MISSION HOSPITAL REGIONAL MEDICAL CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: MISSION HOSPITAL REGIONAL MEDICAL CENTER (EIN 95-1643360)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-13
IRS object ID: 202023189349308792
Schema version: 2019v5.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-13T14:14:33-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	560 MISSION STREET SUITE 1600	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951643360	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	MISS	BusinessNameControlTxt
Phone	9493641400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	EILEEN HAUBL	PersonNm
Person Title	SVP & CFO	PersonTitleTxt
Phone	9493647767	PhoneNum
Signature	2020-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN
Phone	4158948000	PhoneNum
Preparation	2020-11-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE MISSION HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	EILEEN HAUBL	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$687,389,630	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MISSION4HEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1941	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	3107	TotalEmployeeCnt
Total Volunteers	674	TotalVolunteersCnt
Total Gross UBI	$561,692	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$298,310	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$20,623,860	PYContributionsGrantsAmt
CY Contributions Grants	$7,361,859	CYContributionsGrantsAmt
PY Program Service Revenue	$695,552,123	PYProgramServiceRevenueAmt
CY Program Service Revenue	$672,891,095	CYProgramServiceRevenueAmt
PY Investment Income	$5,138,169	PYInvestmentIncomeAmt
CY Investment Income	$3,912,768	CYInvestmentIncomeAmt
PY Other Revenue	-$192,913	PYOtherRevenueAmt
CY Other Revenue	$2,443,633	CYOtherRevenueAmt
PY Total Revenue	$721,121,239	PYTotalRevenueAmt
CY Total Revenue	$686,609,355	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,668,104	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,225,915	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$269,359,338	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$226,399,144	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,924,881	CYTotalFundraisingExpenseAmt
PY Other Expenses	$341,908,907	PYOtherExpensesAmt
CY Other Expenses	$442,392,120	CYOtherExpensesAmt
PY Total Expenses	$619,936,349	PYTotalExpensesAmt
CY Total Expenses	$675,017,179	CYTotalExpensesAmt
PY Revenues Less Expenses	$101,184,890	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$11,592,176	CYRevenuesLessExpensesAmt
Total Assets BOY	$542,602,706	TotalAssetsBOYAmt
Total Assets EOY	$626,257,394	TotalAssetsEOYAmt
Total Liabilities BOY	$291,380,529	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$336,717,907	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$251,222,177	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$289,539,487	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$631,370,127	ExpenseAmt
Grant	$6,225,915	GrantAmt
Revenue	$672,970,495	RevenueAmt
Desc	SEE SCHEDULE OPROVIDENCEON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT TO FORM PROVIDENCE ST. JOSEPH HEALTH (PROVIDENCE). BY COMING TOGETHER, PROVIDENCE SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 1,085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE A CHANGING HEALTH CARE ENVIRONMENT WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK, TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA.REALIZING OUR MISSIONMISSION HOSPITAL REGIONAL MEDICAL CENTER IS PART OF NEWLY FORMED PROVIDENCE ST. JOSEPH HEALTH. MISSION HOSPITAL IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1971, LOCATED AT MISSION VIEJO AND LAGUNA BEACH, CALIFORNIA. THE FACILITY HAS 552 LICENSED BEDS AND A STAFF OF MORE THAN 2,600 COMMITTED CAREGIVERS. MAJOR PROGRAMS AND SERVICES INCLUDE CARDIAC CARE, CRITICAL CARE, DIAGNOSTIC IMAGING, EMERGENCY MEDICINE AND OBSTETRICS. CALENDAR YEAR 2019 PROGRAM SERVICE ACCOMPLISHMENTS: (JANUARY 1 DECEMBER 31, 2019)IDENTIFIED PRIORITY - MENTAL HEALTH AND SUBSTANCE ABUSE THIS NEED WAS IDENTIFIED AS AN "AREA OF OPPORTUNITY" TO ADDRESS SIGNIFICANT HEALTH NEEDS OF LOW-INCOME RESIDENTS ("LOW-INCOME POPULATION") BASED ON THE INFORMATION GATHERED THROUGH THE PRC COMMUNITY HEALTH TELEPHONE SURVEY. THE AREAS OF OPPORTUNITY WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: DISPARITY BETWEEN LOW-INCOME RESPONDENTS AND THOSE WITH HIGHER INCOMES; STANDING IN COMPARISON WITH NATIONAL LOW-INCOME DATA; IDENTIFIED TRENDS AMONG THE LOW-INCOME POPULATION; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. THERE IS A TREMENDOUS DISPARITY IN THE PREVALENCE OF CHRONIC DEPRESSION BETWEEN LOW-INCOME AND HIGHER-INCOME RESIDENTS. FOR THOSE WITH HIGHER INCOMES, 17.7% OF RESIDENTS REPORT HAVING HAD TWO OR MORE YEARS IN THEIR LIVES WHEN THEY FELT DEPRESSED OR SAD ON MOST DAYS, ALTHOUGH THEY MAY HAVE FELT OKAY SOMETIMES (SYMPTOMS) OF CHRONIC DEPRESSION; THIS INCREASES TO 41.1% AMONG THOSE LIVING BELOW THE 200% FPL. LOW-INCOME RESIDENTS ARE ALSO MUCH MORE LIKELY TO FEEL THAT EVERYTHING SEEMED TO BE AN EFFORT ("ALL," "SOME OR "MOST" OF THE TIME) IN THE PAST MONTH, WITH 44% RESPONDING IN THIS WAY. AMONG THOSE WITH HIGHER INCOMES, THE PREVALENCE IS 20.8% (LESS THAN HALF).THE PREVALENCE OF ACTIVITY RESTRICTIONS DUE TO MENTAL HEALTH HAS INCREASED SIGNIFICANTLY IN THE LOW-INCOME POPULATION, WITH 16.4% OF LOW-INCOME RESPONDENTS CURRENTLY REPORTING 3+ DAYS OF SUCH RESTRICTIONS IN THE PAST MONTH (ALMOST DOUBLING, FROM 8.3% IN 2013). THIS NEED WAS ADDRESSED BY:1. BOTH FAMILY RESOURCE CENTERS (FRC)- THESE ARE SPONSORED BY MISSION HOSPITAL IN COLLABORATION WITH COMMUNITY NON-PROFIT AGENCIES, THE FRCS ARE FULL-SERVICE WRAP-AROUND RESOURCE CENTERS FOR OUR COMMUNITIES IN NEED. FAMILY RESOURCE CENTERS PROVIDE HEALTH AND SOCIAL SERVICES TO THE LOW INCOME RESIDENTS IN SAN JUAN CAPISTRANO & LAKE FOREST. SERVICES INCLUDE PARENTING CLASSES, MENTAL HEALTH SERVICES, HEALTH INSURANCE ENROLLMENT AND HELP IN UTILIZING COMMUNITY RESOURCES. CLIENTS OF THE FRCS RECEIVED THERAPEUTIC, PSYCHOEDUCATION OR SUPPORT GROUP SERVICES, AND THERAPY AND PSYCHIATRIC SERVICES. 2. REDUCED THE STIGMA OF MENTAL HEALTH ISSUES AS MEASURED BY NUMBER OF PERSONS WHO "MAKE A PROMISE TO TALK." 3. IMPLEMENTATION OF RAISING HEALTHY TEENS/STRENGTH IN NUMBERS CAMPAIGN, TO PREVENT SUBSTANCE USE AMONG YOUTH.4. COLLABORATING WITH SCHOOLS.IDENTIFIED PRIORITY - ECONOMIC INSECURITY - THIS NEED WAS IDENTIFIED AS AN "AREA OF OPPORTUNITY" TO ADDRESS SIGNIFICANT HEALTH NEEDS OF LOW-INCOME RESIDENTS ("LOW-INCOME POPULATION") BASED ON THE INFORMATION GATHERED THROUGH THE PRC COMMUNITY HEALTH TELEPHONE SURVEY. THROUGHOUT THIS ASSESSMENT, THE FINDINGS REVEAL STRONG DISPARITY BY INCOME WHEN COMPARING THE LOW-INCOME POPULATION WITH RESIDENTS WITH HIGHER INCOMES. ALMOST UNIVERSALLY, THESE POINT TO POORER HEALTH STATUS AND GREATER HEALTH NEEDS FOR LOW-INCOME POPULATION. ONLY 50.3% OF LOW-INCOME ADULTS FEEL THAT THEY HAVE BEEN ABLE TO ACHIEVE EDUCATIONAL GOALS; SIGNIFICANTLY BELOW 82.6% FOUND AMONG THOSE WITH HIGHER INCOMES. HOME OWNERSHIP, AN IMPORTANT MEASURE OF INEQUITY IN THE COMMUNITY FINDS THAT ONLY 16.9% OF LOW-INCOME RESIDENTS REPORT AS OWNING THEIR OWN HOME VS. 71.9% AMONG THOSE EARNING INCOMES AT 200% FPL AND ABOVE. HOME OWNERSHIP HAS DECREASED OVER THE YEARS AMONG LOW-INCOME POPULATION; IN 2013 IT WAS 26.8%. HEALTH OUTCOMES ARE WORSE OFF IN THE LOW-INCOME POPULATION. DIABETES PREVALENCE HAS INCREASED FROM 3.5% IN 2013 TO 13% IN 2016. THE PREVALENCE OF HEART DISEASE HAS INCREASED IN THIS POPULATION FROM 2.1% IN 2013 TO 8% IN 2016. IN 2013, 25.2% DESCRIBED HAVING "VERY OR "SOMEWHAT DIFFICULT" ACCESS TO FINDING AND PURCHASING FRESH FRUITS AND VEGETABLES; IN 2016 THIS INCREASED TO 39.3%. ONLY 8.1% OF THOSE WITH HIGHER INCOME RESPONDED WITH "VERY OR "SOMEWHAT DIFFICULT" IN 2016. SCHOOL-AGED CHILDREN IN LOW-INCOME HOUSEHOLDS ARE MORE THAN TWICE REPORTING OVERWEIGHT OR OBESITY AT 36.4% VERSUS 17.4% IN HIGHER-INCOME HOUSEHOLDS. ADDITIONALLY, AT THE FOCUS GROUPS, RESIDENTS SHARED THEIR CHALLENGES ON FINDING JOBS THAT PAY A LIVING WAGE, PARTICULARLY IN VIEW OF THE COST OF LIVING OF THE COUNTY, AND THE STRESS OF LIVING IN OR NEAR POVERTY. THIS NEED WAS ADDRESSED BY:1. BOTH FAMILY RESOURCE CENTERS OFFERING FINANCIAL EDUCATION AND JOB/CAREER SKILLS TRAINING. IDENTIFIED PRIORITY - IMMIGRATION STATUS RESIDENTS PARTICIPATING IN THE FOCUS GROUPS EXPRESSED A GROWING FEAR OF ARREST AND DEPORTATION. MANY UNDOCUMENTED IMMIGRANTS ARE AFRAID TO ACCESS RESOURCES, INCLUDING HEALTH SERVICES. IN ADDITION, THERE WAS CONCERN ABOUT THE STRESS THAT THIS COMMUNITY FACED AND ITS EFFECT ON HEALTH AND MENTAL HEALTH. WHILE THIS WAS NOT A TOP PRIORITY AFTER THE FIRST THREE STEPS OF PRIORITIZATION, THE COMMUNITY BENEFIT COMMITTEE, IN ITS DELIBERATIONS, GAVE SPECIAL WEIGHT TO THE CLEAR IMPORTANCE OF THIS ISSUE TO THE COMMUNITY. THE COMMITTEE WISHED TO UPHOLD THE MINISTRY'S EMPHASIS ON THE POOR AND VULNERABLE, AND FELT A RESPONSIBILITY TO COMPASSIONATELY SUPPORT AND ADVOCATE FOR THIS POPULATION, AS THEY OFTEN CANNOT DO SO THEMSELVES.THIS NEED WAS ADDRESSED BY:1. BOTH FAMILY RESOURCE CENTERS - IMMIGRATION SUPPORT AND SOLIDARITY TO HELP LOCAL RESIDENTS IN SOUTH ORANGE COUNTY BECOME EMPOWERED AND INCREASE THEIR SELF-ESTEEM.	Desc
Total Program Service Expenses	$631,370,127	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3107	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	9493647767	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd
JIM WATSON ESQ
SECRETARY	1.00	59.00	Yes (X)	$0	$843,494	$137,810
MICHAEL MARINO DO
BOD, SVP, CHIEF MED INFO OFCR	2.00	48.00	Yes (X)	$0	$742,870	$204,686	Yes (X)
LINDA SIEGLEN
CHIEF MEDICAL OFFICER	50.00	0.00		$606,097	$0	$38,268		Yes (X)
EILEEN HAUBL
SVP & CHIEF FINANCIAL OFFICER	50.00	0.00	Yes (X)	$571,074	$0	$46,759
SHANNON DWYER ESQ
BOARD MEMBER	2.00	48.00		$0	$569,160	$24,211	Yes (X)
SETH TEIGEN
CHIEF EXECUTIVE, MHRMC	50.00	0.00	Yes (X)	$0	$494,559	$51,585	Yes (X)
JENNIFER CORD
CNO - MISSION	50.00	0.00		$461,142	$0	$44,874		Yes (X)
MICHAEL BECK
