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MEDICAL CLINIC SCHEDULE H, PART I, LINE 7 THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. SCHEDULE H, PART III, LINE 2 THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 4 PAGE 11 OF THE FINANCIAL STATEMENTS - 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 RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, LINE 8 AS A CATHOLIC HEALTH CARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S COMMUNITY BENEFIT REPORTING GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE AS A COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT. THE MEDICARE COST REPORT SUBMITTED FOR THE FISCAL YEAR USES CMS STANDARD COSTING METHODS. THIS METHOD INCLUDES SPECIFIC STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS. SCHEDULE H, PART III, LINE 9B COVENANT HOSPITAL PLAINVIEW 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 ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE (100 PERCENT FINANCIAL ASSISTANCE) WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTIONS POLICY APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR A PARTIAL DISCOUNT. METHODIST HOSPITAL PLAINVIEW SCHEDULE H, PART V, SECTION B, LINE 3 COMMUNITY REPRESENTATIVES WERE INVITED TO A SERIES OF COMMUNITY MEETINGS THAT INCLUDED 8 TO 10 REPRESENTATIVES PER GROUP. COMMUNITY LEADERS INCLUDED COUNTY ELECTED OFFICIALS, CITY ELECTED OFFICIALS, CITY AND COUNTY ADMINISTRATIVE OFFICERS, PHYSICIANS AND HEALTH INDUSTRY REPRESENTATIVES, COMMUNITY BUSINESS REPRESENTATIVES, LEADERS OF THE FAITH COMMUNITY, PUBLIC HEALTH REPRESENTATIVES, MANAGED CARE REPRESENTATIVES, LEADERS FROM VARIOUS RACIAL/ETHNIC MINORITY GROUPS, LOW-INCOME AND MEDICALLY UNDERSERVED RESIDENTS, SCHOOL OFFICIALS, REPRESENTATIVES FROM THE LOCAL CHAMBER OF COMMERCE, AND OTHER COMMUNITY LEADERS WHO COULD INFORM DIALOGUE ON IDENTIFYING COMMUNITY HEALTH NEEDS.THE MEETINGS WERE SCHEDULED FOR APPROXIMATELY 45 MINUTES TO ONE HOUR. SOME SUPPLEMENTAL MEETINGS WITH THE HOSPITAL BOARD AND INDIVIDUALS WHO COULD NOT PARTICIPATE IN THE GROUP MEETINGS WERE SCHEDULED BY PHONE. SINCE THE FEDERAL REGULATIONS REQUIRE THE INVOLVEMENT OF SPECIFIC INDIVIDUALS, SUCH AS A PUBLIC HEALTH REPRESENTATIVE, AND THESE INDIVIDUALS DO NOT GENERALLY RESIDE IN SMALL COMMUNITIES, THESE INTERVIEWS WERE SCHEDULED BY TELEPHONE. THESE REPRESENTATIVES WERE SELECTED BECAUSE THEY WERE FAMILIAR WITH THE LOCAL COMMUNITY, BUT RESIDE OUTSIDE THE COMMUNITY. METHODIST HOSPITAL PLAINVIEW SCHEDULE H, PART V, SECTION B, LINE 5A THE WEB ADDRESS IS: HTTP://WWW.COVENANTPLAINVIEW.ORG/DOCUMENTS/COMMUNITY_BENEFITS/COVENANT_PLA INVIEW_CHNA_READY_FOR_FINAL.PDF METHODIST HOSPITAL PLAINVIEW SCHEDULE H, PART V, SECTION B, LINE 7 ALTHOUGH COVENANT HOSPITAL PLAINVIEW CANNOT ADDRESS ALL COMMUNITY HEALTH NEEDS IDENTIFIED IN THE COVENANT HOSPITAL PLAINVIEW CHNA, MAKING THE CHNA REPORT FINDINGS PUBLICLY AVAILABLE IS THE FIRST