TY 2018 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) Miles Chang MD...................................................................... Board Member	2.0 ................. 0.0	X		0	0
(2) Dennis J Gilmore...................................................................... Board Member	2.0 ................. 0.0	X		0	0
(3) KAREN D LINDEN...................................................................... CHAIR/BOARD MEMBER HHF	5.0 ................. 4.0	X	X	0	0
(4) Jeffrey H Margolis...................................................................... Board Member	2.0 ................. 0.0	X		0	0
(5) Pamela Massey...................................................................... Board Member	2.0 ................. 0.0	X		0	0
(6) Gary S McKitterick...................................................................... PAST CHAIR	2.0 ................. 2.0	X		0	0
(7) Cynthia Stokke...................................................................... Board Member	2.0 ................. 0.0	X		0	0
(8) Vicki Booth...................................................................... Board Member	2.0 ................. 0.0	X		0	0
(9) Paul Heeschen...................................................................... Board Member	2.0 ................. 0.0	X		0	0
(10) Robert Evans...................................................................... Board Member	2.0 ................. 0.0	X		0	0
(11) Joel Katz MD...................................................................... Board Member	2.0 ................. 0.0	X		0	0
(12) George H Wood...................................................................... Chair-Elect	4.0 ................. 2.0	X	X	0	0
(13) Daniel Young...................................................................... Board Member	2.0 ................. 0.0	X		0	0
(14) Rodney Hochman MD...................................................................... BD Member/PSJH PRESIDENT/CEO	2.0 ................. 48.0	X		6,569,155	4,266,266
(15) Raymond Ricci MD...................................................................... Secretary	4.0 ................. 0.0	X	X	0	0
(16) James Shepherdson...................................................................... Board Member	2.0 ................. 0.0	X		0	0
(17) ROBERT S BRUNSWICK...................................................................... BOARD MEMBER/CHAIR HHF	2.0 ................. 5.0	X		0	0

(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) ANDREW GUARNI........................................................................ SVP & CFO/PRES HMTS	50.0 .......................4.0	X				481,944	0	39,262
(19) ROBERT BRAITHWAITE........................................................................ CEO/PRESIDENT	50.0 .......................9.0	X				1,128,353	0	179,305
(20) RICHARD MARTIN........................................................................ SVP & CHIEF NURSING OFFICER	50.0 .......................0.0		X			549,257	0	72,566
(21) SANFORD SMITH........................................................................ SVP REAL ESTATE & FACILITIES	50.0 .......................0.0		X			1,101,765	0	81,662
(22) FLYNN ANDRIZZI........................................................................ SVP/PRES HHF/BOARD MEMBER HCS	2.0 .......................52.0		X			617,229	0	68,387
(23) MICHAEL RICKS........................................................................ EXECUTIVE VP/COO	50.0 .......................0.0		X			581,818	0	75,080
(24) KRIS V IYER MD........................................................................ VP SR & CAO HMTS/BD CHAIR HMTS	2.0 .......................50.0		X			547,835	0	32,475
(25) JAN BLUE........................................................................ SR VP HUMAN RESOURCES	50.0 .......................0.0		X			547,835	0	44,172
(26) PATRICK ANDERSON........................................................................ CHIEF INFO. OFCR (PART YEAR)	50.0 .......................0.0		X			319,993	0	0
(27) JENNIFER MITZNER........................................................................ VP AND CEO HOI	0.0 .......................54.0			X		638,834	0	69,870
(28) MARTIN FEE........................................................................ SENIOR VP/CCO	50.0 .......................2.0			X		429,252	0	13,219
(29) MICHAEL BRANT-ZAWADZKI........................................................................ EXECUTIVE MEDICAL DIRECTOR	50.0 .......................0.0			X		524,805	0	47,359
(30) ALLYSON BROOKS........................................................................ EXEC DIR MED WOMENS HEALTH	50.0 .......................0.0			X		437,900	0	48,650
(31) MARCY BROWN........................................................................ VP HHI & AMBULATORY SVCS	50.0 .......................0.0			X		318,588	0	46,628
(32) JACK COX........................................................................ FORMER SVP/CHIEF QUALITY OFCR	0.0 .......................50.0				X	0	901,815	33,238

(A) Name and business address	(B) Description of services	(C) Compensation
Pacific Hospitalists Associates, 17360 Brookhurst Street Fountain Valley,CA92708	Medical services	8,297,383
Newport Critical CAre, 17 Emerald Terrace Aliso Viejo,CA92656	medical services	7,360,844
Renovo Solutions, 4 Executive Circle Ste 185 Irvine,CA92614	biomed services	3,811,200
Emerald Textiles, 1725 Dornoch Court Ste 202 San Diego,CA92154	textile rental	2,964,282
DVA RENAL HEALTHCARE, PO BOX 781607 PHILADELPHIA,PA19178	MEDICAL SERVICES	1,900,000
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 157

- 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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Employer identification number

95-1643327

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. 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 VI 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Employer identification number

95-1643327

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization HOAG MEMORIAL HOSPITAL PRESBYTERIAN

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	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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization HOAG MEMORIAL HOSPITAL PRESBYTERIAN		Employer identification number 95-1643327

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization HOAG MEMORIAL HOSPITAL PRESBYTERIAN			Employer identification number 95-1643327
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

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

Name of the organization

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Employer identification number

95-1643327

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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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 on 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

31,353

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

31,353

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1I	LOBBYING ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO HOAG MEMORIAL HOSPITAL PRESBYTERIAN.

Schedule C (Form 990 or 990EZ) 2018

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," on 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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Employer identification number

95-1643327

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2018

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	136,620,451	126,638,880	124,290,975	135,212,918	133,533,623
b	Contributions ...	894,423	2,373,258	3,078,867	1,201,607	17,412,921
c	Net investment earnings, gains, and losses	1,598,221	7,539,150	9,732,429	-2,598,457	3,480,058
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	8,146,500	-69,163	10,463,391	9,525,093	19,213,684
f	Administrative expenses ....
g	End of year balance ......	130,966,595	136,620,451	126,638,880	124,290,975	135,212,918

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

Board designated or quasi-endowment SchDMd Bullet

12.630 %

Permanent endowment SchDMd Bullet

31.750 %

Temporarily restricted endowment SchDMd Bullet

55.620 %

The percentages on 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)

Yes

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

Yes

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" on 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 .....	0	85,713,836		85,713,836
b	Buildings ....	0	1,017,138,354	406,741,185	610,397,169
c	Leasehold improvements	0	127,836,427	65,174,882	62,661,545
d	Equipment ....	0	462,141,190	372,060,789	90,080,401
e	Other .....	0	86,832,239		86,832,239
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					935,685,190

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on 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........
(3) Other (A) HEDGE FUNDS	453,762,259	F
(B) EQUITY COMMINGLED FUNDS	365,286,023	F
(C) PRIVATE EQUITY	181,429,320	F
(D) REAL ASSETS	150,115,222	F
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,150,592,824

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
INTERCO WITH HEALTH SYSTEM-BONDS	511,641,224
CAPITALIZED LEASES	43,074,970
SELF INSURANCE LIABILITIES	34,262,628
OTHER MISC LIABILITIES	28,941,907
OTHER ACCRUED LIABILTIES	23,439,857
LEASE INCENTIVE OBLIGATION	10,469,841
NOTE PAYABLE	9,656,951
CAPITATED CONTRACTS	7,739,894
ACCRUED INCOME GUARANTEES	6,347,698
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	675,574,970
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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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 (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Employer identification number

95-1643327

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean	Investments	528,584,261
	Europe (Including Iceland and Greenland)	Investments	20,624,280
	North America	Investments	11,618,807
	Sub-Saharan Africa	Investments	48,722













3a	Sub-total .....		560,876,070
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		560,876,070

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
SCHEDULE F, PART I, LINE 3, COLUMN F	ACCOUNTING METHOD THE AMOUNTS REPORTED IN PART I, LINE 3, COLUMN F REPRESENT THE MARKET VALUES OF THE INVESTMENTS IN THE IDENTIFIED REGIONS AS OF THE ORGANIZATION'S FISCAL YEAR ENDED DECEMBER 31, 2018.

Schedule F (Form 990) 2018

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Employer identification number

95-1643327

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 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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) . . .	10,947,358		10,947,358	0.980 %
b	Medicaid (from Worksheet 3, column a) . . . . .	93,004,439	50,117,316	42,887,123	3.850 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	8,378		8,378	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	103,960,175	50,117,316	53,842,859	4.830 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3,330,027		3,330,027	0.300 %
f	Health professions education (from Worksheet 5) . . .	34,665		34,665	0 %
g	Subsidized health services (from Worksheet 6) . . . .	115,723		115,723	0.010 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	11,525,904		11,525,904	1.030 %
j	Total. Other Benefits . .	15,006,319		15,006,319	1.350 %
k	Total. Add lines 7d and 7j .	118,966,494	50,117,316	68,849,178	6.160 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

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. ......

37,843,716

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).....

160,816,069

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

114,273,121

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

46,542,948

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? ..........

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 .........................

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 %
1HOAG ORTHO INST	SPECIALTY HOSPITAL	51 %	49 %
2MAIN ST SPEC SURGERY	OUTPATIENT SURGERY CENTER	33.23 %	16.95 %
3NWPT BCH RADIOSRGRY	SURGERY CENTER	50 %	50 %
4NWPT SURGICAL PRTNS	SURGERY CENTER	24.06 %	25 %
5NWPT BAY SURGERY CTR	SURGERY CENTER	7.84 %	41.17 %
6SO CAL SURGERY CTR	HOLDING COMPANY	22.72 %	43.23 %
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

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?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Other (describe)	Facility reporting group
1	HOAG MEMORIAL HOSPITAL PRESBYTERIAN ONE HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92658 WWW.HOAG.ORG C0194920	X	X	X	X		A
2	HOAG ORTHOPEDIC INSTITUTE 16520 SAND CANYON AVENUE NEWPORT BEACH,CA92658 WWW.HOAGORTHOPEDICINSTITUTE.COM 200835010044	X				ORTHOPEDIC HOSPITAL	A

Schedule H (Form 990) 2018

Page 4

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)

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	A
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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 Section C.