CHIEF ADMIN OFFICER-LB	50.00	0.00		$419,710	$0	$58,998		Yes (X)
TARA COWELL
FORMER VP/ASSO GENERAL COUNSEL/SEC	2.00	52.00		$0	$440,453	$36,845			Yes (X)
MARK JABLONSKI
INTERIM VP MISSION INTEGRATION	0.00	50.00	Yes (X)	$0	$405,503	$47,362
LAUREN DWINELL
EXEC DIR, CHIEF OPS-PATIENT FLOW	50.00	0.00		$383,850	$0	$37,340		Yes (X)
EVELYN SCHLOSSER
EXEC DIR, QUALITY & PATIENT SAFETY	50.00	0.00		$341,022	$0	$35,949		Yes (X)
TERRENCE WOOTEN
COO MHRMC	50.00	0.00		$317,851	$0	$36,969				Yes (X)
DEANNE NIEDZIELA
FORMER DIR, NURSING	50.00	0.00		$230,746	$0	$49,710			Yes (X)
WENDY FERRO-GRANT
FORMER DIR, SURGICAL SERVICES	50.00	0.00		$218,251	$0	$46,713			Yes (X)
TAREK SALAWAY
CHIEF EXECUTIVE, MHRMC	50.00	0.00	Yes (X)	$0	$229,410	$21,150	Yes (X)
TODD LEMPERT MD
BOARD MEMBER	2.00	0.00		$0	$112,920	$0	Yes (X)
JOHN SHAVER MD
BOARD MEMBER, CHIEF OF STAFF	2.00	0.00		$0	$3,200	$0	Yes (X)
JAIME MUNOZ
BOARD VICE CHAIR	2.00	0.00		$0	$0	$0	Yes (X)
LISA PERRINE
BOARD MEMBER	2.00	0.00		$0	$0	$0	Yes (X)
PATRICIA WALLACE MD
BOARD MEMBER	2.00	0.00		$0	$0	$0	Yes (X)
REZA DEHKORDI MD
BOARD MEMBER	2.00	0.00		$0	$0	$0	Yes (X)
SISTER LINDA BUCK
BOARD MEMBER	5.00	4.00		$0	$0	$0	Yes (X)
VIRGINIA RIPSLINGER
BOARD MEMBER	2.00	0.00		$0	$0	$0	Yes (X)
STEVEN PAL
BOARD CHAIR	2.00	0.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,549,743	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,841,569	TotReportableCompRltdOrgAmt
Total Other Compensation	$919,229	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	725	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SOUTH ORANGE COUNTY SUR MED GROUP
24411 HLTH CTR DR STE 350	LAGUNA HILLS	CA	92653	MEDICAL SERVICES	$8,832,406
SOUTHERN CALIFORNIA ORTHOPAEDIC
17525 VENTURA BLVD STE 210	ENCINO	CA	91316	MEDICAL SERVICES	$6,722,981
DNE LLC
2225 PARK PL	SLATINGTON	PA	18080	MEDICAL SERVICES	$5,270,246
SNYDER LANGSTON LLC
17962 COWAN	IRVINE	CA	92614	REAL ESTATE ADVISORY	$4,572,014
VIZZIA TECHNOLOGIES
PO BOX 84681	SEATTLE	WA	98124	TECHNOLOGY SERVICES	$3,256,815

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	80	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,765,408	FundraisingAmt
Related Organizations	$5,263,464	RelatedOrganizationsAmt
Government Grants	$89,682	GovernmentGrantsAmt
All Other Contributions	$243,305	AllOtherContributionsAmt
Total Contributions	$7,361,859	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$657,128,580	$657,128,580
MOB RENTAL REVENUE	900099	$7,086,009	$7,086,009
HOSPITAL FEE	622110	$2,491,208	$2,491,208
340 DRUG DISCOUNT PROG	722310	$23,298	$23,298

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,162,000	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,600,308	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$561,692	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$672,891,095	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,690,166	TotalRevenueColumnAmt
Exclusion	$1,690,166	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,222,602	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,222,602	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,222,602	TotalRevenueColumnAmt
Exclusion	$2,222,602	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$601,225	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,765,408	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$739,775	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$138,550	TotalRevenueColumnAmt
Exclusion	-$138,550	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$101,969	GamingGrossIncomeAmt
Gaming Direct Expenses	$40,500	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,469	TotalRevenueColumnAmt
Exclusion	$61,469	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE	722110	$2,441,314	$2,441,314
PARKING REVENUE	812930	$79,400		$79,400

Field	Value	IRS element (for citing)
Other Revenue Total	$2,520,714	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$686,609,355	TotalRevenueColumnAmt
Related Or Exempt Func Income	$672,408,803	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$561,692	UnrelatedBusinessRevenueAmt
Exclusion	$6,277,001	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,215,159	TotalAmt
Program Services	$6,215,159	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$10,756	TotalAmt
Program Services	$10,756	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$972,653	TotalAmt
Program Services	$914,294	ProgramServicesAmt
Management And General	$58,359	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$545,420	TotalAmt
Program Services	$545,420	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$199,340,318	TotalAmt
Program Services	$187,548,517	ProgramServicesAmt
Management And General	$10,197,797	ManagementAndGeneralAmt
Fundraising	$1,594,004	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,261,439	TotalAmt
Program Services	$9,845,551	ProgramServicesAmt
Management And General	$327,283	ManagementAndGeneralAmt
Fundraising	$88,605	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$615,993	TotalAmt
Program Services	$213,137	ProgramServicesAmt
Management And General	$402,856	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,663,321	TotalAmt
Program Services	$14,167,785	ProgramServicesAmt
Management And General	$379,098	ManagementAndGeneralAmt
Fundraising	$116,438	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,695,340	TotalAmt
Program Services	$2,695,340	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,104,746	TotalAmt
Management And General	$1,099,423	ManagementAndGeneralAmt
Fundraising	$5,323	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$154,189	TotalAmt
Management And General	$154,189	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$91,956,123	TotalAmt
Program Services	$79,037,004	ProgramServicesAmt
Management And General	$12,704,283	ManagementAndGeneralAmt
Fundraising	$214,836	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,615,455	TotalAmt
Program Services	$11,800	ProgramServicesAmt
Management And General	$1,541,069	ManagementAndGeneralAmt
Fundraising	$62,586	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,852,231	TotalAmt
Program Services	$11,129,436	ProgramServicesAmt
Management And General	$736,872	ManagementAndGeneralAmt
Fundraising	-$14,077	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$39,690	TotalAmt
Program Services	$38,970	ProgramServicesAmt
Management And General	$720	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$25,784,082	TotalAmt
Program Services	$25,756,441	ProgramServicesAmt
Management And General	$27,123	ManagementAndGeneralAmt
Fundraising	$518	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$776,796	TotalAmt
Program Services	$337,693	ProgramServicesAmt
Management And General	$252,360	ManagementAndGeneralAmt
Fundraising	$186,743	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$69,336	TotalAmt
Program Services	$64,799	ProgramServicesAmt
Management And General	$4,181	ManagementAndGeneralAmt
Fundraising	$356	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,719,504	TotalAmt
Program Services	$7,719,504	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,718,813	TotalAmt
Program Services	$22,214,734	ProgramServicesAmt
Management And General	$1,497,155	ManagementAndGeneralAmt
Fundraising	$6,924	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SYSTEM COST ALLOCATION	$138,357,061	$129,367,176	$8,400,026	$589,859
SUPPLIES	$95,901,654	$95,067,955	$833,699
HOSPITAL FEE	$32,183,112	$32,183,112
REPAIRS & MAINTENANCE	$2,088,162	$2,088,162

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,375,826	TotalAmt
Program Services	$4,197,382	ProgramServicesAmt
Management And General	$2,105,678	ManagementAndGeneralAmt
Fundraising	$72,766	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$675,017,179	TotalAmt
Program Services	$631,370,127	ProgramServicesAmt
Management And General	$40,722,171	ManagementAndGeneralAmt
Fundraising	$2,924,881	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$18,227,623	BOYAmt
EOY	$6,774,254	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,472,863	BOYAmt
EOY	$8,211,621	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$67,060,446	BOYAmt
EOY	$77,636,578	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,745,929	BOYAmt
EOY	$4,164,177	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,391,529	BOYAmt
EOY	$9,099,739	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,312,763	BOYAmt
EOY	$4,402,901	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$662,940,343	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$319,115,719	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$336,361,711	BOYAmt
EOY	$343,824,624	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$85,302,167	BOYAmt
EOY	$77,348,129	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,467,328	BOYAmt
EOY	$15,444,664	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,260,347	BOYAmt
EOY	$79,350,707	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$542,602,706	BOYAmt
EOY	$626,257,394	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$64,643,281	BOYAmt
EOY	$53,042,777	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$100,943	BOYAmt
EOY	$1,655,891	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$226,636,305	BOYAmt
EOY	$282,019,239	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$291,380,529	BOYAmt
EOY	$336,717,907	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$142,105,482	BOYAmt
EOY	$179,890,228	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$109,116,695	BOYAmt
EOY	$109,649,259	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$251,222,177	BOYAmt
EOY	$289,539,487	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$542,602,706	BOYAmt
EOY	$626,257,394	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$11,592,176	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,933,582	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$17,791,552	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$54,241	OtherActivitiesAmt
Total Lobbying Expenditures	$54,241	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO MISSION HOSPITAL REGIONAL MEDICAL CENTER.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,451,584	BeginningYearBalanceAmt