STEP TO ENCOURAGE LOCAL COORDINATION OF SERVICES AND RESOURCES AND INFORM FUTURE PROGRAM DEVELOPMENT AND CARE COORDINATION OF COVENANT HOSPITAL PLAINVIEW COMMUNITY BENEFIT EFFORTS. REASONS FOR NOT ADDRESSING ALL NEEDS INCLUDE RESOURCE CONSTRAINTS, CURRENT STAFFING AND AREAS OF EXPERTISE LIMITATIONS THAT PREVENT COVENANT HEALTH PLAINVIEW FROM ADDRESSING ALL THE COMMUNITY HEALTH NEEDS IDENTIFIED. BELOW WE OUTLINE REASONS PER IDENTIFIED NEED. DENTAL HEALTH AND DENTAL CARE WILL BE EXPLORED AS A FUTURE INITIATIVE, WHEN PARTNERSHIPS ARE ESTABLISHED WITH OTHER AGENCIES PROVIDING DENTAL CARE AND STAFFING ARRANGEMENTS CAN BE MADE. TEEN PREGNANCY, TOBACCO USE, AND LACK OF TRANSPORTATION TO HEALTH AND HUMAN SERVICES WILL NOT BE ADDRESSED DIRECTLY THROUGH A PROGRAM DUE TO RESOURCE CONSTRAINTS. HOWEVER, COVENANT HOSPITAL PLAINVIEW IS A DESIGNATED TOBACCO-FREE CAMPUS. ACCESS TO MEDICAL CARE AND ACCESS TO SPECIALTY CARE WILL NOT BE FORMALLY ADDRESSED IN THIS CB PLAN/ IMPLEMENTATION STRATEGY REPORT; HOWEVER, THE FINDINGS WILL INFORM COVENANT HOSPITAL PLAINVIEW PHYSICIAN RECRUITMENT EFFORTS. PREMATURE DEATH AND MORTALITY RATE WILL NOT BE FORMALLY ADDRESSED THROUGH A COMMUNITY BENEFIT PROGRAM, HOWEVER, CHNA FINDINGS WILL BE DISSEMINATED TO THE PUBLIC AND OPPORTUNITIES CAN ARISE FOR COMMUNITY ENGAGEMENT AROUND FUTURE PREVENTION EFFORTS. ALTHOUGH ACCESS TO HEALTH INSURANCE WILL NOT BE FORMALLY ADDRESSED BY COVENANT HOSPITAL PLAINVIEW, IN LIGHT OF HEALTH CARE REFORM, COVENANT HOSPITAL PLAINVIEW WILL EXPLORE THE OPPORTUNITY TO ENGAGE AND PARTNER WITH HEALTH INSURANCE EXCHANGE EDUCATION CAMPAIGN TO EXPAND UNDERSTANDING OF THE NEW LAW AND OPPORTUNITY FOR HEALTH INSURANCE ENROLLMENT IN THE SERVICES AREA. MENTAL HEALTH IS ALREADY ADDRESSED BY THE MENTAL HEALTH AND MENTAL RETARDATION CENTER (MHMRC). COVENANT HOSPITAL PLAINVIEW IS EXPLORING THE OPPORTUNITY TO PARTNER WITH THE MHMRC TO COORDINATE MENTAL HEALTH CARE FOR PERSONS WHO PRESENT AT THE COVENANT HOSPITAL PLAINVIEW EMERGENCY DEPARTMENT FOR MENTAL HEALTH CARE. PRELIMINARY DISCUSSIONS INCLUDE EXPLORING PREVENTION EFFORTS THAT INCLUDE CARE COORDINATION TO ENSURE APPROPRIATE CARE AND TREATMENT OF COMMUNITY RESIDENTS WITH MENTAL HEALTH ISSUES. CHP WILL CONTINUE TO PARTNER WITH OTHER COMMUNITY OUTREACH PROGRAMS TO SUPPORT THEIR EFFORTS IN ADDRESSING COMMUNITY NEEDS. FOR FURTHER INFORMATION, PLEASE SEE THE IMPLEMENTATION STRATEGY FOUND AT: http://www.covenantplainview.org/documents/Community_Benefits/CovenantPlai nviewFY14Implementation_Plan_FINAL.pdf METHODIST HOSPITAL PLAINVIEW SCHEDULE H, PART V, SECTION B, LINE 12H 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. METHODIST HOSPITAL PLAINVIEW SCHEDULE H, PART V, SECTION B, LINE 14G THE ORGANIZATION POSTS ITS SUMMARIZED FINANCIAL ASSISTANCE NOTICE IN ALL ADMITTING AREAS IN BOTH ENGLISH AND SPANISH AND PROVIDES THE FULL POLICY UPON REQUEST. SUMMARIZED NOTICES OF THE POLICY ARE AVAILABLE