ST MARY MEDICAL CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ST MARY MEDICAL CENTER (EIN 95-1914489)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-13
IRS object ID: 202023189349312847
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	2020-11-13T18:25:39-06:00	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	951914489	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STMA	BusinessNameControlTxt
Phone	7602422311	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	EUGENE GUTIERREZ	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	7602422311	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	2020-11-10	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	152.169.64.19	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-13	IPDt
IP Tm	18:24:49	IPTm
IP Timezone	US	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	8C6B038D826617A351DA504230A10C8935A538B8	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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 ST MARY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	EUGENE GUTIERREZ	PrincipalOfficerNm

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

Field	Value	IRS element (for citing)
Gross Receipts	$381,827,339	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	PROVIDENCE.ORG/LOCATIONS/ST-MARY-MEDICAL-CENTER	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1918	TotalEmployeeCnt
Total Volunteers	203	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,807,234	PYContributionsGrantsAmt
CY Contributions Grants	$3,130,316	CYContributionsGrantsAmt
PY Program Service Revenue	$345,829,033	PYProgramServiceRevenueAmt
CY Program Service Revenue	$369,732,214	CYProgramServiceRevenueAmt
PY Investment Income	$10,805,641	PYInvestmentIncomeAmt
CY Investment Income	$8,716,150	CYInvestmentIncomeAmt
PY Other Revenue	$324,006	PYOtherRevenueAmt
CY Other Revenue	$185,908	CYOtherRevenueAmt
PY Total Revenue	$359,765,914	PYTotalRevenueAmt
CY Total Revenue	$381,764,588	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,576,400	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,667,263	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$163,980,014	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$140,695,079	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,120,629	CYTotalFundraisingExpenseAmt
PY Other Expenses	$136,433,616	PYOtherExpensesAmt
CY Other Expenses	$175,011,051	CYOtherExpensesAmt
PY Total Expenses	$301,990,030	PYTotalExpensesAmt
CY Total Expenses	$318,373,393	CYTotalExpensesAmt
PY Revenues Less Expenses	$57,775,884	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$63,391,195	CYRevenuesLessExpensesAmt
Total Assets BOY	$398,944,922	TotalAssetsBOYAmt
Total Assets EOY	$498,998,340	TotalAssetsEOYAmt
Total Liabilities BOY	$105,338,859	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$87,207,774	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$293,606,063	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$411,790,566	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	$307,383,486	ExpenseAmt
Grant	$2,667,263	GrantAmt
Revenue	$369,168,865	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 MISSIONST. MARY MEDICAL CENTER IS PART OF NEWLY FORMED PROVIDENCE ST. JOSEPH HEALTH. ST. MARY MEDICAL CENTER IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1956 IN APPLE VALLEY, CA. IT BECAME A MEMBER OF ST. JOSEPH HEALTH IN 1994. THE FACILITY HAS 212 LICENSED BEDS AND A STAFF OF MORE THAN 1,751 AND PROFESSIONAL RELATIONSHIPS WITH MORE THAN 300 LOCAL PHYSICIANS. MAJOR PROGRAMS AND SERVICES INCLUDE CARDIAC CARE, CRITICAL CARE, DIAGNOSTIC IMAGING, EMERGENCY MEDICINE AND OBSTETRICS.PROGRAM SERVICE ACCOMPLISHMENTS:IDENTIFIED PRIORITIES - ACCESS TO RESOURCESINCREASING ACCESS TO RESOURCES WAS AN IDENTIFIED NEED THAT WAS ADDRESSED THROUGH OUR COMMUNITY CLINICS. THE HOSPITAL'S 2017 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORTS ACCESS CONCERNS BY 41.5% OF RESPONDENTS, AN INCREASE OVER THE 38.4% REPORTED IN THE 2007 CHNA, TEN YEARS PRIOR. THE HOSPITAL'S 2017 CHNA REVEALED THAT THE TOTAL SERVICE AREA SERVED IS SLIGHTLY WORSE IN UNINSURED, 20.3% OF ADULTS, VERSUS 19.3% FOR THE STATE OF CALIFORNIA, AND HAS LOWER RATES OF PRENATAL CARE IN THE FIRST TRIMESTER AS WELL, 79.0% IN OUR TOTAL SERVICE AREA VS. 83.8% FOR THE STATE. ST. MARY COMMUNITY CLINICS RUNS SEVERAL COMMUNITY BENEFIT PROGRAMS:1. BRIDGES FOR FAMILIES RESOURCE CENTER2. BRIGHT FUTURE MOBILE VAN3. HEALTHY BEGINNINGS MIDWIFERY PROGRAMTHE SERVICES PROVIDED THROUGH THE BRIGHT FUTURES MOBILE VAN INCLUDED PHYSICAL EXAMINATIONS, IMMUNIZATIONS, DIABETES SCREENING AND MANAGAGEMENT, CANCER SCREENINGS, AND CHRONIC DISEASE MANAGEMENT, SERVING MOSTLY UNINSURED PEOPLE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS SUCH AS MEDICAID OR ARE NOT ELIGIBLE FOR SUBSIDIES THROUGH OUR INSURANCE EXCHANGE, COVERED CALIFORNIA. THE BRIGHT FUTURES MOBILE VAN HELPED LOW AND MODERATE-INCOME FAMILIES GET HEALTH CARE FOR WOMEN AND CHILDREN AND CONTINUED TO BRING HEALTHCARE SERVICES INTO COMMUNITIES WITH DISPROPORITIONATE UNMET HEALTH NEEDS (DUHN) IN ADELANTO, APPLE VALLEY, HESPERIA LUCERNE VALLEY AND VICTORVILLE. A NEW LOCATION WAS ADDED IN VICTORVILLE - FAMILY LIFE CHURCH. ALL OF THESE ARE LOCATED IN OUR PSA AND SSA. FOR 2019, A TOTAL OF 4,886 ENCOUNTERS ARE REPORTED FOR THE EIGHT (8) LOCATIONS: - ADELANTO CLINIC - SSA- JAMES WOODY CENTER (APPLE VALLEY) - PSA- ST. JOAN OF ARC (VICTORVILLE) PSA- PHOENIX ACADEMY (APPLE VALLEY) PSA- FAMILY LIFE CHURCH (VICTORVILLE) PSA- LUCERNE VALLEY SSA- APPLE VALLEY CLINIC PSA- HESPERIA CLINIC - PSATHE HEALTHY BEGINNINGS MIDWIFERY PROGRAM PROVIDES AN ARRAY OF SERVICES TO A SEGMENT OF THE POPULATION THAT EXPERIENCES DIFFICULTIES IN OBTAINING NEEDED PREGNANCY RELATED SERVICES IN THE CITIES OF ADELANTO, APPLE VALLEY AND HESPERIA. IT OFFERS SAFE PERSONALIZES HEALTHCARE INCORPORATING THE PHYSICAL, SOCIAL AND SPIRITUAL NEEDS OF THE WOMEN. THE MIDWIFERY PROGRAM IS OPEN TO THE UNINSURED AND UNDERINSURED (MEDICAID) PATIENTS. IN TOTAL 7,166 ENCOUNTERS ARE REPORTED FOR 2019. BRIDGES FOR FAMILIES RESOURCE CENTER OFFERS THE NURTURING PARENTING PROGRAM. THIS PROGRAM IS FUNDED BY FIRST 5 SAN BERNARDINO AND THE HOSPITAL, DESIGNED TO HELP PARENTS DEVELOP THE NECESSARY SKILLS TO RAISING HEALTHY CHILDREN AGES 0-5. IN 2018 THE ENCOUNTERS WERE 3,759 AND IN 2019 THERE WERE 5,067, AN INCREASE OF 35% FROM THE PREVIOUS YEAR. ALTHOUGH NOT RUN BY THE COMMUNITY CLINICS, THE MOTHER/BABY ASSESSMENT CENTER LACTATION CLINIC IS A COMMUNITY BENEFIT PROGRAM, OPEN TO ANYONE IN THE COMMUNITY. THIS PROGRAM CONTINUES TO RECEIVE REFERRALS OF PATIENTS FROM LOCAL HOSPITALS. 12,060 ENCOUNTERS ARE REPORTED FOR 2019.ST. JOSEPH HEALTH, ST. MARY WAS AND STILL REMAINS AS THE ONLY PROVIDER IN THE REGION PROVIDING COMPREHENSIVE DIABETES EDUCATION TO THE UNDERINSURED AND UNINSURED. PROVIDING DIABETES PATIENTS WITH PRIMARY CARE, CONSULTATIONS WITH A REGISTERED DIETICIAN, AND PARTICIPATION IN A DIABETES SUPPORT GROUP FOR A TOTAL OF 655 CLINICAL ENCOUNTERS. IN ADDITION, ST. JOSEPH HEALTH, ST. MARY PROVIDED A RESTRICTED $500,000 GRANT TO BORREGO HEALTHCARE FQHC TO PURCHASE A MOBILE DENTAL VAN TO PROVIDE FREE AND REDUCED DENTAL HEALTHCARE SERVICES TO RESIDENTS IN OUR HIGH DESERT REGION. THE DENTAL MOBILE VAN WILL BEGIN TO PROVIDE SERVICES IN 2020. IDENTIFIED NEED - EXPANDING OBESITY PREVENTION PROGRAMSIN THE 2014 CHNA, ADULT OVERWEIGHT AND ADULT OBESITY RATES HAD THE HIGHEST RECORDED PERCENT INCREASE FROM ITS 2007 BASELINE; INCREASING 6.6% TO 37% OVERWEIGHT ADULTS AND A 6.1% INCREASE TO 33% OBESE ADULTS FOR OUR REGION. BOTH THESE FIGURES WERE GREATER THAN ADULT STATE AVERAGES WHICH IN 2014 STOOD AT 36% OVERWEIGHT AND 24% OBESE. FOR THE 2017 CHNA, THE ADULT OBESITY RATES OF 37% IN OUR TOTAL SERVICE AREA WAS HIGHER THAN THAT OF THE STATE, WHICH STOOD AT 26%. TEENS ALSO FARED WORSE OFF AT 38% IN OUR TOTAL SERVICE AREA IN THE OVERWEIGHT OR OBESE CATEGORY, IN COMPARISON TO THE STATE'S 33%. TWO COMMUNITY BENEFIT PROGRAMS DEDICATED EFFORTS TO ADDRESS THE IDENTIFIED NEED IN AN UPSTREAM FASHION:1. COMMUNITIES OF EXCELLENCE - GEARED MOSTLY FOR ADULTS 2. YOUTH WELLNESS PROGRAM - FOCUSED ON SCHOOL AGED CHILDREN IN 2019, ST. JOSEPH HEALTH, ST. MARY HAD THE FOLLOWING ACHIEVEMENTS TO REPORT:- UNHEALTHY DIETS, WHICH ARE HIGH IN CALORIES AND LOW IN NUTRITION, AND THE CONSUMPTION OF SUGARY DRINKS, FEED INTO THE OBESITY PROBLEM. THE COMMUNITIES OF EXCELLENCE PROGRAM PROVIDED NUTRITION HEALTH EDUCATION AT ADELANTO, APPLE VALLEY AND HESPERIA LOGGING IN 373 ENCOUNTERS, COMPARABLE TO 2018 ENCOUNTERS OF 393. THESE FIVE WEEKLY NUTRITION CLASSES TAUGHT ON THE IMPORTANCE OF SODIUM REDUCTION, INCREASED PHYSICAL ACTIVITY, MY PLATE, AND HEALTHY BEVERAGES. - ANOTHER CONTRIBUTOR TO THE OBESITY PROBLEM IS NOT GETTING ENOUGH PHYSICAL ACTIVITY. THE COMMUNITIES OF EXCELLENCE PROGRAM ADDED PHYSICAL ACTIVITY CLASSES IN ADELANTO, APPLE VALLEY, AND HESPERIA. IN TOTAL 769 PEOPLE IN 2019, A 78% INCREASE FROM 2018 (432 PEOPLE) LIVING IN THESE THREE CITIES ENGAGED IN AN EXERCISE CLASS. IN TOTAL THEY LOGGED IN 7,338 A 26% INCREASE FROM 2018 WHICH LOGGED IN 5,833 EXERCISE CLASS ENCOUNTERS, WHICH ARE 1 HOUR IN DURATION.	Desc
