MISSION HOSPITAL REGIONAL MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: MISSION HOSPITAL REGIONAL MEDICAL CENTER (EIN 95-1643360)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-13
IRS object ID: 201631349349305838
Schema version: 2014v6.0
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-13T14:15:51-05:00	ReturnTs
Tax Period End	2015-06-30	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 AVENUE 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	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951643360	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% AARON NEUHARTH	InCareOfNm
Business Name Control	MISS	BusinessNameControlTxt
Phone	9493641400	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	EILEEN HAUBL	PersonNm
Person Title	SVP & CFO	PersonTitleTxt
Phone	9493641400	PhoneNum
Signature	2016-05-12	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

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RICHARD AFABLE MD	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$563,842,220	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MISSION4HEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1941	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	WE ARE COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY IMPROVING THE HEALTH AND QUALITY OF LIFE IN OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2608	TotalEmployeeCnt
Total Volunteers	955	TotalVolunteersCnt
Total Gross UBI	$841,106	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$252,516	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,961,825	PYContributionsGrantsAmt
CY Contributions Grants	$9,004,959	CYContributionsGrantsAmt
PY Program Service Revenue	$485,540,575	PYProgramServiceRevenueAmt
CY Program Service Revenue	$541,591,696	CYProgramServiceRevenueAmt
PY Investment Income	$10,490,697	PYInvestmentIncomeAmt
CY Investment Income	$11,683,753	CYInvestmentIncomeAmt
PY Other Revenue	$188,438	PYOtherRevenueAmt
CY Other Revenue	$358,263	CYOtherRevenueAmt
PY Total Revenue	$511,181,535	PYTotalRevenueAmt
CY Total Revenue	$562,638,671	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,585,904	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,912,473	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$201,858,392	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$204,741,006	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$92,396	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$37,395	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$4,472,952	CYTotalFundraisingExpenseAmt
PY Other Expenses	$248,417,263	PYOtherExpensesAmt
CY Other Expenses	$319,866,281	CYOtherExpensesAmt
PY Total Expenses	$457,953,955	PYTotalExpensesAmt
CY Total Expenses	$531,557,155	CYTotalExpensesAmt
PY Revenues Less Expenses	$53,227,580	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$31,081,516	CYRevenuesLessExpensesAmt
Total Assets BOY	$661,630,451	TotalAssetsBOYAmt
Total Assets EOY	$621,287,911	TotalAssetsEOYAmt
Total Liabilities BOY	$342,889,976	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$331,369,656	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$318,740,475	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$289,918,255	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE ARE COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$468,536,436	ExpenseAmt
Grant	$6,912,473	GrantAmt
Revenue	$541,591,696	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$468,536,436	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	Yes (true)	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	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	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	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	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
IRP Document	597	IRPDocumentCnt
IRP Document W2 G	4	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2608	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
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	AARON NEUHARTH	PersonNm
Phone	9493647767	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (36 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
SISTER LINDA BUCK
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
SISTER MARYANNE HUEPPER
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ELLEN LEWIS MSN FAAN
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
FARZAD MASSOUDI MD
BOARD MEMBER	2.0	0.0	Yes (X)	$58,620	$0	$0
SISTER EILEEN MCNERNEY
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
BETH SCHIMMEL
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ROBERT WINOKUR MD
BOARD CHAIR	5.0	0.0	Yes (X)	$300	$0	$0
RUDY MARQUEZ MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
JOSEPH ROBBEN
BOARD VICE CHAIR	2.0	0.0	Yes (X)	$0	$0	$0
ED JORDAN
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
SISTER MARY BETH INGHAM
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
GEORGE SCHIFFMAN MD
BOARD MEMBER/CHIEF OF STAFF	2.0	0.0	Yes (X)	$0	$0	$0
MICHAEL MARINO DO
SVP, CHIEF MEDICAL INFORMATION	2.0	50.0	Yes (X)	$0	$597,567	$15,705
KENNETH MCFARLAND
BOARD MEMBER, CEO & PRESIDENT	50.0	2.0	Yes (X)	$0	$851,685	$52,861	Yes (X)
TODD LEMPERT MD
BOARD MEMBER	2.0	0.0	Yes (X)	$130,317	$0	$0
SISTER CECILIA MAGLADRY
BOARD VICE CHAIR (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
R CLIFFORD CARPER
BOARD MEMBER (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
ANNETTE WALKER
BOARD MEMBER (PART YEAR)	2.0	52.0	Yes (X)	$0	$931,310	$46,558
WILLIAM AKRAWI MD
BOARD MEMBER (PART YEAR)	2.0	0.0	Yes (X)	$29,183	$0	$0
EILEEN HAUBL
VP & CHIEF FINANCIAL OFFICER	50.0	0.0		$446,600	$0	$47,533	Yes (X)
CYNTHIA MUELLER
VP MISSION INTEGRATION	50.0	0.0		$327,645	$0	$46,115	Yes (X)
TARA COWELL
VP/ASSOC. GENERAL COUNSEL/SEC.	2.0	52.0		$0	$409,560	$44,598	Yes (X)
LINDA SIEGLEN
CHIEF MEDICAL OFFICER	50.0	0.0		$536,477	$0	$25,274		Yes (X)
LINDA JOHNSON
CHIEF CLINICAL OFFICER	50.0	0.0		$466,425	$0	$50,401		Yes (X)
MICHAEL BECK
VP, INTEGRATED OPERATIONS	50.0	0.0		$389,231	$0	$53,122		Yes (X)
DEANNE NIEDZIELA
EXEC DIR NURSING SERVICES	50.0	0.0		$181,772	$0	$38,992		Yes (X)
MICHAEL KOHLER
EXEC DIR PERIOPERATIVE SVS	50.0	0.0		$190,703	$0	$30,543		Yes (X)
VICTORIA MCKINNEY
E.D. MATERNAL/CHILD/MED/SURG	50.0	0.0		$218,952	$0	$23,090		Yes (X)
SAMUEL GOMEZ
EXEC DIRECTOR NURSING SERVICES	50.0	0.0		$206,204	$0	$21,724		Yes (X)
TERRI FOX-COVERT
VP HUMAN RESOURCES	50.0	0.0		$297,002	$0	$54,128			Yes (X)
CATHLEEN COLLINS
CHIEF DEVELOPMENT OFFICER	50.0	0.0		$270,525	$0	$26,888			Yes (X)
PHUC MAI
DIR PHARMACY	50.0	0.0		$237,613	$0	$25,418			Yes (X)
PHYLLIS ROBBY
EXEC DIR NURSING SERVICES	50.0	0.0		$199,610	$0	$46,529			Yes (X)
KRISTA MORAND
MGR PHARMACY OPERATIONS	50.0	0.0		$191,561	$0	$52,014			Yes (X)
DENNIS HAGHIGHAT MD
FORMER KEY EMPLOYEE	0.0	50.0		$0	$389,539	$23,638				Yes (X)
RONALD GALONSKY
FORMER KEY EMPLOYEE	0.0	0.0		$183,751	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,562,491	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,179,661	TotReportableCompRltdOrgAmt
Total Other Compensation	$725,131	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	386	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
ARAMARK HEALTHCARE FACILITIES
24863 NETWORK PLACE	CHICAGO	IL	60673	MEDICAL SERVICES	$5,701,837
PAIN RECOVERY MEDICAL GROUP INC
119 BLUE LAGOON	LAGUNA BEACH	CA	92651	MEDICAL SERVICES	$3,959,692
ORTHOPEDIC TRAUMA SPECIALIST OF OC
26730 CROWN VALLEY PARKWAY SUITE 2	MISSION VIEJO	CA	92691	MEDICAL SERVICES	$1,847,618
PROCARE NURSES LLC
FILE 57074	LOS ANGELES	CA	90074	MEDICAL SERVICES	$1,626,101
HEALTHCARE SECURITY SERVICES OF CAL
PO BOX 17033	DENVER	CO	80217	SECURITY SERVICES	$1,573,642

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	81	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,640,633	FundraisingAmt
Related Organizations	$1,610,140	RelatedOrganizationsAmt
Government Grants	$129,333	GovernmentGrantsAmt
All Other Contributions	$5,624,853	AllOtherContributionsAmt
Noncash Contributions	$1,075,850	NoncashContributionsAmt
Total Contributions	$9,004,959	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	$502,000,254	$502,000,254	$0	$0
CAPITATION REVENUE	622110	$14,213,395	$14,213,395	$0	$0
MOB RENTAL	531120	$13,755,026	$13,755,026	$0	$0
CHILDREN'S HOSPITAL AT MISSION	622110	$5,748,531	$5,748,531	$0	$0
NUTRITIONAL SERVICES	722310	$2,412,671	$2,412,671	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,461,819	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,620,713	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$841,106	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$541,591,696	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,685,878	TotalRevenueColumnAmt
Exclusion	$11,685,878	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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$524,291	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$526,416	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$2,125	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,125	TotalRevenueColumnAmt
Exclusion	-$2,125	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$315,008	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,640,633	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$634,383	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$319,375	TotalRevenueColumnAmt
Exclusion	-$319,375	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$168,830	GamingGrossIncomeAmt
Gaming Direct Expenses	$42,750	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$126,080	TotalRevenueColumnAmt
Exclusion	$126,080	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$551,558	GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$551,558	TotalRevenueColumnAmt
Exclusion	$551,558	ExclusionAmt

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$562,638,671	TotalRevenueColumnAmt
Related Or Exempt Func Income	$540,750,590	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$841,106	UnrelatedBusinessRevenueAmt
Exclusion	$12,042,016	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,864,356	TotalAmt
Program Services	$6,864,356	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$48,117	TotalAmt
Program Services	$48,117	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

