TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) KENNETH MCFARLAND........................................................................ BOARD MEMBER, CEO & PRESIDENT	50.0 .......................2.0	X	X	0	923,641	52,738
(2) ANNETTE WALKER........................................................................ BOARD MEMBER	2.0 .......................52.0	X		0	725,321	46,674
(3) BETH SCHIMMEL........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(4) ED JORDAN........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(5) ELLEN LEWIS MSN FAAN........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(6) FARZAD MASSOUDI MD........................................................................ BOARD MEMBER	2.0 .......................0.0	X		63,691	0	0
(7) JOSEPH ROBBEN........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(8) R CLIFFORD CARPER........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(9) ROBERT WINOKUR MD........................................................................ BOARD CHAIR	5.0 .......................0.0	X		600	0	0
(10) RUDY MARQUEZ MD........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(11) SISTER CECILIA MAGLADRY........................................................................ BOARD VICE CHAIR	2.0 .......................0.0	X		0	0	0
(12) SISTER EILEEN MCNERNEY........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(13) SISTER MARYANNE HUEPPER........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(14) SISTER MARY BETH INGHAM........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(15) TODD LEMPERT MD........................................................................ BOARD MEMBER (PART YEAR)	2.0 .......................0.0	X		185,620	0	0
(16) WILLIAM AKRAWI MD........................................................................ BOARD MEMBER	4.0 .......................0.0	X		7,083	0	0
(17) CYNTHIA MUELLER........................................................................ VP MISSION INTEGRATION	50.0 .......................0.0		X	296,066	0	49,264

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) EILEEN HAUBL........................................................................ VP & CHIEF FINANCIAL OFFICER	50.0 .......................0.0	X				401,127	0	47,236
(19) TARA COWELL........................................................................ VP/ASSOC. GENERAL COUNSEL/SEC.	2.0 .......................52.0	X				0	314,087	39,671
(20) LINDA JOHNSON........................................................................ CHIEF CLINICAL OFFICER	50.0 .......................0.0		X			463,798	0	50,182
(21) MICHAEL BECK........................................................................ VP, INTEGRATED OPERATIONS	50.0 .......................0.0		X			265,349	0	54,889
(22) MICHAEL KOHLER........................................................................ EXEC DIR PERIOPERATIVE SVS	50.0 .......................0.0		X			176,046	0	31,317
(23) RONALD GALONSKY........................................................................ CHIEF OPER&INTEGRATION OFFICER	50.0 .......................0.0		X			411,315	0	20,814
(24) SAMUEL GOMEZ........................................................................ EXEC DIR NURSING SERVICES	50.0 .......................0.0		X			160,807	0	17,742
(25) DENNIS HAGHIGHAT........................................................................ VP MEDICAL AFFAIRS	0.0 .......................50.0		X			12,013	353,577	24,636
(26) WILLIAM LOSEE........................................................................ PHARMACIST CLINICAL	50.0 .......................0.0			X		196,519	0	43,124
(27) VICTORIA MCKINNEY........................................................................ E.D. MATERNAL/CHILD/MED/SURG	50.0 .......................0.0			X		203,483	0	20,435
(28) TERRI FOX-COVERT........................................................................ VP HUMAN RESOURCES	50.0 .......................0.0			X		286,651	0	54,982
(29) WINIFRED JOHNSON........................................................................ CHIEF DEVELOPMENT OFFICER	50.0 .......................0.0			X		199,890	0	24,468
(30) FARAH ZIAII........................................................................ NUCLEAR MED TECHNOLOGIST -ARSO	50.0 .......................0.0			X		221,111	0	44,815
(31) SHIRLEY BARNES........................................................................ FORMER VP HUMAN RESOURCES	0.0 .......................0.0				X	245,579	0	0
(32) MARGARITA COWLEY........................................................................ FORMER CHIEF OPERATING OFFICER	0.0 .......................0.0				X	351,505	0	0
(33) PETER BASTONE........................................................................ FORMER CEO	0.0 .......................0.0				X	0	241,852	0

(A) Name and business address	(B) Description of services	(C) Compensation
PAIN RECOVERY MEDICAL GROUP INC, 21221 SPURNEY LANEHUNTINGTON BEACHCA92646	MEDICAL SERVICES	3,637,025
ORTHOPEDIC TRAUMA SPECIALIST INC, 26730 CROWN VALLEY PARKWAY SUITE 2MISSION VIEJOCA92691	MEDICAL SERVICES	874,903
MISSION TRAUMA SURGICAL GROUP, 26732 CROWN VALLEY PARKWAY SUITE 3MISSION VIEJOCA92691	MEDICAL SERVICES	1,070,090
PACIFIC HOSPITALIST, 510 SUPERIOR AVE STE 290NEWPORT BEACHCA92663	MEDICAL SERVICES	881,886
DVA RENAL HEALTHCARE INC, PO BOX 8500-1607PHILADELPHIAPA191781607	MEDICAL SERVICES	1,017,094
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 22

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	7,542,876	7,542,876
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	43,028	43,028
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0	0
4	Benefits paid to or for members	0	0
5	Compensation of current officers, directors, trustees, and key employees ....	2,779,383	1,550,405	1,228,978	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	972,245	972,245	0	0
7	Other salaries and wages	135,536,709	125,238,558	8,187,776	2,110,375
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,630,321	8,038,224	484,920	107,177
9	Other employee benefits .......	42,458,785	38,761,120	3,240,118	457,547
10	Payroll taxes ...........	11,480,949	10,674,322	655,232	151,395
11	Fees for services (non-employees):
a	Management ......	28,550,625	22,664,465	5,886,160	0
b	Legal .........	2,361,385	848,676	1,512,709	0
c	Accounting ...........	138,571	0	0	138,571
d	Lobbying ...........	0	0	0	0
e	Professional fundraising services. See Part IV, line 17	92,396			92,396
f	Investment management fees ......	0	0	0	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	58,399,719	40,096,862	17,897,886	404,971
12	Advertising and promotion ....	970,141	0	965,131	5,010
13	Office expenses .......	13,661,800	12,919,875	675,004	66,921
14	Information technology ......	1,586,278	1,586,278	0	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	30,127,506	28,129,841	1,557,034	440,631
17	Travel ............	498,997	194,514	279,148	25,335
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0	0	0	0
19	Conferences, conventions, and meetings ....	97,703	73,814	6,850	17,039
20	Interest ...........	10,404,857	8,238,393	2,166,464	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization .....	22,841,601	20,531,751	2,303,287	6,563
23	Insurance ..............	4,262,008	0	4,262,008	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	64,931,459	64,862,741	68,718	0
b	HOSPITAL FEE PROGRAM	7,233,878	7,233,878	0	0
c	LICENSES/TAXES/DUES	555,951	173,125	373,844	8,982
d	ALL OTHER EXPENSES	1,794,784	457,622	1,276,868	60,294
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	457,953,955	400,832,613	53,028,135	4,093,207
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).	0

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	7,369,038	1	3,484,949
2	Savings and temporary cash investments .........	81,982,453	2	89,564,524
3	Pledges and grants receivable, net ...........	4,324,716	3	836,804
4	Accounts receivable, net .............	81,258,090	4	80,218,220
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	5,679,942	8	5,874,504
9	Prepaid expenses and deferred charges ..........	1,201,791	9	1,045,840
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	549,669,078
b	Less: accumulated depreciation .....	10b	205,773,348	330,867,220	10c	343,895,730
11	Investments—publicly traded securities ..........	75,074,493	11	87,235,102
12	Investments—other securities. See Part IV, line 11 .....	21,155,126	12	18,992,319
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	13,717,072	14	13,717,072
15	Other assets. See Part IV, line 11 ...........	27,797,497	15	16,765,387
16	Total assets. Add lines 1 through 15 (must equal line 34)......	650,427,438	16	661,630,451
	17	Accounts payable and accrued expenses .........	57,816,779	17	61,113,982
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	290,272,405	25	281,775,994
26	Total liabilities. Add lines 17 through 25.........	348,089,184	26	342,889,976
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	240,787,500	27	239,504,301
28	Temporarily restricted net assets ...........	61,406,531	28	77,308,109
29	Permanently restricted net assets ...........	144,223	29	1,928,065
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	302,338,254	33	318,740,475
34	Total liabilities and net assets/fund balances ........	650,427,438	34	661,630,451

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number

95-1643360

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number

95-1643360

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization MISSION HOSPITAL REGIONAL MEDICAL CENTER

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization MISSION HOSPITAL REGIONAL MEDICAL CENTER

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number

95-1643360

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number

95-1643360

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

64,074

Total. Add lines 1c through 1i ...............................

