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X X X X X X true true X X X true X SEE SCHEDULE H, PART V, SECTION C X SEE PART V, SECTION C X SEE SECTION C X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 COMMUNITY INPUT THE PROCESS OF COLLECTING QUALITATIVE COMMUNITY INPUT TOOK TWO MAIN FORMS: COMMUNITY RESIDENT FOCUS GROUPS AND A NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP. EACH TYPE OF FOCUS GROUP WAS DESIGNED TO CAPTURE THE COLLECTED KNOWLEDGE AND OPINIONS OF PEOPLE WHO LIVE AND WORK IN THE COMMUNITIES SERVED BY ST. JUDE MEDICAL CENTER. WE DEVELOPED A PROTOCOL FOR EACH GROUP TO ENSURE CONSISTENCY ACROSS INDIVIDUAL FOCUS GROUPS, ALTHOUGH THE FACILITATORS HAD SOME DISCRETION ON ASKING FOLLOW-UP QUESTIONS OR PROBES AS THEY SAW FIT. INVITATION AND RECRUITMENT PROCEDURES VARIED FOR EACH TYPE OF GROUP. RESIDENT FOCUS GROUPS FOR COMMUNITY RESIDENT GROUPS, COMMUNITY BENEFIT STAFF, IN COLLABORATION WITH THEIR COMMITTEES AND THE SYSTEM OFFICE, IDENTIFIED GEOGRAPHIC AREAS WHERE DATA SUGGESTED THERE WERE SIGNIFICANT HEALTH, PHYSICAL ENVIRONMENT, AND SOCIOECONOMIC CONCERNS. THIS PROCESS ALSO IDENTIFIED THE LANGUAGE NEEDS OF THE COMMUNITY, WHICH DETERMINED THE LANGUAGE IN WHICH EACH FOCUS GROUP WAS CONDUCTED. COMMUNITY BENEFIT STAFF THEN PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS THAT SERVE THOSE AREAS TO RECRUIT FOR AND HOST THE FOCUS GROUPS. THE COMMUNITY-BASED ORGANIZATION DEVELOPED AN INVITATION LIST USING THEIR CONTACTS AND KNOWLEDGE OF THE AREA, AND PARTICIPANTS WERE PROMISED A SMALL INCENTIVE FOR THEIR TIME. TWO CONSULTANTS STAFFED EACH FOCUS GROUP, SERVING AS FACILITATORS AND NOTE TAKERS. THESE CONSULTANTS WERE NOT DIRECTLY AFFILIATED WITH THE MINISTRY TO ENSURE CANDOR FROM THE PARTICIPANTS. FIFTY-TWO RESIDENTS PARTICIPATED IN THE THREE FOCUS GROUPS. 94% WERE FEMALE AND 6% WERE MALE. 75% WERE LATINA, 22% KOREAN, 6% WHITE AND 2% API. 17% HAD OR REPRESENTED SOMEONE WITH A CHRONIC HEALTH CONDITION. 46% WERE AGE 18-44, 46% WERE AGE 45-64 AND 8% WERE AGE 65-74. 51% HAD A HOUSEHOLD INCOME OF LESS THAN $20,000 ANNUALLY. 35% HAD A HOUSEHOLD INCOME OF BETWEEN $20,000 - $49,900. NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP FOR THE NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, COMMUNITY BENEFIT STAFF DEVELOPED A LIST OF LEADERS FROM ORGANIZATIONS THAT SERVE DIVERSE CONSTITUENCIES WITHIN THE HOSPITALS SERVICE AREA. MINISTRY STAFF SOUGHT TO INVITE ORGANIZATIONS WITH WHICH THEY HAD EXISTING RELATIONSHIPS, BUT ALSO USED THE FOCUS GROUP AS AN OPPORTUNITY TO BUILD NEW RELATIONSHIPS WITH STAKEHOLDERS. PARTICIPANTS WERE NOT GIVEN A MONETARY INCENTIVE FOR ATTENDANCE. AS WITH THE RESIDENT FOCUS GROUPS, THIS GROUP WAS FACILITATED BY OUTSIDE CONSULTANTS WITHOUT A DIRECT LINK TO ST. JOSEPH HEALTH. IN ADDITION, INPUT FROM THE ORANGE COUNTY HEALTH CARE AGENCY PUBLIC HEALTH WAS PROVIDED BY JOE VARGAS A MEMBER OF THE MEDICAL CENTERS COMMUNITY BENEFIT COMMITTEE. SCHEDULE H, PART V, LINE 7A THE CHNA CAN BE FOUND ON THE ST. JUDE MEDICAL CENTER WEBSITE AT: https://www.stjudemedicalcenter.org/about-us/community-benefit/ SCHEDULE H, PART V, LINE 10A THE IMPLEMENTATION STRATEGY CAN BE FOUND ON THE ST. JUDE MEDICAL CENTER WEBSITE AT: https://www.stjudemedicalcenter.org/about-us/community-benefit/ SCHEDULE H, PART V, LINE 11 ALTHOUGH NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH COMMUNITY BENEFIT PROGRAMS AND BY FUNDING OTHER NON-PROFITS THROUGH OUR CARE FOR THE PROGRAM. AS A RESULT OF THE FINDINGS OF OUR FY17 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THROUGH A PRIORITIZATION PROCESS ALIGNED WITH OUR MISSION, RESOURCES AND HOSPITAL STRATEGIC PLAN, ST. JUDE MEDICAL CENTER IS FOCUSING ON THE FOLLOWING AREAS FOR ITS FY18-FY20 COMMUNITY BENEFIT EFFORTS: - OBESITY (INCLUDING FOOD AND NUTRITION, LACK OF EXERCISE AND WALKABILITY) - MENTAL HEALTH (INCLUDING SUBSTANCE ABUSE) - ACCESS TO CARE FOR THE UNINSURED AND UNDERINSURED IN FY19 THE HOSPITAL IMPLEMENTED THE FOLLOWING STRATEGIES ADDRESSING PRIORITIES AS DEVELOPED IN ITS FY18-FY20 COMMUNITY BENEFIT IMPLEMENTATION PLAN. - OBESITY ACHIEVE AT LEAST BRONZE LEVEL DESIGNATION FOR ALLIANCE FOR HEALTHIER SCHOOLS PROGRAM IN 12 SCHOOLS 20 SCHOOL ACHIEVED AT LEAST BRONZE LEVEL DESIGNATION THIS YEAR; IMPLEMENT AT LEAST 1 STRATEGY IN COMPLETES STREETS PLAN OR BICYCLE MASTER PLAN IS EACH CITY 1 STRATEGY IMPLEMENTED IN EACH CITY; PROMOTE OUTDOOR FITNESS CENTER UTILIZATION IN PARKS IN LOW INCOME NEIGHBORHOODS NOT MET; COMPLETE AT LEAST 7 SCHOOL WALKABILITY AND BICYCLE ASSESSMENTS AND IMPLEMENT PLANS TO ADDRESS GAPS 5 COMPLETED IN 2018; ENGAGE LOW INCOME RESIDENTS IN ESTABLISHING 17,000 HEALTHY LIFESTYLE GOALS 20,842 GOALS ESTABLISHED THE PAST FISCAL YEAR; AND INCREASE RESIDENT ENGAGEMENT IN POLICIES RELATED TO PHYSICAL ACTIVITY, THE BUILT ENVIRONMENT AND NUTRITION THROUGH THE