ON ITS WEBSITE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR UNINSURED PATIENTS. BILINGUAL PATIENT ACCOUNT REPRESENTATIVES ARE AVAILABLE TO ADDRESS QUESTIONS AND ASSIST IN THE COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION IN ENGLISH OR SPANISH. METHODIST HOSPITAL PLAINVIEW SCHEDULE H, PART V, SECTION B, LINE 18E THE ORGANIZATION POSTS ITS SUMMARIZED FINANCIAL ASSISTANCE NOTICE IN ALL ADMITTING AREAS IN BOTH ENGLISH AND SPANISH AND PROVIDES THE FULL POLICY UPON REQUEST. SUMMARIZED NOTICES OF THE POLICY ARE AVAILABLE ON ITS WEBSITE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR UNINSURED PATIENTS. BILINGUAL PATIENT ACCOUNT REPRESENTATIVES ARE AVAILABLE TO ADDRESS QUESTIONS AND ASSIST IN THE COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION IN ENGLISH OR SPANISH. METHODIST HOSPITAL PLAINVIEW SCHEDULE H, PART V, SECTION B, LINE 20D FOR PATIENTS WITH A FAMILY INCOME BETWEEN 176% AND 300% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USES MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR CATASTROPHIC CASES WITH A PATIENT RESPONSIBILITY GREATER THAN $75,000, MEDICARE RATES ARE USED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 THE COVENANT HOSPITAL PLAINVIEW COMMUNITY NEEDS ASSESSMENT WAS DEVELOPED TO IDENTIFY LOCAL HEALTH NEEDS. THE COMMUNITY NEEDS ASSESSMENT HAD TWO MAJOR COMPONENTS. THE FIRST WAS A PRIMARY DATA COLLECTION PHASE IN THE COMMUNITY CONDUCTED THROUGH INTERVIEWS WITH A CROSS-SECTION OF COMMUNITY REPRESENTATIVES AND LEADERS TO DETERMINE LOCAL ISSUES AND CONCERNS THAT AFFECTED HEALTH AND THE HEALTH OF THE COMMUNITY. THE SECOND PHASE WAS THE COLLECTION AND COMPILATION OF SECONDARY DATA FROM PUBLIC SOURCES THAT COULD BE USED TO DEFINE THE STATUS OF THE COMMUNITYS HEALTH AND WELL-BEING. THESE TWO DATA SOURCES WERE COMBINED INTO A SUMMARY THAT COULD BE USED TO DETERMINE PRIORITIES AND DEVELOP PLANS AND STRATEGIES TO IMPROVE COMMUNITY HEALTH. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 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. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 PLAINVIEW IS LOCATED ON THE HIGH PLAINS OF TEXAS AND SERVES THE INDUSTRIAL, COMMERCIAL AND AGRICULTURAL NEEDS OF A FOUR-COUNTY AREA (HALE, CASTRO, FLOYD, AND SWISHER COUNTIES). ALTHOUGH PLAINVIEW AND THE SERVICE AREA COUNTIES ARE LOCATED BETWEEN AMARILLO, TEXAS AND LUBBOCK, TEXAS, VIRTUALLY ALL PATIENT OUTMIGRATION GOES TO LUBBOCK, TEXAS. EACH SERVICE AREA COUNTY HAS ITS OWN HOSPITAL THAT PROVIDES PRIMARY AND SECONDARY CARE. POVERTY LEVEL: ABOUT HALF OR MORE OF THE COVENANT HOSPITAL PLAINVIEW SERVICE AREA POPULATION ARE LIVING UNDER 200% OF THE FPL. THIS INDICATOR FOR THE STATE OF TEXAS IS ABOUT 38% AND 32% FOR THE U.S. OVER ONE THIRD OF THE CHILDREN IN THE COUNTIES OF CASTRO (35%) AND FLOYD (33%) ARE LIVING BELOW FPL, WHICH IS SIGNIFICANTLY HIGHER THAN THE NATION AND THE STATE OF TEXAS. ON THE OTHER