64,074

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1i	OTHER ACTIVITIES THE AMOUNT ON LINE 1I IS THE PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. DURING THE PAST YEAR, ST. JOSEPH HEALTH SYSTEM CONDUCTED ADVOCACY EFFORTS WHICH INCLUDED SOME LOBBYING ACTIVITIES. THESE INCLUDED MEETING WITH LOCAL, STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS, AND COMMUNICATIONS TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION.

Return Reference

Explanation

SCHEDULE C, PART II-B, LINE 1i

OTHER ACTIVITIES THE AMOUNT ON LINE 1I IS THE PORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. DURING THE PAST YEAR, ST. JOSEPH HEALTH SYSTEM CONDUCTED ADVOCACY EFFORTS WHICH INCLUDED SOME LOBBYING ACTIVITIES. THESE INCLUDED MEETING WITH LOCAL, STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS, AND COMMUNICATIONS TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number

95-1643360

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back
1a	Beginning of year balance ....	2,009,707	1,766,554	1,257,495	0
b	Contributions ........	2,176,600	102,259	514,556	1,207,312
c	Net investment earnings, gains, and losses	421,408	161,946	10,588	57,912
d	Grants or scholarships .....		0	0	0
e	Other expenditures for facilities and programs ........		0	0	0
f	Administrative expenses ....	34,661	21,052	16,084	7,729
g	End of year balance ......	4,573,054	2,009,707	1,766,555	1,257,495

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

57.840 %

Permanent endowment SchDMd Bullet

42.160 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	250,000	35,735,120		35,985,120
b	Buildings ................		292,433,430	80,375,733	212,057,697
c	Leasehold improvements ............		19,787,938	11,685,319	8,102,619
d	Equipment ................		161,777,111	113,685,005	48,092,106
e	Other .................		39,685,479	27,291	39,658,188
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					343,895,730

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
INTERCO WITH HEALTH SYSTEM - BONDS		180,890,427
INTERCOMPANY PAYABLE		82,153,361
THIRD PARTY PAYABLES		14,715,566
OTHER LIABILITIES		4,016,640





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		281,775,994
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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 AND EQUIPMENT 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, 2014 OR 2013.

Return Reference

Explanation

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 AND EQUIPMENT 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, 2014 OR 2013.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number

95-1643360

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No
	HARRIS CONNECT LLC BREWSTER NY 10 1515 ROUTE 22 BREWSTER, NY10509	TELEPHONE OUTREACH		No	66,745	75,000	-8,255









Total .................					66,745	75,000	-8,255

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2013

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 GOLF (event type)	(b) Event #2 GALA (event type)	(c) Other events 4 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	373,023	1,232,666	623,243	2,228,932
2	Less: Contributions . .	315,423	1,083,216	539,307	1,937,946
3	Gross income (line 1 minus line 2) . . .	57,600	149,450	83,936	290,986
4	Cash prizes . . .	0	0	0	0
5	Noncash prizes . .	0	0	0	0
6	Rent/facility costs . .	51,477	0	2,620	54,097
7	Food and beverages .	57,863	149,302	89,315	296,480
8	Entertainment . . .	0	27,000	17,224	44,224
9	Other direct expenses .	86,951	112,803	96,723	296,477
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				691,278
11	Net income summary. Subtract line 10 from line 3, column (d)...........				-400,292

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

187,509

Cash prizes . . . .

3,750

Non-cash prizes . . .

39,000

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes100.000 %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

42,750

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

144,759

Enter the state(s) in which the organization operates gaming activities: CA

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

SEE SCHEDULE G, PART IV

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2013

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

100.000 %

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

CATHLEEN A COLLINS

Address

27700 MEDICAL CENTER ROAD
MISSION VIEJO,CA92691

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

CATHLEEN A COLLINS

Gaming manager compensation right arrow

$ 715

Description of services provided right arrow

VICE PRESIDENT AND CHIEF DEVELOPMENT OFFICER

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

$ 168,758

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation
SCHEDULE G, PART III, LINE 9B	GAMING MISSION HOSPITAL IS A NON-PROFIT ORGANIZATION AND GAMING IS NOT THE PRIMARY FUNDRAISING ACTIVITY; THEY WERE RAFFLES FOR A VEHICLE, PRIZE BASKETS, AND CASH PRIZES TOTALING $3,750.00. AS A TAX-EXEMPT HOSPITAL, MISSION HOSPITAL REGIONAL MEDICAL CENTER IS EXEMPT FROM THE CALIFORNIA ATTORNEY GENERAL REGISTRATION AND REPORTING REQUIREMENTS FOR THE RAFFLES.

Schedule G (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number

95-1643360

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other 500 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	6,530,728		6,530,728	1.410 %
b	Medicaid (from Worksheet 3, column a) ....	54,007,810	48,142,418	5,865,392	1.270 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	6,586,973	3,768,121	2,818,852	0.610 %
d	Total Financial Assistance and Means-Tested Government Programs .	67,125,511	51,910,539	15,214,972	3.290 %
Other Benefits		2,634,562	209,675	2,424,887	0.530 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	2,634,562	209,675	2,424,887	0.530 %
f	Health professions education (from Worksheet 5) ..	30,000		30,000	0.010 %
g	Subsidized health services (from Worksheet 6) ..	82,566		82,566	0.020 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	2,911,458		2,911,458	0.630 %
j	Total. Other Benefits ..	5,658,586	209,675	5,448,911	1.190 %
k	Total. Add lines 7d and 7j .	72,784,097	52,120,214	20,663,883	4.480 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	81,486	81,486	0.020 %
2	Economic development
3	Community support	38,136	38,136	0.010 %
4	Environmental improvements
5	Leadership development and training for community members	87,262	87,262	0.020 %
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other	106,468	106,468	0.020 %
10	Total	313,352	313,352	0.070 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

22,258,969

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

89,730,361

Enter Medicare allowable costs of care relating to payments on line 5.....