RESIDENT LEADERSHIP ACADEMY 119 ADULT AND YOUTH RESIDENT LEADERS ENGAGED. - ACCESS TO MENTAL HEALTH SERVICES FOR UNDERSERVED PERSONS IMPLEMENT CHEMICAL DEPENDENCY NAVIGATOR PROGRAM - IMPLEMENTED; COLLABORATE WITH AT LEAST 3 SCHOOL DISTRICTS TO ENHANCE MENTAL HEALTH PREVENTION/TREATMENT; IMPROVE THE QUALITY OF CARE PROVIDED TO CLIENTS EXPERIENCING DEPRESSION AS MEASURED BY CHANGES IN PHQ9 IMPLEMENTED IN FULLERTON SCHOOL DISTRICT, LA HABRA ELEMENTARY SCHOOL DISTRICT AND ANAHEIM UNION HIGH SCHOOL DISTRICT; REDUCE THE STIGMA OF MENTAL HEALTH ISSUES AS MEASURED BY NUMBER OF PERSONS WHO MAKE A PROMISE TO TALK; IMPROVE INTEGRATION OF PRIMARY CARE AND MENTAL HEALTH SERVICES- 840 PROMISES TO TALK AND 3 PROVIDERS INTEGRATED INTO PRIMARY CARE; INCREASE THE CONNECTION OF THE HOMELESS POPULATION WITH MENTAL HEALTH AND SUBSTANCE USE SERVICES-1040 CHEMICAL DEPENDENCY ENCOUNTERS; ENGAGE WITH A LOCAL COALITION OF PARTNERS TO ADDRESS UPSTREAM COMMUNITY DETERMINANTS OF HEALTH OC HIP SOCIAL DETERMINANTS OF HEALTH COMMITTEE PARTICIPATION; AND ADVOCATE FOR POLICIES AND SYSTEM CHANGE THAT IMPROVE THE COMMUNITY DETERMINANTS OF MENTAL HEALTH- BE WELL OC COALITION. - INCREASE ACCESS TO HEALTH CARE FOR THE UNDERSERVED IMPLEMENT EXPANSION OF ST. JUDE NEIGHBORHOOD HEALTH CENTER EXPANSION TO BE COMPLETED SEPTEMBER 2019; EXPAND ACCESS TO URGENT CARE AND SPECIALTY SERVICES- IMPLEMENT PAUSE PLAN IN MEDICAL PILOT; SUPPORT POLICY INITIATIVES THAT PROMOTE CONTINUED ACCESS TO HEALTH INSURANCE ON-GOING ADVOCACY; AND IMPLEMENTS A SYSTEMATIC APPROACH TO COLLECTION OF SOCIAL DETERMINANTS OF HEALTH DATA AT AFFILIATED CLINICS- COMPLETED SEPTEMBER 2019. IN ADDITION, THE MEDICAL CENTER PARTNERED WITH OUR SISTER ST. JOSEPH HOAG HEALTH MINISTRIES ON A REGIONAL PRIORITY ON EDUCATION EQUITY TO ADDRESS INCOME INEQUALITY. ST. JUDE MEDICAL CENTER DIRECTOR OF COMMUNITY HEALTH INVESTMENTS SERVES AS CO-CHAIR, EARLY CHILDHOOD OC. THE FOLLOWING HEALTH NEEDS ARE NOT BEING ADDRESSED DIRECTLY THROUGH A ST. JUDE MEDICAL CENTER INITIATIVE OR PROGRAM BECAUSE THEY ARE ALREADY ADDRESSED BY LOCAL NON-PROFIT ORGANIZATIONS THAT HAVE THE RESOURCES AND EXPERTISE: CARDIAC HEALTH, DIABETES, IMMIGRATION REFORM, ASTHMA, OLDER ADULT SERVICES, ACCESS TO DENTAL CARE, SAFETY, HOMELESS SERVICES, INCOME INEQUALITY. CARDIAC HEALTH AND DIABETES WERE NOT SELECTED BECAUSE THE COMMITTEE SELECTED OBESITY WHICH UNDERLIES THESE CONDITIONS AND IF ADDRESSED WILL HAVE AN IMPACT ON THIS. ASTHMA ALSO SHOWED AN IMPROVEMENT OVER THE TWO SURVEYS. OLDER ADULT SERVICES, HOMELESSNESS, ACCESS TO DENTAL CARE AND SAFETY ARE BEING ADDRESSED BY OTHER GROUPS IN THE COMMUNITY. THE COMMITTEE CHOSE NOT TO ADDRESS IMMIGRATION REFORM AND INCOME INEQUALITY, AS THESE ARE STATE AND NATIONAL ISSUES THAT THE MEDICAL CENTER DOES NOT HAVE THE EXPERTISE OR ABILITY TO IMPACT. ST. JUDE MEDICAL CENTER WILL COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS. SPECIFICALLY, WE WILL COLLABORATE WITH THE FOLLOWING ORGANIZATIONS TO COORDINATE REFERRALS AND EFFORTS: AMERICAN DIABETES ASSOCIATION FOR DIABETES, AMERICAN HEART ASSOCIATION FOR CARDIAC HEALTH, OCCCO FOR IMMIGRATION REFORM, AMERICAN LUNG ASSOCIATION FOR ASTHMA, ORANGE COUNTY OLDER ADULTS COLLABORATIVE FOR OLDER ADULT SERVICES, COALITION OF COMMUNITY HEALTH CENTERS FOR DENTAL CARE; CALGRIP PROGRAMS FOR SAFETY, AND THE FULLERTON HOMELESS TASK FORCE AND ITS MEMBERS FOR HOMELESS SERVICES. FURTHERMORE, ST. JUDE MEDICAL CENTER WILL ENDORSE LOCAL NON-PROFIT ORGANIZATION PARTNERS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. LOCAL NON-PROFITS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES, RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT ST. JOSEPH HEALTH CALIFORNIA HOSPITALS' SERVICE AREAS. SCHEDULE H, PART V, 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, LINE 16A https://www.stjudemedicalcenter.org/patients-visitors/billing-information/ patient-financial-assistance/ SCHEDULE H, PART V, LINE 16B https://www.stjudemedicalcenter.org/patients-visitors/billing-information/ patient-financial-assistance/ SCHEDULE H, PART V, LINE 16C https://www.stjudemedicalcenter.org/patients-visitors/billing-information/ patient-financial-assistance/ SCHEDULE H, PART V, LINE 16J THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA. 12 IMAGING SERVICES 2141 N HARBOR BLVD SUITE 16000 FULLERTON CA 92835 OUTPATIENT SERVICES ST JUDE PLAZA SURGERY CENTER 2141 N HARBOR BLVD SUITE 41000 FULLERTON CA 92835 OUTPATIENT FACILITIES KNOTT FAMILY ENDOSCOPY CENTER 1839 SUNNYCREST DRIVE FULLERTON CA 92835 OUTPATIENT FACILITIES IMAGING CENTER 2151 N HARBOR BLVD SUITE 1400 FULLERTON CA 92835 OUTPATIENT FACILITIES RADIATION THERAPY 2151 N HARBOR BLVD SUITE 1500 FULLERTON CA 92835 OUTPATIENT FACILITIES ST JUDE CENTERS FOR REHAB & WELLNESS 2767 E IMPERIAL HWY BREA CA 92821 OUTPATIENT FACILITIES BREAST CENTER 2151 N