HAND, POVERTY AMONG CHILDREN IS LOWER THAN THE STATE OR NATION IN SWISHER COUNTY (14%). ALL COVENANT HOSPITAL PLAINVIEW SERVICE AREA COUNTIES HAVE A HIGH PARTICIPATION (OVER 59%) OF YOUTH PARTICIPATING IN THE FREE OR REDUCED LUNCH PROGRAM. OTHER HOSPITALS: OTHER HOSPITALS IN COUNTIES SERVED BY COVENANT HOSPITAL PLAINVIEW INCLUDE: MANGOLD MEMORIAL HOSPITAL, SWISHER MEMORIAL HOSPITAL, AND PLAINS MEMORIAL HOSPITAL. FOR A LIST OF OTHER HEALTH CARE FACILITIES WITHIN HALE COUNTY, CASTRO COUNTY, FLOYD COUNTY AND SWISHER COUNTY, REFER TO APPENDIX 3 OF COVENANT HOSPITAL PLAINVIEW'S CHNA ACCESSIBLE ONLINE AT: HTTP://WWW.COVENANTPLAINVIEW.ORG/DOCUMENTS/COMMUNITY_BENEFITS/COVENANT_PLA INVIEW_CHNA_READY_FOR_FINAL.PDF PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 AS PART OF THE LARGEST HEALTH SYSTEM IN WEST TEXAS, COVENANT HOSPITAL PLAINVIEW OFFERS MORE MEDICAL SPECIALTIES AND HEALTH SERVICES THAN ANY OTHER PROVIDER IN OUR SERVICE AREA. WE ARE COMMITTED TO PROVIDING THE PEOPLE OF OUR COMMUNITY WITH THE BEST POSSIBLE HEALTH CARE FROM BIRTH TO ADULTHOOD AND THROUGH THE END OF LIFE. COVENANT HOSPITAL PLAINVIEW LEADS THE WAY TO THE FUTURE OF HEALTH CARE, FROM OBSTETRICS AND SURGERY TO REHABILITATION. SERVICES PROVIDED INCLUDE: DIABETES EDUCATION , EMERGENCY SERVICES, ENDOSCOPY, GASTROENTEROLOGY, CHILDHOOD OBESITY PREVENTION, INTENSIVE CARE, LABORATORY SERVICES, LITHOTRIPSY, NUTRITIONAL CONSULTS, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, PEDIATRICS, PHYSICAL AND SPEECH THERAPY, RADIOLOGY SERVICES, SLEEP CENTER, SPIRITUAL CARE, SURGICAL SERVICES, UROLOGY, AND WOUND CARE. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 COVENANT HOSPITAL PLAINVIEW IS A HEALING MINISTRY OF ST. JOSEPH HEALTH SYSTEM, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE 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 COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH SYSTEM 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 FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH SYSTEM 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 SYSTEM FOUNDATION TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION THEN FUNDS PROGRAMS IN COMMUNITIES SERVED BY ST. JOSEPH HEALTH HOSPITALS THAT EXEMPLIFY THE FOUR CORE VALUES OF ST. JOSEPH HEALTH SYSTEM: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 TEXAS true DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS FORM 990, SCHEDULE I DONATIONS TO OTHER ORGANIZATIONS ARE APPROVED BY MANAGEMENT TO ENSURE THEY SUPPORT THE MISSION OF COVENANT HOSPITAL, PLAINVIEW. WE RELY ON THE GOVERNANCE PRACTICES OF THOSE ORGANIZATIONS TO ENSURE APPROPRIATE USE OF THE FUNDS. false false false false false false false true false DAVID WRIGHT DO 0 223406 0 89731 0 4961 0 8000 0 7015 0 333113 0 0 LESLIE HACKETT 121643 0 1500 0 1807 0 12806 0 12913 0 150669 0 0 0 RICHARD DUSTIN 174052 0 1500 0 29 0 2864 0 18911 0 197356 0 0 0 SERGIO LARA