Contributions	$446,403	ContributionsAmt
Investment Earnings Or Losses	$1,190,792	InvestmentEarningsOrLossesAmt
Administrative Expenses	$27,825	AdministrativeExpensesAmt
End Year Balance	$7,060,954	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,547,788	BeginningYearBalanceAmt
Contributions	$179,437	ContributionsAmt
Investment Earnings Or Losses	-$254,088	InvestmentEarningsOrLossesAmt
Administrative Expenses	$21,553	AdministrativeExpensesAmt
End Year Balance	$5,451,584	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,163,079	BeginningYearBalanceAmt
Investment Earnings Or Losses	$414,008	InvestmentEarningsOrLossesAmt
Administrative Expenses	$29,299	AdministrativeExpensesAmt
End Year Balance	$5,547,788	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.50000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.33340	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16660	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,101,906	OtherCostOrOtherBasisAmt
Book Value	$49,101,906	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$352,003,569	OtherCostOrOtherBasisAmt
Depreciation	$137,411,561	DepreciationAmt
Book Value	$214,592,008	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,425,429	OtherCostOrOtherBasisAmt
Depreciation	$13,638,690	DepreciationAmt
Book Value	$2,786,739	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$223,267,074	OtherCostOrOtherBasisAmt
Depreciation	$168,065,468	DepreciationAmt
Book Value	$55,201,606	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,142,365	OtherCostOrOtherBasisAmt
Book Value	$22,142,365	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$343,824,624	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
HOSPITAL FEE/PROVIDER TAX RECEIVEABLE	$21,277,226
OTHER ASSETS	$58,073,481

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$79,350,707	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
I/C - TAX-EXEMPT BOND LIABILITIES	$210,410,331
DUE TO AFFILIATES	$8,360,597
DUE TO THIRD PARTY	$7,963,089
OTHER LIABILITIES	$43,278,871
ACCRUED RETIREMENT COMPENSATION	$1,970,547
HOSPITAL FEE/PROVIDER TAX LIABILITY	$10,035,804

Field	Value	IRS element (for citing)
Total Liability	$282,019,239	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$1,242,687	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,089,130	CharitableContriEvent1Amt
Gross Revenue Event1	$153,557	GrossRevenueEvent1Amt
Food And Beverage Event1	$244,698	FoodAndBeverageEvent1Amt
Entertainment Event1	$21,500	EntertainmentEvent1Amt
Other Direct Expenses Event1	$118,229	OtherDirectExpensesEvent1Amt
Event2	FASHION SHOW	Event2Nm
Gross Receipts Event2	$306,608	GrossReceiptsEvent2Amt
Charitable Contri Event2	$193,589	CharitableContriEvent2Amt
Gross Revenue Event2	$113,019	GrossRevenueEvent2Amt
Food And Beverage Event2	$35,804	FoodAndBeverageEvent2Amt
Entertainment Event2	$10,000	EntertainmentEvent2Amt
Other Direct Expenses Event2	$5,072	OtherDirectExpensesEvent2Amt
Other Events Total	5	OtherEventsTotalCnt
Gross Receipts Other Events	$817,338	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$482,689	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$334,649	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$82,427	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$64,637	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$20,903	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$136,505	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$2,366,633	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,765,408	CharitableContributionsTotAmt
Gross Revenue Total Events	$601,225	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$82,427	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$345,139	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$52,403	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$259,806	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$739,775	DirectExpenseSummaryEventsAmt
Net Income Summary	-$138,550	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$101,969	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$1,500	CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming	$39,000	NonCashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	Yes (1)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$101,969	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$1,500	CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming	$39,000	NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming	$40,500	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$61,469	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	CA	StatesWhereGamingConductedCd
Licensed	0	LicensedInd
Explanation If No	SEE SCHEDULE G, PART IV	ExplanationIfNoTxt
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	0	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Other Facility	1.00000	GamingOtherFacilityPct

Persons With Books Name PersonsWithBooksName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN D MILLER	BusinessNameLine1Txt

Persons With Books US Address PersonsWithBooksUSAddress

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

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd

Gaming Manager Business Name GamingManagerBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN D MILLER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gaming Manager Compensation	$0	GamingManagerCompensationAmt
Gaming Manager Services Prov	DIRECTOR/OFFICER	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	Yes (1)	CharitableDistributionRqrInd
Distributed	$30,591	DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART III, LINE 9B	FormAndLineReferenceDesc
Explanation	GAMING MISSION HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION AND GAMING IS NOT THE PRIMARY FUNDRAISING ACTIVITY. AS A HOSPITAL, THEY ARE NOT REQUIRED TO REGISTER WITH THE CALIFORNIA ATTORNEY GENERAL. THERE WERE RAFFLES FOR PRIZE BASKETS AND CASH PRIZES TOTALING $101,969. 90% OF THE PROCEEDS WERE RETAINED AS REQUIRED.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,680,617	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,680,617	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,428,703	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,601,037	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,827,666	NetCommunityBenefitExpnsAmt
Total Expense	0.02940	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$115,109,320	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,601,037	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,508,283	NetCommunityBenefitExpnsAmt
Total Expense	0.04230	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,062,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$223,855	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,838,444	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,957,831	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,957,831	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,050,130	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$223,855	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,826,275	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,159,450	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,824,892	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,334,558	NetCommunityBenefitExpnsAmt
Total Expense	0.05390	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Reimbursed By Medicare	$129,278,362	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$153,091,246	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$23,812,884	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 MISSION EDUCATION CONFERENCE CENTER LLC
PHYSICIAN OFFICE & CONF ED CT	0.50000	0.50000
2 MISSION AMBULATORY SURGICENTER LTD DBA MISSION SURGERY CENTER
OUTPATIENT SURGERY CENTER	0.36330	0.63670
3 MISSION VIEJO PHYSICIAN PARTNERS I LLC
MEDICAL OFFICE BUILDING	0.24800	0.12640

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WERE BASED ON HEALTH NEEDS IN THE COMMUNITY. A FOUR STEP PROCESS WAS FOLLOWED THAT INCORPORATED THE EXPERIENCE, EXPERTISE, AND PERSPECTIVE OF BOTH INTERNAL AND EXTERNAL COMMUNITY STAKEHOLDERS. THIS PROCESS IDENTIFIED FIFTEEN (15) HEALTH NEEDS, AND THESE WERE SCORED AND RANKED BY COMMUNITY DATA, RESIDENT FOCUS GROUPS, RESIDENT COMMUNITY FORUMS AND A NON-PROFIT/STAKEHOLDER FOCUS GROUP RESPONSES. THESE NEEDS WERE PRIORITIZED, AND THE TOP TWO (2) "IDENTIFIED SIGNIFICANT NEEDS" OF THE COMMUNITY, BASED ON "TOTAL RANK SCORE" WERE SELECTED BY THE COMMUNITY BENEFIT COMMITTEE: 1. MENTAL HEALTH AND SUBSTANCE ABUSE2. ECONOMIC INSECURITYTHE COMMUNITY BENEFIT COMMITTEE, THROUGH MUCH DELIBERATION GAVE SPECIAL WEIGHT TO "IMMIGRATION STATUS, AND PICKED THIS AS ITS THIRD "IDENTIFIED SIGNIFICANT NEED."SCHEDULE H, PART V, SECTION B, LINES 4 AND 8:THE FILING ORGANIZATION COMPLETED A CHNA PRIOR TO ITS JUNE 30, 2017 YEAR END. DURING 2017, THE FILING ORGANIZATION CHANGED ITS TAX YEAR END FROM JUNE 30 TO DECEMBER 31 IN 2017. AS A RESULT OF THIS CHANGE, A SHORT PERIOD TAX RETURN WAS FILED FOR THE PERIOD JULY 1, 2017 TO DECEMBER 31, 2017. THE FILING ORGANIZATION ADOPTED A CHNA FOR TAX YEAR 2019 AND WHILE ALL OF THE STEPS WERE COMPLETED PRIOR TO THE FILING OF THIS RETURN, THEY WERE NOT COMPLETED BY DECEMBER 31, 2019. THE COMPLETION OF THE CHNA AFTER DECEMBER 31, 2019 IS NOT AN IRC 501(R) FAILURE PURSUANT TO SECTION 1.501(R)-2(B) OF THE REGULATIONS BECAUSE IT WAS MINOR, INADVERTENT AND DUE TO REASONABLE CAUSE, AND HAS BEEN CORRECTED. IT WAS MINOR BECAUSE IT WAS A SINGLE TIMING ERROR BY A FILING ORGANIZATION OTHERWISE COMPLIANT WITH SECTION 501(R). IT WAS INADVERTENT AND DUE TO REASONABLE CAUSE BECAUSE THE SAME ERROR HAS NOT BEEN MADE PREVIOUSLY AND THE FILING ORGANIZATION HAS AN ESTABLISHED PROCESS FOR COMPLETING CHNAS. THE FILING ORGANIZATION IS AFFILIATED WITH A LARGE HEALTH SYSTEM WHERE THE COMPLETION OF THE CHNA IS COORDINATED ON A SYSTEM-WIDE LEVEL BY A TEAM DEDICATED TO COMMUNITY HEALTH IMPROVEMENT. IT HAS BEEN CORRECTED THROUGH THE COMPLETION OF THE CHNA PRIOR TO FILING THE 2019 FORM 990 AND BY MAKING THE RESULTS OF THE 2019 CHNA WIDELY AVAILABLE.