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 Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, LINE 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM COMMUNITY REPRESENTATIVES TARGETED INTERVIEWS AND FOCUS GROUPS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY HOAG MEMORIAL HOSPITAL PRESBYTERIAN. INTERVIEWS THIRTY-ONE (31) INTERVIEWS WERE COMPLETED IN DECEMBER 2016 AND JANUARY 2017. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY HOAG HOSPITAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. INPUT WAS OBTAINED FROM ORANGE COUNTY HEALTH CARE AGENCY PUBLIC HEALTH OFFICIALS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. FOCUS GROUPS THREE FOCUS GROUPS WERE CONDUCTED IN JANUARY AND FEBRUARY 2017 THAT ENGAGED 50 PERSONS. THE FOCUS GROUP MEETINGS WERE HOSTED BY TRUSTED COMMUNITY ORGANIZATIONS. AN AGENCY CONTACT WAS AVAILABLE TO ANSWER ANY QUESTIONS AT EACH FOCUS GROUP. AT THE BEGINNING OF EACH FOCUS GROUP, THE PURPOSE OF THE FOCUS GROUP AND THE COMMUNITY ASSESSMENT WERE EXPLAINED, THE PARTICIPANTS WERE ASSURED THEIR RESPONSES WOULD NOT BE ATTRIBUTED TO THEM AS RESPONSES WOULD BE AGGREGATED. THE FOCUS GROUP DISCUSSIONS WERE VOICE RECORDED FOR EASE OF DOCUMENTING THE DISCUSSION. BEFORE BEGINNING THE DISCUSSION, THE FACILITATOR ASKED FOR ORAL CONSENT FROM EACH OF THE PARTICIPANTS THAT THEY WISHED TO PARTICIPATE IN THE FOCUS GROUP AND AGREED TO BE VOICE RECORDED. INITIALLY, SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED THROUGH A REVIEW OF THE SECONDARY HEALTH DATA COLLECTED AND ANALYZED PRIOR TO THE INTERVIEWS AND FOCUS GROUPS. THESE DATA WERE THEN USED TO HELP GUIDE THE INTERVIEWS AND FOCUS GROUPS. THE NEEDS ASSESSMENT INTERVIEWS AND FOCUS GROUPS WERE STRUCTURED TO OBTAIN GREATER DEPTH AND RICHNESS OF INFORMATION AND BUILD ON THE SECONDARY DATA REVIEW. DURING THE DATA COLLECTION, PARTICIPANTS WERE ASKED TO IDENTIFY THE MAJOR HEALTH ISSUES IN THE COMMUNITY, AND SOCIOECONOMIC, BEHAVIORAL, ENVIRONMENTAL OR CLINICAL FACTORS CONTRIBUTING TO POOR HEALTH. THEY WERE ASKED TO SHARE THEIR PERSPECTIVES ON THE ISSUES, CHALLENGES AND BARRIERS RELATIVE TO THE SIGNIFICANT HEALTH NEEDS, AND IDENTIFY POTENTIAL RESOURCES TO ADDRESS THESE HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS. THE INTERVIEWS AND FOCUS GROUPS FOCUSED ON THESE SIGNIFICANT HEALTH NEEDS: - ACCESS TO HEALTH CARE - ASTHMA - CANCER - CARDIOVASCULAR DISEASE - MENTAL HEALTH - OVERWEIGHT AND OBESITY - PREVENTIVE PRACTICES - SUBSTANCE ABUSE
SCHEDULE H, PART V, SECTION B, LINE 6A	HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND HOAG ORTHOPEDIC INSTITUTE CONDUCTED A COMBINED CHNA.
SCHEDULE H, PART V, SECTION B, LINE 7A	FACILITY 1 HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/ FACILITY 2 HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/
SCHEDULE H, PART V, SECTION B, LINE 10A	FACILITY 1 HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/ FACILITY 2 HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/
SCHEDULE H, PART V, SECTION B, LINE 11	ON MAY 27, 2015, A TOTAL OF 37 COMMUNITY STAKEHOLDERS MET TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY, BASED ON FINDINGS OF THE 2015 PRC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS GROUP INCLUDED BOTH HEALTH PROVIDERS AND REPRESENTATIVES OF VARIOUS COMMUNITY ORGANIZATIONS. PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) BEGAN THE MEETING WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH. FOLLOWING THE DATA REVIEW, PRC ANSWERED ANY QUESTIONS AND FACILITATED A GROUP DIALOGUE, ALLOWING PARTICIPANTS TO ADVOCATE FOR ANY OF THE HEALTH ISSUES DISCUSSED. PARTICIPANTS WERE THEN PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS (I.E., AREAS OF OPPORTUNITY), A WIRELESS AUDIENCE RESPONSE SYSTEM WAS USED IN WHICH EACH PARTICIPANT WAS ABLE TO REGISTER HIS/HER RATINGS USING A SMALL REMOTE KEYPAD. THE PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: - SCOPE & SEVERITY - THE FIRST RATING WAS TO GAUGE THE MAGNITUDE OF THE PROBLEM IN CONSIDERATION OF THE FOLLOWING: HOW MANY PEOPLE ARE AFFECTED? HOW DOES THE LOCAL COMMUNITY DATA COMPARE TO STATE OR NATIONAL LEVELS, OR HEALTHY PEOPLE 2020 TARGETS? TO WHAT DEGREE DOES EACH HEALTH ISSUE LEAD TO DEATH OR DISABILITY, IMPAIR QUALITY OF LIFE, OR IMPACT OTHER HEALTH ISSUES? RATINGS WERE ENTERED ON A SCALE OF 1 (NOT VERY PREVALENT AT ALL, WITH ONLY MINIMAL HEALTH CONSEQUENCES) TO 10 (EXTREMELY PREVALENT, WITH VERY SERIOUS HEALTH CONSEQUENCES). - ABILITY TO IMPACT - A SECOND RATING WAS DESIGNED TO MEASURE THE PERCEIVED LIKELIHOOD OF THE HOSPITAL HAVING A POSITIVE IMPACT ON EACH HEALTH ISSUE, GIVEN AVAILABLE RESOURCES, COMPETENCIES, SPHERES OF INFLUENCE, ETC. RATINGS WERE ENTERED ON A SCALE OF 1 (NO ABILITY TO IMPACT) TO 10 (GREAT ABILITY TO IMPACT). INDIVIDUALS' RATINGS FOR EACH CRITERIA WERE AVERAGED FOR EACH TESTED HEALTH ISSUE, AND THEN THESE COMPOSITE CRITERIA SCORES WERE AVERAGED TO PRODUCE AN OVERALL SCORE. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS: 1. MENTAL HEALTH 2. DIABETES 3. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 4. HEART DISEASE & STROKE 5. ACCESS TO HEALTHCARE SERVICES 6. DEMENTIAS, INCLUDING ALZHEIMER'S DISEASE 7. CANCER 8. SUBSTANCE ABUSE 9. IMMUNIZATION & INFECTIOUS DISEASES 10. TOBACCO WHILE THE HOSPITALS WILL LIKELY NOT IMPLEMENT STRATEGIES FOR ALL OF THESE HEALTH ISSUES, THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF THE HOSPITALS' IMPLEMENTATION STRATEGIES TO ADDRESS THE TOP HEALTH NEEDS OF THE COMMUNITY IN THE COMING YEARS. THIS PROCESS YIELDED THE FOLLOWING PRIORITIES FOR HOAG MEMORIAL HOSPITAL PRESBYTERIAN TO ADDRESS IN IMPROVING THE HEALTH OF THE COMMUNITY: 1. ACCESS TO CARE FOR VULNERABLE POPULATIONS 2. CHRONIC DISEASE MANAGEMENT 3. MENTAL HEALTH 4. PREVENTATIVE HEALTH IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, HOAG MEMORIAL HOSPITAL PRESBYTERIAN DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED, AND MOST WITHIN ITS ABILITY TO INFLUENCE. HEALTH PRIORITIES NOT CHOSEN FOR ACTION SUBSTANCE ABUSE: SUBSTANCE ABUSE TREATMENT FOR THE VULNERABLE POPULATION IS CURRENTLY BEING ADDRESSED ON A LIMITED SCALE BY THE CHEMICAL DEPENDENCY PROGRAM AT HOAG. HOAGS ASPIRE PROGRAM INCLUDES ADOLESCENCE AND THIS INTENSIVE OUTPATIENT PROGRAM PROVIDES PSYCHOTHERAPY, PSYCHIATRY, AND SOCIALIZATION FOR CLIENTS WITH A HIGHER MENTAL HEALTH DISORDER ACUITY. CY18 CHNA PRIORITY AREAS: ACCOMPLISHMENTS/OUTCOMES ACCESS TO CARE FOR VULNERABLE POPULATIONS - PROVIDED $2,113,957 IN FUNDING AND/OR IN-KIND SUPPORT TO PRIMARY CARE CLINICS THAT SERVE PEDIATRICS THROUGH SENIORS. (CHOC/SOS) - PROVIDED $2,594,400 IN FUNDING FOR COMMUNITY NON-PROFIT ORGANIZATIONS THAT REDUCES BARRIERS TO ACCESSING CARE. - PROVIDED $540,613 IN FUNDING AND/OR IN-KIND SUPPORT FOR WOMEN'S HEALTH SPECIALTY SERVICES. CHRONIC DISEASE MANAGEMENT - PROVIDED $722,930 IN FUNDING AND/OR IN-KIND SUPPORT FOR CHRONIC DISEASE MANAGEMENT EDUCATION AND SUPPORT GROUPS THROUGH COMMUNITY EDUCATION CLASSES. - PROVIDED $789,344 IN FUNDING AND/OR IN-KIND SUPPORT TO CHOC FOUNDATION IN SUPPORT OF HOAG'S PEDIATRIC SERVICES AT THE ALLEN DIABETES CENTER. MENTAL HEALTH - DURING CY 2018, THE PROGRAM EMPLOYED SIX FULL-TIME, ONE PART TIME AND TWO PER DIEM BILINGUAL MASTER'S PREPARED SOCIAL WORKERS, 5 OF THE STAFF ARE LICENSED. - THESE SOCIAL WORKERS PROVIDED MENTAL HEALTH SERVICES TO 710 CLIENTS IN THE FORM OF PSYCHOTHERAPY. RESOURCE BROKERING, AND/OR CASE MANAGEMENT WAS PROVIDED TO 205 INDIVIDUALS. - THE PROGRAM OFFERED PSYCHOTHERAPEUTIC, PSYCHO EDUCATIONAL GROUPS AND COMMUNITY PRESENTATIONS WHICH RESULTED IN 1,862 ENCOUNTERS. - IN ADDITION TO DIRECT MENTAL HEALTH SERVICES TO THE COMMUNITY WE ALSO PROVIDED PROFESSIONAL DEVELOPMENT TRAININGS TO MENTAL HEALTH PROFESSIONALS FOR FREE. - A SAMPLING OF THE TRAININGS OFFERED INCLUDED: ASIST FOR SUICIDE ASSESSMENT AND INTERVENTION, DIALECTICAL BEHAVIOR THERAPY TRAINING, CRITICAL INCIDENT STRESS MANAGEMENT TRAINING, NAMI PROVIDER TRAINING AND LAW AND ETHICS. THE NUMBER OF PROFESSIONALS TRAINED FOR CY 2018 WAS 1,168. PREVENTIVE HEALTH DURING CY 2018, HEALTH MINISTRIES - WELCOMED 4 NEW CHURCHES INTO THE HOAG PROGRAM. - 10 DENOMINATIONS INCLUDED AMONGST THE 46 FAITH BASED PARTNERSHIPS, LOCATED WITHIN A 300 SQUARE MILE AREA THROUGHOUT ORANGE COUNTY. - DONATED COUNTLESS VOLUNTEER RN HOURS AT THE LOCAL, NATIONAL AND INTERNATIONAL LEVEL. - TOUCHED THE LIVES OF MORE THAN 50,000 CONGREGANTS: - THROUGH INDIVIDUAL CASE MANAGEMENT & SUPPORT GROUP SERVICES - CLINICAL SERVICES - FLU VACCINES, BP SCREENINGS, BLOOD DRIVES - COMMUNITY HEALTH EDUCATION PROGRAMS, INCLUDING WHOLE PERSON CARE, END OF LIFE INITIATIVES IN COLLABORATION WITH THE OC DIOCESE - OTHER SERVICES INCLUDED HOME/HOSPITAL VISITS, PROGRAM PLANNING & VOLUNTEER COORDINATION. - ADMINISTERED 8,900 FLU VACCINE DOSES TO FAITH MEMBERS AND THE COMMUNITY. - SERVED 222 CONGREGANTS WITH SPIRITUALLY BASED AGING AND DEMENTIA CARE HEALTH EDUCATION CLASSES. - TRAINED 293 PERSONS IN LIFE-SAVING CPR & AUTOMATED EXTERNAL DEFIBRILLATOR USAGE. - OVER 260 UNITS OF LIFE SAVING BLOOD COLLECTED THROUGH HOAG BLOOD MOBILE SERVICES. - PROVIDED 4 FOUNDATIONS OF FAITH COMMUNITY NURSING COURSES; TRAINED AND COMMISSIONED 32 FCNS IN THE 36 HOUR COURSE AT HOAG, TRINITY PRESBYTERIAN CHURCH SANTA ANA, ST MARY'S HOSPITAL APPLE VALLEY, ST JOSEPH'S HOSPITAL BURBANK. - DEVELOPED THE ANNUAL SPIRITUALITY CONFERENCE: UNITY, HEALTH AND HOPE, ATTENDED BY 200 HEALTH CARE PROFESSIONALS, RELIGIOUS LEADERS AND CAREGIVERS. - PROVIDED A FIRST TIME NURSES RETREAT IN HONOR OF NURSES WEEK AND THE SERVICE PROVIDED BY THE HOAG HEALTH MINISTRIES PARTNER FCNS, FOCUSING ON SELF-CARE. - HOSTED THE FCN SUMMIT MEETING IN COLLABORATION WITH ST MARY'S HOSPITAL APPLE VALLEY AND PROVIDENCE ST JOSEPH INSTITUTE FOR HUMAN CARING, FOCUSING ON END OF LIFE DISCUSSIONS, DRAWING 119 RN PARTICIPANTS FROM SOUTHERN CA. - DEVELOPED A NURSE HEALTH & WELLNESS COACHING INITIATIVE; 1 RN COMPLETED NATIONAL CERTIFICATION AS A NURSE COACH. - DEPLOYED NURSEDOT, A DOCUMENTATION SYSTEM REQUIRED BY FCNS. CB GRANTS PROGRAM PROVIDED $1,442,500 IN FUNDING AND/OR IN-KIND SUPPORT TO PREVENTIVE HEALTH ACTIVITIES INCLUDING BUT NOT LIMITED TO OBESITY PREVENTION, NUTRITION EDUCATION, AND PHYSICAL ACTIVITY PROGRAMS. PROJECT WIPEOUT PROVIDED THE FOLLOWING IN CY18 PROGRAM HIGHLIGHTS FROM CY18: LIFEGUARD SYMPOSIUM PROJECT WIPEOUT HOSTED THE ANNUAL LIFEGUARD EDUCATION SYMPOSIUM, WITH OVER 315 ATTENDEES, WHICH INCLUDED LIFEGUARDS AND FIRE PERSONNEL FROM ALL OVER ORANGE COUNTY. CY 2018 MARKED THE ESTABLISHMENT OF LIVE STREAMING THE CONFERENCE TO DIFFERENT SITES: SEAL BEACH AND SAN CLEMENTE. AN ADDITIONAL 70 LIFEGUARDS AND LIFE-SAVING PERSONNEL VIEWED THE LIVE STREAM AT THE TWO LIVE STREAM LOCATIONS. THE CONFERENCE CONTINUES TO GROW EACH YEAR, AND SERVES AS AN OPPORTUNITY FOR LIFEGUARDS AND OTHER FIRST RESPONDER SERVICE PROVIDERS TO RECEIVE EDUCATION ON CURRENT BEACH AND WATER SAFETY INFORMATION, THAT CAN BE INTEGRATED INTO THEIR TRAINING AND SAFETY RESPONSES. ADDITIONALLY, THE CONFERENCE INTENDS TO ADDRESS HEALTH AND WELLNESS TOPICS PERTINENT TO BEACH EXPOSURES FOR PERSONNEL WORKING AND RESPONDING ON THE BEACH, AS WELL AS PROFESSIONAL DEVELOPMENT IN THE FIELD. BEACH SAFETY CURRICULUM IN CY 2018, THE BEACH SAFETY PRESENTATION AND CURRICULUM DEVELOPED TO PRESENT TO SCHOOLS WAS FINALIZED. THE PRESENTATION WAS COMPLETED THROUGH COLLABORATIVE CONTENT DEVELOPMENT BY THE PROJECT WIPEOUT ADVISORY COMMITTEE, WHICH INCLUDED EXPERT CONTENT ANALYSIS AND NEW VIDEOS AND PICTURES. THE BEACH SAFETY PRESENTATION INCLUDES A PRE-TEST, WORKSHEET, AND A POST-TEST TO HELP EVALUATE CHANGES IN KNOWLEDGE. IN CY 2018, THE PRESENTATION WAS PILOTED IN THE CITY OF SAN CLEMENTE, CRYSTAL COVE STATE PARKS, AND HUNTINGTON STATE AND SEAL BEACH JUNI
SCHEDULE H, PART V, SECTION B, LINE 13H	HOAG PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE FAMILY INCOME LEVELS OF UP TO 400% THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES. HOAG GIVES CONSIDERATION TO ELIGIBLE PATIENTS WITH INSURANCE IF THEY INCUR HIGH MEDICAL COSTS AS DEFINED BY CALIFORNIA LAW, AND ALSO HAVE FAMILY INCOMES UP TO 400% OF THE FPL. HMHP AND HOI'S POLICY ALSO PROVIDES FOR DISCRETIONARY DETERMINATION OF CHARITY CARE TAKING INTO CONSIDERATION INDIVIDUAL FACTS AND CIRCUMSTANCES.
SCHEDULE H, PART V, SECTION B, LINE 15E	PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE PROGRAM (FAP) APPLICATION. APPLICATIONS CAN BE FOUND ON THE HOAG.ORG WEBSITE, VIA FINANCIAL COUNSELORS, BY MAIL, AND BY CONTACTING HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER AT (949) 764-8400 FOR HOAG AND 949-764-8404 FOR HOI.
SCHEDULE H, PART V, SECTION B, LINE 16A	FACILITY 1 HTTPS://WWW.HOAG.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSIS TANCE-CHARITY-CARE/ FACILITY 2 HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/AFTER-YOUR-VISIT/FINA NCIAL-ASSISTANCE/
SCHEDULE H, PART V, SECTION B, LINE 16B	FINANCIAL ASSISTANCE APPLICATION FACILITY 1 HTTPS://WWW.HOAG.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSIS TANCE-CHARITY-CARE/ FACILITY 2 HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/AFTER-YOUR-VISIT/FINA NCIAL-ASSISTANCE/
SCHEDULE H, PART V, SECTION B, LINE 16C	PLAIN LANGUAGE SUMMARY FACILITY 1 HTTPS://WWW.HOAG.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSIS TANCE-CHARITY-CARE/ FACILITY 2 HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/AFTER-YOUR-VISIT/FINA NCIAL-ASSISTANCE/
SCHEDULE H, PART V, SECTION B, LINE 16H	HMHP IS UPDATING ITS FINANCIAL ASSISTANCE POLICY AND IS IN THE PROCESS OF PUTTING THE PROCEDURES IN PLACE TO NOTIFY MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE ABOUT AVAILABILITY OF THE FAP. SCHEDULE H, PART V, SECTION B, LINE 16J THE POLICY IS COMMUNICATED VIA OUR WEBSITE, ON THE BACK OF THE PATIENT STATEMENTS, IN THE LOBBY OF EACH FACILITY, AND VIA OUR FINANCIAL COUNSELORS.

Schedule H (Form 990) 2018

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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?7
Name and address		Type of Facility (describe)
1	MAIN ST SPECIALTY SURGERY CENTER 280 MAIN STREET 100 ORANGE,CA92660	OUTPATIENT SURGERY CENTER
2	ORTHOPEDIC SURGERY CENTER OF OC 22 CORPORATE PLAZA DR SUITE 150 NEWPORT BEACH,CA92660	OUTPATIENT ORTHOPEDIC SURGRY CENTER
3	IRVINE ENDOSCOPY PARTNERS LLC ONE HOAG DRIVE NEWPORT BEACH,CA92663	OUTPATIENT SURGERY CENTER
4	CALIFORNIA SPECIALTY SURGERY CENTER 26371 CROWN VALLEY PARKWAY MISSION VIEJO,CA92691	OUTPATIENT SURGERY CENTER
5	NEWPORT BEACH RADIOSURGERY 1605 AVOCADO AVENUE NEWPORT BEACH,CA92660	OUTPATIENT SURGERY CENTER
6	NEWPORT IMAGING CENTER 360 SAN MIGUEL NEWPORT BEACH,CA92660	IMAGING CENTER
7	IRVINE SURGICAL PARTNERS LLC ONE HOAG DRIVE NEWPORT BEACH,CA92663	OUTPATIENT SURGERY CENTER
8
9
10

