ST MARY MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ST MARY MEDICAL CENTER (EIN 95-1914489)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-15
IRS object ID: 201943199349312559
Schema version: 2018v3.1
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-15T13:42:50-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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)
In Care Of	% TRACEY FERNANDEZ	InCareOfNm
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	980579016	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TRACEY FERNANDEZ	PersonNm
Person Title	VP AND CFO	PersonTitleTxt
Signature	2019-11-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.254	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	33577420193195000065	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	C8EB7D7F4A43AD7C11A3CC780D94EAED606DA475	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B8BDB5AE0F66B381787CBFFA17B30E7DD964212C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	ALAN H GARRETT	PrincipalOfficerNm

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)
Gross Receipts	$360,104,175	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STMARYAPPLEVALLEY.COM	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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1974	TotalEmployeeCnt
Total Volunteers	213	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,363,976	PYContributionsGrantsAmt
CY Contributions Grants	$2,807,234	CYContributionsGrantsAmt
PY Program Service Revenue	$166,285,200	PYProgramServiceRevenueAmt
CY Program Service Revenue	$345,829,033	CYProgramServiceRevenueAmt
PY Investment Income	$4,036,106	PYInvestmentIncomeAmt
CY Investment Income	$10,805,641	CYInvestmentIncomeAmt
PY Other Revenue	$291,054	PYOtherRevenueAmt
CY Other Revenue	$324,006	CYOtherRevenueAmt
PY Total Revenue	$171,976,336	PYTotalRevenueAmt
CY Total Revenue	$359,765,914	CYTotalRevenueAmt
PY Grants And Similar Paid	$750	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,576,400	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$82,929,234	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$163,980,014	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$916,429	CYTotalFundraisingExpenseAmt
PY Other Expenses	$74,708,608	PYOtherExpensesAmt
CY Other Expenses	$136,433,616	CYOtherExpensesAmt
PY Total Expenses	$157,638,592	PYTotalExpensesAmt
CY Total Expenses	$301,990,030	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,337,744	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$57,775,884	CYRevenuesLessExpensesAmt
Total Assets BOY	$402,315,316	TotalAssetsBOYAmt
Total Assets EOY	$398,944,922	TotalAssetsEOYAmt
Total Liabilities BOY	$126,337,982	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$105,338,859	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$275,977,334	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$293,606,063	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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$248,928,061	ExpenseAmt
Grant	$1,576,400	GrantAmt
Revenue	$345,822,967	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$248,928,061	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1974	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TRACEY FERNANDEZ	PersonNm
Phone	7609468727	PhoneNum

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

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ADOLPH COLLASO
BOARD OF DIRECTORS/VICE CHAIR	5.0	0.0	Yes (X)	$0	$0	$0
SHERYL CORREA
BOARD OF DIRECTORS (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
SISTER PAULETTE DETERS
BOARD OF DIRECTORS	2.0	0.0	Yes (X)	$0	$0	$0
SISTER JUDITH DUGAN
BOARD OF DIRECTORS	2.0	0.0	Yes (X)	$0	$0	$0
ZOHEIR EL-HAJJAOUI MD
BOARD OF DIRECTORS	2.0	0.0	Yes (X)	$0	$0	$0
PAUL GOSTANIAN
BOARD OF DIRECTORS/CHAIR	5.0	0.0	Yes (X)	$0	$0	$0
SYED RAZA MD
BOARD OF DIRECTORS	2.0	0.0	Yes (X)	$0	$0	$0
JOEL VELASQUEZ MD
BOARD OF DIRECTORS	2.0	0.0	Yes (X)	$0	$0	$0
REGINA WEATHERSPOON-BELL
BOARD OF DIRECTORS	2.0	0.0	Yes (X)	$0	$0	$0
MARK YATES
BOARD OF DIRECTORS	2.0	0.0	Yes (X)	$0	$0	$0
ALAN GARRETT
PRESIDENT/CEO	50.0	2.0	Yes (X)	$0	$1,321,044	$56,639	Yes (X)
TRACEY FERNANDEZ
VP FINANCE AND CFO	40.0	0.0		$346,930	$0	$44,472	Yes (X)
TARA COWELL
SECRETARY	2.0	50.0		$0	$399,477	$64,180	Yes (X)
RIAD ABDELKARIM MD
VP CHIEF MEDICAL OFFICER	40.0	0.0		$397,645	$0	$39,301		Yes (X)
RANDY BEVILACQUA
EXEC DIR, STRATEGIC SERVICES	40.0	0.0		$252,666	$0	$36,865		Yes (X)
MARILYN DRONE
CHIEF OPERATING OFFICER	50.0	0.0		$360,634	$0	$39,509		Yes (X)
JEAN HOLTMAN
DIRECTOR, HUMAN RESOURCES	40.0	0.0		$236,913	$0	$29,749		Yes (X)
JUDY WAGNER
ED, CHIEF MISSION INTEGRTION	40.0	2.0		$229,354	$0	$21,920		Yes (X)
TAMARA BROWN
EXECUTIVE DIRECTOR, NURSING	40.0	0.0		$193,111	$0	$19,756			Yes (X)
MATTHEW CHANDLER
EXEC DIR. ANCILLARY SERVICES	40.0	0.0		$211,119	$0	$46,419			Yes (X)
GLORIA PEAK
ED, COMMNTY HEALTH SERVICES	40.0	0.0		$194,746	$0	$34,916			Yes (X)
JUANA TUCKER
DIRECTOR NURSING	40.0	0.0		$182,786	$0	$42,629			Yes (X)
JENNIFER WOLF
STAFF RN	40.0	0.0		$172,709	$0	$37,421			Yes (X)
PAUL KAMINKSI
FORMER KEY EMPLOYEE	20.0	20.0		$0	$162,978	$24,016				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,778,613	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,883,499	TotReportableCompRltdOrgAmt
Total Other Compensation	$537,792	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	457	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HOSPITALIST MEDICINE PHYSICIANS OF
PO BOX 742936	LOS ANGELES	CA	90074	MEDICAL SERVICES	$2,114,166
ALLIED ANESTHESIA MEDICAL GROUP INC
400 N TUSTIN STE 400	SANTA ANA	CA	92705	MEDICAL SERVICES	$1,705,624
OBHG CALIFORNIA PC
10 CENTIMETERS DR	MAULDIN	SC	29662	MEDICAL SERVICES	$1,671,606
OGLETREE DEAKINS NASH SMOAK
50 INTERNATIONAL DR SUITE 2	GREENVILLE	SC	29615	MEDICAL SERVICES	$1,652,801
SYNERGY CT SURGERY PARTNERSHIP
901 SAN BERNARDINO RD SUITE 2	UPLAND	CA	91786	MEDICAL SERVICES	$1,381,900

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
Fundraising	$49,800	FundraisingAmt
Related Organizations	$1,780,492	RelatedOrganizationsAmt
Government Grants	$685,978	GovernmentGrantsAmt
All Other Contributions	$290,964	AllOtherContributionsAmt
Noncash Contributions	$32,000	NoncashContributionsAmt
Total Contributions	$2,807,234	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	622110	$319,823,004	$319,823,004	$0	$0
CAPTATION PREMIUM REVENUE	622110	$20,833,551	$20,833,551	$0	$0
FEE REVENUE	900099	$4,385,146	$4,385,146	$0	$0
CAFETERIA	722110	$558,161	$558,161	$0	$0
CASH DISCOUNTS ON PURCHASES	900099	$12,088	$12,088	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$217,083	TotalRevenueColumnAmt
Related Or Exempt Func Income	$217,083	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$345,829,033	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,805,641	TotalRevenueColumnAmt
Exclusion	$10,805,641	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$65,290	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$40,470	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$24,820	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,820	TotalRevenueColumnAmt
Exclusion	$24,820	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Field	Value	IRS element (for citing)
Fundraising Gross Income	$338,806	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$49,800	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$33,554	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$305,252	TotalRevenueColumnAmt
Exclusion	$305,252	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$258,171	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$264,237	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$6,066	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$6,066	RelatedOrExemptFuncIncomeAmt

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$359,765,914	TotalRevenueColumnAmt
Related Or Exempt Func Income	$345,822,967	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,135,713	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	$1,576,400	TotalAmt
Program Services	$1,576,400	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,481,047	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,481,047	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$122,903,365	TotalAmt
Program Services	$119,302,187	ProgramServicesAmt
Management And General	$3,007,002	ManagementAndGeneralAmt
Fundraising	$594,176	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,264,145	TotalAmt
Program Services	$6,019,541	ProgramServicesAmt
Management And General	$210,714	ManagementAndGeneralAmt
Fundraising	$33,890	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,105,313	TotalAmt
Program Services	$21,840,834	ProgramServicesAmt
Management And General	$1,159,158	ManagementAndGeneralAmt
Fundraising	$105,321	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,226,144	TotalAmt
Program Services	$8,858,716	ProgramServicesAmt
Management And General	$322,860	ManagementAndGeneralAmt
Fundraising	$44,568	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$46,560,511	TotalAmt
Program Services	$16,737,038	ProgramServicesAmt
Management And General	$29,823,473	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$794,315	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$794,315	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$23,593	TotalAmt
Program Services	$23,593	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$751,774	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$751,774	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,254,128	TotalAmt
Program Services	$21,886,820	ProgramServicesAmt
Management And General	$265,060	ManagementAndGeneralAmt
Fundraising	$102,248	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$18,457	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$18,457	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$236,969	TotalAmt
Program Services	$209,293	ProgramServicesAmt
Management And General	$20,009	ManagementAndGeneralAmt
Fundraising	$7,667	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$654,513	TotalAmt