HARBOR BLVD SUITE 2100 FULLERTON CA 92835 OUTPATIENT FACILITIES CARDIAC REHAB CTRHEART FAILURE CLINIC 100 E VALENCIA MESA DR SUITE 200 FULLERTON CA 92835 OUTPATIENT FACILITIES WELLNESS-SYNERGY 2767 E IMPERIAL HWY BREA CA 92821 OUTPATIENT FACILITIES ST JUDE MEDICAL PLAZA LABORATORY 2141-2151 N HARBOR BLVD SUITE 170 FULLERTON CA 92835 OUTPATIENT FACILITIES ONCOLOGY SERVICES 101 EAST VALENCIA MESA DRIVE FULLERTON CA 92835 OUTPATIENT FACILITIES ST JUDE IMAGING CENTER 4300 ROSE DRIVE SUITE B YORBA LINDA CA 92886 OUTPATIENT FACILITIES SCHEDULE H, 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. SCHEDULE H, PART I, LINE 6A ST. JUDE HOSPITAL PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: HTTPS://WWW.STJUDEMEDICALCENTER.ORG/ABOUT-US/COMMUNITY-BENEFIT/ SCHEDULE H, 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. SCHEDULE H, PART I, LINE 7G NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. SCHEDULE H, 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. SCHEDULE H, 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. SCHEDULE H, PART III, LINE 4 FOOTNOTE FROM THE PROVIDENCE ST. JOSEPH HEALTH COMBINED FINANCIAL STATEMENTS FOR THE YEAR ENDED 12/31/2018 THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. SCHEDULE H, PART III, LINE 8 THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. SCHEDULE H, 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. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT THE HOSPITAL UTILIZED THE OCHEALTHIERTOGETHER.ORG WEBSITE, THE CALIFORNIA DEPARTMENT OF EDUCATION DATAQUEST WEBSITE AS ADDITIONAL RESOURCES TO THE CHNA. IN ADDITION TO THE CHNA, THE MEDICAL CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE BY ANALYZING HOSPITAL DATA, SUCH AS CANCER REGISTRY DATA, EMERGENCY ROOM DATA RELATED TO MENTAL HEALTH, SERVICE LINE DATA AND MARKET ASSESSMENT DATA. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION ST. JUDE MEDICAL CENTERS TOTAL HOSPITAL SERVICE AREA INCLUDES ORANGE AND PARTS OF LOS ANGELES, RIVERSIDE AND SAN BERNARDINO COUNTIES. OVER 57 PERCENT OF THE POPULATION OF THE TSA IS IN ORANGE COUNTY, AND APPROXIMATELY 24 PERCENT OF ORANGE COUNTYS POPULATION IS WITHIN THE TSA. THE TOTAL HOSPITAL SERVICE AREA POPULATION IS 1,349,211 WITH A MEDIAN HOUSHOLD INCOME OF $73,166. THE TOTAL SERVICE AREA HAS 25.4 PERCENT OF THE POPULATION WITH A HOUSEHOLD INCOME BELOW 200% FPL AND 17.7 PERCENT OF CHILDREN AND 9.3 PERCENT OF OLDER ADULTS LIVE BELOW 100% OF POVERTY LEVEL. WHEN LOOKING AT THE PRIMARY SERVICE AREA, 21.7 PERCENT OF THE POPULATION IS UNDER THE AGE OF 18 AND 14.3 PERCENT OF THE POPULATION IS OVER THE AGE OF 65. FUTHERMORE, 21.9 PERCENT OF THE POPULATIONS HOUSEHOLD INCOME IS BELOW 200% FPL AND 15.1 PERCENT OF CHILDREN AND 8.5 PERCENT OF OLDER ADULTS LIVE BELOW 100% OF FEDERAL POVERTY LEVEL. THE TSA AND THE PSA ARE MAJORITY MINORITY SERVICE AREAS. THE TSA INCLUDES 45.8 PERCENT LATINOS, 24.4 PERCENT ASIANS AND 21.6 PERCENT NON-LATINO WHITE. THE PRIMARY SERVICE AREA INCLUDES 34.7 PERCENT LATINO, 33.8 PERCENT WHITE AND 26.5 PERCENT ASIAN PERSONS. LOW INCOME/HIGH NEED ZIP CODES ARE LOCATED IN ANAHEIM, BUENA PARK, FULLERTON, LA HABRA, ROWLAND HEIGHTS AND WHITTIER. OTHER HOSPITALS IN THE COMMUNITY INCLUDE: PLACENTIA LINDA HOSPITAL, ANAHEIM REGIONAL MEDICAL CENTER, KAISER HOSPITAL ANAHEIM, WEST ANAHEIM HOSPITAL, WHITTIER HOSPITAL AND PRESBYTERIAN INTERCOMMUNITY HOSPITAL. HEALTH PROFESSIONS SHORTAGE AREA MENTAL, DENTAL, OTHER THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). ST. JUDE MEDICAL CENTER IS NOT LOCATED IN A SHORTAGE AREA, WITH THE EXCEPTION OF A SMALL AREA IN ANAHEIM. MEDICAL UNDERSERVED AREA/MEDICAL PROFESSIONAL SHORTAGE AREA MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MEDICALLY UNDERSERVED AREAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREAS LEVEL OF MEDICAL "UNDER SERVICE". MEDICALLY UNDERSERVED POPULATIONS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. A PORTION OF ST. JUDE MEDICAL CENTERS SERVICE AREA IS LOCATED IN MEDICALLY UNDERSERVED POPULATIONS AREA, SIGNIFYING THE IMPORTANCE OF ST. JUDE MEDICAL CENTER TO THE COMMUNITY IT SERVES. FOR MORE INFORMATION, GO TO THE ST. JUDE MEDICAL CENTER'S FY17 COMMUNITY BENEFIT REPORT POSTED AT WWW.STJUDEMEDICALCENTER.ORG. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH ST. JUDE MEDICAL CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. ST. JUDE 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 TRUSTEES 2) OPEN MEDICAL STAFF 3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. SCHEDULE H, PART VI, LINE 6 ON 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 AND OVER 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA true BIG BROTHER BIG SISTER 1801 E EDINGER AVE STE 101 SANTA ANA CA 92705 951992702 501(c)(3) 10000 COMMUNITY SUPPORT BUENA PARK SCHOOL DISTRICT 6885 ORANGETHORPE AVE BUENA PARK CA 90620 956000682 GOVT 49250 COMMUNITY SUPPORT CHARITABLE VENTURES OF ORANGE COUNTY 4041 MACARTHUR BLVD STE 510 NEWPORT BEACH CA 92660 208756660 501(c)(3) 25000 COMMUNITY SUPPORT CITY OF BUENA PARK 6650 BEACH BLVD BUENA PARK CA 90620 GOVT 70000 COMMUNITY SUPPORT CITY OF PLACENTIA 401 E CHAPMAN AVE PLACENTIA CA 92870 GOVT 32000 COMMUNITY SUPPORT COMMUNITY ACTION PARTNERSHIP 11870 MONARCH STREET GARDEN GROVE CA 92841 952452787 501(c)(3) 112500 COMMUNITY SUPPORT CSU FULLERTON AUXILIARY SERVICE 800 N STATE COLLEGE BLVD FULLERTON CA 92831 330567945 501(c)(3) 109400 COMMUNITY SUPPORT FOOD FOR THE HUNGRY 1224 E Washington St PHOENIX AZ 850341102 952680390 501(c)(3) 14462 FMV MEALS COMMUNITY SUPPORT HABITAT FOR HUMANITY 2200 Ritchey St SANTA ANA CA 92705 911914868 501(c)(3) 27500 FMV MEDICAL EQUIPMENT COMMUNITY SUPPORT HOAG MEMORIAL HOSPITAL PRESBYTERIAN PO BOX 6100 NEWPORT BEACH CA 92658 951643327 501(c)(3) 85000 COMMUNITY SUPPORT LA HABRA SCHOOL DISTRICT 500 NORTH WALNUT LA HABRA CA 90631 956001800 GOVT 30470 COMMUNITY SUPPORT MEALS ON WHEELS 170 S OLIVE ORANGE CA 92866 956000943 501(c)(3) 25561 FMV MEALS COMMUNITY SUPPORT ONE OC 1901 E FOURTH ST 100 SANTA ANA CA 92705 952021700 501(c)(3) 46000 COMMUNITY SUPPORT ORANGE COUNTY COMMUNITY FOUNDATION 151 E WHITTIER BLVD STE E LA HABRA CA 90631 330378778 501(c)(3) 50000 COMMUNITY SUPPORT ORANGE COUNTY CONGREGATION 310 W BROADWAY AVE ANAHEIM CA 92805 953196836 501(c)(3) 50000 COMMUNITY SUPPORT ORANGE COUNTY DEPT OF EDUCATION 200 KALMUS DR COSTA MESA CA 92626 GOVT 57774 COMMUNITY SUPPORT SECOND HARVEST FOOD BANK 8014 MARINE WY IRVINE CA 92618 320362611 501(c)(3) 42000 COMMUNITY SUPPORT ST JOSEPH HEALTH SYSTEM 1801 LIND AVE SW RENTON WA 980579016 953589356 501(c)(3) 6096 COMMUNITY SUPPORT ST JOSEPH HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW RENTON WA 980579016 330143024 501(c)(3) 6617300 CARE FOR THE POOR ST JUDE NEIGHBORHOOD HEALTH CENTERS 731 S HIGHLAND AVE FULLERTON CA 92832 453977605 501(c)(3) 631292 COMMUNITY SUPPORT TALLER SAN JOSE HOPE BUILDERS 801 N BROADWAY SANTA ANA CA 92701 593816355 501(c)(3) 50000 COMMUNITY SUPPORT 21 SCHEDULE I, PART 1, LINE 2 PROCEDURES FOR MONITORING GRANT FUNDS EXPENSES ARE MONITORED ON A MONTHLY/QUARTERLY BASIS BY THE VICE PRESIDENT OF HEALTHY COMMUNITIES. WE MONITOR THE USE OF GRANT FUNDS BY REQUIRING REPORTS FROM THE ORGANIZATONS GRANTS ARE GIVEN TO. false true false false false false false true false BRIAN LEE HELLELAND TRUSTEE/CHIEF EXECUTIVE 0 495153 0 219014 0 75872 0 19250 0 38750 0 848039 0 0 CATHERINE GONZALEZ CHIEF FINANCIAL OFFICER 246687 0 19786 0 2964 0 10200 0 30203 0 309840 0 0 0 MARK JABLONSKI VP MISSION INTEGRATION 260438 0 61515 0 36195 0 24750 0 20950 0 403848 0 0 0 KAREN CANNIZZARO VP OPERATIONS 127840 0 40881 0 181204 0 11648 0 10210 0 371783 0 0 0 TERESA FREY VP CLINICAL EXCELLENCE 247121 0 41854 0 26070 0 22271 0 4414 0 341730 0 0 0 LAURA RAMOS VP CHIEF NURSING OFFICER 281494 0 48298 0 36510 0 19250 0 27082 0 412634 0 0 0 ALISTAIR AARONSON MED DRCTR OF CLNC OP & UT MGMT 274622 0 7425 0 11463 0 0 0 19274 0 312784 0 0 0 EUGENE KIM CHIEF MEDICAL OFFICER 319359 0 55385 0 4499 0 9079 0 31175 0 419497 0 0 0 MEENA KRISHNAN CHIEF MEDICAL PHYSICIST 227803 0 100 0 105 0 21441 0 35508 0 284957 0 0 0 BARRY ROSS REG DIR, CMNTY HEALTH-SOCAL 213781 0 39988 0 30047 0 19471 0 26283 0 329570 0 0 0 SUSAN SMITH MINISTRY CHIEF, PHILANTHROPY 240518 0 41740 0 32783 0 21767 0 19183 0 355991 0 0 0 SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION 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 ST. JOSEPH HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN ENTITIES WITHIN THE PSJH 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 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS A PORTION OF EXECUTIVE SALARIES ARE PLACED AT-RISK AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE STRATEGIC OBJECTIVES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 238746 AIR CONDITIONING AND HEATING false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2982599 EQUIPMENT MAINTENANCE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 5041682 CONSTRUCTION SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 197135 MEDICAL OFFICES false X 6 760 COST OR SALES PRICE X 14 440645 COST OR SALES PRICE X GIFT CARDS,WINE,OTHER 688 71816 COST OR SALES PRICE false true false SCHEDULE M, PART I, COLUMN B THE AMOUNT REPORTED IN COLUMN (B) OF LINES 1 AND 9 REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED. THE AMOUNTS REPORTED IN COLUMN (B) OF LINE 25 REPRESENTS THE NUMBER OF ITEMS RECEIVED. FORM 990, PART III, LINE 4A PROVIDENCE ST. JOSEPH HEALTH SYSTEM ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 829 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 & SERVICES IN 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. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON. ST. JOSEPH HEALTH SYSTEM IN 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 MISSION ST. JUDE MEDICAL CENTER IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1957, LOCATED IN FULLERTON AND SERVING THE FOLLOWING REGION: NORTH ORANGE COUNTY AND ADJACENT PORTIONS OF LOS ANGELES, RIVERSIDE AND SAN BERNARDINO COUNTIES. PROGRAM SERVICE ACCOMPLISHMENTS ACCESS TO CARE FOR THE UNDERSERVED ST. JUDE NEIGHBORHOOD HEALTH CENTERS PROVIDED 23,552 ENCOUNTERS TO THE UNINSURED AND UNDERINSURED IN FY18. THE SUBSIDY FOR ER PHYSICIANS PROVIDED 53 ENCOUNTERS. THE CHARITY CARE PROVIDED INCREASED 33.5% FROM FY 17. MOVE MORE EAT HEALTHY INITIATIVE THREE OF THE FOUR TARGETED SCHOOL DISTRICTS HAVE SHOWN AN INCREASE IN THE PERCENTAGE OF 5TH GRADERS IN THE HEALTHY FITNESS ZONE FOR BODY COMPOSITION SINCE THE INITIATIVE STARTED FOUR YEARS AGO. ALL OTHER FY18 TARGETS HAVE BEEN MET. OUR FOUR TARGETED SCHOOL DISTRICTS FULLERTON, PLACENTIA-YORBA LINDA, BUENA PARK AND LA HABRA HAD ACTIVE DISTRICT WELLNESS COMMITTEES. 20 TITLE 1 SCHOOLS IN FOUR SCHOOL DISTRICTS RECEIVED EITHER BRONZE OR SILVER DESIGNATION AS HEALTHY SCHOOLS FROM THE ALLIANCE FOR A HEALTHIER GENERATION, THE FIRST SCHOOLS DESIGNATED IN ORANGE COUNTY. THREE OF THE FOUR TARGETED CITIES ARE RECOGNIZED AS FIT CITIES IN THE HEAL PROGRAM AND ONE IS RECOGNIZED AS AN ACTIVE CITY. ALMOST 50,000 ENCOUNTERS WERE PROVIDED. BEHAVIORAL HEALTH THE EACH MIND MATTERS STIGMA REDUCTION CAMPAIGN WAS ACTIVATED IN FY18 PROVIDING 2,463 ENCOUNTERS. THE CHEMICAL DEPENDENCY CARE NAVIGATOR SERVED 589 PERSONS WITH 2,328 ENCOUNTERS. THE REGIONAL PSYCHIATRIST PROVIDED 183 VISITS AT ST. JUDE NEIGHBORHOOD HEALTH CENTER. THE CALIFORNIA STATE UNIVERSITY FULLERTON SCHOOL DISTRICT PARTNERSHIP SERVED 84 FAMILIES. A TOTAL OF 8,141 ENCOUNTERS WERE PROVIDED. FOR MORE INFORMATION ABOUT PROVIDENCE ST. JOSEPH HEALTH, PLEASE VISIT HTTP://PROVIDENCEANDSTJOSEPH.ORG FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG. FORM 990, PART V, LINE 1A ST. JOSEPH HEALTH SYSTEM PAYS ALL VENDORS FOR ST. JUDE 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 VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE CORPORATE MEMBERS OF ST. JUDE MEDICAL CENTER. FORM 990, PART VI, LINE 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JUDE MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. JUDE MEDICAL CENTER BOARD. ALL TRUSTEE NOMINATIONS THAT COME FROM THE ST. JUDE MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD. FORM 990, PART VI, LINE 7B DESCR CLASSES OF PERSONS, DECISIONS REQ 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, LINE 11B PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSELS OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. MANAGEMENT PRESENTED THE RETURNS TO THE [FINANCE OR AUDIT] COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY REAL OR POTENTIAL CONFLICT OF INTEREST (COI) IN ACCORDANCE WITH THE PSJH COI POLICY AND IN CONNECTION WITH THAT INDIVIDUAL SATISFYING HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY AND/OR IF AT ANY TIME AN ACTUAL, REAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PSJH CHIEF LEGAL OFFICER AND/OR THE PSJH CHIEF RISK OFFICER REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR CONSIDER MATTERS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER. PSJH CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE 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 WHEN ACTION IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF COI DISCLOSURES IS RETAINED PER ORGANIZATION RETENTION POLICY. FORM 990, PART VI, LINES 15A & 15B THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE ST. JOSEPH HEALTH'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ST. JOSEPH HEALTH 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 ST. JOSEPH HEALTH HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE ST. JOSEPH HEALTH MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE ST. JOSEPH HEALTH'S LEGAL ENTITIES. PROVIDENCE ST. JOSEPH HEALTH ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE ST. JOSEPH HEALTH HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE. THE BOARD RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE ST. JOSEPH HEALTH IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS WHOSE REVENUE IS SIMILAR TO THAT OF PROVIDENCE ST. JOSEPH HEALTH. ADDITIONALLY, PROVIDENCE ST. JOSEPH HEALTHS LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, PROVIDENCE ST. JOSEPH HEALTH ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR PROVIDENCE ST. JOSEPH HEALTH EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE ST. JOSEPH HEALTH 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 EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THE PROCESS TO REVIEW COMPENSATION WAS LAST COMPLETED MARCH 5, 