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	$3,132,842	TotalAmt
Program Services	$1,924,077	ProgramServicesAmt
Management And General	$1,208,765	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	$139,317,884	TotalAmt
Program Services	$129,591,824	ProgramServicesAmt
Management And General	$7,356,224	ManagementAndGeneralAmt
Fundraising	$2,369,836	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,711,390	TotalAmt
Program Services	$8,128,801	ProgramServicesAmt
Management And General	$470,183	ManagementAndGeneralAmt
Fundraising	$112,406	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$42,057,688	TotalAmt
Program Services	$38,721,281	ProgramServicesAmt
Management And General	$2,764,011	ManagementAndGeneralAmt
Fundraising	$572,396	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,521,202	TotalAmt
Program Services	$10,785,793	ProgramServicesAmt
Management And General	$572,287	ManagementAndGeneralAmt
Fundraising	$163,122	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$29,209,579	TotalAmt
Program Services	$23,173,964	ProgramServicesAmt
Management And General	$6,035,615	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,312,371	TotalAmt
Program Services	$38,204	ProgramServicesAmt
Management And General	$2,266,836	ManagementAndGeneralAmt
Fundraising	$7,331	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$139,022	TotalAmt
Program Services	$2,000	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$137,022	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$46,911	TotalAmt
Program Services	$46,911	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$37,395	TotalAmt
Fundraising	$37,395	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$77,685,717	TotalAmt
Program Services	$54,536,753	ProgramServicesAmt
Management And General	$22,770,938	ManagementAndGeneralAmt
Fundraising	$378,026	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,875,278	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,810,431	ManagementAndGeneralAmt
Fundraising	$64,847	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,904,081	TotalAmt
Program Services	$16,052,066	ProgramServicesAmt
Management And General	$779,284	ManagementAndGeneralAmt
Fundraising	$72,731	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,216,238	TotalAmt
Program Services	$1,216,238	ProgramServicesAmt
Management And General	$0	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	$33,584,389	TotalAmt
Program Services	$31,241,904	ProgramServicesAmt
Management And General	$1,882,428	ManagementAndGeneralAmt
Fundraising	$460,057	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,124,619	TotalAmt
Program Services	$729,160	ProgramServicesAmt
Management And General	$365,048	ManagementAndGeneralAmt
Fundraising	$30,411	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	$86,028	TotalAmt
Program Services	$66,282	ProgramServicesAmt
Management And General	$13,579	ManagementAndGeneralAmt
Fundraising	$6,167	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,565,299	TotalAmt
Program Services	$7,572,714	ProgramServicesAmt
Management And General	$1,992,585	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	$23,845,386	TotalAmt
Program Services	$21,494,980	ProgramServicesAmt
Management And General	$2,341,952	ManagementAndGeneralAmt
Fundraising	$8,454	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,792,487	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$3,792,487	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$71,460,725	$71,460,725	$0
HOSPITAL FEE PROGRAM	$44,052,784	$44,052,784	$0	$0
LICENSES/TAXES/DUES	$959,574	$533,484	$10,452	$415,638
ALL OTHER EXPENSES	$2,005,793	$254,018	$42,299	$1,709,476

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$531,557,155	TotalAmt
Program Services	$468,536,436	ProgramServicesAmt
Management And General	$58,547,767	ManagementAndGeneralAmt
Fundraising	$4,472,952	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	$3,484,949	BOYAmt
EOY	-$6,675,648	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$89,564,524	BOYAmt
EOY	$59,835,786	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$836,804	BOYAmt
EOY	$957,481	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$80,218,220	BOYAmt
EOY	$71,076,078	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	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,874,504	BOYAmt
EOY	$7,019,876	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,045,840	BOYAmt
EOY	$1,344,459	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$562,622,336	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$230,901,074	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$343,895,730	BOYAmt
EOY	$331,721,262	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$87,235,102	BOYAmt
EOY	$96,457,389	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$18,992,319	BOYAmt
EOY	$24,849,618	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	$13,717,072	BOYAmt
EOY	$13,717,072	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$16,765,387	BOYAmt
EOY	$20,984,538	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$661,630,451	BOYAmt
EOY	$621,287,911	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$61,113,982	BOYAmt
EOY	$57,200,826	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	$281,775,994	BOYAmt
EOY	$274,168,830	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$342,889,976	BOYAmt
EOY	$331,369,656	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$239,504,301	BOYAmt
EOY	$197,632,775	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$77,308,109	BOYAmt
EOY	$87,787,309	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,928,065	BOYAmt
EOY	$4,498,171	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$318,740,475	BOYAmt
EOY	$289,918,255	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$661,630,451	BOYAmt
EOY	$621,287,911	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$31,081,516	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$9,158,949	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$50,744,787	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	$46,911	OtherActivitiesAmt
Total Lobbying Expenditures	$46,911	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 DURING THE YEAR, ST. JOSEPH HEALTH SYSTEM CONDUCTED ADVOCACY EFFORTS WHICH INCLUDED SOME LOBBYING ACTIVITIES. THESE ACTIVITIES INCLUDED MEETING WITH LOCAL, STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS, AS WELL AS COMMUNICATION TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION. THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO MISSION HOSPITAL.	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	$4,573,054	BeginningYearBalanceAmt
Contributions	$47,943	ContributionsAmt
Investment Earnings Or Losses	$118,728	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$46,007	AdministrativeExpensesAmt
End Year Balance	$4,693,718	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,009,707	BeginningYearBalanceAmt
Contributions	$2,176,600	ContributionsAmt
Investment Earnings Or Losses	$421,408	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$34,661	AdministrativeExpensesAmt
End Year Balance	$4,573,054	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,766,554	BeginningYearBalanceAmt
Contributions	$102,259	ContributionsAmt
Investment Earnings Or Losses	$161,946	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$21,052	AdministrativeExpensesAmt
End Year Balance	$2,009,707	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,257,495	BeginningYearBalanceAmt
Contributions	$514,556	ContributionsAmt
Investment Earnings Or Losses	$10,588	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$16,084	AdministrativeExpensesAmt
End Year Balance	$1,766,555	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Contributions	$1,207,312	ContributionsAmt
Investment Earnings Or Losses	$57,912	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$7,729	AdministrativeExpensesAmt
End Year Balance	$1,257,495	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.56200	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.43800	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$250,000	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$35,735,120	OtherCostOrOtherBasisAmt
Book Value	$35,985,120	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$303,773,440	OtherCostOrOtherBasisAmt
Depreciation	$89,545,707	DepreciationAmt
Book Value	$214,227,733	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,711,892	OtherCostOrOtherBasisAmt
Depreciation	$13,106,276	DepreciationAmt
Book Value	$7,605,616	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$184,208,416	OtherCostOrOtherBasisAmt
Depreciation	$128,220,777	DepreciationAmt
Book Value	$55,987,639	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,943,468	OtherCostOrOtherBasisAmt
Depreciation	$28,314	DepreciationAmt
Book Value	$17,915,154	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$331,721,262	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
INTERCO WITH HEALTH SYSTEM - BONDS	$173,310,654
INTERCOMPANY PAYABLE	$9,067,683
THIRD PARTY PAYABLES	$16,610,411
OTHER LIABILITIES	$4,180,082
DUE TO SJHS	$71,000,000

Field	Value	IRS element (for citing)
Total Liability	$274,168,830	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

Intended use of endowment funds THE USE OF THE RESTRICTED ENDOWMENTS ARE SPECIFIED WHEN PUT IN PLACE BY THE DONORS. LIKE ALL ENDOWMENTS, ONLY THE DISTRIBUTED EARNED INCOME IS AVAILABLE FOR USE. THE UNRESTRICTED ENDOWMENT INCOME IS USED AT THE DISCRETION OF THE EXECUTIVE LEADERSHIP OF THE HOSPITAL FOR CAPITAL/BUILDING, EQUIPMENT AND PROGRAM NEEDS.

Schedule D, Part X, Line 2

ASC 740 (FIN 48) FOOTNOTE ACCOUNTING STANDARDS CODIFICATION (ASC 740), INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2015 OR 2014.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	Harris Connect INC CHESAPEAKE VA	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1400-A Crossways Blvd	AddressLine1Txt
City	Chesapeake	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23320	ZIPCd

Field	Value	IRS element (for citing)
Activity	Telephone OUTREACH	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Gross Receipts	$43,854	GrossReceiptsAmt
Retained By Contractor	$31,250	RetainedByContractorAmt
Net To Organization	$12,604	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$43,854	TotalGrossReceiptsAmt
Total Retained By Contractors	$31,250	TotalRetainedByContractorsAmt
Total Net To Organization	$12,604	TotalNetToOrganizationAmt
Licensed States	CA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF	Event1Nm
Gross Receipts Event1	$380,116	GrossReceiptsEvent1Amt
Charitable Contri Event1	$401,577	CharitableContriEvent1Amt
Gross Revenue Event1	-$21,461	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$68,364	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$33,086	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$99,892	OtherDirectExpensesEvent1Amt
Event2	GALA	Event2Nm
Gross Receipts Event2	$1,006,570	GrossReceiptsEvent2Amt
Charitable Contri Event2	$899,037	CharitableContriEvent2Amt
Gross Revenue Event2	$107,533	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$149,302	FoodAndBeverageEvent2Amt
Entertainment Event2	$15,800	EntertainmentEvent2Amt
Other Direct Expenses Event2	$39,604	OtherDirectExpensesEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$568,955	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$340,019	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$228,936	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$1,240	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$91,853	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$31,442	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$103,800	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,955,641	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,640,633	CharitableContributionsTotAmt
Gross Revenue Total Events	$315,008	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$0	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$69,604	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$274,241	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$47,242	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$243,296	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$634,383	DirectExpenseSummaryEventsAmt
Net Income Summary	-$319,375	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$168,830	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$3,750	CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming	$39,000	NonCashPrizesOtherGamingAmt
Rent Fclty Costs Other Gaming	$0	RentFcltyCostsOtherGamingAmt
Oth Direct Expnss Other Gaming	$0	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	Yes (true)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.00000	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$168,830	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$3,750	CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming	$39,000	NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming	$0	RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming	$0	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$42,750	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$126,080	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	CA	StatesWhereGamingConductedCd
Licensed	false	LicensedInd
Explanation If No	SEE SCHEDULE G, PART IV	ExplanationIfNoTxt
License Suspended Etc	false	LicenseSuspendedEtcInd
Gaming With Nonmembers	false	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Own Facility	0.00000	GamingOwnFacilityPct
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Individual With Books	CATHLEEN A COLLINS	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

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

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	CATHLEEN A COLLINS CHIEF DEVELOPM	GamingManagerPersonNm
Gaming Manager Compensation	$10,200	GamingManagerCompensationAmt
Gaming Manager Services Prov	VICE PRESIDENT AND CHIEF DEVELOPMENT OFFICER	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	Yes (true)	CharitableDistributionRqrInd
Distributed	$126,080	DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART III, LINE 9B	FormAndLineReferenceDesc
Explanation	GAMING THE GAMING ACTIVITY WAS CONDUCTING RAFFLES FOR A VEHICLE, PRIZE BASKETS, AND CASH PRIZES TOTALING $3,750. AS A TAX-EXEMPT HOSPITAL, MISSION HOSPITAL REGIONAL MEDICAL CENTER IS EXEMPT FROM THE CALIFORNIA ATTORNEY GENERAL REGISTRATION AND REPORTING REQUIREMENTS FOR THE RAFFLES.	ExplanationTxt

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	$5,082,072	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,082,072	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,171,884	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,350,926	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,820,958	NetCommunityBenefitExpnsAmt
Total Expense	0.06130	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$108,253,956	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,350,926	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,903,030	NetCommunityBenefitExpnsAmt
Total Expense	0.07080	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,960,393	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$220,646	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,739,747	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,077	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,077	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,736,356	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,736,356	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,786,826	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$220,646	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,566,180	NetCommunityBenefitExpnsAmt
Total Expense	0.01040	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$114,040,782	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,571,572	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,469,210	NetCommunityBenefitExpnsAmt
Total Expense	0.08120	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,384	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,384	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,570	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,861	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,861	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,372	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$104,372	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$229,187	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$229,187	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$18,281,914	BadDebtExpenseAmt
Reimbursed By Medicare	$97,527,733	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$127,652,737	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$30,125,004	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
MECC - SEE PART VI
PHYSICIAN OFFICE&CONF ED CTR	0.50000	0.50000
MAS - SEE PART VI
OUTPATIENT SURGERY CENTER	0.39730	0.60270