Program Services	$532,711	ProgramServicesAmt
Management And General	$121,802	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,952,527	TotalAmt
Program Services	$1,433,338	ProgramServicesAmt
Management And General	$511,868	ManagementAndGeneralAmt
Fundraising	$7,321	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$151,955	TotalAmt
Program Services	$95,044	ProgramServicesAmt
Management And General	$50,145	ManagementAndGeneralAmt
Fundraising	$6,766	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$23,571	TotalAmt
Program Services	$15,133	ProgramServicesAmt
Management And General	$7,828	ManagementAndGeneralAmt
Fundraising	$610	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,583,273	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,583,273	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,439,608	TotalAmt
Program Services	$4,864,055	ProgramServicesAmt
Management And General	$4,572,232	ManagementAndGeneralAmt
Fundraising	$3,321	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,328,228	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,328,228	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$44,200,097	$44,148,193	$51,156	$748
SPECIAL FEES	$2,360,761	$0	$2,360,761	$0
SPONSORSHIP/CHARITY SF	$1,744,731	$570,419	$1,174,312	$0
FREIGHT	$393,273	$392,981	$292	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$961,332	TotalAmt
Program Services	$421,765	ProgramServicesAmt
Management And General	$529,774	ManagementAndGeneralAmt
Fundraising	$9,793	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$301,990,030	TotalAmt
Program Services	$248,928,061	ProgramServicesAmt
Management And General	$52,145,540	ManagementAndGeneralAmt
Fundraising	$916,429	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,611,175	BOYAmt
EOY	$4,776,520	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,920,152	BOYAmt
EOY	$2,167,067	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	$36,358,102	BOYAmt
EOY	$37,565,148	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$687,888	BOYAmt
EOY	$676,453	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,535,727	BOYAmt
EOY	$3,959,571	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$36,155,162	BOYAmt
EOY	$4,377,662	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$276,434,903	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$152,194,020	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$124,021,908	BOYAmt
EOY	$124,240,883	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$186,456,735	BOYAmt
EOY	$219,159,098	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,516,867	BOYAmt
EOY	$970,920	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$402,315,316	BOYAmt
EOY	$398,944,922	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$54,996,508	BOYAmt
EOY	$45,754,183	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$71,341,474	BOYAmt
EOY	$59,584,676	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$126,337,982	BOYAmt
EOY	$105,338,859	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$269,238,119	BOYAmt
EOY	$286,627,343	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,510,772	BOYAmt
EOY	$5,780,831	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,228,443	BOYAmt
EOY	$1,197,889	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$275,977,334	BOYAmt
EOY	$293,606,063	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$402,315,316	BOYAmt
EOY	$398,944,922	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$57,775,884	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$19,629,720	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$20,517,435	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$23,593	OtherActivitiesAmt
Total Lobbying Expenditures	$23,593	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	OTHER ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO ST. MARY MEDICAL CENTER.	ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$634,240	BeginningYearBalanceAmt
Investment Earnings Or Losses	$10,138	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$21,000	GrantsOrScholarshipsAmt
End Year Balance	$623,378	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	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	$118,740,122	OtherCostOrOtherBasisAmt
Depreciation	$83,257,795	DepreciationAmt
Book Value	$35,482,327	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$328,078	OtherCostOrOtherBasisAmt
Depreciation	$256,700	DepreciationAmt
Book Value	$71,378	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,280,628	OtherCostOrOtherBasisAmt
Depreciation	$66,732,160	DepreciationAmt
Book Value	$15,548,468	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,932,888	OtherCostOrOtherBasisAmt
Depreciation	$1,947,365	DepreciationAmt
Book Value	$42,985,523	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$124,240,883	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO/FROM AFFILIATES	$40,944,607
INTERCOMPANY W/ HEALTH SYSTEM BONDS	$13,155,975
DUE TO THIRD PARTY PAYORS	$2,619,806
CAPITAL LEASE	$1,249,002
457F LIABILITY	$873,546
ANNUITY & TRUST PAYABLE	$740,086
SECURITY DEPOSIT	$1,654

Field	Value	IRS element (for citing)
Total Liability	$59,584,676	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 DESIGNATED TO PROVIDE SCHOLARSHIP FUNDS FOR NURSING STUDENTS.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	ANNUAL GALA	Event1Nm
Gross Receipts Event1	$388,606	GrossReceiptsEvent1Amt
Charitable Contri Event1	$49,800	CharitableContriEvent1Amt
Gross Revenue Event1	$338,806	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$5,954	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$2,451	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$17,539	FoodAndBeverageEvent1Amt
Entertainment Event1	$600	EntertainmentEvent1Amt
Other Direct Expenses Event1	$7,010	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$388,606	GrossReceiptsTotalAmt
Charitable Contributions Tot	$49,800	CharitableContributionsTotAmt
Gross Revenue Total Events	$338,806	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$5,954	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$2,451	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$17,539	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$600	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$7,010	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$33,554	DirectExpenseSummaryEventsAmt
Net Income Summary	$305,252	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,207,538	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,207,538	NetCommunityBenefitExpnsAmt
Total Expense	0.01720	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,536,190	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,129,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,406,870	NetCommunityBenefitExpnsAmt
Total Expense	0.08410	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$111,743,728	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,129,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,614,408	NetCommunityBenefitExpnsAmt
Total Expense	0.10130	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,110,185	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$192,947	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,917,238	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,567	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$110,567	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,062,062	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$553,111	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,508,951	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$368,585	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$368,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,651,399	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$746,058	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,905,341	NetCommunityBenefitExpnsAmt
Total Expense	0.02610	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$120,395,127	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,875,378	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,519,749	NetCommunityBenefitExpnsAmt
Total Expense	0.12740	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,443	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,443	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,264	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,264	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,707	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,707	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$404,446	BadDebtExpenseAmt
Bad Debt Expense Attributable	$64,154,261	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$41,957,197	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$64,154,261	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$22,197,064	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE SCHEDULE H, PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IDENTIFIED THE TOP THREE (3) SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, BASED ON "TOTAL RANK SCORE,WE WILL FOCUS ON THESE FOR THE 2018-2020 CALENDAR YEAR: 1. ACCESS TO RESOURCES THIS NEED EMERGED AS A CONSISTENT PRIORITY THROUGHOUT THE CHNA PROCESS. IT WAS A MAJOR DISCUSSION POINT IN EVERY FOCUS GROUP AND RECEIVED SUSTANTIAL SUPPORT IN THE COMMUNITY FORUM. THE SECONDARY DATA SHOWS THAT THE COUNTY HAS RELATIVELY FEW PHYSICIANS AND DENTISTS COMPARED TO 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 PROGRAMS AND CLINIC VISITS TO THE POOR. 2. MENTAL HEALTH AND SUBSTANCE ABUSE 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. 3. OBESITY RATES FOR OBESITY ARE HIGHER FOR OUR REGION IN COMPARISON TO STATE AVERAGES. THE ADULT OBESITY RATE IS 37% REGIONALLY VERSUS 26% FOR THE STATE OF CALIFORNIA. TEEN OBESITY RATES ARE 38% IN OUR REGION, VERSUS 33% FOR THE STATE. 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. THE COMMUNITY BENEFIT COMMITTEE DISCUSSED THE PROGRESS IT HAS MADE WITH NUTRITION AND EXERCISE CAMPAIGNS INCLUDING EFFORTS EXPANDING STUDENT NUTRITION AND FITNESS CAMPAIGNS IN LOCAL SCHOOLS.