Total Program Service Expenses	$307,383,486	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	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	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	1918	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	0	InvestmentInJointVentureInd
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	JO ANN ESCASA-HAIGH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9493814000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3345 MICHELSON DRIVE SUITE 100	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JIM WATSON ESQ
SECRETARY	1.00	59.00	Yes (X)	$0	$843,494	$137,810
ALAN GARRETT
FORMER PRESIDENT/CEO	50.00	2.00		$0	$588,476	$47,377	Yes (X)
MARILYN DRONE
COO SMMC	50.00	0.00		$477,380	$0	$43,982		Yes (X)
TRACEY FERNANDEZ
VP FINANCE AND CFO	40.00	0.00	Yes (X)	$444,156	$0	$44,463
TARA COWELL
FORMER SEC/TREASURER	2.00	52.00		$0	$440,453	$36,845	Yes (X)
RIAD ABDELKARIM MD
CHIEF MEDICAL OFFICER-STMMC	40.00	0.00		$394,863	$0	$33,576			Yes (X)
KIMBERLY DEIMLING
CERTIFIED NURSE MIDWIFE - NE	40.00	0.00		$325,738	$0	$40,287			Yes (X)
JEAN HOLTMAN
FORMER MINISTRY CHRO PSJH	40.00	0.00		$0	$308,210	$34,720	Yes (X)
JUDY WAGNER
CHIEF MISSION OFFICER (MINISTRY)	40.00	2.00		$211,454	$88,651	$21,836			Yes (X)
MATTHEW CHANDLER
EXEC DIR. ANCILLARY SERVICES	40.00	0.00		$236,617	$0	$37,830			Yes (X)
TAMARA BROWN
EXECUTIVE DIRECTOR, NURSING	40.00	0.00		$212,961	$0	$20,498			Yes (X)
RANDY CASTILLO
BOARD OF DIRECTORS/CEO	2.00	0.00	Yes (X)	$0	$193,180	$38,567				Yes (X)
OMER AHMED MD
BOARD OF DIRECTORS/CHIEF OF STAFF	5.00	0.00		$0	$61,890	$0				Yes (X)
ADOLPH COLLASO
BOARD OF DIRECTORS/VICE CHAIR	5.00	0.00		$0	$0	$0				Yes (X)
PAUL GOSTANIAN
BOARD OF DIRECTORS/CHAIR	5.00	0.00		$0	$0	$0				Yes (X)
CR BURKE
BOARD OF DIRECTORS	2.00	0.00		$0	$0	$0				Yes (X)
MARK YATES
BOARD OF DIRECTORS	2.00	0.00		$0	$0	$0				Yes (X)
REGINA WEATHERSPOON-BELL
BOARD OF DIRECTORS	2.00	0.00		$0	$0	$0				Yes (X)
SISTER JUDITH DUGAN
BOARD OF DIRECTORS	2.00	0.00		$0	$0	$0				Yes (X)
SISTER PAULETTE DETERS
BOARD OF DIRECTORS	2.00	0.00		$0	$0	$0				Yes (X)
SYED RAZA M D
BOARD OF DIRECTORS	2.00	0.00		$0	$0	$0				Yes (X)
ZOHEIR EL-HAJJAOUI MD
BOARD OF DIRECTORS	2.00	0.00		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,303,169	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,524,354	TotReportableCompRltdOrgAmt
Total Other Compensation	$537,791	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	501	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
ALLIED ANESTHESIA MEDICAL GROUP INC
400 N TUSTIN STE 400	SANTA ANA	CA	92705	MEDICAL SERVICES	$1,859,075
HOSPITALIST MEDICINE PHYSICIANS OF CALIF
PO BOX 742936	LOS ANGELES	CA	90074	MEDICAL SERVICES	$1,779,174
OBHG CALIFORNIA PC
777 LOWNDES HILL RD BLDG 1	GREENVILLE	SC	29607	MEDICAL SERVICES	$1,706,843
COR-CARE ASSOCIATES INC
17259 JASMINE STREET SUITE B	VICTORVILLE	CA	92395	MEDICAL SERVICES	$1,573,850
SYNERGY CT SURGERY PARTNERSHIP
901 SAN BERNARDINO RD SUITE 102	UPLAND	CA	91786	MEDICAL SERVICES	$1,496,850

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	27	CntrctRcvdGreaterThan100KCnt
Fundraising	$127,500	FundraisingAmt
Related Organizations	$1,809,926	RelatedOrganizationsAmt
Government Grants	$468,366	GovernmentGrantsAmt
All Other Contributions	$724,524	AllOtherContributionsAmt
Total Contributions	$3,130,316	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	622110	$366,644,601	$366,644,601
HOSPITAL FEE	900099	$2,491,208	$2,491,208
CAFETERIA REVENUE	722514	$563,349		$563,349
DEBT EXTINGUISHMENTS	900099	$24,819	$24,819
CASH PURCHASES & DISCO	900099	$402	$402

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,835	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,835	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$369,732,214	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,744,351	TotalRevenueColumnAmt
Exclusion	$3,744,351	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$44,706	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$27,052	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$17,654	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,654	TotalRevenueColumnAmt
Exclusion	$17,654	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,971,799	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	$4,971,799	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,971,799	TotalRevenueColumnAmt
Exclusion	$4,971,799	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$203,953	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$127,500	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$35,699	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$168,254	TotalRevenueColumnAmt
Exclusion	$168,254	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$381,764,588	TotalRevenueColumnAmt
Related Or Exempt Func Income	$369,168,865	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$9,465,407	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	$2,667,263	TotalAmt
Program Services	$2,667,263	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$123,740,481	TotalAmt
Program Services	$119,949,889	ProgramServicesAmt
Management And General	$3,175,259	ManagementAndGeneralAmt
Fundraising	$615,333	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,162,676	TotalAmt
Program Services	$5,981,059	ProgramServicesAmt
Management And General	$149,623	ManagementAndGeneralAmt
Fundraising	$31,994	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,347,888	TotalAmt
Program Services	$1,306,955	ProgramServicesAmt
Management And General	$34,289	ManagementAndGeneralAmt
Fundraising	$6,644	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,444,034	TotalAmt
Program Services	$9,173,481	ProgramServicesAmt
Management And General	$224,326	ManagementAndGeneralAmt
Fundraising	$46,227	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$533,944	TotalAmt
Management And General	$533,944	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$543,384	TotalAmt
Management And General	$543,384	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$33,683,350	TotalAmt
Program Services	$32,725,619	ProgramServicesAmt
Management And General	$843,243	ManagementAndGeneralAmt
Fundraising	$114,488	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$18,955	TotalAmt
Program Services	$387	ProgramServicesAmt
Management And General	$18,568	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,492,964	TotalAmt
Program Services	$5,280,435	ProgramServicesAmt
Management And General	$207,908	ManagementAndGeneralAmt
Fundraising	$4,621	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,426,235	TotalAmt
Program Services	$2,415,874	ProgramServicesAmt
Management And General	$7,936	ManagementAndGeneralAmt
Fundraising	$2,425	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$195,146	TotalAmt
Program Services	$124,771	ProgramServicesAmt
Management And General	$59,917	ManagementAndGeneralAmt
Fundraising	$10,458	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$27,505	TotalAmt
Program Services	$22,173	ProgramServicesAmt
Management And General	$4,806	ManagementAndGeneralAmt
Fundraising	$526	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,561,916	TotalAmt
Program Services	$1,561,916	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,672,697	TotalAmt
Program Services	$7,452,327	ProgramServicesAmt
Management And General	$1,217,049	ManagementAndGeneralAmt
Fundraising	$3,321	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SYSTEM COST ALLOCATION	$79,464,580	$76,723,052	$2,463,402	$278,126
MEDICAL SUPPLIES	$38,644,002	$38,571,508	$68,174	$4,320
HOSPITAL FEE	$3,212,254	$3,212,254
DUES AND SUBSCRIPTIONS	$325,002	$122,777	$202,209	$16

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$209,117	TotalAmt
Program Services	$91,746	ProgramServicesAmt
Management And General	$115,241	ManagementAndGeneralAmt
Fundraising	$2,130	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$318,373,393	TotalAmt
Program Services	$307,383,486	ProgramServicesAmt
Management And General	$9,869,278	ManagementAndGeneralAmt
Fundraising	$1,120,629	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,776,520	BOYAmt
EOY	$10,533,297	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,167,067	BOYAmt
EOY	$1,675,057	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,051,600	BOYAmt