Schedule H (Form 990) 2018

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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 I, LINE 3C	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES, INCLUDING BUT NOT LIMITED TO DISABILITY AND HOMELESSNESS ARE CONSIDERED WHEN DETERMINING ELIGIBILITY.
SCHEDULE H, PART I, LINE 6A	HOAG MEMORIAL HOSPITAL PRESBYTERIAN PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/
SCHEDULE H, PART I, LINE 7A-I	COST ACCOUNTING SYSTEM WAS USED TO DERIVE THE COST-TO-CHARGE RATIO. OUR TOTAL COSTS (DIRECT AND INDIRECT) AND TOTAL CHARGES WERE $160,816,069 AND $114,273,121, RESPECTIVELY. THIS RESULTED IN A COST-TO-CHARGE RATIO OF APPROXIMATELY 140.7% WHICH WAS USED TO CALCULATE CHARITY CARE AT COST (GROSS PATIENT CHARGES WRITTEN OFF ON THE P&L TIMES COST-TO-CHARGE RATIO). THE COST ACCOUNTING SYSTEM ADDRESSES INPATIENT, OUTPATIENT AND VARIOUS PAYOR TYPES. FOR THE SECTIONS OF LINE 7 AS APPLICABLE, WORKSHEET 2 WAS NOT USED WHILE THE COST TO CHARGE RATIO WAS USED.
SCHEDULE H, PART I, LINE 7, COLUMN F	THE PROPORTIONATE SHARE OF THE ORGANIZATION'S JOINT VENTURE EXPENSES HAVE BEEN INCLUDED IN THE CALCULATION OF THE COMMUNITY BENEFIT EXPENSE PERCENTAGES.
SCHEDULE H, PART I, LINE 7G	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
SCHEDULE H, PART III, LINE 2	METHODOLOGY FOR CALCULATING BAD DEBT THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
SCHEDULE H, PART III, LINE 4	FOOTNOTE FROM THE PROVIDENCE ST. JOSEPH HEALTH COMBINED FINANCIAL STATEMENTS FOR THE YEAR ENDED 12/31/2018 THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
SCHEDULE H, PART III, LINE 8	TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT THE ORGANIZATION DOES NOT TREAT THE SHORTFALL FROM MEDICARE AS A COMMUNITY BENEFIT. MEDICARE COSTING METHODOLOGY MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO.
SCHEDULE H, PART III, LINE 9B	PATIENT ACCOUNTS MANAGEMENT IS RESPONSIBLE FOR THE COLLECTION OF PATIENT ACCOUNTS AFTER DISCHARGE. PROCEDURES ARE FOLLOWED IN ACCORDANCE WITH THE FAIR DEBT COLLECTION PRACTICES ACT. ACCOUNTS UNPAID AFTER ONE HUNDRED FIFTY (150) DAYS MAY BE RECOMMENDED FOR ASSIGNMENT TO AN OUTSIDE COLLECTION AGENCY. ALL APPROPRIATE EFFORTS TO COLLECT AND/OR RESOLVE THE BALANCES DUE WITH THE PATIENT, GUARANTOR OR THIRD PARTY PAYOR MUST BE EXHAUSTED PRIOR TO RECOMMENDATION TO COLLECTORS.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT IN FISCAL YEAR 2017 HMHP CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOPED A RELATED IMPLEMENTATION STRATEGY WHICH WERE ADOPTED JUNE 2, 2017 AND SEPTEMBER 2017, RESPECTIVELY. PRIORITIZED NEEDS FROM THIS CHNA WILL BE USED TO PLAN AND EVALUATE PROGRAMMING FOR 3 YEARS, CY18-CY20. A DESCRIPTION OF HOW THEY ARE BEING ADDRESSED WILL BE PROVIDED WITH THE SCHEDULE H EACH TAX YEARS. HMHP'S 2013 AND 2016 CHNAS AND IMPLEMENTATION STRATEGIES MAY BE VIEWED ONLINE AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/ IN ADDITION TO THE COMMUNITY WIDE NEEDS ASSESSMENT CONDUCTED EVERY THREE YEARS, HOAG CONTINUALLY ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IN VARIOUS WAYS. MANY OF THE COMMUNITY BENEFIT STAFF SERVE ON BOARD OF DIRECTORS AND COMMITTEES OF NONPROFIT ORGANIZATIONS WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AS WELL AND PROVIDE SUPPORT AND STRATEGIC DIRECTION. CLIENTS THAT ACCESS SERVICES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING ALSO COMPLETE A SCREENING TOOL WHICH ALLOWS US TO ASSESS FUTURE PROGRAMMING NEEDS FOR THE COMMUNITY. THE DIRECTOR OF THE DEPARTMENT SERVES AS THE CHAIR OF THE ORANGE COUNTY MENTAL HEALTH BOARD WHICH ALLOWS CONTINUOUS ASSESSMENT OF MENTAL HEALTH NEEDS AND GAPS FOR THE COUNTY. COMMUNITY BENEFIT STAFF ALSO HOLD A SEAT WITH THE ORANGE COUNTY HEALTH CARE AGENCYS HEALTH IMPROVEMENT PARTNERSHIP WHICH BRINGS TOGETHER VARIOUS HEALTH RELATED ORGANIZATIONS TO DISCUSS COMMUNITY NEEDS, PROGRAMMING, AND COLLABORATIVE OPPORTUNITIES. HOAGS CENTER FOR HEALTHY LIVING ALSO HOSTS A MONTHLY PROFESSIONAL NETWORK RESOURCE EXCHANGE MEETING WHICH BRINGS TOGETHER COMMUNITY LEADERS FROM THE NONPROFIT SECTOR, LOCAL SCHOOL DISTRICTS, AND HEALTH RELATED SERVICES TO DISCUSS RECENT HEALTH TRENDS AND OPPORTUNITIES TO MEET THOSE NEEDS. COMMUNITY BENEFIT STAFF ALSO INTERFACES WITH THE ASSOCIATION OF CALIFORNIA CITIES- ORANGE COUNTY WHICH ALLOWS HOAG TO BE ENGAGED WITH VARIOUS CITIES. THE ORGANIZATION PROVIDES A COLLABORATIVE VOICE ON PUBLIC POLICY ISSUES IMPACTING THE COMMUNITY. OUR ROBUST COMMUNITY BENEFIT GRANTS PROGRAM ALSO PROVIDES US WITH A LENS INTO COMMUNITY NEED AS WE INTERFACE WITH OVER 90 NONPROFIT ORGANIZATIONS WHO APPLY FOR PROGRAM FUNDING. THE APPLICATION PROCESS FOR FUNDING PROVIDES US WITH A LEARNING OPPORTUNITY ABOUT THE ORGANIZATIONS MISSION AS WELL AS GAPS AND NEEDS THEIR COMMUNITY IS FACED WITH.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE HOAG PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE FAMILY INCOME LEVELS OF UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES. HOAG GIVES CONSIDERATION TO ELIGIBLE PATIENTS WITH INSURANCE IF THEY INCUR HIGH MEDICAL COSTS AS DEFINED BY CALIFORNIA LAW, AND ALSO HAVE FAMILY INCOMES UP TO 400% OF THE FPL. HOAG INFORMS AND EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE IN THE FOLLOWING WAYS: - FINANCIAL ASSISTANCE NOTICES PRINTED IN ENGLISH AND SPANISH ARE ALSO PLACED IN THE PUBLIC ADMISSION AREAS AT HOAG HOSPITALS. - STATEMENTS MAILED TO THE PATIENT INCLUDE A CLEAR AND CONSPICUOUS NOTICE ADVISING THE PATIENT OF HOAG FINANCIAL ASSISTANCE PROGRAM AND THE APPROPRIATE CONTACT INFORMATION. - PATIENT CAN ALSO VISIT PATIENT FINANCIAL SERVICES TO MEET WITH A FINANCIAL COUNCILOR OR BY CONTACTING HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER TO ANSWER ANY QUESTIONS REGARDING FINANCIAL ASSISTANCE OPTIONS. - HMHP DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION HOAG'S COMMUNITY, AS DEFINED FOR THE PURPOSE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDED EACH OF THE 56 RESIDENTIAL ZIP CODES COMPRISING THE HOSPITAL'S SERVICE AREA. THIS COMMUNITY DEFINITION WAS DETERMINED BECAUSE A MAJORITY OF HOAG'S PATIENTS ORIGINATE FROM THIS AREA. THE POPULATION OF THE HOSPITAL'S SERVICE AREA IS ESTIMATED AT 1,987,696 PEOPLE. THE AGE DISTRIBUTION OF OUR POPULATION IS SIMILAR TO THAT OF A NATION AS A WHOLE, BUT OUR AREA IS RACIALLY AND ETHNICALLY MUCH MORE DIVERSE, WITH NON-HISPANIC WHITE RESIDENTS COMPRISING ONLY A NARROW MAJORITY OF RESIDENTS. THE MEDIAN HOUSEHOLD INCOME FOR THE SERVICE AREA IS $86,469. THIS IS HIGHER THAN THE MEDIAN INCOME FOR THE COUNTY, $75,998, AND STATE, $61,489. MEDIAN HOUSEHOLD INCOME HOAG SERVICE AREA $86,469 ORANGE COUNTY $75,998 CALIFORNIA $61,489 SOURCE: U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, 2010-2014, S1701. HTTP://FACTFINDER.CENSUS.GOV/ POVERTY POVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS. THEY ARE UPDATED EACH YEAR BY THE CENSUS BUREAU. FOR 2018, THE FEDERAL POVERTY LEVEL (FPL) FOR ONE PERSON WAS AN ANNUAL INCOME OF $12,140 AND FOR A FAMILY OF FOUR WAS $25,100. BELOW 100% POVERTY BELOW 200% POVERTY HOAG SERVICE AREA 12.5% 28.8% ORANGE COUNTY 12.8% 29.9% CALIFORNIA 16.4% 36.4% SOURCE: U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, 2010-2014, S1701. HTTP://FACTFINDER.CENSUS.GOV/ FOR MORE DETAILS ON THIS INFORMATION, PLEASE REFER TO THE 2017 CHNA AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/ OTHER HOSPITALS IN THE AREA INCLUDE, BUT ARE NOT LIMITED TO: - AHMC ANAHEIM REGIONAL MEDICAL CENTER - ANAHEIM - ANAHEIM GENERAL HOSPITAL (ANAHEIM, BUENA PARK) - CHAPMAN MEDICAL CENTER - ORANGE - CHILDREN'S HOSPITAL AT MISSION - MISSION VIEJO - CHILDREN'S HOSPITAL OF ORANGE COUNTY - ORANGE - FOUNTAIN VALLEY RGNL HOSP AND MED CTR - FOUNTAIN VALLEY - GARDEN GROVE HOSPITAL AND MEDICAL CENTER - GARDEN GROVE - HUNTINGTON BEACH HOSPITAL - HUNTINGTON BEACH - KAISER PERMANENTE (IRVINE, ANAHEIM) - KINDRED HOSPITAL (SANTA ANA, WESTMINSTER) - LA PALMA INTERCOMMUNITY HOSPITAL - LA PALMA - MISSION HOSPITAL LAGUNA BEACH - LAGUNA BEACH - MISSION HOSPITAL REGIONAL MEDICAL CENTER - MISSION VIEJO - ORANGE COAST MEMORIAL MEDICAL CENTER - FOUNTAIN VALLEY - SADDLEBACK MEMORIAL MEDICAL CENTER (LAGUNA HILLS/SAN CLEMENTE) - ST. JOSEPH HOSPITAL - ORANGE - ORANGE - ST. JUDE MEDICAL CENTER - FULLERTON - UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER - ORANGE - WESTERN MEDICAL CENTER - SANTA ANA
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH HOAG MEMORIAL HOSPITAL PRESBYTERIAN PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. HOAG MEMORIAL HOSPITAL PRESBYTERIAN IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: - COMMUNITY BENEFIT STAFF CONTINUOUSLY ASSESS THE HEALTH NEEDS OF THE COMMUNITY BY SERVING ON BOARD OF DIRECTORS AND COMMITTEES OF NON PROFIT ORGANIZATIONS WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AND PROVIDE SUPPORT AND STRATEGIC DIRECTION. - HOAG HOSPITAL AND SHARE OUR SELVES (SOS) CLINIC HAVE NURTURED A UNIQUE PARTNERSHIP SINCE 1984 TO PROVIDE HEALTH CARE TO THE LOW INCOME, UNINSURED, AND UNDERINSURED INDIVIDUALS RESIDING IN THE COMMUNITY. THE SOS AND HOAG COLLABORATION INCLUDES MORE THAN 150 VOLUNTEER HEALTHCARE SPECIALISTS AVAILABLE TO PROVIDE CARE TO SOS PATIENTS BY PROVIDING DIAGNOSTIC TESTS, PROCEDURES, HOSPITALIZATIONS AND ER VISITS FOR SOS PATIENTS. IN ADDITION, SOS HAS ACQUIRED A PEDIATRIC CLINIC FROM THE CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) AND IS CURRENTLY HOUSED AT HOAG'S CENTER FOR HEALTH LIVING. THIS CLINIC PRIMARILY SERVES THE LOW INCOME FAMILIES FROM THE COSTA MESA AND NEWPORT BEACH COMMUNITIES. - HOAG HOSPITAL ALSO MAINTAINS A UNIQUE RELATIONSHIP WITH THE ALZHEIMER'S FAMILY RESOURCE CENTER (AFSC) WHICH IS COMMITTED TO THE MISSION OF IMPROVING THE QUALITY OF LIFE FOR FAMILIES CHALLENGED BY ALZHEIMER'S DISEASE OR ANOTHER DEMENTIA THROUGH SERVICES TAILORED TO MEET INDIVIDUAL NEEDS. HOAG HOSPITAL OWNS THE AFSC FACILITY AND PROVIDES IT AT NO CHARGE, INCLUDING MAINTENANCE SERVICES AS SPECIFIED IN THE LEASE, TO THE AGENCY. ADDITIONALLY, THE HOSPITAL PROVIDES ANNUAL OPERATING AND TRANSPORTATION GRANTS. - DURING CY 2018, THE PROGRAM EMPLOYED SIX FULL-TIME, ONE PART TIME AND TWO PER DIEM BILINGUAL MASTER'S PREPARED SOCIAL WORKERS, 5 OF THE STAFF ARE LICENSED. THESE SOCIAL WORKERS PROVIDED MENTAL HEALTH SERVICES TO 710 CLIENTS IN THE FORM OF PSYCHOTHERAPY. RESOURCE BROKERING, AND/OR CASE MANAGEMENT WAS PROVIDED TO 205 INDIVIDUALS. IN ADDITION, THE PROGRAM OFFERED PSYCHOTHERAPEUTIC, PSYCHO EDUCATIONAL GROUPS AND COMMUNITY PRESENTATIONS WHICH RESULTED IN 1,862 ENCOUNTERS. - THROUGH THE HOAG HEALTH MINISTRIES PROGRAM, THE FAITH COMMUNITY NURSE'S (FCN'S) ADMINISTERED 8,900 FLU VACCINE DOSES TO FAITH MEMBERS AND OTHER COMMUNITY MEMBERS. TRAINED 293 PERSONS IN LIFE-SAVING CPR & AUTOMATED EXTERNAL DEFIBRILLATOR USAGE. PROVIDED 4 FOUNDATIONS OF FAITH COMMUNITY NURSING COURSES; TRAINED AND COMMISSIONED 32 FCNS IN THE 36 HOUR COURSE AT HOAG, TRINITY PRESBYTERIAN CHURCH SANTA ANA, ST MARY'S HOSPITAL APPLE VALLEY, ST JOSEPH'S HOSPITAL BURBANK - HOAG HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY THROUGH A CREDENTIALING PROCESS. MEMBERSHIP AND PRIVILEGES ARE GRANTED TO QUALIFIED MD'S, DO'S, AND OTHER ALLIED HEALTH PROFESSIONALS BY THE MEDICAL STAFF AND HOAG HOSPITAL BOARD OF DIRECTORS. - AS A NOT-FOR-PROFIT INSTITUTION, GOVERNANCE IS PROVIDED BY A VOLUNTEER BOARD OF DIRECTORS COMPRISED OF 15 VOTING MEMBERS. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS. - THE BOARD OF DIRECTORS ALLOCATE A SIGNIFICANT PORTION OF THE NET OPERATING INCOME TO PROMOTING THE HEALTH OF THE COMMUNITY, SPECIFICALLY SERVING THE NEEDS OF THE UNINSURED AND LOW INCOME COMMUNITIES THROUGH CHARITY CARE AND A VARIETY OF FREE OR LOW COST SERVICES AND PROGRAMS PROVIDED BY THE DEPARTMENT OF COMMUNITY HEALTH. - IN AN EFFORT TO INCREASE THE COMMUNITY POOL OF AVAILABLE TRAINED AND EDUCATED HEALTH PROFESSIONALS, HOAG INVESTS ANNUALLY IN HEALTH PROFESSIONAL TRAINING AND DEVELOPMENT. THE HOSPITAL CURRENTLY WORKS WITH A NUMBER OF PROFESSIONAL GROUPS IN THIS ENDEAVOR, INCLUDING NURSES, PHYSICAL THERAPISTS, PHARMACISTS, LABORATORY PROFESSIONALS, SOCIAL WORKERS, AND CLINICAL CARE EXTENDERS. - HOAG PROVIDES UNCOMPENSATED CARE (CHARITY) TO PATIENTS WHO ARE UNABLE TO PAY FOR THE FULL COST OF THEIR CARE. HOAG'S CHARITY CARE AND SELF-PAY DISCOUNT POLICY STATES THAT SELF-PAY AND UNINSURED PATIENTS WHO ARE UNABLE TO PAY FOR THE FULL COST OF THEIR CARE MAY QUALIFY FOR CHARITY OR DISCOUNTS ON A SLIDING SCALE FOR INCOMES UP TO 400% OF THE FEDERAL POVERTY LEVEL. TOTAL QUANTIFIABLE COMMUNITY BENEFIT EXPENDITURES (EXCLUDING MEDICARE COST OF UNREIMBURSED CARE) FOR CY2018 AMOUNTED TO OVER $63 MILLION. THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING HAS PROVIDED SPACE TO LIKE-MINDED COMMUNITY AGENCIES, WHO SEEK TO IMPROVE THE QUALITY OF LIVES OF THOSE IN THE COMMUNITY. A KEY COMPONENT WHICH MAKES THE COLLABORATIVE UNIQUE AND IS ESSENTIALLY THE GLUE BETWEEN THE COMMUNITY AND THE CENTER, IS OUR CENTRALIZED REGISTRATION AND CASE MANAGEMENT TEAM. THIS TEAM ASSURES THAT ALL CLIENT'S COMING INTO THE CENTER FILL OUT A SCREENER WHICH SEEKS TO IDENTIFY; SOCIO-ECONOMIC STRESSORS, POTENTIAL HEALTH RISKS, MENTAL AND EMOTIONAL HEALTH ISSUES, LEGAL ISSUES, ACCESS TO HEALTH CARE, AND OTHER LIFE STRESSORS THAT CAN AFFECT ONES QUALITY OF LIFE. OUR CASE-MANAGEMENT TEAM PLAYS A CRITICAL ROLE IN LINKING CLIENTS TO THE APPROPRIATE SERVICES, WHILE ALSO MONITORING CLIENT'S PROGRESSION THROUGH THE REFERRAL PROCESS. THIS MODEL FOR SERVICE DELIVERY HELPS BRIDGE GAPS BETWEEN COMMUNITY, CLIENTS AND AGENCIES, WHILE ALSO LEVERAGING RESOURCES AND THE FOSTERING COLLABORATION BETWEEN ORGANIZATIONS. THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING'S CO-LOCATION OF RESOURCES HAS CREATED A COHESIVE, ONE-STOP, WELCOMING ENVIRONMENT WHERE COMMUNITY MEMBERS CAN FIND A BREADTH OF SERVICES AND SUPPORT. THIS YEAR THIS COLLABORATIVE WAS ABLE TO PROVIDE THE FOLLOWING SERVICES TO INDIVIDUALS AND FAMILIES. LIFE SKILLS AND YOUTH SUPPORT SERVICES - 205 PEOPLE WERE CPR CERTIFIED. THIS HELPED FOR JOB SECURITY AND PLACEMENT FOR SEVERAL NANNIES, CHILD CARE WORKERS, AND PRESCHOOL TEACHERS. - 331 ADULTS PARTICIPATED IN CIELO'S ENTREPRENEURSHIP/JOB READINESS CLASSES. - 2,699 ENCOUNTERS FOR GIRLS INC'S AFTER SCHOOL HOMEWORK LAB AND STEM ACTIVITIES (BOYS AND GIRLS) HEALTH DRIVEN CLASSES FOCUSING ON IMPROVED HEALTH AND DECREASE IN OBESITY - 8,275 ENCOUNTERS FOR YOGA AND ZUMBA CLASSES - 297 ENCOUNTERS FOR CHILDREN PARTICIPATED IN BALLET CLASSES - 1,564 ENCOUNTERS FOR CHILDREN PARTICIPATED IN AMIGITOS/ZUMBINI EDUCATION AND SUPPORT TO INDIVIDUALS AND FAMILIES AFFECTED BY MENTAL ILLNESS - 1,763 PEOPLE PARTICIPATED IN A NAMI CLASS/SUPPORT GROUP - 8,194 INDIVIDUALS WERE EITHER VISITED AT HOME OR MET WITH A PROMOTORA ONSITE TO DISCUSS MENTAL HEALTH SERVICES, STARTING IN SEPTEMBER OF 2018. LEGAL AID AND REPRESENTATION - 326 PEOPLE HAVE RECEIVED LEGAL CONSULTATION OR REPRESENTATION FROM THE PUBLIC LAW CENTER (LAWYER STARTED 20 HOURS A WEEK ON SITE SINCE MAY). FREE LEGAL REPRESENTATION IS KEY BECAUSE THIS IS THE SERVICE THAT IS IN HIGHEST DEMAND AND IS LEAST AVAILABLE IN THE COMMUNITY. WE ARE FOCUSING ON FAMILY LAW - DIVORCE, DV, CHILD CUSTODY ETC. IN CY 2018, THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING HOSTED A NUMBER OF EVENTS THAT INCLUDED THE ANNUAL HEALTH FAIR, FAMILY HEALTH DAY. THE HEALTH FAIR WAS ATTENDED BY 557 INDIVIDUALS THAT INCLUDED ADULTS AND CHILDREN. ATTENDEES PARTICIPATED AND RECEIVED VARIOUS SERVICES INCLUDING: MENTAL HEALTH RESOURCES, FLU SHOTS, DENTAL CLEANING, BLOOD PRESSURE, AND DIABETES SCREENING. THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING FOSTERS A COMMUNITY COLLABORATION, NOT ONLY WITH ITS NON-PROFIT PARTNERS ON-SITE, BUT ALSO WITH OUTSIDE AGENCIES. THROUGH THE CENTER'S PROFESSIONAL NETWORK RESOURCE EXCHANGE MONTHLY MEETINGS, 310 INDIVIDUALS REPRESENTED THEIR AGENCIES AND NETWORKED WITH OTHER NONPROFIT ORGANIZATIONS IN THE COUNTY.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS AND 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA

Schedule H (Form 990) 2018

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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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Employer identification number
95-1643327

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) ACADEMY OF INTERNATIONAL DANCE 2025 SOUTH MAIN ST SANTA ANA,CA92707	26-2657759	501(c)(3)	20,500	HEALTHY LIFE STYLES ACCESS TO HEALTH COVERAGE AND MENTAL HEALTH SERVIC SENIOR TRANSPORTATION, OPERATIONS OF PROGRAMS, MOB HIV CASE MANAGEMENT PROGRAM OPERATIONS AND COMMUNITY EDUCATION & OUTREACH PROG ON TRACK THROUGH FITNESS & NUTRITION HOME FIRE PREVENTION CAMPAIGN HIGH SCHOOL BIGS SCHOOL-BASED MENTORING PROGRAM IMPACT MODEL: TRIPLE PLAY PROGRAM SUPPORT EMERGENCY MATERNITY SHELTER PROGRAM SUPPORT PEDIATRIC DIABETES SERVICES BREATHMOBILE, MENTAL HEALTH IMPACTS OF EPILEPSY TRASPORTATION PROGRAM HB HOME DELIVERED MEALS; PSS HOMELESS PREVENTION; MENTAL HEALTH OUTREACH PROGRAM SUPPORT COMMUNITY HEALTHCARE ACCESS SENIOR NUTRITION PROGRAMS YOUTH SHELTER FRIENDLY VISITOR PROGRAM PROGRAM SUPPORT BOWEL DISEASE EDUCATION PROGRAM IMPROVING EPILEPSY CONTROL AND QUALITY OF LIFE COMMUNITY CARES PROGRAM, COUNSELING PROGRAM LGBTQ MENTAL HEALTH SERVICES PROGRAM SUPPORT DENTAL SEDATION CARE FOR UNDERSERVED CHILDREN BILINGUAL MENTAL HEALTH FOR VICTIMS OF DOMESTIC VI CHRONIC DISEASE MANAGEMENT, A1C TESTS
(2) ACCESS CALIFORNIA SERVICES 631 SOUTH BROOKHURST ST ANAHEIM,CA92804	33-0826205	501(c)(3)	80,000
(3) AGE WELL SENIOR SERVICES (S COUNTY SR SVC) 24300 EL TORO RD LAGUNA WOODS,CA92637	93-1163563	501(c)(3)	150,000
(4) AIDS SERVICE FOUNDATION 17982 SKY PARK CIRCLE J IRVINE,CA92614	33-0126481	501(c)(3)	40,000
(5) ALZHEIMER'S FAMILY SERVICES CENTER 9451 INDIANAPOLIS AVE HUTGTN BEACH,CA92646	95-3463978	501(c)(3)	1,904,639
(6) AMERICA ON TRACK 600 W SANTA ANA BLVD SANTA ANA,CA92701	33-0724044	501(c)(3)	26,667
(7) AMERICAN NATIONAL RED CROSS 601 N GOLDEN CIRCLE SANTA ANA,CA92705	53-0196605	501(c)(3)	50,000
(8) BIG BROTHERS BIG SISTERS OF ORANGE COUNTY 1801 E EDINGER AVE SANTA ANA,CA92705	95-1992702	501(c)(3)	60,000
(9) BOYS & GIRLS CLUB SANTA ANA 250 N GOLDEN CIRCLE 104 SANTA ANA,CA92705	95-1893417	501(c)(3)	25,000
(10) BRAILLE INSTITUTE OF AMERICA INC 741 N VERMONT AVE LOS ANGELES,CA90029	95-1641426	501(c)(3)	25,000
(11) CASA TERESA INC PO BOX 429 ORANGE,CA92856	95-3251986	501(c)(3)	25,000
(12) CHARITABLE VENTURES OF ORANGE COUNTY INC 4041 MACARTHUR NEWPORT BEACH,CA92660	20-8756660	501(c)(3)	15,000
(13) CHILDRENS HOSPITAL ORANGE COUNTY (CHOC) 455 S MAIN ST ORANGE,CA92868	95-2321786	501(c)(3)	789,344
(14) CHOC FOUNDATION 455 S MAIN ST ORANGE,CA92868	95-6097416	501(c)(3)	253,333
(15) CITY OF COSTA MESA 695 W 19TH ST COSTA MESA,CA92627	95-6005030	GOVT	100,000
(16) CITY OF HUNTINGTON BEACH 1718 ORANGE AVE HUNTINGON BEACH,CA92648	95-6000723	GOVT	148,333
(17) CITY OF IRVINE ONE CIVIC CENTER PLAZA IRVINE,CA92606	95-2759391	GOVT	20,000
(18) CITY OF NEWPORT BEACH PO BOX 269110 SACRAMENTO,CA95828	95-6000751	GOVT	100,000
(19) COMMUNITY HEALTH INITIATIVE OF ORANGE CTY 1505 E 17TH ST STE 121 SANTA ANA,CA92705	47-2671013	501(c)(3)	40,000
(20) COMMUNITY SENIORSERV INC 1200 N KNOLLWOOD CIR ANAHEIM,CA92801	95-2771715	501(c)(3)	16,667
(21) WAYMAKERS 1221 E DYER RD 120 SANTA ANA,CA92705	95-3167866	501(c)(3)	13,333
(22) COUNCIL ON AGING ORANGE COUNTY 1971 E 4TH ST STE 200 SANTA ANA,CA92705	95-2874089	501(c)(3)	130,000
(23) CRIME SURVIVORS INC PO BOX 54552 IRVINE,CA92619	30-0229425	501(c)(3)	50,000
(24) CROHN'S & COLITIS FOUNDATION INC 3972 BARRANCA PKWYJ276 IRVINE,CA92606	13-6193105	501(c)(3)	20,000
(25) EPILEPSY SUPPORT NETWORK OF OC 1500 ADAMS ST STE 301 COSTA MESA,CA92626	27-0681680	501(c)(3)	35,000
(26) FAMILIES FORWARD 8 THOMAS IRVINE,CA92618	33-0086043	501(c)(3)	80,000
(27) GAY & LESBIAN COMMUNITY SERVICES CTR OC 1605 N SPURGEON ST SANTA ANA,CA92701	95-2934041	501(c)(3)	41,667
(28) HANDS TOGETHER A CENTER FOR CHILDREN 201 E CIVIC CENTER SANTA ANA,CA92701	33-0857087	501(c)(3)	13,333
(29) HEALTHY SMILES 2101 E 4TH ST STE 220 SANTA ANA,CA92705	38-3675065	501(c)(3)	50,000
(30) HUMAN OPTIONS PO BOX 53745 IRIVNE,CA92619	95-3667817	501(c)(3)	30,667
(31) HURTT FAMILY HEALTH CLINIC INC ONE HOPE DR TUSTIN,CA92782	33-0906866	501(c)(3)	15,333
(32) INFECTIOUS DISEASE ASSOCIATION OF CA PO BOX 66751 LOS ANGELES,CA90006	95-4106813	501(c)(3)	10,000
(33) INTERVENTION CENTER FOR EARLY CHILDHOOD 17461 DERIAN AVE STE 114 IRVINE,CA92614	95-3850651	501(c)(3)	16,000
(34) IRVINE ADULT DAY HEALTH SERVICES 20 LAKE ROAD IRVINE,CA92604	33-0599371	501(c)(3)	105,000
(35) IRVINE CHILDRENS FUND 14301 YALE AVE IRVINE,CA92604	33-0177921	501(c)(3)	40,000
(36) IRVINE PUBLIC SCHOOLS FOUNDATION 1 POST STE 250 IRVINE,CA92618	33-0733191	501(c)(3)	66,667
(37) KIWANIS CLUB OF COSTA MESA FOUNDATION PO BOX 1667 COSTA MESA,CA92626	39-2071312	501(c)(3)	10,000
(38) LAGUNA BEACH SENIORS INC 380 THIRD ST LAGUNA BEACH,CA92651	95-2983350	501(c)(3)	30,000
(39) LATINO HEALTH ACCESS 1701 N MAIN ST 200 SANTA ANA,CA92706	33-0562943	501(c)(3)	186,000
(40) LAUREL HOUSE 1 HOPE DR TUSTIN,CA92782	30-0611748	501(c)(3)	35,000
(41) MARSHALL B KETCHUM UNIVERSITY 2575 YORBA LINDA BLVD FULLERTON,CA92831	95-1644593	501(c)(3)	12,600
(42) MARY'S SHELTER PO BOX 10433 SANTA ANA,CA92711	33-0203768	501(c)(3)	20,000
(43) MIRACLES FOR KIDS 3002 DOW AVE STE 126 TUSTIN,CA92780	91-2160616	501(c)(3)	23,333
(44) MOMS ORANGE COUNTY 1128 W SANTA ANA BLVD SANTA ANA,CA92703	33-0518078	501(c)(3)	260,000
(45) NAMI ORANGE COUNTY 1810 E 17TH ST SANTA ANA,CA92705	95-3726369	501(c)(3)	80,000
(46) NEWPORT MESA SCHOOLS FOUNDATION PO BOX 1368 NEWPORT BEACH,CA92659	95-3545785	501(c)(3)	16,667
(47) NEWPORT-MESA SPIRIT RUN INC 806 BISON NEWPORT BEACH,CA92660	27-4410366	501(c)(3)	8,000
(48) NEWPORT-MESA UNIFIED SCHOOL DISTRICT 2045 MEYER PL BLDG B COSTA MESA,CA92626	95-2417783	GOVT	296,667
(49) OC ADVANCE CARE PLANNING (ALZHEIMERS OC) 2515 MCCABE WAY STE 200 IRVINE,CA92614	95-3702013	501(c)(3)	118,167
(50) ONE OC 1901 E FOUTH ST 100 SANTA ANA,CA92705	95-2021700	501(c)(3)	126,667
(51) ORANGE COUNTY APIA COMMUNITY ALLIANCE 12912 BROOKHURST ST GARDEN GROVE,CA92840	91-2047245	501(c)(3)	33,333
(52) ORANGE COUNTY BAR FOUNDATION 313 N BIRCH ST MADRES UNIDAS,CA92701	23-7068923	501(c)(3)	30,000
(53) ORANGE COUNTY COMMUNITY FOUNDATION 4041 MACARTHUR 510 NEWPORT BEACH,CA92660	33-0378778	501(c)(3)	1,000,000
(54) ORANGE COUNTY COMMUNITY HOUSING CORP 501 N GOLDEN CIRCLE DR SANTA ANA,CA92705	95-3221290	501(c)(3)	50,000
(55) ORANGE COUNTY HUMAN RELATIONS 1300 S GRAND AVE SANTA ANA,CA92705	33-0438086	501(c)(3)	135,000
(56) ORANGE COUNTY RESCUE MISSION ONE HOPE DRIVE TUSTIN,CA92782	95-2479552	501(c)(3)	10,000
(57) ORANGE COUNTY UNITED WAY 18012 MICHELL AVE SOUTH IRVINE,CA92614	33-0047994	501(c)(3)	25,000
(58) OUR HOUSE GRIEF SUPPORT CENTER 1663 SAWTELLE BLVD LOS ANGELES,CA90025	33-0529915	501(c)(3)	20,000
(59) PACIFIC SYMPHONY 17620 FITCH STE100 IRVINE,CA92614	95-3635496	501(c)(3)	15,000
(60) PEDIATRIC ADOLESCENT DIABETES RESEARCH EDU 1201 W LA VETA AVE ORANGE,CA92868	33-0099451	501(c)(3)	180,760
(61) PEOPLE FOR IRVINE COMMUNITY HEALTH 2025 SOUTH MAIN ST SANTA ANA,CA92707	33-0063532	501(c)(3)	50,000
(62) PLANNED PARENTHOOD ORANGE & SAN BERNARDINO 700 S TUSTIN STREET ORANGE,CA92866	95-6152773	501(c)(3)	150,000
(63) PROJECT SELF SUFFICIENCY 307 PLACENTIA 203 NEWPORT BEACH,CA92663	33-0597719	501(c)(3)	20,000
(64) PROVIDENCE SPEECH & HEARING CENTER 1301 PROVIDENCE AVE ORANGE,CA92868	95-6154473	501(c)(3)	150,000
(65) SAVE OUR YOUTH 661 HAMILTON 180 COSTA MESA,CA92627	33-0585600	501(c)(3)	65,000
(66) SECOND CHANCE OC 2618 SAN MIGUEL DR NEWPORT BEACH,CA92660	81-1224869	501(c)(3)	10,000
(67) SEGERSTROM CENTER FOR THE ARTS 600 TOWN CENTER DRIVE COSTA MESA,CA92626	23-7287150	501(c)(3)	33,333
(68) SENECA FAMLIY OF AGENCIES 18302 IRVINE BLVD 300 TUSTIN,CA92780	94-2971761	501(c)(3)	33,333
(69) SERVING KIDS HOPE 2100 W ALTON AVE 2 SANTA ANA,CA92704	47-1518476	501(c)(3)	150,000
(70) SERVING PEOPLE IN NEED (SPIN) 151 KALMUS DRIVE H2 COSTA MESA,CA92626	33-0329687	501(c)(3)	15,000
(71) SHANTI ORANGE COUNTY 23461 S POINTE DR LAGUNA HILLS,CA92653	33-0236592	501(c)(3)	20,000
(72) SHARE OUR SELVES CLINIC 1550 SUPERIOR AVE COSTA MESA,CA92627	95-3222316	501(c)(3)	2,123,957
(73) SHOES THAT FIT 1420 N CLAREMONT BLVD CLAREMONT,CA91711	95-4425565	501(c)(3)	23,333
(74) SOMEONE CARES SOUP KITCHEN 720 W 19TH ST COSTA MESA,CA92627	33-0279080	501(c)(3)	180,796
(75) SPECIAL OLYMPICS SOUTHERN CALIFORNIA 1600 FORBES WAY 200 LONG BEACH,CA90810	95-4538450	501(c)(3)	33,333
(76) STRENGTH IN SUPPORT 23461 S POINTE DR LAGUNA HILLS,CA92653	46-1896501	501(c)(3)	30,000
(77) SUSAN G KOMEN BREAST CANCER FOUNDATION 3191 AIRPORT LOOP DR COSTA MESA,CA92626	33-0487943	501(c)(3)	58,333
(78) SWEET SUCCESS EXPRESS PROGRAM 16718 MAPLE ST FOUNTAIN VALLEY,CA92708	34-2044369	501(c)(3)	11,667
(79) TALK ABOUT CURING AUTISM 2222 MARTIN STSUITE 140 IRVINE,CA92612	27-0048002	501(c)(3)	15,000
(80) THE CAMBODIAN FAMILY 1626 E 4TH ST SANTA ANA,CA92701	95-3854831	501(c)(3)	100,000
(81) THE WOODEN FLOOR FOR YOUTH MOVEMENT 1810 N MAIN ST SANTA ANA,CA92706	33-0299356	501(c)(3)	38,333
(82) TIYYA FOUNDATION 505 N TUSTIN STE280 SANTA ANA,CA92705	27-3128801	501(c)(3)	10,000
(83) TRAUMA INTERVENTION PROGRAMS INC 24301 AIRPORTER WAY LAGUNA NIGUEL,CA92677	33-0317893	501(c)(3)	6,667
(84) UNITED CEREBRAL PALSY OF OC 980 ROOSEVELT STE100 IRVINE,CA92620	95-1856340	501(c)(3)	143,334
(85) VETERANS LEGAL INSTITUTE 2100 N BROADWAY STE209 SANTA ANA,CA92706	47-1608069	501(c)(3)	30,000
(86) VIETNAMESE AMERICAN CANCER FOUNDATION 17150 NEWHOPE 203 FOUNTAIN VALLEY,CA92708	91-2170415	501(c)(3)	10,000
(87) WISEPLACE 1411 N BROADWAY SANTA ANA,CA92706	95-1684796	501(c)(3)	20,000
(88) YOUNG LIVES REDEEMED 1351 E CHAPMAN AVE FULLERTON,CA92831	47-1849084	501(c)(3)	21,667