2019. FORM 990, PART VI, LINE 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE PSJH COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PSJH INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS EQUITY TRANSFERS SYS OFFICE ($ 11,906,458) EQUITY TRANSFERS HND ($ 37,613,195) HOSPITAL FEE EQUITY TRANSFERS ($ 3,942,139) INSTITUTIONAL POP HEALTH ADJUSTMENT $ 3,132,862 -------------- TOTAL ($ 50,328,930) COVENANT ACO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 611573313 HEALTHCARE TX 501(C)(3) 12, I CHS true COVENANT HEALTH NETWORK INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 461259908 HEALTHCARE CA 501(C)(3) 12, III SJHS true COVENANT HEALTH PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 463516417 HEALTHCARE TX 501(C)(3) 12, I CHS true COVENANT HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS true COVENANT HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752897026 HEALTHCARE TX 501(C)(3) 7 CHS true COVENANT MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 822913146 HEALTHCARE TX 501(C)(3) 3 CHS true COVENANT MEDICAL GROUP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752743883 HEALTHCARE TX 501(C)(3) 3 CHS true E WA & MT UNEMPLOYMENT COMP INSR TRUST 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911082119 UNEMPLOYMENT WA 501(C)(3) 12, I PHS WA true EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANS. CARE WA 501(C)(3) 10 NA false FACEY MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 954322584 SUPPORT CA 501(C)(3) 7 PHS SOCAL true GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 201910170 SUPPORT WA 501(C)(3) 7 PHS WA true GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC WA 98188 273133200 HEALTHCARE WA 501(C)(3) 7 SHS true HMTS INC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12, I HMHP true HOAG CHARITY SPORTS 2081 BUSINESS CTR DR STE 195 IRVINE CA 92612 452982422 SUPPORT CA 501(C)(3) 7 HHF true HOAG CLINIC (FKA COASTAL MGMT SVCS ORG) 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 330676831 HEALTHCARE CA 501(C)(3) 10 HMHP true HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP true HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 92658 951643327 HEALTHCARE CA 501(C)(3) 3 CHN true HOSPICE OF LUBBOCK 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752133781 HEALTHCARE TX 501(C)(3) 10 CHS true INLAND NORTHWEST HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911307555 HEALTHCARE WA 501(C)(3) 3 PHS WA true INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 814260130 HEALTHCARE WA 501(C)(3) 7 PHSSJHS true INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 912003593 HEALTHCARE WA 501(C)(3) 7 WHC true JOHN WAYNE CANCER INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 954291515 HEALTHCARE CA 501(C)(3) 4 PSJHC true KADLEC AUXILIARY INC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 916033089 SUPPORT WA 501(C)(3) 12, III KRMC true KADLEC FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 237005501 SUPPORT WA 501(C)(3) 12, I KRMC true KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 910655392 HEALTHCARE WA 501(C)(3) 3 WHC true LITTLE COMPANY OF MARY ANCILLARY SVCS CO 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 330844408 IMAGING SVCS CA 501(C)(3) 10 PHS SOCAL true LUBBOCK METHODIST HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752220963 HEALTHCARE TX 501(C)(3) 7 CHS true LUNDBERG ASSOCIATIONPROVIDENCE HOUSE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911562797 SUPPORT OR 501(C)(3) 7 PHS OR true MARSHA RIVKIN CTR FOR OVARIAN CANCER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 912054035 RESEARCH WA 501(C)(3) 7 SHS true METHODIST CHILDREN'S HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752428911 HEALTHCARE TX 501(C)(3) 3 CHS true METHODIST HOSPITAL LEVELLAND 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752246348 HEALTHCARE TX 501(C)(3) 3 CHS true METHODIST HOSPITAL PLAINVIEW 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 752426010 HEALTHCARE TX 501(C)(3) 3 CHS true MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 951643360 HEALTHCARE CA 501(C)(3) 3 CHN true NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE WA 98116 200799737 SUPPORT WA 501(C)(3) 12,I SHS true PACMED CLINICS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 562290878 HEALTHCARE WA 501(C)(3) 10 WHC true PH&S FOUNDATIONSFVSA & SCVSA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 953544877 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL true PROVIDENCE ALASKA FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 920093565 HEALTHCARE AK 501(C)(3) 12, I PHS WA true PROVIDENCE BENEDICTINE NURSING CTR FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911940286 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911789266 SUPPORT WA 501(C)(3) 7 PHS WA true