111,118,433

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-21,388,072

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1MECC - SEE PART VI	PHYSICIAN OFFICE&CONF ED CTR	50.000 %	50.000 %
2MAS - SEE PART VI	OUTPATIENT SURGERY CENTER	39.730 %	60.270 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number
1	MISSION HOSPITAL REGIONAL MEDICAL CEN 27700 MEDICAL CENTER ROAD MISSION VIEJO,CA92691 WWW.MISSION4HEALTH.COM 060000146	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MISSION HOSPITAL REGIONAL MEDICAL CEN
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 500.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
SCHEDULE H, PART V, LINE 3	INPUT FROM COMMUNITY REPRESENTATIVES MISSION HOSPITAL GATHERED COMMUNITY INPUT THROUGH THREE MAJOR AVENUES: TELEPHONE SURVEY, STAKEHOLDER PANELS, AND RESIDENT FOCUS GROUPS. TELEPHONE SURVEY: A TELEPHONE SURVEY WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) USING A SYSTEMATIC, DATA DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS AND NEEDS IN DESIGNATED HIGH NEED AREAS. THE INFORMATION FROM THIS SURVEY WAS USED TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS. THE TELEPHONE SURVEY GATHERED A TOTAL OF 763 INTERVIEWS, A SAMPLE THAT IS REPRESENTATIVE OF THE ACTUAL POPULATION DEMOGRAPHICS. STAKEHOLDER PANELS: FOUR (4) PANEL DISCUSSIONS WERE HELD WITH KEY INFORMANTS REPRESENTING A WIDE-VARIETY OF SERVICE PROVIDERS AND LEADERS ACROSS OUR SERVICE AREA. A TOTAL OF 43 COMMUNITY STAKEHOLDERS BROUGHT THEIR FIRST-HAND KNOWLEDGE ABOUT RESIDENTS' NEEDS, SERVICES AVAILABLE, AND CURRENT AND EMERGING COMMUNITY HEALTH AND QUALITY OF LIFE ISSUES. IN ADDITION, WE GAINED FEEDBACK THROUGH THE MISSION HOSPITAL LAGUNA BEACH ADVISORY COUNCIL, A COUNCIL ESTABLISHED BY THE ATTORNEY GENERAL IN 2009 AND COMPRISED OF RESIDENTS AND LEADERS IN LAGUNA BEACH. COUNCIL MEMBERS PROVIDED INPUT THROUGH AN ONLINE SURVEY AND FOCUS GROUP. RESIDENT FOCUS GROUPS: A TOTAL OF 209 RESIDENTS PARTICIPATED IN NINE FORUMS ACROSS SOUTH ORANGE COUNTY. AT EACH FORUM, AREAS OF OPPORTUNITY IDENTIFIED THROUGH THE TELEPHONE SURVEY AND STAKEHOLDER PANELS WERE SHARED WITH PARTICIPANTS TO GET THEIR FEEDBACK AND VALIDATE EARLY FINDINGS. RESIDENTS IDENTIFIED ANY MISSING HEALTH AND QUALITY OF LIFE ISSUES AND PRIORITIZED THE TOP ISSUES ACCORDING TO THEIR CONCERNS. HEALTH NEEDS ASSESSMENT ADVISORY COMMITTEE IN 2013 MISSION HOSPITAL FORMULATED AN ADVISORY COMMITTEE TO ENGAGE LEADERS BEYOND THE COMMUNITY BENEFIT STAFF AND ALLOW FOR A COLLECTIVE ANALYSIS OF THE MANY SOURCES OF DATA AVAILABLE FOR REVIEW AS WELL AS TO NARROW THE LIST OF PRIORITIES FOR THE FY15-17 COMMUNITY BENEFIT PLAN. THE COMMITTEE CONSISTED OF COMMUNITY BENEFIT COMMITTEE MEMBERS, REPRESENTATIVES FROM LOCAL COMMUNITY CLINICS, PUBLIC HEALTH PERSONNEL AND HOSPITAL STAFF FROM A VARIETY OF UNITS. FOR MORE INFORMATION, GO TO WWW.MISSION4HEALTH.COM.
SCHEDULE H, PART V, LINE 5	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, LINE 7	NEEDS NOT ADDRESSED 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 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: WE HAVE 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 OUR MINISTRY 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. WE 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. WE WILL CONTINUE TO WORK COLLABORATIVELY WITH CAMINO 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 WE DECIDED TO FOCUS OUR EFFORTS ON ISSUES MORE SPECIFIC. WE WILL BRING THIS ISSUE TO OUR 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: WE HAVE 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 WILL COLLABORATE WITH MANY LOCAL ORGANIZATIONS THAT ISOLATED AREAS OF HIGH NEED HAVE BEEN IDENTIFIED IN THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO, LAGUNA NIGUEL, MISSION VIEJO, LAKE FOREST AND RANCHO SANTA MARGARITA. THESE AREAS WERE DETERMINED BASED ON KEY DRIVERS FOR COMMUNITY VULNERABILITY, WHICH INCLUDE MEDIAN HOUSEHOLD INCOME, NUMBER OF PEOPLE LIVING IN A HOME, HEALTH INSURANCE COVERAGE, HIGHEST EDUCATIONAL LEVEL, ETC. ALTHOUGH HIGH NEEDS WERE IDENTIFIED IN THESE 7 AREAS, BASED ON HOSPITAL RESOURCES AND PARTNERSHIPS AND IN AN EFFORT TO SHOW SIGNIFICANT OUTCOMES AT THE END OF THE THREE-YEAR PLAN, A DECISION WAS MADE TO PRIMARILY FOCUS ON THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO, LAGUNA BEACH AND LAKE FOREST. THIS DECISION WAS MADE IN PARTNERSHIP WITH COMMUNITY BENEFIT DEPARTMENT STAFF, THE HOSPITAL EXECUTIVE TEAM AND THE COMMUNITY BENEFIT COMMITTEE. FOR FURTHER INFORMATION, PLEASE SEE THE IMPLEMENTATION STRATEGY FOUND AT HTTP://WWW.MISSION4HEALTH.COM/DOCUMENTS/COMMUNITY-BENEFIT/FY15-17-MISSION- CB-PLAN-AND-IS-REPORT.PDF.
SCHEDULE H, PART V, LINE 12I	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, LINE 14G	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, LINE 18E	OTHER EFFORTS MADE BY HOSPITAL FACILITY 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, LINE 20D	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 USES MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES IS USED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address		Type of Facility (describe)
1	MISSION AMBULATORY SURGICENTER LTD 26730 CROWN VALLEY PARKWAY MISSION VIEJO,CA92691	OUTPATIENT SURGERY CENTER
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCHEDULE H, PART V, LINE 3	INPUT FROM COMMUNITY REPRESENTATIVES MISSION HOSPITAL GATHERED COMMUNITY INPUT THROUGH THREE MAJOR AVENUES: TELEPHONE SURVEY, STAKEHOLDER PANELS, AND RESIDENT FOCUS GROUPS. TELEPHONE SURVEY: A TELEPHONE SURVEY WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) USING A SYSTEMATIC, DATA DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS AND NEEDS IN DESIGNATED HIGH NEED AREAS. THE INFORMATION FROM THIS SURVEY WAS USED TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS. THE TELEPHONE SURVEY GATHERED A TOTAL OF 763 INTERVIEWS, A SAMPLE THAT IS REPRESENTATIVE OF THE ACTUAL POPULATION DEMOGRAPHICS. STAKEHOLDER PANELS: FOUR (4) PANEL DISCUSSIONS WERE HELD WITH KEY INFORMANTS REPRESENTING A WIDE-VARIETY OF SERVICE PROVIDERS AND LEADERS ACROSS OUR SERVICE AREA. A TOTAL OF 43 COMMUNITY STAKEHOLDERS BROUGHT THEIR FIRST-HAND KNOWLEDGE ABOUT RESIDENTS' NEEDS, SERVICES AVAILABLE, AND CURRENT AND EMERGING COMMUNITY HEALTH AND QUALITY OF LIFE ISSUES. IN ADDITION, WE GAINED FEEDBACK THROUGH THE MISSION HOSPITAL LAGUNA BEACH ADVISORY COUNCIL, A COUNCIL ESTABLISHED BY THE ATTORNEY GENERAL IN 2009 AND COMPRISED OF RESIDENTS AND LEADERS IN LAGUNA BEACH. COUNCIL MEMBERS PROVIDED INPUT THROUGH AN ONLINE SURVEY AND FOCUS GROUP. RESIDENT FOCUS GROUPS: A TOTAL OF 209 RESIDENTS PARTICIPATED IN NINE FORUMS ACROSS SOUTH ORANGE COUNTY. AT EACH FORUM, AREAS OF OPPORTUNITY IDENTIFIED THROUGH THE TELEPHONE SURVEY AND STAKEHOLDER PANELS WERE SHARED WITH PARTICIPANTS TO GET THEIR FEEDBACK AND VALIDATE EARLY FINDINGS. RESIDENTS IDENTIFIED ANY MISSING HEALTH AND QUALITY OF LIFE ISSUES AND PRIORITIZED THE TOP ISSUES ACCORDING TO THEIR CONCERNS. HEALTH NEEDS ASSESSMENT ADVISORY COMMITTEE IN 2013 MISSION HOSPITAL FORMULATED AN ADVISORY COMMITTEE TO ENGAGE LEADERS BEYOND THE COMMUNITY BENEFIT STAFF AND ALLOW FOR A COLLECTIVE ANALYSIS OF THE MANY SOURCES OF DATA AVAILABLE FOR REVIEW AS WELL AS TO NARROW THE LIST OF PRIORITIES FOR THE FY15-17 COMMUNITY BENEFIT PLAN. THE COMMITTEE CONSISTED OF COMMUNITY BENEFIT COMMITTEE MEMBERS, REPRESENTATIVES FROM LOCAL COMMUNITY CLINICS, PUBLIC HEALTH PERSONNEL AND HOSPITAL STAFF FROM A VARIETY OF UNITS. FOR MORE INFORMATION, GO TO WWW.MISSION4HEALTH.COM.
SCHEDULE H, PART V, LINE 5	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, LINE 7	NEEDS NOT ADDRESSED 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 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: WE HAVE 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 OUR MINISTRY 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. WE 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. WE WILL CONTINUE TO WORK COLLABORATIVELY WITH CAMINO 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 WE DECIDED TO FOCUS OUR EFFORTS ON ISSUES MORE SPECIFIC. WE WILL BRING THIS ISSUE TO OUR 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: WE HAVE 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 WILL COLLABORATE WITH MANY LOCAL ORGANIZATIONS THAT ISOLATED AREAS OF HIGH NEED HAVE BEEN IDENTIFIED IN THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO, LAGUNA NIGUEL, MISSION VIEJO, LAKE FOREST AND RANCHO SANTA MARGARITA. THESE AREAS WERE DETERMINED BASED ON KEY DRIVERS FOR COMMUNITY VULNERABILITY, WHICH INCLUDE MEDIAN HOUSEHOLD INCOME, NUMBER OF PEOPLE LIVING IN A HOME, HEALTH INSURANCE COVERAGE, HIGHEST EDUCATIONAL LEVEL, ETC. ALTHOUGH HIGH NEEDS WERE IDENTIFIED IN THESE 7 AREAS, BASED ON HOSPITAL RESOURCES AND PARTNERSHIPS AND IN AN EFFORT TO SHOW SIGNIFICANT OUTCOMES AT THE END OF THE THREE-YEAR PLAN, A DECISION WAS MADE TO PRIMARILY FOCUS ON THE CITIES OF SAN CLEMENTE, DANA POINT, SAN JUAN CAPISTRANO, LAGUNA BEACH AND LAKE FOREST. THIS DECISION WAS MADE IN PARTNERSHIP WITH COMMUNITY BENEFIT DEPARTMENT STAFF, THE HOSPITAL EXECUTIVE TEAM AND THE COMMUNITY BENEFIT COMMITTEE. FOR FURTHER INFORMATION, PLEASE SEE THE IMPLEMENTATION STRATEGY FOUND AT HTTP://WWW.MISSION4HEALTH.COM/DOCUMENTS/COMMUNITY-BENEFIT/FY15-17-MISSION- CB-PLAN-AND-IS-REPORT.PDF.
SCHEDULE H, PART V, LINE 12I	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, LINE 14G	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, LINE 18E	OTHER EFFORTS MADE BY HOSPITAL FACILITY 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, LINE 20D	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 USES MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES IS USED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number
95-1643360

