGELES. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. IN 2010 FMA COMMUNITY HEALTH CONSULTING PREPARED THE ASSESSMENT ON BEHALF OF THE THREE NOT-FOR-PROFIT HOSPITALS SERVING THE GLENDALE COMMUNITY: GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER, GLENDALE ADVENTIST MEDICAL CENTER AND VERDUGO HILLS HOSPITAL. THREE APPROACHES, INCLUDING SECONDARY DATA AND INFORMATION, ASSET MAPPING AND QUALITATIVE AND QUANTITATIVE PRIMARY RESEARCH WERE UTILIZED. FMA COMMUNITY HEALTH CONSULTANTS SUMMARIZED KEY DEMOGRAPHIC, SOCIO-ECONOMIC AND HEALTH STATUS INDICATORS FOR EACH HOSPITAL'S SERVICE AREA. DEMOGRAPHIC INFORMATION WAS ANALYZED USING PUBLISHED INFORMATION FROM THE 2000 AND 2010 U.S. BUREAU OF THE CENSUS AND AS AVAILABLE THROUGH NIELSEN CLARITAS, INC., A PRIVATE VENDOR OF DEMOGRAPHIC AND OTHER RELATED INFORMATION, CREATED ON HEALTHYCITY.ORG. FURTHER INFORMATION WAS OBTAINED THROUGH MORE THAN 30 COMMUNITY-BASED SERVICE ORGANIZATIONS. COMMUNITY DEMOGRAPHICS (CITY OF GLENDALE) -POPULATION 192,190 -DIVERSITY 63.5% CAUCASIAN, 16.8% HISPANIC, 16.2% ASIAN, 1.7% AFRICAN AMERICAN, .1% AMERICAN INDIAN/ALASKA NATIVE, 1.7% OTHER -AVERAGE INCOME $54,577 -UNINSURED 28.9% -UNEMPLOYMENT 8.0% -NO HS DIPLOMA 6.1% -RENTERS 61% -CNI SCORE 4.3 -MEDICAID PATIENTS 28.2 % -OTHER AREA HOSPITALS 11 MARIAN MEDICAL CENTER - MARIAN MEDICAL CENTER, LOCATED IN NORTHERN SANTA BARBARA COUNTY, HAS THE SANTA MARIA VALLEY AS ITS LARGEST SERVICE AREA. THE FOUR LARGEST COMMUNITIES IN MARIAN'S PRIMARY SERVICE AREA ARE THE CITY OF SANTA MARIA, THE CITY OF GUADALUPE, THE UNINCORPORATED PORTION OF NORTH COUNTY THAT INCLUDES ORCUTT, SISQUOC AND TEPESQUET WITH NIPOMO, AN UNINCORPORATED COMMUNITY OF APPROXIMATELY 13,000 PEOPLE IN SOUTHERN SAN LUIS OBISPO COUNTY. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA AND A MEDICALLY UNDERSERVED POPULATION. MARIAN MEDICAL CENTER CONDUCTED ITS NEEDS AND ASSETS ASSESSMENT FOR FY 2011/2012 FOR THE PRIMARY SERVICE AREA BY UTILIZING SECONDARY DATA FROM VARIOUS OTHER AGENCIES SUCH AS: SANTA BARBARA COUNTY PUBLIC HEALTH DEPARTMENT COMMUNI
.	ST. BERNARDINE MEDICAL CENTER - THE PRIMARY SERVICE AREA ENCOMPASSES NINE CITIES COVERING 17 ZIP CODES THAT INCLUDE BLOOMINGTON, COLTON, CRESTLINE, FONTANA, HESPERIA, HIGHLAND, RIALTO, YUCAIPA AND SAN BERNARDINO. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. IN FY11 ST. BERNARDINE MEDICAL CENTER (SBMC), IN COLLABORATION WITH COMMUNITY HOSPITAL OF SAN BERNARDINO (CHSB), CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT. BIEL CONSULTING WAS ENGAGED TO CONDUCT THE ASSESSMENT FOR THE PRIMARY SERVICE AREA OF THE HOSPITAL. CHSB AND SBMC DEVELOPED A LIST OF 25 KEY STAKEHOLDERS (INDIVIDUALS, AGENCIES, ORGANIZATIONS, AND COALITIONS) WHO ARE WELL ALIGNED IN THE ONGOING MISSION AND COLLABORATION TO MEET THE UNMET NEEDS OF THE SERVICE AREA. BIEL CONSULTING USED THIS LIST TO COLLECT PRIMARY DATA THROUGH STAKEHOLDER INTERVIEWS. EXECUTIVE OFFICERS/ADMINISTRATORS WERE ALSO INTERVIEWED. 8 FOCUS GROUPS (6 ENGLISH AND 2 SPANISH) WERE CONDUCTED WITH 90 AREA RESIDENTS WHO ARE CLIENTS OF COMMUNITY ORGANIZATIONS IN THE SERVICE AREA AND 107 PUBLIC SURVEYS WERE COMPLETED BY HARD PAPER COPY OR VIA THE INTERNET THROUGH A SURVEY LINK POSTED ON THE SBMC WEBSITE. SECONDARY DATA WAS OBTAINED FROM SEVERAL RESOURCES, INCLUDING CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, ENVIRONMENTAL SYSTEMS RESEARCH INSTITUTE, INC. (ESRI), HOUSING AUTHORITY OF SAN BERNARDINO COUNTY, HUD, U.S. BUREAU OF THE CENSUS, CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT, CALIFORNIA DEPARTMENT OF EDUCATION, CALIFORNIA HEALTH INTERVIEW SURVEY AND NATIONAL CANCER INSTITUTE. COMMUNITY DEMOGRAPHICS (SAN BERNARDINO COUNTY) -POPULATION 2,005,287 -DIVERSITY 34.7% CAUCASIAN, 47.9% HISPANIC, 6% ASIAN, 8.5% AFRICAN AMERICAN, .4% AMERICAN INDIAN/ALASKA NATIVE, 2.5% OTHER -AVERAGE INCOME $54,845 -UNINSURED 25.1% -UNEMPLOYMENT 11.1% -NO HS DIPLOMA 12.1% -RENTERS 34.9% -CNI SCORE 4.4 -MEDICAID PATIENTS 27.7% -OTHER AREA HOSPITALS 8 ST. ELIZABETH COMMUNITY HOSPITAL - ST. ELIZABETH COMMUNITY HOSPITAL (SECH) IS LOCATED IN TEHAMA COUNTY. THE COUNTY IS BORDERED BY GLENN COUNTY TO THE SOUTH, TRINITY AND MENDOCINO COUNTIES TO THE WEST, SHASTA COUNTY TO THE NORTH, AND BUTTE AND PLUMAS COUNTIES TO THE EAST. THE COUNTY IS SITUATED IN THE NORTHERN PORTION OF THE SACRAMENTO VALLEY, AND IS DIVIDED IN HALF BY THE SACRAMENTO RIVER. THE HOSPITAL SERVICE AREA INCLUDES RED BLUFF, GERBER, CORNING, LOS MOLINOS AND COTTONWOOD. THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. ST. ELIZABETH COMMUNITY HOSPITAL IS COMMITTED TO INVOLVING AND INFORMING THE RESIDENTS OF TEHAMA COUNTY IN A COMMUNITY NEEDS ASSESSMENT SURVEY PROCESS. THE SECH COMMUNITY BENEFIT TEAM UTILIZED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS THROUGH A PARTNERSHIP WITH THE SIMPSON COLLEGE BACHELORS OF NURSING ASPIRE STUDENTS AND CALIFORNIA STATE UNIVERSITY, CHICO'S HEALTH SERVICES ADMINISTRATION PROGRAM. TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A MIXED METHODOLOGY WAS EMPLOYED VIA PAPER SURVEYS AND IDENTICAL WEB-BASED SURVEYS VIA SURVEY MONKEY.COM. THE SAMPLE DESIGN UTILIZED FOR THIS EFFORT CONSISTED OF A RANDOM SAMPLE OF 450 INDIVIDUALS LIVING IN TEHAMA COUNTY AGED 18 AND OLDER. THE SAMPLE OF 450 AREA RESIDENTS IS HIGHLY REPRESENTATIVE OF THE ADULT POPULATION AND PRESENTS A MAXIMUM STATISTICAL ERROR RATE OF +/-4% AT THE 95 PERCENT LEVEL OF CONFIDENCE. SURVEY RESPONSES FROM THE COMMUNITY WERE OBTAINED IN PERSON BY ATTENDING VARIOUS HEALTH AGENCY AND COMMITTEE MEETINGS, HEALTH AND EDUCATION FAIRS AND ONLINE THROUGH COMMUNITY EMAIL LISTS PROVIDED BY THE LOCAL CHAMBERS OF COMMERCE. ADDITIONALLY ANNOUNCEMENTS REGARDING THE SURVEY WERE MADE IN THE LOCAL NEWSPAPERS THAT INCLUDED THE ELECTRONIC LINK ADDRESS BY WHICH THE SURVEY WAS ACCESSED. ONCE DATA WAS OBTAINED, IT WAS THEN ANALYZED BY EVALUATING PUBLISHED REPORTS FROM NATIONAL SOURCES SUCH AS HEALTHY PEOPLE 2020 OR THE 2010 US CENSUS TO QUANTITATIVELY COMPARE DATA COLLECTED IN 2011 CHNA. DATA WAS THEN COMPARED QUALITATIVELY BY QUANTIFYING STATISTICS NUMERICALLY AND COMPARING AGAINST SECONDARY DATA SOURCES. COMMUNITY DEMOGRAPHICS (TEHAMA COUNTY) -POPULATION 62,575 -DIVERSITY 73.1% CAUCASIAN, 20.8% HISPANIC, 1.1% ASIAN, .6% AFRICAN AMERICAN, 1.6% AMERICAN INDIAN/ALASKA NATIVE, 2.8% OTHER -AVERAGE INCOME $38,137 -UNINSURED 27.9% -UNEMPLOYMENT 11.3% -NO HS DIPLOMA 11.9% -RENTERS 34.9% -CNI SCORE 4.2 -MEDICAID PATIENTS 24.3% -OTHER AREA HOSPITALS 6 ST. JOHN'S PLEASANT VALLEY HOSPITAL AND ST. JOHN'S REGIONAL MEDICAL CENTER - COMMUNITY IS DEFINED AS THE RESIDENT POPULATION WITHIN THE HOSPITALS' SERVICE AREAS. ST. JOHN'S PLEASANT VALLEY HOSPITAL IN CAMARILLO AND ST. JOHN'S REGIONAL MEDICAL CENTER IN OXNARD SERVE ALL OF VENTURA COUNTY. THE PRIMARY SERVICE AREAS INCLUDE CAMARILLO, OXNARD AND PORT HUENEME. THE HOSPITALS SERVE A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. THE ST. JOHN'S COMMUNITY ADVISORY BOARD PARTNERED WITH OTHER HEALTHCARE ORGANIZATIONS TO FORM THE COMMUNITY NEEDS ASSESSMENT COLLABORATIVE GROUP. THE INNOVATIVE RESEARCH GROUP WAS CONTRACTED TO CONDUCT TELEPHONE SURVEYS OF VENTURA COUNTY. A COMBINATION OF RANDOM SAMPLING AND SIMPLE RANDOM SAMPLING METHODS WERE USED. THE POPULATION WAS DIVIDED INTO TWENTY-THREE ZIP CODE AREAS FOR THE SURVEY. COMMUNITY DEMOGRAPHICS (VENTURA COUNTY) -POPULATION 809,080 -DIVERSITY 50.1 CAUCASIAN, 39% HISPANIC, 6.7% ASIAN, 1.6% AFRICAN AMERICAN, .2% AMERICAN INDIAN/ALASKA NATIVE, 2.4% OTHER -AVERAGE INCOME $75,348 -UNINSURED 21.2% -UNEMPLOYMENT 7.2% -NO HS DIPLOMA 7.8% -RENTERS 33.6% -CNI SCORE - SJPVH 3.4 -MEDICAID PATIENTS 8.7% -OTHER AREA HOSPITALS 5 COMMUNITY DEMOGRAPHICS (CITY OF OXNARD) -POPULATION 192,520 -DIVERSITY 15.6% CAUCASIAN, 66.9%, HISPANIC, 8.7% ASIAN, 3.2% AFRICAN AMERICAN, .2% NATIVE HAWAIIAN OR PACIFIC ISLANDER, .1% AMERICAN INDIAN/ALASKA NATIVE, 5.3% OTHER -AVERAGE INCOME $59,015 -UNINSURED 21.2% -UNEMPLOYMENT 8.2% -NO HS DIPLOMA 14% -RENTERS 44.4% -CNI SCORE - SJRMC 3.6 -MEDICAID PATIENTS 15.5% -OTHER AREA HOSPITALS 5 ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER - ST. JOSEPH'S HOSPITAL DRAWS APPROXIMATELY 90% OF ITS PATIENTS FROM MARICOPA COUNTY, 9% FROM OUTSIDE MARICOPA COUNTY BUT WITHIN ARIZONA, AND 4% FROM OUTSIDE THE STATE. (NOTE: 61% OF THE POPULATION OF THE STATE OF ARIZONA RESIDES WITHIN MARICOPA COUNTY.) THE HOSPITAL SERVES A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER ASSESSES THE NEEDS OF THE COMMUNITY ON AN ONGOING BASIS AND USES THE ASSESSMENT CONDUCTED BY THE ARIZONA STATE UNIVERSITY CENTER FOR HEALTH INFORMATION AND RESEARCH (CHIR) AND OTHER SOURCES THROUGHOUT THE YEAR. CHIR UTILIZES THE ARIZONA HEALTH QUERY, A COMMUNITY HEALTH DATA SYSTEM CREATED BY THE VOLUNTARY PARTICIPATION OF HEALTH CARE INSURERS AND PROVIDERS. THE DATA COMBINES INFORMATION ABOUT MORE THAN SEVEN MILLION PERSONS PROVIDING INFORMATION ABOUT THE PRIMARY SERVICE AREA (MARICOPA COUNTY) AND THE SECONDARY SERVICE AREA (THE REST OF THE STATE OF ARIZONA. COMMUNITY DEMOGRAPHICS (MARICOPA COUNTY) -POPULATION 3,751,410 -DIVERSITY 59.7% CAUCASIAN, 29% HISPANIC, 3.3% ASIAN, 4.5% AFRICAN AMERICAN, 1.5% AMERICAN INDIAN/ALASKA NATIVE, 2.0% OTHER -AVERAGE INCOME $50,448 -UNINSURED 21% -UNEMPLOYMENT 7.7% -NO HS DIPLOMA 7.7% -RENTERS 33.7% -CNI SCORE 3.7 -MEDICAID PATIENTS 17.7% -OTHER AREA HOSPITALS 7 ST. JOSEPH'S MEDICAL CENTER/ST. JOSEPH'S BEHAVIORAL HEALTH CENTER - THE PRIMARY SERVICE AREA OF ST. JOSEPH'S MEDICAL CENTER (SJMC) AND ST. JOSEPH'S BEHAVIORAL HEALTH CENTER IS STOCKTON AND THE SECONDARY SERVICE AREA IS SAN JOAQUIN COUNTY. SJMC ALSO SERVES AS A REFERRAL FOR TERTIARY CARE FOR SURROUNDING COUNTIES, WHICH INCLUDE ALPINE, AMADOR, CALAVERAS, MARIPOSA, STANISLAUS AND TUOLUMNE COUNTIES. THE HOSPITALS SERVE A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA. APPLIED SURVEY RESEARCH CONDUCTED THE 2011 NEEDS ASSESSMENT FOR A CONSORTIUM OF HOSPITALS AND AGENCIES IN THE STOCKTON SERVICE AREA, INCLUDING: ST. JOSEPH'S MEDICAL CENTER, DAMERON HOSPITAL, COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN, SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, SAN JOAQUIN COUNTY OFFICE OF EDUCATION, ST. MARY'S INTERFAITH COMMUNITY SERVICES, FIRST FIVE OF SAN JOAQUIN, COMMUNITY MEDICAL CENTERS, UNIVERSITY OF THE PACIFIC, HEALTH PLAN OF SAN JOAQUIN, KAISER PERMANENTE, SUTTER TRACY COMMUNITY HOSPITAL, HEALTHIER COMMUNITY COALITION OF SAN JOAQUIN AND THE BREAST FEEDING COALITION OF SAN JOAQUIN. PRIMARY DATA WERE OBTAINED FROM A TELEPHONE SURVEY AND FACE-TO-FACE SURVEY OF SAN JOAQUIN COUNTY RESIDENTS. SECONDARY DATA WERE COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO: US CENSUS, FEDERAL, STATE AND LOCAL GOVERNMENT AGENCIES; ACADEMIC INSTITUTIONS; ECONOMIC DEVELOPMENT GROUPS; HEALTH CARE INSTITUTIONS; AND COMPUTERIZED SOURCES THROUGH ONLINE DATABASES AND THE INTERNET. COMMUNITY DEMOGRAPHICS (SAN JOAQUIN COUNTY) -POPULATION 673,613 -DIVERSITY 37.3% CAUCASIAN, 37.7% HISPANIC, 13.9% ASIAN, 6.9% AFRICAN AMERICAN,.5% AMERICAN INDIAN/ALASKA NATIVE, 3.7% OTHER -AVERAGE INCOME $54,341 -UNINS