PROVIDENCE CHILDREN'S HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930800140 SUPPORT OR 501(C)(3) 7 PHS OR true PROVIDENCE COMMUNITY HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930692907 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE DETHMAN HOUSE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 473385506 SUPPORT WA 501(C)(3) 7 NA false PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 311744654 SUPPORT WA 501(C)(3) 7 PHS WA true PROVIDENCE HEALTH & SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911549796 HEALTHCARE WA 501(C)(3) 12, II PSJH false PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 810231793 HEALTHCARE MT 501(C)(3) 3 PHS WA true PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 510216587 HEALTHCARE OR 501(C)(3) 3 PHS true PROVIDENCE HEALTH & SERVICES - WA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 510216586 HEALTHCARE WA 501(C)(3) 3 PHS true PROVIDENCE HEALTH & SERVICES - WEST WA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911303277 HEALTHCARE WA 501(C)(3) 3 PMWHC true PROVIDENCE HEALTH ASSURANCE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 550828701 MEDICAID OR 501(C)(4) N/A PHP true PROVIDENCE HEALTH CARE FNDN - E WA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 320014330 HEALTHCARE WA 501(C)(3) 7 PHS WA true PROVIDENCE HEALTH CARE FNDN (CENTRALIA) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911433382 HEALTHCARE WA 501(C)(3) 7 PHS W WA true PROVIDENCE HEALTH PLAN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930863097 HEALTHCARE OR 501(C)(4) N/A PPP true PROVIDENCE HEALTH SYSTEM - SO CAL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 510216589 HEALTHCARE CA 501(C)(3) 3 PHS true PROVIDENCE HOOD RIVER MEM HOSP FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930921990 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE HOSPICE AND HOME CARE FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 272552749 HEALTHCARE WA 501(C)(3) 7 PHS W WA true PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 912077378 HEALTHCARE WA 501(C)(3) 7 PHS W WA true PROVIDENCE LITTLE COMPANY OF MARY FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 510224944 HEALTHCARE CA 501(C)(3) 7 PHS SOCAL true PROVIDENCE MARIANWOOD FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 931554288 HEALTHCARE WA 501(C)(3) 12, I PHS W WA true PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 330283773 HEALTHCARE CA 501(C)(3) 12, I PHS SOCAL true PROVIDENCE MILWAUKIE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 943079515 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE MINISTRIES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 RELIGIOUS ORG WA 501(C)(3) 1 NA false PROVIDENCE MOUNT ST VINCENT FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911188119 HEALTHCARE WA 501(C)(3) 7 PHS WA true PROVIDENCE NEWBERG HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930889144 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 311629656 SUPPORT WA 501(C)(3) 7 PHS WA true PROVIDENCE PLAN PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911861964 HEALTHCARE WA 501(C)(4) N/A PHS OR true PROVIDENCE PORTLAND MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 931231494 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 311584166 SUPPORT WA 501(C)(3) 10 PHS WA true PROVIDENCE SAINT JOHN'S HEALTH CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 951684082 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL true PROVIDENCE SAINT JOHN'S MEDICAL FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 814542216 HEALTHCARE CA 501(C)(3) 3 PHS SOCAL true PROVIDENCE SEASIDE HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930927320 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE ST ELIZABETH HOUSE ASSOC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 912171539 SUPPORT WA 501(C)(3) 7 PHS WA true PROVIDENCE ST FRANCIS ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 943244854 SUPPORT WA 501(C)(3) 7 PHS WA true PROVIDENCE ST JOSEPH HEALTH 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 811244422 HEALTHCARE WA 501(C)(3) 12, III NA false PROVIDENCE ST JOSEPH HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 943078543 HEALTHCARE WA 501(C)(3) 12, I PHS WA true PROVIDENCE ST JOSEPH MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 810463482 HEALTHCARE MT 501(C)(3) 3 PHS WA true PROVIDENCE ST MARY FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 452841492 HEALTHCARE WA 501(C)(3) 7 PHS WA true PROVIDENCE ST PETER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911097056 SUPPORT WA 501(C)(3) 7 PHS W WA true PROVIDENCE ST VINCENT MEDICAL FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 930575982 HEALTHCARE OR 501(C)(3) 7 PHS OR true PROVIDENCE TRINITYCARE