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT IN CONDUCTING THE 2017 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) NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, 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 RECRUIT PARTICIPANTS. 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. THE FAMILY RESOURCE CENTER (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 PUBLICALLY 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 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. 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 45-64 THE 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 NONPROFIT AND 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. PARTICIPANTS IN THIS FOCUS GROUP WERE INVITED BY THE HOSPITAL AND NO INCENTIVE WAS PROVIDED. THE NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP WAS FACILITATED BY THE SAME OUTSIDE CONSULTANT, THE OLIN GROUP. 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. - 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 PION 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. - FIRST DISTRICT SUPERVISOR'S OFFICE. - NATIONAL CORE, A NON-PROFIT HOUSING DEVELOPER. - SAN BERNARDINO COUNTY SUPERINTENDANT OF SCHOOLS, IN APPLE VALLEY. - SAN BERNARDINO COUNTY WORKFORCE DEVELOPMENT DEPARTMENT IN VICTORVILLE. - ADELANTO SHERIFF'S DEPARTMENT. - 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.
SCHEDULE H, PART V, SECTION B, LINE 7A	CHNA WEBSITE ADDRESS: https://www.stmaryapplevalley.com/documents/SMMC-CHNA-FY17.pdf SCHEDULE H, PART V, SECTION B, LINE 7B OTHER WEBSITE: https://www.stjhs.org/our-programs/community-partnerships/community-benefi t/reports-community-health-needs-assessments/ SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY WEBSITE ADDRESS: HTTPS://WWW.STMARYAPPLEVALLEY.COM/DOCUMENTS/COMMUNITY-BENEFIT/SMMC-CBPLAN- IS-REPORT-FY18-20.PDF
SCHEDULE H, PART V, SECTION B, LINE 11	FOR CALENDAR YEAR 2018-2020 THE HOSPITAL IDENTIFIED AND WILL FOCUS ON THE FOLLOWING THREE (3) PRIORITIES: 1. ACCESS TO RESOURCES 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 WAS ADDRESSED BY FOUR COMMUNITY BENEFIT PROGRAMS: 1. BRIDGES FOR FAMILIES RESOURCE CENTER 2. BRIGHT FUTURES MOBILE CLINIC 3. HEALTHY BEGINNINGS MIDWIFERY PROGRAM 4. MOTHER/BABY ASSESSMENT CENTER LACTATION CLINIC IN SCHEDULE 0, PART III, LINE 4A, ARE THE FULL YEAR ACCOMPLISHMENTS REPORTED FOR THIS IDENTIFIED NEED. 2. MENTAL HEALTH AND SUBSTANCE ABUSE 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 WAS ADDRESSED BY THREE COMMUNITY BENEFIT PROGRAMS: 1. BRIDGES FOR FAMILIES RESOURCE CENTER 2. GRANT FAMILY ASSISTANCE PROGRAM 3. GRANT ST. JOHN OF GOD IN SCHEDULE 0, PART III, LINE 4A, ARE THE FULL YEAR ACCOMPLISHMENTS REPORTED FOR THIS IDENTIFIED NEED. 3. OBESITY RATES FOR OBESITY ARE HIGHER FOR OUR REGION IN COMPARISON TO STATE AVERAGES. THE ADULT OBESITY RATE IS 37% REGIONALLY VERSUS 26% FOR THE STATE OF CALIFORNIA. TEEN OBESITY RATES ARE 38% IN OUR REGION, VERSUS 33% FOR THE STATE. OBESITY WAS FREQUENTLY DISCUSSED IN THE FOCUS GROUPS, PARTICULARLY IN CONJUNCTION WITH ROOT CAUSES SUCHA AS NUTRITION AND LACK OF EXERCISE, WITH CHALLENGES WITH WALKABILITY. OBESITY WAS IDENTIFIED AS THE THIRD HIGHEST PRIORITY IN THE PRIORITIZATION PROCESS. THE COMMUNITY BENEFIT COMMITTEE DISCUSSED THE PROGRESS IT HAS MADE WITH "COMMUNITIES OF EXCELLENCE," A COMMUNITY BENEFIT PROGRAM, THROUGH ITS NUTRITION AND EXERCISE CAMPAIGNS, AND ANOTHER COMMUNITY BENEFIT PROGRAM, "YOUTH WELLNESS," A STUDENT NUTRITION AND FITNESS CAMPAIGN RUN AT LOCAL SCHOOLS. THIS NEED WAS ADDRESSED BY TWO COMMUNITY BENEFIT PROGRAMS: 1. COMMUNITIES OF EXCELLENCE TARGETING ADULTS 2. YOUTH WELLNESS PROGRAM TARGETING SCHOOL AGED CHILDREN IN SCHEDULE 0, PART III, LINE 4A, ARE THE FULL YEAR ACCOMPLISHMENTS REPORTED FOR THIS IDENTIFIED NEED. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR MISSION, "AS EXPRESSIONS OF GODS 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 2017 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 LORDS 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. 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. OUR HOSPITALS 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 GODS 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,WITH THE ADELANTO SENIOR CENTER AND THE VICTORVILLE PARKS AND RECREATION DEPARTMENT. BOTH OF THESE LIKE-MINDED PARTNERS HOST FREE WEEKLY PHYSICAL ACTIVITY CLASSES. WE ARE ACTIVELY SEEKING NEW FAITH BASED ORGANIZATIONS AND OTHER PARKS AND RECREATION DEPARTMENTS TO HOST FREE PHYSICAL ACTIVITY CLASSES IN LOW INCOME NEIGHBORHOODS. 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. EDUCATION: INCLUDES BOTH FORMAL EDUCATION GOALS AND ATTAINMENT, INCLUDING JOB TRAINING, AND COMMUNITY-BASED EDUCATION AROUND ISSUES SUCH AS EXERCISE, NUTR
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	THE FAP IS MADE WIDELY AVAILABLE AT: https://www.stjhs.org/documents/Patient-Financial-Assistance/Socal/Financi al-Assistance-Policy-SJH-SOCAL.OCHD.ENGLISH.pdf
SCHEDULE H, PART V, SECTION B, LINE 16B	THE FAP APPLICATION FORM IS MADE WIDELY AVAILABLE AT: https://www.stjhs.org/documents/Patient-Financial-Assistance/Socal/Financi al-Assistance-Application-SJH-SOCAL.OCHD.ENGLISH.pdf
SCHEDULE H, PART V, SECTION B, LINE 16C	A PLAIN LANGUAGE SUMMARY OF THE FAP IS MADE WIDELY AVAILABLE AT: https://www.stjhs.org/documents/Patient-Financial-Assistance/Socal/Financi al-Assistance-Brochure-English.pdf
SCHEDULE H, PART V, SECTION B, 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 TO 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 REQUEST. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA.