Part VI, Line 5 - Promotion of community health	SEE FORM 990, PART III, 4A FOR A BRIEF INTRODUCTION OF CATHOLIC HEALTHCARE WEST USE OF SURPLUS FUNDS - AS A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, CHW REINVESTS ALL ITS OPERATING AND INVESTMENT INCOME IN HOSPITAL IMPROVEMENTS, TECHNOLOGY ENHANCEMENTS, COMMUNITY HEALTH PROGRAMS, AND EMPLOYEE BENEFITS. THIS ACTIVE REINVESTMENT MAKES IT POSSIBLE FOR US TO DELIVER ON OUR MISSION, INCLUDING ENSURING THAT EVERYONE HAS ACCESS TO HEALTHCARE. OPEN MEDICAL STAFF - MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS GATHERS AND VERIFIES CREDENTIALS, ALLOWS THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND TO ULTIMATELY MAKE A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES. CREDENTIALS VERIFICATION IS THE DETERMINATION WHETHER A PRACTITIONER'S CREDENTIALS ARE AUTHENTIC AND VALID. THE ROLE OF THE BOARD - THE CHW BOARD OF DIRECTORS ESTABLISHES KEY MEASURES OF SYSTEM-WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVES REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. CHW HOSPITAL COMMUNITY BOARDS AND SUBSIDIARY BOARDS (COMMUNITY BOARDS), WHICH ARE RATIFIED BY THE CHW BOARD, ARE RESPONSIBLE FOR ENSURING THE HOSPITALS DEVELOP PROGRAMS TO ADDRESS THE DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS OF THE COMMUNITIES THE HOSPITALS SERVE. IN ADDITION, COMMUNITY BOARDS ENSURE THE DEVELOPMENT OF COMMUNITY BENEFIT INITIATIVES TO PROMOTE THE BROADER HEALTH OF THE COMMUNITY. IN FULFILLING THESE RESPONSIBILITIES, THE COMMUNITY BOARD MAY DESIGNATE A COMMUNITY HEALTH COMMITTEE OF THE BOARD TO INCLUDE AT LEAST TWO BOARD MEMBERS, WITH A MAJORITY REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WHO HAVE KNOWLEDGE OF THE COMMUNITY. THE COMMUNITY BOARD, OR BOARD COMMITTEE, PARTICIPATES IN THE PROCESS OF ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY NEEDS ASSESSMENTS AND DEVELOPING THE HOSPITAL'S COMMUNITY BENEFIT PLAN AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS. IF APPLICABLE, MEMBERS OF THE COMMITTEE WILL ENSURE THAT THE COMMUNITY BOARD IS REGULARLY BRIEFED ON ACTIVITIES AND DEVELOPMENTS AND WILL ALSO ENSURE THAT THE COMMITTEE HAS INFORMATION FROM THE COMMUNITY BOARD AND MANAGEMENT NEEDED TO MAKE INFORMED DECISIONS. THE COMMUNITY BOARD IS ALSO RESPONSIBLE FOR REVIEW AND APPROVAL OF THE ANNUAL HOSPITAL COMMUNITY BENEFIT PLAN AND REPORT. CHW PROVIDES HOSPITAL SERVICES AND CARRIES OUT OUR MISSION AT THE FOLLOWING FACILITIES IN CALIFORNIA, ARIZONA AND NEVADA. FOR DETAILED INFORMATION ON THE SERVICES AND COMMUNITY BENEFITS PROVIDED AT THESE FACILITES, PLEASE VISIT THEIR INDIVIDUAL WEB SITES, WHICH ARE PROVIDED BELOW. ARROYO GRANDE COMMUNITY HOSPITAL HTTP://WWW.ARROYOGRANDEHOSPITAL.ORG/ CALIFORNIA HOSPITAL MEDICAL CENTER HTTP://WWW.CHMCLA.ORG/ CHANDLER REGIONAL HOSPITAL HTTP://WWW.CHANDLERREGIONAL.ORG/ DOMINICAN HOSPITAL HTTP://WWW.DOMINICANHOSPITAL.ORG FRENCH HOSPITAL MEDICAL CENTER HTTP://WWW.FRENCHMEDICALCENTER.ORG GLENDALE MEMORIAL HOSPITAL & HEALTH CENTER HTTP://WWW.GLENDALEMEMORIAL.COM MARIAN REGIONAL MEDICAL CENTER HTTP://WWW.MARIANMEDICALCENTER.ORG/ MERCY GENERAL HOSPITAL HTTP://WWW.MERCYGENERAL.ORG/ MERCY GILBERT MEDICAL CENTER HTTP://WWW.MERCYGILBERT.ORG MERCY HOSPITAL OF FOLSOM HTTP://WWW.MERCYFOLSOM.ORG/ MERCY HOSPITAL OF BAKERSFIELD HTTP://WWW.MERCYBAKERSFIELD.ORG/ MERCY SOUTHWEST HOSPITAL HTTP://WWW.MERCYBAKERSFIELD.ORG/ MERCY MEDICAL CENTER MERCED HTTP://WWW.MERCYMERCEDCARES.ORG/INDEX.HTM MERCY MEDICAL CENTER MT. SHASTA HTTP://WWW.MERCYMTSHASTA.ORG/ MERCY MEDICAL CENTER REDDING HTTP://REDDING.MERCY.ORG/ MERCY SAN JUAN MEDICAL CENTER HTTP://WWW.MERCYSANJUAN.ORG/ METHODIST HOSPITAL OF SACRAMENTO HTTP://WWW.METHODISTSACRAMENTO.ORG/ NORTHRIDGE HOSPITAL MEDICAL CENTER HTTP://WWW.NORTHRIDGEHOSPITAL.ORG SAINT MARY'S REGIONAL MEDICAL CENTER HTTP://WWW.SAINTMARYSRENO.ORG/ SEQUOIA HOSPITAL HTTP://WWW.SEQUOIAHOSPITAL.ORG/ ST. BERNARDINE MEDICAL CENTER HTTP://WWW.STBERNARDINEMEDCTR.ORG/ ST. ELIZABETH COMMUNITY HOSPITAL HTTP://REDBLUFF.MERCY.ORG/ ST. JOHN'S PLEASANT VALLEY HOSPITAL HTTP://WWW.STJOHNSHEALTH.ORG/ ST. JOHN'S REGIONAL MEDICAL CENTER HTTP://WWW.STJOHNSHEALTH.ORG/ ST. JOSEPH'S BEHAVIORAL HEALTH CENTER HTTP://WWW.STJOSEPHSCANHELP.ORG/ ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER HTTP://WWW.STJOSEPHS-PHX.ORG ST. JOSEPH'S MEDICAL CENTER HTTP://WWW.STJOSEPHSCARES.ORG/ ST. MARY MEDICAL CENTER HTTP://WWW.STMARYMEDICALCENTER.ORG/ ST. MARY'S MEDICAL CENTER HTTP://WWW.STMARYSMEDICALCENTER.ORG/ ST. ROSE DOMINICAN HOSPITAL - ROSE DE LIMA CAMPUS HTTP://WWW.STROSEHOSPITALS.ORG/ ST. ROSE DOMINICAN HOSPITAL - SAN MARTIN CAMPUS HTTP://WWW.STROSEHOSPITALS.ORG/ ST. ROSE DOMINICAN HOSPITALS - SIENA CAMPUS HTTP://WWW.STROSEHOSPITALS.ORG/ WOODLAND HEALTHCARE HTTP://WWW.WOODLANDHEALTHCARE.ORG
Part VI, Line 6 - Affiliated Healthcare System	Affiliates of CHW also promote the health of additional communities in Bakersfield, San Bernardino, San Francisco, San Andreas, and Grass Valley/Nevada City, California. These affiliates follow practices similar to those noted above in determining the unmet healthcare needs of their communities. Total unsponsored community benefit expense for CHW and its subordinate corporations for the year ended June 30, 2011, is as follows: Persons Net Comm % of Served Benefit Exp excl Bad Debt Benefits for the Poor: Traditional Charity Care 97,422 152,563,579 1.6% Unpaid Costs of Medicaid/Medi-Cal 1,035,601 444,972,896 4.7% Other Means-tested Programs 253,140 63,978,237 0.7% Community Services: Community Health Services 552,089 49,285,673 0.5% Health Professions Education 21,637 10,998,382 0.1% Subsidized Health Services 219,756 37,388,406 0.4% Donations 233,077 37,415,522 0.4% Community Building Activities 15,081 1,642,251 0.0% Community Benefit Operations 19,210 6,983,659 0.1% Total Community Services for the poor 1,060,850 143,713,893 1.5% Total Benefits for the Poor 2,447,013 805,228,605 8.5% Benefits for the Broader Community: Community Services: Community Health Services 2,004,902 23,003,029 0.2% Health Professions Education 52,255 65,128,468 0.7% Subsidized Health Services 124,290 11,026,699 0.1% Research 5,057 24,166,007 0.3% Donations 202,417 7,914,381 0.1% Community Building Activities 63,555 8,148,278 0.1% Community Benefit Operations 937 2,883,276 0.0% Total Benefits for the Broader Community 2,453,413 142,270,138 1.5% Total Community Benefits 3,562,475 571,626,794 10.0% Unpaid Costs of Medicare 1,109,062 429,356,656 4.5% Total Community Benefits including Cost of Medicare 6,009,488 1,376,855,399 14.5%
Part IV - Management Companies and Joint Ventures	Part IV, column (a) Entity 1: St Joseph's Outpatient Surgery Center LLC Entity 2: Southwest Orthopedic & Spine Hospital Real Estate LLC Entity 3: Surgery Center of Peoria, LLC Entity 4: Southwest Lithotripsy, LLC Entity 5: Surgery Center of Reno, LLC Entity 6: Reno Cyberknife, LLC Entity 7: St. Mary's Outpatient Surgery Center at Galena, LLC Entity 8: Reno Imaging Partners, LLC Entity 9: San Martin Surgery Center LLC Entity 10: Parkway Surgery Center LLC Entity 11: San Martin Investors Limited Partnership Entity 12: RBR Management, LLC Entity 13: Sacramento Midtown Endoscopy Center Part IV, columns (a), (b), (c) and (d) (continuation) Entity 14: Folsom Sierra Endoscopy Center, LP; (b) Surgery; (c) 51.00; (d) NONE; (e) 49.00 Entity 15: Folsom Outpatient Surgery Center LP; (b) Surgery; (c) 61.03; (d) NONE; (e) 38.97 Entity 16: Roseville Surgery Center LP; (b) Surgery; (c) 57.53; (d) NONE; (e) 18.31 Entity 17: Grass Valley Outpatient Surgery Center LP; (b) Surgery; (c) 45.61; (d) NONE; (e) 31.59 Entity 18: North State Surgery Centers LP ; (b) Surgery; (c) 62.33; (d) NONE; (e) 33.56 Entity 19: St. Joseph's Surgery Center, LP; (b) Surgery; (c) 80.00; (d) NONE; (e) 13.30 Entity 20: Millenium Surgery Center, Inc; (b) Surgery; (c) 60.00; (d) NONE; (e) 40.00 Entity 21: Santa Cruz Surgery Center; (b) Surgery; (c) 50.00; (d) NONE; (e) 50.00 Entity 22: Santa Cruz Comprehensive Imaging, LLC; (b) Imaging; (c) 50.00; (d) NONE; (e) 50.00 Entity 23: Dominican Breast Center, LLC; (b) Imaging; (c) 50.00; (d) NONE; (e) 50.00 Entity 24: Dominican Magnetic Resonance Imaging Center; (b) Imaging; (c) 80.00; (d) NONE; (e) 20.00 Entity 25: Coastal Surgical Specialists Inc; (b) Surgery; (c) 51.00; (d) NONE; (e) 49.00 Entity 26: Templeton Surgery Center, LLC; (b) Surgery; (c) 65.26; (d) NONE; (e) 34.74 Entity 27: Plaza Surgery Center, LP; (b) Surgery; (c) 51.00; (d) NONE; (e) 49.00 Entity 28: Mountain View Surgery Center; (b) Surgery; (c) 25.00; (d) NONE; (e) 75.00 Entity 29: Medical Pavilion at St. John's ; (b) Real Estate (Rent/Lease); (c) 25.00; (d) NONE; (e) 64.67 Entity 30: Radiation Oncology Centers of Ventura County ; (b) Imaging; (c) 50.00; (d) NONE; (e) 50.00 Entity 31: Outpatient Surgery Center LP; (b) Surgery; (c) 68.50; (d) NONE; (e) 29.50
STATE FILING OF COMMUNITY BENEFIT REPORT	AZ,CA,	990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (293 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
ALEXANDRIA HOUSE
426 S Alexandria Ave	Los Angeles	CA	90020	944809755	501(c)(3)	17000	0	N/A	N/A	Social Health
ALLAN HANCOCK COLLEGE
800 S COLLEGE DR	SANTA MARIA	CA	93454	521692042	GOVT	213380	0	N/A	N/A	EDUCATIONAL SUPPORT
ALLIANCE AGAINST FAMILY
1921 19th St	Bakersfield	CA	93302	953604240	501(c)(3)	17775	0	N/A	N/A	Social Health Friends Fore Golf
ALLIANCE FOR HOUSING AND HEALING
825 Colorado Blvd Ste 100	Los Angeles	CA	90041	954147364	501(c)(3)	15000	0	N/A	N/A	Social Health
ALLIANCE FOR PHARMACEUTICAL ACCESS
221 TOWN Ctr WEST	SANTA MARIA	CA	93458	203117940	501(c)(3)	82500	0	N/A	N/A	SERVICE FOR THE POOR
ALPHA CRISIS PREGNANCY HELP Center
645 W Olive Ave 321	Merced	CA	95348	770079754	501(c)(3)	24000	0	N/A	N/A	Social Health
AL-SHIFA CLINIC INC
2034-B Mallory St	San Bernardino	CA	92407	330855769	501(c)(3)	25000	0	N/A	N/A	Service for the Poor
ALZHEIMER'S DISEASE ASSOC DESERT SW
1028 E McDowell Rd	Phoenix	AZ	85006	860402582	501(c)(3)	45000	0	N/A	N/A	Educational Support
ALZHEIMER'S DISEASE ASSOC OF KERN COUNTY
5500 Olive Dr Blg 1	Bakersfield	CA	93308	770017561	501(c)(3)	16000	0	N/A	N/A	Quality of Life
American Cancer Society
4550 E Bell Road Ste 126	Phoenix	AZ	85032	841316555	501(c)(3)	14000	0	N/A	N/A	Quality of Life
American Cancer Society
754 Mangrove Ave	Chico	CA	95926	941170350	501(c)(3)	48024	0	N/A	N/A	Quality of Life
AMERICAN HEART ASSOCiation
100 MONTGOMERY ST Ste 1650	SAN FRANCISCO	CA	91404	135613797	501(c)(3)	403484	0	N/A	N/A	PREVENTATIVE CARE
AMERICAN LUNG ASSOCiation
10615 Double R Blvd	Reno	NV	89521	860111676	501(c)(3)	45500	0	N/A	N/A	Social Health
American Red Cross
85 2nd St 8th fl	San Francisco	CA	94105	943045430	501(c)(3)	29000	0	N/A	N/A	Social Health
Andre Agassi Foundation for Education
3883 Howard Hughes Pkwy 8th Fl	Las Vegas	NV	89169	341759295	501(c)(3)	5733	0	N/A	N/A	Educational Support
Archdiocese of Los Angeles
3424 Wilshire Blvd	Los Angeles	CA	90010	951642382	501(c)(3)	13500	0	N/A	N/A	Social Health
Archdiocese of San Francisco
One Peter York Way	San Francisco	CA	94109	941156707	501(c)(3)	25000	0	N/A	N/A	Educational Support
Arizona Latin American Medical Association
PO Box 24152	Tempe	AZ	852854152	860743958	501(c)(3)	5900	0	N/A	N/A	Social Health	122
ARMENIAN AMERICAN MEDICAL SOCIETY OF CALIF INC
PO Box 32	Glendale	CA	91209	954108352	501(c)(3)	10000	0	N/A	N/A	Preventative Care
Arroyo Grande Foundation
345 S Halcyon Rd	Arroyo Grande	CA	93420	206589199	501(c)(3)	221187	0	N/A	N/A	Foundation Support
Arthritis Foundation
1313 East Osborn Ste 200	Phoenix	AZ	85014	581341679	501(c)(3)	6000	0	N/A	N/A	Quality of Life
Asia Society of Northern CA
500 Washington St Ste 350	San Francisco	CA	94111	133234632	501(c)(3)	8500	0	N/A	N/A	Social Health
ASSISTANCE LEAGUE OF LONG BEACH
6220 E Spring St	Long Beach	CA	90815	951660324	501(c)(3)	15000	0	N/A	N/A	Social Health
ASSISTANCE LEAGUE OF SAN BERNARDINO
580 West 6th St	San Bernardino	CA	92410	956065105	501(c)(3)	25000	0	N/A	N/A	Service for the Poor
ASSISTANCE LEAGUE OF VENTURA COUNTY
913 East Santa Clara St	Ventura	CA	93001	952100846	501(c)(3)	25000	0	N/A	N/A	Social Health
Kern Community College District
1801 Panorama Drive	Bakersfield	CA	93307	956006644	501(c)(3)	166333	0	N/A	N/A	Educational Support	1200
BAKERSFIELD POLICE ACTIVITIES
301 E 4th St	Bakersfield	CA	93307	770375436	501(c)(3)	35000	0	N/A	N/A	Social Health Training Kits	115
Bakersfield South Rotary Foundation
PO Box 2021	Bakersfield	CA	93303	770360440	501(c)(3)	8650	0	N/A	N/A	Scholarship Support
Barrow Neurological Foundation
350 W Thomas Rd	Phoenix	AZ	85013	860174371	501(c)(3)	2602985	0	N/A	N/A	Foundation Support
Bay Area Council
201 California St Ste 1450	San Francisco	CA	94111	237325853	501(c)(4)	24100	0	N/A	N/A	Quality of Life
BOARD OF REGENTS Nevada System of Higher Education
1125 Nevada State Drive	Henderson	NV	89002	886000024	501(c)(3)	155000	0	N/A	N/A	Educational Support	1650
BOYS & GIRLS CLUB OF SANTA MARIA VALLEY
901 N RAILROAD	SANTA MARIA	CA	93458	952468116	501(c)(3)	5700	0	N/A	N/A	SOCIAL HEALTH
Boys and Girls Club of the East Valley
1405 E Guadalupe Rd 4	Tempe	AZ	85283	860550646	501(c)(3)	5500	0	N/A	N/A	Quality of Life
Cal State University Northridge
18111 Nordoff St	Northridge	CA	913308385	954358677	GOVT	7250	0	N/A	N/A	Educational Support
CALAVERAS COUNTY OFFICE OF EDU
PO Box 760	Angels Camp	CA	95221	941638758	govt	6500	0	N/A	N/A	Preventative Care
CALIF STATE UNIVERSITY-DOMINGUEZ HILLS
1000 E VICTORIA ST	CARSON	CA	90747	931043787	GOVT	51000	0	N/A	N/A	EDUCATIONAL SUPPORT
California Health Foundation and Trust