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DR IRVINE,CA92612	33-0143024	501(c)(3)	5,363,300				CARE FOR THE POOR
(2) CAMINO HEALTH CENTER 30300 CAM CAPISTRANO CAPISTRANO,CA92675	33-0574214	501(c)(3)	1,888,906				PROGRAM SUPPORT
(3) NATIONAL HEALTH FOUNDATION 515 S FIGUEROA 1300 LOS ANGELES,CA90071	23-7314808	501(c)(3)	58,000	0			PROGRAM SUPPORT
(4) ST JOSEPH HOSPITAL OF ORANGE 1100 W STEWART STREET ORANGE,CA92868	95-1643359	501(c)(3)	10,000				PROGRAM SUPPORT
(5) ST MARGARET'S EPISCOPAL SCHOOL 31641 LA NOVIA SJ CAPSITRANO,CA92675	95-3408913	501(c)(3)	9,150				PROGRAM SUPPORT
(6) MARCH OF DIMES 2222 MARTIN ST 155 IRVINE,CA92612	13-1846366	501(c)(3)	30,000				PROGRAM SUPPORT
(7) CHILDREN HOSPITAL OF ORANGE COUNTY FDN 455 S MAIN ST ORANGE,CA92868	95-2321786	501(c)(3)	10,000				PROGRAM SUPPORT
(8) UCI FOUNDATION UCI SB 431 IRVINE,CA92697	95-2540117	501(c)(3)	18,333				PROGRAM SUPPORT
(9) SUSAN KOMEN FOR THE CURE 3191-A AIRPORT LOOP DR COSTA MESA,CA92626	75-2844659	501(c)(3)	10,000				PROGRAM SUPPORT
(10) ST TIMOTHY'S CATHOLIC CHURCH 29102 CROWN VALLEY LAGUNA NIGUEL,CA92677	95-3656905	501(c)(3)		82,864	OTHER	FOOD BANK DONATION	PROGRAM SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) RECUPERATION-HELPING HANDS-ON BEHALF OF PATIENTS	17	24,566
(2) INDIVIDUAL FUNERALS	9	12,158
(3) MAMMOGRAMS	11	2,710
(4) HOME CARE	80	3,594

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

SCHEDULE I, PART I, LINE 2

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.

SCHEDULE I, PART III, LINE 1, COLUMNE B

CALCULATION OF NUMBER OF RECIPIENTS - RECUPERATION - HELPING HANDS WE ESTIMATE 80 NUMBER OF RECIPIENTS BY LOOKING AT 90% OF INVOICES AND ESTIMATED REMAINING AT AN AVERAGE OF 4 PATIENTS PER INVOICE.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number