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MISSION HOSPITAL REGIONAL MEDICAL CEN	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	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 PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	INPUT FROM COMMUNITY REPRESENTATIVES THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS EMPLOYED A VARIETY OF METHODS TO GATHER DATA TO FULLY UNDERSTAND THE SIGNIFICANT HEALTH AND QUALITY OF LIFE NEEDS FACING THE MOST VULNERABLE COMMUNITY MEMBERS AND TO ENSURE THE PRIORITIES SELECTED WERE ALIGNED WITH THE GREATEST NEEDS: A TELEPHONE SURVEY (AUG-DEC 2013), KEY STAKEHOLDER PANELS (FALL 2013), AND RESIDENT FOCUS GROUPS (JAN 2014). - A TELEPHONE SURVEY WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) USING QUESTIONS FROM THE NATIONAL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM TO DETERMINE THE HEALTH STATUS AND NEEDS OF RESIDENTS. THE TELEPHONE SURVEY GATHERED A REPRESENTATIVE SAMPLE OF 763 INTERVIEWS ACROSS ALL FIVE CITIES. - STAKEHOLDER PANELS WERE CONDUCTED BY THE OLIN GROUP WHO USED A SEMI-STRUCTURED, SIX-QUESTION INTERVIEW GUIDE TO FACILITATE DISCUSSION WITH 46 KEY INFORMANTS REPRESENTING 37 DIFFERENT ORGANIZATIONS. THERE WERE A TOTAL OF FOUR PANEL DISCUSSIONS WITH THE GOAL OF IDENTIFYING CURRENT AND EMERGING COMMUNITY HEALTH AND QUALITY OF LIFE ISSUES. IN ADDITION, FEEDBACK WAS GATHERED FROM MISSION HOSPITAL REGIONAL MEDICAL CENTER'S (MISSION HOSPITAL) LAGUNA BEACH ADVISORY COUNCIL, A COUNCIL ESTABLISHED BY THE ATTORNEY GENERAL IN 2009. THIS GROUP IS COMPRISED OF LOCAL RESIDENTS AND LEADERS WHO PROVIDED THEIR PERSPECTIVES ON THE GREATEST NEEDS OF THE LAGUNA BEACH COMMUNITY. - RESIDENT FOCUS GROUPS INCLUDED THE PARTICIPATION OF 209 RESIDENTS ACROSS NINE GROUPS. RESIDENTS PROVIDED INPUT ON THE TOP HEALTH AND QUALITY OF LIFE NEEDS IDENTIFIED THROUGH THE TELEPHONE SURVEY AND STAKEHOLDER PANELS. THEY VALIDATED EARLY FINDINGS, IDENTIFIED ANY MISSING HEALTH AND QUALITY OF LIFE ISSUES, AND PRIORITIZED AND PROVIDED FEEDBACK ON THE TOP CONCERNS. ENGLISH FORUMS HAD A TOTAL OF 32 PARTICIPANTS. SPANISH FORUMS INCLUDED 177 PARTICIPANTS. MISSION HOSPITAL (MH) ALSO REVIEWED SECONDARY SOURCES TO IDENTIFY TRENDS AND SYNERGIES ACROSS IDENTIFIED SIGNIFICANT HEALTH NEEDS. AMONG THE MAIN DATA SOURCES WERE: - CAMINO HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN SAN JUAN CAPISTRANO. CAMINO PROVIDED INFORMATION REGARDING THEIR LEADING DIAGNOSES FOR MEDICAL OFFICE VISITS, AS WELL AS THEIR OWN HEALTH NEEDS ASSESSMENT REPORT CONDUCTED IN FALL 2013. - HEALTHY PEOPLE 2020, A NATIONAL INITIATIVE SPONSORED BY THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES. THIS SOURCE PROVIDED 10-YEAR NATIONAL OBJECTIVES FOR IMPROVING THE HEALTH OF ALL AMERICANS. - MISSION HOSPITAL EMERGENCY ROOM VISIT DATA HELPED DEMONSTRATE THE HIGHEST NEEDS BASED ON EMERGENCY ROOM VISITS FOR RESIDENTS WHO WERE UNINSURED OR UNDERINSURED DURING 2013. - ORANGE COUNTY HEALTH CARE AGENCY, HEALTHY PLACES, HEALTHY PEOPLE 2012 AND ORANGE COUNTY'S HEALTHIER TOGETHER 2013 REPORTS PROVIDED A VARIETY OF SOCIAL, ECONOMIC, AND ENVIRONMENTAL CONDITIONS KNOWN TO INFLUENCE THE HEALTH OF COMMUNITIES AND TRENDS AND DISPARITIES IN KEY HEALTH INDICATORS.
SCHEDULE H, PART V, SECTION B, LINE 7A	THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: http://www.mission4health.com/documents/Community-Benefit/2014-Community-H ealth-Needs-Assessment-Report.pdf
SCHEDULE H, PART V, SECTION B, LINE 10A	THE IMPLEMENTATION STRATEGY IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: http://www.mission4health.com/documents/Community-Benefit/FY15-17-Mission- CB-Plan-and-IS-Report.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	THE FOLLOWING INITIATIVES WERE DEVELOPED BY MISSION HOSPITAL IN RESPONSE TO SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED DURING THE FY14 CHNA PROCESS: o INCREASING ACCESS TO HEALTH CARE: THIS INITIATIVE AIMS TO INCREASE ACCESS TO PRIMARY HEALTH CARE SERVICES FOR UNINSURED AND UNDERINSURED RESIDENTS IN SOUTH ORANGE COUNTY. HIGHLIGHTS FROM FY15 INCLUDE ENROLLING 3,730 NEW PEOPLE INTO HEALTH INSURANCE PRODUCTS, SERVING NEARLY 2,000 PEOPLE THROUGH MISSION HOSPITAL'S NURSE NAVIGATOR PROGRAM, AND CONNECTING 610 RESIDENTS TO ESSENTIAL HEALTH CARE SERVICES THROUGH COMMUNITY SCREENINGS, FLU CLINICS AND VISION EXAMS. o MENTAL HEALTH: MENTAL HEALTH WAS IDENTIFIED AS A SIGNIFICANT NEED IN SOUTH ORANGE COUNTY, MISSION HOSPITAL'S FY15-FY17 COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY HOPES TO REDUCE THE PREVALENCE OF POOR MENTAL HEALTH OUTCOMES AMONG ADULTS LIVING IN SOUTH ORANGE COUNTY'S HIGH NEED AREAS. SUCCESSES FROM FY15 INCLUDE THE DEVELOPMENT OF A LOCALIZED SOCIAL MARKETING CAMPAIGN TO REDUCE THE STIGMA SURROUNDING MENTAL HEALTH, HOSTING 10 MENTAL HEALTH INTERNS FROM LOCAL UNIVERSITIES TO INCREASE CAPACITY OF SERVICES AND FOSTER A LEARNING ENVIRONMENT FOR TRAINEES IN THE FIELD, AND REACHING NEARLY 4,000 COMMUNITY MEMBERS ON THE TOPIC OF MENTAL HEALTH. o SUBSTANCE ABUSE: SUBSTANCE ABUSE IS A SIGNIFICANT ISSUE IN SOUTH ORANGE COUNTY, PARTICULARLY AMONG YOUTH LIVING IN THE BEACH COMMUNITIES. BECAUSE THIS ISSUE IS A SYMPTOM OF AN UNDERLYING MENTAL HEALTH NEED, MANY OF THE STRATEGIES FOR THE MENTAL HEALTH INITIATIVE IMPACT THE SUBSTANCE ABUSE INITIATIVE AS WELL. HIGHLIGHTS FOCUS ON THE LAGUNA BEACH COMMUNITY WHERE WE HAVE WORKED OVER THE LAST SIX YEARS TO LOWER RATES OF ALCOHOL USE AMONG TEENS. MISSION HOSPITAL CONTINUED TO FACILITATE THE LAGUNA BEACH COMMUNITY COALITION AND WORKED STRATEGICALLY WITH LAGUNA BEACH UNIFIED SCHOOL DISTRICT TO CONTINUE EFFORTS WITH THE SCHOOL TO BETTER THE HEALTH OF YOUTH. IN ADDITION, MISSION HOSPITAL OFFERED 14 SUBSTANCE ABUSE CLASSES TO THE COMMUNITY AND CONDUCTED 4 SCHOOL EDUCATIONAL WORKSHOPS TO INCREASE KNOWLEDGE AND UNDERSTANDING OF THE ISSUE TO TEACHERS AND STAFF. IN ADDITION, TO THE THREE PRIORITY INITIATIVES THAT ADDRESS SIGNIFICANT NEEDS LISTED ABOVE, MISSION HOSPITAL ADDRESSED UNMET COMMUNITY NEED THROUGH OTHER COMMUNITY BENEFIT PROGRAMS. THEY INCLUDE HEALTH EDUCATION AND PROMOTION EFFORTS, CASH DONATIONS AND IN-KIND SPACE FOR NON-PROFITS, HOMELESS OUTREACH AND HOMELESS NUTRITION PROGRAM. THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED DURING THE FY14 CHNA PROCESS WILL NOT BE DIRECTLY ADDRESSED THROUGH PROGRAMMING OR FUNDING AND AN EXPLANATION IS PROVIDED BELOW: ACCESS TO SOCIAL SERVICES: ACCESS TO SOCIAL SERVICES WAS IDENTIFIED AS A NEED IN THE RESIDENT FOCUS GROUPS. EFFORTS WILL CONTINUE TO CREATE AWARENESS ABOUT LOCAL SOCIAL SERVICES TO THE COMMUNITY AND MISSION HOSPITAL (MH) STAFF WILL SHARE THIS ISSUE WITH LOCAL PARTNERS TO HELP THEIR EFFORTS TO EXPAND AWARENESS OF SERVICES. ACTIVITIES FOR TEENS: SEVERAL AGENCIES DEDICATED TO YOUTH AND TEENS EXIST IN THE COMMUNITY, SUCH AS THE BOYS & GIRLS CLUB, YMCA, ETC. IN ADDITION, MANY LOCAL SCHOOLS OFFER AFTER-SCHOOL ENRICHMENT PROGRAMS AND MAINTAIN A SKILL-SET THAT EXCEEDS OUR OWN. AFFORDABLE HOUSING: MH HAS CONCENTRATED ON AFFORDABLE HOMES FOR MANY YEARS IN SOUTH ORANGE COUNTY. RESIDENTS SHARE THAT HOUSING COSTS REMAIN UNAFFORDABLE. WITH THE RECENT CHANGES IN REDEVELOPMENT FUNDS AND THE LACK OF LOCAL RESOURCES AND COLLABORATIVE EFFORTS NEEDED TO FOCUS ON THIS ISSUE, THE COMMITTEE FELT MH'S RESOURCES COULD BE BETTER UTILIZED IN ANOTHER AREA. DENTAL CARE: WHILE DENTAL CARE WAS IDENTIFIED AS A PRIORITY NEED, OUR PRIORITY PROCESS IDENTIFIED ACCESS TO PRIMARY HEALTH CARE SERVICES AS A GREATER NEED IN THE COMMUNITY. MH WILL WORK COLLABORATIVELY WITH OTHER AGENCIES TO BRING DENTAL SERVICES TO SOUTH ORANGE COUNTY WHENEVER POSSIBLE. DIABETES: CAMINO HEALTH CENTER HAS IDENTIFIED THIS CONDITION AS ONE OF THEIR 16 AREAS OF CLINICAL FOCUS. MH WILL CONTINUE TO WORK COLLABORATIVELY WITH CAMINO HEALTH CENTER TO CONNECT RESIDENTS IN NEED OF MEDICAL SERVICES WITH THEIR CENTER. ECONOMIC BURDEN: THE LACK OF AFFORDABLE JOBS, ABILITY TO PAY FOR CHILD CARE AND OTHER BASIC NEEDS WAS SO BROAD A TOPIC THAT MH COMMUNITY BENEFIT COMMITTEE (CBC) DECIDED TO FOCUS EFFORTS ON SPECIFIC ISSUES. MH WILL BRING THIS ISSUE TO THE ST. JOSEPH HEALTH SYSTEM ADVOCACY BRANCH AND CONTINUE TO ADVOCATE FOR THE NEEDS OF THE POOR TO IMPROVE THEIR QUALITY OF LIFE. EDUCATION: MISSION HOSPITAL WORKED WITH DOZENS OF AGENCIES TO DEVELOP CPATHE: (CAPISTRANO PROMOTING ACCESS TO HIGHER EDUCATION) FROM 2008-2011. THIS COLLABORATIVE STILL EXISTS, PRIMARILY THROUGH PARTNERSHIP BETWEEN UNIVERSITY OF CALIFORNIA, IRVINE AND CAPISTRANO UNIFIED SCHOOL DISTRICT. THE SCHOOL DISTRICT HAS CREATED A SPECIFIC PLAN TO ADDRESS THE EDUCATION GRADUATION GAP AND HAS MADE SIGNIFICANT EFFORTS WITHIN THE TEACHING MODEL. OVERWEIGHT/OBESITY: MH FOCUSED ON OVERWEIGHT/OBESITY FOR OVER 10 YEARS, AND RECENT RESULTS HAVE DEMONSTRATED THE RATES OF OBESITY, PARTICULARLY CHILDHOOD OBESITY ARE DECLINING IN OUR LOW-INCOME AREAS. WE WILL REMAIN INVOLVED ON A CONSULTATIVE BASIS WITH THE MANY AGENCIES THAT ARE DIRECTLY FOCUSED ON THIS ISSUE AND WILL CONTINUE TO SUPPORT THEM IN THEIR BROAD COMMUNITY EFFORTS. SAFETY: SAFETY WAS IDENTIFIED PRIMARILY THROUGH THE RESIDENT FOCUS GROUPS IN PARTICULAR AREAS, AND RELATED PRIMARILY TO LIGHTING IN NEIGHBORHOOD PARKS. THE COMMITTEE FELT THERE WERE MORE PRESSING COMMUNITY NEEDS THAT REQUIRED OUR RESOURCES. SENIOR/AGING - RELATED ISSUES: SOUTH ORANGE COUNTY HAS FIVE SENIOR CENTERS IN THE AREA IN ADDITION TO AGE WELL SENIOR SERVICES, AN AGENCY WHOLLY DEDICATED TO THE NEEDS OF SENIORS. WE WILL CONTINUE TO PARTNER WITH AGE WELL AND COMMUNITY CENTERS AROUND OUR IDENTIFIED PRIORITY AREAS. IN ADDITION, MISSION HOSPITAL COLLABORATED WITH MANY LOCAL ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS.
SCHEDULE H, PART V, SECTION B, LINE 13H	OTHER BASIS FOR CALCULATING AMOUNT CHARGED TO PATIENT THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT.
SCHEDULE H, PART V, SECTION B, LINE 16A	https://www.syfphr.oshpd.ca.gov/ SCHEDULE H, PART V, SECTION B, LINE 16B http://www.mission4health.com/documents/sjhs-financialassistanceapplicatio n-8-2015-v2.pdf SCHEDULE H, PART V, SECTION B, LINE 16C http://www.mission4health.com/Patients-Visitors/For-Patients/Financial-Ass istance.aspx
SCHEDULE H, PART V, SECTION B, LINE 16I	OTHER METHOD FOR PUBLICIZING POLICIES THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA.
SCHEDULE H, PART V, SECTION B, LINE 22D	OTHER METHOD FOR DETERMINING MAXIMUM CHARGED AMOUNT FOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USED MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE HOSPITAL FACILITY USED THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MISSION AMBULATORY SURGICENTER LTD
26730 CROWN VALLEY PARKWAY	MISSION VIEJO	CA	92691	OUTPATIENT SURGERY CENTER
FAMILY RESOURCE CENTER
23832 ROCKFIELD BLVD SUITE 270	LAKE FOREST	CA	92630	COMMUNITY OUTREACH CENTER
CHEC FAMILY RESOURCE CENTER
27412 CALLE ARROYO	MISSION VIEJO	CA	92675	COMMUNITY OUTREACH CENTER