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
OUTPATIENT SURGERY PAVILLION
18122 US HIGHWAY 18	APPLE VALLEY	CA	92307	AMBULATORY SURGERY CENTER
WOUND CARE CENTER
16077 KAMANA ROAD	APPLE VALLEY	CA	92307	WOUND CARE
HEALTHY BEGINNINGS CLINIC
18977 S OUTER HWY 18 A	APPLE VALLEY	CA	92307	CLINIC
ADELANTO CLINIC
11424 CHAMBERLAIN WAY STE 89	ADELANTO	CA	92301	CLINIC
HESPERIA CLINIC
17091 MAIN STREET STE 100	HESPERIA	CA	92345	CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. JOSEPH HEALTH, ST. MARY PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.STMARYAPPLEVALLEY.COM/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 II, LINE 10	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. THE COMMUNITY BENEFIT FOR THIS PROGRAM FOR CALENDAR YEAR 2018 WAS $1,443. 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 THROUGH A RESTRICTED CARE FOR THE POOR GRANT, ADDRESSING MENTAL HEALTH AND ADDICTION. THE PARTNER INTEGRATED MENTAL HEALTH SERVICES INTO ITS SUBSTANCE ABUSE PROGRAM. A SECOND GRANT FUNDED A PARTNER PROVIDING COUSENLING TO AT RISK YOUTH INCLUDING VICTIMS OF TRAFFICKING. A PARTNERSHIP WITH THE DEPARTMENT OF BEHAVIORAL HEALTH, COUNTY OF SAN BERNARDINO, TO ADDRESS THE MASSIVE MENTAL HEALTH NEEDS OF HIGH DESERT COMMUNIITES, CONTINUED IN CALENDAR YEAR 2018. THE COUNTY OPENED A 16-BED RESIDENTIAL TREATMENT FACILITY IN 2018, IN THE CITY OF VICTORVILLE. VICTORVILLE SERVES AS A CENTRAL LOCATION FOR THE HIGH DESERT COMMUNITY, ACCESSIBLE THROUGH PUBLIC TRANSPORTATION. DURING CALENDAR YEAR 2018 THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) INLAND VALLEY AFFILIATE EXPANDED SUPPORT GROUPS AND TRAINING. A HIGH DESERT CHURCH HOSTS BOTH PEER TO PEER AND FAMILY TO FAMILY SUPPORT GROUPS OCCURING TWICE A MONTH. THIS WAS THE FIRST OF ITS KIND IN OUR HIGH DESERT REGION. THE COMMUNITY BENEFIT INVESTED IN MENTAL HEALTH TOTALED $41,264. IN TOTAL, OUR COMMUNITY BUILDING ACTIVITIES FOR CALENDAR YEAR 2018 AMOUNTED TO $42,707.
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	FINANCIAL STATEMENT BAD DEBT EXPENSE FOOTNOTE 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	COMMUNITY BENEFITS THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 9B	COLLECTION ACTIVITY 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 OUR 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, A HIGH NEED AREA. 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.
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. 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. 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 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. THIS INCLUDES A POPULATION OF APPROXIMATELY 372,642 PEOPLE, AN INCREASE OF 13% FROM THE PRIOR ASSESSMENT. THE COMMUNITY PROFILE OF THE TOTAL SERVICE AREA OF ST. MARY MEDICAL CENTER HAS ALMOST 375,000 PEOPLE, WITH A MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $50,000. COMPARED TO CALIFORNIA, THE SERVICE AREA HAS MORE LATINOS AND AFRICAN-AMERICANS AND FEWER ASIAN/ASIAN-AMERICANS. COMPARED TO THE COUNTY AND, PARTICULARLY, THE STATE, THE SERVICE AREA IS LESS PROSPEROUS, WITH LOWER MEDIAN INCOMES AND GREATER POVERTY. THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS CURRENTLY SERVE RESIDENTS OF THREE (3) OF SAN BERNARDINO COUNTYS FIVE (5) SUPERVISORY DISTRICTS. THE REGION IS 90% DESERT AND THE LARGEST NEAREST METROPOLITAN AREA, THE CITY OF SAN BERNARDINO, IS 40 MILES AWAY. THE SERVICE AREA IS NOTED AS HAVING SIGNIFICANTLY HIGHER PERCENTAGES OF INDIGENT AND UNINSURED POPULATIONS WHEN COMPARED WITH BOTH STATE AND NATIONAL LEVELS. ADDITIONALLY, RESIDENTS SUFFER FROM HEART DISEASE, DIABETES, ADULT OBESITY AND STROKE AT LEVELS WELL ABOVE CALIFORNIA AND NATIONAL BENCHMARKS. OVER 90% OF THE HOSPITAL'S COMMUNITY BENEFIT AREA HAS BEEN IDENTIFIED AS "HIGH NEED" FROM SCORING AND AGGREGATING SOCIOECONOMIC INDICATORS (E.G. INCOME, RACE, FAMILY SIZE) CONTRIBUTING TO SOCIAL AND HEALTH DISPARITIES. AREAS WITHIN THE HOSPITALS 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 ENTIRE SERVICE AREA OF ST. MARY MEDICAL CENTER IS LOCATED IN A HPSA WITH LARGE PORTIONS OF THE SERVICE AREA NEEDING INCREASED ACCESS TO PRIMARY CARE AND MENTAL HEALTH.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH ST. MARY 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. 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 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	AFFILIATED HEALTH CARE SYSTEM 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	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	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	980579016	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	330143024	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$1,576,400	CashGrantAmt
Purpose Of Grant	PROGRAM SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS COMMUNITY BENEFIT COMMITTEE OVERSEES/MONITORS GRANT USAGE ON A MONTHLY BASIS.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
ALAN GARRETT
PRESIDENT/CEO	$0	$541,735	$0	$646,450	$0	$132,859	$0	$24,750	$0	$31,889	$0	$1,377,683	$0	$100,182
TRACEY FERNANDEZ
VP FINANCE AND CFO	$292,957	$0	$21,541	$0	$32,432	$0	$13,750	$0	$30,722	$0	$391,402	$0	$0	$0
RIAD ABDELKARIM MD
VP CHIEF MEDICAL OFFICER	$342,048	$0	$24,865	$0	$30,732	$0	$10,902	$0	$28,399	$0	$436,946	$0	$0	$0
RANDY BEVILACQUA
EXEC DIR, STRATEGIC SERVICES	$210,440	$0	$15,370	$0	$26,856	$0	$16,942	$0	$19,923	$0	$289,531	$0	$0	$0
MARILYN DRONE
CHIEF OPERATING OFFICER	$296,779	$0	$21,541	$0	$42,314	$0	$18,566	$0	$20,943	$0	$400,143	$0	$0	$0
JEAN HOLTMAN
DIRECTOR, HUMAN RESOURCES	$199,022	$0	$14,800	$0	$23,091	$0	$8,020	$0	$21,729	$0	$266,662	$0	$0	$0
JUDY WAGNER
ED, CHIEF MISSION INTEGRTION	$197,783	$0	$14,447	$0	$17,124	$0	$7,559	$0	$14,361	$0	$251,274	$0	$0	$0
TAMARA BROWN
EXECUTIVE DIRECTOR, NURSING	$190,396	$0	$0	$0	$2,715	$0	$16,436	$0	$3,320	$0	$212,867	$0	$0	$0
MATTHEW CHANDLER
EXEC DIR. ANCILLARY SERVICES	$208,930	$0	$0	$0	$2,189	$0	$8,455	$0	$37,964	$0	$257,538	$0	$0	$0
GLORIA PEAK
ED, COMMNTY HEALTH SERVICES	$190,701	$0	$0	$0	$4,045	$0	$15,445	$0	$19,471	$0	$229,662	$0	$0	$0
JUANA TUCKER
DIRECTOR NURSING	$180,215	$0	$0	$0	$2,571	$0	$16,509	$0	$26,120	$0	$225,415	$0	$0	$0
JENNIFER WOLF
STAFF RN	$171,779	$0	$0	$0	$930	$0	$11,449	$0	$25,972	$0	$210,130	$0	$0	$0
TARA COWELL
SECRETARY	$0	$314,661	$0	$43,479	$0	$41,337	$0	$22,000	$0	$42,180	$0	$463,657	$0	$0
PAUL KAMINKSI
FORMER KEY EMPLOYEE	$0	$145,407	$0	$12,066	$0	$5,505	$0	$5,930	$0	$18,086	$0	$186,994	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY THE 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. BEGINNING IN 2015, THE CHIEF EXECUTIVE, SMMC, PARTICIPATED IN A NONQUALIFIED DEFERRED COMPENSATION PLAN. THE AMOUNT IN COLUMN F REPRESENTS THE AMOUNT OF DEFERRED COMPENSATION PAID IN 2018.