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) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

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

DESCRIPTION OF ORGANIZATIONS PROCEDURES FOR MONITORING THE USE OF GRANTS IN ORDER TO BE ELIGIBLE FOR A COMMUNITY BENEFIT GRANT, AN APPLICANT ORGANIZATION (OR FISCAL AGENT) MUST BE DESIGNATED BY THE IRS AS A TAX EXEMPT NON-PROFIT AND SUBMIT A COPY OF THEIR EXEMPT STATUS FOR VERIFICATION. THE ORGANIZATION MUST HAVE AN EXECUTIVE DIRECTOR AND AN ESTABLISHED BOARD OF DIRECTORS THAT MEETS REGULARLY. PRIOR TO FUNDING, RESEARCH IS CONDUCTED REGARDING THE REPUTATION AND PERFORMANCE OF THE ORGANIZATION. APPLICANTS MUST APPLY FOR A GRANT EACH YEAR THROUGH THE COMMUNITY BENEFIT GRANTS PROGRAM. REQUESTS MUST INCLUDE: W-9, TAX EXEMPT VERIFICATION, PREVIOUS AND CURRENT YEAR BUDGETS, PROJECT BUDGETS, LIST OF BOARD OF DIRECTORS, PROGRAM GOALS AND OBJECTIVES, AND MEASURABLE OUTCOMES FOR THE SPECIFIED PROGRAM THAT IS BEING FUNDED. AN INTERVIEW WITH THE EXECUTIVE DIRECTOR AND ONE OR MORE BOARD MEMBERS MAY BE CONDUCTED AS WELL AS A SITE VISIT IN ORDER TO FAMILIARIZE OURSELVES WITH THE ORGANIZATION AND THE PROGRAMS OFFERED. DEPARTMENT STAFF MAY ACTIVELY PARTICIPATE WITH THE ORGANIZATION BY PROVIDING IN-KIND SERVICES AND BOARD PARTICIPATION. ONCE A GRANT REQUEST HAS BEEN APPROVED AND FUNDED, WE REQUIRE A 6-MONTH PROGRESS REPORT AND A FINAL 12 MONTH REPORT ON THE IMPLEMENTATION STRATEGY AND MEASURABLE OUTCOMES. THROUGHOUT THE FUNDING PERIOD OF A SPECIFIED PROGRAM, THERE MAY BE OCCASIONAL MEETINGS WITH THE DIRECTOR AND PROGRAM PERSONNEL TO RECEIVE REPORTS ON PROGRESS AND UPDATES OF THE ACTIVITIES CONDUCTED AS WELL AS THE NUMBER OF INDIVIDUALS SERVED. THIS PROCESS ALLOWS US TO MONITOR THAT THE GRANT FUNDS ARE BEING USED FOR THE INTENDED PURPOSES.

Schedule I (Form 990) 2018

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Employer identification number

95-1643327

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 on 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 .........

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? ..

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 on 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? .............

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Were any amounts reported on 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" on 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) 2018

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 on 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 in column (B) reported as deferred on 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)
1ANDREW GUARNI SVP & CFO/PRES HMTS	(i) (ii)	419,994 ------------- 0	57,099 ------------- 0	4,851 ------------- 0	30,662 ------------- 0	8,600 ------------- 0	521,206 ------------- 0	0 ------------- 0
2RICHARD MARTIN SVP & CHIEF NURSING OFFICER	(i) (ii)	459,389 ------------- 0	83,128 ------------- 0	6,740 ------------- 0	65,035 ------------- 0	7,531 ------------- 0	621,823 ------------- 0	0 ------------- 0
3JENNIFER MITZNER VP AND CEO HOI	(i) (ii)	559,998 ------------- 0	74,358 ------------- 0	4,478 ------------- 0	48,713 ------------- 0	21,157 ------------- 0	708,704 ------------- 0	0 ------------- 0
4ROBERT BRAITHWAITE CEO/PRESIDENT	(i) (ii)	800,010 ------------- 0	324,316 ------------- 0	4,027 ------------- 0	163,243 ------------- 0	16,062 ------------- 0	1,307,658 ------------- 0	0 ------------- 0
5SANFORD SMITH SVP REAL ESTATE & FACILITIES	(i) (ii)	569,109 ------------- 0	57,880 ------------- 0	474,776 ------------- 0	74,878 ------------- 0	6,784 ------------- 0	1,183,427 ------------- 0	468,717 ------------- 0
6MARTIN FEE SENIOR VP/CCO	(i) (ii)	372,006 ------------- 0	52,433 ------------- 0	4,813 ------------- 0	11,908 ------------- 0	1,311 ------------- 0	442,471 ------------- 0	0 ------------- 0
7FLYNN ANDRIZZI SVP/PRES HHF/BOARD MEMBER HCS	(i) (ii)	427,903 ------------- 0	183,745 ------------- 0	5,581 ------------- 0	47,417 ------------- 0	20,970 ------------- 0	685,616 ------------- 0	0 ------------- 0
8MICHAEL RICKS EXECUTIVE VP/COO	(i) (ii)	500,011 ------------- 0	80,070 ------------- 0	1,737 ------------- 0	57,034 ------------- 0	18,046 ------------- 0	656,898 ------------- 0	0 ------------- 0
9MICHAEL BRANT-ZAWADZKI EXECUTIVE MEDICAL DIRECTOR	(i) (ii)	459,992 ------------- 0	51,529 ------------- 0	13,284 ------------- 0	32,992 ------------- 0	14,367 ------------- 0	572,164 ------------- 0	0 ------------- 0
10KRIS V IYER MD VP SR & CAO HMTS/BD CHAIR HMTS	(i) (ii)	388,134 ------------- 0	147,652 ------------- 0	12,049 ------------- 0	30,862 ------------- 0	1,613 ------------- 0	580,310 ------------- 0	0 ------------- 0
11JAN BLUE SR VP HUMAN RESOURCES	(i) (ii)	389,359 ------------- 0	147,652 ------------- 0	10,824 ------------- 0	36,469 ------------- 0	7,703 ------------- 0	592,007 ------------- 0	0 ------------- 0
12ALLYSON BROOKS EXEC DIR MED WOMENS HEALTH	(i) (ii)	391,040 ------------- 0	43,312 ------------- 0	3,548 ------------- 0	28,325 ------------- 0	20,325 ------------- 0	486,550 ------------- 0	0 ------------- 0
13Rodney Hochman MD BD Member/PSJH PRESIDENT/CEO	(i) (ii)	0 ------------- 2,026,331	0 ------------- 3,370,808	0 ------------- 1,172,016	0 ------------- 4,239,838	0 ------------- 26,428	0 ------------- 10,835,421	0 ------------- 1,130,152
14MARCY BROWN VP HHI & AMBULATORY SVCS	(i) (ii)	274,997 ------------- 0	40,824 ------------- 0	2,767 ------------- 0	32,678 ------------- 0	13,950 ------------- 0	365,216 ------------- 0	0 ------------- 0
15JACK COX FORMER SVP/CHIEF QUALITY OFCR	(i) (ii)	0 ------------- 512,129	0 ------------- 299,564	0 ------------- 90,122	0 ------------- 11,000	0 ------------- 22,238	0 ------------- 935,053	0 ------------- 0
16PATRICK ANDERSON CHIEF INFO. OFCR (PART YEAR)	(i) (ii)	266,544 ------------- 0	49,935 ------------- 0	3,514 ------------- 0	0 ------------- 0	0 ------------- 0	319,993 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

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 4B

SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A SERP PLAN ON BEHALF OF CERTAIN MEMBERS OF SENIOR MANAGEMENT IN ACCORDANCE WITH PLAN DOCUMENTS. CERTAIN EXECUTIVES PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. BEGINNING IN 2015, THE SEVP AND CHIEF QUALITY OFFICER OF PROVIDENCE ST. JOSEPH HEALTH AND HOAG FORMER SVP/CHIEF QUALITY OFFICER, PARTICIPATED IN A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY IN ADDITION TO THE STANDARD NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECTS CURRENT YEAR PAYOUTS FROM THESE PLANS.

Schedule J (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Employer identification number

95-1643327

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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 Benefiting 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) 2018

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) KATHERINE MCKITTERICK	SEE PART V	73,286	SEE PART V		No
(2) NEWPORT EMERGENCY MEDICAL GROUP	SEE PART V	382,308	SEE PART V		No
(3) CHRISTOPHER CHEWENS	SEE PART V	132,822	SEE PART V		No

Part V

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

Return Reference

Explanation

BUSINESS RELATIONSHIPS

LINE (1) - GARY MCKITTERICK, BOARD MEMBER OF HMHP, IS THE FATHER OF KATHERINE MCKITTERICK WHO IS AN EMPLOYEE OF HOAG. LINE (2) - RAYMOND RICCI, BOARD MEMBER OF HMHP, IS THE OWNER, PRESIDENT AND PRACTICING PHYSICIAN OF NEWPORT EMERGENCY MEDICAL GROUP INC., A MEDICAL GROUP THAT PROVIDES EMERGENCY SERVICES AND MEDICAL DIRECTORSHIP (RAYMOND AS A CHIEF OF SERVICE) TO HOAG. LINE (3) - JEFFREY MARGOLIS, BOARD MEMBER OF HMHP, IS THE FATHER-IN-LAW OF CHRISTOPHER CHEWENS WHO IS AN EMPLOYEE OF HOAG.