EOY	$1,051,600	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,565,148	BOYAmt
EOY	$42,099,653	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$676,453	BOYAmt
EOY	$667,220	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,959,571	BOYAmt
EOY	$4,671,266	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,377,662	BOYAmt
EOY	$56,025	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$289,319,549	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$160,038,181	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$124,240,883	BOYAmt
EOY	$129,281,368	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$219,159,098	BOYAmt
EOY	$264,958,121	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,041,253	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$89,467	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$970,920	BOYAmt
EOY	$42,874,013	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$398,944,922	BOYAmt
EOY	$498,998,340	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$45,754,183	BOYAmt
EOY	$24,529,754	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,584,676	BOYAmt
EOY	$62,678,020	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$105,338,859	BOYAmt
EOY	$87,207,774	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	$286,627,343	BOYAmt
EOY	$402,542,936	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,978,720	BOYAmt
EOY	$9,247,630	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$293,606,063	BOYAmt
EOY	$411,790,566	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$398,944,922	BOYAmt
EOY	$498,998,340	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$63,391,195	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$25,813,287	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$28,980,021	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	$27,742	OtherActivitiesAmt
Total Lobbying Expenditures	$27,742	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	OTHER ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ALLIANCE OF CATHOLIC HEALTH CARE, AMERICAN HOSPITAL ASSOCIATION AND CALIFORNIA HOSPITAL ASSOCIATION FOR LOBBYING SERVICES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,196,864	BeginningYearBalanceAmt
Contributions	$439,605	ContributionsAmt
Investment Earnings Or Losses	$160,042	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$35,500	GrantsOrScholarshipsAmt
Other Expenditures	$12,045	OtherExpendituresAmt
End Year Balance	$1,748,966	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,246,694	BeginningYearBalanceAmt
Contributions	$21,740	ContributionsAmt
Investment Earnings Or Losses	-$69,070	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,500	GrantsOrScholarshipsAmt
End Year Balance	$1,196,864	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,135,065	BeginningYearBalanceAmt
Contributions	$7,661	ContributionsAmt
Investment Earnings Or Losses	$175,784	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$71,816	GrantsOrScholarshipsAmt
End Year Balance	$1,246,694	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,027,182	BeginningYearBalanceAmt
Contributions	$12,701	ContributionsAmt
Investment Earnings Or Losses	$151,440	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$56,258	GrantsOrScholarshipsAmt
End Year Balance	$1,135,065	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$623,378	BeginningYearBalanceAmt
Contributions	$400,000	ContributionsAmt
Investment Earnings Or Losses	$8,629	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,825	GrantsOrScholarshipsAmt
End Year Balance	$1,027,182	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,153,187	OtherCostOrOtherBasisAmt
Book Value	$30,153,187	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$127,004,184	OtherCostOrOtherBasisAmt
Depreciation	$90,076,782	DepreciationAmt
Book Value	$36,927,402	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$328,078	OtherCostOrOtherBasisAmt
Depreciation	$268,120	DepreciationAmt
Book Value	$59,958	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$86,719,982	OtherCostOrOtherBasisAmt
Depreciation	$69,693,279	DepreciationAmt
Book Value	$17,026,703	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,114,118	OtherCostOrOtherBasisAmt
Book Value	$45,114,118	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$129,281,368	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
HOSPITAL FEE/PROVIDER TAX RECEIVEABLE	$41,544,382
OTHER ASSETS	$1,329,631

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$42,874,013	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
I/C - TAX-EXEMPT BOND LIABILITIES	$47,818,255
DUE TO AFFILIATES	$6,911,850
OTHER LIABILITIES	$3,347,692
DUE TO THIRD PARTY	$1,652,952
CAPITAL LEASE OBLIGATIONS	$1,164,278
ACCRUED RETIREMENT COMPENSATION	$1,041,253
ANNUITY & TRUST PAYABLE	$740,086
SECURITY DEPOSIT	$1,654

Field	Value	IRS element (for citing)
Total Liability	$62,678,020	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	ENDOWMENT FUNDS USE ENDOWMENT FUNDS WERE DESIGNED TO PROVIDE SCHOLARSHIP FUNDS FOR NURSING STUDENTS.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$331,453	GrossReceiptsEvent1Amt
Charitable Contri Event1	$127,500	CharitableContriEvent1Amt
Gross Revenue Event1	$203,953	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$1,300	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$15,756	FoodAndBeverageEvent1Amt
Entertainment Event1	$1,725	EntertainmentEvent1Amt
Other Direct Expenses Event1	$16,918	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$331,453	GrossReceiptsTotalAmt
Charitable Contributions Tot	$127,500	CharitableContributionsTotAmt
Gross Revenue Total Events	$203,953	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$1,300	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$15,756	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$1,725	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$16,918	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$35,699	DirectExpenseSummaryEventsAmt
Net Income Summary	$168,254	NetIncomeSummaryAmt

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)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	13605	PersonsServedCnt
Total Community Benefit Expns	$5,362,870	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,362,870	NetCommunityBenefitExpnsAmt
Total Expense	0.01680	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	48137	PersonsServedCnt
Total Community Benefit Expns	$97,640,243	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$146,647,332	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	61742	PersonsServedCnt
Total Community Benefit Expns	$103,003,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$146,647,332	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,362,870	NetCommunityBenefitExpnsAmt
Total Expense	0.01680	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	27404	PersonsServedCnt
Total Community Benefit Expns	$4,154,135	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$957,821	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,196,314	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	539	PersonsServedCnt
Total Community Benefit Expns	$6,016	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,016	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	24693	PersonsServedCnt
Total Community Benefit Expns	$4,464,249	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$393,581	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,070,668	NetCommunityBenefitExpnsAmt
Total Expense	0.01280	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	768	PersonsServedCnt
Total Community Benefit Expns	$2,442,759	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,442,759	NetCommunityBenefitExpnsAmt
Total Expense	0.00770	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	53404	PersonsServedCnt
Total Community Benefit Expns	$11,067,159	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,351,402	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,715,757	NetCommunityBenefitExpnsAmt
Total Expense	0.03050	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	115146	PersonsServedCnt
Total Community Benefit Expns	$114,070,272	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$147,998,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,078,627	NetCommunityBenefitExpnsAmt
Total Expense	0.04730	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	217	PersonsServedCnt
Total Community Benefit Expns	$2,037	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,037	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$570	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	217	PersonsServedCnt