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.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	DONATED LAND	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$32,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN B	FormAndLineReferenceDesc
Explanation	THE AMOUNTS REPORTED IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. 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. 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.
FORM 990, PART III, LINE 4A (CONTINUED)	PROGRAM SERVICE ACCOMPLISHMENTS: IDENTIFIED PRIORITIES ACCESS TO RESOURCES INCREASING ACCESS TO RESOURCES WAS AN IDENTIFIED NEED THAT WAS ADDRESSED THROUGH OUR COMMUNITY CLINICS. THE HOSPITALS 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 HOSPITALS 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 CENTER 2. BRIGHT FUTURE MOBILE VAN 3. HEALTHY BEGINNINGS MIDWIFERY PROGRAM THE 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. ALL OF THESE ARE LOCATED IN OUR PRIMARY AND SECONDARY AREAS OF SERVICE. THE MIDWIFERY PROGRAM IS OPEN TO THE UNINSURED AND UNDERINSURED (MEDICAID) PATIENTS, OFFERING PRENATAL AND MIDWIFERY SERVICES. BRIDGES FOR FAMILIES RESOURCE CENTER OFFERED SHORT TERM COUNSELING AND LIFE COACHING TO INDIVIDUALS, COUPLES OR FAMILIES WITH CHILDREN 0-5 YEARS OF AGE. 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. IN 2018 ST. JOSEPH HEALTH, ST. MARY ACHIEVED THE FOLLOWING IN RESPECTS TO IMPROVING ACCESS TO RESOURCES: - 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 29,036 COMMUNITY CLINIC ENCOUNTERS WHILE SERVING POOR AND RURAL PERSONS LIVING IN THE HIGH DESERT REGION. 18% OF OUR TOTAL COMMUNITY CLINIC ENCOUNTERS, 5,253, WERE PROVIDED THROUGH OUR BRIGHT FUTURES MOBILE VAN WHICH WENT TO ADELANTO, APPLE VALLEY, HESPERIA, LUCERNE VALLEY AND VICTORVILLE. A BREAKDOWN OF THE 29,036 COMMUNITY CLINIC ENCOUNTERS IS AS FOLLOWS: - 7,073 WERE FOR THE HEALTHY BEGINNINGS MIDWIFERY SERVICES CARRIED OUT IN THE CITIES OF ADELANTO, APPLE VALLEY AND HESPERIA CLINICS. - 12,951 ENCOUNTERS FOR THE LACTATION CLINIC. -3,759 ENCOUNTERS WERE PROVIDED BY THE BRIDGES FOR FAMILIES RESOURCE CENTER. - 5,253 PROVIDED BY THE BRIGHT FUTURES MOBILE VAN IN THE CITIES OF ADELANTO, APPLE VALLEY, HESPERIA, LUCERNE VALLEY AND VICTORVILLE. - PROVIDING DIABETES PATIENTS WITH PRIMARY CARE, CONSULTATIONS WITH A REGISTERED DIETICIAN, AND PARTICIPATION IN A DIABETES SUPPORT GROUP FOR A TOTAL OF 1,255 CLINICAL ENCOUNTERS. OUR COMMUNITY BENEFIT COMMITMENT TO ADDRESS THIS NEED, AFTER SUBTRACTING A RESTRICTED GRANT FROM FIRST 5 SAN BERNARDINO, A RESTRICTED GRANT FROM THE DEPARTMENT OF PUBLIC HEALTH COUNTY OF SAN BERNARDINO, AND INSURANCE PAYMENTS, TOTALED $5,434,430. IN ADDITION, 982 UNINSURED PERSONS WERE ENROLLED INTO MEDICAID. IDENTIFIED NEED EXPANDING OBESITY PREVENTION PROGRAMS IN 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 STATES 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 2018, 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, HESPERIA AND PINON HILL LOGGING IN 393 ENCOUNTERS, WITH 141 PARTICIPANTS. 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 APPLE VALLEY, AND HESPERIA TO THE EXISTING CLASSES IN ADELANTO. IN TOTAL 432 PEOPLE LIVING IN THESE THREE CITIES ENGAGED IN AN EXERCISE CLASS, LOGGING IN 5,833 EXERCISE CLASS ENCOUNTERS, WHICH WERE 1 HOUR IN DURATION. OUR COMBINED COMMUNITY BENEFIT INVESTMENT IN THE COMMUNITIES OF EXCELLENCE PROGRAM, AFTER SUBTRACTING THE RESTRICTED GRANT FUNDS FROM THE DEPARTMENT OF PUBLIC HEALTH COUNTY OF SAN BERNARDINO, TOTALED TO $285,345. - 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, THIS IS AN INCREASE FROM FIVE (5) SCHOOLS FROM THE PILOT YEAR. IN TOTAL, 28 CLASSROOMS (AN INCREASE FROM 18 SCHOOLS FROM THE PREVIOUS YEAR), WITH A TOTAL OF 840 STUDENTS WERE TAUGHT THE CURRICULUM "7 DIMENSIONS OF WELLNESS," WHICH INCLUDED LESSON PLANS IN ACADEMIC, EMOTIONAL, ENVIRONMENTAL, OCCUPATIONAL PHYSICAL, SOCIAL AND SPIRITUAL WELL-BEING. OUR COMMUNITY BENEFIT INVESTMENT IN THE YOUTH WELLNESS PROGRAM TOTALED $291,262. 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 2018, ST. JOSEPH HEALTH, ST. MARY ACHIEVED THE FOLLOWING: - THE BRIDGES FAMILY RESOURCE CENTER PROVIDED 1,475 SHORT TERM COUNSELING VISITS FOR INDIVIDUAL, COUPLES AND FAMILY. PREVIOUSLY, FOR A TWELVE (12) MONTH PERIOD, IN FY17, THIS PROGRAM PROVIDED A TOTAL OF 568 ENCOUNTERS. COUNSELING VISITS INCREASED SIGNIFICANTLY BECAUSE OF NEW HIRES TO THE PROGRAM. - A LIKE MINDED PARTNER, AND RECIPIENT OF A CARE FOR THE POOR MENTAL HEALTH GRANT, NON-PROFIT FAMILY ASSISTANCE PROGRAM PROVIDED 728 ENCOUNTERS TO AT RISK YOUTH, SOME HOMELESS. - THE SECOND CARE FOR THE POOR MENTAL HEALTH GRANT RECIPIENT, ST. JOHN OF GOD, PROVIDED 1,790 COUNSELING SESSIONS TO PERSONS IN SUBSTANCE RECOVERY, WITH THE GREAT MAJORITY REPORTING BEING HOMELESS. IN ADDITION, THIS PROGRAM PROVIDED 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 PARTICIPANTS WITH MENTAL HEALTH SERVICES, AND INCREASING THE NUMBER OF MENTAL HEALTH PROFESSIONALS IN OUR REGION. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, ST. MARY, PLEASE VISIT HTTPS://WWW.STMARYAPPLEVALLEY.COM/ABOUT-US/COMMUNITY-BENEFIT/ FOR MORE INFORMATION ABOUT PROVIDENCE ST. JOSEPH HEALTH, PLEASE VISIT HTTPS://WWW.PSJHEALTH.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. 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 VI, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE CORPORATE MEMBERS OF ST. MARY MEDICAL CENTER.