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, 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	MISSION HOSPITAL REGIONAL MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: http://www.mission4health.com/documents/FY15-Community-Benefit-Report_MH_F inal.pdf
SCHEDULE H, PART I, LINE 7A-I	COST-TO-CHARGE RATIO METHODOLOGY A COST-TO-CHARGE RATIO FROM THE COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COST OF ALL REPORTED CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST. IT INCLUDED ALL PATIENT TYPES (I.E. INPATIENT OUTPATIENT, EMERGENCY ROOM), AND WOULD ONLY INCLUDE CHARGES OR RELATED COSTS THAT PERTAIN TO EACH RESPECTIVE AREA (I.E. CHARITY, MEDICAID, MANAGED CARE, PRIVATE INSURANCE, SELF-PAY, UNINSURED, ETC.). FOR UNREIMBURSED COSTS THAT WOULD BE THE DIFFERENCE BETWEEN THE DETERMINED COSTS UTILIZING THE COST-TO-CHARGE RATIO LESS ANY PAYMENTS RECEIVED FOR THAT PARTIAL PAYOR GROUP. THE COST-TO-CHARGE RATIO USED WAS NOT DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER.
SCHEDULE H, PART I, LINE 7, COLUMN (F)	JOINT VENTURE EXPENSES OF $3,807,882 WERE INCLUDED IN THE TOTAL EXPENSE AMOUNT USED TO CALCULATE AMOUNTS IN PART I, LINE 7, COLUMN F.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED HEALTH SERVICES RECUPERATIVE PROGRAMS - $33,250 PHARMACY & DME - $26,827
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES OUR MISSION CALLS US TO IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. A KEY EMPHASIS IS PUT ON DEVELOPING PROGRAMS THAT ADDRESS ROOT CAUSES OF HEALTH PROBLEMS. FOSTERING A PREPARED AND PRODUCTIVE WORKFORCE IS THE PRIMARY FOCUS OF OUR COMMUNITY BUILDING AT MISSION HOSPITAL (MH). WE COMPLETE THIS EFFORT THROUGH A CONTINUED COLLABORATION WITH CAPISTRANO UNIFIED SCHOOL DISTRICT ADULT TRANSITION PROGRAM. SINCE 2006, MISSION HOSPITAL HOSTS INTERNS EACH FALL TO PROVIDE WORK EXPERIENCE IN A HOSPITAL SETTING. PROJECT MISSION IS A NINE-MONTH INTERNSHIP PROGRAM THAT PREPARES YOUNG ADULTS WITH SPECIAL NEEDS TO PURSUE INDEPENDENT LIVES AND TO DEVELOP PROFESSIONAL SKILLS. FY15 ACCOMPLISHMENTS: 5 INTERNS COMPLETED THE PROGRAM IN FY15. STRENGTHENED INTERNS' PROFESSIONAL AND INTERPERSONAL SKILLS.
SCHEDULE H, PART III, SECTION A, LINE 2	DISCOUNTS ON PATIENT ACCOUNTS IN BAD DEBT 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, SECTION A, LINE 3	METHODOLOGY OF ESTIMATING BAD DEBT EXPENSE ATTRIBUTABLE TO FAP PATIENTS THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, SECTION A, LINE 4	FINANCIAL STATEMENT BAD DEBT EXPENSE FOOTNOTE THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT CREDIT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED PAYORS ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION REGULARLY ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, SECTION B, LINE 8	TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING CMS STANDARD COSTING METHODS. THIS INCLUDES STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS.
SCHEDULE H, PART III, SECTION C, LINE 9B	APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE 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 IV, COLUMN (A)	NAME OF ENTITY 1. MISSION EDUCATION CONFERENCE CENTER, LLC 2. MISSION AMBULATORY SURGICENTER, LTD, DBA MISSION SURGERY CENTER
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT MISSION HOSPITAL'S FY14 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN THE HIGH NEED AREAS OF SAN CLEMENTE, SAN JUAN CAPISTRANO, MISSION VIEJO, LAKE FOREST, AND THROUGHOUT LAGUNA BEACH FROM AUGUST 2013 TO FEBRUARY 2014. IT HAD THE COLLABORATION OF A BROAD NETWORK OF AGENCIES FROM A VARIETY OF SECTORS SUCH AS HEALTHCARE, SOCIAL SERVICE PROVIDERS, ADVOCATES, COMMUNITY-BASED ORGANIZATIONS, LOCAL GOVERNMENT, AND EDUCATIONAL INSTITUTIONS. THEY PROVIDED SUPPORT TO COMMUNITY AND DATA GATHERING EVENTS, SHARED THEIR EXPERTISE ON THE NEEDS AND ASSETS OF THE COMMUNITY, AND FACILITATED THE IDENTIFICATION OF PRIORITY AREAS. IN ADDITION, THE MH COMMUNITY BENEFIT TEAM WORKS CLOSELY WITH MEMBERS OF THE COMMUNITY AS WELL AS OTHER NON-PROFIT AGENCIES WHO SERVE THE LOW-INCOME AND VULNERABLE. THROUGH THESE PARTNERSHIPS MISSION HOSPITAL IS STAYING APPRISED OF NEW OR UPCOMING COMMUNITY NEEDS. IN ADDITION, MH MAINTAINS RELATIONSHIPS WITH MANY FAITH COMMUNITIES IN THE AREA; CONDUCTING "LISTENING TOURS" WITH FAITH LEADERS ALLOWS US TO UNDERSTAND THE NEEDS THEY ARE SEEING WITHIN THEIR CONGREGATIONS.
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 MISSION HOSPITAL PROVIDES SOUTH ORANGE COUNTY COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING THROUGH TWO CONVENIENT LOCATIONS, MISSION VIEJO AND LAGUNA BEACH (THE LAGUNA BEACH CAMPUS WAS PURCHASED IN JULY 2009). THE HOSPITAL'S SERVICE AREA EXTENDS FROM THE JUNCTION OF THE 405 AND 5 FREEWAYS IN THE NORTH TO CAMP PENDLETON IN THE SOUTH. GEOGRAPHICALLY, SOUTH COUNTY IS BORDERED BY THE PACIFIC OCEAN TO THE WEST, THE SANTA ANA MOUNTAINS TO THE NORTH AND EAST, AND THE MARINE BASE CAMP PENDLETON TO THE SOUTH. OUR PRIMARY SERVICE AREA INCLUDES THE COMMUNITIES OF MISSION VIEJO, LAGUNA BEACH, LAGUNA NIGUEL, SAN JUAN CAPISTRANO, SAN CLEMENTE, RANCHO SANTA MARGARITA, LAKE FOREST, LAGUNA HILLS, DANA POINT, LADERA RANCH, TRABUCO CANYON, CAPISTRANO BEACH AND ALISO VIEJO. THIS INCLUDES A POPULATION OF APPROXIMATELY 623,000 PEOPLE, AN INCREASE OF 4% FROM THE PRIOR ASSESSMENT. MISSION HOSPITALS SECONDARY SERVICE AREA INCLUDES LAGUNA WOODS, IRVINE, FOOTHILL RANCH AND SILVERADO. SOUTH ORANGE COUNTY IS A RELATIVELY AFFLUENT COMMUNITY WITH A MEDIAN HOUSEHOLD INCOME OF $92,124 COMPARED TO THE ORANGE COUNTY MEDIAN HOUSEHOLD INCOME OF $58,605 (US CENSUS QUICK FACTS). THE AVERAGE HOUSEHOLD SIZE IS 2.70 COMPARED TO THE ORANGE COUNTY-WIDE HOUSEHOLD SIZE OF 3.00. DEMOGRAPHICALLY, THE AREA IS PRIMARILY CAUCASIAN (78%), WITH THE HISPANIC POPULATION GROWING TO 19.2%. HOWEVER, THERE ARE ISOLATED AREAS OF NEED THROUGHOUT THE SERVICE AREA. SOUTH ORANGE COUNTY ENCOMPASSES 69,512 PEOPLE LIVING BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL) ACROSS 11 ZIP CODES. PART OF OUR SERVICE AREA IS CONSIDERED A MEDICALLY UNDERSERVED POPULATION (MUP) AREA (#00319). THE MUP COVERS PORTIONS OF DANA POINT, SAN CLEMENTE AND SAN JUAN CAPISTRANO AND HAS THE HIGHEST CONCENTRATION OF MEDICALLY UNDERSERVED RESIDENTS BELOW 200% FPL IN SOUTH ORANGE COUNTY. THESE AREAS ARE VASTLY DIFFERENT THAN THE WEALTHY COASTAL ENCLAVES PORTRAYED ON TELEVISION SHOWS ABOUT ORANGE COUNTY. (SOURCE: CAMINO HEALTH CENTER HEALTH NEEDS ASSESSMENT REPORT 2013) MANY OF THE LOW-INCOME RESIDENTS IN THE AREA ARE LARGELY LATINO IMMIGRANTS WHO ARE EMPLOYED IN LOW-WAGE/NO BENEFIT JOBS AT LOCAL RESORTS, AS CONSTRUCTION WORKERS, JANITORS, LANDSCAPERS, DOMESTIC WORKERS, AND IN OTHER SERVICE JOBS THAT SUPPORT SOUTH ORANGE COUNTYS ECONOMY. ALMOST ONE IN THREE LATINO RESIDENTS LIVE IN A HOUSEHOLD IN AN INCOME UNDER 200% FPL. UNEMPLOYMENT OR UNDEREMPLOYMENT REMAINS HIGH FOR MANY OF THESE RESIDENTS. IN ADDITION, EDUCATIONAL ATTAINMENT REMAINS A BARRIER FOR THIS POPULATION. AMONG LATINOS IN THE AREA, 25.3% HAD LESS THAN A HIGH SCHOOL DIPLOMA. IN SAN JUAN CAPISTRANO, SOUTH ORANGE COUNTYS ENTRY-POINT FOR LATINO IMMIGRANTS, CLOSE TO 50% OF ADULTS OVER AGE 25 HAVE LESS THAN A HIGH SCHOOL DIPLOMA. (SOURCE: CAMINO HEALTH CENTER HEALTH NEEDS ASSESSMENT REPORT 2013) THE FOLLOWING NON-PROFIT HOSPITALS ARE WITHIN THE MISSION HOSPITAL SERVICE AREA: SADDLEBACK MEMORIAL-LAGUNA HILLS, SADDLEBACK MEMORIAL, SAN CLEMENTE, CHILDREN'S HOSPITAL OF ORANGE COUNTY AT MISSION.