SCHEDULE H, PART V, SECTION B, LINE 5	INPUT FROM COMMUNITYIN CONDUCTING THE CHNA TO IDENTIFY NEEDS, THE HOSPITAL INVITED BOTH LOCAL RESIDENTS AND LEADERS TO FOUR (4) RESIDENT FOCUS GROUPS, TWO (2) COMMUNITY FORUMS AND ONE (1) NON-PROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, ALL OF THESE WERE FACILITATED BY THE CONSULTANT, THE OLIN GROUP. IN ADDITION, A TELEPHONE SURVEY CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) PRODUCED A TOTAL OF 1,703 SURVEYS, A REPRESENTATIVE SAMPLE OF THE ACTUAL POPULATION DEMOGRAPHICS. THE 4 RESIDENT FOCUS GROUPS WERE CONDUCTED IN THE CITIES OF LAKE FOREST AND SAN JUAN CAPISTRANO IN AREAS WHERE HEALTH, PHYSICAL ENVIRONMENT AND SOCIO-ECONOMIC MATTERS ARE OF GREAT CONCERN. THESE WERE HOSTED AT COMMUNITY-BASED ORGANIZATIONS. FOCUS GROUP PARTICIPANTS WERE RECRUITED BY MISSION HOSPITAL COMMUNITY BENEFIT STAFF AS WELL AS LOCAL NON-PROFIT AND FAITH PARTNERS. BOTH THE COMMUNITY-BASED ORGANIZATIONS AND PARTICIPANTS WERE INCENTIVIZED. THESE FOCUS GROUPS WERE FACILITATED BY AN OUTSIDE CONSULTANT, THE OLIN GROUP IN ENGLISH AND SPANISH. TWO (2) LAKE FOREST RESIDENT FOCUS GROUPS WERE HOSTED BY THE SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER. SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER PROVIDES EDUCATION, SUPPORT AND RESOURCES TO ENHANCE THE PROCESS OF FAMILY GROWTH THROUGH THE DEVELOPMENT OF SKILLS THAT PROMOTE HEALTH, SELF-SUFFICIENCY, INCREASE QUALITY OF LIFE AND FOSTER A SENSE OF COMMUNITY. SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER HOSTED AND RECRUITED THE LAKE FOREST RESIDENT FOCUS GROUPS WHICH WAS CONDUCTED IN ENGLISH AND SPANISH. TWO (2) SAN JUAN CAPISTRANO RESIDENT FOCUS GROUPS WERE HOSTED BY MARCO FORSTER MIDDLE SCHOOL. MARCO FORSTER MIDDLE SCHOOL IS PART OF THE CAPISTRANO UNIFIED SCHOOL DISTRICT AND SERVES APPROXIMATELY 1,350 STUDENTS GRADES 6TH THROUGH 8TH IN THE CITY OF SAN JUAN CAPISTRANO. MARCO FORSTER MIDDLE SCHOOL HOSTED THE SAN JUAN CAPISTRANO RESIDENT FOCUS GROUPS AND BOTH WERE CONDUCTED IN SPANISH. THE FOUR (4) RESIDENT FOCUS GROUPS FOLLOWED THE SAME PROTOCOL AND THE SAME LINE OF QUESTIONS. THEY SHARED THE HEALTH NEEDS THAT EMERGED FROM GATHERING PUBLICLY AVAILABLE AND RELIABLE GOVERNMENT SECONDARY DATA (COMMUNITY DATA), ASKED THE RESIDENTS TO COMMENT ON THEM, AND FINALLY TOOK A VOTE TO DOCUMENT THEIR GREATEST CONCERNS. TWO (2) RESIDENT COMMUNITY FORUMS WERE CONDUCTED IN THE CITY OF LAKE FOREST AND SAN JUAN CAPISTRANO AND WERE ALSO HOSTED BY SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER AND MARCO FORSTER MIDDLE SCHOOL. THE RESIDENT COMMUNITY FORUMS WERE BROADLY ADVERTISED, OPEN TO ANYONE IN THE PUBLIC, NO INCENTIVE WAS PROVIDED. THE OUTSIDE CONSULTANT, OLIN GROUP, FACILITATED THE FORUMS. WHILE THE RESIDENT FOCUS GROUPS FOLLOWED A SIMILAR PROTOCOL IN WHICH FIVE (5) TO SIX (6) QUESTIONS WERE ASKED OF THE GROUP, THE RESIDENT COMMUNITY FORUMS FOLLOWED A DIFFERENT PROCESS. THE OLIN GROUP SHARED THE HEALTH NEEDS THAT HAD EMERGED FROM THE CHNA PROCESS SO FAR, AND ASKED PARTICIPANTS TO COMMENT ON THEM, ADD ANY CONCERNS AND FINALLY TAKE A VOTE ON THEIR GREATEST CONCERNS. THE COMMUNITY RESIDENT FORUMS WERE CONDUCTED IN ENGLISH WITH SPANISH TRANSLATIONS. RESIDENTS WHO PARTICIPATED IN EITHER OF THE FOUR (4) RESIDENT FOCUS GROUP OR TWO (2) COMMUNITY FORUMS WERE ASKED TO COMPLETE AN ANONYMOUS SURVEY TO CAPTURE DEMOGRAPHIC INFORMATION. IN TOTAL THERE WERE ONE HUNDRED SEVEN (107) RESPONDENTS, AND BASED ON THE ANSWERS, THESE ARE THE DEMOGRAPHICS TO REPORT: - 82% WERE FEMALE, 18% WERE MALE - 95% IDENTIFIED AS HISPANIC/LATINO- 3% NON-LATINO, WHITE- 2% JAPANESE- 1% CHINESE- 1% OTHER NOT SPECIFIEDOF THE ONE HUNDRED SEVEN (107) RESPONDENTS, 22% REPORTED AS HAVING A CHRONIC DISEASE. THE MAJORITY OF PEOPLE CAME FROM THESE AGE GROUPS:- 60% FROM THE AGE GROUP 18-44- 32% FROM THE AGE GROUP 45-64- 4% FROM THE AGE GROUP 65-74THE TOTAL HOUSEHOLD INCOME BEFORE TAXES HAD MOSTLY LOW-INCOME TO REPORT:- 30% OF THE ONE HUNDRED SEVEN (107) RESPONDENTS REPORTED LESS THAN $20,000- 32% REPORTED $20,000 - $34,999- 21% REPORTED $35,000 - $49,999- 12% REPORTED $50,000 - $74,999- 1% REPORTED $75,000 - $99,999- 4% REPORTED $100,000 OR MOREPLEASE NOTE THAT SOME DECLINED TO ANSWER THIS QUESTION, AND THESE WERE NOT INCLUDED IN THE CALCULATION OF PERCENTAGES. ONE NON-PROFIT/GOVERNMENT STAKEHOLDER FOCUS GROUP WAS CONDUCTED IN THE CITY OF LAKE FOREST AND WAS HELD AT SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER. THE NON-PROFIT/GOVERNMENT STAKEHOLDER FOCUS GROUP HAD FOURTEEN (14) PARTICIPANTS REPRESENTING VARIOUS COMMUNITY ORGANIZATIONS THAT SERVE MINORITY COMMUNITIES, LOW INCOME, MEDICALLY UNDERSERVED AND GOVERNMENT ENTITIES. THE OUTSIDE CONSULTANT, OLIN GROUP, FACILITATED THE FORUM BY SHARING THE HEALTH NEEDS THAT EMERGED THROUGH RESEARCH OF RELIABLE SECONDARY DATA, AND ASKED THE PARTICIPANTS TO COMMENT ON THEM, AND FINALLY TAKE A VOTE ON THEIR GREATEST CONCERNS. PARTICIPANTS IN THE NON-PROFIT/GOVERNMENT STAKEHOLDER FOCUS GROUP WERE INVITED BY THE HOSPITAL AND NO INCENTIVES WERE PROVIDED.PARTICIPANTS INCLUDED:- AGE WELL SENIOR SERVICES, INC.- BOYS AND GIRLS CLUB LAGUNA BEACH- CITY OF MISSION VIEJO- COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY- FAMILY ASSISTANCE MINISTRIES- FRIENDSHIP SHELTER- ILLUMINATION FOUNDATION- LAGUNA BEACH COMMUNITY CLINIC- LAGUNA BEACH SENIORS, SUSI Q SENIOR CENTER- LAS PALMA ELEMENTARY SCHOOL- LATINO HEALTH ACCESS- OMID MULTICULTURAL INSTITUTE FOR DEVELOPMENT- RAISE FOUNDATION- SOUTH COUNTY OUTREACHIN ADDITION, THERE WERE TWO (2) PUBLIC HEALTH REPRESENTATIVES FROM THE COUNTY OF ORANGE HEALTH CARE AGENCY. THEIR FEEDBACK WAS INCORPORATED INTO THE STAKEHOLDER GROUP FEEDBACK.