Total Community Benefit Expns	$2,607	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,607	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Reimbursed By Medicare	$55,348,289	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$63,005,779	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,657,490	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
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	ST MARY MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	18300 US HIGHWAY 18	AddressLine1Txt
City	APPLE VALLEY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92307	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.STMARYAPPLEVALLEY.COM	WebsiteAddressTxt
State License	240000207	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	ST MARY MEDICAL CENTER	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 LINE 10A URL BELOW	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	HTTP://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS	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 PART V, 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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2017 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 FORUM AND A NON-PROFIT/STAKEHOLDER FOCUS GROUP RESPONSES. THESE NEEDS WERE PRIORITIZED, AND THE TOP (NUMBER) THREE (3) "IDENTIFIED SIGNIFICANT NEEDS" OF THE COMMUNITY, BASED ON "TOTAL RANK SCORE" THAT WERE SELECTED BY THE COMMUNITY BENEFIT COMMITTEE ARE AS FOLLOWS:1. ACCESS TO RESOURCES2. MENTAL HEALTH AND SUBSTANCE ABUSE3. OBESITYSCHEDULE 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	COMMUNITY INPUTIN CONDUCTING THE CHNA TO IDENTIFY NEEDS, THE HOSPITAL INVITED BOTH LOCAL RESIDENTS AND LEADERS TO THREE (3) RESIDENT FOCUS GROUPS ONE (1) RESIDENT COMMUNITY FORUM AND ONE (1) NON-PROFIT/GOVERNMENT STAKEHOLDER FOCUS GROUP, ALL OF THESE WERE FACILITATED BY THE CONSULTANT, THE OLIN GROUP.THE THREE (3) RESIDENT FOCUS GROUPS WERE CONDUCTED IN THE CITIES OF ADELANTO, APPLE VALLEY AND HESPERIA IN AREAS WHERE HEALTH, PHYSICAL ENVIRONMENT AND SOCIOECONOMIC MATTERS ARE OF GREAT CONCERN. THESE WERE HOSTED AT COMMUNITY-BASED ORGANIZATIONS AND THESE WERE ASKED TO RECRUITPARTICIPANTS. BOTH THE COMMUNITY-BASED ORGANIZATION AND PARTICIPANTS WERE INCENTIVIZED. THESE FOCUS GROUPS WERE FACILITATED BY AN OUTSIDE CONSULTANT, THE OLIN GROUP, IN BOTH ENGLISH AND SPANISH.THE ADELANTO RESIDENT FOCUS GROUP WAS HOSTED BY THE ORGANIZATION, ANOTHER LEVEL FOR WOMEN. ANOTHER LEVEL FOR WOMEN IS A FAITH-BASED NONPROFIT ORGANIZATION DEDICATED TO PROVIDING FINANCIAL, EMOTIONAL, AND EDUCATIONAL SUPPORT SERVICES FOR WOMEN IN THE HIGH DESERT COMMUNITY, PARTICULARLY EXTREMELY LOW-INCOME WOMEN WITH CHILDREN. ANOTHER LEVEL FOR WOMEN RECRUITED FOR AND HOSTED THE ADELANTO RESIDENT FOCUS GROUP AND IT WAS CONDUCTED IN SPANISH.THE HESPERIA RESIDENT FOCUS GROUP WAS HOSTED BY HESPERIA UNIFIED SCHOOL DISTRICT FAMILY RESOURCE CENTER (FRC). THE FRC SERVES FAMILIES IN HESPERIA AND BEYOND WITH SUCH SERVICES AS EDUCATIONAL CLASSES, A LENDING LIBRARY, A TECHNOLOGY CENTER, AND EMERGENCY FOOD AND CLOTHING RESOURCES. THE FRC RECRUITED FOR AND HOSTED THE HESPERIA RESIDENT FOCUS GROUP AND IT WAS CONDUCTED IN ENGLISH.THE APPLE VALLEY RESIDENT FOCUS GROUP WAS HOSTED BY PHOENIX ACADEMY. PART OF THE APPLE VALLEY UNIFIED SCHOOL DISTRICT, PHOENIX ACADEMY SERVES APPROXIMATELY 1,500 KINDERGARTEN THROUGH 8TH GRADE STUDENTS. PHOENIX ACADEMY RECRUITED FOR AND HOSTED THE APPLE VALLEY RESIDENT FOCUS GROUP FOR THE VISTA LOMA AND YUCCA LOMA NEIGHBORHOODS AND IT WAS CONDUCTED IN ENGLISH WITH SPANISH TRANSLATION.THE THREE (3) RESIDENT FOCUS GROUPS FOLLOWED THE SAME PROTOCOL, AND THE SAME LINE OF QUESTIONS. FIRST, THEY SHARED THE HEALTH NEEDS THAT EMERGED FROM GATHERING PUBLICLY AVAILABLE RELIABLE GOVERNMENT SECONDARY DATA, AND ASKED THE RESIDENTS TO COMMENT ON THEM, AND FINALLY TOOK A VOTE TO DOCUMENT THEIR GREATEST CONCERNS.ONE (1) RESIDENT COMMUNITY FORUM WAS CONDUCTED IN THE CITY OF VICTORVILLE, THE OLD TOWN SECTION, AND WAS HOSTED BY TRINITY LUTHERAN CHURCH, PART OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA, WHICH SERVES THE SPIRITUAL NEEDS OF THE VICTORVILLE AREA AND BEYOND. THE RESIDENT COMMUNITY FORUM WAS BROADLY ADVERTISED, OPEN TO ANYONE IN THE PUBLIC, NO INCENTIVE WAS PROVIDED. THE OUTSIDE CONSULTANT, OLIN GROUP, FACILITATED THE FORUM. 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 FORUM 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 FORUM WAS CONDUCTED IN ENGLISH WITH SPANISH TRANSLATION.RESIDENTS WHO PARTICIPATED IN EITHER OF THE THREE (3) FOCUS GROUPS OR THE COMMUNITY FORUM WERE ASKED TO COMPLETE AN ANONYMOUS SURVEY TO CAPTURE DEMOGRAPHIC INFORMATION. IN TOTAL THERE WERE 69 RESPONDENTS, AND BASED ON THE ANSWERS, THESE ARE THE DEMOGRAPHICS TO REPORT:- 89% WERE FEMALE, 11% WERE MALE.- 62% IDENTIFIED AS HISPANIC/LATINO- 22% AS NON-LATINO WHITE- 12% AS BLACK/AFRICAN AMERICAN- 3% AS NATIVE AMERICAN- 1% AS NATIVE HAWAIIAN OR PACIFIC ISLANDER AND- 3% AS "OTHER" - ARAB/NORTH AFRICAN.OF THE 69 RESPONDENTS, 33% REPORTED AS HAVING A CHRONIC DISEASE.THE MAJORITY OF PEOPLE CAME FROM TWO AGE GROUPS:- 48% FROM THE AGE GROUP 18-44- 39% FROM THE AGE GROUP 45-64THE TOTAL HOUSEHOLD INCOME BEFORE TAXES HAD A MIX OF ANSWERS:- 30% OF THE 69 RESPONDENTS REPORTED LESS THAN $20,000- 28% REPORTED $20,000 - $34,999- 10% REPORTED $35,000 - $49,999- 21% REPORTED $50,000 - $74,999- 3% REPORTED $75,000 - $99,999- 8% REPORTED $100,000 OR MORE.PLEASE NOTE THAT SOME DECLINED TO ANSWER THIS QUESTION, AND THESE WERE NOT INCLUDED IN THE CALCULATION OF PERCENTAGES.THE NON-PROFIT/GOVERNMENT STAKEHOLDER FOCUS GROUP WAS HOSTED BY THE ACADEMY FOR GRASSROOTS ORGANIZATIONS (GO), LOCATED IN VICTORVILLE. ACADEMY GO WORKS TO IMPROVE THE QUALITY OF LIFE IN THE HIGH DESERT REGION BY SUPPORTING AND STRENGTHENING THE SOCIAL SERVICE SECTOR. THEY PROVIDE A VARIETY OF RESOURCES AND NONPROFIT LEARNING OPPORTUNITIES THROUGHOUT THE REGION AND SERVE A NETWORK OF MORE THAN 1,000 NONPROFIT PROFESSIONALS AND VOLUNTEERS. THE NON-PROFIT/GOVERNMENT STAKEHOLDER FOCUS GROUP HAD TWENTY (20) 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/STAKEHOLDER FOCUS GROUP WERE INVITED BY THE HOSPITAL AND NO INCENTIVE WAS PROVIDED. PARTICIPANTS INCLUDED:- ACADEMY FOR GRASSROOTS ORGANIZATION (GO). THIS IS A NON-PROFIT ENGAGED IN CAPACITY BUILDING OF OTHER NON-PROFITS IN THE HIGH DESERT REGION.- CITY OF HESPERIA, HEALTHY HESPERIA, A CITY LED INITIATIVE FOCUSED ON CREATING HEALTHIER COMMUNITIES.- COMMUNITY ACTION PARTNERS OF SAN BERNARDINO COUNTY- DESERT/MOUNTAIN CHILDREN'S CENTER, A COUNSELING CENTER DESIGNED TO MEET THE THERAPEUTIC NEEDS OF NEWBORNS TO 22 YEARS OF AGE.- DEPARTMENT OF PUBLIC HEALTH, COUNTY OF SAN BERNARDINO.- FAMILY ASSISTANCE PROGRAM, A NON-PROFIT THAT PROVIDES SHELTER FOR HOMELESS YOUTH, VICTIMS OF DOMESTIC VIOLENCE WITH THEIR FAMILIES AND PETS, AND VICTIMS OF SEXUAL TRAFFICKING.- GLOBAL INSTITUTE FOR PUBLIC STRATEGIES, A NON-PROFIT ORGANIZING RESIDENTS TO REVITALIZE OLD TOWN VICTORVILLE (R.O.O.T.).- RESIDENT PARTICIPANT IN THE R.O.O.T. INITIATIVE.- HEALTHY SNOWLINE, AN INITIATIVE ENGAGED IN CREATING HEALTHIER COMMUNITIES IN PHELAN AND PINON HILLS.- INLAND EMPIRE HEALTH PLAN (IEHP), A MEDICAID HEALTH PLAN FOR BOTH THE SAN BERNARDINO AND RIVERSIDE COUNTIES.- INLAND EMPIRE UNITED WAY.- INLAND EMPIRE UNITED WAY DESERT COMMUNITIES REGION.- OFFICE OF FIRST DISTRICT SUPERVISOR LOVINGOOD'S OFFICE.- NATIONAL CORE, A NON-PROFIT HOUSING DEVELOPER.- SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS, IN APPLE VALLEY.- SAN BERNARDINO COUNTY WORKFORCE DEVELOPMENT DEPARTMENT IN VICTORVILLE.- SHERIFF'S DEPARTMENT - CITY OF ADELANTO- ST. JOHN OF GOD HEALTHCARE SERVICES A SUBSTANCE ABUSE TREATMENT AND REHABILITATION CENTER.- STARS CRISIS WALK-IN CENTER, A 24 HOUR CRISIS INTERVENTION AND STABILIZATION CENTER.- THE VICTOR VALLEY TRANSIT AUTHORITY, A PUBLIC TRANSPORTATION ENTITY. IN ADDITION TO THESE GROUPS, PUBLIC HEALTH OFFICIALS REVIEWED THE FINAL DRAFT OF THE CHNA REPORT WITH SAN BERNARDINO COUNTY PUBLIC HEALTH'S COMMUNITY VITAL SIGNS AND HEALTHY COMMUNITIES PROGRAMS. INFORMATION WAS REQUESTED TO ASSIST IN DEVELOPING A 2015-2020 SAN BERNARDINO COUNTY TRANSFORMATION PLAN FOCUSED IN FOUR (4) AREAS: ECONOMY, EDUCATION, HEALTH AND WELLNESS, AND SAFETY.