FORM 990, PART VI, LINE 7A	DESCRIPTION OF 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, 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, 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 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	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	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 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	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS 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 RENTON EQUITY TRANSFER-HOSPITAL FEES ($ 7,600,450) SJHHF EQUITY TRANSFER ($ 7,147,296) SJHS EQUITY TRANSFER ($ 5,623,207) SJH FOUNDATION TRANSFER ($ 1,062,300) GIFT SHOP ($ 181,644) CURRENT YEAR REST CONTRIBUTION ($ 126,430) GRANT RECLASS TO DEFERRED LIABILITY $ 1,223,892 -------------- TOTAL ($20,517,435)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (112 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
COVENANT ACO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	611573313	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (true)
COVENANT HEALTH NETWORK INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	461259908	HEALTHCARE	CA	501(C)(3)	12, III	SJHS	Yes (true)
COVENANT HEALTH PARTNERS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	463516417	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (true)
COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (true)
COVENANT HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	822913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
COVENANT MEDICAL GROUP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (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	Yes (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	Yes (true)
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	201910170	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (true)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (true)
HMTS INC
1 HOAG DRIVE PO BOX 6100	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(C)(3)	12, I	HMHP	Yes (true)
HOAG CHARITY SPORTS
2081 BUSINESS CTR DR STE 195	IRVINE	CA	92612	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (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	Yes (true)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (true)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG DRIVE PO BOX 6100	NEWPORT BEACH	CA	92658	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (true)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911307555	HEALTHCARE	WA	501(C)(3)	3	PHS WA	Yes (true)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	814260130	HEALTHCARE	WA	501(C)(3)	7	PHSSJHS	Yes (true)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	912003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes (true)
JOHN WAYNE CANCER INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	954291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes (true)
KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	916033089	SUPPORT	WA	501(C)(3)	12, III	KRMC	Yes (true)
KADLEC FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	237005501	SUPPORT	WA	501(C)(3)	12, I	KRMC	Yes (true)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	910655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (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	Yes (true)
LUBBOCK METHODIST HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752220963	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
LUNDBERG ASSOCIATIONPROVIDENCE HOUSE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (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	Yes (true)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	951643360	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069	SEATTLE	WA	98116	200799737	SUPPORT	WA	501(C)(3)	12,I	SHS	Yes (true)
PACMED CLINICS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	562290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes (true)
PH&S FOUNDATIONSFVSA & SCVSA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	953544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (true)
PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	920093565	HEALTHCARE	AK	501(C)(3)	12, I	PHS WA	Yes (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	Yes (true)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (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	Yes (true)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	930692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (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	Yes (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	Yes (true)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	510216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes (true)
PROVIDENCE HEALTH & SERVICES - WA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	510216586	HEALTHCARE	WA	501(C)(3)	3	PHS	Yes (true)
PROVIDENCE HEALTH & SERVICES - WEST WA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes (true)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	550828701	MEDICAID	OR	501(C)(4)	N/A	PHP	Yes (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	Yes (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	Yes (true)
PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	930863097	HEALTHCARE	OR	501(C)(4)	N/A	PPP	Yes (true)
PROVIDENCE HEALTH SYSTEM - SO CAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	510216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (true)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	330283773	HEALTHCARE	CA	501(C)(3)	12, I	PHS SOCAL	Yes (true)
PROVIDENCE MILWAUKIE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	943079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (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	Yes (true)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	930889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (true)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	311629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (true)
PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes (true)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	931231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (true)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	311584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes (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	Yes (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	Yes (true)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	930927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (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	Yes (true)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	943244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (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	Yes (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	Yes (true)
PROVIDENCE ST MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	452841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (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	Yes (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	Yes (true)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	953264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes (true)
PROVIDENCE TRINITYCARE HOSPICE FNDN
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	330261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes (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	Yes (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	Yes (true)
REDWOOD MEMORIAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	942779313	HEALTHCARE	CA	501(C)(3)	7	RMH	Yes (true)
REDWOOD MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	941384665	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (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	Yes (true)
SANTA ROSA MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	941231005	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	611502822	PHYSN COLLAB	WA	501(C)(3)	7	WHC	Yes (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	Yes (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	Yes (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	Yes (true)