SCHEDULE H, PART V, SECTION B, LINE 7A	THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USINGTHE FOLLOWING URL:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS
SCHEDULE H, PART V, SECTION B, LINE 10A	THE IMPLEMENTATION STRATEGY IS AVAILABLE TO THE PUBLIC USING THEFOLLOWING URL:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS
SCHEDULE H, PART V, SECTION B, LINE 11	FOR CALENDAR YEAR 2018-2020 THE HOSPITAL IDENTIFIED AND IS FOCUSING ON THE FOLLOWING THREE (3) PRIORITIES:MENTAL HEALTH AND SUBSTANCE ABUSE MENTAL HEALTH COVERS ALL AREAS OF EMOTIONAL, BEHAVIORAL, AND SOCIAL WELL-BEING FOR ALL AGES. INCLUDES ISSUES OF STRESS, DEPRESSION, COPING SKILLS, AS WELL AS MORE SERIOUS HEALTH CONDITIONS SUCH AS MENTAL ILLNESS AND POST-TRAUMATIC STRESS DISORDER. SUBSTANCE ABUSE: PERTAINS TO THE MISUSE OF ALL DRUGS, INCLUDING ALCOHOL, MARIJUANA, OPIATES, PRESCRIPTION MEDICATION, AND OTHER LEGAL OR ILLEGAL SUBSTANCES. IT DOES NOT ENCOMPASS CIGARETTE SMOKING, WHICH WAS CONSIDERED SEPARATELY AND NOT IDENTIFIED AS A SIGNIFICANT HEALTH NEED. BOTH ISSUES WERE COMBINED BY THE COMMUNITY BENEFIT COMMITTEE IN RECOGNITION OF THE RESEARCH-SUPPORTED CONNECTION BETWEEN THE TWO ISSUES, ECHOING THE PROVIDENCE ST. JOSEPH INSTITUTE FOR MENTAL HEALTH'S DEFINITIONS AND PRACTICES. AT THE CONCLUSION OF STEP 3 OF THE PRIORITIZATION PROCESS, THEY WERE THE FIRST AND THIRD HIGHEST RANKED CONCERNS, RESPECTIVELY. THE COMMUNITY BENEFIT COMMITTEE SELECTED THIS ISSUE DUE TO ITS PRIORITIZATION AS A TOP NEED, THE CLEAR IMPORTANCE THE COMMUNITY PLACED ON IT, AND ITS SUBSTANTIAL IMPACT ON THE HEALTH OF MANY PEOPLE IN THE SERVICE AREA.THIS NEED IS BEING ADDRESSED BY:1. OUR FAMILY RESOURCE CENTERS (FRCS) THESE CENTERS PROVIDE FULL WRAP-AROUND SOCIAL SERVICES FOR OUR COMMUNITIES IN NEED AND ARE SPONSORED BY MISSION HOSPITAL IN COLLABORATION WITH COMMUNITY NON-PROFIT AGENCIES. THE FRCS PROVIDE MENTAL HEALTH SERVICES FOR LOW-INCOME RESIDENTS WHO DO NOT HAVE ACCESS THIS INCLUDES INDIVIDUAL THERAPY, GROUP SESSIONS AND INNOVATIVE APPROACHES INCLUDING ART THERAPY AND TEEN GROUPS.2. EACH IMPLEMENTING THE EACH MIND MATTERS CAMPAIGN. A STRATEGY TO REDUCE THE STIGMA AROUND MENTAL ILLNESS. THIS CAMPAIGN BEGAN AT MISSION HOSPITAL AND EXPANDED IN 2018 TO TWO OTHER HOSPITALS IN ORANGE COUNTY ST. JOSEPH HEALTH, ST. JOSEPH OF ORANGE (IN ORANGE) AND ST. JOSEPH HEALTH, ST. JUDE (IN FULLERTON), MAKING THIS A REGIONAL EFFORT AND TRIPLING OUR OUTREACH EFFORTS. 3. IMPLEMENTING THE RAISING HEALTHY TEENS/STRENGTH IN NUMBERS CAMPAIGNS TO DECREASE SUBSTANCE USE AMONG YOUTH IN OUR COASTAL COMMUNITIES, WHICH HAVE A DISPROPORTIONATELY HIGH PREVALENCE WHEN COMPARED TO OTHER AREAS IN ORANGE COUNTY AND ACROSS THE STATE OF CALIFORNIA4. COLLABORATING WITH SCHOOLS.5. BEING A HOST SITE FOR COMMUNITY EVENTS REGARDING MENTAL HEALTH, MENTAL ILLNESS AND SUBSTANCE USE ISSUES.ECONOMIC INSECURITY - IDENTIFIED AS A ROOT CAUSE OF OTHER HEALTH ISSUES, THIS ISSUE COVERS THE EFFECTS OF POVERTY AND ECONOMIC CONCERNS AS WELL AS DIFFICULTIES AROUND FINDING JOBS THAT PAY LIVABLE SALARIES. THE COMMUNITY BENEFIT COMMITTEE MADE THIS A PRIORITY TO HONOR THE OPINIONS OF MANY OF THE RESIDENTS WHO ATTENDED THE FOCUS GROUPS AND FORUMS AND IDENTIFIED THIS AS A KEY CONCERN. IN ADDITION, THE COMMITTEE AGREED WITH THE COMMUNITY AND STAKEHOLDERS THAT BY WORKING ON THIS ROOT CAUSE, THE MINISTRY COULD AFFECT MANY OTHER ISSUES, WHILE CONTINUING TO FOCUS ON THE POOR AND VULNERABLE.THIS NEED IS BEING ADDRESSED BY:1. BOTH FAMILY RESOURCE CENTERS CONNECTING PEOPLE TO RESOURCES AND BY OFFERING PROGRAMSIMMIGRATION STATUS - INDIVIDUALS WHO ARE OR ARE CONNECTED TO UNDOCUMENTED IMMIGRANTS FEEL AFRAID AND STRESSED, WHICH AFFECTS THEIR HEALTH. WHILE THIS WAS NOT A TOP PRIORITY AFTER THE FIRST THREE STEPS OF PRIORITIZATION, THE COMMUNITY BENEFIT COMMITTEE, IN ITS DELIBERATIONS, GAVE SPECIAL WEIGHT TO THE CLEAR IMPORTANCE OF THIS ISSUE TO THE COMMUNITY. THE COMMUNITY BENEFIT COMMITTEE WISHED TO UPHOLD THE MINISTRY'S EMPHASIS ON THE POOR AND VULNERABLE, AND FELT A RESPONSIBILITY TO COMPASSIONATELY SUPPORT AND ADVOCATE FOR THIS POPULATION, AS THEY OFTEN CANNOT DO SO THEMSELVES.THIS NEED IS BEING ADDRESSED THROUGH:1. SERVICES PROVIDED AT OUR TWO FAMILY RESOURCE CENTERS2. COMMUNITY OUTREACH USING A PROMOTORA MODEL, IN COLLABORATION WITH THE LOCAL NON-PROFIT ORGANIZATION, LATINO HEALTH ACCESS3. COMMUNITY RESIDENT ENGAGEMENT4. COLLABORATION WITH AN INTERFAITH COALITION IN SOUTH COUNTYGRANTS PROVIDED TO LOCAL AGENCIES WITH AN EXPERTISE IN IMMIGRANT ISSUESNEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IT ITS COMMUNITY. OUR MISSION, "AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE," IS BEST LIVED BY PARTNERING WITH LIKE-MINDED ORGANIZATION THAT COUNT WITH THE CAPACITY AND EXPERTISE TO ADDRESS THE NEEDS OF ORANGE COUNTY RESIDENTS. WE ARE COMMITTED TO LIVING OUT OUR MISSION THROUGH OUR OWN COMMUNITY BENEFIT PROGRAMS, BY PARTNERING WITH LIKE-MINDED PARTNERS AND BY FUNDING OTHER NON-PROFITS THROUGH OUR CARE FOR THE POOR GRANT FUNDS MANAGED BY ST. JOSEPH HEALTH, MISSION. FURTHERMORE, ST. JOSEPH HEALTH, MISSION WILL ENDORSE LOCAL NON-PROFIT ORGANIZATION PARTNERS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT ST. JOSEPH HEALTH, MISSION'S SERVICE AREAS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW: HOUSING CONCERNS: INCLUDES AFFORDABILITY, AVAILABILITY, OVERCROWDING, AND QUALITY OF HOUSING. WE HAVE CONCENTRATED ON AFFORDABLE HOMES FOR MANY YEARS IN SOUTH ORANGE COUNTY. RESIDENTS SHARE THAT HOUSING COSTS REMAIN UNAFFORDABLE. WITH THE RECENT CHANGES IN REDEVELOPMENT FUNDS AND THE LACK OF LOCAL RESOURCES AND COLLABORATIVE EFFORTS NEEDED TO FOCUS ON THIS ISSUE, THE COMMITTEE FELT OUR MINISTRY RESOURCES COULD BE BETTER UTILIZED IN THE OTHER AREAS IDENTIFIED. WE WILL CONTINUE TO WORK WITH AGENCIES WHO PROVIDE HOUSING ASSISTANCE SUCH AS ILLUMINATION FOUNDATION, FRIENDSHIP SHELTER, AND FAMILY ASSISTANCE MINISTRY.