1215 K St Ste 800	Sacramento	CA	95814	941498697	501(c)(3)	21564355	0	N/A	N/A	Service for the Poor
California Hospital Medical CTR Foundation
1401 South Grand Ave	Los Angeles	CA	90015	954000909	501(c)(3)	1445857	0	N/A	N/A	Foundation Support
California Primary Care ASSOC
1231 I St Ste 400	Sacramento	CA	95814	943215565	501(c)(3)	10000	0	N/A	N/A	Service for the Poor
California State Conference of the NAACP
1215 S St Ste 1609	Sacramento	CA	95814	954617376	501(c)(3)	10000	0	N/A	N/A	Social Health
California State University Stanislaus Fnd
One University Circle	Turlock	CA	95382	770492209	501(c)(3)	100000	0	N/A	N/A	Educational Support
CALIFORNIA THORACIC SOCIETY
441 MacKay Drive	San Bernardino	CA	92408	940362650	501(c)(3)	9500	0	N/A	N/A	Educational Support
CALIFORNIA VETERANS ASSISTANCE
729 Decatur St	Bakersfield	CA	93308	300186044	501(c)(3)	23000	0	N/A	N/A	Preventative Care
Cal State Bakersfield Foundation
9001 Stockdale HYW	Bakersfield	CA	93311	952643086	501(c)(3)	11560	0	N/A	N/A	Educational Support
CAMARILLO BOYS & GIRLS CLUB
1500 Temple Ave	Camarillo	CA	93010	956194547	501(c)(3)	8000	0	N/A	N/A	Preventative Care
CAMARILLO HOSPICE CORP
400 Rosewood Ave 102	Camarillo	CA	93010	953347061	501(c)(3)	10000	0	N/A	N/A	Service for the Poor
CAPITOL COMMUNITY Health NETWORK
4825 J St	Sacramento	CA	95819	680400624	501(c)(3)	40000	0	N/A	N/A	Service for the Poor
CARE CHEST OF SIERRA NEVADA
7910 North Virginia St	Reno	NV	89506	943118373	501(c)(3)	50000	0	N/A	N/A	Service for the Poor	c/o Kris Preston
CARONDELET HEALTH NETWORK
2202 N Forbee Blvd	Tucson	AZ	85745	530196617	501(c)(3)	12000	0	N/A	N/A	Social Health
CASA OF KERN COUNTY
2000 24th St Ste 130	Bakersfield	CA	93301	770344298	501(c)(3)	15000	0	N/A	N/A	Social Health
CATHOLIC CHARITIES
1450 North D St	San Bernardino	CA	92405	953516461	501(c)(3)	10000	0	N/A	N/A	Social Health
CATHOLIC CHARITIES DIOCESE OF STOCKTON
1106 North El Dorado St	Stockton	CA	95202	952932124	501(c)(3)	25000	0	N/A	N/A	Social Health
CATHOLIC CHARITIES OF LA
1531 James M Wood Blvd	Los Angeles	CA	90015	951690973	501(c)(3)	15250	0	N/A	N/A	Social Health
CATHOLIC CHARITIES OF LA-Santa Barbara CNTY
609 East Haley St	Santa Barbara	CA	93013	951690097	501(c)(3)	15000	0	N/A	N/A	Social Health
Catholic Charities of Southern Nevada
1501 Las Vegas Blvd N	Las Vegas	NV	89101	880059425	501(c)(3)	5500	0	N/A	N/A	Religious Community
CATHOLIC CHARITITES COMMUNITY
4747 N 7th Ave	Phoenix	AZ	85013	860223999	501(c)(3)	50000	0	N/A	N/A	Social Health
Catholic Relief Services
228 W Lexington St	Baltimore	MD	21201	135563422	501(c)(3)	25000	0	N/A	N/A	Service for the Poor
Celebrity Fight Night Foundation
2111 E Highland Ave Ste 135	Phoenix	AZ	85016	860903119	501(c)(3)	169000	0	N/A	N/A	SOCIAL HEALTH
CENTRAL COAST COMMISSION FOR Senior Citizens
528 South Broadway	Santa Maria	CA	94355	952943625	501(c)(3)	10000	0	N/A	N/A	Preventative Care
Chandler Chamber of Commerce
475 S Dobson Road	Chandler	AZ	85224	860107200	501(c)(6)	10000	0	N/A	N/A	Social Health
CHANDLER CHRISTIAN COMMUNITY
345 S California St	Chandler	AZ	85225	860428780	501(c)(3)	50000	0	N/A	N/A	Social Health
Chandler CTR for the Arts
250 N Arizona Ave	Chandler	AZ	85225	742538528	501(c)(3)	7500	0	N/A	N/A	Educational Support
CHANDLER EDUCATION FOUNDATION
1525 W Frye Road	Chandler	AZ	85224	860589677	501(c)(3)	25000	0	N/A	N/A	Educational Support
CHANDLER-GILBERT YMCA
1655 West Frye Road	Chandler	AZ	85224	860096799	501(c)(3)	13000	0	N/A	N/A	Preventative Care
CHILD ABUSE PREVENTION COUNCIL OF SAN JOAQUIN COUN
1655 West Frye Road	Chandler	AZ	85224	942497046	501(c)(3)	26315	0	N/A	N/A	Social Health
CHILD ADVOCATES OF NV COUNTY
531 Uren St	Nevada City	CA	95959	680317841	501(c)(3)	15271	0	N/A	N/A	Social Health
CHILDREN'S HEALTH INIATIVE OF SLO CO
PO BOX 1737	SAN LUIS OBISPO	CA	93406	201489824	501(c)(3)	21500	0	N/A	N/A	PREVENTATIVE CARE
CHW Foundation East Valley
1727 West Frye Rd Ste 230	Chandler	AZ	85224	742418514	501(c)(3)	1682381	0	N/A	N/A	Foundation Support
CHW Medical Foundation
3400 Data Drive	Sacramento	CA	95670	680220314	501(c)(3)	49309310	0	N/A	N/A	Medical Fnd Support
CIRCLE THE CITY
220 S 12th Ave	Phoenix	AZ	85007	262420730	501(c)(3)	52396	0	N/A	N/A	Service for the Poor
CITIZENS WHO CARE INC
1260 Lake Blvd Ste 208	Davis	CA	95616	680154969	501(c)(3)	10000	0	N/A	N/A	Quality of Life
City of Reno Mental Health Triage CTR
PO Box 678231	Reno	NV	89501	886000201	Govt	100012	0	N/A	N/A	Service for the Poor
CLARA'S HOUSE
3319 J St	Sacramento	CA	95816	611591265	501(c)(3)	15000	0	N/A	N/A	Social Health
Clark County Public Education Foundation
3360 W Sahara Ave Ste 160	Las Vegas	NV	89102	880275767	501(c)(3)	8860	0	N/A	N/A	Educational Support
COMMUNICARE HEALTH CTRS
PO Box 1260	Davis	CA	95617	942188574	501(c)(3)	8019	0	N/A	N/A	Preventative Care
COMMUNITY ACTION COMMISSION
5638 HOLLISTER AVE STE 230	GOLETA	CA	93117	952491790	501(c)(3)	5500	0	N/A	N/A	SOCIAL HEALTH
COMMUNITY BRIDGES
236 Santa Cruz Ave	Aptos	CA	95003	942460211	501(c)(3)	10000	0	N/A	N/A	Preventative Care	14th floor
COMMUNITY BRIDGES
1811 S Alma School Rd Ste 160	Mesa	AZ	85210	942880847	501(c)(3)	55000	0	N/A	N/A	Service for the Poor
COMMUNITY FOUNDATION OF MERCED
PO BOX 3856	Merced	CA	95344	861151358	501(c)(3)	15000	0	N/A	N/A	Social Health
Community Initiatives
354 Pine St 700	San Francisco	CA	94104	943255070	501(c)(3)	15000	0	N/A	N/A	Preventative Care
COMMUNITY MEDICAL CTRS INC
7210 Murray Drive	Stockton	CA	95210	942437106	501(c)(3)	20000	0	N/A	N/A	Social Health
COMMUNITY PRTNSHP FOR FAMILIES OF SAN JOAQUIN
2044 Fair St	Stockton	CA	95206	680475602	501(c)(3)	22000	0	N/A	N/A	Preventative Care
COMMUNITY RECOVERY RESOURCES
440 Henderson St	Grass Valley	CA	95945	942275091	501(c)(3)	19729	0	N/A	N/A	Social Health
Community Svc Education & Research Fund (CSERF)
5380 Elvas Ave	Sacramento	CA	95819	237003581	501(c)(3)	15000	0	N/A	N/A	Service for the Poor
Congenital Heart Foundation
350 W Thomas Rd	Phoenix	AZ	85013	263342554	501(c)(3)	143768	0	N/A	N/A	Foundation Support
Council for Spanish Speaking
224 S Sutter St	Stockton	CA	95203	941677202	501(c)(3)	5938	0	N/A	N/A	Social Health
COUNCIL ON ALCOHOLISM & DRUG ABUSE
526 E CHAPEL ST	SANTA MARIA	CA	93454	951878858	501(c)(3)	6500	0	N/A	N/A	PREVENTATIVE CARE
County of Sacramento
827 7th St	Sacramento	CA	95814	946000529	GOVT	50000	0	N/A	N/A	Social Health
CTR for Community Health and Well Being Inc
1900 T St	Sacramento	CA	95811	680248303	501(c)(3)	25000	0	N/A	N/A	Service for the Poor
CTR for Healthcare Decisions
3400 Data Drive	Rancho Cordova	CA	95670	680441958	501(c)(3)	15000	0	N/A	N/A	Social Health
CUESTA COLLEGE FOUNDATION
PO BOX 8016	SAN LUIS OBISPO	CA	93403	237225601	501(c)(3)	15000	0	N/A	N/A	Educational Support
CURRY SENIOR CTR
333 Turk St	San Francisco	CA	94102	237362588	501(c)(3)	10000	0	N/A	N/A	Social Health
DIOCESAN COUNCIL FOR SOCIETY
420 W Watkins	Phoenix	CA	85003	860096789	501(c)(3)	50000	0	N/A	N/A	Social Health	600
DIOCESE OF LAS VEGAS
336 Cathedral Way	Las Vegas	NV	89109	880059349	501(c)(3)	26060	0	N/A	N/A	Social Health
EASTER SEALS SIERRA NV INC
6200 W Oakley Blvd	Las Vegas	NV	89146	942815686	501(c)(3)	40000	0	N/A	N/A	Social Health
Economic Alliance San Fernando
5121 Van Nuys Blvd Ste 200	Sherman Oaks	CA	914031497	954524503	501(c)(3)	10000	0	N/A	N/A	Social Health
EL DORADO COUNTY COMMUNITY Health
4327 Golden Ctr Dr	Placerville	CA	95667	421533531	501(c)(3)	98000	0	N/A	N/A	Social Health
EL HOGAR COMMUNITY SERVICES
3780 Rosin Court Ste 240	Sacramento	CA	95834	680032730	501(c)(3)	98000	0	N/A	N/A	Social Health
EL RIO COMMUNITY HEALTH CTN
829 W Congress	Tucson	AZ	85745	860816675	501(c)(3)	30000	0	N/A	N/A	Social Health
EMERGENCY FOOD BANK
7 West Scotts Ave	Stockton	CA	95203	680002165	501(c)(3)	23595	0	N/A	N/A	Social Health
ENHANCEMENT INC
PO Box 867	Morro Bay	CA	93443	770484448	501(c)(3)	5680	0	N/A	N/A	Quality of Life
ENRICHMENT WORKS
5605 Woodman Ave Ste 207	Valley Glen	CA	91401	954754624	501(c)(3)	40000	0	N/A	N/A	Educational Support
FAMILY SERVICE AGENCY
1347 Grant St	Red Bluff	CA	96080	941616456	501(c)(3)	13720	0	N/A	N/A	Social Health
FAMILY SERVICE AGENCY
1820 J St	Sacramento	CA	95811	941713704	501(c)(3)	27500	0	N/A	N/A	Social Health
FAMILY SERVICE AGENCY OF San Mateo
24 Second Ave	San Mateo	CA	94401	941186169	501(c)(3)	40000	0	N/A	N/A	Social Health
FOOD BANK OF NORTHERN NV INC
550 Italy Drive	McCarran	NV	89434	942924979	501(c)(3)	48250	0	N/A	N/A	Service for the Poor
FOOD BANK OF SANTA BARBARA
490 W Foster Rd	Santa Maria	CA	93455	770169214	501(c)(3)	14500	0	N/A	N/A	Service for the Poor
FOODSHARE
4156 Southbank Rd	Oxnard	CA	93036	770018162	501(c)(3)	13750	0	N/A	N/A	Social Health
FOOTHILL FAMILY SERVICE
2500 E Foothill Blvd Ste 300	Pasadena	CA	91107	951690990	501(c)(3)	23000	0	N/A	N/A	Social Health
FOUNDATION FOR SENIOR LIVING
1201 E Thomas Rd	Phoenix	AZ	85014	860411904	501(c)(3)	40000	0	N/A	N/A	Social Health
FOUNDATION OF SANTA BARBARA
110 Castilian	Goleta	CA	93117	810587227	501(c)(3)	15000	0	N/A	N/A	Service for the Poor
FRENCH HOSPITAL FOUNDATION
1911 JOHNSON AVE	SAN LUIS OBISPO	CA	93401	203256125	501(c)(3)	726710	0	N/A	N/A	Foundation Support
Fresh Start
1130 E McDowell Road	Phoenix	AZ	85006	860762610	501(c)(3)	5300	0	N/A	N/A	Social Health related
Friends of Mercy Foundation
PO Box 119	Bakersfield	CA	93302	770201321	501(c)(3)	647286	0	N/A	N/A	Foundation support
Gifts to Share Inc
915 I St 5th fl	Sacramento	CA	95814	942985546	501(c)(3)	30200	0	N/A	N/A	Social Health
Glaucoma Research & Education Group
55 Stevenson St	San Francisco	CA	94105	943208182	501(c)(3)	7500	0	N/A	N/A	Scholarship Support
GLENDALE COMMUNITY FREE HEALTH
134 N Kenwood St Rm 330	Glendale	CA	91206	870732681	501(c)(3)	19239	0	N/A	N/A	Service for the Poor
GLENDALE FIRE DEPT
780 Flower St	Glendale	CA	91201	956068137	501(c)(3)	25000	0	N/A	N/A	Social Health
GLENDALE HEALTHY KIDS
PO box 201	Glendale	CA	91209	954487466	501(c)(3)	15000	0	N/A	N/A	Preventative Care
Glendale Memorial Health Foundation
1420 S Central Ave	Glendale	CA	91204	953625651	501(c)(3)	854080	0	N/A	N/A	Foundation Support
GOLDEN EMPIRE GLEANERS
1326 30th St	Bakersfield	CA	93301	770084637	501(c)(3)	10000	0	N/A	N/A	Social Health
Golden Umbrella
200 Mercy Oaks Drive	Redding	CA	96003	237115371	501(c)(3)	63563	0	N/A	N/A	Quality of Life
GOMPERS HABILITATION CTR
6601 N 27th Ave	Phoenix	AZ	85017	860098909	501(c)(3)	15000	0	N/A	N/A	Social Health
GOOD NEWS RESCUE MISSION
2842 South Market St	Redding	CA	96001	941652602	501(c)(3)	28000	0	N/A	N/A	Social Health
Goodwill
900 W Pacific Coast Hwy	Long Beach	CA	90808	951644017	501(c)(3)	10000	0	N/A	N/A	Social Health
H STREET CLINIC
1329 North H St	San Bernardino	CA	92405	208191393	501(c)(3)	145000	0	N/A	N/A	Social Health
Harold Pump Foundation
13636 Ventura Blvd	Sherman Oaks	CA	91432	954807001	501(c)(3)	31500	0	N/A	N/A	Social Health
Health Care Without Harm
12355 Sunrise Valley Dr Ste 680	Reston	VA	20191	522358837	501(c)(3)	88050	0	N/A	N/A	Social Health
HEALTH IMPROVEMENT PARTNERSHIP
1600 Green Hills Rd Ste 101	Scotts Valley	CA	95066	010826156	501(c)(3)	25000	0	N/A	N/A	Social Health
Health Insight
6830 W Oqendo Rd Ste 102	Las Vegas	NV	89118	870303872	501(c)(3)	50000	0	N/A	N/A	Social Health
HENRIETTA WEILL MEMORIAL
3628 Stockdale Hwy	Bakersfield	CA	93309	951643391	501(c)(3)	25000	0	N/A	N/A	Preventative Care
HOMELESS SERVICES CTR
115 Coral St	Santa Cruz	CA	95060	770126783	501(c)(3)	25000	0	N/A	N/A	Service for the Poor
HOPE COMMUNITY HEALTH CTR
312 N Alma School Rd 9C	Chandler	AZ	85224	201526381	501(c)(3)	25000	0	N/A	N/A	Social Health Barrow Neurological Institute
HOPELINK
178 Westminster Way	Henderson	NV	89015	943202139	501(c)(3)	15274	0	N/A	N/A	Service for the Poor
HOSPICE OF SANTA CRUZ COUNTY
940 Disc Drive	Scotts Valley	CA	95066	942497618	501(c)(3)	15000	0	N/A	N/A	Social Health
Hospital ASSOC of Southern California
1000 Town Ctr Dr Ste 300	Oxnard	CA	93036	951519378	501(c)(6)	59784	0	N/A	N/A	Social Health
HOSPITAL COUNCIL (SAN FRANCISCO HEALTH PLAN)
201 Third St 7th fl	San Francisco	CA	94103	861174825	govt	41000	0	N/A	N/A	Social Health
Hospital Council of Northern & Central CA
1215 K St Ste 730	Sacramento	CA	95814	942663197	501(c)(3)	49414	0	N/A	N/A	Social Health
HOSPITAL CONSORTIUM OF SAN MATEO
222 W 39th Ave Ste A 309	San Mateo	CA	94403	942637032	501(c)(3)	43333	0	N/A	N/A	Quality of Life
ICA San Francisco Work Study Inc
3625 24th St	San Francisco	CA	94110	264450576	N/A	14500	0	N/A	N/A	Educational Support