95-1643360

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)KENNETH MCFARLANDBOARD MEMBER, CEO & PRESIDENT	(i) (ii)	0 480,652	0 187,331	0 255,658	0 20,068	0 32,670	0 976,379	0 158,344
(2)ANNETTE WALKERBOARD MEMBER	(i) (ii)	0 519,458	0 137,665	0 68,198	0 12,750	0 33,924	0 771,995	0 0
(3)TODD LEMPERT MDBOARD MEMBER (PART YEAR)	(i) (ii)	0 0	0 0	185,620 0	0 0	0 0	185,620 0	0 0
(4)CYNTHIA MUELLERVP MISSION INTEGRATION	(i) (ii)	199,914 0	69,297 0	26,855 0	26,867 0	22,397 0	345,330 0	749 0
(5)EILEEN HAUBLVP & CHIEF FINANCIAL OFFICER	(i) (ii)	271,262 0	88,694 0	41,171 0	24,752 0	22,484 0	448,363 0	0 0
(6)TARA COWELLVP/ASSOC. GENERAL COUNSEL/SEC.	(i) (ii)	0 230,892	0 53,574	0 29,621	0 16,482	0 23,189	0 353,758	0 0
(7)LINDA JOHNSONCHIEF CLINICAL OFFICER	(i) (ii)	293,447 0	96,758 0	73,593 0	17,613 0	32,569 0	513,980 0	21,475 0
(8)MICHAEL BECKVP, INTEGRATED OPERATIONS	(i) (ii)	177,526 0	59,080 0	28,743 0	19,986 0	34,903 0	320,238 0	0 0
(9)MICHAEL KOHLEREXEC DIR PERIOPERATIVE SVS	(i) (ii)	153,102 0	19,899 0	3,045 0	8,946 0	22,371 0	207,363 0	0 0
(10)RONALD GALONSKYCHIEF OPER&INTEGRATION OFFICER	(i) (ii)	237,610 0	31,250 0	142,455 0	0 0	20,814 0	432,129 0	0 0
(11)SAMUEL GOMEZEXEC DIR NURSING SERVICES	(i) (ii)	135,096 0	22,967 0	2,744 0	4,957 0	12,785 0	178,549 0	0 0
(12)WILLIAM LOSEEPHARMACIST CLINICAL	(i) (ii)	195,594 0	0 0	925 0	18,295 0	24,829 0	239,643 0	0 0
(13)VICTORIA MCKINNEYE.D. MATERNAL/CHILD/MED/SURG	(i) (ii)	172,004 0	23,753 0	7,726 0	9,595 0	10,840 0	223,918 0	0 0
(14)TERRI FOX-COVERTVP HUMAN RESOURCES	(i) (ii)	195,919 0	65,797 0	24,935 0	21,484 0	33,498 0	341,633 0	0 0
(15)WINIFRED JOHNSONCHIEF DEVELOPMENT OFFICER	(i) (ii)	107,921 0	55,888 0	36,081 0	10,134 0	14,334 0	224,358 0	0 0
(16)FARAH ZIAIINUCLEAR MED TECHNOLOGIST -ARSO	(i) (ii)	219,711 0	500 0	900 0	20,314 0	24,501 0	265,926 0	0 0
(17)DENNIS HAGHIGHATVP MEDICAL AFFAIRS	(i) (ii)	10,008 272,555	1,009 62,361	996 18,661	506 12,859	422 10,849	12,941 377,285	0 0
(18)MARGARITA COWLEYFORMER CHIEF OPERATING OFFICER	(i) (ii)	0 0	0 0	351,505 0	0 0	0 0	351,505 0	0 0
(19)PETER BASTONEFORMER CEO	(i) (ii)	0 0	0 0	0 241,852	0 0	0 0	0 241,852	0 0
(20)SHIRLEY BARNESFORMER VP HUMAN RESOURCES	(i) (ii)	0 0	0 0	245,579 0	0 0	0 0	245,579 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 1a	TRAVEL FOR COMPANIONS ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL TO CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. MEMBERS OF THE BOARD AND EXECUTIVE MANAGEMENT TEAM ARE SELECTED TO PARTICIPATE IN AN ANNUAL PILGRIMAGE TO LE PUY, FRANCE, WHERE THE SISTERS' FIRST CONGREGATION WAS FORMED. THE PURPOSE OF THE PILGRIMAGE IS FOR THE ORGANIZATION'S LEADERS TO DEVELOP A DEEPER UNDERSTANDING OF THE ROOTS AND HERITAGE OF THE ORGANIZATION IN ORDER TO CARRY OUT THE MISSION. COMPANION TRAVEL IS CONSIDERED TO BE AN ESSENTIAL PART OF THIS EXPERIENCE AND THE COMPANION ACTS AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING INDIVIDUAL LISTED ON PART VII RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. TERRI FOX-COVERT - $5,236 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 THAT IS COMPLETED BY THE ST. JOSEPH HEALTH SYSTEM.
Schedule J, Part I, Line 4a	SEVERANCE PAYMENT OR CHANGE OF CONTROL PAYMENT THE FOLLOWING INDIVIDUALS RECEIVED SERVERANCE PAYMENTS FOR EITHER PART OR ALL OF THE YEAR: PETER BASTONE - $241,853 MARGARITA COWLEY - $351,505 SHIRLEY BARNES - $245,579
Schedule J, Part I, Line 4b	DESCRIPTION OF A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN EXECUTIVES 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 PAYMENT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (SERP): KENNETH MCFARLAND - $158,344 CYNTHIA MULLER - $749 LINDA JOHNSON - $21,475
Schedule J, Part I, Line 7	DESCRIBE ANY NON-FIXED PAYMENTS PROVIDED A PORTION OF EXECUTIVE SALARIES ARE PLACED 'AT-RISK' AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE 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 J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number

95-1643360

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) COAST RDLGY IMAGING INTERVENTION	SEE PART V	245,060	RADIOLOGY PROF COVERAGE		No
(2) ORANGE COUNTY NEUROSURGERY ASSOC	SEE PART V	972,245	ER CALL/PHYS. ASST. AGREEMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

Schedule L, Part IV, LINE (1), COLUMN (B)

RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION DR. LEMPERT IS A BOARD MEMBER (TERM EXPIRED DEC 2013) AND HAS A GREATER THAN 5% INTEREST IN COAST RADIOLOGY IMAGING & INTERVENTION, INC. WHICH HAS AN AGREEMENT FOR PROFESSIONAL SERVICES WITH THE HOSPITAL. DR. MASSOUDI IS A BOARD MEMBER AND HAS A GREATER THAN 5% INTEREST IN ORANGE COUNTY NEUROSURGICAL ASSOCIATES WHICH HAS AN AGREEMENT FOR PROFESSIONAL SERVICES WITH THE HOSPITAL.

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

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SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number

95-1643360

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	11	185,465	FMV
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( GIFTS IN KIND )	X	813	0	SEE PART II
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2013)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
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 $443,499 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 M (Form 990) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number