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH REALIZING OUR MISSION MISSION HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 42 YEARS. SERVING THE COMMUNITIES OF SOUTH ORANGE COUNTY, MISSION HOSPITAL IS AN ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF HEART, STROKE, MATERNITY, AND MENTAL HEALTH SERVICES. MISSION HOSPITAL IS ALSO THE REGIONS ONLY DESIGNATED TRAUMA CENTER. WITH OVER 2,500 EMPLOYEES COMMITTED TO REALIZING THE MISSION, MISSION HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE SOUTH ORANGE COUNTY REGION. MISSION HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE OF ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: THERE IS A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION, AN OPEN MEDICAL STAFF, AND THROUGH OUR COMMUNITY BENEFIT PROGRAMS WHICH ARE PARTLY FUNDED BY CARE FOR THE POOR DOLLARS. LOCAL COMMUNITY BENEFIT COMMITTEE: THE ROLE OF THE MISSION HOSPITALS COMMUNITY BENEFIT COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMITTEE ACTS IN ACCORDANCE WITH A BOARD-APPROVED CHARTER. THE COMMUNITY BENEFIT COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS IDENTIFIED NEEDS IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS, AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY BENEFIT COMMITTEE HAS A MINIMUM OF EIGHT MEMBERS INCLUDING THREE MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES THREE MEMBERS OF THE BOARD OF TRUSTEES AND EIGHT COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE GENERALLY MEETS BI-MONTHLY. COMMUNITY BENEFIT INVESTMENT IS DEMONSTRATED THROUGH THE FOLLOWING KEY PROGRAMS: CAMINO HEALTH CENTER: MISSION HOSPITAL IS THE SOLE CORPORATE SPONSOR FOR THIS FEDERALLY QUALIFIED HEALTH CENTER, PROVIDING ESSENTIAL PRIMARY MEDICAL NEEDS FOR THE LOW-INCOME POPULATION OF SOUTH ORANGE COUNTY. IN FY15, MISSION CONTRIBUTED OVER $1 MILLION DOLLARS TO SUPPORT THE EFFORTS OF CAMINO HEALTH CENTER. IN FY15, CAMINO OBTAINED ACCREDITATION FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE TO BE A LEVEL 3 PATIENT CENTERED MEDICAL HOME. IN ADDITION, CAMINO EXPANDED THEIR MEDICAL PROVIDERS, SUPPORT STAFF AND CREATED A PLAN TO INTEGRATE BEHAVIORAL HEALTH SERVICES INTO THEIR MEDICAL TEAM. FAMILY RESOURCE CENTERS (FRCS): ESTABLISHED IN 1996, THE FRCS PROVIDE ACCESS TO SOCIAL SERVICES FOR COMMUNITY MEMBERS WITH LIMITED FINANCIAL RESOURCES. THROUGH FUNDING AND MH STAFF SUPPORT, THE FOLLOWING COMMUNITY NEEDS ARE ADDRESSED: ACCESS TO CARE, MENTAL HEALTH, FAMILY SUPPORT AND SOCIAL SUPPORT. THESE CENTERS ARE LIFELINES FOR MANY PEOPLE IN THE COMMUNITY AND SERVE A MUCH-NEEDED LINKAGE TO COMMUNITY PROGRAMS. IN FY15: MENTAL HEALTH SERVICES, SKILLS FOR LIFE PROGRAMS, HEALTH INSURANCE ACCESS, PARENTING SUPPORT & EDUCATION, PARENT/CHILD CLASSES, FAMILY ADVOCACY, INFORMATION & RESOURCE SERVICES, PERSONAL EMPOWERMENT PROGRAMS, FINANCIAL COUNSELING, EDUCATION ASSISTANCE AND LIMITED EMERGENCY ASSISTANCE. IN FY15, 18,194 UNIQUE INDIVIDUALS WERE SERVED THROUGH PROGRAMS AND ACTIVITIES CONDUCTED IN COLLABORATION WITH THE FRCS AND BOTH CENTERS WERE AWARDED THE FAMILIES AND COMMUNITIES TOGETHER (FACT) CONTRACT FROM THE COUNTY OF ORANGE, CHILDREN AND FAMILIES COMMISSION IN JULY 2015. MENTAL HEALTH INITIATIVE: THROUGH AN INTEGRATED NETWORK OF CARE, MISSION HOSPITAL AIMS TO IMPROVE MENTAL HEALTH SERVICES FOR THE VULNERABLE POPULATION IN SOUTH ORANGE COUNTY THROUGH PREVENTION AND BY ENSURING ACCESS TO APPROPRIATE, QUALITY MENTAL HEALTH SERVICES. MISSION HOSPITAL IS WORKING TO IMPROVE THE MENTAL HEALTH OF THE MOST VULNERABLE MEMBERS OF SOUTH ORANGE COUNTY. IN FY15, MH INITIATED A STIGMA REDUCTION CAMPAIGN IN PARTNERSHIP WITH CALIFORNIAS EACH MIND MATTERS MOVEMENT. IN THE FIRST MONTH OF THE PROGRAM MH REACHED 885 PERSONS THROUGH ONE-ON-ONE INTERACTIONS AND SOCIAL MEDIA FOLLOWERS (WITH OVER 10,000 IMPRESSIONS CREATED THROUGH SOCIAL MEDIA POSTS). MH TRAINED 373 PEOPLE IN MENTAL HEALTH FIRST AID, AND WORKED TO INCREASE CAPACITY OF MENTAL HEALTH SERVICES BY HOSTING 10 MENTAL HEALTH INTERNS AT OUR FRCS. THIS RESULTED IN AN ADDITIONAL 4,510 HOURS OF SERVICES PROVIDED TO THE COMMUNITY. ACCESS TO APPROPRIATE, QUALITY MENTAL HEALTH SERVICES. MISSION HOSPITAL IS WORKING TO IMPROVE THE MENTAL HEALTH OF THE MOST VULNERABLE MEMBERS OF SOUTH ORANGE COUNTY. IN FY15, MH INITIATED A STIGMA REDUCTION CAMPAIGN IN PARTNERSHIP WITH CALIFORNIAS EACH MIND MATTERS MOVEMENT. IN THE FIRST MONTH OF THE PROGRAM MH REACHED 885 PERSONS THROUGH ONE-ON-ONE INTERACTIONS AND SOCIAL MEDIA FOLLOWERS (WITH OVER 10,000 IMPRESSIONS CREATED THROUGH SOCIAL MEDIA POSTS). MH TRAINED 373 PEOPLE IN MENTAL HEALTH FIRST AID, AND WORKED TO INCREASE CAPACITY OF MENTAL HEALTH SERVICES BY HOSTING 10 MENTAL HEALTH INTERNS AT OUR FRCS. THIS RESULTED IN AN ADDITIONAL 4,510 HOURS OF SERVICES PROVIDED TO THE COMMUNITY.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM MISSION HOSPITAL IS A HEALING MINISTRY OF ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. ST. JOSEPH HEALTH IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 16 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPITAL CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE PEOPLE IN THE COMMUNITIES WE SERVE. SJH COMMUNITY PARTNERSHIP FUND (FORMERLY THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) IN 1986, ST. JOSEPH HEALTH (SJH) CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FREE CARE FOR THOSE IN NEED OF ACUTE SERVICES, SJH CREATED THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND (FORMERLY THE ST. JOSEPH HEALTH FOUNDATION) TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES A POLICY THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. IN FY15, MH CONTRIBUTED 5 MILLION AND THIS AMOUNT TOTALED $31 MILLION FOR THE SJH CPF. 75% OF THE CONTRIBUTIONS ARE USED TO SUPPORT CARE FOR THE POOR PROGRAMS THAT ARE SELECTED LOCALLY BY EACH HOSPITAL. 17.5% IS USED TO SUPPORT COMMUNITY PARTNERSHIP FUND INITIATIVES, SUCH AS THE WELLNESS AND PREVENTION INITIATIVE, AND THE COMMUNITY BUILDING INITIATIVE. THE REMAINING 7.5% IS DESIGNATED TOWARD THE ENDOWMENT, WHICH HELPS ENSURE THE FUND'S ABILITY TO SUSTAIN PROGRAMS INTO THE FUTURE THAT ASSIST LOW-INCOME AND UNDERSERVED POPULATIONS. COMMUNITY INVESTMENT FUND ST. JOSEPH HEALTH FURTHER RECOGNIZES THAT THE HEALTH OF ANY COMMUNITY DEPENDS ON THE MAINTENANCE AND CREATION OF STRONG STRUCTURES-BOTH PHYSICAL AND SOCIAL-THAT CONTRIBUTE TO THE LONG-TERM WELL-BEING OF PEOPLE. THAT PHILOSOPHY INSPIRED THE INITIATION OF THE COMMUNITY INVESTMENT FUND-AN EFFORT TO ENABLE NON-PROFIT 501 (C)(3) ORGANIZATIONS TO ACHIEVE THEIR FULL POTENTIAL AND PLAY A MAJOR ROLE IN THE GROWTH OF THEIR COMMUNITIES. THE COMMUNITY INVESTMENT FUND PROVIDES CAPITAL IN THE FORM OF LOANS, DEPOSITS OR OTHER SUPPORT TO NON-PROFITS TO PROMOTE SOCIAL GOOD AND THE DEVELOPMENT OF HEALTHIER COMMUNITIES. IN FY15, A TOTAL OF $9.4 MILLION WAS INVESTED INTO THE COMMUNITY THROUGH LOANS AND LINES OF CREDIT. FUNDED NON-PROFITS INCLUDE THOSE THAT SERVE THE HOMELESS, PROVIDE AFFORDABLE HOUSING, PROVIDE ACCESS TO PRIMARY MEDICAL CARE, AND ADDRESS YOUTH DEVELOPMENT. LEARN MORE ABOUT SJH COMMUNITY BENEFIT AT STJHS.ORG.
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 (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE	IRVINE	CA	92612	330143024	501(c)(3)	$5,063,800	CARE FOR THE POOR
CAMINO HEALTH CENTER
30300 CAMINO CAPISTRANO	SAN JUAN CAPISTRANO	CA	92675	330574214	501(c)(3)	$1,590,284	PROGRAM SUPPORT OUTREACH
NATIONAL HEALTH FOUNDATION
515 S FIGUEROA 1300	LOS ANGELES	CA	90071	237314808	501(c)(3)	$33,250	PROGRAM SUPPORT
MISSION MEDICAL PHARMACY
27800 MEDICAL CENTER ROAD	MISSION VIEJO	CA	92691	330684413		$26,827	CARE FOR THE POOR
MARCH OF DIMES
2222 MARTIN STREET 155	IRVINE	CA	92612	131846366	501(c)(3)	$10,000	PROGRAM SUPPORT
SUSAN KOMEN FOR THE CURE
3191-A AIRPORT LOOP DRIVE	COSTA MESA	CA	92626	752844659	501(c)(3)	$10,000	PROGRAM SUPPORT
EXCHANGE CLUB OF ORANGE COUNTY
24761 VIA PRINCESA	LAKE FOREST	CA	92630	954568283	501(c)(3)	$7,500	PROGRAM SUPPORT
RANCHO MISSION VIEJO
PO BOX 9	SAN JUAN CAPISTRANO	CA	92693	330954148	501(c)(3)	$10,000	PROGRAM SUPPORT
TALLER SAN JOSE
801 NORTH BROADWAY	SANTA ANA	CA	92701	593816355	501(c)(3)	$6,650	PROGRAM SUPPORT
ST TIMOTHY'S CATHOLIC CHURCH
29102 CROWN VALLEY PARKWAY	LAGUNA NIGUEL	CA	92677	953656905	501(c)(3)		PROGRAM SUPPORT	$45,832	OTHER	FOOD BANK DONATION
MISSION BASILICA SAN JUAN CAPISTRANO
31520 CAMINO CAPISTRANO	SAN JUAN CAPISTRANO	CA	92675	951904079	501(C)(3)		PROGRAM SUPPORT	$45,240	Other	FOOD BANK DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
INDIVIDUAL FUNERALS	10	$13,672
MAMMOGRAMS	14	$3,338
HOME CARE	85	$4,280
COMMUNITY OUTREACH	1	$26,827