IMMANUEL PRESBYTERIAN CHURCH
3300 Wilshire Blvd	Los Angeles	CA	90010	951643330	501(c)(3)	17000	0	N/A	N/A	Social Health communities.
Improving Chandler Area Neighborhoods
201 S Washington St	Chandler	AZ	85225	860761030	501(c)(3)	32685	0	N/A	N/A	Preventative Care
Interfaith CTR on Corporate Responsibility
475 Riverside Dr Ste 1842	New York	NY	10114	133235906	501(c)(3)	8450	0	N/A	N/A	Social Health
INTERNATIONAL RESCUE COMMITTEE
5227 N 7th St	Phoenix	AZ	85014	135660870	501(c)(3)	25000	0	N/A	N/A	Social Health
IRISH IMMIGRATION PASTORAL CTR
5340 Geary Blvd 206	San Francisco	CA	94121	943329015	501(c)(3)	6066	0	N/A	N/A	Social Health
Jewish Vocational & Career Counseling Service
225 Bush St Ste 400	San Francisco	CA	94104	942213100	501(c)(3)	13970	0	N/A	N/A	Educational Support
JMJ MATERNITY HOMES
435 West 21st St	Merced	CA	95340	205611546	501(c)(3)	24000	0	N/A	N/A	Service for the Poor
Juvenile Diabetes Research Foundation Intl
4343 E Camelback Road 230	Phoenix	AZ	85018	231907729	501(c)(3)	11500	0	N/A	N/A	Social Health
Keep Memory Alive
888 W Bonneville Ave	Las Vegas	NV	89106	880515534	501(c)(3)	8000	0	N/A	N/A	Community Support
Keogh Health Foundation
1750 E Glendale Ave	Phoenix	AZ	85020	200251176	501(c)(3)	6220	0	N/A	N/A	Quality of Life
KOREAN AMERICAN FAMILY SRV CTR
3727 W 6th St Ste 320	Los Angeles	CA	90020	953899329	501(c)(3)	17000	0	N/A	N/A	Social Health
Krewe of Helios
9814 Kapalua Lane	Elk Grove	CA	95624	272011084	501(c)(3)	7500	0	N/A	N/A	Quality of Life
Leadership Conference of Women Religious of USA
8808 Cameron St	Silver Springs	MD	20910	436033728	501(c)(3)	30000	0	N/A	N/A	Religious Community
LEGAL AID SOCIETY OF SAN BERNARDINO
588 West Sixth St	San Bernardino	CA	92410	951997024	501(c)(3)	25000	0	N/A	N/A	Social Health
LEND A HAND INC
400 Utah St	Boulder City	NV	89005	880250959	501(c)(3)	15000	0	N/A	N/A	Social Health
Leukemia & Lymphoma Society
340 West Fallbrook Ave Ste 101	Fresno	CA	93711	135644916	501(c)(3)	9630	0	N/A	N/A	Quality of Life
LINKS FOR LIFE
1706 Chester Ave 200	Bakersfield	CA	93301	931088003	501(c)(3)	32600	0	N/A	N/A	Preventative Care
LIVINGSTON MEMORIAL LIVING
1996 Eastman Ave Ste 101	Ventura	CA	93003	951693538	501(c)(3)	10000	0	N/A	N/A	Preventative Care
LONG BEACH CARES
2525 Grand Ave	Long Beach	CA	90815	330568621	501(c)(3)	10246	0	N/A	N/A	Preventative Care
LONG BEACH POLICE FOUNDATION
PO Box 18418	Long Beach	CA	90815	330835185	501(c)(3)	8000	0	N/A	N/A	Social Health
LOS ANGELES CHILD GUIDANCE
3031 S Vermont Ave	Los Angeles	CA	90007	951690974	501(c)(3)	17000	0	N/A	N/A	Preventative Care
LOS ANGELES POLICE FOUNDATION
515 South Flower St 1680	Los Angeles	CA	90071	954700442	501(c)(3)	23000	0	N/A	N/A	Social Health
MAGGIE'S PLACE
1517 East McDowell Road	Phoenix	AZ	85006	860972675	501(c)(3)	36000	0	N/A	N/A	Social Health
March of Dimes
4201 W Shaw Ave Ste 105	Fresno	CA	93722	131846366	501(c)(3)	30320	0	N/A	N/A	Quality of Life
MARE RIDING CTR
18200 Johnson Road	Bakersfield	CA	93314	770297678	501(c)(3)	20000	0	N/A	N/A	Social Health
MARIAN MEDICAL CTR FOUNDATION
1400 E CHURCH ST	SANTA MARIA	CA	93454	953818027	501(c)(3)	461049	0	N/A	N/A	Foundation Support
MARY MAGDALENE COMMUNITY SRV
445 North San Joaquin Blvd	Stockton	CA	95202	680462814	501(c)(3)	20000	0	N/A	N/A	Preventative Care grant)
MARY'S MERCY CTR
PO Box 7563	San Bernardino	CA	92401	330632426	501(c)(3)	25000	0	N/A	N/A	Preventative Care
MATERNAL & CHILD HEALTH ACCESS
1111 W 6th St 4th fl	Los Angeles	CA	90017	954555879	501(c)(3)	17000	0	N/A	N/A	Preventative Care
MCCLOUD HEALTHCARE CLINIC
PO Box 1143	McCloud	CA	96057	680427383	501(c)(3)	11549	0	N/A	N/A	Preventative Care
MERCED LAO FAMILY COMMUNITY
855 W 15th St	Merced	CA	95340	770268241	501(c)(3)	19579	0	N/A	N/A	Preventative Care
Mercy Foundation
3400 Data Drive	Sacramento	CA	95670	237072762	501(c)(3)	2891084	0	N/A	N/A	Foundation Support
Mercy Housing
1999 Broadway Ste 1000	Denver	CO	80202	470646706	501(c)(3)	100000	0	N/A	N/A	Quality of Life
Mercy Leadership Development Program
55 Fourth Ave	E Greenwich	RI	02818	521653282	501(c)(3)	25000	0	N/A	N/A	Educational Support
Mercy Medical CTR Merced Foundation
301 East 13th St	Merced	CA	95340	770035928	501(c)(3)	343488	0	N/A	N/A	Foundation Support
MERCY SERVICES CORP
3120 Freeboard Dr Ste 202	Sacramento	CA	95691	943081666	501(c)(3)	28859	0	N/A	N/A	Preventative Care
MISSION OF MERCY-AZ CLINIC
PO Box 102	Fairfield	PA	17320	860704883	501(c)(3)	27320	0	N/A	N/A	Social Health
MMC FOR CHILDREN & FAMILIES
155 15th St 160A	Sacramento	CA	95691	371424390	501(c)(3)	135000	0	N/A	N/A	Service for the Poor
MOST HOLY REDEEMER CHURCH
100 Diamond St	San Francisco	CA	94114	941156774	501(c)(3)	8000	0	N/A	N/A	Quality of Life
MT SHASTA COMMUNITY RESOURCE
432 N Mt Shasta Blvd	Mt Shasta	CA	96067	202528991	501(c)(3)	6000	0	N/A	N/A	Preventative Care
MUSCULAR DYSTROPHY ASSOC
402 E CARILLO ST STE C	SANTA BARBARA	CA	93101	131665552	501(c)(3)	5200	0	N/A	N/A	PREVENTATIVE CARE opening
Museum of African Diaspora
685 Mission St	San Francisco	CA	94105	943338239	501(c)(3)	28737	0	N/A	N/A	Quality of Life
National Hispanic Health Foundation
1411 K St NW Ste 1100	Washington	DC	20005	260051902	501(c)(3)	8800	0	N/A	N/A	Foundation Support
NATL MULTIPLE SCLEROSIS SOCIETy
1880 30th St 105	Bakersfield	CA	93301	951727656	501(c)(3)	10000	0	N/A	N/A	Preventative Care	W1B
Nevada Health Care Coalition
1775 E Plumb Ln Ste 107	Reno	NV	89502	880348643	501(c)(6)	5946	0	N/A	N/A	Social Health
NEVADA HEALTH CTRS INC
4415 Spring Mountain Rd Ste 103	Las Vegas	NV	89102	943199117	501(c)(3)	50000	0	N/A	N/A	Social Health
NORTHERN CA CHILDREN'S THERAPY
96 W Main St Ste B	Woodland	CA	95695	680309705	501(c)(3)	10000	0	N/A	N/A	Social Health
NORTHERN CALIF CTN FOR FAMILY
PO Box 991473	Redding	CA	96003	680363217	501(c)(3)	22000	0	N/A	N/A	Social Health
NORTHERN CALIFORNIA CHILD DEV
220 Sycarore St 200	Red Bluff	CA	96080	941642028	501(c)(3)	7000	0	N/A	N/A	Preventative Care
Northridge Hospital Foundation
18300 Roscoe Blvd	Northridge	CA	91328	237444901	501(c)(3)	1012316	0	N/A	N/A	Foundation Support
Not for Sale
270 Capistrano Rd Ste 2	Half Moon Bay	CA	94019	205659783	501(c)(3)	20000	0	N/A	N/A	Social Health
Oakland Metropolitan Chamber of Commerce Foundatio
475 14th St	Oakland	CA	94612	953217684	501(c)(3)	250000	0	N/A	N/A	Social Health
OPTION HOUSE INC
PO Box 970	San Bernardino	CA	92402	953760212	501(c)(3)	17000	0	N/A	N/A	Social Health
PACIFIC CHRISTIAN CHURCH
3435 SKYWAY DRIVE	SANTA MARIA	CA	93455	952409606	501(c)(3)	6950	0	N/A	N/A	SOCIAL HEALTH
PAJARO VALLEY COMMUNITY Health
85 Nielson St	Watsonville	CA	95076	941149702	501(c)(3)	10000	0	N/A	N/A	Preventative Care
Panetta Institute
100 Campus CNT Bldg 86E	Seaside	CA	93955	770495799	501(c)(3)	5500	0	N/A	N/A	Social Health
PATHWAYS HOSPICE FOUNDATION
585 N Mary Ave	Sunnyvale	CA	94085	770280660	501(c)(3)	24600	0	N/A	N/A	Quality of Life
PATHWAYS VOLUNTEER HOSPICE
3701 Michelson St	Lakewood	CA	90712	330241726	501(c)(3)	8000	0	N/A	N/A	Social Health
PENINSULA VOLUNTEERS INC
800 Middle Ave	Menlo Park	CA	94025	941294939	501(c)(3)	25000	0	N/A	N/A	Social Health
Phoenix Symphony
One N First St Ste 730	Phoenix	AZ	85016	866000134	501(c)(3)	42800	0	N/A	N/A	Educational Support
POWERHOUSE MINISTRIES
PO Box 1611	Folsom	CA	95630	680020855	501(c)(3)	50000	0	N/A	N/A	Service for the Poor
Prevent Alcohol and Risk Related Trauma in Youth
PO Box 1342	Folsom	CA	95763	911764812	501(c)(3)	10500	0	N/A	N/A	Preventative Care
PROMOTORAS Y PROMOTORES FOUNDATION
1500 Camino Del Sol 18	Oxnard	CA	93030	421618670	501(c)(3)	15000	0	N/A	N/A	Social Health
REBUILDING TOGETHER PENINSULA
PO Box 4031	Menlo Park	CA	94026	943106209	501(c)(3)	10000	0	N/A	N/A	Social Health
RESCUE MISSION ALLIANCE
315 N A St	Oxnard	CA	93030	237278002	501(c)(3)	15000	0	N/A	N/A	Social Health
RIVERSIDE COUNTY PHYSICIANS MEMORIAL FND
3993 Jurupa Av	Riverside	CA	95206	956080778	501(c)(3)	5689	0	N/A	N/A	Quality of Life
ROSEVILLE HOMESTART
410 Riverside Ave	Roseville	CA	95678	911657990	501(c)(3)	50000	0	N/A	N/A	Service for the Poor
ROTACARE BAY AREA INC
PO Box 18430	San Jose	CA	95158	770328723	501(c)(3)	25000	0	N/A	N/A	Social Health
SACRAMENTO DISTRICT DENTAL
915 28th St	Sacramento	CA	95816	237067087	501(c)(3)	25000	0	N/A	N/A	Preventative Care
Sacramento Food Bank & Family Services
3333 Third Ave	Sacramento	CA	95817	943315566	501(c)(3)	16500	0	N/A	N/A	Quality of Life
Sacramento Valley AIDS Fund
PO Box 160636	Sacramento	CA	95816	680385175	501(c)(3)	15000	0	N/A	N/A	Social Health	c/o Patti Bruno
Saint Mary's Foundation
235 W 6th St	Reno	NV	89520	880188386	501(c)(3)	1230507	0	N/A	N/A	Foundation Support
Saint Peter & Paul School
706 Bay View Ave	Wilmington	CA	90744	952150449	501(c)(3)	15000	0	N/A	N/A	Service for the Poor assistant
SAMARITAN HOUSE
4031 Pacific Boulevard	San Mateo	CA	94403	237416272	501(c)(3)	15200	0	N/A	N/A	Social Health
SAN BERNARDINO SEXUAL ASSAULT SERVICES
444 N Arrowhead Ave Ste 101	San Bernardino	CA	92401	953543081	501(c)(3)	20000	0	N/A	N/A	Social Health
San Francisco NAACP
1290 Fillmore St Ste 109	San Francisco	CA	94115	237177411	501(c)(3)	8500	0	N/A	N/A	Scholarship Support
SAN FRANCISCO SENIOR CTR
890 Beach St	San Francisco	CA	94109	941212136	501(c)(3)	15000	0	N/A	N/A	Social Health
SAN JOAQUIN COUNTY OFFICE OF EDUCATION
PO Box 213030	Stockton	CA	95213	680006282	501(c)(3)	20000	0	N/A	N/A	Preventative Care
San Joaquin Delta College
5151 N Pacific Ave	Stockton	CA	95207	941044400	Govt	6000	0	N/A	N/A	Scholarship Support
SANTA BARBARA COUNTY SHERIFFS RELIEF & BENEFIT ASS
315 CAMINO DEL REMEDIO	SANTA BARBARA	CA	93110	237045577	501(c)(4)	60000	0	N/A	N/A	PREVENTATIVE CARE
SANTA MARIA VALLEY FISH MEALS
PO Box 6526	Santa Maria	CA	93456	952757731	501(c)(3)	10000	0	N/A	N/A	Quality of Life
SANTA MARIA VALLEY YMCA
3400 Skyway Drive	Santa Maria	CA	93455	952158363	501(c)(3)	8500	0	N/A	N/A	Preventative Care
SCOTT NEWMAN CTR
23440 Hawthorne Blvd Bldg 2 Ste 250	Torrance	CA	90505	954145762	501(c)(3)	67000	0	N/A	N/A	Social Health related
SECOND HARVEST FOOD BANK
800 Ohlone Parkway	Watsonville	CA	95076	941422471	501(c)(3)	35000	0	N/A	N/A	Preventative Care
SECOND HARVEST FOOD BANK OF san Mateo counties
1051 Bing St	San Carlos	CA	94070	942614101	501(c)(3)	10000	0	N/A	N/A	Social Health	200
SELF HELP For Seniors
407 Sansome St	San Francisco	CA	94111	941750717	501(c)(3)	59220	0	N/A	N/A	Social Health
Serotonin Surge Charity
1955 Cowell Blvd	Davis	CA	95618	680411254	501(c)(3)	30826	0	N/A	N/A	Preventative Care
SERVANTS OF MARY MINISTERS TO the sick
140 North G St	Oxnard	CA	93030	956054374	501(c)(3)	13161	0	N/A	N/A	Service for the Poor
Seton Catholic High School
1150 N Dobson Road	Chandler	AZ	85224	860612015	501(c)(3)	5700	0	N/A	N/A	Educational support
SEXUAL ASSAULT & DOMESTIC VIOLENCE CTR
933 Court St	Woodland	CA	95695	943027535	501(c)(3)	8321	0	N/A	N/A	Social Health
SHANTI PROJECT
730 Polk St 3rd flr	San Francisco	CA	94109	942297147	501(c)(3)	10000	0	N/A	N/A	Quality of Life
Shasta Community Health CTR
1035 Placer St	Redding	CA	96001	680165855	501(c)(3)	60000	0	N/A	N/A	Social Health
SHASTA COUNTY CHEMICAL PEOPLE
PO Box 493777	Redding	CA	96049	680027888	501(c)(3)	15000	0	N/A	N/A	Preventative Care
SHASTA COUNTY CHILD ABUSE
2280 Benton Dr Bdg C Ste B	Redding	CA	96001	680151867	501(c)(3)	16000	0	N/A	N/A	Preventative Care
Shasta County Dept of Public Health
1855 Placer St Ste 201	Redding	CA	96001	946000535	GOVT	30000	0	N/A	N/A	Social Health Children
SHASTA FAMILY YMCA
1155 N Court St	Redding	CA	96001	941212141	501(c)(3)	21572	0	N/A	N/A	Preventative Care
Shasta Senior Nutrition Program
100 Mercy Oaks Drive	Redding	CA	96003	942650429	501(c)(3)	51383	0	N/A	N/A	Community Support
SHASTA WOMEN'S REFUGE
PO Box 994211	Redding	CA	96099	942663045	501(c)(3)	15000	0	N/A	N/A	Social Health
SIERRA FAMILY MEDICAL CLINIC
15301 Tyler Foote Rd	Nevada City	CA	95959	680320801	501(c)(3)	20000	0	N/A	N/A	Social Health
SIERRA FOREVER FAMILIES
8928 Volunteer Ln Ste 100	Sacramento	CA	95826	680002878	501(c)(3)	16547	0	N/A	N/A	Social Health
SAN FRANCISCO PLANNING & URBAN RESEARCH ASSN SPUR
312 Sutter St	San Francisco	CA	94108	941498232	501(c)(3)	49000	0	N/A	N/A	Quality of Life
Sisters of St Joseph
3009 Grand Rte St John 6	New Orleans	LA	70119	043588640	501(c)(3)	35000	0	N/A	N/A	Quality of Life
San Luis Obispo NOOR FOUNDATION
1428 Phillips Ln Ste B-4	San Luis Obispo	CA	93401	271412176	501(c)(3)	5478	0	N/A	N/A	Service for the Poor
SOCIETY FOR THE BLIND
1238 S St	Sacramento	CA	95811	941384666	501(c)(3)	20000	0	N/A	N/A	Social Health
Southern Nevada Health District
400 Shadow Ln Ste 101	Las Vegas	NV	89106	880161673	Govt	6225	0	N/A	N/A	Community Support
SPECIAL OLYMPICS SOUTHERN CALIFORNIA INC
615 S MCCLELLAND	SANTA MARIA	CA	93454	954538450	501(c)(3)	5650	0	N/A	N/A	QUALITY OF LIFE
Spelman College
350 Spelman LN SW Box 616	Atlanta	GA	30314	580566243	501(c)(3)	200000	0	N/A	N/A	Educational Support
ST ELIZABETH'S HEALTH CTR
140 W Speedway Ste 100	Tucson	AZ	85705	860100880	501(c)(3)	50000	0	N/A	N/A	Social Health
ST PAUL OF THE SHIPWRECK
1122 Jamestown Ave	San Francisco	CA	94124	911156797	501(c)(3)	20000	0	N/A	N/A	Preventative Care
St Rose Hospital Health Foundation
2865 Siena Heights Dr Ste 300	Henderson	NV	89052	880455713	501(c)(3)	1992125	0	N/A	N/A	Foundation Support
St Bernardine Medical CTR Foundation
2101 N Waterman Ave	San Bernardino	CA	92404	237440086	501(c)(3)	1057326	0	N/A	N/A	Foundation Support
St John's Healthcare Foundation
1600 N Rose Ave	Oxnard	CA	93010	202865781	501(c)(3)	1017171	0	N/A	N/A	Foundation Support
St Joseph's Foundation of San Joaquin
1800 N California St	Stockton	CA	95204	510432777	501(c)(3)	1031226	0	N/A	N/A	Foundation Support
St Joseph's Foundation
350 W Thomas Rd	Phoenix	AZ	85013	942941245	501(c)(3)	1367986	0	N/A	N/A	Foundation Support
St Mary Medical Ctr Foundation
1050 Linden Ave	Long Beach	CA	90813	237153876	501(c)(3)	2628902	0	N/A	N/A	Foundation Support
St Mary's Interfaith
545 W Sonora	Stockton	CA	95203	942687280	501(c)(3)	0	6000	FMV	CLOTHING	PROVISION FOR CLOTHING
St Mary's Medical CTR Foundation
450 Stanyan St	San Francisco	CA	94117	943336143	501(c)(3)	916358	0	N/A	N/A	Foundation Support
Stockton Crime Fighters