95-1643360

Return Reference	Explanation
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS REALIZING OUR MISSION MISSION HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 40 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 2,700 EMPLOYEES COMMITTED TO REALIZING THE MISSION, MISSION HOSPITAL IS ONE OF THE LARGEST EMPLOYERS IN THE SOUTH ORANGE COUNTY REGION. AS A MEMBER OF ST. JOSEPH HEALTH, MISSION HOSPITAL IS COMMITTED TO EXTENDING 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 MINISTRY. THREE MISSION OUTCOMES STRATEGICALLY GUIDE OUR MINISTRY WORK MISSION HOSPITAL IS COMMITTED TO THREE SYSTEM WIDE MISSION OUTCOMES: 1) SACRED ENCOUNTERS, 2) PERFECT CARE, AND 3) HEALTHIEST COMMUNITIES. 1) 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. SACRED MOMENTS SUPPORT OUR MISSION OUTCOME OF SACRED ENCOUNTERS BY FOSTERING SACRED ENCOUNTERS THROUGHOUT THE PATIENT JOURNEY. OUR SACRED MOMENTS PROGRAM IS A PROACTIVE APPROACH TO 'HEALING BEYOND SCIENCE'. IT ATTEMPTS TO BRING THE SACRED INTO EVERYDAY INTERACTIONS BY PROVIDING A PRACTICAL STRUCTURE FOR FRONTLINE CAREGIVERS TO FOSTER SACRED ENCOUNTERS WITH THEIR PATIENTS, VISITORS, PHYSICIANS AND COLLEAGUES. EMPLOYEES ACROSS THE MINISTRY HAVE EACH PARTICIPATED IN 12-HOURS OF SACRED MOMENTS DESIGNS IN THEIR UNIT, AND HAVE ATTENDED A 90-MINUTE SACRED MOMENTS DEVELOPMENT SESSION. 2) ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENT'S EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. IN FY14, MISSION HOSPITAL ADOPTED A DAILY ROUNDING SYSTEM THROUGHOUT THE ORGANIZATION TO INCREASE COMMUNICATION AT ALL LEVELS OF THE ORGANIZATION AS WELL AS IMPLEMENTING A "CATCH OF THE DAY" PROGRAM WHERE FRONT-LINE STAFF IDENTIFY AREAS WITHIN A PRACTICE THAT COULD LEAD TO A NEGATIVE PATIENT OUTCOME. THIS PROCESS ENABLES CLINICIANS TO SPEAK OPENLY ABOUT HOW A PROCEDURE COULD BE IMPROVED TO CONTINUALLY IMPROVE OUR EFFORTS TOWARD PERFECT CARE. 3) 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. SINCE 2010, WE HAVE WORKED IN THE LAGUNA BEACH COMMUNITY TO REDUCE YOUTH ALCOHOL & SUBSTANCE USE, AS OVER 35% OF 9TH GRADERS REPORTED USING ALCOHOL WITHIN 30 DAYS IN 2008 (SOURCE: LAGUNA BEACH UNIFIED SCHOOL DISTRICT CALIFORNIA HEALTHY KIDS SURVEY 2008 RESULTS). OUR STRATEGIES WERE MULTI-FACETED, USING THE FOLLOWING THREE STRATEGIES: 1) INCREASE A CHILD'S OWN PROBLEM-SOLVING SKILLS; 2) INCREASE CARING RELATIONSHIPS AT HOME; AND 3) REDUCING ACCESS TO ALCOHOL. IN JULY 2012, WE BROUGHT ON A COMMUNITY DEVELOPMENT SPECIALIST TO SUPPORT THE LAGUNA BEACH COMMUNITY COALITION AND OUR EFFORTS AROUND YOUTH ALCOHOL USE PREVENTION. THE COALITION'S 20 MEMBERS SUPPORTED LAGUNA BEACH UNIFIED SCHOOL DISTRICT IN CHANGING THE SCHOOL CURRICULUM TO ADDRESS RISKY BEHAVIORS THROUGH IMPLEMENTING THE EVIDENCED-BASED BOTVIN LIFE SKILLS CURRICULUM. THIS CURRICULUM HAS A SPECIAL FOCUS TO IMPROVE PROBLEM-SOLVING SKILLS TO STUDENTS IN VARIOUS GRADE LEVELS. FY14 WAS DEDICATED TO EDUCATING PARENTS AND INCREASING POSITIVE RELATIONSHIPS FOR YOUTH AT HOME. THIS YEAR'S PROGRAM WAS FOCUSED ON PARENTS OF 4TH & 5TH GRADE STUDENTS GETTING THEM READY FOR MIDDLE SCHOOL. A 5-WEEK SERIES AIMED AT HELPING PARENTS UNDERSTAND IF THEIR CHILDREN WERE SURVIVING OR THRIVING USING THE 40 DEVELOPMENTAL ASSETS CURRICULUM. OTHER TOPICS INCLUDED POSITIVE PARENTING AND COMMUNICATION, SETTING BOUNDARIES, PLANNING AND DECISION-MAKING. ADDITIONAL RESULTS OF LOCAL EFFORTS FROM COALITION MEMBER AGENCIES INCLUDED: - THE CONTINUATION OF THE CATALYST CLUB BY YOUTH AT LAGUNA BEACH HIGH SCHOOL, WHERE STUDENTS WHO DON'T DRINK OR USE DRUGS FEEL SUPPORTED. THEY PLANNED AND IMPLEMENTED MONTHLY OUTINGS AND EVENTS TO SHOW THAT YOUTH CAN HAVE FUN AND MAKE FRIENDS IN A SAFE AND HEALTHY ENVIRONMENT. - THE LAGUNA BEACH PRESCRIPTION DRUG AWARENESS PROGRAM CONDUCTED 2 NATIONAL TAKE BACK PRESCRIPTION DRUG EVENTS THIS YEAR AND WORKED WITH THE CITY COUNCIL TO SET UP A PERMANENT PRESCRIPTION DRUG DROP BOX AT THE LAGUNA BEACH POLICE DEPARTMENT. - THE LAGUNA BEACH POLICE DEPARTMENT CONTINUES TO CONDUCT THE DECOY SHOULDER TAP PROGRAM TO DETER ADULTS FROM FURNISHING ALCOHOL TO MINORS OF STORES AND THE MINOR DECOY PROGRAM TO REDUCE THE NUMBER OF RETAIL STORES FROM SELLING ALCOHOL TO MINORS. THEY ARE ALSO PROVIDING RESPONSIBLE BEVERAGE SERVICE TRAINING FOR LOCAL RESTAURANTS AND BARS. - IN ADDITION, THE COALITION SUPPORTED HIGH SCHOOL PARENT AWARENESS WORKSHOPS WHICH INCLUDED INTRODUCTION TO THE 40 DEVELOPMENTAL ASSETS, INTERNET SAFETY, DRUG & ALCOHOL TRENDS, AND REVIEWING RESULTS OF THE CALIFORNIA HEALTHY KIDS SURVEY. OVER 500 PARENTS ATTENDED THESE PRESENTATIONS DURING FY14. THE NATIONAL INSTITUTE FOR DRUG AWARENESS HAS CONCLUDED THAT PREVENTION PROGRAMS AIMED AT KEY TRANSITION POINTS FOR YOUTH CAN PRODUCE RESULTS, EVEN IN HIGH RISK FAMILIES. MISSION HOSPITAL PROVIDED TRANSITIONAL PARENT MEETINGS FOR 120 PARENTS OF 5TH & 8TH GRADERS TO PREPARE THEM FOR THEIR CHILDREN TRANSITIONING INTO DIFFERENT SCHOOL SETTINGS. PROGRAM SERVICE ACCOMPLISHMENTS FINANCIAL ASSISTANCE PROGRAM WE BELIEVE 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 THAT PROVIDES FREE AND/OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. FACTORS USED IN DETERMINING ELIGIBILITY FOR PATIENT FINANCIAL ASSISTANCE INCLUDE INCOME LEVEL, ASSET LEVEL, AND MEDICAL INDIGENCE. MEDICAID AND OTHER MEANS TESTED PROGRAMS MEDICAID, ALSO KNOWN AS MEDI-CAL IN CALIFORNIA, IS THE US HEALTH PROGRAM FOR PEOPLE WITH LOW INCOME. IT IS JOINTLY FUNDED BY THE STATE AND FEDERAL GOVERNMENTS, AND IS MANAGED BY THE STATES. MEDICAL SERVICES INITIATIVE (MSI) IS A FEDERAL, STATE AND COUNTY-FUNDED HEALTHCARE PROGRAM THAT PROVIDES A FULL RANGE OF MEDICAL SERVICES FOR PERSONS AGED 21 - 64 YEARS. FINANCIAL ELIGIBILITY IS BASED ON A CASE-BY-CASE BASIS; HOWEVER ONLY PERSONS WHOSE ANNUAL INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE. IN APPLYING FOR THE PROGRAM, PROOF OF ORANGE COUNTY RESIDENCY AND U.S. CITIZENSHIP OR LEGAL RESIDENCY IS REQUIRED. MISSION HOSPITAL PARTICIPATES IN BOTH THE STATE AND COUNTY GOVERNMENT PROGRAMS. FOR A BREAK OUT ON EXPENSES FOR THESE PROGRAMS LISTED ABOVE REFER TO SCHEDULE H, PART I, LINES 7A, 7B, AND 7C. CARE FOR THE POOR PROGRAMS WE BELIEVE THAT ALL RESIDENTS IN THE COMMUNITY DESERVE ACCESS TO MEDICAL CARE. THAT IS WHY MISSION HOSPITAL DEDICATES 10% OF ITS NET INCOME TOWARD CARE FOR THE POOR TO SUPPORT LOCAL PROGRAMS SUCH AS CAMINO HEALTH CENTER, THE LOCAL FEDERALLY-QUALIFIED HEALTH CENTER THAT SERVES SOUTH COUNTY RESIDENTS WHO ARE UNINSURED OR UND
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 PRELIMINARY APPROVAL BY THE COVENANT HEALTH NETWORK, INC. BOARD AND FINAL 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 BYLAWS. ST. JOSEPH HEALTH SYSTEM RESERVES THE RIGHT TO APPROVE AMENDMENTS TO ARTICLES.
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 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 2015 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.
FORM 990, PART VI, LINES 15A & 15B	OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN THE CHIEF EXECUTIVE OFFICER OF MISSION HOSPITAL IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM, MISSION HOSPITAL'S TAX EXEMPT PARENT. 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 2013. 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 IX, LINE 11G	OTHER FEES EXCEED 10% PURCHASED SERVICES - $ 33,644,820 PROFESSIONAL FEES/PHYSICIAN FEES - $ 11,530,562 REGISTRIES - $ 5,435,700 PURCHASED SERVICES BIOMED - $ 5,354,853 MEDICAL PURCHASED SERVICES - $ 1,613,825 CONSULTING/MANAGEMENT FEES - $ 819,959 -------------- TOTAL $ 58,399,719 ==============
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE $ (2,200,000) - MIMG ACQUISITION IN FY13 $ (24,303,164) - CAPITAL CONTRIBUTION TO HERITAGE $ 334,166 - CHANGES IN INVESTMENTS IN SUBSIDIARIES & MINORITY INTERESTS $ (17,931,076) - NET ASSET TRANSFER TO ST. JOSEPH HEALTH SYSTEM $ (97,000) - INTERCOMPANY TRANSFERS TO MISSION FOUNDATION $ (103,425) - OTHER FUND ADJUSTMENTS $ 8,147 - OTHER GRANT ADJUSTMENTS $ (2) - ROUNDING -------------- $ (44,292,354) - TOTAL ==============