SCHEDULE H, PART V, SECTION B, LINE 11 (CONT'D)	ACCESS TO RESOURCES: INCLUDES MOST BARRIERS TO ACCESSING HEALTH CARE SERVICES AND OTHER NECESSARY RESOURCES, SUCH AS TRANSPORTATION, A SHORTAGE OF PROVIDERS, OR INCOMPATIBILITY BETWEEN AVAILABLE HOURS AND WORK SCHEDULES. THIS DOES NOT INCLUDE COST OR INSURANCE BARRIERS OR ISSUES AROUND LANGUAGE, WHICH ARE SEPARATE HEALTH NEEDS ON THIS LIST. ST. JOSEPH HEALTH, MISSION WILL CONTINUE TO FINANCIALLY SUPPORT CAMINO HEALTH CENTER FQHC TO PROVIDE PRIMARY CARE SERVICES TO THE LOW-INCOME RESIDENTS OF SOUTH ORANGE COUNTY AND DEPEND ON THEIR EXPERTISE FOR SERVICE PROVISION. WE WILL MAINTAIN MANY OF THE PROGRAMS CURRENTLY IN PLACE THROUGH ITS COMMUNITY BENEFIT PROGRAM TO CONTINUE PROVIDING ACCESS TO CARE SUCH AS HEALTH INSURANCE ENROLLMENT, PREVENTIVE SCREENINGS, EDUCATIONAL CLASSES AND MEDICAL TRANSPORTATION SERVICES.OBESITY: PRIMARILY DEFINED AS THE HEALTH CONDITION IN WHICH INDIVIDUALS ARE SUFFICIENTLY OVERWEIGHT AS TO HAVE DETRIMENTAL EFFECTS ON THEIR OVERALL HEALTH. THIS DOES NOT INCLUDE ISSUES OF EXERCISE OR FOOD CHOICES, WHICH ARE LISTED SEPARATELY ON THIS LIST. GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS.INSURANCE AND COST OF CARE: ENCOMPASSES BOTH THOSE WHO DO NOT HAVE HEALTH INSURANCE, BUT ALSO THOSE FOR WHOM THE COST OF SERVICES IS A BARRIER EVEN THOUGH THEY HAVE INSURANCE. ST. JOSEPH HEALTH, MISSION IS ENGAGED IN ENROLLING AND RE-ENROLLING PEOPLE INTO HEALTH INSURANCE AT BOTH FAMILY RESOURCE CENTERS. FOOD AND NUTRITION: CONCERNS ABOUT HEALTHY EATING HABITS, NUTRITION KNOWLEDGE, AND CHALLENGES OF COST AND AVAILABILITY OF HEALTHY OPTIONS. GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS.DIABETES: SPECIFICALLY FOCUSED ON THE HEALTH CONDITION OF DIABETES, AND AWARENESS AND PREVENTION OF IT. CAMINO HEALTH CENTER FQHC IS THE PRIMARY MEDICAL PROVIDER FOR LOW-INCOME RESIDENTS AND HAS IDENTIFIED THIS CONDITION AS ONE OF THEIR 16 AREAS OF CLINICAL FOCUS. WE WILL CONTINUE TO WORK COLLABORATIVELY WITH CAMINO TO CONNECT RESIDENTS IN NEED OF MEDICAL SERVICES WITH THEIR CENTER.LACK OF EDUCATION: INCLUDES BOTH FORMAL EDUCATION GOALS AND ATTAINMENT, AND COMMUNITY-BASED EDUCATION AROUND ISSUES SUCH AS EXERCISE, NUTRITION, HEALTH ACCESS, AND FINANCES. BOTH FAMILY RESOURCE CENTERS) OFFER FINANCIAL EDUCATION AND JOB/CAREER SKILLS TRAINING ON-SITE. LACK OF EXERCISE: IN ADDITION TO THE BEHAVIOR ITSELF, IT ALSO INCLUDES ISSUES AROUND ACCESS TO PLACES TO EXERCISE AND TIME PREVENTING PEOPLE FROM EXERCISING. GIVEN OTHER PRIORITIES RAISED DURING OUR MOST RECENT NEEDS ASSESSMENT, THIS ISSUE BECAME A LOWER PRIORITY COMPARED TO OTHERS.HOMELESSNESS: PRIMARILY FOCUSED ON THE CONDITION OF HOMELESSNESS, INCLUDING HELPING HOMELESS INDIVIDUALS, PREVENTION OF HOMELESSNESS, AND MITIGATING ITS IMPACT ON COMMUNITIES. ST. JOSEPH HEALTH, MISSION DOES NOT HAVE THE EXPERTISE TO DIRECTLY ADDRESS HOMELESSNESS; HOWEVER WE PARTNER WITH SEVERAL ORGANIZATIONS THAT SERVE THE HOMELESS, INCLUDING FAMILY ASSISTANCE MINISTRY, FRIENDSHIP SHELTER AND THE ILLUMINATION FOUNDATION.DENTAL CARE: KNOWLEDGE OF DENTAL HEALTH AND THE AVAILABILITY OF PROVIDERS AND DENTAL INSURANCE. ST. JOSEPH HEALTH, MISSION DOES NOT DIRECTLY ADDRESS DENTAL NEEDS AS THIS IS OUTSIDE OUR SCOPE OF EXPERTISE; HOWEVER, WE WILL WORK IN COLLABORATION WITH CAMINO HEALTH CENTER FQHC, DENTAL SERVICES, LINKING CLIENTS OF THE FAMILY RESOURCE CENTERS TO CAMINO SERVICES.LANGUAGE AND CULTURAL BARRIERS: THE CHALLENGES WITH ACCESSING SERVICES AND FEELING WELCOMED THAT ARE FACED BY NON-ENGLISH SPEAKERS OR THOSE FROM DIFFERENT CULTURES. ST. JOSEPH HEALTH, MISSION HOSPITAL MAY CONSIDER HOW TO ADDRESS BARRIERS RELATED TO LANGUAGE AND CULTURE IN THE IMMIGRATION AND ECONOMIC STABILITY INITIATIVES.IN ADDITION, ST. JOSEPH HEALTH, MISSION WILL COLLABORATE, WHEN FEASIBLE, WITH ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS TO COORDINATE CARE AND REFERRAL TO ADDRESS THESE UNMET NEEDS.
SCHEDULE H, PART V, SECTION B, LINE 13H	THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT.
SCHEDULE H, PART V, SECTION B, LINE 16A	HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16B	HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16C	HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
PART I, LINE 6A:	MISSION HOSPITAL REGIONAL MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS:WWW.PROVIDENCE.ORG/LOCATIONS/MISSION-HOSPITAL-MISSION-VIEJO/ABOUT-US/COMMUNITY-BENEFIT
PART I, LINE 7:	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE ORGANIZATION'S COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS.
PART I, LINE 7G:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIESFOSTERING A PREPARED AND PRODUCTIVE WORKFORCE IS THE PRIMARY FOCUS OF OUR COMMUNITY BUILDING AT ST. JOSEPH HEALTH, MISSION. WE COMPLETE THIS EFFORT THROUGH CONTINUED COLLABORATION WITH CAPISTRANO UNIFIED SCHOOL DISTRICT ADULT TRANSITION PROGRAM. SINCE 2006, MISSION HOSPITAL HOSTS YOUNG ADULTS WITH DISABILITIES EACH FALL TO PROVIDE WORK EXPERIENCE IN A HOSPITAL SETTING.THESE STUDENT INTERNS ARE PLACED IN HOSPITAL DEPARTMENTS SUCH AS NUTRITIONAL CARE SERVICES, ENVIRONMENTAL SERVICES AND CENTRAL SUPPLY TO LEARN JOB SKILLS THAT WILL HELP THEM ATTAIN LONG-TERM EMPLOYMENT EITHER AT THE HOSPITAL OR A LOCAL ORGANIZATION. MANY OF THESE STUDENTS WOULD BE HIGHLY CHALLENGED TO FIND PERMANENT, ON-GOING WORK BECAUSE OF THEIR DISABILITIES. IN 2019, 5 INTERNS RECEIVED MENTORING/JOB COACHING SUPPORT. LEADERSHIP DEVELOPMENT: MISSION HOSPITAL HAS PARTNERED WITH THE SISTERS OF ST. JOSEPH TO FOSTER LEADERSHIP DEVELOPMENT AS PART OF THEIR ST. JOSEPH WORKER PROGRAM. THIS PROGRAM SUPPORTS WOMEN FOR A 10 MONTH FORMATION PROGRAM WITH THE SISTERS WHILE THEY WORK WITH LOCAL COMMUNITIES AND DEVELOP PUBLIC HEALTH AND ADVOCACY SKILLS.
PART III, LINE 2:	THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
PART III, LINE 3:	METHODOLOGY OF ESTIMATING BAD DEBT EXPENSE ATTRIBUTABLE TO FAP PATIENTS THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION, THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:	FOOTNOTE FROM THE PROVIDENCE ST. JOSEPH HEALTH COMBINED FINANCIALSTATEMENTS FOR THE YEAR ENDED 12/31/2019:AS A RESULT OF ADOPTING ASU 2014-09 , THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.THE HEALTH SYSTEM PROVIDED FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATED THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
PART III, LINE 8:	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:	PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
PART VI, LINE 2:	NEEDS ASSESSMENTAN ANNUAL MARKET ASSESSMENT IS COMPLETED FOR OUR LOCAL MARKET THAT PROVIDES INFORMATION ON DEMOGRAPHICS, COUNTY HEALTH RANKINGS, PHYSICIAN LANDSCAPE, ACUTE CARE UTILIZATION RATES, MARKET SHARE, OUTMIGRATION TO OTHER MEDICAL FACILITIES FOR TREATMENT, EMERGENCY DEPARTMENT AND ANCILLARY UTILIZATION, AS WELL AS SERVICE LINE FORECASTS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATIONAND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.