PO BOX 729	Stockton	CA	95201	942762087	501(c)(3)	20000	0	N/A	N/A	Social Health
Stockton Symphony Assoc
1024 W Robinhood Dr 1	Stockton	CA	95207	941462758	501(c)(3)	8600	0	N/A	N/A	Quality of Life
Students Supporting Brain Tumor Research
8390 E Via de Ventura Ste F-110	Scottsdale	AZ	85258	200345903	501(c)(3)	10000	0	N/A	N/A	Social Health
Susan G Komen for the Cure
2040 W Bethany Home Rd Ste 120	Phoenix	AZ	85015	752845061	501(c)(3)	20000	0	N/A	N/A	Quality of Life
Special Olympics Northern California Inc
3480 Buskirk Ave Ste 340	Pleasant Hill	CA	94523	680363121	501(c)(3)	22000	0	N/A	N/A	Quality of Life
SUSTAINABLE ECONOMIC ENTERPRISe
6605 Hollywood Blvd 220	Los Angeles	CA	90028	954597000	501(c)(3)	20000	0	N/A	N/A	Preventative Care
TARZANA TREATMENT CTRS
18646 Oxnard St	Tarzana	CA	91356	942219349	501(c)(3)	50000	0	N/A	N/A	Social Health
Teach for America Benefit
22 Fourth St 7th fl	San Francisco	CA	94103	133541913	501(c)(3)	10900	0	N/A	N/A	Educational Support
The Necessary Economic Emergency Distribution Serv
PO BOX 933	Taft	CA	93268	651305502	501(c)(3)	20992	0	N/A	N/A	Social Health
THE RESOURCES CONNECTION
PO Box 919	San Andreas	CA	95249	942705790	501(c)(3)	11500	0	N/A	N/A	Social Health
The SALVATION ARMY
400 Landau Blvd	Cathedral City	CA	92234	941156347	501(c)(3)	42150	0	N/A	N/A	Social Health
THE SHADE TREE INC
PO Box 669	Las Vegas	NV	89125	880253276	501(c)(3)	25000	0	N/A	N/A	Service for the Poor
TRUE NORTH
PO Box 242	Shingletown	CA	96088	680480331	501(c)(3)	24996	0	N/A	N/A	Preventative Care
UNION STATION HOMELESS SRV
825 E Orange Grove Blvd	Pasadena	CA	91104	953958741	501(c)(3)	10000	0	N/A	N/A	Service for the Poor
UNIVERSITY CORPORATION
7116 Sophia Ave	Van Nuys	CA	91406	951992732	501(c)(3)	20000	0	N/A	N/A	Social Health
ROSEMAN UNIVERSITY OF HEALTH SCIENCES
11 Sunset Way	Henderson	NV	89014	880435559	501(c)(3)	38500	2860	FMV	Educational supplies	Scholarship Support
UNLV Foundation Rebel Athletic Fund
4505 Maryland Pkwy	Las Vegas	NV	89154	942790134	501(c)(3)	12300	0	N/A	N/A	Educational Support
VALLEY FAMILY CTR
302 S Brand Blvd	San Fernando	CA	91340	954105054	501(c)(3)	15760	0	N/A	N/A	Social Health
VOLUNTEERS IN MEDICINE OF SOUTHERN NEVADA
7437 S Eastern Ave 440	Las Vegas	NV	89123	392072453	501(c)(3)	50000	0	N/A	N/A	Social Health
VOLUNTEERS IN VICTIM'S ASSISTANCE
2020 Hurley Way STE 265	Sacramento	CA	95825	680000542	501(c)(3)	35000	0	N/A	N/A	Social Health
WAKING THE VILLAGE
PO Box 160085	Sacramento	CA	95816	680430603	501(c)(3)	50000	0	N/A	N/A	Social Health
WEAVE INC
1900 K St	Sacramento	CA	95811	942493158	501(c)(3)	50000	0	N/A	N/A	Social Health
WELLCARE FOUNDATION
55 E Lexington Ave	Phoenix	AZ	85012	860948883	501(c)(3)	52000	0	N/A	N/A	Preventative Care
WELLS HOUSE HOSPICE FOUNDATION
245 Cherry Ave	Long Beach	CA	90802	311659365	501(c)(3)	15000	0	N/A	N/A	Quality of Life
Westcare Nevada Inc
PO Box 94738	Las Vegas	NV	89123	942778981	501(c)(3)	41632	0	N/A	N/A	Community Support	690
Woodland Memorial Hospital Foundation
1321 Cottonwood St	Woodland	CA	95695	946167964	501(c)(3)	292244	0	N/A	N/A	Foundation Support related
Woodland United Way
1017 Main St	Woodland	CA	95695	941651096	501(c)(3)	10150	0	N/A	N/A	Quality of Life
YOLO COMMUNITY CARE CONTINUUM
168 College St	Woodland	CA	95695	942623205	501(c)(3)	10000	0	N/A	N/A	Social Health related
Yolo Family Resource CTR
828 Court St	Woodland	CA	95695	470871252	501(c)(3)	22212	0	N/A	N/A	Quality of Life
YOLO FAMILIY SERVICE AGENCY
455 1ST ST	WOODLAND	CA	95695	941452884	501(C)(3)	10000	0	N/A	N/A	Social Health
2009 Senior Games Local Organizing Committee
81 Encina Ave	PALO ALTO	CA	94301	202219189	501(C)(3)	75000	0	N/A	N/A	Quality OF Life
University of Michigan
1135 Catherine	Ann Arbor	MI	481092038	386006309	501(c)(3)	20022	0	N/A	N/A	Scholarship Support
UNIVERSITY OF SOUTHERN CALIFORNIA
2003 ZONAL AVE	LOS ANGELES	CA	900899130	951642394	501(C)(3)	36000	0	N/A	N/A	SCHOLARSHIP SUPPORT
MIDWESTERN UNIVERSITY
555 31ST ST	DOWNERS GROVE	IL	60515	363377698	501(C)(3)	10304	0	N/A	N/A	SCHOLARSHIP SUPPORT
Western University of Health Sciences
309 E 2ND ST	POMORA	CA	91766	953127273	501(C)(3)	90765	0	N/A	N/A	SCHOLARSHIP SUPPORT
San Jose State University
ONE WASHINGTON SQUARE	SAN JOSE	CA	95192	770414438	GOVT	29312	0	N/A	N/A	SCHOLARSHIP SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	288	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	6	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (8 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
CASH FOR CANCER PATIENTS TO PAY BILLS	150	77783	0	N/A	N/A
SPONSORSHIP OF MEDICAL CONFERENCE	1	10000	0	N/A	N/A
DIRECT CASH ASSISTANCE	1361	83784	0	N/A	N/A
HOME HEALTH SERVICES	48	0	22189	FMV	MEDICAL SUPPlies
IN-KIND DONATIONS TO LESS FORTUNATE	833	0	10587	COST	CLOTHING/GIFTS
SCHOLARSHIPS	6	5000	0	N/A	N/A
SHELTER MEALS	52949	0	149733	COST	MEALS
PHARMACY CHARITY PRESCRIPTIONS	695	0	188172	COST	PHARMACEUTICALS

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Part I, line 1	Identifier
Explanation	INCLUDED IN PART II ABOVE IS $4,067,289 RELATED TO The CHW Community Grants program. THIS PROGRAM IS one way in which CHW supports and enhances the advocacy, social justice and healthier communities efforts of its hospitals and religious sponsors. Begun in 1990, the program's initial objectives were: (1) to strengthen the bonds among our member hospitals; and (2) to partner with other nonprofit organizations that share our values and also work to improve the health status and quality of life of the communities we serve. Each of the grant recipients are required to submit an annual accountability report to CHW. The reports reflect activities performed, objectives and outcomes reached by the grant recipientS. All organizations that apply for these grants are required to be a Sec. 501 (c)(3) organization. OTHER GRANTS ARE PROVIDED BY CHW (AND ITS MEMBER HOSPITALS) TO NOT-FOR-PROFIT ORGANIZATIONS THAT FURTHER CHW'S EXEMPT PURPOSE. gRANTS ARE ALSO PROVIDED TO THE FUNDRAISING FOUNDATIONS THAT SUPPORT CHW AND ITS MEMBER HOSPITALS TO FUND THE OPERATIONS OF THOSE FOUNDATIONS. Grants are provided to individuals, primarily patients, due to financial need or urgent, unforeseen occurrences requiring immediate action. Examples of assistance include transportation costs to a hospital for treatment, pharmacy costs for indigent patients, and sheltered meals. The grants are approved by the hospital's Administration department or a designated committee reviews and approves grants to be awarded.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (32 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Lloyd H Dean
1322045	0	2050325	0	534976	0	1154351	0	75186	0	5136883	0	509948	0
Michael D Blaszyk
848704	0	1349501	0	221385	0	471958	0	53579	0	2945127	0	201590	0
Derek F Covert
526077	0	553216	0	14549	0	64451	0	42343	0	1200636	0	0	0
William J Hunt
857772	0	899501	0	199419	0	106168	0	52461	0	2115321	0	0	0
Diane Lee
233116	0	98588	0	4659	0	26231	0	23274	0	385868	0	0	0
Marvin O'Quinn
853766	0	899501	0	302200	0	283675	0	47942	0	2387084	0	0	0
Elizabeth Shih
593641	0	604950	0	185829	0	326563	0	46554	0	1757537	0	174625	0
Keith Callahan
334184	0	200460	0	10067	0	37727	0	28321	0	610759	0	0	0
Gary F Conner
530852	0	318476	0	19234	0	48277	0	32285	0	949124	0	0	0
Mary Connick
349426	0	208061	0	9500	0	38905	0	25384	0	631276	0	0	0
Charles P Francis
559028	0	697363	0	54110	0	212334	0	44983	0	1567818	0	42758	0
Linda Hunt
549884	0	274709	0	18918	0	53818	0	35451	0	932780	0	0	0
Jeffrey W Land
292716	0	172971	0	25714	0	33583	0	37000	0	561984	0	23028	0
Bernita McTernan
438364	0	573559	0	33927	0	64837	0	45691	0	1156378	0	0	0
Timothy Moran
393852	0	201792	0	13184	0	40706	0	39131	0	688665	0	0	0
Karl Silberstein
412362	0	242230	0	14011	0	44108	0	36270	0	748981	0	0	0
LeAnne Trachok
311553	0	191396	0	1710	0	35899	0	18805	0	559363	0	0	0
Ernest H Urquhart
545474	0	875296	0	341531	0	70428	0	25766	0	1858495	0	240635	0
Herbert Vallier
120072	0	350297	0	37390	0	69528	0	4405	0	581692	0	0	0
Robert Wiebe MD
577145	0	603375	0	7400	0	193236	0	26706	0	1407862	0	0	0
Benjamin R Williams
467684	0	493927	0	3962	0	61612	0	34126	0	1061311	0	0	0
John M Wray
449236	0	466750	0	5976	0	59255	0	37964	0	1019181	0	0	0
Lisa Zuckerman
309802	0	189826	0	3043	0	36139	0	32925	0	571735	0	0	0
Lishan Aklog MD
575166	0	232303	0	59200	0	52839	0	24408	0	943916	0	0	0
David Cleveland MD
605987	0	122304	0	79658	0	41010	0	20471	0	869430	0	0	0
Thomas Hennessy
311577	0	252401	0	225709	0	36437	0	38353	0	864477	0	0	0
Scott R Petersen MD
589404	0	118910	0	83191	0	47220	0	27206	0	865931	0	0	0
Dana G Seltzer MD
279918	0	495232	0	61015	0	51372	0	21661	0	909198	0	0	0
Saliba Salo
330512	0	51202	0	15401	0	29202	0	13247	0	439564	0	0	0
Mike Uboldi
417052	0	173055	0	13136	0	40621	0	30765	0	674629	0	0	0
William Fuchs
0	0	0	0	569524	0	0	0	0	0	569524	0	569524	0
Jeff Winter
0	0	0	0	673378	0	0	0	0	0	673378	0	673378	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	ExplanationExplanation
Sch J, PART I, LINES 1A, 4A, & 4B	Part I, 1a First Class travel, upgrades to such, or the equivalent at the total cost of $5,604 were provided on nine occasions to three officers and two key employees of the organization. No amounts have been included as reportable income as these travel expenses were incurred for business purposes. There was no charter travel in 2010. Part I, 1a Tax gross-up payments were provided to one key employee and one of the five highest paid employees related to relocation expenses. Tax gross-up payments were also provided to two officers of the organization related to forgiveness of relocation loans based on service requirements met. These gross up payments were included as income to these employees. Part I, 1a Club dues have been paid by CHW for business use only by one key employee and one former key employee whose current position does not meet the criteria of key employee. No amounts have been included as reportable income as expenses related to personal usage, if any, are paid by these employees. No amount has been paid for club dues for officers. CHW does not pay or reimburse for any health club memberships. Part I, 4a CHW's key employees and officers and certain highly compensated employees participate in a severance plan that provides market-standard compensation, ranging from payments of 6 months to 2 years of base compensation, depending on the executive's position, in the event of a position elimination or other involuntary termination, in accordance with the guidelines of the plan. Payments pursuant to the plan arrangement for two former key employees occurred during 2010 related to eliminated positions; W. Fuchs $565,608 and J. Winter $673,378. These amounts were reported as deferred compensation in 2009. Part I, 4b Certain officers and key employees participate in the CHW Excess Benefit Plan, a nonqualified supplemental benefit plan limited to participants in the CHW Retirement Plan whose benefits are affected by the limitations imposed by sections 401(a)(17) and 415 of the Internal Revenue Code. Benefit service under this plan was frozen as of January 1, 2008. Payments pursuant to the plan for two key employees occurred during 2010; E. Urquhart, $94,201 and W. Fuchs, $3,916. Part I, 4b CHW's key employees and certain officers and highly compensated employees are eligible to participate in one of two non-qualified 457(f) plans that are subject to substantial risk of forfeiture, as required by the IRS. The 2007 Executive Deferred Compensation Plan is for executives hired prior to June 30, 2006. The benefit is intended to bridge the difference, if any, between the benefit provided under the CHW Excess Benefit Plan had benefit service not been frozen at January 1, 2008, and the benefits provided from all other qualified and non-qualified plans. No benefit under this formula will vest under this 457(f) plan before the attainment of age 62 or the completion of 15 years of service. The 2010 Executive Deferred Compensation Plan is for three officers and key employees who are not eligible to participate in the CHW Excess Benefit Plan or the 2007 Executive Deferred Compensation Plan described above. This benefit provides an annual accrual of 10% of total compensation and is payable annually on July 1 once vested, which is age 62 with 5 years of service. One payment of $23,028 to J. Land was made under the 2007 Executive Deferred Compensation Plan during 2010. Part I, 4b Certain listed persons participate in the CHW Key Employee Share Option Plan (KeySOP), which was frozen in May 2002. The KeySOP program was established in 2001 with the purpose of providing income deferral opportunities to employees eligible for the company's key employee retention program. No payments were made under this plan during 2010. Part I, 4b Certain officers and key employees participate in the CHW Supplemental Executive Retention/Retirement Plan, a nonqualified supplemental benefit plan which in 2002 was offered to members of the executive management team by the CHW Board of Directors and would be paid only if the executives stayed with the organization for a specified number of years as the primary purpose of this plan is to provide for the retention and retirement of the participants. The executive management team was recruited from stable careers in organizations from across the country and from various industries to engineer and lead a financial and operational turnaround after the organization had lost nearly $1 billion in net operating performance. The calculation for the payments to each executive is based on the value of a final average pay annuity benefit based on retirement age and service years to the organization. Distribution occurs each July 1 if the plan formula warrants a payment. Vested amounts are reported as deferred compensation in the year vesting occurs (Schedule J, Part II, column C) and are reflected again as reportable compensation in the year paid (Schedule J, Part II, column B(iii)). Payments made during 2010 pursuant to this plan include $509,948 to L. Dean, $201,590 to M. Blaszyk, $42,758 to C. Francis, $174,625 to E. Shih and $146,434 to E. Urquhart.