ST JOSEPH HERITAGE HEALTHCARE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF EUREKA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	941156596	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	951643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	951643324	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST LUKE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	943176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (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	Yes (true)
ST PATRICK HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	237056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes (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	Yes (true)
SWEDISH EDMONDS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	272305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (true)
SWEDISH HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	910433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (true)
SWEDISH MEDICAL CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	910983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (true)
SWEDISH MJM HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	273139262	HOLDING CO	WA	501(C)(3)	12, I	SHS	Yes (true)
THE GAMELIN ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (true)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911293869	SUPPORT	CA	501(C)(3)	10	PHS SOCAL	Yes (true)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	911214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes (true)
UNIVERSITY OF PROVIDENCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	810231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes (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	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (60 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
BROADWAY IMAGING 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 IMAGING-BRIDGEPORT LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING DIAG.	OR	NA	N/A
CTR FOR MED IMAGING-TANASBOURNE LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING DIAG.	OR	NA	N/A
FULLERTON SURGICAL CENTER LP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	470927394	AMBULATORY SURG	CA	NA	N/A
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	NA	N/A
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENT	WA	NA	N/A
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	NA	N/A
HOAG ORTHOPEDIC INSTITUTE
ONE HOAG DRIVE PO BOX 6100	NEWPORT BEACH	CA	926586100	611588294	HEALTHCARE	CA	NA	N/A
HOAG OUTPATIENT CENTERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	453587572	HEALTHCARE	CA	NA	N/A
INLAND IMAGING LLC
801 S STEVENS ST	SPOKANE	WA	99204	911855796	MEDICAL IMAGING	WA	NA	N/A
LSC REAL PROPERTY LLC
2301 QUAKER AVENUE	LUBBOCK	TX	79410	474646059	REAL ESTATE	TX	NA	N/A
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	NA	N/A
NEWPORT BAY SURGERY CENTER LLC
3333 W PACIFIC COAST HWY 100	NEWPORT BEACH	CA	92663	562518360	HEALTHCARE	CA	NA	N/A
NEWPORT BEACH ENDOSCOPY CENTER LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	770368744	HEALTHCARE	CA	NA	N/A
NEWPORT IMAGING CENTER
360 SN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	NA	N/A
NEWPORT SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	392060266	HEALTHCARE	CA	NA	N/A
NORTH BAY ENDOSCOPY CENTER
1383 N MCDOWELL BLVD STE 110	PETALUMA	CA	94954	611559876	HEALTHCARE	CA	NA	N/A
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	NA	N/A
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RD	TIGARD	OR	97224	223883387	AMBULATORY SURG	OR	NA	N/A
PETCT IMAGING AT SWEDISH CANCER INSTITU
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	NA	N/A
PHS INVESTMENT TRANSITION PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472279711	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST 2015 PRIVATE ASSETS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	473393740	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST 2016 PRIVATE ASSETS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	811532735	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST 2016 PRIVATE REAL E
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	812960145	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST BANK LOANS PORTFOLI
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472357735	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST COMMODITIES PORTFOL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472269004	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST HEDGE FUND PORTFOLI
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472293255	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST LDI PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472392060	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST LONG TREASURIES POR
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472385238	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST MLP PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472367538	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST PUBLIC DEBT PORTFOL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472353569	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST PUBLIC EQUITY PORTF
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472283974	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST RELATIVE VALUE PORT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472314743	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST RISK PARITY PORTFOL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472336377	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST SHORT TERM INVESTME
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	812701056	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST TACTICAL TRADING PO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472327491	INVESTMENTS	WA	NA	N/A
PHS INVESTMENT TRUST TIPS PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	472402609	INVESTMENTS	WA	NA	N/A
PORTLAND MEDICAL IMAGING LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	201054971	IMAGING DIAG.	OR	NA	N/A
PROV RADIATION ONCOLOGY DEVELOP ASSN
4400 NE HALSEY 495	PORTLAND	OR	97213	260682491	REAL ESTATE - MOB	OR	NA	N/A
PROVIDENCE CHILDREN'S NEONATAL SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	470918549	NEONATAL CARE	WA	NA	N/A
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	920118807	MEDICAL IMAGING	AK	NA	N/A
PROVIDENCE PARTNERS FOR HEALTH LLC
501 S BUENA VISTA ST	BURBANK	CA	91505	454041798	CLIN QUALITY/INT	CA	NA	N/A
PROVIDENCE ST JOSEPH HEALTH LONG TERM P
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	823190634	INVESTMENTS	WA	NA	N/A
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURG	MT	NA	N/A
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425	PORTLAND	OR	97213	481287267	REHAB SERVICES	OR	NA	N/A
PROVIDENCEUSP SANTA CLARITA GP LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	202829660	AMBULATORY SURG	CA	NA	N/A
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200905938	AMBULATORY SURG	CA	NA	N/A
SHA LLC
12940 NORTH HIGHWAY 183	AUSTIN	TX	78750	752569094	HEALTHCARE	TX	NA	N/A
SJO ASC HOLDINGS LLC
1140 W LA VETA AVE	ORANGE	CA	92868	821655501	HEALTHCARE	CA	NA	N/A
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVE	ORANGE	CA	92868	454521884	REAL ESTATE	CA	NA	N/A
ST JOSEPHSATELLITE DIALYSIS CENTERS L
300 SANTANA ROW SUITE 300	SAN JOSE	CA	95128	814657391	HEALTHCARE	CA	NA	N/A
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	823352570	AMBULATORY SURG	CA	NA	N/A
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURG	KS	NA	N/A
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK ST TARZANA CA 91356	TARZANA	CA	91356	821308306	HEALTHCARE	CA	NA	N/A
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (26 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
AMERICAN UNITY GROUP LTD
90 PITTS BAY ROAD	PEMBROKE	BD	HM08	CAPTIVE INSURANCE	BD	NA	C-CORP
1221 MADISON STREET OWNERS ASSOC
				OWNERS' ASSOC.		NA	C-CORP	747 BROADWAY	SEATTLE	WA	98122	201954319	WA
AYIN HEALTH SOLUTIONS INC
				HEALTHCARE		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	833037172	DE
BOURGET HEALTH SERVICES INC
				CLIN/MED LAB		NA	C-CORP	PO BOX 2687	SPOKANE	WA	99220	911354431	WA
CARON HEALTH CORPORATION
				MED PHYS SVCS		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	810486082	MT
DATU HEALTH INC AND SUBSIDIARIES
				IT SVCS		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	463070062	DE
GRACE CLINIC OF LUBBOCK
				HEALTHCARE		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	203856995	TX
GRACE CLINIC SERVICES INC
				HEALTHCARE		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	203857067	TX
HOAG CLINIC (FKA COASTAL MGM SVS ORG)