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 MISSION HOSPITAL HAS AN AFFILIATION AGREEMENT WITH CAMINO HEALTH CENTER THAT CALLS FOR THE STEERING COMMITTEE, WHICH INCLUDES AN OFFICER FROM THE HOSPITAL, TO PROVIDE OVERSIGHT OF FUNDS GRANTED TO CAMINO BY THE HOSPITAL. THE CARE FOR THE POOR FUNDS GIVEN TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION IS GOVERNED BY THE HEALTH SYSTEM FOUNDATION. THE DISBURSEMENT OF THE FUNDS FOLLOWS SPECIFICS SET FORTH BY THE HEALTH SYSTEM POLICY "CARE FOR THE POOR PROGRAM ACCOUNTING." THERE IS NO MONITORING DONE IN THE OTHER GRANTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	SubstantiationRequiredInd
Severance Payment	Yes (true)	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 (20 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
MICHAEL MARINO DO
SVP, CHIEF MEDICAL INFORMATION	$0	$378,863	$0	$210,568	$0	$8,136	$0	$13,000	$0	$2,705	$0	$613,272	$0	$0
KENNETH MCFARLAND
BOARD MEMBER, CEO & PRESIDENT	$0	$502,916	$0	$175,950	$0	$172,819	$0	$20,304	$0	$32,557	$0	$904,546	$0	$60,331
EILEEN HAUBL
VP & CHIEF FINANCIAL OFFICER	$299,599	$0	$132,247	$0	$14,754	$0	$25,212	$0	$22,321	$0	$494,133	$0	$0	$0
CYNTHIA MUELLER
VP MISSION INTEGRATION	$210,880	$0	$86,223	$0	$30,542	$0	$23,896	$0	$22,219	$0	$373,760	$0	$23,992	$0
TARA COWELL
VP/ASSOC. GENERAL COUNSEL/SEC.	$0	$245,980	$0	$115,119	$0	$48,461	$0	$17,821	$0	$26,777	$0	$454,158	$0	$0
LINDA SIEGLEN
CHIEF MEDICAL OFFICER	$341,771	$0	$143,839	$0	$50,867	$0	$0	$0	$25,274	$0	$561,751	$0	$0	$0
LINDA JOHNSON
CHIEF CLINICAL OFFICER	$309,535	$0	$139,844	$0	$17,046	$0	$17,941	$0	$32,460	$0	$516,826	$0	$10,039	$0
MICHAEL BECK
VP, INTEGRATED OPERATIONS	$206,328	$0	$88,351	$0	$94,552	$0	$19,542	$0	$33,580	$0	$442,353	$0	$85,560	$0
DEANNE NIEDZIELA
EXEC DIR NURSING SERVICES	$165,605	$0	$13,459	$0	$2,708	$0	$15,402	$0	$23,590	$0	$220,764	$0	$0	$0
MICHAEL KOHLER
EXEC DIR PERIOPERATIVE SVS	$160,641	$0	$26,594	$0	$3,468	$0	$8,350	$0	$22,193	$0	$221,246	$0	$0	$0
VICTORIA MCKINNEY
E.D. MATERNAL/CHILD/MED/SURG	$175,588	$0	$33,618	$0	$9,746	$0	$12,498	$0	$10,592	$0	$242,042	$0	$0	$0
DENNIS HAGHIGHAT MD
FORMER KEY EMPLOYEE	$0	$283,452	$0	$101,185	$0	$4,902	$0	$13,000	$0	$10,638	$0	$413,177	$0	$0
TERRI FOX-COVERT
VP HUMAN RESOURCES	$205,380	$0	$88,337	$0	$3,285	$0	$19,493	$0	$34,635	$0	$351,130	$0	$0	$0
CATHLEEN COLLINS
CHIEF DEVELOPMENT OFFICER	$204,003	$0	$62,861	$0	$3,661	$0	$0	$0	$26,888	$0	$297,413	$0	$0	$0
PHUC MAI
DIR PHARMACY	$206,360	$0	$27,940	$0	$3,313	$0	$2,301	$0	$23,117	$0	$263,031	$0	$0	$0
PHYLLIS ROBBY
EXEC DIR NURSING SERVICES	$161,746	$0	$28,563	$0	$9,301	$0	$15,531	$0	$30,998	$0	$246,139	$0	$0	$0
KRISTA MORAND
MGR PHARMACY OPERATIONS	$162,895	$0	$7,672	$0	$20,994	$0	$17,062	$0	$34,952	$0	$243,575	$0	$0	$0
RONALD GALONSKY
FORMER KEY EMPLOYEE	$0	$0	$0	$0	$183,751	$0	$0	$0	$0	$0	$183,751	$0	$0	$0
ANNETTE WALKER
BOARD MEMBER (PART YEAR)	$0	$545,309	$0	$209,666	$0	$176,335	$0	$13,000	$0	$33,558	$0	$977,868	$0	$0
SAMUEL GOMEZ
EXEC DIRECTOR NURSING SERVICES	$168,097	$0	$27,142	$0	$10,965	$0	$6,852	$0	$14,872	$0	$227,928	$0	$4,957	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	DISCRETIONARY SPENDING ACCOUNT EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION.
SCHEDULE J, PART I, LINE 3	DESCRIPTION OF CEO PAID BY EXEMPT PARENT 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 USED BY ST. JOSEPH HEALTH SYSTEM.
SCHEDULE J, PART I, LINE 4A	SEVERANCE PAYMENT OR CHANGE OF CONTROL PAYMENT THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FOR EITHER PART OR ALL OF THE YEAR: RONALD GALONSKY - $ 183,751
SCHEDULE J, PART I, LINE 4B	DESCRIPTION OF A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN EXECUTIVES PREVIOUSLY COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) PAYMENTS DURING THE YEAR: KENNETH MCFARLAND - $60,331 CYNTHIA MULLER - $23,992 LINDA JOHNSON - $10,039 MICHAEL BECK - $85,560
SCHEDULE J, PART I, LINE 7	DESCRIBE ANY NON-FIXED PAYMENTS PROVIDED A PORTION OF EXECUTIVES 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 OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CONTRIBUTOR 15
SUBSTANTIAL CONTRIBUTOR	$222,372	MEDICAL SERVICES	false
CONTRIBUTOR 21
SUBSTANTIAL CONTRIBUTOR	$206,185	MECHANICAL HVAC CONTRACTOR	false
CONTRIBUTOR 55
SUBSTANTIAL CONTRIBUTOR	$606,152	ANESTHESIOLOGY SERVICES	false
CONTRIBUTOR 56
SUBSTANTIAL CONTRIBUTOR	$341,463	MEDICAL SERVICES	false
CONTRIBUTOR 145
SUBSTANTIAL CONTRIBUTOR	$1,078,231	MEDICAL SERVICES	false
CONTRIBUTOR 70
SUBSTANTIAL CONTRIBUTOR	$880,692	PRINT MANAGEMENT SERVICES	false
CONTRIBUTOR 57
SUBSTANTIAL CONTRIBUTOR	$127,000	MEDICAL SERVICES	false