Sch J - PART II	CHW's executive compensation philosophy is designed to assist CHW in attracting and retaining the caliber of executives required to enable CHW to fulfill its mission of providing high quality healthcare for all persons regardless of their ability to pay for services, improving the quality of life in the communities CHW serves, promoting patient and employee satisfaction, and ensuring financial stability. A substantial portion of executive compensation is performance based and is linked to organizational goals approved in advance by the Human Resources and Compensation Committee. These goals include attainment of annual and long-term financial performance, certain healthcare quality standards and CHW's commitment to serving the poor and disenfranchised in the communities it serves. Total compensation, which includes base salary, annual and long-term incentive compensation, targets the 75th percentile of the market in which CHW competes for executives, commensurate with the size and complexity of the organization.
SCHEDULE J-2, SUPPLEMENTAL INFORMATION	CHW does not compensate director Ken Mills for his services as a board member, but rather for administrative and medical director services provided at a CHW facility.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
521598225	13033FRT9	2004-04-28	470300483	Bond A: CUSIP 13033FRT9-SEE PRT V	true	false	false
THE INDUSTRIAL DEVLPMT AUTH OF CNTY OF MARICOPA AZ
860445263	566816GY4	2004-04-28	259114410	Bond B: CUSIP 566816GY4-SEE PRT V	false	false	false
CITY OF HENDERSON NEVADA
886000720	425203BM7	2004-04-28	166163811	Bond C: CUSIP 425203BM7-SEE PRT V	false	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
521598225	13033FTN0	2004-05-19	150000000	Bond D: CUSIP 13033FTN0-SEE PRT V	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
4100000	472398949	12910625	0	428246051	4074726	25069705	2097841	0	0	2004	true	true	true	true
0	267914848	8557000	0	74718546	2542136	0	6947096	158912634	16237436	2006	true	false	true	true
0	171860312	4165552	5184771	48745447	1638159	0	2787394	109338989	0	2007	true	true	true	true
0	136994286	0	0	0	0	0	0	136994286	0	2007	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0.00000	0.00000	0.00000
0.00015	0.00000	0.00015	false	true	true	true	true	true
0.00061	0.00000	0.00061	false	true	true	true	true	true
0.00081	0.01267	0.01348	false	true	true	true	true	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
CITIGROUP &JP MORGAN
false	true	true	21.2	false	true	true	LEHMAN BROTHERS	22.2	true	true	false
JP MORGAN
false	true	true	5.	false	true	true	LEHMAN BROTHERS	22.2	true	true	false
CITIGROUP
false	true	true	5.	false	true	true	LEHMAN BROTHERS	23.2	true	true	false
(no name)
false	true	false				false				true	false

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	Sch K, Part V - Supplemental Information	Identifier
Explanation	When an arbitrage liability is determined to be applicable, Form 8038-T has been filed. Otherwise, no form is necessary. There are no outstanding arbitrage obligations as of June 30, 2011 as all previously reported amounts have been paid. BOND A: CUSIP 13033FRT9 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refund prior bond issues - California Health Facilities Financing Authority ("CHFFA") 1988 AB; CHFFA 1992 A; CHFFA (ST. JOSEPH'S) 1993 A; California Statewide Communities Development Authorities ("CSCDA") 1993 A Certificates of Participation ("COPs"); CHFFA 1994 AB; CHFFA 1996 B; CHFFA 1996 CD; CHFFA 1996 F; CHFFA 1997 ABC; CHFFA 1998 A. Part I, Column (g) CHFFA 2005 Series A-G, of which CHFFA 2005 Series A-F were exchanged for CHFFA 2008 Series FHIJKL. In October 2005, a defeasance escrow was established with proceeds of a taxable borrowing for the CHFFA 2004 Series H in the amount of $4.1 million. The first call date is July 1, 2011. Part IV, Line 3a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to each such series, such hedges were deemed terminated April 25, 2008 (NV 2005 Series A bonds were retired with a draw on a taxable line of credit), May 16, 2008 (CHFFA 2004 Series B bonds and CHFFA 2005 Series ABCEF bonds were exchanged without a reissuance with fixed rate bonds) and November 12, 2009 (upon refinancing of the CHFFA 2005 Series D which were later exchanged for CHFFA 2008 Series F and AHFA 2005 Series A which were exchanged for AHFA 2008 Series D) as a result of either the refinancing of one or more of these series or the exchange (without a reissuance) and conversion of one or more of these series into long-term fixed -rate bonds. Part IV, Line 3e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in schedule k was actually terminated either by Catholic Healthcare West, which was the party to the swap), or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. Part IV, Line 4a Although the debt service reserve funds for the above series were invested in GICs with Lehman Brothers as provider, the GICs with Lehman Brothers were subsequently terminated. As a result, the debt service reserve funds are no longer invested in GICs. BOND B: CUSIP 566816GY4 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refunding of prior bond issues - AZ 1993 A; AZ 1994 A; and new money to finance capital expenditures for construction of Mercy Gilbert and add a new tower at St. Joseph's Hospital and Medical Center. Part II, Line 13 The Industrial Development Authority of Maricopa County (IDAMC) 2004 SERIES AB construction fund proceeds were spent by 2006 on projects that were substantially completed by that date. In March 2009, the IDAMC 2004 Series B bonds were refinanced with a draw on a taxable line of credit, and in May 2009, a portion of the draw on the line was refinanced with tax-exempt debt. In March 2009, approximately $17 million was released from debt service reserve funds, a portion of which is allocable to the un-refinanced portion of the taxable line of credit and a portion of which is allocable to the May 2009 tax-exempt bonds. Such funds are currently unspent, and will be used either for capital projects or to redeem or defease May 2009 bonds. Part III, Line 3a Although there are management or service contracts that may generate private use, we have policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3b Although there are research agreements which may result in private use, we have policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. Part IV, Line 1 Part IV, Line 3a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to each such series, such hedges were deemed terminated April 25, 2008 (NV 2005 Series A bonds were retired with a draw on a taxable line of credit), May 16, 2008 (CHFFA 2004 Series B bonds and CHFFA 2005 Series ABCEF bonds were exchanged without a reissuance with fixed rate bonds) and November 12, 2009 (upon refinancing of the CHFFA 2005 Series D which were later exchanged for CHFFA 2008 Series F and AHFA 2005 Series A which were exchanged for AHFA 2008 Series D) as a result of either the refinancing of one or more of these series or the exchange (without a reissuance) and conversion of one or more of these series into long-term fixed -rate bonds. Part IV, Line 3e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in schedule k was actually terminated either by Catholic Healthcare West, which was the party to the swap), or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. Part IV, Line 4a Although the debt service reserve funds for the above series were invested in GICs with Lehman Brothers as provider, the GICs with Lehman Brothers were subsequently terminated. As a result, the debt service reserve funds are no longer invested in GICs. BOND C: CUSIP 425203BM7 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. Part I, Column (f) Refunding of prior bond issues NV 1994 a NV 1998 a and new money to finance capital expenditures for the construction of a new hospital, St. Rose Dominican Hospital - San Martin Campus. Part III, Line 3a Although there are management or service contracts that may generate private use, we have policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3b Although there are research agreements which may result in private use, we have policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. Part IV, Line 3a Although at the time of sale of the above series of bonds, hedges were properly identified with respect to each such series, such hedges were deemed terminated April 25, 2008 (NV 2005 Series A bonds were retired with a draw on a taxable line of credit), May 16, 2008 (CHFFA 2004 Series B bonds and CHFFA 2005 Series ABCEF bonds were exchanged without a reissuance with fixed rate bonds) and November 12, 2009 (upon refinancing of the CHFFA 2005 Series D which were later exchanged for CHFFA 2008 Series F and AHFA 2005 Series A which were exchanged for AHFA 2008 Series D) as a result of either the refinancing of one or more of these series or the exchange (without a reissuance) and conversion of one or more of these series into long-term fixed -rate bonds. Part IV, Line 3e Although none of the interest rate swaps (each a "swap" and collectively the "swaps") entered into with respect to certain of the bond issues set forth in schedule k was actually terminated either by Catholic Healthcare West, which was the party to the swap), or by the counterparty to the particular swap, each swap was deemed terminated pursuant to section 1.148-4(h)(3)(iv)(a) of the treasury regulations at the time such swap ceased to be a "qualified hedge" with respect to the bonds with which it was associated. Part IV, Line 4a Although the debt service reserve funds for the above series were invested in GICs with Lehman Brothers as provider, the GICs with Lehman Brothers were subsequently terminated. As a result, the debt service reserve funds are no longer invested in GICs. BOND D: CUSIP 13033FTN0 Part I, Column (e) The difference between the issue price in Part I, column (e) and Part II, Line 3 is due to investment earnings. The separate entities received $14 million of the $150 million of the CHFFA 2004 Series J and K pool bonds. Part I, Column (f) New money to fund various projects and medical equipment at numerous hospitals in California. Part III, Line 3a Although there are management or service contracts that may generate private use, we have policies and procedures in place that require such contracts be in compliance with Revenue Procedure 97-13. Part III, Line 3b Although there are research agreements which may result in private use, we have policies and procedures in place that require such contracts be in compliance with Revenue Procedure 2007-47. BOND E: CUSIP 13033FG46 Part I, Co	Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
Bill Hunt
relocation loan	X	$300,000	100000	false	false	true
Marvin O'Quinn
relocation loan	X	$500,000	166667	false	false	true
Herb Vallier
relocation loan	X	$600,000	600000	false	false	true

Field	Value	IRS element (for citing)
Total Balance Due	866667	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Wade Dean
Family member of L Dean	60230	Employment	false
Kristin Anderson
Family member-J Anderson	87961	Employment	false
SonoSite Inc
R Hochman, BOD	421606	Equipment and services	false
Marianne Hyer
Family member of J Hyer	97067	Employment	false
Mercy Doctors Medical Group
K Mills, ownership int>5%	182117	Lease payments	false

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	1201	NoncashContribsRptdF990
Method Of Determining Revenues	COMPARABLE SALE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest

Books And Publications BooksAndPublications

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	13066	NoncashContribsRptdF990
Method Of Determining Revenues	COMPARABLE SALE	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	3521	NoncashContribsRptdF990
Method Of Determining Revenues	RESALE VALUE	MethodOfDeterminingRevenues

Cars And Other Vehicles CarsAndOtherVehicles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	3	NumberOfContributions
Noncash Contribs Rptd F990	5625	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	5	NumberOfContributions
Noncash Contribs Rptd F990	5637	NoncashContribsRptdF990
Method Of Determining Revenues	COMPARABLE SALE	MethodOfDeterminingRevenues

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	3000	NoncashContribsRptdF990
Method Of Determining Revenues	COMPARABLE SALE	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	10	NumberOfContributions
Noncash Contribs Rptd F990	42940	NoncashContribsRptdF990
Method Of Determining Revenues	COMPARABLE SALE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (9 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	LAND & BLDG IMPROVEMENTS	9	1657390	COMPARABLE SALE
X	Medical Equipment	8	173687	COMPARABLE SALE
X	TOYS	20	40117	COMPARABLE SALE
X	OFFICE EQUIPMENT	4	6942	COMPARABLE SALE
X	SPORTING GOODS	2	4500	COMPARABLE SALE
X	WIGS	1	2586	COMPARABLE SALE
X	ENTERTAINMENT	10	1968	COMPARABLE SALE
X	ELECTRONICS	2	1433	COMPARABLE SALE
X	DENTAL SUPPLIES	1	192	COMPARABLE SALE

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	true	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifier	ExplanationExplanation
SCH M, PART I, COLUMN B	THE ORGANIZATION IS REPORTING A COMBINATION OF EITHER THE NUMBER OF CONTRIBUTIONS OR THE NUMBER OF ITEMS RECEIVED.