				HEALTHCARE		NA	C-CORP	1 HOAG DRIVE PO BOX 6100	NEWPORT BEACH	CA	926586100	330676831	CA
HOAG MANAGEMENT SERVICES INC
				HEALTHCARE		NA	C-CORP	1 HOAG DRIVE PO BOX 6100	NEWPORT BEACH	CA	926586100	330731587	CA
LUBBOCK METHODIST HOSP PRACTICE MGMT
				INACTIVE		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752578995	TX
LUBBOCK METHODIST HOSPITAL SVCS
				HEALTHCARE		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	752118585	TX
LUMEDIC ACQUISITION CO INC
				HEALTHCARE		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	833881097	WA
MISSION VIEJO MEDICAL VENTURES
				HEALTHCARE		NA	C-CORP	27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	CA
PHN HOLDINGS
				STRAT PLAN SVCS		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	461814184	CA
PIONEER INNOVATIONS INC
				HEALTH INNOVATNS		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	364818191	WA
PROVIDENCE ASSURANCE INC
				CAPTIVE INSURANCE		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	208194071	AZ
PROVIDENCE HEALTH CARE VENTURES INC
				CLIN/MED LAB		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	900155714	WA
PROVIDENCE HEALTH NETWORK
				PREPAID HEALTH		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	800886966	CA
PROVIDENCE HEALTH VENTURES INC
				INVESTMENT		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	330122216	CA
ST JOSEPH HEALTH
				HOLDING COMPANY		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	462340232	CA
ST JOSEPH HEALTH SOURCE INC
				HEALTHCARE		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	461900168	CA
ST JOSEPH PROF SVCS ENTERPRSES INC
				HEALTHCARE		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	330155323	CA
VINSERRA INC
				INVESTMENT		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	953943315	CA
WESTERN HEALTHCONNECT VENTURES INC
				INVESTMENT		NA	C-CORP	1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	980579016	800953654	WA
YAKIMA MEDICAL ARTS INC
				RENT REAL ESTATE		NA	C-CORP	611 N PERRY 100	SPOKANE	WA	99202	910787963	WA

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

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE ST JOSEPH HEALTH
b	$7,600,450	FMV
ST JOSEPH HEALTH SYSTEM FOUNDATION
c	$1,594,922	FMV
ST JOSEPH HEALTH SYSTEM FOUNDATION
b	$1,576,400	FMV
ST JOSEPH HERITAGE HEALTHCARE
b	$7,147,296	FMV
ST JOSEPH HERITAGE HEALTHCARE
l	$309,615	FMV
REVENUE CYCLE SERVICES
q	$4,130,716	ACCRUAL
AMERICAN UNITY GROUP
r	$1,930,678	ACCRUAL

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III	FormAndLineReferenceDesc
Explanation	IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP 20TH STREET SURGERY LLC EIN: 73-1735618 ADDRESS: 1301 20TH STREET, STE 140, SANTA MONICA, CA 90404 BROADWAY IMAGING, LLC EIN: 52-2405971 ADDRESS: 500 W. BROADWAY MISSOULA, MT 59802 CENTER FOR SPECIALTY SURGERY, LLC EIN: 26-3638838 ADDRESS: 11782 SW BARNES RD. PORTLAND, OR 97225 CLACKAMAS RADIATION ONCOLOGY CENTER, LLC EIN: 26-0381897 ADDRESS: 4400 NE HALSEY ST., BLDG. II, #495 PORTLAND, OR 97213 COASTAL ASC HOLDINGS LLC EIN: 81-0986844 ADDRESS: ONE HOAG DRIVE, PO BOX 6100, NEWPORT BEACH, CA 92658 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 CTR. FOR MED. IMAGING-BRIDGEPORT, LLC EIN: 26-0796953 ADDRESS: 4400 NE HALSEY, #495 PORTLAND, OR 97213 CTR. FOR MED. IMAGING-TANASBOURNE, LLC EIN: 20-0477972 ADDRESS: 4400 NE HALSEY, #495 PORTLAND, OR 97213 FULLERTON SURGICAL CENTER LP EIN: 47-0927394 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 GREATER VALLEY MEDICAL BUILDING, L.P. EIN: 95-4570858 ADDRESS: 501 S. BUENA VISTA ST. BURBANK, CA 91505 HCSA PROPERTIES LLC EIN: 46-0620892 ADDRESS: 1600 M STREET NW AUBURN, WA 98001 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 500 S. MAIN STREET, STE 1000, ORANGE, CA 92868 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, PO BOX 6100, NEWPORT BEACH, CA 92658 HOAG OUTPATIENT CENTERS, LLC EIN: 45-3587572 ADDRESS: 27271 LAS RAMBLAS #350, MISSION VIEJO, CA 92691 INLAND IMAGING, LLC EIN: 91-1855796 ADDRESS: 801 S. STEVENS ST., SPOKANE, WA 99204 LSC REAL PROPERTY, LLC EIN: 47-4646059 ADDRESS: 2301 QUAKER AVENUE, LUBBOCK, TX, 79410 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 NEWPORT BAY SURGERY CENTER, LLC EIN: 56-2518360 ADDRESS: 3333 W. PACIFIC COAST HWY, #100 NEWPORT BEACH, CA 92663 NEWPORT BEACH ENDOSCOPY CENTER, LLC EIN: 77-0368744 ADDRESS: 27271 LAS RAMBLAS #350 MISSION VIEJO, CA 92691 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SN MIGUEL, NEWPORT BEACH, CA 92660 NEWPORT SURGICAL PARTNERS, LLC EIN: 39-2060266 ADDRESS: 27271 LAS RAMBLAS #350 MISSION VIEJO, CA 92691 NORTH BAY ENDOSCOPY CENTER EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD, SUITE 110, PETALUMA, CA 94954 OREGON ADVANCED IMAGING, LLC EIN: 45-0471748 ADDRESS: 881 O'HARE PARKWAY, MEDFORD, OR 97504 OREGON OUTPATIENT SURGERY CENTER EIN: 22-3883387 ADDRESS: 7300 SW CHILDS ROAD, TIGARD, OR 97224 PET/CT IMAGING AT SWEDISH CANCER INSTITUTE, LLC EIN: 20-3132044 ADDRESS: 1221 MADISON STREET SEATTLE, WA 98104 PHS INVESTMENT TRANSITION PORTFOLIO EIN: 47-2279711 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST 2015 PRIVATE ASSETS PORTFOLIO EIN: 47-3393740 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST 2016 PRIVATE ASSETS PORTFOLIO EIN: 81-1532735 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST 2016 PRIVATE REAL ESTATE PORTFOLIO EIN: 81-2960145 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST BANK LOANS PORTFOLIO EIN: 47-2357735 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST COMMODITIES PORTFOLIO EIN: 47-2269004 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST HEDGE FUND PORTFOLIO EIN: 47-2293255 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST LDI PORTFOLIO EIN: 47-2392060 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST LONG TREASURIES PORTFOLIO EIN: 47-2385238 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST MLP PORTFOLIO EIN: 47-2367538 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST PUBLIC DEBT PORTFOLIO EIN: 47-2353569 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST PUBLIC EQUITY PORTFOLIO EIN: 47-2283974 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST RELATIVE VALUE PORTFOLIO EIN: 47-2314743 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST RISK PARITY PORTFOLIO EIN: 47-2336377 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO EIN: 81-2701056 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST TACTICAL TRADING PORTFOLIO EIN: 47-2327491 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PHS INVESTMENT TRUST TIPS PORTFOLIO EIN: 47-2402609 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PORTLAND MEDICAL IMAGING, LLC EIN: 20-1054971 ADDRESS: 4400 NE HALSEY, #495 PORTLAND, OR 97213 PROV. RADIATION ONCOLOGY DEVELOP. ASSN., LLC EIN: 26-0682491 ADDRESS: 4400 NE HALSEY, #495 PORTLAND, OR 97213 PROVIDENCE CHILDREN'S NEONATAL SERVICES EIN: 47-0918549 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PROVIDENCE IMAGING CENTER JOINT VENTURE EIN: 92-0118807 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PROVIDENCE PARTNERS FOR HEALTH, LLC EIN: 45-4041798 ADDRESS: 501 S. BUENA VISTA ST. BURBANK, CA 91505 PROVIDENCE ST. JOSEPH HEALTH LONG TERM PORTFOLIO EIN: 82-3190634 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 PROVIDENCE SURGERY CENTER, LLC EIN: 84-1401625 ADDRESS: 902 N. ORANGE ST MISSOULA, MT 59802 PROVIDENCE/SILVERTON REHAB, LLC EIN: 48-1287267 ADDRESS: 4400 NE HALSEY #425, PORTLAND, OR 97213 PROVIDENCE/USP SANTA CLARITA GP, LLC EIN: 20-2829660 ADDRESS: 11550 INDIAN HILLS ROAD #160, MISSION HILLS, CA 91345 PROVIDENCE/USP SURGERY CENTERS, LLC EIN: 20-0905938 ADDRESS: 11550 INDIAN HILLS ROAD #160, MISSION HILLS, CA 91345 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 SJO ASC HOLDINGS LLC EIN: 82-1655501 ADDRESS: 1140 W. LA VETA AVE ORANGE, CA 92868 ST JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ST. JOSEPH/SATELLITE DIALYSIS CENTERS, LLC EIN: 81-4657391 ADDRESS: 300 SANTANA ROW, SUITE 300 SAN JOSE, CA 95128 ST. JUDE SURGICAL CENTERS, LLC EIN: 82-3352570 ADDRESS: 1801 LIND AVE. SW, ATTN: TAX DEPARTMENT, RENTON, WA 98057-9016 SURGERY CENTER AT TANASBOURNE, LLC EIN: 20-8187971 ADDRESS: 11221 ROE AVE., STE 300, LEAWOOD, KS 66211 TARZANA PEDIATRIC VENTURES LLC EIN: 82-1308306 ADDRESS: 18321 CLARK ST, TARZANA, CA 91356 THE MADISON SPOKANE INN, LLC EIN: 84-1606484 ADDRESS: 15 WEST ROCKWOOD BLVD. SPOKANE, WA 99204	ExplanationTxt