Schedule L (Form 990 or 990-EZ) 2018

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Employer identification number

95-1643327

Return Reference	Explanation
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS EXECUTIVE SUMMARY THE COMMUNITY HEALTH DEPARTMENT AT HOAG MEMORIAL HOSPITAL PRESBYTERIAN (HOAG) WAS ESTABLISHED IN 1995. SINCE ITS BEGINNING THE PROGRAM HAS FOCUSED ON TWO PRINCIPAL STRATEGIES: - PROVIDE NECESSARY HEALTHCARE-RELATED SERVICES WHICH ARE UNDUPLICATED IN THE COMMUNITY. - PROVIDE FINANCIAL SUPPORT TO EXISTING COMMUNITY BASED NOT-FOR-PROFIT ORGANIZATIONS WHICH ALREADY PROVIDE EFFECTIVE HEALTHCARE AND RELATED SOCIAL SERVICES TO MEET COMMUNITY HEALTH NEEDS. THE DEPARTMENT OF COMMUNITY HEALTH, LED BY ITS DIRECTOR, MICHAELL ROSE, DRPH, IS RESPONSIBLE FOR THE COORDINATION OF HOAG'S COMMUNITY BENEFIT REPORTING, AND PROVIDES FREE AND LOW COST PROGRAMS TO ASSIST THE UNDERSERVED IN THE COMMUNITY. THESE INCLUDE MENTAL HEALTH SERVICES, HEALTH MINISTRIES COORDINATION, A GRANTS PROGRAM, AND A VARIETY OF EDUCTION, OUTREACH, AND SOCIAL SERVICES. IN ADDITION TO THESE SERVICES, MANY OTHER HOAG DEPARTMENTS PROVIDE COMMUNITY HEALTH SERVICES INCLUDING EDUCATION AND SUPPORT GROUPS WHICH ARE FREE TO THE COMMUNITY. THE COMMUNITY BENEFIT PROGRAM SUPPORTS ORGANIZATIONS THAT PROVIDE A BROAD RANGE OF SERVICES, INCLUDING THE FOLLOWING: - MEDICAL AND DENTAL CARE - ADULT DAY CARE AND EDUCATION FOR PERSONS WHO SUFFER FROM ALZHEIMER'S DISEASE OR MILD DEMENTIA, WITH SUPPORT AND EDUCATION FOR THEIR CAREGIVERS AND FAMILIES - TRANSPORTATION SERVICES FOR LOCAL SENIOR CENTERS - PREVENTION OF CHRONIC DISEASE AND MANAGEMENT - ECONOMIC SECURITY - MENTAL HEALTH SERVICES INTRODUCTION THE HOAG MEMORIAL HOSPITAL PRESBYTERIAN COMMUNITY BENEFIT PROGRAM WAS FORMALIZED IN 1995 AND HAS GROWN SIGNIFICANTLY SINCE THAT TIME. WE HAVE SERVED OVER 90 NONPROFIT COMMUNITY ORGANIZATIONS IN A VARIETY OF HEALTH AND SOCIAL SERVICE CATEGORIES. WE CONTINUE TO EMPHASIZE THE DEVELOPMENT OF SUSTAINED COLLABORATIVE RELATIONSHIPS AND THE PROVISION OF UNDUPLICATED SERVICES TO DISADVANTAGED RESIDENTS IN OUR COMMUNITY AS CORE ELEMENTS OF THE PROGRAM. HOAG'S NONPROFIT REGIONAL HEALTH CARE DELIVERY NETWORK CONSISTS OF TWO ACUTE-CARE HOSPITALS - HOAG HOSPITAL NEWPORT BEACH, WHICH OPENED IN 1952, AND HOAG HOSPITAL IRVINE, WHICH OPENED IN 2010 IN ADDITION TO ELEVEN URGENT CARE CENTERS AND NINE HEALTH CENTERS, AND HAS DELIVERED A LEVEL OF PERSONALIZED CARE THAT IS UNSURPASSED AMONG ORANGE COUNTY'S HEALTH CARE PROVIDERS. RENOWNED FOR ITS EXCELLENCE, SPECIALIZED HEALTH CARE SERVICES AND EXCEPTIONAL PHYSICIANS AND STAFF, HOAG IS ADMIRED AS ONE OF CALIFORNIA'S LEADING HOSPITALS. IT IS ONE OF THE COUNTY'S LARGEST EMPLOYERS WITH APPROXIMATELY 6,000 EMPLOYEES AND MORE THAN 2,000 VOLUNTEERS. HOAG'S NETWORK OF MORE THAN 1,700 PHYSICIANS REPRESENTS 52 DIFFERENT SPECIALTIES. HOAG IS A DESIGNATED MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) AND IS FULLY ACCREDITED BY DNV. HOAG OFFERS A VARIETY OF HEALTH CARE SERVICES TO TREAT VIRTUALLY ANY ROUTINE OR COMPLEX MEDICAL CONDITION. THROUGH ITS MEDICAL STAFF, STATE-OF-THE-ART EQUIPMENT AND MODERN FACILITIES, HOAG PROVIDES A FULL SPECTRUM OF HEALTH CARE SERVICES INCLUDING FIVE INSTITUTES THAT PROVIDE SPECIALIZED SERVICES IN THE FOLLOWING AREAS: CANCER, HEART AND VASCULAR, NEUROSCIENCES, WOMEN'S HEALTH, AND ORTHOPEDICS THROUGH HOAG'S AFFILIATE, HOAG ORTHOPEDIC INSTITUTE, WHICH CONSISTS OF AN ORTHOPEDIC HOSPITAL AND TWO AMBULATORY SURGICAL CENTERS. TO FURTHER HOAG'S COMMITMENT TO PROVIDE COMPREHENSIVE CARE TO THE COMMUNITIES WE SERVE, HOAG MEDICAL GROUP WAS ESTABLISHED IN 2012 WITH THE CORE VALUES OF EXCELLENCE, INNOVATION AND COMPASSION. THE PHYSICIAN GROUP COMPRISES SPECIALISTS AND SUBSPECIALISTS IN INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS, GERIATRICS, ACUPUNCTURE, NEUROMUSCULOSKELETAL, ENDOCRINOLOGY, GENETICS, RHEUMATOLOGY, DIABETES, ALLERGY & IMMUNOLOGY, AND HIV MEDICINE. IN 2013, HOAG ENTERED INTO AN ALLIANCE WITH ST. JOSEPH HEALTH TO FURTHER EXPAND HEALTH CARE SERVICES IN THE ORANGE COUNTY COMMUNITY, KNOWN AS ST. JOSEPH HOAG HEALTH. HOAG WAS THE HIGHEST RANKED HOSPITAL IN ORANGE COUNTY IN THE 2018-2019 U.S. NEWS & WORLD REPORT. THE ORGANIZATION WAS RANKED THE #4 HOSPITAL IN THE LOS ANGELES METRO AREA AND THE #8 HOSPITAL IN CALIFORNIA. HOAG WAS THE ONLY ORANGE COUNTY HOSPITAL RANKED IN THE TOP 10 FOR CALIFORNIA. ADDITIONALLY, HOAG WAS #23 NATIONALLY IN GASTROENTEROLOGY AND GI SURGERY, #31 NATIONALLY IN ORTHOPEDICS, #41 NATIONALLY IN UROLOGY AND #49 NATIONALLY IN GERIATRICS. HOAG RANKED HIGH PERFORMING IN CANCER, NEUROLOGY & NEUROSURGERY, NEPHROLOGY AND PULMONOLOGY, AS WELL AS IN ALL NINE COMMON ADULT PROCEDURES. HISTORY HOAG OPENED IN 1952 AS A COMMUNITY PARTNERSHIP BETWEEN THE ASSOCIATION OF PRESBYTERIAN MEMBERS AND THE GEORGE HOAG FAMILY FOUNDATION, A PRIVATE CHARITABLE FOUNDATION. THE GEORGE HOAG FAMILY FOUNDATION AND THE ASSOCIATION OF PRESBYTERIAN MEMBERS REPRESENT THE TWO FOUNDING ORGANIZATIONS OF THE HOSPITAL AND CONTINUE TO PROVIDE LEADERSHIP AS CORPORATE MEMBERS OF THE HOAG CORPORATION. THESE MEMBERS ANNUALLY ELECT THE BOARD OF DIRECTORS, WHICH CONSISTS OF 17 MEMBERS WITH REPRESENTATIVES FROM THE HOAG COMMUNITY AND MEDICAL STAFF. AN ANNUAL MEETING AT THE END OF THE FISCAL YEAR PROVIDES THE CORPORATE MEMBERS THE OPPORTUNITY FOR THE ELECTION/RE-ELECTION OF DIRECTORS FOR THE ENSUING YEAR. SINCE ITS FOUNDING THE HOSPITAL HAS WELDED A STRONG COMMITMENT TO THE COMMUNITY THAT IT SERVES, INCLUDING THE PROVISION OF SERVICES FOR THOSE WHO CONSTITUTE A MORE VULNERABLE, AT-RISK POPULATION. SUCH CARE, FOR BOTH INPATIENTS AND OUTPATIENTS, IS OFTEN ONLY PARTIALLY COMPENSATED. WITH EXCELLENCE OF MANAGEMENT AND THE DILIGENT STEWARDSHIP OF FUNDS, HOAG HAS BEEN ABLE TO SUSTAIN ITS FINANCIAL STRENGTH. AS A RESULT, HOAG HAS BEEN ABLE TO MAINTAIN A CONTINUING COMMITMENT TO QUALITY OF CARE WHILE DEVELOPING AND EXPANDING COMMUNITY PROGRAMS AND PARTNERSHIPS. MOST OF THE FUNDS EXPENDED UPON HOAG'S COMMUNITY BENEFIT PROGRAM ARE FROM OPERATING INCOME. PROVIDENCE ST. JOSEPH HEALTH ON JULY 1, 2016, PROVIDENCE HEALTH SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS), INCLUDING HOAG MEMORIAL HOSPITAL PRESBYTERIAN, ENTERED INTO A BUSINESS COMBINATION AGREEMENT, THE PURPOSE OF WHICH WAS TO BETTER SERVE BOTH ORGANIZATION'S COMMUNITIES, MAINTAIN STRONG TRADITIONS OF CATHOLIC HEALTHCARE, AND PROVIDE GREATER AFFORDABILITY AND ACCESS TO HEALTHCARE SERVICES. AS PART OF THE BUSINESS COMBINATION, PHS AND SJHS ALIGNED UNDER A SINGLE PARENT CORPORATION, PROVIDENCE ST. JOSEPH HEALTH, WITH A CONSOLIDATED BOARD OF DIRECTORS AND COSPONSORSHIP FROM THE PUBLIC JURIDIC PERSONS PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY.
FORM 990, PART III, LINE 4A - CONTINUED	PROGRAM ACCOMPLISHMENTS MENTAL HEALTH CENTER - THESE SOCIAL WORKERS PROVIDED MENTAL HEALTH SERVICES TO 710 CLIENTS IN THE FORM OF PSYCHOTHERAPY. - RESOURCE BROKERING, AND/OR CASE MANAGEMENT WAS PROVIDED TO 205 INDIVIDUALS. IN ADDITION, THE PROGRAM OFFERED PSYCHOTHERAPEUTIC, PSYCHO EDUCATIONAL GROUPS AND COMMUNITY PRESENTATIONS WHICH RESULTED IN 1,862 ENCOUNTERS. HEALTH MINISTRIES - TOUCHED THE LIVES OF MORE THAN 50,000 CONGREGANTS: - THROUGH INDIVIDUAL CASE MANAGEMENT & SUPPORT GROUP SERVICES - CLINICAL SERVICES FLU VACCINES, BP SCREENINGS, BLOOD DRIVES - COMMUNITY HEALTH EDUCATION PROGRAMS, INCLUDING WHOLE PERSON CARE, END OF LIFE INITIATIVES IN COLLABORATION WITH THE OC DIOCESE - OTHER SERVICES INCLUDED HOME/HOSPITAL VISITS, PROGRAM PLANNING & VOLUNTEER COORDINATION - ADMINISTERED 8,900 FLU VACCINE DOSES TO FAITH MEMBERS AND THE COMMUNITY - SERVED 222 CONGREGANTS WITH SPIRITUALLY BASED AGING AND DEMENTIA CARE HEALTH EDUCATION - TRAINED 293 PERSONS IN LIFE-SAVING CPR & AUTOMATED EXTERNAL DEFIBRILLATOR USAGE - OVER 260 UNITS OF LIFE SAVING BLOOD COLLECTED THROUGH HOAG BLOOD MOBILE SERVICES PROJECT WIPEOUT - PROJECT WIPEOUT COMPLETED THE PILOT STUDY WITH THE FOLLOWING BREAKDOWN: - 59 POOL SAFETY PRESENTATIONS FOR THE CITIES OF IRVINE AND NEWPORT BEACH - 443 PARENTS/CAREGIVERS RECEIVED THE PRESENTATION AND RESOURCE PACKET - 176 PRE-TEST SURVEYS WERE COMPLETED, 45 FOLLOW UP POST-TEST SURVEYS WERE COMPLETED - COMMUNITY OUTREACH TOOK PLACE AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING FAMILY HEALTH DAY, IMAGINOLOGY, AS WELL AS AT SMALLER CITY COMMUNITY EVENTS, WITH ALMOST 2000 ENCOUNTERS. THESE ENCOUNTERS CONSIST OF PERSONAL INTERACTIONS BETWEEN LIFEGUARDS, EDUCATORS, CHILDREN, AND FAMILIES THAT INCLUDED DISTRIBUTION OF BEACH SAFETY MATERIALS AND ACTIVITIES. MELINDA HOAG SMITH CENTER FOR HEALTH LIVING - CY 18, 1870 INDIVIDUALS AND/OR FAMILIES REGISTERED AS MEMBERS OR INQUIRED ABOUT SERVICES AND WERE LINKED TO APPROPRIATE AGENCIES THROUGH OUR CASE MANAGER SUPPORT TEAM. - THE HEALTH FAIR WAS ATTENDED BY 557 INDIVIDUALS THAT INCLUDED ADULTS AND CHILDREN. ATTENDEES PARTICIPATED AND RECEIVED VARIOUS SERVICES INCLUDING: MENTAL HEALTH RESOURCES, FLU SHOTS, DENTAL CLEANING, BLOOD PRESSURE, AND DIABETES SCREENING. - THROUGH THE CENTERS PROFESSIONAL NETWORK RESOURCE EXCHANGE MONTHLY MEETINGS, 310 INDIVIDUALS REPRESENTED THEIR AGENCIES AND NETWORKED WITH OTHER NONPROFIT ORGANIZATIONS IN THE COUNTY. - 205 PEOPLE WERE CPR CERTIFIED. THIS HELPED FOR JOB SECURITY AND PLACEMENT FOR SEVERAL NANNIES, CHILD CARE WORKERS, AND PRESCHOOL TEACHERS. - 331 ADULTS PARTICIPATED IN CIELOS ENTREPRENEURSHIP/ JOB READINESS CLASSES. - 2699 ENCOUNTERS FOR GIRLS INCS AFTER SCHOOL HOMEWORK LAB AND STEM ACTIVITIES (BOYS AND GIRLS) - 8275 ENCOUNTERS FOR YOGA AND ZUMBA CLASSES - 297 ENCOUNTERS FOR CHILDREN PARTICIPATED IN BALLET CLASSES - 1564 ENCOUNTERS FOR CHILDREN PARTICIPATED IN AMIGITOS/ZUMBINI - 1763 PEOPLE PARTICIPATED IN A NAMI CLASS/SUPPORT GROUP - 8194 INDIVIDUALS WERE EITHER VISITED AT HOME OR MET WITH A PROMOTORA ONSITE TO DISCUSS MENTAL HEALTH SERVICES, STARTING IN SEPTEMBER OF 2018. - 326 PEOPLE HAVE RECEIVED LEGAL CONSULTATION OR REPRESENTATION FROM THE PUBLIC LAW CENTER (LAWYER STARTED 20 HOURS A WEEK ON SITE SINCE MAY). FREE LEGAL REPRESENTATION IS KEY BECAUSE THIS IS THE SERVICE THAT IS IN HIGHEST DEMAND AND IS LEAST AVAILABLE IN THE COMMUNITY. WE ARE FOCUSING ON FAMILY LAW DIVORCE, DV, CHILD CUSTODY ETC. THE MARY & DICK ALLEN DIABETES CENTER - OVER 1443 PATIENT ENCOUNTERS. A SUBSET OF 322 PATIENTS RECEIVING DSMES SERVICES WERE OFFERED ACCESS TO A SOCIAL WORKER TO PROVIDE ADDITIONAL CLINICAL SUPPORT RELATED TO PSYCHOSOCIAL BARRIERS WHICH ARE IMPEDING HEALTHIER LIFESTYLE CHOICES AT NO COST TO PATIENTS AS PART OF DSMES. - UEBERROTH FAMILY PROGRAM FOR WOMEN WITH DIABETES (SWEET SUCCESS): A TOTAL OF 2,016 ENCOUNTERS COMPLETED AT THE CENTER. THE CENTER OFFERS FREE ORAL GLUCOSE TOLERANCE TESTING (OGTT) 4-12 WEEKS POSTPARTUM. IN 2018, 216 PATIENTS CAME TO RECEIVE THEIR OGTT AT THE CENTER. - ANNUAL DIABETES NURSING CONFERENCE: THE ANNUAL DIABETES CONFERENCE TITLED "DIABETES: WHAT'S NEW? WHAT'S NEXT?" WAS HELD ON OCTOBER 27TH, 2018. THERE WERE 125 ATTENDEES WHICH INCLUDED PHYSICIANS, NURSES, DIETITIANS, CERTIFIED DIABETES EDUCATORS AND SOCIAL WORKERS. - CHOC CHILDRENS SERVICES AT THE ALLEN DIABETES CENTER: MORE THAN 1200 CLINICAL ENCOUNTERS. 1400 PARTICIPANTS JOINED THE PODER CLASSES, AND 267 PARTICIPANTS WERE INVOLVED IN THE PADRE CLASSES. - HERBERT FAMILY PROGRAM FOR YOUNG ADULTS WITH TYPE 1 DIABETES : THE HERBERT FAMILY PROGRAM FOCUSES ON CATERING TO THE UNIQUE NEEDS OF YOUNG ADULTS WITH TYPE 1 DIABETES (AGES 18-30). APPROXIMATELY 10-15 EMERGING ADULTS ATTENDED ON A MONTHLY BASIS. - OUTREACH EVENTS: 850 PEOPLE PARTICIPATED IN THE SWEET LIFE COOKING CLASSES. DURING THESE CLASSES, AN EDUCATOR AND HOAGS EXECUTIVE CHEF PROVIDED INSIGHT ON RECIPES AND NUTRITION TO PROMOTE HEALTHY EATING FOR OUR COMMUNITY. OBSTETRICS (OB) EDUCATION CLASS ATTENDANCE BABY CARE 1010 BABY SAVER 1160 BREASTFEEDING 745 CAR SEAT SAFETY 824 4TH TRIMESTER 102 MATERNITY ORIENTATION 2361 MULTIPLE MIRACLES (OFFERED QUARTERLY) 36 PREPARED CHILDBIRTH 1217 PRE-BIRTH BOOT CAMP FOR COUPLES (NEW CLASS OFFERED 2 TIMES) 144 BREASTFEEDING CLINIC VISITS (OUTPATIENT) 1,200 BABY LINE TELEPHONE CALLS 15,105 POSTPARTUM SUPPORT GROUPS: POSTPARTUM ADJUSTMENT, PERINATAL LOSS, & PREGNANCY AFTER LOSS GROUPS (FUNDED BY COMMUNITY BENEFIT) 478 ALZHEIMERS FAMILY CENTER - PROVIDED 26,393 CUMULATIVE PATIENT DAYS FOR 306 UNDUPLICATED ADULT DAY HEALTH CARE PATIENTS, AND 167 CUMULATIVE PATIENT DAYS OF SATURDAY CARE (SOCIAL MODEL) FOR 14 OF OUR PATIENTS. - FIELDED 321 INQUIRIES FROM FAMILIES COMMUNITY-WIDE SEEKING TO ACCESS SUPPORTIVE SERVICES (E.G., ADULT DAY HEALTH CARE, CAREGIVER SUPPORT GROUPS) FOR THEMSELVES AND THEIR MEMORY IMPAIRED LOVED ONES - AVERAGE DAILY ATTENDANCE (ADA) OR AVERAGE DAILY CENSUS FOR THE REPORTING PERIOD WAS 118. WE HAD 123 NEW PATIENT ADMISSIONS AND 97 PATIENT DISCHARGES FOR AN ATTRITION RATE OF 4.25%. - THE NURSING DEPARTMENT MADE 456 NEW AND RECURRENT ASSESSMENTS, AND OUR STAFF MADE 2,804 CONTACTS TO FAMILY CAREGIVERS TO ADDRESS MEDICAL NEEDS SUCH AS FOOT CHECKS, MEDICATIONS, TB TESTS, FIRST AID, ILLNESS AND BATHROOM ISSUES. IN ADDITION, STAFF MADE 462 CONTACTS WITH PATIENTS PRIMARY CARE PHYSICIANS TO ADDRESS MEDICAL NEEDS (I.E., DIABETIC FOOT CHECKS, BLOOD SUGAR READINGS THAT WERE OUT OF RANGE, PAIN MANAGEMENT, MEDICATION ADJUSTMENTS). - ALZHEIMERS FAMILY CENTER, IN PARTNERSHIP WITH MISSION HOSPITAL, LAUNCHED THE MIND & MEMORY PROGRAM IN JANUARY 2018. IN THE FIRST YEAR OF OPERATION, THE MIND AND MEMORY PROGRAM SERVED MORE THAN 100 PATIENTS AND PROVIDED 3,026 DAYS OF SERVICE, OPERATING BOTH MORNING AND AFTERNOON PROGRAMS MONDAY THROUGH FRIDAY. SIXTY-SEVEN PERCENT OF PATIENTS IN THE PROGRAM HAVE SHOWN A DECREASE IN DEPRESSIVE SYMPTOMS, 52% HAVE SHOWED AN IMPROVEMENT IN COGNITION, AND 43% OF PATIENTS SHOWED A DECREASE IN ANXIETY SYMPTOMS SINCE STARTING THE PROGRAM. THE COSTA MESA FAMILY RESOURCE CENTER (CMFRC) - CMFRC HAS OVER 6,500 ENCOUNTERS WITH THE CHILDREN AND FAMILIES IN THE NEWPORT MESA COMMUNITY. THIS INCLUDES WALK-INS, REFERRALS, ACCESSING SERVICES AND/OR ATTENDING EVENTS. WITH CMFRC COMPLETING ITS 4TH YEAR SINCE OPENING ITS DOORS, THERE HAS BEEN SIGNIFICANT GROWTH IN CHILDREN AND FAMILIES SERVED AND LINKAGE TO SERVICES. - TEEN CONFERENCE: THE EVENT WAS HOSTED AT COSTA MESA HIGH SCHOOL, WITH OVER 75 PARTICIPANTS ATTENDING THE EVENT. THE EVENT WAS AN OVERALL SUCCESS. - FOOD DISTRIBUTIONS: ABOUT 150 FAMILIES SERVED EACH MONTH, WITH OUR HIGHEST SERVING 212 FAMILIES. - OUT OF SCHOOL PROGRAM: THERE WERE OVER 85 CHILDREN AGES 5 TO 11 WHO WERE SERVED THROUGH THE SUMMER CAMPS RANGING FROM EXISTING TO NEW FAMILIES.
FORM 990, PART VI, LINE 2	BUSINESS RELATIONSHIPS BOARD MEMBER GARY MCKITTERICK, OFFICER ROBERT BRAITHWAITE AND OFFICER ANDREW GUARNI HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, LINE 6	MEMBERS OR STOCKHOLDERS THE MEMBERS OF THE CORPORATION CONSIST OF THE FOLLOWING: I. COVENANT HEALTH NETWORK INC. II. THE GEORGE HOAG FAMILY FOUNDATION ("GHF FOUNDATION") III. THE CONSTITUENT CHURCHES OF THE LOS RANCHOS PRESBYTERY OF THE PRESBYTERIAN CHURCH (USA), AS REPRESENTED BY THE ASSOCIATION OF PRESBYTERIAN MEMBERS (THE "APM"), AND IV. SUCH INDIVIDUAL MEMBERS AS MAY BE APPOINTED BY THE GHF FOUNDATION OR THE APM UP TO A MAXIMUM OF FORTY-EIGHT (48) INDIVIDUAL MEMBERS TO BE DIVIDED EQUALLY BETWEEN THE GHF FOUNDATION AND THE APM.
FORM 990, PART VI, LINE 7A	POWER TO ELECT OR APPOINT DIRECTORS HOAG HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE HOAG BOARD. ALL APPOINTMENTS THAT COME FROM THE HOAG BOARD AS NOMINATIONS MUST BE APPROVED BY AFFIRMATIVE VOTE OF AT LEAST A MAJORITY OF THE VOTES ENTITLED TO BE CAST BY THE GHF FOUNDATION, THE APM, AND THE INDIVIDUAL MEMBERS, (IF ANY), AT SUCH ANNUAL MEETING OF THE MEMBERS, SUBJECT TO FINAL APPROVAL BY REQUESITE VOTE OF THE CHN BOARD OF DIRECTORS. IF SUCH ANNUAL MEETING IS NOT HELD OR DIRECTORS ARE NOT ELECTED THEREAT, THE DIRECTORS MAY BE ELECTED AT ANY SPECIAL MEETING OF THE MEMBERS CALLED FOR THAT PURPOSE BY THE SAME VOTE AS IS REQUIRED AT ANY ANNUAL MEETING, BUT SUBJECT IN ALL INSTANCES TO FINAL APPROVAL BY THE REQUISITE VOTE OF THE CHN BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 7B	DECISIONS RESERVED TO MEMBERS OR STOCKHOLDER 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 ADOPTION OR CHANGES TO STATEMENT OF COMMON VALUE, FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, AND SALE OR DISPOSITION OF REAL PROPERTY. A SUPERMAJORITY OF THE COVENANT HEALTH NETWORK, INC. BOARD IS REQUIRED TO APPROVE ANY MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF HOAG BOARD OF DIRECTORS, APPOINTMENT AND REMOVAL OF HOAG CEO, ADOPTION OR AMENDMENT OF BYLAWS AND ARTICLES. THE POWERS AND RESPONSIBILITIES OF THE MEMBERS OF THE CORPORATION INCLUDE, BUT ARE NOT LIMITED TO: (A) TO ASSURE THE BOARD OF DIRECTORS CARRIES OUT THE CORPORATION'S MISSION; (B) TO CONSIDER THE QUALIFICATIONS OF DIRECTORS TO BE ELECTED TO THE BOARD OF DIRECTORS; (C) TO APPROVE ANY AMENDMENT, MODIFICATION OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (D) TO APPROVE THE ELECTION, APPOINTMENT OR REMOVAL OF ANY DIRECTOR OF THE CORPORATION; AND (E) TO APPROVE ANY SALE, TRANSFER CONVEYANCE OR OTHER DISPOSITION OF ALL, SUBSTANTIALLY ALL OR A MATERIAL PORTION OF THE ASSETS OF THE CORPORATION, OR ANY MERGER, CONSOLIDATION, AFFILIATION OR DISSOLUTION OF THE CORPORATION.
FORM 990, PART VI, LINE 11B	PROCESS USED TO REVIEW THE FORM 990 THE ORGANIZATION'S BOARD OF DIRECTORS HAS DELEGATED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD THE REVIEW OF THE FORM 990 PRIOR TO ISSUANCE. MANAGEMENT, INCLUDING AN OFFICER OF THE ORGANIZATION, PREPARES AND REVIEWS THE FORM 990. THE AUDIT AND COMPLIANCE COMMITTEE IS PROVIDED WITH A DRAFT FORM 990 AND IS PROVIDED AMPLE TIME TO READ THE DOCUMENT AND DEVELOP QUESTIONS. THE AUDIT AND COMPLIANCE COMMITTEE THEN CONVENES PRIOR TO THE ISSUANCE OF THE FORM 990 TO REVIEW AND DISCUSS THE DRAFT FORM 990 WITH MANAGEMENT AND EXTERNAL EXPERTS HIRED BY MANAGEMENT. AN ELECTRONIC VERSION OF THE FORM 990 IS POSTED TO A SECURE WEBSITE AVAILABLE TO ALL OF THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, LINE 12C	MONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE ORGANIZATION HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY. OFFICERS, DIRECTORS, NON-DIRECTOR MEMBERS OF BOARD COMMITTEES, AND SENIOR EXECUTIVES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. RESPONSES TO THE QUESTIONNAIRE ARE REVIEWED BY THE CHAIR AND CEO AND MATTERS ARE DISCUSSED AT THE APPROPRIATE LEVEL AS APPLICABLE GIVEN THE SITUATION. INDIVIDUAL TRANSACTIONS THAT OCCUR BETWEEN THE ANNUAL QUESTIONNAIRES ARE REVIEWED BY THE CORPORATION'S LEGAL AND COMPLIANCE OFFICERS FOR POTENTIAL CONFLICTS OF INTEREST. ANY DIRECTOR WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT SHALL REFRAIN FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTIONS OR ARRANGEMENT, OR BE EXCUSED FROM ANY MEETING WHERE THE PROPOSED CONTRACT IS DISCUSSED.
FORM 990, PART VI, LINE 15A	PROCESS FOR DETERMINING COMPENSATION OF CEO: THE COMPENSATION OF THE CEO IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF HOAG'S BOARD OF DIRECTORS, COMPRISED SOLELY OF INDEPENDENT DIRECTORS. THE COMPENSATION COMMITTEE RECEIVES A STUDY PERFORMED BY AN INDEPENDENT CONSULTING FIRM THAT REVIEWS LEVELS OF COMPENSATION AT COMPARABLE ORGANIZATIONS FOR COMPARABLE POSITIONS WHEN SETTING COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES. THIS PROCESS OF USING COMPARABLE DATA TO ESTABLISH LEVELS OF COMPENSATION HAS BEEN IN PLACE IN EXCESS OF 37 YEARS. THE COMPENSATION COMMITTEE DOCUMENTS THAT THE COMPENSATION IS REASONABLE IN ITS BOARD MINUTES DURING EXECUTIVE SESSION. THIS PROCESS WAS LAST COMPLETED IN 2018. IN ADDITION, THE INDEPENDENT CONSULTING FIRM PROVIDES THE BOARD WITH AN OPINION LETTER EACH YEAR CERTIFYING THAT THE COMPENSATION PROGRAM AND ALL PAY ELEMENTS (TOTAL REMUNERATION) APPROVED BY THE BOARD ARE DEEMED REASONABLE IN COMPLIANCE WITH IRC SECTION 4958.
FORM 990, PART VI, LINE 15B	PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION OF THE COO, CFO AND ALL SENIOR VICE PRESIDENTS (KEY EMPLOYEES) IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF HOAG'S BOARD OF DIRECTORS, COMPRISED SOLELY OF INDEPENDENT DIRECTORS. THE COMPENSATION COMMITTEE RECEIVES A STUDY PERFORMED BY AN INDEPENDENT CONSULTING FIRM THAT REVIEWS LEVELS OF COMPENSATION AT COMPARABLE ORGANIZATIONS FOR COMPARABLE POSITIONS WHEN SETTING COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES. THIS PROCESS OF USING COMPARABLE DATA TO ESTABLISH LEVELS OF COMPENSATION HAS BEEN IN PLACE IN EXCESS OF 37 YEARS. THE COMPENSATION COMMITTEE DOCUMENTS THAT THE COMPENSATION IS REASONABLE IN ITS BOARD MINUTES DURING EXECUTIVE SESSION. THIS PROCESS WAS LAST COMPLETED IN 2018. IN ADDITION, THE INDEPENDENT CONSULTING FIRM PROVIDES THE BOARD WITH AN OPINION LETTER EACH YEAR CERTIFYING THAT THE COMPENSATION PROGRAM AND ALL PAY ELEMENTS (TOTAL REMUNERATION) APPROVED BY THE BOARD ARE DEEMED REASONABLE IN COMPLIANCE WITH IRC SECTION 4958.
FORM 990, PART XI, LINE 9	CHANGES IN NET ASSETS OR FUND BALANCE EQUITY TRANSFERS (65,894,871) UBI LOSS FROM PARTNERSHIPS/LLC'S 13,559,126 DIFFERNCE BETWEEN FOUNDATION DONATED CAPITAL VS HMHP BS MOVEMENT (347,595) EXCLUDED SERVICES PER HERITAGE AFFILIATION 80,419 JV ACCOUNTING CHANGE (55,012,487) ============= TOTAL (107,615,408)