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MISSION HOSPITAL REGIONAL MEDICAL CENTER

Employer identification number

95-1643360

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) COVENANT HEALTH NETWORK INC 3345 MICHELSON DRIVE STE 100 IRVINE,CA92612 46-1259908	HEALTHCARE	CA	501(C)(3)	11, III	SJHS	Yes
(2) COVENANT HEALTH PARTNERS 3615 19TH STREET LUBBOCK,TX79410 61-1573313	HEALTHCARE	TX	501(C)(3)	11, I	CHS	Yes
(3) COVENANT HEALTH SYSTEM 3615 19TH STREET LUBBOCK,TX79410 75-2765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes
(4) COVENANT HEALTH SYSTEM FOUNDATION 4000 24TH STREET LUBBOCK,TX79410 75-2897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes
(5) COVENANT MEDICAL GROUP 3420 22ND PLACE LUBBOCK,TX79410 75-2743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(6) COVENANT PHYSICIAN PARTNERS 3615 19TH STREET LUBBOCK,TX79410 46-3516417	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(7) HOAG CHARITY SPORTS 3920 BIRCH STREET SUITE 105 NEWPORT BEACH,CA92660 45-2982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes
(8) HOAG HOSPITAL FOUNDATION 1 HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92663 95-3222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes
(9) HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92663 95-1643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(10) HOME CARE PARTNERS 1165 MONTGOMERY DR SANTA ROSA,CA95405 68-0318656	INACTIVE	CA	501(C)(3)	3	SRMH	Yes
(11) HOSPICE OF LUBBOCK 1102 SLIDE ROAD LUBBOCK,TX79414 75-2133781	HEALTHCARE	TX	501(C)(3)	9	CHS	Yes
(12) LUBBOCK METHODIST HOSPITAL FOUNDATION 3615 19TH STREET LUBBOCK,TX79410 75-2220963	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes
(13) METHODIST CHILDREN'S HOSPITAL 3610 21ST STREET LUBBOCK,TX79410 75-2428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(14) METHODIST HOSPITAL LEVELLAND 1900 COLLEGE AVENUE LEVELLAND,TX79336 75-2246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(15) METHODIST HOSPITAL PLAINVIEW 2601 DIMMITT ROAD PLAINVIEW,TX79072 75-2426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(16) QUEEN OF THE VALLEY MEDICAL CENTER 1000 TRANCAS STREET NAPA,CA94558 94-1243669	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(17) REDWOOD MEMORIAL FOUNDATION 3300 RENNER DRIVE FORTUNA,CA95540 94-2779313	HEALTHCARE	CA	501(C)(3)	7	RMH	Yes
(18) REDWOOD MEMORIAL HOSPITAL 3300 RENNER DRIVE FORTUNA,CA95540 94-1384665	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(19) SANTA ROSA MEMORIAL HOSPITAL 1165 MONTGOMERY DR SANTA ROSA,CA95405 94-1231005	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(20) SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ORANGE,CA92868 95-1643383	RELIGIOUS ORG	CA	501(C)(3)	1	NA		No
(21) SRM ALLIANCE HOSPITAL SERVICES 400 NORTH MCDOWELL BLVD PETALUMA,CA94954 68-0395200	HEALTHCARE	CA	501(C)(3)	3	SRMH	Yes
(22) ST JOSEPH HEALTH MINISTRY 3345 MICHELSON DRIVE STE 100 IRVINE,CA92612 27-1666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO		No
(23) ST JOSEPH HEALTH SYSTEM 3345 MICHELSON DRIVE STE 100 IRVINE,CA92612 95-3589356	HEALTHCARE	CA	501(C)(3)	11, I	SJHM		No
(24) ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DRIVE STE 100 IRVINE,CA92612 33-0143024	HEALTHCARE	CA	501(C)(3)	7	SJHS	Yes
(25) ST JOSEPH HOME CARE NETWORK 170 PROFESSIONAL CENTER DR B ROHNERT PARK,CA94928 68-0331084	HEALTHCARE	CA	501(C)(3)	9	SJHS	Yes
(26) ST JOSEPH HOSPITAL OF EUREKA 2700 DOLBEER STREET EUREKA,CA95501 94-1156596	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(27) ST JOSEPH HOSPITAL OF ORANGE 1100 WEST STEWART DRIVE ORANGE,CA92868 95-1643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(28) ST JUDE HOSPITAL YORBA LINDA 500 S MAIN STREET STE 1000 ORANGE,CA92868 33-0185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(29) ST JUDE HOSPITAL INC 101 EAST VALENCIA MESA DRIVE FULLERTON,CA92635 95-1643324	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(30) ST MARY MEDICAL CENTER 18300 HIGHWAY 18 APPLE VALLEY,CA92307 95-1914489	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(31) ST MARY OF THE PLAINS HOSPITAL FDN 4000 24TH STREET LUBBOCK,TX79410 75-1653181	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes
(32) TALLER SAN JOSE 801 NORTH BROADWAY SANTA ANA,CA92701 59-3816355	WORKFORCE DEV	CA	501(C)(3)	2	SSJO	Yes
(33) AUXILIARY OF MISSION HOSP LAGUNA BEACH 31872 COAST HWY LAGUNA BEACH,CA92651 95-6050019	SUPPORT	CA	501(C)(3)	11, III-O	NA		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) ST JOSEPH HLTH SYS HOME HLTH SEE PART VII ORANGE,CA928682012 33-0282945	HOME HEALTH	CA	NA	N/A
(2) ST JOSEPH HLTH SYS HOME CARE SEE PART VII ORANGE,CA928682012 33-0307672	HOME HEALTH	CA	NA	N/A
(3) METHODIST DIAGNOSTIC IMAGING SEE PART VII LUBBOCK,TX79410 75-2343261	HEALTHCARE SVCS	TX	NA	N/A
(4) SHA LLC SEE PART VII AUSTIN,TX78750 75-2569094	INSURANCE	TX	NA	N/A
(5) LUBBOCK SURGERY CENTER LTD SEE PART VII LUBBOCK,TX79410 75-2177401	HEALTHCARE SVCS	TX	NA	N/A
(6) COVENANT LONG-TERM CARE LP SEE PART VII LUBBOCK,TX79410 20-5033419	HEALTHCARE SVCS	TX	NA	N/A
(7) HERITAGE INVESTMENT GROUP SEE PART VII ORANGE,CA92868 27-1000061	INVESTMENTS	CA	NA	N/A
(8) MISSION AMBULATORY SURGICENTER SEE PART VII MISSION VIEJO,CA92691 33-0355575	HEALTHCARE SVCS	CA	MHRMC	RELATED	982,505	2,005,669		No	0		No	43.312 %
(9) COMPREHENSIVE IMAGING PARTNERS SEE PART VII ORANGE,CA92868 26-4591502	HEALTHCARE SVCS	CA	NA	N/A
(10) ST JOSEPH PHYSICIAN VENTURES SEE PART VII ORANGE,CA92868 45-4521884	REAL ESTATE	CA	NA	N/A
(11) ADVANCED SURGERY INSTITUTE LLC SEE PART VII SANTA ROSA,CA95404 26-2299255	HEALTHCARE SVCS	CA	NA	N/A
(12) HOAG OUTPATIENT CENTERS SEE PART VII NEWPORT BEACH,CA92658 45-3587572	HEALTHCARE SVCS	CA	NA	N/A
(13) NEWPORT IMAGING CENTER SEE PART VII NEWPORT BEACH,CA92660 33-0191776	HEALTHCARE SVCS	CA	NA	N/A
(14) HOAG ORTHOPEDIC INSTITUTE SEE PART VII NEWPORT BEACH,CA92658 61-1588294	HEALTHCARE SVCS	CA	NA	N/A
(15) MAIN ST SPECIALTY SURGERY CNTR SEE PART VII ORANGE,CA92868 95-4813223	HEALTHCARE SVCS	CA	NA	N/A
(16) ORTHOPEDIC SURGERY CNTR OF OC SEE PART VII NEWPORT BEACH,CA92660 33-0841806	HEALTHCARE SVCS	CA	NA	N/A
(17) THE INSTITUTE FOR INNOVATION SEE PART VII MISSION VIEJO,CA92691 20-3132592	HEALTHCARE SVCS	DE	NA	N/A
(18) HEALTHCARE DESIGN & CONSTRUCT SEE PART VII LA PALMA,CA906231052 90-0745066	REAL ESTATE	DE	NA	N/A
(19) NORTH BAY ENDOSCOPY CENTER SEE PART VII LA PALMA,CA906231052 46-2611662	HEALTHCARE SVCS	CA	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) ST JOSEPH PROF SVCS ENTERPRISES INC 3345 MICHELSON DRIVE SUITE 100 IRVINE,CA92612 33-0155323	HEALTHCARE SVCS	CA	NA	C-CORP
(2) AMERICAN UNITY GROUP LTD 58 PAR-LA-VILLE ROAD HAMILTON HM HX BD	CAPTIVE INSURANCE	BD	NA	C-CORP
(3) ALLIANCE PHYSICIAN SERVICES	INACTIVE	CA	NA	C-CORP
(4) MISSION VIEJO MEDICAL VENTURES 27800 MEDICAL CENTER RD 354 MISSION VIEJO,CA92691 33-0212905	HEALTHCARE SVCS	CA	MHRMC	C-CORP	23,234	283,485	100.000 %	Yes
(5) ST JOSEPH YORBA PARK	INACTIVE	CA	NA	C-CORP
(6) LUBBOCK METHODIST HOSPITAL SVCS PO BOX 1201 LUBBOCK,TX79410 75-2118585	HEALTHCARE SVCS	TX	NA	C-CORP
(7) LUBBOCK METHODIST HOSP PRACTICE MGMT 2107 OXFORD STREET STE 300 LUBBOCK,TX79410 75-2578995	INACTIVE	TX	NA	C-CORP
(8) HOAG MANAGEMENT SERVICES INC 1 HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92658 33-0731587	HEALTHCARE SVCS	CA	NA	C-CORP
(9) COASTAL MANAGEMENT SERVICES ORGANIZATION 1 HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92658 33-0676831	HEALTHCARE SVCS	CA	NA	C-CORP
(10) HMTS INC FKA HOAG MEDICAL FOUNDATION 1 HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92658 45-3583707	HEALTHCARE SVCS	CA	NA	C-CORP
(11) ST JOSEPH HEALTH SOURCE INC 3345 MICHELSON DRIVE SUITE 100 IRVINE,CA92612 46-1900168	HEALTHCARE SVCS	CA	NA	C-CORP
(12) DATU HEALTH INC 16150 MAIN CIRCLE DR SUITE 250 CHESTERFIELD,MO63017 46-3070062	IT SVCS	MO	NA	C-CORP
(13) ST JOSEPH HEALTH 3345 MICHELSON DR SUITE 100 IRVINE,CA92612 46-2340232	HOLDING COMPANY	CA	NA	C-CORP