PART VI, LINE 4:	COMMUNITY INFORMATIONST. JOSEPH HEALTH, MISSION PROVIDES SOUTH ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL'S SERVICE AREA EXTENDS FROM THE JUNCTION OF THE 405 AND 5 FREEWAYS IN THE NORTH, TO CAMP PENDLETON IN THE SOUTH, SANTA ANA MOUNTAINS IN THE EAST AND THE PACIFIC OCEAN IN THE WEST. OUR HOSPITAL TOTAL SERVICE AREA (TSA), THE COMMUNITY SERVED BY THE HOSPITAL IN BOTH THE PRIMARY SERVICE AREA (PSA) AND THE SECONDARY SERVICE AREA (SSA)[TSA = PSA+SSA] INCLUDES THE CITIES OF ALISO VIEJO, CAPISTRANO BEACH, DANA POINT, FOOTHILL RANCH, LADERA RANCH, LAGUNA BEACH, LAGUNA HILLS, LAGUNA NIGUEL, LAGUNA WOODS, LAKE FOREST, MISSION VIEJO, RANCHO SANTA MARGARITA, SAN CLEMENTE AND SAN JUAN CAPISTRANO, AND TRABUCO CANYON. TOTAL SERVICE AREA (TSA):THE COMMUNITY PROFILE OF THE TOTAL SERVICE AREA (TSA) OF ST. JOSEPH HEALTH, MISSION IS A COMBINED POPULATION OF APPROXIMATELY 609,266 PEOPLE. THE MEDIAN INCOME IS $98,814. THERE ARE MORE OLDER ADULTS, 15.9% IN THE TSA THAN IN ORANGE COUNTY, 13.5% AND STATE 13.2%. THERE ARE ALSO MORE NON-LATINO WHITES, 64.1%, THAN IN THE COUNTY, 40.5%. COMPARED TO THE COUNTY AND STATE, THE TSA IS RELATIVELY PROSPEROUS, BUT OVERALL DATA HIDES POCKETS OF POVERTY. THE TSA HAS 12.4% OF THE POPULATION WITH A HOUSEHOLD INCOME BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). FPL IS AN ECONOMIC MEASURE TO CHECK IF INDIVIDUALS OR FAMILIES QUALIFY FOR GOVERNMENT PROGRAMS, SUCH AS MEDI-CAL, CAL-FRESH (FOOD STAMPS), ETC. 7.7% OF CHILDREN AND 7.1% OF OLDER ADULTS LIVE BELOW 100% OF THE FPL. PRIMARY SERVICE AREA (PSA): WHEN LOOKING AT THE PSA, THE GEOGRAPHIC AREA FROM WHICH THE MAJORITY OF THE HOSPITAL'S PATIENTS ORIGINATE, 22.3% OF THE POPULATION IS UNDER THE AGE OF 18 AND 15.1% IS OVER THE AGE OF 65. FURTHERMORE, 13% OF THE POPULATION'S HOUSEHOLD INCOME IS BELOW 200% FPL, AND 8.5% OF CHILDREN AND 6.6% OF OLDER ADULTS LIVE BELOW 100% IF FPL. BECAUSE OF THE EXTREME DIVERSITY OF INCOME IN THE TSA, ONE ZIP CODE WAS IDENTIFIED AS "HIGH NEED" ACCORDING TO THE COMMUNITY NEED INDEX (CNI) SAN JUAN CAPISTRANO. ACROSS MANY SOCIOECONOMIC INDICATORS (LOW-INCOME, FOOD INSECURITY, NO HIGH SCHOOL DIPLOMA, ETC.) AND PHYSICAL ENVIRONMENT, SAN JUAN CAPISTRANO IS MODERATELY OR MUCH WORSE OFF THAN THE TSA. HOWEVER, THERE ARE MANY POCKETS OF POVERTY WITHIN THE TSA THAT REMAIN HIDDEN DUE TO THE WIDE VARIANCE OF HOUSEHOLD INCOMES BY ZIP CODE. SECONDARY SERVICE AREA (SSA):THE SSA HAS MORE OLDER ADULTS 18.2% THAN THE TSA, 15.9% AND MORE OF THEM LIVING BELOW 100% OF FPL, 8.4% IN COMPARISON TO 7.1%. THIS IS DUE TO LAGUNA WOODS, A SENIOR LIVING COMMUNITY WHERE THE MAJORITY OF RESIDENTS ARE UNEMPLOYED DUE TO RETIREMENT.OTHER HOSPITALS IN THE TSA:OTHER HOSPITALS IN THE COMMUNITY INCLUDE: SADDLEBACK HOSPITAL, AND CAN BEFOUND IN MISSION HOSPITAL'S SECONDARY SERVICE AREA (SSA).HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND MEDICALLY UNDERSERVED AREAS (MUA) & MEDICALLY UNDERSERVED POPULATIONS (MUP)THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). MISSION HOSPITAL IS NOT LOCATED IN A SHORTAGE AREA. MEDICALLY UNDERSERVED AREAS (MUA) AND MEDICALLY UNDERSERVED POPULATIONS (MUP) ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MUA ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREA'S LEVEL OF MEDICAL "UNDER SERVICE." MUP ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES.MUA AND MUP ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. MISSION HOSPITAL MISSION VIEJO AND MISSION HOSPITAL LAGUNA BEACH ARE NOT LOCATED IN MEDICALLY UNDERSERVED AREAS. HOWEVER, COASTAL COMMUNITIES WITHIN THEIR SERVICE AREA, STRETCHING BETWEEN DANA POINT AND SAN CLEMENTE, ARE DESIGNATED AS MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATION AREAS, SIGNIFYING THE IMPORTANCE OF MISSION HOSPITAL TO THE COMMUNITY IT SERVES.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHMISSION HOSPITAL PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. MISSION HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES.2) OPEN MEDICAL STAFF.3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.LOCAL COMMUNITY BENEFIT COMMITTEE:THE ROLE OF THE ST. JOSEPH HEALTH, MISSION'S COMMUNITY BENEFIT (CB) COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE CB COMMITTEE ACTS IN ACCORDANCE WITH A BOARD APPROVED CHARTER. THE CB COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS "IDENTIFIED SIGNIFICANT NEEDS" IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE CB COMMITTEE HAS A MINIMUM OF EIGHT (8) MEMBERS INCLUDING THREE (3) MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES THREE (3) MEMBERS OF THE BOARD OF TRUSTEES AND EIGHT (8) COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE CB COMMITTEE GENERALLY MEETS SIX TIMES PER YEAR.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS AND OVER 1085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS ANDWASHINGTON.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CHILD GUIDANCE CENTER
525 CABRILLO PARK DR SUITE 300	SANTA ANA	CA	92701	952546170	501(C)(3)	$143,999	SPONSORSHIP
HUMAN OPTIONS
5540 TRABUCO RD SUITE 100	IRVINE	CA	92620	953667817	501(C)(3)	$100,000	SPONSORSHIP
LAGUNA BEACH COMMUNITY CLINIC
362 3RD ST	LAGUNA BEACH	CA	92651	952637633	501(C)(3)	$200,000	SPONSORSHIP
FRIENDSHIP SHELTER
POBOX 422	LAGUNA BEACH	CA	92652	330219404	501(C)(3)	$143,960	SPONSORSHIP
ST JOSEPH HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330143024	501(C)(3)	$5,627,200	OPERATIONAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
FUNERALS	2	$5,601
ST. JOSEPH HOME CARE SERVICES	25	$5,155

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT ALONG WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JIM WATSON ESQ
SECRETARY	$0	$467,350	$0	$370,314	$0	$5,830	$0	$103,753	$0	$34,057	$0	$981,304	$0	$0
MICHAEL MARINO DO
BOD, SVP, CHIEF MED INFO OFCR	$0	$570,324	$0	$163,263	$0	$9,283	$0	$173,876	$0	$30,810	$0	$947,556	$0	$0
LINDA SIEGLEN
CHIEF MEDICAL OFFICER	$469,200	$0	$118,541	$0	$18,356	$0	$11,200	$0	$27,068	$0	$644,365	$0	$0	$0
EILEEN HAUBL
SVP & CHIEF FINANCIAL OFFICER	$378,662	$0	$176,081	$0	$16,331	$0	$25,200	$0	$21,559	$0	$617,833	$0	$0	$0
SHANNON DWYER ESQ
BOARD MEMBER	$0	$0	$0	$0	$0	$569,160	$0	$0	$0	$24,211	$0	$593,371	$0	$0
SETH TEIGEN
CHIEF EXECUTIVE, MHRMC	$0	$197,936	$0	$100,000	$0	$196,623	$0	$37,789	$0	$13,796	$0	$546,144	$0	$0
JENNIFER CORD
CNO - MISSION	$318,547	$0	$137,259	$0	$5,336	$0	$11,200	$0	$33,674	$0	$506,016	$0	$0	$0
MICHAEL BECK
CHIEF ADMIN OFFICER-LB	$332,841	$0	$76,251	$0	$10,618	$0	$25,200	$0	$33,798	$0	$478,708	$0	$0	$0
TARA COWELL
FORMER VP/ASSO GENERAL COUNSEL/SEC	$0	$124,703	$0	$148,637	$0	$167,113	$0	$35,239	$0	$1,606	$0	$477,298	$0	$0
MARK JABLONSKI
INTERIM VP MISSION INTEGRATION	$0	$318,723	$0	$72,678	$0	$14,102	$0	$25,200	$0	$22,162	$0	$452,865	$0	$0
LAUREN DWINELL
EXEC DIR, CHIEF OPS-PATIENT FLOW	$303,223	$0	$76,781	$0	$3,846	$0	$11,200	$0	$26,140	$0	$421,190	$0	$0	$0
EVELYN SCHLOSSER
EXEC DIR, QUALITY & PATIENT SAFETY	$264,417	$0	$71,972	$0	$4,633	$0	$11,200	$0	$24,749	$0	$376,971	$0	$0	$0
TERRENCE WOOTEN
COO MHRMC	$256,914	$0	$57,768	$0	$3,169	$0	$23,452	$0	$13,517	$0	$354,820	$0	$0	$0
DEANNE NIEDZIELA
FORMER DIR, NURSING	$204,460	$0	$22,668	$0	$3,618	$0	$19,215	$0	$30,495	$0	$280,456	$0	$0	$0
WENDY FERRO-GRANT
FORMER DIR, SURGICAL SERVICES	$193,481	$0	$21,334	$0	$3,436	$0	$18,073	$0	$28,640	$0	$264,964	$0	$0	$0
TAREK SALAWAY
CHIEF EXECUTIVE, MHRMC	$0	$64,458	$0	$163,501	$0	$1,451	$0	$18,816	$0	$2,334	$0	$250,560	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: TRAVEL FOR COMPANIONS SPOUSE OR COMPANION TRAVEL. TRAVEL EXPENSES INCURRED BY A PROVIDENCE EMPLOYEE'S SPOUSE OR COMPANION WILL NOT BE REIMBURSED BY PROVIDENCE UNLESS THE SPOUSE OR COMPANION IS REQUIRED TO, OR INVITED TO ATTEND A PROVIDENCE SYSTEM-SPONSORED MEETING, OR FOR TRAVEL RELATED TO RELOCATION. RELOCATION-RELATED VISITS SHOULD NOT EXCEED TWO RELOCATION-RELATED VISITS, UNLESS APPROVED BY THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE. REIMBURSEMENT OF THESE EXPENSES IS LIMITED AND MAY BE CONSIDERED A TAXABLE BENEFIT BY THE IRS AND IF SO, ARE INCLUDED ON THE EMPLOYEE'S FORM W-2. JENNIFER CORD - $2,565
PART I, LINE 3	DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECIEVED SEVERANCE PAYMENTS DURING 2019: SHANNON DWYER, ESQ. - $573,310 TARA COWELL - $165,422 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. NO INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR.
PART I, LINE 7	NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN, WHICH IS A PERFORMANCE-BASED ANNUAL INCENTIVE PLAN THAT AFFORDS PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 1A	ST. JOSEPH HEALTH SYSTEM (SJHS) PAYS ALL VENDORS FOR MISSION HOSPITAL FROM ITS SHARED SERVICES. SJHS ISSUES FORM 1099-MISC UNDER ITS TAX ID NUMBER AND COMPLIES WITH BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS.