Sch M, Part 1, Line 32b	CATHOLIC HEALHTCARE WEST IS SUPPORTED BY 32 FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONs, THE FOUNDATIONS SOLICIT AND PROCESS NON-CASH CONTRIBUTIONS ON BEHALF OF CHW'S HOSPITALS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART V, IRS FILINGS AND PART VI, GOVERNANCE AND MANAGEMENT	DISCLOSURES	FORM 990, PART V This Schedule O of Catholic Healthcare West's (CHW's) 2010 Form 990 includes an overview of CHW, required governance disclosures, and additional disclosures as required. The CHW Board of Directors has delegated the review of this Form 990 to the Audit and Compliance Committee. The Audit and Compliance Committee met with various personnel involved in the preparation of the return, including, but not limited to, the EVP/Chief Financial Officer, SVP/General Counsel, and VP/Compliance and Internal Audit. Compensation schedules and disclosures were presented to the Human Resources and Compensation Committee of the CHW Board of Directors by Executive Management. FORM 990, PART VI, SECTION A, LINE 2 Officer D. Covert has a family relationship with key employee M. Connick. FORM 990, PART VI, SECTION A, LINE 6 CHW's co-sponsors have specific governance rights and responsibilities, including the appointment of CHW's corporate members. CHW has six (6) classes of Corporate Members, each of which shall have and exercise specific reserved rights with respect to certain matters, as follows: (a) A Corporate Members. The A Corporate Members shall be two (2) members of the Sisters of Mercy of the Americas West Midwest Community, one each to be an individual associated with the Auburn and Burlingame Regional Communities prior to their assimilation into the West Midwest Community, as appointed by the President of the West Midwest Community or a governance body of the West Midwest Community delegated such authority by the Community Leadership Team. (b) B Corporate Member. The B Corporate Member shall be the Prioress of the Adrian Dominican Sisters or her designee, who shall be a member of the Adrian Dominican Sisters. (c) C Corporate Member. The C Corporate Member shall be the duly elected Prioress General of the Dominican Sisters of San Rafael or her designee who shall be a member of the Dominican Sisters of San Rafael. (d) D Corporate Member. The D Corporate Member shall be the duly elected General Superior of the Incarnate Word Sisters or her designee who shall be a member of the Incarnate Word Sisters. (e) E Corporate Member. The E Corporate Member shall be the duly elected Prioress of the Kenosha Dominicans or her designee who shall be a member of the Kenosha Dominicans. (f) F Corporate Member. The F Corporate Member shall be the duly elected Provincial Minister of the Redwood City Franciscans or her designee who shall be a member of the Redwood City Franciscans. FORM 990, PART VI, SECTION A, LINE 7a CHW is co-sponsored by six congregations that have specific governance rights and responsibilities, including the appointment of CHW's corporate members. FORM 990, PART VI, SECTION A, LINE 7b Reserved rights of the co-sponsors include THE adoption of, OR MATERIAL CHANGE IN, THE mission and philosophy statements OF CHW AND ITS SUBORDINATES, amendment or restatement of articles of incorporation and bylaws, SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL ASSETS OF CHW, APPOINTMENT OR TERMINATION OF THE CHIEF EXECUTIVE OFFICER, CHANGE OF NAME OF CHW, ENTERING INTO OR MATERIALLY CHANGING ANY RELATIONSHIP WITH ANY ACUTE CARE HOSPITAL OR ADDING A NEW SPONSOR, AND ACQUISITION OR CONSTRUCTION OF A NEW ACUTE CARE FACILITY THAT WILL CONSTITUTE PROPERTY SUBJECT TO THE NORM OF CHURCH LAW, dissolution of the corporation, AND merger or consolidation with another corporation WITH CHW AS THE DISAPPEARING CORPORATION. FORM 990, PART VI, SECTION B, LINE 11A As noted above, the Board of Directors delegated the review of the Form 990 to the Audit and Compliance Committee. The organization's VP/Finance & Corporate Controller and the Senior Director of Financial Reporting, and the outside accounting firm it engaged to review the return, presented each section of the final draft of this Form 990 to the Audit and Compliance Committee. Compensation schedules and disclosures were presented to the Human Resources and Compensation Committee of the CHW Board of Directors by Executive Management. The Audit and Compliance Committee also met with various personnel involved in the preparation process of the return, including, but not limited to, the EVP/Chief Financial Officer, SVP/General Counsel, and VP/Compliance and Internal Audit. The review included an explanation of each schedule of the Form 990 and the pertinent information contained on each schedule. Subsequent to its review, the Audit and Compliance Committee reported back to the Board regarding its oversight of the Form 990 and a complete copy of the Form 990 was provided to the entire Board before the return was filed. FORM 990, PART VI, SECTION B, LINE 12C The Board of Directors delegated to the Audit and Compliance Committee responsibility for monitoring conflicts of interest disclosures and for addressing any potential or actual conflicts. CHW's Conflict of Interest Policy charges the SVP/General Counsel with responsibility for reviewing and validating disclosures, and maintaining adequate records of disclosures. Pursuant to the Conflicts of Interest Policy, an annual conflict of interest disclosure statement, aimed at determining any family and business relationships and transactions, or other transactions that may pose a potential conflict, is distributed to all covered persons (e.g., board members, officers and executive leadership, key employees and all management personnel whose responsibilities include business decisions which may give rise to conflicts of interest). Covered persons are also required to disclose real or potential conflicts at the time such conflicts arise. When an individual becomes a covered person and annually thereafter, each covered person is required to submit an updated disclosure statement and to sign a statement affirming that he/she: (1) has received a copy of the Conflicts of Interest Policy; (2) has read the Policy and understands said Policy; and (3) agrees to comply with all requirements of the Policy, including completing the conflicts of interest disclosure statement. As required by the Policy, the President/CEO and SVP/General Counsel prepare annual reports of reported conflicts of interest which are provided to the Board of Directors, Committee Chairs, and key leaders of the organization to enable responsible individuals to monitor and manage disclosed conflicts of interest in the organization's best interests. The procedures for addressing any conflict of interest related to a proposed transaction include, but are not limited to, the following: (1) the conflicting interest is fully disclosed to the Board; (2) the interested person responds to factual questions related to the substance of the transaction or arrangement being considered, after which he/she shall leave the meeting; (3) the person with the conflict of interest is excluded from the discussion and approval of such transaction; (4) if warranted, alternatives to the proposed transaction are investigated, and competitive bids or comparable valuations are obtained; (5) any conflicting issues arising during the course of a Board meeting which cannot be resolved are to be referred to an independent committee of the Board of Directors; and (6) the transaction or action must be approved by a majority of disinterested persons. FORM 990, PART VI, SECTION B, LINE 15A & 15B Annually, the Board of Directors appoints a Human Resources and Compensation Committee, comprised solely of directors, who are independent with respect to executive compensation, to be accountable for setting reasonable compensation packages for each officer and key employee (including the President/CEO). The Human Resources and Compensation Committee approves, consistent with the organization's philosophy and principles, the annual performance goals and criteria to be used in determining merit increases and variable compensation criteria for officers and key employees. The Human Resources and Compensation Committee also engages outside legal counsel as necessary and a qualified independent compensation and benefits specialist (independent expert) to review, analyze and provide benchmarking data for the total compensation and benefits packages of officers and key executives. Appropriate comparability data is obtained from the independent experts, e.g., total economic benefits paid by similarly situated organizations (both taxable and tax-exempt) for similar job responsibilities. Key deliberations of the Committee are documented in meeting minutes which are approved at the next Committee meeting and provided to the Board of Directors. The documentation of the decision includes (a) the terms of the transaction that was approved and the date it was approved, (b) the members of the Committee who were present during discussion of the transaction that was approved and those who voted on it, and (c) the comparability data obtained and relied upon by the Committee and how the data was obtained.
FORM 990, PART VI, SECTION C, LINE 19		Federal tax laws do not require that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection. The organization makes its consolidated financial statements available on its website and upon request.
FORM 990, PART XI - Reconciliation of Net Assets, Line 5		Change in unrealized gains; $372,374,451 Change in non-controlling interest; $(434,440) Change in additional minimum pension liability; $324,174,000 Investment in health related activities organized as corps/exempt organizations; $111,660,535 Market-to-market on interest rate swaps; $9,056,268 Interest in net assets of unconsolidated foundations/related entites; $27,412,515 Book/Tax difference K-1 investments; $(1,217,580) Other fund balance transfers; $2,831,212
FORM 990, PART XII - Financial Statements AND Reporting, LINE 3		The organization's federal awards were included in Catholic Healthcare West and Subordinate Corporations' consolidated OMB Circular A-133 audited Schedule of Federal Expenditures.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Lloyd H Dean TITLE:Board Member, President/ CEO HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Michael D Blaszyk TITLE:EVP, Chief Financial Officer HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Derek F Covert TITLE:SVP, Legal Svcs/Gen Counsel HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:William J Hunt TITLE:EVP, Chief Operating Officer HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Marvin O'Quinn TITLE:EVP, Chief Operating Officer HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Elizabeth Shih TITLE:SVP, Chief Admin Officer/Asst HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Mary Connick TITLE:VP Finance, Corp Controller HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Linda Hunt TITLE:President & CEO of SJHMC HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Bernita McTernan TITLE:SVP, Sponsorship, Mission Inte HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Timothy Moran TITLE:President & CEO of Methodist HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Karl Silberstein TITLE:VP, Financial Operations HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Ernest H Urquhart TITLE:SVP, Chief HR Officer HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Mike Uboldi TITLE:President and CEO SMRMC HOURS:2

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
St John's Regional Imaging Center LLC
26250 Enterprise Court Suite 100	Lake Forest	CA	92630	770483564	OP Radiology	CA	3415904	1310660	NA
St Francis Foundation LLC
112 E Victoria Street	Santa Barbara	CA	93101	421691710	Real estate	CA	0	1591894	NA
Trinity Care LLC
901 Corporate Center Dr Ste 406	Monterey Park	CA	91754	330805338	Health care	CA	11380960	1136797	NA
CHWUSP OXNARD SURGERY CENTERS LLC
1700 N ROSE AVENUE STE 100	OXNARD	CA	93030	200707388	OP SURGERY	CA	1444566	2016571	NA
Northridge Gamma Knife LLC
18300 Roscoe Blvd	Northridge	CA	91328	201616363	Leasing	CA	0	0	NA

Form990 Schedule R Part II Form990ScheduleRPartII (48 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Bakersfield Memorial Hospital
420 34TH Street	Bakersfield	CA	93301	951802779	Hospital	CA	501(c)(3)	3	CHW
CHW HPL Self-Insurance Trust
185 Berry Street	San Francisco	CA	94107	943006034	Administratio	CA	501(c)(3)	11; Type 1	CHW
CHW Workers' Comp Self-Insurance Trust
185 Berry Street	San Francisco	CA	94107	946612446	Administratio	CA	501(c)(3)	11; Type 1	CHW
CHW Medical Foundation
3400 Data Drive	Rancho Cordova	CA	95670	680220314	Multi-sp clin	CA	501(c)(3)	11; Type 1	CHW
Community Hospital of San Bernardino
1805 Medical Center Drive	San Bernardino	CA	92411	951643373	Hospital	CA	501(c)(3)	3	CHW
Dominican Health Services
1555 Soquel Drive	Santa Cruz	CA	95065	770056778	Community Hea	CA	501(c)(3)	11; Type 1	CHW
Dominican Oaks Corporation
1555 Soquel Drive	Santa Cruz	CA	95065	770127719	Sr Housing	CA	501(c)(3)	9	DHS
Golden Umbrella
200 Mercy Oaks Drive	Redding	CA	96003	237115371	Senior ctr	CA	501(c)(3)	7	CHW
Marian Community Clinics Inc
1400 E Church Street	Santa Maria	CA	93454	770447575	Clinic	CA	501(c)(3)	3	CHW
Mark Twain St Joseph's Healthcare Corpor
768 Mountain Ranch Road	San Andreas	CA	95249	680127677	Hospital	CA	501(c)(3)	3	NA
Mercy Senior Housing Inc
3865 J Street	Sacramento	CA	95816	680117340	SR HOUSING	CA	501(c)(3)	9	CHW
Saint Francis Memorial Hospital
900 Hyde Street	San Francisco	CA	94109	941156295	Hospital	CA	501(c)(3)	3	CHW
Saint Mary's Outpatient Surgery Center a
235 West Sixth Street	Reno	NV	89520	800035199	Outpatient su	NV	501(c)(3)	3	CHW
Shasta Senior Nutrition Program
100 Mercy Oaks Drive	Redding	CA	96003	942650429	Sr Meal	CA	501(c)(3)	7	CHW
Sierra Nevada Memorial-Miners Hospital
155 Glasson Way	Grass Valley	CA	95945	941439787	Hospital	CA	501(c)(3)	3	CHW
St Francis Hospital Support Corporation
601 E Micheltorena Street	Santa Barbara	CA	93103	770022302	INACTIVE	CA	501(c)(3)	11; Type 1	CHW
St Mary Catholic Housing Corporation
1050 Linden Avenue	Long Beach	CA	90813	330007728	Sr HOusing	CA	501(c)(3)	1	CHW
St Mary Professional Building Inc
1050 Linden Avenue	Long Beach	CA	90813	237373088	Provide offic	CA	501(c)(3)	11; Type 1	CHW
Arroyo Grande Community Hospital Foundat
345 S Halcyon Rd	Arroyo Grande	CA	93420	203256066	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
Barrow Neurological Foundation
350 West Thomas Road	Phoenix	AZ	85013	860174371	FNDRSING FND	AZ	501(c)(3)	11; Type 1	CHW
California Hospital Medical Center Found
1401 South Grand Avenue	Los Angeles	CA	90015	954000909	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
CHW Foundation East Valley
475 South Dobson Road	Chandler	AZ	85224	742418514	FNDRSING FND	AZ	501(c)(3)	11; Type 1	CHW
Community Hospital Foundation of San Ber
1805 Medical Center Drive	San Bernardino	CA	92411	953051931	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHSB
Dominican Hospital Foundation
1555 Soquel Drive	Santa Cruz	CA	95065	942450442	FNDRSING FND	CA	501(C)(3)	11; Type 1	chw
French Hospital Medical Center Foundatio
1911 Johnson Avenue	San Luis Obispo	CA	93401	203256125	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
Glendale Memorial Health Foundation
1420 South Central Avenue	Glendale	CA	91204	953625651	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
Marian Medical Center Foundation
1400 E Church Street	Santa Maria	CA	93454	953818027	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
Mercy Foundation Bakersfield
PO Box 119	Bakersfield	CA	93302	770201321	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
Mercy Foundation Sacramento
3400 Data Drive 3rd Flr	Rancho Cordova	CA	95670	237072762	FNDRSING FND	CA	501(c)(3)	11; Type 1	NA
Northridge Hospital Foundation
18300 Roscoe Blvd	Northridge	CA	91328	237444901	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
Saint Mary's Foundation
520 West Sixth Street	Reno	NV	89520	880188386	FNDRSING FND	NV	501(c)(3)	11; Type 1	CHW
San Gabriel Valley Medical Center Founda
438 West Las Tunas Drive	San Gabriel	CA	91776	953430341	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
Sequoia Hospital Foundation
170 Alameda de las Pulgas	Redwood City	CA	94062	942909990	FNDRSING FND	CA	501(c)(3)	11; Type 3	NA
St Bernardine Medical Center Foundation
2101 N Waterman Avenue	San Bernardino	CA	92404	237440086	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