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ST JOSEPH HEALTH SYSTEM FOUNDATION	b	5,363,300	ACCRUAL
(2) ST JOSEPH HEALTH SYSTEM FOUNDATION	c	6,342,968	ACCRUAL
(3) ST JUDE HOSPITAL YORBA LINDA	b	26,639,501	ACCRUAL
(4) ST JUDE HOSPITAL YORBA LINDA	j	498,466	ACCRUAL
(5) ST JUDE HOSPITAL YORBA LINDA	k	194,216	ACCRUAL
(6) ST JUDE HOSPITAL YORBA LINDA	l	3,356,462	ACCRUAL
(7) ST JUDE HOSPITAL YORBA LINDA	q	57,137	ACCRUAL

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

SCHEDULE R, PART III

IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP 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 ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 HOAG OUTPATIENT CENTERS EIN: 45-3587572 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 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, STE 100, ORANGE, CA 92868 ORTHOPEDIC SURGERY CENTER OF OC, LLC EIN: 33-0841806 ADDRESS: 22 CORPORATE PLAZA, NEWPORT BEACH, CA 92660 THE INSTITUTE FOR INNOVATION, LLC EIN: 90-0745066 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 HEALTHCARE DESIGN AND CONSTRUCTION EIN: 46-2611662 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	2,631
6	Total number of volunteers (estimate if necessary) .............	6	727
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	703,275
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	224,145

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	8,308,384	14,961,825
9	Program service revenue (Part VIII, line 2g) .........	499,389,716	485,540,575
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	12,605,651	10,490,697
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	890,324	188,438
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	521,194,075	511,181,535
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	7,688,418	7,585,904
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	199,897,513	201,858,392
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	65,328	92,396
b	Total fundraising expenses (Part IX, column (D), line 25) 4,093,207
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	255,305,713	248,417,263
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	462,956,972	457,953,955
19	Revenue less expenses. Subtract line 18 from line 12.......	58,237,103	53,227,580
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	650,427,438	661,630,451
21	Total liabilities (Part X, line 26).............	348,089,184	342,889,976
22	Net assets or fund balances. Subtract line 21 from line 20.....	302,338,254	318,740,475

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 400,832,613 including grants of $ 7,585,904 ) (Revenue $ 485,540,575 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses400,832,613

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,148,253	2,558,478	622,987

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a		0
b	Membership dues....1b		0
c	Fundraising events....1c		1,937,946
d	Related organizations...1d		6,464,733
e	Government grants (contributions)1e		121,498

f	All other contributions, gifts, grants, and similar amounts not included above1f		6,437,648

g	Noncash contributions included in lines 1a-1f:$		185,465
h	Total. Add lines 1a-1f.......			14,961,825
			Business Code
2a	NET PATIENT REVENUE		622110	451,759,630	451,759,630	0	0
b	MOB RENTAL		531120	13,323,961	13,323,961	0	0
c	CAPITATION REVENUE		622110	9,638,351	9,638,351	0	0
d	CHILDREN'S HOSPITAL AT MISSION		622110	6,185,783	6,185,783	0	0
e	NUTRITIONAL SERVICES		722310	1,968,753	1,968,753	0	0
f	All other program service revenue .			2,664,097	1,960,822	703,275	0
g	Total. Add lines 2a–2f........			485,540,575
3	Investment income (including dividends, interest, and other similar amounts).......			10,469,281			10,469,281
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	185,465	20,429
b	Less: cost or other basis and sales expenses	184,478
c	Gain or (loss)	987	20,429
d	Net gain or (loss)..........			21,416			21,416
8a	Gross income from fundraising events (not including $ 1,937,946 of contributions reported on line 1c). See Part IV, line 18 ..
	a		290,986
b	Less: direct expenses ...b		691,278
c	Net income or (loss) from fundraising events..			-400,292			-400,292
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		187,509
b	Less: direct expenses ...b		42,750
c	Net income or (loss) from gaming activities...			144,759			144,759
10a	Gross sales of inventory, less returns and allowances .
	a		443,971
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			443,971			443,971
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			511,181,535	484,837,300	703,275	10,679,135


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			7,369,038	1	3,484,949
2	Savings and temporary cash investments .........			81,982,453	2	89,564,524
3	Pledges and grants receivable, net ...........			4,324,716	3	836,804
4	Accounts receivable, net .............			81,258,090	4	80,218,220
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			5,679,942	8	5,874,504
9	Prepaid expenses and deferred charges ..........			1,201,791	9	1,045,840
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	549,669,078
b	Less: accumulated depreciation .....	10b	205,773,348	330,867,220	10c	343,895,730
11	Investments—publicly traded securities ..........			75,074,493	11	87,235,102
12	Investments—other securities. See Part IV, line 11 .....			21,155,126	12	18,992,319
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			13,717,072	14	13,717,072
15	Other assets. See Part IV, line 11 ...........			27,797,497	15	16,765,387
16	Total assets. Add lines 1 through 15 (must equal line 34)......			650,427,438	16	661,630,451
17	Accounts payable and accrued expenses .........			57,816,779	17	61,113,982
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			290,272,405	25	281,775,994
26	Total liabilities. Add lines 17 through 25.........			348,089,184	26	342,889,976
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			240,787,500	27	239,504,301
28	Temporarily restricted net assets ...........			61,406,531	28	77,308,109
29	Permanently restricted net assets ...........			144,223	29	1,928,065
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			302,338,254	33	318,740,475
34	Total liabilities and net assets/fund balances ........			650,427,438	34	661,630,451