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE SOLE CORPORATE MEMBERS OF MISSION HOSPITAL REGIONAL MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS MISSION HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT BOARD MEMBERS TO THE MISSION HOSPITAL BOARD. ALL BOARD MEMBER APPOINTMENTS THAT COME FROM THE MISSION HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE BOARD MEMBERS ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, EXEMPT PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBERS, ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, RESERVE THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE REGULARLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15B	PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2020.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11G	AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 20,793,882. MANAGEMENT AND GENERAL EXPENSES 1,224,022. FUNDRAISING EXPENSES 18,335. TOTAL EXPENSES 22,036,239. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 14,770,905. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,770,905. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 21,470,242. MANAGEMENT AND GENERAL EXPENSES 1,373,681. FUNDRAISING EXPENSES 196,501. TOTAL EXPENSES 23,040,424. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 15,490,406. MANAGEMENT AND GENERAL EXPENSES 10,028,933. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,519,339. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 1,468,478. MANAGEMENT AND GENERAL EXPENSES 48. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,468,526. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 5,043,091. MANAGEMENT AND GENERAL EXPENSES 77,599. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,120,690.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 8,887,104. CHANGE IN EQUITY RELATED TO INVESTMENTS 8,904,448.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (116 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COVENANT ACO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	611573313	HEALTHCARE	TX	501(C)(3)	12,I	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461259908	HEALTHCARE	CA	501(C)(3)	12,III	SJHS	Yes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463516417	HEALTHCARE	TX	501(C)(3)	12,I	CHS	Yes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844273963	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	822913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL GROUP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911082119	UNEMPLOYMENT	WA	501(C)(3)	12,I	PHS WA	Yes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128	EVERETT	WA	982065128	943264605	TRANS. CARE	WA	501(C)(3)	10		0	N/A
FACEY MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	954322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	201910170	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	203856995	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
HMTS INC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(C)(3)	12,I	HMHP	Yes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (1)
HOAG CLINIC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE	CA	501(C)(3)	10	HMHP	Yes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911307555	HEALTHCARE	WA	501(C)(3)	3	PHS WA	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(C)(3)	7	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes (1)
JOHN WAYNE CANCER INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	954291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes (1)
KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	916033089	SUPPORT	WA	501(C)(3)	12,III	KRMC	Yes (1)
KADLEC FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	237005501	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	910655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330844408	IMAGING SVCS	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	264021016	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
LUBBOCK METHODIST HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752220963	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
LUNDBERG ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912054035	RESEARCH	WA	501(C)(3)	7	SHS	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	200799737	SUPPORT	WA	501(C)(3)	12,I	SHS	Yes (1)
PACMED CLINICS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	562290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	920093565	HEALTHCARE	AK	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	473385506	SUPPORT	WA	501(C)(3)	7		0	N/A
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911549796	HEALTHCARE	WA	501(C)(3)	12,II	PSJH	0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810231793	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216586	HEALTHCARE	WA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	550828701	MEDICAID	OR	501(C)(4)	N/A	PHP	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	320014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911433382	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930863097	HEALTHCARE	OR	501(C)(4)	N/A	PPP	Yes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	272552749	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912077378	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931554288	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330283773	HEALTHCARE	CA	501(C)(3)	12,I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		RELIGIOUS ORG	WA	501(C)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951684082	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814542216	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(C)(3)	12,III		0	N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943078543	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE ST MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	452841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST PETER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911097056	SUPPORT	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes (1)
QUEEN OF THE VALLEY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941243669	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
REDWOOD MEMORIAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	942779313	HEALTHCARE	CA	501(C)(3)	7	RMH	Yes (1)
REDWOOD MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941384665	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	956100079	SUPPORT	CA	501(C)(3)	7	PSJHC	Yes (1)
SANTA ROSA MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941231005	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	611502822	PHYSN COLLAB	WA	501(C)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	262612415	SHELL CORP	MT	501(C)(3)	1	PHS WA	0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643383	RELIGIOUS ORG	CA	501(C)(3)	1		0	N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	680395200	HEALTHCARE	CA	501(C)(3)	3	SRMH	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814791043	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953589356	HEALTHCARE	CA	501(C)(3)	12,I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330143024	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HERITAGE HEALTHCARE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF EUREKA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941156596	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643324	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST LUKE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951914489	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST MARY OF THE PLAINS HOSPITAL FDN
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	751653181	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	237056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes (1)
SWEDISH EDMONDS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	272305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	910433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	910983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	273139262	HOLDING CO	WA	501(C)(3)	12,I	SHS	Yes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833972614	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911293869	SUPPORT	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	454171900	SHELL CORPORATION	WA	501(C)(3)	12,II	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (45 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
20TH STREET SURGERY LLC
1301 20TH STREET STE 140	SANTA MONICA	CA	90404	731735618	AMBULATORY SURG	CA	N/A
BROADWAY IMAGING LLC
500 W BROADWAY	MISSOULA	MT	59802	522405971	MEDICAL IMAGING	MT	N/A
CENTER FOR MATERNAL NEWBORN AND CHILD
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	813526875	HEALTHCARE	CA	N/A
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY ST BLDG II 495	PORTLAND	OR	97213	260381897	RADIATION ONCOL	OR	N/A
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92663	810986844	HEALTHCARE	CA	N/A
COVENANT LONG-TERM CARE LP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	205033419	HEALTHCARE	TX	N/A
BRIDGEPORT MEDICAL IMAGING (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING DIAG.	OR	N/A
CENTER FOR MEDICAL IMAGING (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING DIAG.	OR	N/A
FULLERTON SURGICAL CENTER LP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	470927394	AMBULATORY SURG	CA	N/A
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	N/A
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENT	WA	N/A
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A
HOAG ORTHOPEDIC INSTITUTE
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	611588294	HEALTHCARE	CA	N/A
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE A	ANCHORAGE	AK	99508	203906048	MEDICAL IMAGING	AK	N/A
INLAND IMAGING LLC
801 S STEVENS ST	SPOKANE	WA	99204	911855796	MEDICAL IMAGING	WA	N/A
LSC REAL PROPERTY LLC
2301 QUAKER AVENUE	LUBBOCK	TX	79410	474646059	REAL ESTATE	TX	N/A
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A
NEWPORT IMAGING CENTER
360 SAN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	N/A
NEWPORT SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	392060266	HEALTHCARE	CA	N/A
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RD	TIGARD	OR	97224	223883387	AMBULATORY SURG	OR	N/A
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	812701056	INVESTMENTS	WA	N/A
PROV RADIATION ONCOLOGY DEVELOP ASSN
4400 NE HALSEY 495	PORTLAND	OR	97213	260682491	REAL ESTATE - MOB	OR	N/A
PROVIDENCE CHILDREN'S NEONATAL SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	470918549	NEONATAL CARE	WA	N/A
PROVIDENCE HOUSE HEARING HEALTH CENTERS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE	CA	N/A
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	920118807	MEDICAL IMAGING	AK	N/A
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	823190634	INVESTMENTS	WA		PHS WA	EXCLUDED	$3,417,644	$66,189,366	0	0	0.01180
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURG	MT	N/A
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425	PORTLAND	OR	97213	481287267	REHAB SERVICES	OR	N/A
PROVIDENCE UCLA USP SURGERY CENTER JV
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	320503030	AMBULATORY SURG	CA	N/A
PROVIDENCEUSP SOUTH BAY SURGERY CENTERS
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	475064486	AMBULATORY SURG	CA	N/A
PROVIDENCEUSP SURGERY CENTERS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200684116	AMBULATORY SURG	CA	N/A
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON STREET 1ST FL	SEATTLE	WA	98104	300553035	HEALTHCARE	WA	N/A
REDMOND AMBULATORY SURGERY CENTER LLC
805 MADISON ST STE 901	SEATTLE	WA	98104	813558711	AMBULATORY SURG	WA	N/A
SANTA ANA MOB LLC
1800 QUAIL STREET STE 100	NEWPORT BEACH	CA	92660	753205306	REAL ESTATE - MOB	CA	N/A
SHA LLC
12940 NORTH HIGHWAY 183	AUSTIN	TX	78750	752569094	HEALTHCARE	TX	N/A
SJO ASC HOLDINGS LLC
1140 W LA VETA AVE	ORANGE	CA	92868	821655501	HEALTHCARE	CA	N/A
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVE	ORANGE	CA	92868	454521884	REAL ESTATE	CA	N/A
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
300 SANTANA ROW STE 300	SAN JOSE	CA	95128	814657391	HEALTHCARE	CA	N/A
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURG	CA	N/A
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURG	KS	N/A
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK ST	TARZANA	CA	91356	821308306	HEALTHCARE	CA	N/A
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	N/A
YELM MEDICAL OFFICE BUILDING
2840 CRITES ST SW STE 104	TUMATER	WA	98512	263685020	REAL ESTATE - MOB	WA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOC.	WA	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD PEMBROKE	BD	BD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833037172	HEALTHCARE	DE	N/A	C	0
BLUETREE NETWORK INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	900872936	HEALTHCARE	WI	N/A	C	0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99220	911354431	CLIN/MED LAB	WA	N/A	C	0
CARON HEALTH CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810486082	MED PHYS SVCS	MT	N/A	C	0
COMMUNITY TECHNOLOGIES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844722399	IT SVCS	DE	N/A	C	0
DATU HEALTH INC AND SUBSIDIARIES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463070062	IT SVCS	DE	N/A	C	0
ENGAGE IT SERVICES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844058573	IT SVCS	DE	N/A	C	0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE	CA	N/A	C	0
HOAG PHYSICIAN PARTNERS
16148 SAND CANYON AVE	IRVINE	CA	92618	834276044	HEALTHCARE	CA	N/A	C	0
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752118585	HEALTHCARE	TX	N/A	C	0
LUMEDIC ACQUISITION CO INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833881097	HEALTHCARE	WA	N/A	C	0
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA	N/A	C	0
PERFORMANCE HEALTH TECHNOLOGY LTD
3993 FAIRVIEW INDUSTRIAL DR SE	SALEM	OR	97302	931211733	HEALTHCARE	OR	N/A	C	0
MEDIREVV INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208783763	HEALTHCARE	DE	N/A	C	0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461814184	STRAT PLAN SVCS	CA	N/A	C	0
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	364818191	HEALTH INNOVATNS	WA	N/A	C	0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208194071	CAPTIVE INSURANCE	AZ	N/A	C	0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	981516461	IT SVCS		N/A	C	0			IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99220	900155714	CLIN/MED LAB	WA	N/A	C	0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800886966	PREPAID HEALTH	CA	N/A	C	0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330122216	INVESTMENT	CA	N/A	C	0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9	SPOKANE	WA	99220	911216033	HEALTHCARE	WA	N/A	C	0
PROVIDENCE RCM GROUP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844686520	HOLDING COMPANY	DE	N/A	C	0
PROVIDENCE SERVICES GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844704409	HOLDING COMPANY	DE	N/A	C	0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330155323	HEALTHCARE	CA	N/A	C	0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953943315	INVESTMENTS	CA	N/A	C	0
WESTERN HEALTHCONNECT VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800953654	INVESTMENTS	WA	N/A	C	0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
GRADY BLOCKER LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	842092143	HOLDING COMPANY	DE	N/A	C	0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL ST	TORRANCE	CA	90503	823771547	HEALTHCARE	CA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
B	$5,627,200	ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
C	$5,263,464	ACCRUAL
ST JOSEPH HEALTH SYSTEM
P	$517,942,372	ACCRUAL
ST JOSEPH HEALTH SYSTEM
Q	$442,219	ACCRUAL