St Francis Foundation of Santa Barbara
2323 De La Vina St Suite 104	Santa Barbara	CA	93105	237137119	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
St John's Healthcare Foundation
1600 North Rose Avenue	Oxnard	CA	93030	202865781	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
St Joseph's Foundation
350 West Thomas Road	Phoenix	AZ	85013	942941245	FNDRSING FND	AZ	501(c)(3)	11; Type 1	CHW
St Joseph's Foundation of San Joaquin
1800 N California Street	Stockton	CA	95204	510432777	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
St Mary Medical Center Foundation
1050 Linden Avenue	Long Beach	CA	90813	237153876	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
St Mary's Medical Center Foundation
450 Stanyan Street	San Francisco	CA	94117	943336143	FNDRSING FND	CA	501(c)(3)	11; Type 1	CHW
St Rose Dominican Health Foundation
3001 St Rose Parkway	Henderson	CA	89052	880349432	FNDRSING FND	NV	501(c)(3)	11; Type 1	CHW
The Congenital Heart Foundation
350 W Thomas Road	Phoenix	AZ	85013	263342554	FNDRSING FND	AZ	501(c)(3)	11; Type 1	CHW
Barrow Foundation UK
350 West Thomas Road	Phoenix	AZ	85013	311724184	FNDRSING FND		501(c)(3)	11; Type 3	NA	UK
Woodland Memorial Hospital Foundation
1321 Cottonwood Street 305	Woodland	CA	95695	946167964	FNDRSING FND	CA	501(c)(3)	7	NA
Southwest Catholic Health Network Corpor
4350 E Cotton Center Blvd Bldg D	Phoenix	AZ	85040	860527381	Health Suppor	AZ	501(c)(3)	11; Type 1	NA
VILLA SERRA corporation
1555 Soquel Drive	Santa Cruz	CA	95065	770226589	INACTIVE	CA	501(c)(3)	9	CHW
St Mary's Hospital Guild
235 W 6TH STREET	RENO	NV	89503	886004507	FUNDRAISING	NV	501(c)(3)	11; Type 1	na
MERCY MEDICAL CENTER MERCED FOUNDATION
2740 M Street	Merced	CA	95340	770035928	FNDRSING FND	CA	501(c)(3)	7	CHW

Form990 Schedule R Part III Form990ScheduleRPartIII (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
CHW Nevada Imaging Company LLC
2835 S Jones Blvd No 3	Las Vegas	NV	89146	263322792	Imaging Cntr	NV	NA	RELATED	-6164622	14039189	false	$0	true	0.75000
CHWUSP Phoenix II LLC
15305 Dallas Parkway Suite 1600 LB	Addison	TX	75001	542105660	Surgery	TX	NA	related	616470	8300172	false	$0	false	0.50100
CHWUSP Sacramento Surgery Centers LLC
15305 Dallas Parkway Suite 1600 LB	Addison	TX	75001	202468509	Surgery	TX	NA	related	3040741	17099794	false	$0	false	0.50100
CHWUSP Las Vegas Surgery Centers LLC
15305 Dallas Parkway Suite 1600 LB	Addison	TX	75001	202999237	Surgery	TX	NA	related	677492	4938427	false	$0	false	0.50100
Dominican Magnetic Resonance Imaging Cen
1545 Soquel Drive	Santa Cruz	CA	94065	770095477	Medical labs	CA	NA	related	-29511	374618	false	$0	true	0.80000
Folsom Sierra Endoscopy Center LP
1650 Creekside Drive 1600	Folsom	CA	95630	680482416	Ambulatory lab	CA	NA	related	1366195	486063	false	$0	true	0.51000
NICU Oper CO of Santa Cruz LLC
1555 Soquel Drive	Santa Cruz	CA	95065	460502935	Neonatal Hlthcre	CA	NA	related	5696584	6751723	false	$0	false	0.51000
Plaza Surgery Center LP
525 E Plaza Drive Suite 100	Santa Maria	CA	93454	770573567	Surgery	CA	MHS	RELATED	432532	958957	false	$0	true	0.50390
Santa Cruz Land & Building LP
1555 Soquel Drive	Santa Cruz	CA	95065	770285236	Real Estate	CA	DHS	RELATED	87222	1274853	false	$0	true	0.86210
St Joseph's Surgery Center LP
15305 Dallas Parkway Suite 1600 LB	Addison	TX	75001	201019390	Surgery	TX	na	related	1165123	3163275	false	$0	true	0.79760
CHWUSP Phoenix Surgery Centers LLC
15305 Dallas Parkway Suite 1600 LB	Addison	TX	75001	134248908	Surgery	TX	NA	related	411216	14634145	false	$0	false	0.50100
Boston Common Intl Social Index fund LLC
84 State Street Suite 1000	Boston	MA	02109	030491645	INVESTMENTs	MA	NA	investment	1478126	46309022	false	$0	false	0.86300
St Mary's Surgery Center at Galena LLC
235 West Sixth Street	Reno	NV	89520	264094998	SURGERY	NV	NA	related	-46817	525176	false	$0	false	0.60270
St John's Outpatient Surgery Center LP
1700 N ROSE AVENUE STE 110	OXNARD	CA	93030	200707388	Surgery	CA	CHWUSP	RELATED	-445706	1807694	false	$0	false	0.68500
Mercy Davis Cancer Ctr Mgmt Co
2740 M Street	Merced	CA	95340	943358445	Cancer Ctr Mgmt	CA	Na	related	784145	5066231	false	$0	true	0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
CDS of Nevada Inc
1510 Meadowland Lane	Reno	NV	89502	880202496	3rd Prty administ	NV	Saint Mary's HF	C Corp	4256621	679236	1.00000
COASTAL SURGICAL SPECIALISTS INC
921 Oak Park Blvd Suite 101	Pismo Beach	CA	93449	743000596	Ambulatory Surger	CA	NA	S Corp	1010469	1061979	0.51000
Glendale Memorial SVCS corp
1420 South Central Avenue	Glendale	CA	91204	954051021	Hlth Care Mgmt	CA	NA	C Corp	0	287085	1.00000
Inland Health Organization of Southern C
1980 Orange Tree Lane Ste 200	Redlands	CA	92374	330578944	Hlth Care Mgmt	CA	NA	C Corp	2721086	4895205	1.00000
Management Services Organization of Sant
1400 E Church Street	Santa Maria	CA	93454	770318135	Hlth Mgmt Svcs	CA	NA	C Corp	0	0	1.00000
Marian Health Services Inc
1400 E Church Street	Santa Maria	CA	93454	770074057	Health Services	CA	NA	C Corp	432532	1249792	1.00000
Primary Care Plus
1625 Prater Way Suite 102	Sparks	NV	89434	113763590	clinics	NV	Saint Mary's HF	C Corp	5559549	3066802	1.00000
Saint Mary's Healthfirst
1510 Meadowland Lane	Reno	NV	89502	880293082	Insurance Provide	NV	NA	C Corp	85466700	40629142	1.00000
Saint Mary's Preferred Health Insurance
1510 Meadowland Lane	Reno	NV	89502	880193357	Insurance Provide	NV	Saint Mary's HF	C Corp	87397057	27666468	1.00000
St Mary Health Ventures Inc
1050 Linden Avenue	Long Beach	CA	90813	951912528	Retail Pharmacy	CA	NA	C Corp	1991700	2597520	1.00000
Trinity Care Infusion services
18440 Roscoe Boulevard	Northridge	CA	91325	330828794	Home Care Med svc	CA	NA	C Corp	2498869	672114	1.00000
CHW Insurance Ltd (Cayman Island Corp)
					SELF-INSu fund		NA	C CORP	95000	36728582	1.00000	PO BOX 1051 KY1-1102	Grand Cayman	CJ	CJ
MILLENIUM SURGERY CENTER inc
9300 Stockdale Hwy 200	Bakersfield	CA	93311	770513445	OP Surgery Sv	CA	BMH	S Corp	1441906	12377544	0.60069

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (117 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Arroyo Grande Hospital Foundation
b	221187
Arroyo Grande Hospital Foundation
c	200000
Arroyo Grande Hospital Foundation
n	98159
Bakersfield Memorial Hospital
k	14490040
Bakersfield Memorial Hospital
o	383683
Bakersfield Memorial Hospital
p	287063
Bakersfield Memorial Hospital
r	17503106
Barrow Neurological Foundation
b	1008730
Barrow Neurological Foundation
c	8083688
Barrow Neurological Foundation
n	1541305
Boston Common Intl Social Index fund LLC
r	252277
California Hospital Foundation
b	1445857
California Hospital Foundation
c	1833390
California Hospital Foundation
n	839259
CDS of Nevada
r	53612
CHW - Hospital & Professional Liability Self-
k	8312190
CHW - Hospital & Professional Liability Self-
q	60676452
CHW Foundation East Valley
b	276804
CHW Foundation East Valley
c	2096062
CHW Foundation East Valley
n	449821
CHW Foundation East Valley
o	953717
CHW Medical Foundation
i	2138136
CHW Medical Foundation
k	58966576
CHW Medical Foundation
o	726019
CHW Medical Foundation
r	8555268
CHW Medical Foundation
a	287442
CHW Nevada Imaging Company LLC
d	2100000
CHW Worker's Compensation Self-Insurance Trst
k	1014501
CHW Worker's Compensation Self-Insurance Trst
q	10966429
CHWUSP Phoenix II LLC
d	3336402
CHWUSP Sacramento Surgery Center LLC
r	3475645
CHWUSP Sacramento Surgery Center LLC (Folsom
o	2364511
CHWUSP Sacramento Surgery Center LLC (Rosevi
o	462124
Community Hospital of San Bernardino
k	10042154
Community Hospital of San Bernardino
r	45570107
Congenital Heart Foundation
n	109801
Dominican Foundation
c	1100146
Dominican Foundation
n	59996
Dominican Foundation
i	19626
Dominican MRI
i	100545
Dominican Oaks Corporation
r	2794779
Folsom Sierra Endoscopy Center
o	4254692
Folsom Sierra Endoscopy Center
p	630883
Folsom Sierra Endoscopy Center
r	1256640
French Hosptial Medical Center Foundation
b	465711
French Hosptial Medical Center Foundation
c	387317
French Hosptial Medical Center Foundation
n	220999
Friends of Mercy Foundation
b	645886
Friends of Mercy Foundation
c	2080967
Glendale Memorial Health Foundation
c	207651
Glendale Memorial Health Foundation
n	311239
Glendale Memorial Health Foundation
p	542841
Golden Umbrella
a	110798
Golden Umbrella
b	63563
Inland Health Organization of Southern Califo
k	1331973
Inland Health Organization of Southern Califo
o	1067913
Inland Health Organization of Southern Califo
r	536633
Marian Community Clinics
p	224520
Marian Health Services
p	508891
Marian Medical Center Foundation
b	233498
Marian Medical Center Foundation
c	2122112
Marian Medical Center Foundation
n	226951
Mark Twain St Joseph's Healthcare Corporatio
k	3774287
Mark Twain St Joseph's Healthcare Corporatio
r	3288671
Mercy Medical Center Merced Foundation
b	343488
Mercy Medical Center Merced Foundation
c	751302
Mercy Senior Housing Inc dba Mercy McMahon
r	646626
Mercy Surgery Center
a	383779
Mercy Surgery Center
d	287500
NICU Operating Company of Santa Cruz LLC
r	7104870
Northridge Foundation
b	1003016
Northridge Foundation
c	2945841
Preferred Health Insurance Corporation
r	105821
Saint Francis Memorial Hospital
k	11698213
Saint Francis Memorial Hospital
r	5923664
Saint Mary's Foundation
b	1230507
Saint Mary's Foundation
c	10136914
Saint Mary's Multi-Specialty Clinic Inc
r	90786
Sequoia Hospital Foundation
c	1438267
Sequoia Hospital Foundation
o	1337109
Shasta Senior Nutrition Program
a	157242
Shasta Senior Nutrition Program
b	51383
Sierra Nevada Miners Hospital
k	3751711
Sierra Nevada Miners Hospital
r	3200585
St Bernardine Medical Center Foundation
b	1057326
St Bernardine Medical Center Foundation
c	2375492
St Bernardine Medical Center Foundation
n	594589
St John's Healthcare Foundation
b	891671
St John's Healthcare Foundation
c	763977
St John's Healthcare Foundation
n	125500
St Joseph's Foundation of San Joaquin
b	1880565
St Joseph's Foundation of San Joaquin
c	5083088
St Joseph's Foundation of San Joaquin
i	38900
St Joseph's Foundation of San Joaquin
n	1295421
St Joseph's Surgery Center LP
i	439712
St Joseph's Surgery Center LP
k	136003
St Joseph's Surgery Center LP
n	5142795
St Mary Catholic Housing Corporation
r	449640
St Mary Health Ventures
a	130375
St Mary Health Ventures
n	1204160
St Mary Health Ventures
p	956876
St Mary Medical Center Foundation
b	1091555
St Mary Medical Center Foundation
c	3290099
St Mary Medical Center Foundation
n	1537347
St Mary Professional Building Inc
a	187273
St Mary Professional Building Inc
k	91968
St Mary Professional Building Inc
o	284052
St Mary Professional Building Inc
r	881503
SAINT Mary's Health First
r	2119081
St Mary's Medical Center Foundation
b	397559
St Mary's Medical Center Foundation
c	2684545
St Mary's Medical Center Foundation
n	483677
St Rose Dominican Health Foundation
b	960630
St Rose Dominican Health Foundation
c	3606082
St Rose Dominican Health Foundation
n	1031495
Woodland Healthcare Foundation
b	292244
Woodland Healthcare Foundation
c	626366

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	Schedule R, Part V, Line 2 column (c)	Identifier
Explanation	PART V, LINE 1A - CHW RECEIVED INTEREST FROM VARIOUS RELATED ORGANIZATIONS DURING THE YEAR IN THE FORM OF CASH. THE INTEREST RATES WERE AT MARKET RATES AND ARE INTENDED TO COVER THE ACTUAL COST OF THE BORROWING. PART V, LINE 1B, AND 1C - CHW AND ITS RELATED ORGANIZATIONS ARE SUPPORTED BY 27 FUNDRAISING FOUNDATIONS. AS SUPPORTING ORGANIZATIONS, THE FOUNDATIONS OPERATE FOR THE BENEFIT OF, TO RAISE FUNDS FOR, OR TO CARRY OUT THE PURPOSES OF CHW AND ITS RELATED ORGANIZATIONS' HOSPITALS. AS A RESULT, PAYMENTS ARE MADE DIRECTLY TO THE SUPPORTED ORGANIZATIONS FROM THE FOUNDATIONS OR DIRECTLY TO THE FOUNDATIONS FROM CHW. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" REPRESENT FUNDS CHW TRANSFERRED TO THE FOUNDATIONS FOR OPERATIONAL EXPENSES. AMOUNTS REPORTED AS TRANSACTION TYPE "C" REPRESENT FUNDS RECEIVED FROM THE FOUNDATIONS AS GRANTS TO CHW. PART V, LINE 1D - CHW MADE LOANS AND LOAN GUARANTEES FOR VARIOUS RELATED ORGANIZATIONS. AMOUNTS REPORTED AS TRANSACTION TYPE "D" REPRESENT THE FAIR MARKET VALUE OF THE LOANS AND GUARANTEES. PART V, LINE 1I - CHW LEASES FACILITIES OR EQUIPMENT TO CERTAIN RELATED ORGANIZATIONS (FOUNDATIONS, JOINT VENTURES AND MEDICAL FOUNDATIONS). AMOUNTS REPORTED AS TRANSACTION TYPE "I" REPRESENT THE AMOUNTS CHARGED FOR SUCH LEASES. SUCH CHARGES REPRESENT FAIR MARKET VALUE OF THE LEASES. PART V, LINE 1K - CHW FACILITIES PERFORM VARIOUS SERVICES FOR OTHER RELATED ORGANIZATIONS. BELOW IS A SUMMARY OF THE TRANSACTIONS AMONG RELATED ORGANIZATIONS FOR SUCH ACTIVITIES. 1. SYSTEM OFFICE ALLOCATIONS - CHW'S CONTROLLED ENTITIES ARE ASSESSED AN AMOUNT TO COVER THE SYSTEM OFFICE OPERATIONS. IN ADDITION, AN EXPENSE IS ALSO ASSESSED TO COVER CENTRALIZED INFORMATION TECHNOLOGY COSTS OF THE ORGANIZATION, CENTRALIZED ACCOUNTS PAYABLE AND PAYROLL SERVICES, AND CERTAIN OTHER MANAGEMENT SERVICES. AMOUNTS REPORTED UNDER TRANSACTION TYPE "K" FOR THE ITEMS DESCRIBED ABOVE TOTALED $62.2 MILLION FOR THE YEAR ENDED JUNE 30, 2011. 2. PHYSICIAN CLINIC SUPPORT SERVICES FOR CHW MEDICAL FOUNDATION ("CHWMF") - CHWMF OPERATES CLINICS WITH LOCATIONS THROUGHOUT NORTHERN CALIFORNIA. THE OPERATIONS OF THE MEDICAL FOUNDATIONS ARE FUNDED THROUGH THE PARTICIPATING CHW HOSPITALS. AMOUNTS REPORTED UNDER TRANSACTION TYPE "K" TOTALING $49.3 MILLION REPRESENT THE TOTAL FUNDING SUPPORT BY THE PARTICIPATING CHW HOSPITALS FOR THE SERVICES PERFORMED BY CHWMF. CHWMF SERVICES ARE PROVIDED IN THE COMMUNITIES SERVED BY THOSE HOSPITALS. 3. CHW HOSPITALS ALSO PERFORM SERVICES FOR OTHER RELATED ORGANIZATIONS. SERVICES INCLUDE PLANT MAINTENANCE, LAUNDRY SERVICES, PATIENT FINANCIAL SERVICES MANAGEMENT, CENTRAL STERILIZATION SERVICES, CATERING SERVICES FOR PATIENT NOURISHMENT, AND OTHER SERVICES AS DEEMED NECESSARY. THE SERVICES PERFORMED ARE REIMBURSED AT COST. PART V, LINE 1L - CHW IS SELF INSURED FOR WORKERS' COMPENSATION BENEFITS AND FOR HOSPITAL PROFESSIONAL AND GENERAL LIABILITY RISKS. CHW MAINTAINS SEPARATE TRUSTS FOR THESE PROGRAMS FROM WHICH CLAIMS AND RELATED EXPENSES AND COSTS OF ADMINISTERING THE PLANS ARE PAID. CHW HOSPITALS FUND THE TRUSTS, SUCH THAT OVER TIME, ASSETS HELD EQUAL LIABILITIES FOR CLAIMS INCURRED. THE AMOUNTS REPORTED UNDER TRANSACTION TYPE "L" TOTALING $71.6 MILLION REPRESENT THE CASH TRANSFERRED FROM CHW TO THE TRUSTS FOR THE FY11 FUNDING OF THE SELF INSURANCE PROGRAMS. PART V, LINE 1M - FACILITIES ARE SHARED BETWEEN THE ORGANIZATION AND A FEW OF ITS SUPPORTING ORGANIZATIONS. THE AMOUNTS REPORTED AS TRANSACTION "M" REPRESENT THE VALUE OF THE EQUIVALENT RENT FOR THE FACILITIES SHARED. PART V, LINE 1N - CHW'S FUNDRAISING FOUNDATIONS DO NOT EMPLOY PERSONNEL DIRECTLY. CHW EMPLOYS INDIVIDUALS THAT ARE DEDICATED TO PERFORM DUTIES FOR ITS FOUNDATIONS (SUPPORTING ORGANIZATIONS). THE AMOUNTS REPORTED AS TRANSACTION TYPE "N" REPRESENT THE COSTS INCURRED (SALARIES AND BENEFITS) BY CHW FOR SUCH EMPLOYEES. PART V, LINE 1O, AND 1P - INTERCOMPANY ACTIVITY IS COMMON AMONG CHW AND ITS RELATED ORGANIZATIONS. REIMBURSEMENTS FOR EXPENSES INCURRED BY THE ORGANIZATIONS ARE REPORTED AS TRANSACTION TYPES "O" AND "P". AMOUNTS REIMBURSED ARE AT COST. PART V, LINE 1R - AS THE PARENT ORGANIZATION, CHW RECEIVES FUNDING FOR VARIOUS EXPENDITURES OF THE ORGANIZATION. AMOUNTS REPORTED UNDER TRANSACTION TYPE "R" REPRESENT FUNDING FOR ITEMS DESCRIBED BELOW. 1. PENSION FUNDING - CHW MAINTAINS DEFINED BENEFIT RETIREMENT PLANS THAT COVER SUBSTANTIALLY ALL ELIGIBLE EMPLOYEES OF CHW. CHW'S FUNDING POLICY REQUIRES THAT EACH PARTICIPATING HOSPITAL FUND ITS PRORATA SHARE OF THE TOTAL ANNUAL FUNDING REQUIREMENT OF THE PLANS. THE PENSION FUNDING REPORTED UNDER TRANSACTION TYPE "R" TOTALED $18.0 MILLION FOR THE YEAR ENDED JUNE 30, 2011, FOR SEPARATE LEGAL ENTITIES CONTROLLED BY CHW. 2. DEBT (INTEREST AND PRINCIPAL) FUNDING - CHW HAS A CENTRALIZED DEBT MANAGEMENT SYSTEM. THE CONTROLLED ENTITIES FUND TOTAL DEBT PAYMENTS (INTEREST AND PRINCIPAL) THROUGH INTERCOMPANY BORROWING. THE DEBT FUNDING IS REPORTED UNDER TRANSACTION TYPE "R" FOR THE SEPARATE LEGAL ENTITIES 3. JOINT VENTURES - K-1 DISTRIBUTIONS - CHW HAS PARTNERSHIPS (JOINT VENTURES) WITH OTHER ORGANIZATIONS. THE AMOUNTS REPORTED UNDER TRANSACTION TYPE "R" FOR THESE PARTNERSHIPS REFLECT DISTRIBUTIONS AS REPORTED ON SCHEDULE K-1 OF THE PARTNERSHIPS' TAX RETURNS. 4. OTHER AMOUNTS REPORTED UNDER TRANSACTION TYPE "R" INCLUDE THE FAIR MARKET VALUE OF THE SERVICES, CASH, AND OTHER ASSETS PROVIDED TO OR FROM THE FILING ORGANIZATION DURING ITS TAX YEAR.	Explanation