MD 0 251782 0 137128 0 12721 0 0 0 1020 0 402651 0 0 STEVEN BECK 0 182783 0 68355 0 49777 0 20000 0 14471 0 335386 0 0 ALAN KING 0 168279 0 60966 0 36810 0 8183 0 14463 0 288701 0 0 DESCRIPTION OF CEO PAID BY EXEMPT PARENT SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, COVENANT HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O FOR FORM 990, PART VI, LINE 15A AND 15B FOR THE PROCESS THAT IS COMPLETED BY ST. JOSEPH HEALTH SYSTEM. DESCRIPTION OF NON-FIXED PAYMENTS SCHEDULE J, PART I, LINE 7 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. 0 WRIGHT FAMILY PRACTICE DAVID WRIGHT, D.O., OWNER 114336 LEASE false ORGANIZATION'S MISSION STATEMENT FORM 990, PART I, LINE 1 & PART III, LINE 1 COVENANT HOSPITAL PLAINVIEW IS COMMITTED TO EXTEND CHRISTIAN MINISTRY BY CARING FOR THE WHOLE PERSON-BODY, MIND AND SPIRIT-AND BY WORKING WITH OTHERS TO IMPROVE HEALTH AND QUALITY OF LIFE IN OUR COMMUNITIES. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A COVENANT HOSPITAL PLAINVIEW IS DEDICATED TO PROVIDING THE COMMUNITY OF PLAINVIEW, TEXAS AND HALE COUNTY, WORLD-CLASS HEALTH CARE, CLOSE TO HOME. OUR 100-BED FACILITY IS HOME TO OVER 300 MEDICAL PROFESSIONALS WHOSE MISSION IS TO GIVE OUR PATIENTS THE BEST POSSIBLE CARE AT EACH AND EVERY VISIT. COVENANT HEALTH AND COVENANT HOSPITAL PLAINVIEW ARE FAITH-BASED, NOT-FOR-PROFIT HEALTHCARE INSTITUTIONS, STRIVING EVERY DAY TO PROVIDE HALE COUNTY RESIDENTS WITH THE REGIONS TOP PROVIDERS INCLUDING SURGEONS AND SPECIALISTS. SERVICES INCLUDE: CORPORATE WELLNESS, EMERGENCY SERVICES, ENDOSCOPY, GASTROENTEROLOGY, INTENSIVE CARE, LABORATORY SERVICES, LITHOTRIPSY, NUTRITIONAL CONSULTS, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, PEDIATRICS, PHYSICAL AND SPEECH THERAPY, RADIOLOGY SERVICES, SLEEP CENTER, SPIRITUAL CARE, SURGICAL SERVICES, UROLOGY, AND WOUND CARE. THREE MISSION OUTCOMES STRATEGICALLY GUIDE OUR MINISTRY WORK COVENANT HOSPITAL PLAINIVEW IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 1) SACRED ENCOUNTERS, 2) PERFECT CARE AND 3) HEALTHIEST COMMUNITIES. EVERY INTERACTION WILL BE EXPERIENCED AS A SACRED ENCOUNTER. THE GOAL OF SACRED ENCOUNTER HAS A DIRECT CONNECTION TO THE OVERALL MISSION. OUR VALUE OF DIGNITY CALLS FOR US TO RESPECT EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE. WE STRIVE TO DO THIS BY KEEPING AT THE FOREFRONT OF OUR MINDS THE UNDERSTANDING OF THE IMPACT WE CAN HAVE ON ONE ANOTHER WITH EVERY ACTION WE TAKE. ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENTS EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. THE COMMUNITIES WE SERVE WILL BE AMONG THE HEALTHIEST IN OUR NATION. WE SEEK TO DEVELOP COMMUNITY HEALTH INITIATIVES THAT IMPACT LONG-TERM HEALTH ACROSS THE ENTIRE COMMUNITY. FINANCIAL ASSISTANCE PROGRAM WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY COVENANT HOSPITAL PLAINVIEW HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE AND/OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. HEALTHY BODY, MIND, AND SPIRIT THROUGH HK2020 COVENANT HOSPITAL PLAINVIEWS HK2020 CHILDREN'S PROGRAM IN CREATING A HEALTHIER NEXT GENERATION. HK2020 WAS CREATED AS A COMMUNITY PARTNERSHIP TO ENCOURAGE PHYSICAL ACTIVITY AND INITIALLY FUNDED THROUGH INITIATIVES OF THE ST. JOSEPH HEALTH SYSTEM. IT IS A FREE PROGRAM WITH MONTHLY HEALTHY FAMILY ACTIVITIES AND MOTIVATIONAL TOOLS TO ENCOURAGE FAMILIES TO LEAD HEALTHIER LIVES BODY, MIND, AND SPIRIT. FOR MORE INFORMATION ABOUT COVENANT HOSPITAL PLAINVIEW PLEASE VISIT HTTP://WWW.COVENANTPLAINVIEW.ORG/ FOR MORE INFORMATION ABOUT COVENANT HEALTH, GO TO: HTTP://WWW.COVENANTHEALTH.ORG FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG DESCRIPTION OF CLASSES OF MEMBERS OF STOCKHOLDERS FORM 990, PART VI, LINE 6 COVENANT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF COVENANT HOSPITAL PLAINVIEW. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A COVENANT HOSPITAL PLAINVIEW HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE BOARD. ALL DIRECTORS APPOINTMENTS THAT COME FROM THE COVENANT HOSPITAL PLAINVIEW BOARD AS NOMINATIONS MUST BE APPROVED BY COVENANT HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH SYSTEM, AS THE ORGANIZATIONAL SPONSOR. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B 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. DESCRIBE THE PROCESS USED BY MANAGEMENT &/0R GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 WAS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 2014 MEETING. DURING THE BOARD FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, 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. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE CONFLICTS & COMPENSATION COMMITTEE. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE OFFICER, TRUSTEE, OR KEY EMPLOYEE MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. 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 OT THE BOARD FOR DISCUSSION AND VOTE. PROCESS USED TO DETERMINE COMPENSATION FORM 990, PART VI, LINES 15A & 15B THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, COVENANT HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. THE SJHS EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO FULFILL THEIR RESPONSIBILITY, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE WORKLIFE COMMITTEE IS COMPRISED OF SEVERAL INDEPENDENT MEMBERS OF THE BOARD. THEY MEET AT LEAST 3 TIMES A YEAR AND MAKE ALL CRITICAL DECISIONS IN EXECUTIVE SESSION. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PERFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN JUNE 2013. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 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. OTHER FEES EXCEEDING 10% FORM 990, PART IX, LINE 11G PROFESSIONAL FEES $3,368,740 PURCHASED SERVICES 3,529,593 ------------ TOTAL 6,898,333 OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 NON-OPERATING GAINS ON THE TRADE IN OF ASSETS $10,801 COVENANT HEALTH NETWORK INC 3345 MICHELSON DR STE 100 IRVINE CA 92612 461259908 HEALTHCARE CA 501(C)(3) 11, III SJHS true COVENANT HEALTH PARTNERS 3615 19TH STREET LUBBOCK TX 79410 611573313 HEALTHCARE TX 501(C)(3) 11,I CHS true COVENANT HEALTH SYSTEM 3615 19TH STREET LUBBOCK TX 79410 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS false COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS true COVENANT MEDICAL GROUP 3420 22ND PLACE LUBBOCK TX 79410 752743883 HEALTHCARE TX 501(C)(3) 3 CHS true HOAG CHARITY SPORTS 3920 BIRCH ST STE 105 NEWPORT BEACH CA 92660 452982422 SUPPORT CA 501(C)(3) 7 HHF true HOAG HOSPITAL FOUNDATION 1 HOAG DR BOX 6100 NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP true HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG DR BOX 6100 NEWPORT BEACH CA 92663 951643327 HEALTHCARE CA 501(C)(3) 3 SJHS true HOME CARE PARTNERS 1165 MONTGOMERY DR SANTA ROSA CA 95405 680318656 INACTIVE CA 501(C)(3) 3 SRMH true HOSPICE OF LUBBOCK 1102 SLIDE ROAD LUBBOCK TX 79414 752133781 HEALTHCARE TX 501(C)(3) 9 CHS true LUBBOCK METHODIST HOSPITAL FOUNDATION 3615 19TH STREET LUBBOCK TX 79410 752220963 HEALTHCARE TX 501(C)(3) 7 CHS true METHODIST CHILDREN'S HOSPITAL 3610 21ST STREET LUBBOCK TX 79410 752428911 HEALTHCARE TX 501(C)(3) 3 CHS true METHODIST HOSPITAL LEVELLAND 1900 COLLEGE AVENUE LEVELLAND TX 79336 752246348 HEALTHCARE TX 501(C)(3) 3 CHS true MISSION HOSPITAL REGIONAL MEDICAL CENTER 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 951643360 HEALTHCARE CA 501(C)(3) 3 SJHS true QUEEN OF THE VALLEY MEDICAL CENTER 1000 TRANCAS STREET NAPA CA 94558 941243669 HEALTHCARE CA 501(C)(3) 3 SJHS true REDWOOD MEMORIAL FOUNDATION 3300 RENNER DRIVE FORTUNA CA 95540 942779313 FOUNDATION CA 501(C)(3) 7 RMH true REDWOOD MEMORIAL HOSPITAL 3300 RENNER DRIVE FORTUNA CA 95540 941384665 HEALTHCARE CA 501(C)(3) 3 SJHS true SANTA ROSA MEMORIAL HOSPITAL 1165 MONTGOMERY DRIVE SANTA ROSA CA 95405 941231005 HEALTHCARE CA 501(C)(3) 3 SJHS 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 400 NORTH MCDOWELL BLVD PETALUMA CA 94954 680395200 HEALTHCARE CA 501(C)(3) 3 SRMH true ST JOSEPH HEALTH MINISTRY 3345 MICHELSON DR STE 100 IRVINE CA 92612 271666576 RELIGIOUS ORG CA 501(C)(3) 1 SSJO false ST JOSEPH HEALTH SYSTEM 3345 MICHELSON DR STE 100 IRVINE CA 92612 953589356 HEALTHCARE CA 501(C)(3) 11, I SJHM false ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DR STE 100 IRVINE CA 92612 330143024 FOUNDATION CA 501(C)(3) 7 SJHS true ST JOSEPH HOME CARE NETWORK 170 PROFESSIONAL CENTER DR B ROHNERT PARK CA 94928 680331084 HEALTHCARE CA 501(C)(3) 9 SJHS true ST JOSEPH HOSPITAL 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LTD HEALTHCARE SVCS TX CHS N/A COVENANT LONG-TERM CARE LP HEALTHCARE SVCS TX NA N/A HERITAGE INVESTMENT GROUP INVESTMENT CA NA N/A MISSION AMBULATORY SURGICENTER