SCHEDULE H, PART V, SECTION B, LINE 11	THE HOSPITAL IDENTIFIED AND IS FOCUSING ON THE FOLLOWING THREE (3) PRIORITIES:1. ACCESS TO RESOURCES - INCLUDES MOST BARRIERS TO ACCESSING HEALTH CARE SERVICES AND OTHER NECESSARY RESOURCES, SUCH AS TRANSPORTATION, A SHORTAGE OF PROVIDERS, PARTICULARLY SPECIALISTS SUCH AS PEDIATRICIANS, DENTISTS, AND ORTHOPEDISTS, LANGUAGE BARRIERS, AND RESOURCES BEING UNAVAILABLE OUTSIDE OF WORKING HOURS. THIS NEED EMERGED AS A CONSISTENT PRIORITY THROUGHOUT THE CHNA PROCESS. IT WAS A MAJOR DISCUSSION POINT IN EVERY FOCUS GROUP AND RECEIVED SUBSTANTIAL SUPPORT IN THE COMMUNITY FORUM. THE SECONDARY DATA SHOWS THAT THE COUNTY OF SAN BERNARDINO HAS RELATIVELY FEW PHYSICIANS AND DENTIST COMPARED TO THE STATE OF CALIFORNIA AVERAGES. THE ISSUE WAS IDENTIFIED AS A TOP PRIORITY THROUGH THE PRIORITIZATION PROCESS AND WAS ENDORSED BY THE COMMUNITY BENEFIT COMMITTEE. THE COMMITTEE DISCUSSED EXPANDING COMMUNITY BENEFIT PROGRAMS AND CLINIC VISITS TO THE POOR.THIS NEED IS BEING ADDRESSED BY FOUR COMMUNITY BENEFIT PROGRAMS:1. BRIDGES FOR FAMILIES RESOURCE CENTER - OFFERING NURTURING PARENTING PROGRAM TO FAMILIES AND CONNECTING THEM TO OTHER RESOURCES.2. BRIGHT FUTURES MOBILE CLINIC - BRINGING HEALTHCARE INTO COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH NEEDS (DUHN) IN ADELANTO, APPLE VALLEY, HESPERIA, LUCERNE VALLEY AND VICTORVILLE.3. HEALTHY BEGINNINGS MIDWIFERY PROGRAM - BRINGING TRAINED PRENATAL STAFF TO POPULATIONS THAT EXPERIENCES DIFFICULTIES IN OBTAINING NEEDED PREGNANCY RELATED SERVICES IN THE CITIES OF ADELANTO, APPLE VALLEY AND HESPERIA.4. MOTHER/BABY ASSESSMENT CENTER LACTATION CLINIC - IN PATIENT LACTATION SUPPORT AND FOLLOW-UP CLINIC PROVIDES BREASTFEEDING SUPPORT WITH LACTATION SPECIALISTS TO HELP MAKE BREASTFEEDING MORE COMFORTABLE FOR BOTH MOM AND BABY.5. GRANT TO BORREGO HEALTHCARE - TO SECURE A DENTAL MOBILE VAN TO PROVIDE FREE DENTAL CARE TO HIGH DESERT RESIDENTS.IN SCHEDULE O, PART III, LINE 4A, ARE THE FULL YEAR ACCOMPLISHMENTS REPORTED FOR THIS IDENTIFIED NEED.2. MENTAL HEALTH AND SUBSTANCE ABUSE - 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 ADVERSE CHILDHOOD EXPERIENCES. THESE WERE COMBINED BY THE COMMUNITY BENEFIT COMMITTEE. COMMITTEE MEMBERS DISCUSSED THAT MENTAL HEALTH WILL BE A PRIORITY FOCUS OF PROVIDENCE ST. JOSEPH HEALTH OVER THE NEXT TEN YEARS. MENTAL HEALTH WAS A FREQUENT THEME IN THE FOCUS GROUPS AND THE FORUM, PARTICULARLY FOCUSING ON THE STRESSES CAUSED BY ECONOMIC INSECURITY, THE CHALLENGES FACED BY CHILDREN AND TEENS, AND THE LACK OF PROVIDERS. THE LACK OF PROVIDERS IS SUPPORTED BY RELIABLE SECONDARY DATA. MENTAL HEALTH WAS THE SECOND HIGHEST PRIORITY THROUGH THE PRIORITIZATION PROCESS; SUBSTANCE ABUSE CAME IN SIXTH, AND WAS ALSO A STRONG THEME ACROSS ALL FOCUS GROUPS.THIS NEED IS BEING ADDRESSED BY THREE COMMUNITY BENEFIT PROGRAMS:1. BRIDGES FOR FAMILIES RESOURCE CENTER - PROVIDES SHORT-TERM COUNSELING FOR INDIVIDUALS, COUPLES OR FAMILY.2. GRANT - FAMILY ASSISTANCE PROGRAM - GRANT TO PROVIDE COUNSELING TO HOMELESS YOUTH. 3. GRANT - ST. JOHN OF GOD - GRANT TO INTEGRATE MENTAL HEALTH SERVICES WITH 90 DAY SUBSTANCE ABUSE TREATMENT AND REHABILITATION PROGRAM.IN SCHEDULE O, PART III, LINE 4A, ARE THE FULL YEAR ACCOMPLISHMENTS REPORTED FOR THIS IDENTIFIED NEED.3. 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 AS SEPARATE ISSUES. OBESITY WAS FREQUENTLY DISCUSSED IN THE FOCUS GROUPS, PARTICULARLY IN CONJUNCTION WITH ROOT CAUSES SUCH AS NUTRITION AND LACK OF EXERCISE, WITH CHALLENGES WITH WALKABILITY. OBESITY WAS IDENTIFIED AS THE THIRD HIGHEST PRIORITY IN THE PRIORITIZATION PROCESS. THIS NEED IS BEING ADDRESSED BY TWO COMMUNITY BENEFIT PROGRAMS:1. COMMUNITIES OF EXCELLENCE - TARGETING ADULTS BY PROVIDING NUTRITION CLASSES AND FREE OPPORTUNITIES TO DO PHYSICAL ACTIVITY. 2. YOUTH WELLNESS PROGRAM - TARGETING SCHOOL AGED CHILDREN BY TEACHING A WELLNESS CURRICULUM.IN SCHEDULE O, PART III, LINE 4A, ARE THE FULL YEAR ACCOMPLISHMENTS REPORTED FOR THIS IDENTIFIED NEED.NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN 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 ORGANIZATIONS THAT COUNT WITH THE CAPACITY AND EXPERTISE TO ADDRESS THE NEEDS OF HIGH DESERT 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, ST. MARY.FURTHERMORE, ST. JOSEPH HEALTH, ST. MARY 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, ST. MARY'S SERVICE AREAS.THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED AND AN EXPLANATION IS PROVIDED BELOW:DIABETES: SPECIFICALLY FOCUSED ON THE HEALTH CONDITION OF DIABETES, AND AWARENESS AND PREVENTION OF IT. THE COMMUNITY HEALTH NEEDS ASSESSMENT RANKED THE EXPERTISE IN ADDRESSING THIS HEALTH OUTCOME IN 4TH PLACE. ALTHOUGH NOT RANKED IN THE TOP THREE NEEDS, A COMMUNITY BENEFIT PROGRAM, "ST. JOSEPH HEALTH, ST. MARY'S DIABETES PROGRAM," RUN BY OUR COMMUNITY CLINICS, ADDRESSES THIS NEED. "ST. JOSEPH HEALTH, ST. MARY'S DIABETES PROGRAM" REMAINS THE ONLY AMERICAN DIABETES ASSOCIATION CERTIFIED PROGRAM IN THE HOSPITAL'S TOTAL SERVICE AREA. THE PROGRAM EXPANDS NUTRITIONAL AND CERTIFIED DIABETES TRAINED STAFF FROM HOSPITAL-BASED DIABETES AND CHILD OBESITY PROGRAMS. PROGRAM STAFF CONTINUE PARTICIPATING IN A SJH REGIONAL DIABETES WORKGROUP SHARING BEST PRACTICES. A REFERRAL RELATIONSHIP HAS BEEN ESTABLISHED FROM PHYSICIANS OF ST. MARY HIGH DESERT MEDICAL GROUP. THE TARGETING OF DIABETES EDUCATION IN NEIGHBORHOODS WITH POOR AND UNINSURED PERSONS AND POPULATIONS HAS INCREASED THROUGH INTRODUCTION TO RESIDENTS OF "COMMUNITIES OF EXCELLENCE," ANOTHER COMMUNITY BENEFIT PROGRAM, WITH A FOCUS ON NUTRITION AND PHYSICAL ACTIVITY. EFFORTS TO DISCUSS DIABETES SCREENING DURING FOOD PANTRY GIVEAWAYS STARTED. IN ADDITION, THE HOSPITAL'S DIABETES PROGRAM IS STARTING TO IMPLEMENT A CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) CURRICULUM, "DIABETES PREVENTION PROGRAM," THROUGHOUT THE HIGH DESERT.FOOD AND NUTRITION: CONCERNS ABOUT HEALTHY EATING HABITS, NUTRITION KNOWLEDGE, AND CHALLENGES OF COST AND AVAILABILITY OF HEALTHY OPTIONS. THIS NEED IS ADDRESSED BY LIKE-MINDED PARTNERS. AN INTEGRATED APPROACH TO ADDRESS ISSUES OF BEING A FOOD DESERT ARE BEING TACKLED THROUGH A REGIONAL APPROACH - THE COMMUNITY ACTION PARTNERSHIP - HIGH DESERT FOOD COLLABORATIVE. NON-PROFITS OUTSIDE OUR REGION ARE BEING APPROACHED, AS WAS THE CASE WITH LOS ANGELES BASED FOOD FORWARD. THIS NON-PROFIT WAS RECRUITED TO PROVIDE DONATIONS OF FRESH FRUITS AND VEGETABLES TO LOCAL FOOD PANTRIES OPERATED IN ADELANTO, APPLE VALLEY, PHELAN AND VICTORVILLE. THE MAJORITY OF FOOD PANTRIES ARE OPERATED BY CHURCHES: BROKEN HEARTS MINISTRY, THE LORD'S TABLE, ANOTHER LEVEL FOR WOMEN, VICTOR VALLEY RESCUE MISSION. OTHER NON-PROFITS WORKING AROUND THIS NEED ARE THE HIGH DESERT OUTREACH CENTER, SQUASH4FRIENDS, AND SCHOOLS THAT ARE HOSTING SUMMER MEAL PROGRAMS. COMMUNITY ACTION PARTNERSHIP RECEIVED A PLANNING GRANT FROM THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND, TO BEGIN DEVELOPING A TIMELINE FOR OPENING A LOCAL HIGH DESERT OFFICE THAT WOULD INCLUDE A SMALL FOOD BANK. IN 2019 COMMUNITY ACTION PARTNERSHIP SECURED A SPACE INSIDE THE IEHP RESOURCE CENTER (IEHP IS THE COUNTY RUN MEDICAID HEALTH PLAN) IN THE CITY OF VICTORVILLE WHERE THEY ARE DOING FOOD DISTRIBUTION, WEATHERIZATION, RENTAL AND UTILITY ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 11 (CONT'D)	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. THIS ISSUE IS TIED VERY CLOSELY TO MENTAL HEALTH (WHICH WAS IDENTIFIED AS A PRIORITY) AND WILL BE ADDRESSED. OUR HOSPITAL'S LACK OF EXPERTISE IN THIS MATTER HAS PLACED US IN CONTACT WITH OTHER LIKE-MINDED NON-PROFIT PARTNERS. WE GAVE, AND FORESEE CONTINUING GIVING, CARE FOR THE POOR RESTRICTED FUNDS, TO PROVIDE COUNSELING FOR PARTICIPANTS OF ST. JOHN OF GOD'S HEALTHCARE SERVICES' 90-DAY DRUG AND ALCOHOL CENTER. PRIOR TO THIS GRANT, THE COUNSELING SERVICE WAS NOT OFFERED, AND NOW PARTICIPANTS ON THIS SUBSTANCE ABUSE PROGRAM CAN EXPLORE THE UNDERLYING REASONS BEHIND THEIR SUBSTANCE ABUSE, ADDRESS THAT TRAUMA, AND CAN DEVISE A PLAN TO COPE WITHOUT THE USE OF DRUGS AND LIQUOR.LACK OF EXERCISE: IN ADDITION TO THE BEHAVIOR ITSELF, IT ALSO INCLUDES ISSUES AROUND ACCESS TO PLACES TO EXERCISE AND PEOPLE NOT HAVING ENOUGH TIME TO EXERCISE. THIS ISSUE IS TIED VERY CLOSELY TO OBESITY (WHICH WAS IDENTIFIED AS A PRIORITY) AND WILL BE ADDRESSED BY "COMMUNITIES OF EXCELLENCE, AND WITH THE ADELANTO UNITIY CENTER, TOWN OF APPLE VALLEY PARKS AND RECREATION DEPARTMENT, HESPERIA PARKS AND RECREATION AND THE VICTORVILLE ARKS AND RECREATION DEPARTMENT. ALL OF THESE LIKE-MINDED PARTNERS HOST FREE WEEKLY PHYSICAL ACTIVITY CLASSES. ALSO, THROUGH THE HEALTHY CITIES INITIATIVES IN ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE, WE CONSTANTLY ADVOCATE CITY LEADERS TO CREATE BIKE PATHWAYS, MORE PARKS AND SAFETY MEASURES SO THAT MORE FAMILIES CAN ENJOY THE PARKS AND THEIR SURROUNDING NEIGHBORHOODS.