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

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	13	ContributionCnt
Noncash Contributions Rpt F990	$524,292	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
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	Gifts in Kind	Desc
Contribution	786	ContributionCnt
Noncash Contributions Rpt F990	$551,558	NoncashContributionsRptF990Amt
Method Of Determining Revenues	See Part II	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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE M, PART I, COLUMN (B)	AMOUNTS IN THIS COLUMN WERE BASED ON THE NUMBER OF CONTRIBUTIONS.
SCHEDULE M, PART I, LINE 25	GIFTS IN KIND WITH AN ESTIMATED VALUE OF $551,558 WERE RECEIVED DURING THE YEAR AND WERE NOT INCLUDED ON THE BOOKS. VALUE WAS ESTIMATED FROM DONOR'S APPROXIMATION OF VALUE. REVENUE FROM THE SALE OF THESE ITEMS IS INCLUDED IN FUNDRAISING REVENUE ON FORM 990, PART VIII, LINE 8A.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, BOX F	RICHARD AFABLE, M.D. BECAME THE PRINCIPAL OFFICER OF THE ORGANIZATION AFTER JUNE 30, 2015. AS A RESULT, HE IS NOT LISTED AS AN OFFICER IN PART VII.
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS REALIZING OUR MISSION MISSION HOSPITAL ("MH OR MISSION") HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE PEOPLE IN THE LOCAL COMMUNITY FOR OVER 42 YEARS. SERVING THE COMMUNITIES OF SOUTH ORANGE COUNTY, MISSION HOSPITAL IS AN ACUTE CARE, FULL SERVICE FACILITY THAT HOUSES THE REGION'S DESIGNATED TRAUMA CENTER, ONE OF ONLY THREE IN THE COUNTY. A COMPLETE ARRAY OF TOP-QUALITY HEALTHCARE SERVICES ARE OFFERED INCLUDING 24-HOUR EMERGENCY CARE; IMAGING, CARDIAC REHABILITATION AND CHEST PAIN CENTER; STROKE CENTER, MATERNITY CENTER. MISSION HOSPITAL ALSO OFFERS ORTHOPEDICS, REHABILITATION, CANCER, SPINE AND VASCULAR SERVICES. OUR LAGUNA BEACH HEALTHCARE SERVICES INCLUDE 24-HOUR EMERGENCY, MEDICAL-SURGICAL CARE AS WELL AS BEHAVIORAL HEALTH AND CHEMICAL AND PAIN MEDICATION DEPENDENCY TREATMENT. WITH OVER 2,500 EMPLOYEES COMMITTED TO REALIZING THE MISSION, MISSION HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE REGION. AS A MEMBER OF ST. JOSEPH HEALTH, MISSION HOSPITAL IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORS" AND MINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. PATIENT FINANCIAL ASSISTANCE PROGRAM MISSION HOSPITAL BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY MISSION HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY15, MISSION HOSPITAL PROVIDED $5,078,063 IN FREE AND DISCOUNTED CARE AND ITS JOINT VENTURE, MISSION SURGERY CENTER, PROVIDED $4,009 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM MISSION HOSPITAL PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY15, MISSION HOSPITAL PROVIDED $34,215,900 IN MEDICAID SHORTFALL. PROGRAM SERVICE ACCOMPLISHMENTS CAMINO HEALTH CENTER: MISSION HOSPITAL IS THE SOLE CORPORATE SPONSOR FOR THIS FEDERALLY QUALIFIED HEALTH CENTER, PROVIDING ESSENTIAL PRIMARY MEDICAL NEEDS FOR THE LOW-INCOME POPULATION OF SOUTH ORANGE COUNTY. IN FY15, MISSION CONTRIBUTED OVER $1 MILLION DOLLARS TO SUPPORT THE EFFORTS OF CAMINO HEALTH CENTER. IN FY15, CAMINO OBTAINED ACCREDITATION FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE TO BE A LEVEL 3 PATIENT CENTERED MEDICAL HOME. IN ADDITION, CAMINO EXPANDED THEIR MEDICAL PROVIDERS, SUPPORT STAFF AND CREATED A PLAN TO INTEGRATE BEHAVIORAL HEALTH SERVICES INTO THEIR MEDICAL TEAM. FAMILY RESOURCE CENTERS (FRCS): ESTABLISHED IN 1996, THE SOUTH ORANGE COUNTY FAMILY RESOURCE CENTER (SOCFRC) HAS BEEN SERVING APPROXIMATELY 5,000 PEOPLE EACH YEAR. THE FRCS PROVIDE ACCESS TO SOCIAL SERVICES FOR COMMUNITY MEMBERS WITH LIMITED FINANCIAL RESOURCES. THROUGH FUNDING AND MH STAFF SUPPORT, THE FOLLOWING COMMUNITY NEEDS ARE ADDRESSED: ACCESS TO CARE, MENTAL HEALTH, FAMILY SUPPORT AND SOCIAL SUPPORT. THESE CENTERS ARE LIFELINES FOR MANY PEOPLE IN THE COMMUNITY AND SERVE A MUCH-NEEDED LINKAGE TO COMMUNITY PROGRAMS. IN FY15: MENTAL HEALTH SERVICES, SKILLS FOR LIFE PROGRAMS, HEALTH INSURANCE ACCESS, PARENTING SUPPORT & EDUCATION, PARENT/CHILD CLASSES, FAMILY ADVOCACY, INFORMATION & RESOURCE SERVICES, PERSONAL EMPOWERMENT PROGRAMS, FINANCIAL COUNSELING, EDUCATION ASSISTANCE AND LIMITED EMERGENCY ASSISTANCE. IN FY15, 18,194 UNIQUE INDIVIDUALS WERE SERVED THROUGH PROGRAMS AND ACTIVITIES CONDUCTED IN COLLABORATION WITH THE FRCS AND BOTH CENTERS WERE AWARDED THE FAMILIES AND COMMUNITIES TOGETHER (FACT) CONTRACT FROM THE COUNTY OF ORANGE, CHILDREN AND FAMILIES COMMISSION IN JULY 2015. MENTAL HEALTH INITIATIVE: THROUGH AN INTEGRATED NETWORK OF CARE, MISSION HOSPITAL AIMS TO IMPROVE MENTAL HEALTH SERVICES FOR THE VULNERABLE POPULATION IN SOUTH ORANGE COUNTY THROUGH PREVENTION AND BY ENSURING ACCESS TO APPROPRIATE, QUALITY MENTAL HEALTH SERVICES. MISSION HOSPITAL IS WORKING TO IMPROVE THE MENTAL HEALTH OF THE MOST VULNERABLE MEMBERS OF SOUTH ORANGE COUNTY. IN FY15, MH INITIATED A STIGMA REDUCTION CAMPAIGN IN PARTNERSHIP WITH CALIFORNIA'S EACH MIND MATTERS MOVEMENT. IN THE FIRST MONTH OF THE PROGRAM, MH REACHED 885 PERSONS THROUGH ONE-ON-ONE INTERACTIONS AND SOCIAL MEDIA FOLLOWERS (WITH OVER 10,000 IMPRESSIONS CREATED THROUGH SOCIAL MEDIA POSTS). MH TRAINED 373 PEOPLE IN MENTAL HEALTH FIRST AID, AND WORKED TO INCREASE CAPACITY OF MENTAL HEALTH SERVICES BY HOSTING 10 MENTAL HEALTH INTERNS AT OUR FRCS. THIS RESULTED IN AN ADDITIONAL 4,510 HOURS OF SERVICES PROVIDED TO THE COMMUNITY. FOR MORE INFORMATION ABOUT MISSION HOSPITAL, PLEASE VISIT WWW.MISSION4HEALTH.COM FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG.
FORM 990, PART VI, LINE 6	DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST JOSEPH HEALTH SYSTEM AND COVENANT HEALTH NETWORK, INC. ARE THE CORPORATE MEMBERS OF MISSION HOSPITAL.
FORM 990, PART VI, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS MISSION HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE MISSION HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE MISSION HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY ST. JOSEPH HEALTH SYSTEM, AS A CORPORATE MEMBER, AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. THE TRUSTEES ARE THEN APPROVED AND ELECTED BY THE COVENANT HEALTH NETWORK, INC. BOARD. FORM 990, PART VI, LINE 7B DESCR CLASSES OF PERSONS, DECISIONS REQ APPR & 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, 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	DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE APRIL 2016 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING.
FORM 990, PART VI, LINE 12C	DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN CONNECTION WITH THAT INDIVIDUAL SATISFYING THEIR FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WITH GUIDANCE FROM THE ST. JOSEPH HEALTH SYSTEM CHIEF COMPLIANCE OFFICER (CCO), THE CHIEF EXECUTIVE AND/OR THE GOVERNING BOARD CHAIRPERSON, AS APPROPRIATE, CONSIDERS THE MATTER INITIALLY. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL, THE MATTER IS ESCALATED TO THE CCO. THE CCO, IN CONSULTATION WITH THE ST. JOSEPH HEALTH SYSTEM GENERAL COUNSEL, REVIEWS THE MATTER AND PRESENTS RECOMMENDATIONS TO THE GOVERNING BOARD AND/OR BOARD COMMITTEE, AS APPROPRIATE, FOR DISCUSSION AND VOTE. THE INDIVIDUAL WHOSE POTENTIAL CONFLICT IS BEING REVIEWED MAY BE REQUESTED TO BE PRESENT DURING ANY MEETING IN WHICH THE BOARD OR BOARD COMMITTEE CONDUCTS ITS EVALUATION BUT SHALL BE EXCUSED FOR ANY DISCUSSION OR VOTE. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE.
FORM 990, PART VI, LINES 15A & 15B	OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN 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. EXECUTIVE COMPENSATION IS APPROVED BY THE MISSION HOSPITAL EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE REVIEWS COMPARABILITY DATA PREPARED FOR AND COMPILED BY THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE, A COMMITTEE OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES COMPRISED OF INDEPENDENT MEMBERS. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE ACTS IN ACCORDANCE WITH A COMMITTEE CHARTER APPROVED BY THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES AND AN EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER DIRECTS THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND TO APPROVE PROGRAM CHANGES, AS NECESSARY, TO ENSURE ALIGNMENT WITH THE STATED PHILOSOPHY AND ENSURE CONTINUED COMPLIANCE WITH FEDERAL AND STATE REGULATIONS ON BEHALF OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS RETENTION OF KEY MANAGEMENT TALENT. THE EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF FOR PROFIT AND NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. ST. JOSEPH HEALTH SYSTEM PROVIDES COMPENSATION TO ITS EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO ENSURE COMPENSATION PHILOSOPHY ADHERENCE AND GENERAL FAIR MARKET VALUE COMPENSATION, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA AND ENGAGES LEGAL COUNSEL AND CONSULTING SUPPORT, AS NEEDED. THEY USE THIS INFORMATION TO SUPPORT ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE MEETS AT LEAST 3 TIMES A YEAR AND TAKES ACTION IN EXECUTIVE SESSION. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. A FULL COMPENSATION REVIEW IS CONDUCTED ON A BIENNIAL BASIS AND THE LAST REVIEW WAS PERFORMED IN JUNE 2015. DURING THE YEAR, THE MISSION HOSPITAL EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTING FIRM WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION. IN ADDITION, ANNUAL INCENTIVE AWARDS ARE REVIEWED AND APPROVED PRIOR TO PAYMENT CONSISTENT WITH THE MOST RECENT COMPENSATION BIENNIAL REVIEW AND IN ACCORDANCE WITH THE PLAN DOCUMENT. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES WHICH ARE SUBSEQUENTLY APPROVED AT THE COMMITTEE MEETING.
FORM 990, PART VI, LINE 19	AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FINANCIAL STMTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. FOR MISSION HOSPITAL, AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE MIMG ACQUISITION IN FY14 ($2,200,000) CAPITAL CONTRIBUTION TO HERITAGE ($29,852,146) NET ASSET TRANSFER TO ST. JOSEPH HEALTH SYSTEM ($18,663,620) SJHS HOSPITAL FEES PLEDGE EQUITY TRANSFER ($180,645) INCOME FROM SUBSIDIARIES $746,046 FOUNDATION OTHER ADJUSTMENT ($737,158) OTHER GRANT ADJUSTMENT $7,844 ENDOWMENT DISTRIBUTION $134,892 --------------- TOTAL ($50,744,787) ===============
FORM 990 PART IX LINE 11G	DESCRIPTION:PROF FEES & MED PHYSICIANS TOTAL FEES:15746153
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING & MANAGEMENT TOTAL FEES:2799546
FORM 990 PART IX LINE 11G	DESCRIPTION:REGISTRIES TOTAL FEES:13943788
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:39907254
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES - BIOMED TOTAL FEES:5570676
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:-281700