HOSPICE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 953264139 HEALTHCARE CA 501(C)(3) 10 PHS SOCAL true PROVIDENCE TRINITYCARE HOSPICE FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 330261016 HEALTHCARE CA 501(C)(3) 7 PTCH true PROVIDENCE WILLAMETTE FALLS MEDICAL FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 931003750 HEALTHCARE OR 501(C)(3) 12, I PHS OR true QUEEN OF THE VALLEY MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 941243669 HEALTHCARE CA 501(C)(3) 3 SJHS true REDWOOD MEMORIAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 942779313 HEALTHCARE CA 501(C)(3) 7 RMH true REDWOOD MEMORIAL HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 941384665 HEALTHCARE CA 501(C)(3) 3 SJHS true SAINT JOHN'S HOSPITALHEALTH CENTER FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 956100079 SUPPORT CA 501(C)(3) 7 PSJHC true SANTA ROSA MEMORIAL HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 941231005 HEALTHCARE CA 501(C)(3) 3 SJHS true SEATTLE SCIENCE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 611502822 PHYSN COLLAB WA 501(C)(3) 7 WHC true SISTERS OF PROVIDENCE OF MONTANA CORP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 262612415 SHELL CORP MT 501(C)(3) 1 PHS WA false SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ORANGE CA 92868 951643383 RELIGIOUS ORG CA 501(C)(3) 1 NA false SRM ALLIANCE HOSPITAL SERVICES (PVH) 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 680395200 HEALTHCARE CA 501(C)(3) 3 SRMH true ST JOSEPH HEALTH MINISTRY 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 271666576 RELIGIOUS ORG CA 501(C)(3) 1 SSJO false ST JOSEPH HEALTH N CALIFORNIA LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 814791043 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JOSEPH HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 953589356 HEALTHCARE CA 501(C)(3) 12, I PSJH false ST JOSEPH HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 330143024 HEALTHCARE CA 501(C)(3) 7 SJHS true ST JOSEPH HERITAGE HEALTHCARE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JOSEPH HOME CARE NETWORK 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 680331084 HEALTHCARE CA 501(C)(3) 10 SJHS true ST JOSEPH HOSPITAL OF EUREKA 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 941156596 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JOSEPH HOSPITAL OF ORANGE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 951643359 HEALTHCARE CA 501(C)(3) 3 CHN true ST LUKE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 943176618 SUPPORT WA 501(C)(3) 7 PHS WA true ST MARY MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 951914489 HEALTHCARE CA 501(C)(3) 3 CHN true ST MARY OF THE PLAINS HOSPITAL FDN 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 751653181 HEALTHCARE TX 501(C)(3) 7 CHS true ST PATRICK HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 237056976 HEALTHCARE MT 501(C)(3) 7 PHS WA true ST THOMAS CHILD AND FAMILY CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 810233495 EDUCATION MT 501(C)(3) 10 PHS WA true SWEDISH EDMONDS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 272305304 HEALTHCARE WA 501(C)(3) 3 WHC true SWEDISH HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 910433740 HEALTHCARE WA 501(C)(3) 3 WHC true SWEDISH MEDICAL CENTER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 910983214 HEALTHCARE WA 501(C)(3) 7 SHS true SWEDISH MJM HOLDINGS 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 273139262 HOLDING CO WA 501(C)(3) 12, I SHS true THE GAMELIN ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911180824 SUPPORT WA 501(C)(3) 7 PHS WA true THE GAMELIN CALIFORNIA ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911293869 SUPPORT CA 501(C)(3) 10 PHS SOCAL true THE GAMELIN OREGON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 911214491 SUPPORT OR 501(C)(3) 10 PHS OR true UNIVERSITY OF PROVIDENCE 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 810231777 EDUCATION MT 501(C)(3) 2 PHS true WESTERN HEALTHCONNECT 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 454171900 SHELL CORP WA 501(C)(3) 12, II PHS W WA true 20TH STREET SURGERY LLC 1301 20TH STREET STE 140 SANTA MONICA CA 90404 731735618 AMBULATORY SURG CA NA N/A BROADWAY IMAGING LLC 500 W BROADWAY MISSOULA MT 59802 522405971 MEDICAL IMAGING MT NA N/A CENTER FOR SPECIALTY SURGERY LLC 11782 SW BARNES RD PORTLAND OR 97225 263638838 AMBULATORY SURG OR NA N/A CLACKAMAS RADIATION ONCOLOGY CENTER LLC 4400 NE HALSEY ST BLDG II 495 PORTLAND OR 97213 260381897 RADIATION ONCOL OR NA N/A COASTAL ASC HOLDINGS LLC ONE HOAG DRIVE PO BOX 6100 NEWPORT BEACH CA 926586100 810986844 HEALTHCARE CA NA N/A COVENANT LONG-TERM CARE LP 1801 LIND AVE SW ATTN TAX DEPT RENTON WA 980579016 205033419 HEALTHCARE TX NA N/A CTR FOR MED 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