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Employer identification number

95-1643327

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
(1) IRVINE ENDOSCOPY PARTNERS LLC One Hoag Drive Box 6100 Newport Beach,CA92663 81-2267690	Medical Svcs	CA	0	0	HMHP
(2) NEWPORT HEALTHCARE CENTERS LLC One Hoag Drive Box 6100 Newport Beach,CA92663 33-1127904	Medical Bldg	CA	16,711,855	178,883,521	HMHP
(3) HOAG OUTPATIENT THERAPIES One Hoag Drive Box 6100 Newport Beach,CA92663 47-1467227	OUTPAT THERAP	CA	2,088,949	6,767,529	HMHP
(4) HOAG NEUROBEHAVIORAL HEALTH LLC One Hoag Drive Box 6100 Newport Beach,CA92663 47-3282694	Medical Svcs	CA	4,200,225	11,989,112	HMHP
(5) IRVINE SURGICAL PARTNERS LLC ONE HOAG DRIVE NEWPORT BEACH,CA92663 81-2776218	MEDICAL SVCS	CA	0	0	HMHP
(6) PERSONALCARE PHYSICIANS LLC ONE HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92663 26-4105404	MEDICAL SVCS	CA	2,633,532	755,495	HMHP
(7) COASTAL ASC HOLDINGS ONE HOAG DRIVE BOX 6100 NEWPORT BEACH,CA92663 95-1643327	HOLDING CMPY	CA	31,618,981	71,790,206	HMHP