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. ST. JOSEPH HEALTH, ST. MARY WILL COLLABORATE WITH LOCAL CITY ECONOMIC DEVELOPMENT DEPARTMENTS, AND THE WORKFORCE DEVELOPMENT FORCE THAT ADDRESS THE AFOREMENTIONED COMMUNITY NEEDS. IN ADDITION, ST. JOSEPH HEALTH, ST. MARY IS PART OF THE ST. JOSEPH HEALTH SYSTEM AND AS SUCH WE FOLLOW CATHOLIC SOCIAL TEACHINGS WHICH DICTATE THAT IN REGARDS TO JOBS AND SALARIES, "THE ECONOMY MUST SERVE PEOPLE NOT THE OTHER WAY AROUND. WORK IS MORE THAN A WAY TO MAKE A LIVING; IT IS A FORM OF CONTINUING PARTICIPATION IN GOD'S CREATION. IF THE DIGNITY OF WORK IS TO BE PROTECTED, THEN THE BASIC RIGHTS OF WORKERS MUST BE RESPECTED THE RIGHT TO PRODUCTIVE WORK, TO DECENT AND FAIR WAGES, TO THE ORGANIZATION AND JOINING OF UNIONS, TO PRIVATE PROPERTY AND TO ECONOMIC INITIATIVE".EDUCATION: INCLUDES BOTH FORMAL EDUCATION GOALS AND ATTAINMENT, INCLUDING JOB TRAINING, AND COMMUNITY-BASED EDUCATION AROUND ISSUES SUCH AS EXERCISE, NUTRITION, HEALTH ACCESS, AND FINANCES. HEALTH EDUCATION IS TIED VERY CLOSELY TO OBESITY (WHICH WAS IDENTIFIED AS A PRIORITY) AND WILL BE ADDRESSED BY "COMMUNITIES OF EXCELLENCE", A COMMUNITY BENEFIT PROGRAM, WHICH TEACHES NUTRITION EDUCATION CLASSES IN ADELANTO, APPLE VALLEY, HESPERIA, PINON HILLS AND VICTORVILLE. IN ADDITION, OUR FACILITY HAS FORMAL UNDERSTANDINGS WITH SEVERAL UNIVERSITIES AND COLLEGES AND PROVIDED NURSING STUDENTS WITH, "HEALTH PROFESSIONS EDUCATION", A COMMUNITY BENEFIT THAT RESULTED IN A DEGREE, CERTIFICATE, OR TRAINING NECESSARY TO BE LICENSED TO PRACTICE AS A HEALTH PROFESSIONAL, AS REQUIRED BY STATE LAW, OR CONTINUING EDUCATION NECESSARY TO RETAIN STATE LICENSE OR CERTIFICATION BY A BOARD IN THE HEALTH PROFESSION'S SPECIALTY. IN ADDITION, ST. JOSEPH HEALTH, ST. MARY IS ASSISTING IN CREATING A PIPELINE FOR LOCAL FUTURE MENTAL HEALTH PROFESSIONALS. THE HOSPITAL IS PARTICIPATING IN THE "MENTAL HEALTH CAREER DEVELOPMENT PROGRAM". THIS PROGRAM IS RUN BY DESERT MOUNTAIN CHILDREN'S CENTER, A BEHAVIORAL HEALTH PROGRAM OFFERING SERVICES TO CHILDREN AND YOUTH, BIRTH TO 22 YEARS OF AGE, CURRENTLY PROVIDING BEHAVIORAL HEALTH SERVICES IN OVER 200 SCHOOLS. IN SEPTEMBER OF 2019 IT CONNECTED OVER 100 HIGH DESERT HEALTHCARE STUDENTS TO FURTHER EXPLORE MENTAL HEALTH CAREERS, AND TO SPEAK WITH LOCAL BUSINESSES THAT HIRE THESE PROFESSIONALS, SUCH AS KAISER.WALKABILITY: THE LACK OF WALKABLE AREAS AND STREETS, INCLUDING THE LACK OF SIDEWALKS, CROSSWALKS, STREET LIGHTS, AS WELL AS THE LONG DISTANCES NECESSARY TO GO PLACES AND THE PREVALENCE OF HIGH-SPEED BUSY STREETS. THIS ISSUE IS TIED VERY CLOSELY TO OBESITY (WHICH WAS IDENTIFIED AS A PRIORITY) AND WILL BE ADDRESSED THROUGH ST. JOSEPH HEALTH, ST. MARY'S "COMMUNITIES OF EXCELLENCE" WORK. IN NOVEMBER OF 2017 CITY LEADERS OF ADELANTO, APPLE VALLEY, HESPERIA, PINON HILLS AND VICTORVILLE RECEIVED A "REPORT CARD" ON THE STATE OF WALKABILITY IN LOW INCOME NEIGHBORHOODS, AS WELL AS THE ACCESS OF FRESH PRODUCE FOR RESIDENTS LIVING IN THESE NEIGHBORHOODS. WE WILL TRAIN RESIDENTS TO ADVOCATE FOR SAFER STREETS THROUGH THEIR ELECTED OFFICIALS, BY VOICING THEIR CONCERNS IN CITY PLANNING AND CITY COUNCIL MEETINGS.HOMELESSNESS: PRIMARILY FOCUSED ON THE CONDITION OF HOMELESSNESS, INCLUDING HELPING HOMELESS INDIVIDUALS, PREVENTION OF HOMELESSNESS, AND MITIGATING ITS IMPACT ON COMMUNITIES. ACCORDING TO THE 2019 SAN BERNARDINO COUNTY HOMELESS COUNT AND SURVEY, THE CITY OF VICTORVILLE (PART OF OUR PRIMARY SERVICE AREA (PSA) HAS THE SECOND HIGHEST HOMELESS POPULATION IN THE COUNTY OF SAN BERNARDINO. THE FIRST DISTRICT SUPERVISOR'S OFFICE HAS FOCUSED ON RAPID RE-HOUSING, AND THE CITY OF VICTORVILLE'S SHERIFF'S OFFICE HAS THE HOMELESS OUTREACH PROACTIVE ENFORCEMENT (H.O.P.E.) PROGRAM AIMED AT ADDRESSING NEEDS OF THE HOMELESS POPULATION. IN 2019, THE CITY OF VICTORVILLE CREATED A "HOMELESS SOLUTIONS TASK FORCE", A COMMITTEE MADE UP OF CITIZENS REPRESENTING VARIOUS STAKEHOLDERS THAT MEETS MONTHLY. ST. JOSEPH HEALTH, ST. MARY, IS ONE OF TWELVE COMMITTEE MEMBERS, REPRESENTING THE HEALTHCARE SECTOR. CURRENTLY, THE COMMITTEE IS ENGAGED IN CREATING A SAFE AND WELCOMING ONE STOP HUB FOR HOMELESS INDIVIDUALS AND FAMILIES TO CONNECT TO NEEDED RESOURCES AND OBTAIN HOUSING. RECOGNIZING THAT "HOUSING IS HEALTH" THE CITY OF VICTORVILLE IS ALSO LOOKING AT AFFORDABLE HOUSING, AS A MEANS TO PREVENT HOMELESSNESS FROM OCCURRING IN THE FIRST PLACE. IT IS SPEAKING WITH DEVELOPERS, LIKE JAMBOREE HOUSING, TO SEE IF CREATING AFFORDABLE HOUSING IS A POSSIBILITY WITHIN THE CITY. IN ADDITION, WE HAVE THE FOLLOWING PARTNERS: HOMELESS SERVICES SHELTER, VICTOR VALLEY RESCUE MISSION AND ST. JOHN OF GOD PROVIDING HOUSING TO HOMELESS INDIVIDUALS AND FAMILIES. THERE ARE ALSO TWO DOMESTIC VIOLENCE SHELTERS, FAMILY ASSISTANCE PROGRAM AND A BETTER WAY.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, ST. MARY OFFERS PRIMARY CARE SERVICES THROUGH THE "BRIGHT FUTURES MOBILE VAN", A COMMUNITY BENEFIT PROGRAM, FOR THOSE THAT ARE UNINSURED IN THE COMMUNITIES OF ADELANTO, APPLE VALLEY, HESPERIA, LUCERNE VALLEY AND VICTORVILLE. WE ALSO PARTNER WITH COVERED CALIFORNIA IN INSURANCE ENROLLMENT CAMPAIGNS AND CONTINUE ADVOCATING AND SUPPORTING FEDERALLY QUALIFIED HEALTH CLINICS (FQHC) EXPANSION. THREE FQHC OPERATORS SUPPORT THE REGION: BORREGO HEALTH (BARSTOW AND ADELANTO) MISSION CITY (BARSTOW AND VICTORVILLE) AND SAN BERNARDINO COUNTY PUBLIC HEALTH (ADELANTO AND HESPERIA). WE ALSO PROVIDED A GRANT TO BORREGO HEALTH FQHC A GRANT TO PURCHASE A DENTAL MOBILE VAN TO PROVIDE FREE DENTAL CARE TO HIGH DESERT RESIDENTS. HOUSING CONCERNS: INCLUDES AFFORDABILITY, AVAILABILITY, OVERCROWDING, AND QUALITY OF HOUSING. ST. JOSEPH HEALTH, ST. MARY RECOGNIZES THAT OTHER ORGANIZATIONS HAVE A GREATER EXPERTISE IN THIS MATTER. LOW-INCOME HOUSING STABILIZATION PROGRAMS OF ADELANTO, APPLE VALLEY, HESPERIA AND VICTORVILLE AS WELL AS THE HOUSING AUTHORITY OF SAN BERNARDINO COUNTY AND TRANSITIONAL ASSISTANCE DEPARTMENT, AND HOUSING PARTNERS, INC., ALL ADDRESS THIS ISSUE.POLLUTION AND AIR QUALITY: INCLUDES INDUSTRIAL POLLUTION BUT ALSO VERMIN, TRASH, AND DUST DUE TO DRYNESS AND A LACK OF PAVED ROADS. THIS ISSUE WAS SECOND TO LOWEST PRIORITY ISSUE IDENTIFIED THROUGH THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT. ORGANIZATIONS WORKING ON THIS NEED ARE THE MOJAVE AIR QUALITY MANAGEMENT DISTRICT, SAN BERNARDINO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH AND THE COMMUNITY ACTION PARTNERSHIP THROUGH THEIR LEAD PAINT ABATEMENT OF RESIDENTIAL HOUSING.
SCHEDULE H, PART V, SECTION B, LINE 11 (CONT'D)	CRIME AND SAFETY: ENCOMPASSES THE INCIDENCE OF CRIME AND VIOLENCE AS WELL AS THE FEAR OF IT, WHICH PREVENTS PEOPLE FROM USING OPEN SPACE OR ENJOYING THEIR COMMUNITY, NEGATIVELY IMPACTING WALKABILITY. THIS ISSUE RANKED AS THE LOWEST PRIORITY. BY WORKING WITH LOCAL LAW ENFORCEMENT OFFICES, SCHOOL DISTRICTS, AND ELECTED OFFICIALS, OUR HOPE IS THAT CRIME WILL GO DOWN AND THE IMAGE OF THE HIGH DESERT REGION WILL IMPROVE, ATTRACTING NEW EMPLOYERS TO THIS REGION. ONE PROJECT FUNDED BY ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND, RESIDENTS OF OLD TOWN VICTORVILLE (R.O.O.T.) IS A GRASSROOTS EFFORTS RUN BY VICTORVILLE RESIDENTS TO ADDRESS SAFETY ISSUES THAT IMPACT THE HEALTH OF THEIR NEIGHBORHOOD. OLD TOWN VICTORVILLE IS PARTICULAR IN THAT THE MAJORITY OF THE HOMELESS POPULATION (VICTORVILLE HAS THE SECOND HIGHEST HOMELESS POPULATION IN THE ENTIRE SAN BERNARDINO COUNTY) IS CONCENTRATED IN THAT SECTION. THE HIGH DESERT HAS MANY JAILS AND PRISONS, AND MOST RELEASE THEIR PRISONER POPULATION IN OLD TOWN VICTORVILLE. R.O.O.T. BEGAN ADVOCATING FOR ENVIRONMENTAL CHANGES, LIKE BRIGHTER STREET LIGHTS AND NEW LIGHTS IN ALLEYS, WHICH HAS HAPPENED, AND RESIDENTS ARE REPORTING THAT THEY FEEL CRIME HAS LOWERED. IN ADDITION, ST. JOSEPH HEALTH, ST. MARY 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 UNDER-INSURED 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.
SCHEDULE H, PART V, SECTION B, LINE 16A	FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16B	FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/ORANGE-COUNTY-AND-HIGH-DESERT/FINANCIAL-ASSISTANCE#TABCONTENT-1-PANE-2
SCHEDULE H, PART V, SECTION B, LINE 16C	FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/PLAIN-LANGUAGE-SUMMARY

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - OUTPATIENT SURGERY PAVILLION
18122 US HIGHWAY 18	APPLE VALLEY	CA	92307	AMBULATORY SURGERY CENTER
2 - WOUND CARE CENTER
16077 KAMANA ROAD	APPLE VALLEY	CA	92307	WOUND CARE
3 - HEALTHY BEGINNINGS CLINIC
18977 S OUTER HWY 18 A	APPLE VALLEY	CA	92307	CLINIC
4 - ADELANTO CLINIC
11424 CHAMBERLAIN WAY STE 89	ADELANTO	CA	92301	CLINIC
5 - HESPERIA CLINIC
17091 MAIN STREET STE100	HESPERIA	CA	92345	CLINIC

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:	ST. JOSEPH HEALTH, ST. MARY PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE ATHTTPS://WWW.PROVIDENCE.ORG/LOCATIONS/ST-MARY-MEDICAL-CENTER/ABOUT-US/COMMUNITY-BENEFIT
PART I, LINE 7:	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS.