HEALTHCARE SVCS CA NA N/A COMPREHENSIVE IMAGING PARTNERS HEALTHCARE SVCS CA NA N/A ST JOSEPH PHYSICIAN VENTURES REAL ESTATE CA NA N/A NEWPORT IMAGING CENTER HEALTHCARE SVCS CA NA N/A HOAG ORTHOPEDIC INSTITUTE HEALTHCARE CA NA N/A MAIN ST SPECIALTY SURGERY CNTR HEALTHCARE SVCS CA NA N/A ORTHOPEDIC SURGERY CNTR OF OC HEALTHCARE SVCS CA NA N/A ADVANCED SURGERY INSTITUTE LLC HEALTHCARE SVCS CA NA N/A ST JOSEPH PROF SVCS ENTERPRISES INC 3345 MICHELSON DR STE 100 IRVINE CA 92612 330155323 HEALTHCARE SVCS CA NA C CORP false AMERICAN UNITY GROUP LTD 58 PAR-LA-VILLE ROAD HAMILTON HM HX BD CAPTIVE INSURANCE BD NA C CORP false ALLIANCE PHYSICIAN SERVICES INACTIVE CA NA C CORP false MISSION VIEJO MEDICAL VENTURES 27800 MEDICAL CENTER ROAD 354 MISSION VIEJO CA 92691 330212905 HEALTHCARE SVCS CA NA C CORP false MISSION MEDICAL CENTER ASSOCIATION 27800 MEDICAL CENTER RD 354 MISSION VIEJO CA 92691 330201044 HEALTHCARE SVCS CA NA C CORP false ST JOSEPH YORBA PARK 27800 MEDICAL CENTER RD 354 MISSION VIEJO CA 92691 INACTIVE CA NA C CORP false LUBBOCK METHODIST HOSP SVCS PO BOX 1201 LUBBOCK TX 79410 752118585 HEALTHCARE SVCS TX CHS C CORP false LUBBOCK METHODIST HOSP PRACTICE MGMT PO BOX 1201 LUBBOCK TX 79410 752578995 INACTIVE TX CHS C CORP false ST JOSEPH HEALTH SOURCE INC 2107 OXFORD STREET SUITE 300 LUBBOCK TX 79410 461900168 HEALTHCARE SVCS CA NA C CORP false HOAG MANAGEMENT SERVICES INC 3345 MICHELSON DR STE 100 IRVINE CA 92612 330731587 HEALTHCARE SVCS CA NA C CORP false COASTAL MANAGEMENT SERVICES ORG 1 HOAG DR BOX 6100 NEWPORT BEACH CA 92658 330676831 HEALTHCARE SVCS CA NA C CORP false DATU HEALTH INC 1 HOAG DR BOX 6100 NEWPORT BEACH CA 92658 463070062 IT SVCS MO NA C CORP false HOAG MEDICAL FOUNDATION 16150 MAIN CIRCLE DR STE 250 CHESTERFIELD MO 63017 453583707 HEALTHCARE SVCS CA NA C CORP false false false false false false false false false false false false false true false true false false true true IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP SCHEDULE R, PART III ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100 ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183 AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 2301 QUAKER LUBBOCK, TX 79410 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 3345 MICHELSON DRIVE, STE. 100 IRVINE, CA 92612 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE. 362 MISSION VIEJO, CA 92691 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY, LLC EIN: 26-4591502 ADDRESS: ONE CITY BOULEVARD WEST, SUITE 1100 ORANGE, CA 92868 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE ORANGE, CA 92868 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 MAIN ST SPECIALTY SURGERY CENTER EIN: 95-4813223 ADDRESS: 280 MAIN STREET, ST 100, ORANGE, CA 92868 ORTHOPEDIC SURGERY CENTER OF OC, LLC EIN: 33-0841806 ADDRESS: 22 CORPORATE PLAZA, NEWPORT BEACH, CA 92660 ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404