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MISSION VIEJO PHYSICIAN PARTNERS I LLC	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	471559873	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 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 HEALTH NETWORK INC
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	461259908	HEALTHCARE	CA	501(C)(3)	11,III	SJHS	Yes (true)
COVENANT ACO
3615 19TH STREET	LUBBOCK	TX	79410	611573313	HEALTHCARE	TX	501(C)(3)	11,I	CHS	Yes (true)
COVENANT HEALTH SYSTEM
3615 19TH STREET	LUBBOCK	TX	79410	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (true)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
COVENANT MEDICAL GROUP
3420 22ND PLACE	LUBBOCK	TX	79410	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
COVENANT HEALTH PARTNERS
3615 19TH STREET	LUBBOCK	TX	79410	463516417	HEALTHCARE	TX	501(C)(3)	11,I	CHS	Yes (true)
HOAG CHARITY SPORTS
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(C)(3)	7	HHF	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 ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
HOME CARE PARTNERS
1165 MONTGOMERY DR	SANTA ROSA	CA	95405	680318656	INACTIVE	CA	501(C)(3)	3	SRMH	Yes (true)
HOSPICE OF LUBBOCK
3702 21ST STREET	LUBBOCK	TX	79410	752133781	HEALTHCARE	TX	501(C)(3)	9	CHS	Yes (true)
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREET	LUBBOCK	TX	79410	752220963	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREET	LUBBOCK	TX	79410	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUE	LEVELLAND	TX	79336	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROAD	PLAINVIEW	TX	79072	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
QUEEN OF THE VALLEY MEDICAL CENTER
1000 TRANCAS STREET	NAPA	CA	94558	941243669	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVE	FORTUNA	CA	95540	942779313	HEALTHCARE	CA	501(C)(3)	7	RMH	Yes (true)
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVE	FORTUNA	CA	95540	941384665	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DR	SANTA ROSA	CA	95405	941231005	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
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)
400 NORTH MCDOWELL BLVD	PETALUMA	CA	94954	680395200	HEALTHCARE	CA	501(C)(3)	3	SRMH	Yes (true)
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	false
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	953589356	HEALTHCARE	CA	501(C)(3)	11, I	SJHM	false
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	7	SJHS	Yes (true)
ST JOSEPH HOME CARE NETWORK
1111 SONOMA STE 308	SANTA ROSA	CA	95405	680331084	HEALTHCARE	CA	501(C)(3)	9	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREET	EUREKA	CA	95501	941156596	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVE	ORANGE	CA	92868	951643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST JUDE HOSPITAL YORBA LINDA
200 WEST CENTER ST PROMENADE	ANAHEIM	CA	92805	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVE	FULLERTON	CA	92635	951643324	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST MARY MEDICAL CENTER
18300 HIGHWAY 18	APPLE VALLEY	CA	92307	951914489	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREET	LUBBOCK	TX	79410	751653181	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
TALLER SAN JOSE
801 NORTH BROADWAY	SANTA ANA	CA	92701	593816355	WORK DEVELOPM	CA	501(C)(3)	2	SSJO	Yes (true)
AUXILIARY OF MISSION HOSP LAGUNA BEACH
31872 COAST HWY	LAGUNA BEACH	CA	92651	956050019	SUPPORT	CA	501(C)(3)	11, III-O	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
COVENANT LONG-TERM CARE LP
SEE PART VII	ORANGE	CA	928682012	205033419	HEALTHCARE	TX	NA	N/A
HEALTHCARE DESIGN & CONSTRUCT
SEE PART VII	LUBBOCK	TX	79410	462611662	REAL ESTATE	DE	NA	N/A
HEALTHCARE PROPERTY ADVISORS
SEE PART VII	LUBBOCK	TX	79410	465497794	REAL ESTATE	DE	NA	N/A
HERITAGE INVESTMENT GROUP
SEE PART VII	ORANGE	CA	92868	271000061	INVESTMENTS	CA	NA	N/A
HOAG ORTHOPEDIC INSTITUTE
SEE PART VII	MISSION VIEJO	CA	92691	611588294	HEALTHCARE	CA	NA	N/A
LUBBOCK SURGERY CENTER LTD
SEE PART VII	ORANGE	CA	92868	752177401	HEALTHCARE	TX	NA	N/A
METHODIST DIAGNOSTIC IMAGING
SEE PART VII	SANTA ROSA	CA	95404	752343261	HEALTHCARE	TX	NA	N/A
MISSION AMBULATORY SURGICENTER
SEE PART VII	NEWPORT BEACH	CA	92658	330355575	HEALTHCARE	CA	MHRMC	RELATED	$768,527	$1,878,526	false	$0	false	0.39335
NEWPORT IMAGING CENTER
SEE PART VII	NEWPORT BEACH	CA	92660	203132592	HEALTHCARE	CA	NA	N/A
SHA LLC
SEE PART VII	ORANGE	CA	92868	330841806	INSURANCE	TX	NA	N/A
ST JOSEPH PHYSICIAN VENTURES
SEE PART VII	NEWPORT BEACH	CA	92660	752569094	REAL ESTATE	CA	NA	N/A
ST JOSEPH HLTH SYS HOME CARE
SEE PART VII	MISSION VIEJO	CA	92691	454521884	HOME HEALTH	CA	NA	N/A
ST JOSEPH HLTH SYS HOME HLTH
SEE PART VII	LA PALMA	CA	906231052	330307672	HOME HEALTH	CA	NA	N/A
THE INNOVATION INSTITUTE
SEE PART VII	LA PALMA	CA	906231052	330282945	HEALTHCARE	DE	NA	N/A
TOTAL HEALTH ENVIRONMENT
				900745066	HEALTHCARE	DE	NA	N/A
ADVANCED SURGERY INSTITUTE LLC
				464807513	HEALTHCARE	CA	NA	N/A
NORTH BAY ENDOSCOPY CENTER
					HEALTHCARE	CA	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
ALLIANCE PHYSICIAN SERVICES
INACTIVE	CA	NA	C-CORP
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCE		NA	C-CORP	90 PITTS BAY ROAD	PEMBROKE	BD	HM08	BD
COASTAL MANAGEMENT SERVICES ORGANIZATION
HEALTHCARE	CA	NA	C-CORP						1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831
DATU HEALTH INC
IT SVCS	MO	NA	C-CORP						16150 MAIN CIRCLE DR SUITE 250	CHESTERFIELD	MO	63017	463070062
HMTS INC
HEALTHCARE	CA	NA	C-CORP						1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707
HOAG MANAGEMENT SERVICES INC
HEALTHCARE	CA	NA	C-CORP						1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587
HPA REALTY INC
REAL ESTATE	CA	NA	C-CORP						1 CENTERPOINTE DRIVE SUITE 200	LA PALMA	CA	90623	300835291
LUBBOCK METHODIST HOSP PRACTICE MGMT
INACTIVE	TX	NA	C-CORP						2107 OXFORD STREET STE 300	LUBBOCK	TX	79410	752578995
LUBBOCK METHODIST HOSPITAL SVCS
HEALTHCARE	TX	NA	C-CORP						PO BOX 1201	LUBBOCK	TX	79410	752118585
MISSION VIEJO MEDICAL VENTURES
HEALTHCARE	CA	MHRMC	C-CORP						27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	$20,782	$283,786	1.00000	Yes (true)
ST JOSEPH HEALTH
HOLDING COMPANY	CA	NA	C-CORP						3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	462340232
ST JOSEPH HEALTH SOURCE INC
HEALTHCARE	CA	NA	C-CORP						3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	461900168
ST JOSEPH PROF SVCS ENTERPRISES INC
HEALTHCARE	CA	NA	C-CORP						3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330155323
ST JOSEPH YORBA PARK
INACTIVE	CA	NA	C-CORP

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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	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 (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JOSEPH HEALTH SYSTEM FOUNDATION
c	$1,521,140	ACCRUAL
ST JOESPH HEALTH SYSTEM FOUNDATION
b	$5,063,800	ACCRUAL
ST JOSEPH HOSPITAL YORBA LINDA
R	$29,852,146	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 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 HEALTHCARE DESIGN AND CONSTRUCTION EIN: 46-2611662 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 HEALTHCARE PROPERTY ADVISORS, LLC EIN: 46-5497794 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 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, BOX 6100, NEWPORT BEACH, CA 92658 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE 362, MISSION VIEJO, CA 92691 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE 100, ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE 200 ORANGE, CA 92868-2012 THE INNOVATION INSTITUTE EIN: 90-0745066 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 TOTAL HEALTH ENVIRONMENT EIN: 46-4807513 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 ADVANCED SURGERY INSTITUTE LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954	ExplanationTxt