PART I, LINE 7G:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:	PROMOTING THE HEALTH OF HIGH DESERT COMMUNITIES IS OF DEEP IMPORTANCE TO ST. MARY MEDICAL CENTER. THIS EXTENDS FROM OUR VISION OF "HEALTH FOR A BETTER WORLD", THROUGH THE CREATION OF HEALTHY COMMUNITIES.ONE OF THE COMMUNITY BUILDING ACTIVITIES THAT CREATED HEALTHIER COMMUNITIES WAS THE MENDED HEARTS PROGRAM. THIS PROGRAM SAW OUR CARDIAC NURSES TEACH HEART PATIENTS HOW TO SHARE THEIR EXPERIENCES AND TALK TO OTHER HOSPITAL BOUND HEART PATIENTS ABOUT WHAT THEY MAY FACE IN THE NEAR FUTURE, ADDRESSING LIFESTYLE CHANGES, DEPRESSION, RECOVERY, AND TREATMENT. IN TOTAL, TEN (10) MEETINGS WERE CONDUCTED WITH 217 IN ATTENDANCE. THE COMMUNITY BENEFIT FOR THIS PROGRAM FOR CALENDAR YEAR 2019 WAS $2,037.THE HOSPITAL ALSO ENGAGED IN ADVOCACY THAT PROMOTED MENTAL HEALTH, WHICH WAS ONE OF THREE IDENTIFIED NEEDS WE PROMISED TO ADDRESS FOR CY2018-2020.THIS ADVOCACY INCLUDED WORKING WITH AND SUPPORTING NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) WERE WE HOSTED AND PROVIDED FOOD FOR A MENTAL HEALTH DINNER. THE COMMUNITY BENEFIT INVESTED TOTALED TO $570.
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:	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:	FINANCIAL STATEMENT BAD DEBT EXPENSE FOOTNOTE 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:	COMMUNITY BENEFITSTHE 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 ASSESSMENTOUR COMMUNITY BENEFIT PLAN IS ALIGNED WITH ST. MARY MEDICAL CENTER'S STRATEGIC PLAN.1. DEVELOPING A NETWORK OF CARE - COMMUNITY CLINICS, WHICH INCLUDES THE "BRIGHT FUTURES MOBILE VAN" IS EXPANDING CLINIC SERVICE DAYS AND GOING TO OTHER CITIES LIKE LUCERNE VALLEY, LOCATED IN OUR SECONDARY SERVICE AREA (SSA). HIGH DESERT ST. MARY MEDICAL GROUP, AN AFFILIATE OF THE HOSPITAL, IS ALSO POISED TO INCREASE THE NETWORK OF CARE IN THE HIGH DESERT REGION THROUGH PRIMARY CARE AND CHRONIC DISEASE MANAGEMENT CLINICAL SERVICES OF ONGOING PATIENTS.2. POPULATION HEALTH - FAITH-BASED ORGANIZATIONS FROM ALL DENOMINATIONS ARE APPROACHED ON CREATING AND CONTINUING A HEALTH MINISTRY, ADDRESSING BOTH SPIRITUAL AND HEALTHCARE NEEDS.
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 APPLICATION AND 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. MARY MEDICAL CENTER PROVIDES THE VICTOR VALLEY AND BARSTOW COMMUNITIES WITH ACCESS TO ADVANCED CARE. THE FACILITY IS THE ONLY ST. JOSEPH HEALTH HOSPITAL OPERATING IN SAN BERNARDINO COUNTY AND THE ONLY NON-PROFIT HOSPITAL IN THE HIGH DESERT REGION. THE HOSPITAL'S SERVICE AREA EXTENDS FROM HIGHWAY 58 AND THE 15 FREEWAY IN THE NORTH, HIGHWAY 395 AND THE 15 FREEWAY IN THE SOUTH, UNINCORPORATED COMMUNITIES INCLUDING LUCERNE VALLEY IN THE EAST AND UNINCORPORATED COMMUNITIES OF EL MIRAGE 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 ADELANTO, APPLE VALLEY, BARSTOW, HESPERIA, ORO GRANDE AND VICTORVILLE AND SEVERAL SMALLER UNINCORPORATED COMMUNITIES INCLUDING HELENDALE, LUCERNE VALLEY, OAK HILLS, PHELAN, SNOWLINE COMMUNITIES AND WRIGHTWOOD. TOTAL SERVICE AREA (TSA):THE COMMUNITY PROFILE OF THE TOTAL SERVICE AREA (TSA) OF ST. JOSEPH HEALTH, ST. MARY IS A COMBINED POPULATION OF APPROXIMATELY 372,642 PEOPLE, AN INCREASE OF 13% FROM THE PRIOR 2014 CHNA ASSESSMENT. SOCIOECONOMIC INDICATORS ARE WORSE OFF IN THE TSA IN COMPARISON TO COUNTY AND STATE AVERAGES. THE MEDIAN HOUSEHOLD INCOME OF THE TSA IS APPROXIMATELY $50,500, WHICH IS LOWER THAN THE COUNTY OF SAN BERNARDINO'S MEDIAN OF $55,726 AND THE STATE MEDIAN OF $62,554 . POVERTY, AS MEASURED BY THE FEDERAL POVERTY LEVEL (FPL), AN ECONOMIC MEASURE TO CHECK IF INDIVIDUALS OR FAMILIES QUALIFY FOR GOVERNMENT PROGRAMS SUCH AS MEDI-CAL, CAL-FRESH (FOOD STAMPS), ETC. IS ALSO HIGHER IN THE TSA IN COMPARISON TO COUNTY AND STATE PERCENTAGES. HOUSEHOLDS LIVING BELOW 200% FPL IN THE TSA IS TEN (10) PERCENT POINTS HIGHER THAN CALIFORNIA TSA STANDS AT 40.9% AND CALIFORNIA AT 29.8%. HOUSEHOLDS LIVING BELOW 100% FPL IS ALSO HIGHER IN THE TSA, 19.4% IN COMPARISON TO THE STATE WHICH IS 12.3%. WHEN LOOKING AT HEALTH OUTCOMES THE TSA HAS HIGHER RATES OF ASTHMA THAN CALIFORNIA AND MUCH HIGHER RATES OF DIABETES (13.1%) COMPARED TO THE COUNTY (11.2%) AND STATE (8.8%). IN REGARDS TO RACE AND ETHNICITY MAKE-UP OF THE TSA, ALMOST HALF ARE LATINO (47.5%). IN COMPARISON TO SAN BERNARDINO COUNTY, THERE ARE MORE AFRICAN AMERICANS AND FEWER ASIAN/PACIFIC ISLANDERS. THE HOSPITAL'S TSA CURRENTLY SERVES RESIDENTS OF THREE (3) OF SAN BERNARDINO COUNTY'S FIVE (5) SUPERVISORY DISTRICTS. THE REGION IS 90% DESERT AND THE LARGEST NEAREST METROPOLITAN AREA, THE CITY OF SAN BERNARDINO, IS 40 MILES AWAY.PRIMARY SERVICE AREA (PSA):THE PRIMARY SERVICE AREA (PSA), THE GEOGRAPHIC AREA FROM WHICH THE MAJORITY OF THE HOSPITAL'S PATIENTS ORIGINATE, INCLUDES APPLE VALLEY, HESPERIA AND VICTORVILLE. SOCIOECONOMIC INDICATORS SHOW IT IS WORSE OFF THAN THE STATE OF CALIFORNIA. 39.5% OF HOUSEHOLDS LIVE BELOW 200% FPL, CLOSE TO TEN (10) PERCENT POINTS HIGHER THAN CALIFORNIA WHICH STANDS AT 29.8%. HOUSEHOLDS LIVING BELOW 100% FPL IS 18.3% ALSO HIGHER THAN THE STATE (12.3%).SECONDARY SERVICE AREA (SSA):THE SECONDARY SERVICE AREA (SSA), WHERE AN ADDITIONAL POPULATION OF THE HOSPITAL'S INPATIENTS RESIDES, INCLUDES THE ENTIRETY OF ADELANTO, HELENDALE, LUCERNE VALLEY AND ORO GRANDE. THE SSA HAS MORE CHILDREN (30.2%) THAN THE STATE (23.6%). WHEN LOOKING AT SOCIOECONOMIC INDICATORS, MORE THAN HALF (51.3%) OF HOUSEHOLDS LIVE BELOW 200% FPL; THAT IS MORE THAN TWENTY (20) PERCENT POINTS HIGHER THAN THAT OF THE STATE, 29.8%. CLOSE TO THREE QUARTERS, 73.3% OF RENTERS PAY MORE THAN 30% OF HOUSEHOLD INCOME FOR RENT IT IS 57.2% IN THE STATE OF CALIFORNIA.HEALTH OUTCOMES ARE ALSO WORSE OFF FOR THE SSA. MORE THAN ONE QUARTER OF ADULTS REPORT THEIR HEALTH AS "FAIR OR "POOR," WHICH IS HIGHER THAN EITHER THE COUNTY OR THE STATE.OTHER HOSPITALS IN THE TSA:TWO OTHER HOSPITALS ARE LOCATED IN THE PSA DESERT VALLEY HOSPITAL AND VICTOR VALLEY GLOBAL MEDICAL CENTER. THERE ARE NO HOSPITALS IN THE SSA.HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) AND MEDICALLY UNDERSERVED AREAS (MUA) & MEDICALLY UNDERSERVED POPULATIONS (MUP) AREAS WITHIN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS ARE LISTED AS MEDICALLY UNDERSERVED AREAS INCLUDING THE COMMUNITY OF BARSTOW AND ADELANTO. ADDITIONALLY, THE REGION IS LISTED AS A MEDICAL HEALTH PROFESSIONAL SHORTAGE AREA FOR MENTAL HEALTH. WITH SOME EXCEPTIONS, THESE HEALTH AND SOCIAL CONDITIONS ARE LARGELY HOMOGENOUS ACROSS SAN BERNARDINO COUNTY. FOR THIS REASON NONPROFIT HOSPITALS IN SAN BERNARDINO ARE REPORTING SIMILAR INCREASES IN CHRONIC DISEASE AND SOCIAL DISPARITIES. IN RESPONSE A COUNTY-WIDE HEALTH IMPROVEMENT PLAN HAS BEEN DEVELOPED WHICH THE HOSPITAL IS ACTIVE IN. THIS PLAN PRIORITIZES IMPROVING (1) EDUCATION, (INCREASING GRADUATION RATES) (2) THE ECONOMY (REDUCING POVERTY) (3) SAFETY (IMPROVING SCHOOL AND COMMUNITY SAFETY) AND (4) HEALTH & WELLNESS (REDUCING OBESITY).THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATE MEDICALLY UNDERSERVED AREAS (MUAS) AND 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). THE AREA WEST OF THE HOSPITAL INCLUDING PORTIONS OF VICTORVILLE AND ADELANTO ARE DESIGNED AS MUAS AND HPSA POPULATIONS. THE TSA OF ST. JOSEPH HEALTH, ST. MARY IS LOCATED IN A HPSA WITH LARGE PORTIONS OF THE SERVICE AREA NEEDING INCREASED ACCESS TO PRIMARY CARE AND MENTAL HEALTH.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHST. MARY MEDICAL CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. ST. MARY MEDICAL CENTER 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 TRUSTEES2) OPEN MEDICAL STAFF3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. PLEASE SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.LOCAL COMMUNITY BENEFIT COMMITTEE:THE ROLE OF THE ST. JOSEPH HEALTH, ST. MARY 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 FOUR (4) MEMBERS OF THE BOARD OF TRUSTEES AND FIVE (5) 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 QUARTERLY.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (LEGACY PHS) AND ST. JOSEPH HEALTH SYSTEM (LEGACY 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, 1085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.
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

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH HEALTH SYSTEM FOUNDATION	BusinessNameLine1Txt

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

Field	Value	IRS element (for citing)
Recipient EIN	330143024	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$1,708,900	CashGrantAmt
Purpose Of Grant	OPERATIONAL SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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 (12 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
ALAN GARRETT
FORMER PRESIDENT/CEO	$0	$77,775	$0	$501,590	$0	$9,111	$0	$44,798	$0	$2,579	$0	$635,853	$0	$0
MARILYN DRONE
COO SMMC	$386,022	$0	$82,705	$0	$8,653	$0	$19,600	$0	$24,382	$0	$521,362	$0	$0	$0
TRACEY FERNANDEZ
VP FINANCE AND CFO	$347,720	$0	$91,504	$0	$4,932	$0	$13,796	$0	$30,667	$0	$488,619	$0	$0	$0
TARA COWELL
FORMER SEC/TREASURER	$0	$124,703	$0	$148,637	$0	$167,113	$0	$35,239	$0	$1,606	$0	$477,298	$0	$0
RIAD ABDELKARIM MD
CHIEF MEDICAL OFFICER-STMMC	$295,272	$0	$95,468	$0	$4,123	$0	$10,927	$0	$22,649	$0	$428,439	$0	$0	$0
KIMBERLY DEIMLING
CERTIFIED NURSE MIDWIFE - NE	$293,490	$0	$26,400	$0	$5,848	$0	$24,139	$0	$16,148	$0	$366,025	$0	$0	$0
JEAN HOLTMAN
FORMER MINISTRY CHRO PSJH	$0	$201,453	$0	$98,801	$0	$7,956	$0	$10,036	$0	$24,684	$0	$342,930	$0	$0
JUDY WAGNER
CHIEF MISSION OFFICER (MINISTRY)	$153,942	$87,641	$55,463	$0	$2,049	$1,010	$6,245	$3,547	$8,179	$3,865	$225,878	$96,063	$0	$0
MATTHEW CHANDLER
EXEC DIR. ANCILLARY SERVICES	$217,057	$0	$17,407	$0	$2,153	$0	$8,737	$0	$29,093	$0	$274,447	$0	$0	$0
TAMARA BROWN
EXECUTIVE DIRECTOR, NURSING	$194,601	$0	$15,106	$0	$3,254	$0	$16,723	$0	$3,775	$0	$233,459	$0	$0	$0
RANDY CASTILLO
BOARD OF DIRECTORS/CEO	$0	$169,981	$0	$0	$0	$23,199	$0	$25,961	$0	$12,606	$0	$231,747	$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: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
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 RECEIVED SEVERANCE PAYMENTS IN 2019 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 (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS (CONT'D)	- SECOND YEAR OF THE YOUTH WELLNESS PROGRAM, OPERATED AT LOW-INCOME SCHOOLS. FIFTH GRADE STUDENTS WERE TARGETED AS DATA DEMONSTRATES THAT PHYSICAL ACTIVITY DECLINES WHILE VIDEO GAME AND SCREEN TIME INCREASES AT AGES 10 TO 11. THE EIGHT (8) SCHOOLS WERE FROM THE ADELANTO, APPLE VALLEY, HESPERIA, SNOWLINE AND VICTORVILLE SCHOOL DISTRICTS. IN TOTAL, 28 CLASSROOMS WITH A TOTAL OF 850 STUDENTS AND 8,689 ENCOUNTERS WERE TAUGHT THE CURRICULUM "7 DIMENSIONS OF WELLNESS," WHICH INCLUDED LESSON PLANS IN ACADEMIC, EMOTIONAL, ENVIRONMENTAL, OCCUPATIONAL PHYSICAL, SOCIAL AND SPIRITUAL WELL-BEING." IDENTIFIED NEED - BUILDING A MENTAL HEALTH COLLABORATIVE ACCORDING TO OUR 2014 CHNA, THE LOW SELF-RATED MENTAL HEALTH IN THE HIGH DESERT WAS RECORDED AT 18.4%; NATIONALLY IT STOOD AT 11.7%. FOR OUR MOST CURRENT 2017 CHNA, THE LACK OF MENTAL HEALTH RESOURCES WAS A FREQUENT THEME IN THE FOCUS GROUPS AND FORUM, PARTICULARLY THE LACK OF PROVIDERS. IN 2019, ST. JOSEPH HEALTH, ST. MARY ACHIEVED THE FOLLOWING: THE BRIDGES FAMILY RESOURCE CENTER PROVIDED 1,102 SHORT TERM COUNSELING VISITS FOR INDIVIDUAL, COUPLES AND FAMILY. A LIKE MINDED PARTNER, AND RECIPIENT OF A CARE FOR THE POOR MENTAL HEALTH GRANT, NON-PROFIT FAMILY ASSISTANCE PROGRAM PROVIDED 768 ENCOUNTERS TO 96 AT RISK YOUTH, SOME HOMELESS. A $1,500,000 RESTRICTED MENTAL HEALTH GRANT WAS GIVEN TO THE NON-PROFIT, ST. JOHN OF GOD, TO EXPANDS ITS SUBSTANCE RECOVERY PROGRAM. IN ADDITION, THIS PROGRAM PROVIDES MARRIAGE FAMILY THERAPIST (MFT) INTERNS WITH THE OPPORTUNITY TO COMPLETE THEIR CLINICAL HOURS NECESSARY FOR THE BOARD OF BEHAVIORAL SCIENCES IN ORDER TO BECOME A MENTAL HEALTHCARE PROFESSIONAL IN THE FUTURE. BY WORKING WITH INTERNS, THIS PROGRAM SERVED ON TWO LEVELS; ASSISTING SUBSTANCE USE PARTICIPANTS WITH MENTAL HEALTH SERVICES, AND INCREASING THE NUMBER OF MENTAL HEALTH PROFESSIONALS IN OUR REGION. IN ADDITION, ST. JOSEPH HEALTH, ST. MARY FOUNDATION WAS AWARDED A BE WELL GRANT TO ADDRESS CHILDREN'S MENTAL HEALTH ISSUES. ONE APPROACH IS TO PARTNER WITH LOCAL SCHOOL DISTRICTS TO EDUCATE ON ADVERSE CHILDHOOD EXPERIENCES (ACES), AND SUICIDE PREVENTION, IDENTIFY THESE IN A STUDENT, AND OFFERING RESOURCES AND SOLUTIONS TO HELP WHEN THESE MANIFEST. HESPERIA UNIFIED SCHOOL DISTRICT (HUSD), A K-12 SCHOOL DISTRICT, ALLOWED AN OUTSIDE MENTAL HEALTH PROFESSIONAL, DR. RON POWELL, WHO IS COMPENSATED THROUGH THE FOUNDATION, TO TRAIN LOCAL EDUCATORS ON ACES AND HOW TO ADDRESS THEM IN NEW WAYS RATHER THAN THE COMMON DISCIPLINE ACTION OF SUSPENSION. DR. RON POWELL HAS BEEN INSTRUMENTAL IN THE DEVELOPMENT OF SEVERAL EXEMPLARY PROGRAMS FOR AT-RISK YOUTH AND IS HIGHLY REGARDED BECAUSE OF HIS ADVOCACY AND EXPERTISE ON THE ISSUE. ANOTHER OUTSIDE CONSULTANT, LIFE SKILLS AWARENESS (LSA), WAS ALSO HIRED TO NAVIGATE ON CHILDREN COMING TO THE HOSPITAL'S EMERGENCY ROOM DISPLAYING MENTAL HEALTH ISSUES. THE THERAPISTS AT LSA UTILIZE A SYSTEMATIC AND HOLISTIC APPROACH TO THERAPY SERVICES. THEY STRIVE TO IDENTIFY PROBLEMS AND PROVIDE INTERVENTIONS THAT IMPLEMENT CHANGE AND SUPPORT THROUGHOUT THE THERAPY PROCESS AND BEYOND. EARLY INTERVENTION, FAMILY INCLUSION, AND UTILIZATION OF COMMUNITY RESOURCES ARE ESSENTIAL TO LSA'S TREATMENT APPROACH.
FORM 990, PART V, LINE 1A	ST. JOSEPH HEALTH SYSTEM PAYS ALL VENDORS FOR ST. MARY MEDICAL CENTER FROM ITS SHARED SERVICES. ST. JOSEPH HEALTH SYSTEM ISSUES FORM 1099-MISC UNDER ITS TAX ID NUMBER AND COMPLIES WITH BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS.
FORM 990, PART V, LINE 15	INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATIONS SECTION 4960 TAX ANALYSIS AND REPORTING.
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 ST. MARY MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. MARY MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. MARY MEDICAL CENTER BOARD. ALL TRUSTEE NOMINATIONS THAT COME FROM THE ST. MARY MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETOWRK, 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 MEMBER, ST. JOSEPH HEALTH SYSTEM, RESERVES 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 FORM 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 7,729,141. MANAGEMENT AND GENERAL EXPENSES 153,798. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,882,939. BILLING & COLLECTIONS: PROGRAM SERVICE EXPENSES 1,971,096. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,971,096. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 7,794,133. MANAGEMENT AND GENERAL EXPENSES 613,289. FUNDRAISING EXPENSES 114,488. TOTAL EXPENSES 8,521,910. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 11,584,609. MANAGEMENT AND GENERAL EXPENSES 14,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,598,809. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 2,537,874. MANAGEMENT AND GENERAL EXPENSES 48,556. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,586,430. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 1,108,766. MANAGEMENT AND GENERAL EXPENSES 13,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,122,166.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 28,465,082. OTHER 514,939.

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)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643360	HEALTHCARE	CA	501(C)(3)	3	CHN	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 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		PHS WA	EXCLUDED	$17,050	$528,883	0	0	0.00110
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	$9,258,500	$266,506,927	0	0	0.04760
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	Yes (1)	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	Yes (1)	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	$1,708,900	FMV
ST JOSEPH HEALTH SYSTEM FOUNDATION
C	$1,100,000	FMV
ST JOSEPH HEALTH SYSTEM
C	$200,000	FMV
INSTITUTE FOR MENTAL HEALTH & WELLNESS
C	$509,926	FMV