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 ACO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 61-1573313	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes
(2)COVENANT HEALTH NETWORK INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 46-1259908	HEALTHCARE	CA	501(C)(3)	12, III	SJHS	Yes
(3)COVENANT HEALTH PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 46-3516417	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes
(4)COVENANT HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes
(5)COVENANT HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes
(6)COVENANT MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 82-2913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(7)COVENANT MEDICAL GROUP 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(8)E WA & MT UNEMPLOYMENT COMP INSR TRUST 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1082119	UNEMPLOYMENT	WA	501(C)(3)	12, I	PHS WA	Yes
(9)EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT,WA982065128 94-3264605	TRANS. CARE	WA	501(C)(3)	10	NA		No
(10)FACEY MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-4322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes
(11)GAMELIN WASHINGTON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 20-1910170	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(12)GLOBAL TO LOCAL HEALTH INITIATIVE 2800 SOUTH 192ND ST 104 SEATAC,WA98188 27-3133200	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes
(13)HMTS INC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA92658 45-3583707	HEALTHCARE	CA	501(C)(3)	12, I	HMHP	Yes
(14)HOAG CHARITY SPORTS 2081 BUSINESS CTR DR STE 195 IRVINE,CA92612 45-2982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes
(15)HOAG CLINIC (FKA COASTAL MGMT SVCS ORG) 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA92658 33-0676831	HEALTHCARE	CA	501(C)(3)	10	HMHP	Yes
(16)HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH,CA92663 95-3222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes
(17)HOSPICE OF LUBBOCK 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes
(18)INLAND NORTHWEST HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1307555	HEALTHCARE	WA	501(C)(3)	3	PHS WA	Yes
(19)INSTITUTE FOR MENTAL HEALTH & WELLNESS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-4260130	HEALTHCARE	WA	501(C)(3)	7	PHSSJHS	Yes
(20)INSTITUTE FOR SYSTEMS BIOLOGY 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-2003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes
(21)JOHN WAYNE CANCER INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-4291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes
(22)KADLEC AUXILIARY INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-6033089	SUPPORT	WA	501(C)(3)	12, III	KRMC	Yes
(23)KADLEC FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 23-7005501	SUPPORT	WA	501(C)(3)	12, I	KRMC	Yes
(24)KADLEC REGIONAL MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-0655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes
(25)LITTLE COMPANY OF MARY ANCILLARY SVCS CO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0844408	IMAGING SVCS	CA	501(C)(3)	10	PHS SOCAL	Yes
(26)LUBBOCK METHODIST HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2220963	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes
(27)LUNDBERG ASSOCIATIONPROVIDENCE HOUSE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes
(28)MARSHA RIVKIN CTR FOR OVARIAN CANCER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-2054035	RESEARCH	WA	501(C)(3)	7	SHS	Yes
(29)METHODIST CHILDREN'S HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(30)METHODIST HOSPITAL LEVELLAND 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(31)METHODIST HOSPITAL PLAINVIEW 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes
(32)MISSION HOSPITAL REGIONAL MEDICAL CTR 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-1643360	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(33)NORTHWEST HOPE & HEALING FOUNDATION PO BOX 16069 SEATTLE,WA98116 20-0799737	SUPPORT	WA	501(C)(3)	12,I	SHS	Yes
(34)PACMED CLINICS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 56-2290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes
(35)PH&S FOUNDATIONSFVSA & SCVSA 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-3544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes
(36)PROVIDENCE ALASKA FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 92-0093565	HEALTHCARE	AK	501(C)(3)	12, I	PHS WA	Yes
(37)PROVIDENCE BENEDICTINE NURSING CTR FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(38)PROVIDENCE BLANCHET ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(39)PROVIDENCE CHILDREN'S HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes
(40)PROVIDENCE COMMUNITY HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(41)PROVIDENCE DETHMAN HOUSE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-3385506	SUPPORT	WA	501(C)(3)	7	NA		No
(42)PROVIDENCE GAMELIN HOUSE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 31-1744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(43)PROVIDENCE HEALTH & SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1549796	HEALTHCARE	WA	501(C)(3)	12, II	PSJH		No
(44)PROVIDENCE HEALTH & SERVICES - MONTANA 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-0231793	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes
(45)PROVIDENCE HEALTH & SERVICES - OREGON 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 51-0216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes
(46)PROVIDENCE HEALTH & SERVICES - WA 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 51-0216586	HEALTHCARE	WA	501(C)(3)	3	PHS	Yes
(47)PROVIDENCE HEALTH & SERVICES - WEST WA 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes
(48)PROVIDENCE HEALTH ASSURANCE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 55-0828701	MEDICAID	OR	501(C)(4)	N/A	PHP	Yes
(49)PROVIDENCE HEALTH CARE FNDN - E WA 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 32-0014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes
(50)PROVIDENCE HEALTH CARE FNDN (CENTRALIA) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1433382	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes
(51)PROVIDENCE HEALTH PLAN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0863097	HEALTHCARE	OR	501(C)(4)	N/A	PPP	Yes
(52)PROVIDENCE HEALTH SYSTEM - SO CAL 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 51-0216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes
(53)PROVIDENCE HOOD RIVER MEM HOSP FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(54)PROVIDENCE HOSPICE AND HOME CARE FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 27-2552749	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes
(55)PROVIDENCE HOSPICE OF SEATTLE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-2077378	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes
(56)PROVIDENCE LITTLE COMPANY OF MARY FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 51-0224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes
(57)PROVIDENCE MARIANWOOD FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-1554288	HEALTHCARE	WA	501(C)(3)	12, I	PHS W WA	Yes
(58)PROVIDENCE MEDICAL INSTITUTE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0283773	HEALTHCARE	CA	501(C)(3)	12, I	PHS SOCAL	Yes
(59)PROVIDENCE MILWAUKIE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-3079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(60)PROVIDENCE MINISTRIES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016	RELIGIOUS ORG	WA	501(C)(3)	1	NA		No
(61)PROVIDENCE MOUNT ST VINCENT FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes
(62)PROVIDENCE NEWBERG HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(63)PROVIDENCE PETER CLAVER ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 31-1629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(64)PROVIDENCE PLAN PARTNERS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes
(65)PROVIDENCE PORTLAND MEDICAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-1231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(66)PROVIDENCE ROSSI ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 31-1584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes
(67)PROVIDENCE SAINT JOHN'S HEALTH CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-1684082	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes
(68)PROVIDENCE SAINT JOHN'S MEDICAL FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-4542216	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes
(69)PROVIDENCE SEASIDE HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(70)PROVIDENCE ST ELIZABETH HOUSE ASSOC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-2171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(71)PROVIDENCE ST FRANCIS ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-3244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(72)PROVIDENCE ST JOSEPH HEALTH 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-1244422	HEALTHCARE	WA	501(C)(3)	12, III	NA		No
(73)PROVIDENCE ST JOSEPH HEALTH FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-3078543	HEALTHCARE	WA	501(C)(3)	12, I	PHS WA	Yes
(74)PROVIDENCE ST JOSEPH MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-0463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes
(75)PROVIDENCE ST MARY FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 45-2841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes
(76)PROVIDENCE ST PETER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1097056	SUPPORT	WA	501(C)(3)	7	PHS W WA	Yes
(77)PROVIDENCE ST VINCENT MEDICAL FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-0575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes
(78)PROVIDENCE TRINITYCARE HOSPICE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-3264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes
(79)PROVIDENCE TRINITYCARE HOSPICE FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes
(80)PROVIDENCE WILLAMETTE FALLS MEDICAL FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 93-1003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes
(81)QUEEN OF THE VALLEY MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-1243669	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(82)REDWOOD MEMORIAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-2779313	HEALTHCARE	CA	501(C)(3)	7	RMH	Yes
(83)REDWOOD MEMORIAL HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-1384665	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(84)SAINT JOHN'S HOSPITALHEALTH CENTER FNDN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-6100079	SUPPORT	CA	501(C)(3)	7	PSJHC	Yes
(85)SANTA ROSA MEMORIAL HOSPITAL 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-1231005	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(86)SEATTLE SCIENCE FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 61-1502822	PHYSN COLLAB	WA	501(C)(3)	7	WHC	Yes
(87)SISTERS OF PROVIDENCE OF MONTANA CORP 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 26-2612415	SHELL CORP	MT	501(C)(3)	1	PHS WA		No
(88)SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ORANGE,CA92868 95-1643383	RELIGIOUS ORG	CA	501(C)(3)	1	NA		No
(89)SRM ALLIANCE HOSPITAL SERVICES (PVH) 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 68-0395200	HEALTHCARE	CA	501(C)(3)	3	SRMH	Yes
(90)ST JOSEPH HEALTH MINISTRY 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 27-1666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO		No
(91)ST JOSEPH HEALTH N CALIFORNIA LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-4791043	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(92)ST JOSEPH HEALTH SYSTEM 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-3589356	HEALTHCARE	CA	501(C)(3)	12, I	PSJH		No
(93)ST JOSEPH HEALTH SYSTEM FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0143024	HEALTHCARE	CA	501(C)(3)	7	SJHS	Yes
(94)ST JOSEPH HERITAGE HEALTHCARE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(95)ST JOSEPH HOME CARE NETWORK 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 68-0331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes
(96)ST JOSEPH HOSPITAL OF EUREKA 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-1156596	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes
(97)ST JOSEPH HOSPITAL OF ORANGE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-1643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(98)ST JUDE HOSPITAL INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-1643324	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(99)ST LUKE ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 94-3176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(100)ST MARY MEDICAL CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-1914489	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes
(101)ST MARY OF THE PLAINS HOSPITAL FDN 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-1653181	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes
(102)ST PATRICK HOSPITAL FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 23-7056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes
(103)ST THOMAS CHILD AND FAMILY CENTER 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-0233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes
(104)SWEDISH EDMONDS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 27-2305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes
(105)SWEDISH HEALTH SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-0433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes
(106)SWEDISH MEDICAL CENTER FOUNDATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-0983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes
(107)SWEDISH MJM HOLDINGS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 27-3139262	HOLDING CO	WA	501(C)(3)	12, I	SHS	Yes
(108)THE GAMELIN ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes
(109)THE GAMELIN CALIFORNIA ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1293869	SUPPORT	CA	501(C)(3)	10	PHS SOCAL	Yes
(110)THE GAMELIN OREGON ASSOCIATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 91-1214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes
(111)UNIVERSITY OF PROVIDENCE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-0231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes
(112)WESTERN HEALTHCONNECT 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 45-4171900	SHELL CORP	WA	501(C)(3)	12, II	PHS W WA	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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) 20TH STREET SURGERY LLC 1301 20TH STREET STE 140 SANTA MONICA,CA90404 73-1735618	AMBULATORY SURG	CA	NA	N/A
(2) BROADWAY IMAGING LLC 500 W BROADWAY MISSOULA,MT59802 52-2405971	MEDICAL IMAGING	MT	NA	N/A
(3) CENTER FOR SPECIALTY SURGERY LLC 11782 SW BARNES RD PORTLAND,OR97225 26-3638838	AMBULATORY SURG	OR	NA	N/A
(4) CLACKAMAS RADIATION ONCOLOGY CENTER LLC 4400 NE HALSEY ST BLDG II 495 PORTLAND,OR97213 26-0381897	RADIATION ONCOL	OR	NA	N/A
(5) COASTAL ASC HOLDINGS LLC ONE HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA926586100 81-0986844	HEALTHCARE	CA	HMHP	RELATED	4,156,982	34,195,669		No	0	Yes		77.500 %
(6) COVENANT LONG-TERM CARE LP 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 20-5033419	HEALTHCARE	TX	NA	N/A
(7) CTR FOR MED IMAGING-BRIDGEPORT LLC 4400 NE HALSEY 495 PORTLAND,OR97213 26-0796953	IMAGING DIAG.	OR	NA	N/A
(8) CTR FOR MED IMAGING-TANASBOURNE LLC 4400 NE HALSEY 495 PORTLAND,OR97213 20-0477972	IMAGING DIAG.	OR	NA	N/A
(9) FULLERTON SURGICAL CENTER LP 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-0927394	AMBULATORY SURG	CA	NA	N/A
(10) GREATER VALLEY MEDICAL BUILDING LP 501 S BUENA VISTA ST BURBANK,CA91505 95-4570858	REAL ESTATE - MOB	CA	NA	N/A
(11) HCSA PROPERTIES LLC 1600 M STREET NW AUBURN,WA98001 46-0620892	REAL ESTATE RENT	WA	NA	N/A
(12) HERITAGE INVESTMENT GROUP I LLC 500 S MAIN STREET STE 1000 ORANGE,CA92868 27-1000061	INVESTMENTS	CA	NA	N/A
(13) HOAG ORTHOPEDIC INSTITUTE ONE HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA926586100 61-1588294	HEALTHCARE	CA	HMHP	RELATED	20,162,383	18,072,563		No	0	Yes		51.000 %
(14) HOAG OUTPATIENT CENTERS LLC 27271 LAS RAMBLAS 350 MISSION VIEJO,CA92691 45-3587572	HEALTHCARE	CA	HMHP	RELATED	1,187,484	0		No	0	Yes		0 %
(15) INLAND IMAGING LLC 801 S STEVENS ST SPOKANE,WA99204 91-1855796	MEDICAL IMAGING	WA	NA	N/A
(16) LSC REAL PROPERTY LLC 2301 QUAKER AVENUE LUBBOCK,TX79410 47-4646059	REAL ESTATE	TX	NA	N/A
(17) METHODIST DIAGNOSTIC IMAGING 4005 24TH STREET LUBBOCK,TX79410 75-2343261	HEALTHCARE	TX	NA	N/A
(18) NEWPORT BAY SURGERY CENTER LLC 3333 W PACIFIC COAST HWY 100 NEWPORT BEACH,CA92663 56-2518360	HEALTHCARE	CA	HMHP	RELATED	379,118	942,848		No	0	Yes		7.840 %
(19) NEWPORT BEACH ENDOSCOPY CENTER LLC 27271 LAS RAMBLAS 350 MISSION VIEJO,CA92691 77-0368744	HEALTHCARE	CA	HMHP	RELATED	747,000	0		No	0	Yes		0 %
(20) NEWPORT IMAGING CENTER 360 SN MIGUEL NEWPORT BEACH,CA92660 33-0191776	HEALTHCARE	CA	HMHP	RELATED	-1,464,353	5,298,769		No	0	Yes		99.880 %
(21) NEWPORT SURGICAL PARTNERS LLC 27271 LAS RAMBLAS 350 MISSION VIEJO,CA92691 39-2060266	HEALTHCARE	CA	HMHP	RELATED	128,268	3,644,830		No	0	Yes		24.060 %
(22) NORTH BAY ENDOSCOPY CENTER 1383 N MCDOWELL BLVD STE 110 PETALUMA,CA94954 61-1559876	HEALTHCARE	CA	NA	N/A
(23) OREGON ADVANCED IMAGING LLC 881 OHARE PARKWAY MEDFORD,OR97504 45-0471748	MEDICAL IMAGING	OR	NA	N/A
(24) OREGON OUTPATIENT SURGERY CENTER 7300 SW CHILDS RD TIGARD,OR97224 22-3883387	AMBULATORY SURG	OR	NA	N/A
(25) PETCT IMAGING AT SWEDISH CANCER INSTITU 1221 MADISON STREET SEATTLE,WA98104 20-3132044	MEDICAL IMAGING	WA	NA	N/A
(26) PHS INVESTMENT TRANSITION PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2279711	INVESTMENTS	WA	NA	N/A
(27) PHS INVESTMENT TRUST 2015 PRIVATE ASSETS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-3393740	INVESTMENTS	WA	NA	N/A
(28) PHS INVESTMENT TRUST 2016 PRIVATE ASSETS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-1532735	INVESTMENTS	WA	NA	N/A
(29) PHS INVESTMENT TRUST 2016 PRIVATE REAL E 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-2960145	INVESTMENTS	WA	NA	N/A
(30) PHS INVESTMENT TRUST BANK LOANS PORTFOLI 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2357735	INVESTMENTS	WA	NA	N/A
(31) PHS INVESTMENT TRUST COMMODITIES PORTFOL 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2269004	INVESTMENTS	WA	NA	N/A
(32) PHS INVESTMENT TRUST HEDGE FUND PORTFOLI 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2293255	INVESTMENTS	WA	NA	N/A
(33) PHS INVESTMENT TRUST LDI PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2392060	INVESTMENTS	WA	NA	N/A
(34) PHS INVESTMENT TRUST LONG TREASURIES POR 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2385238	INVESTMENTS	WA	NA	N/A
(35) PHS INVESTMENT TRUST MLP PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2367538	INVESTMENTS	WA	NA	N/A
(36) PHS INVESTMENT TRUST PUBLIC DEBT PORTFOL 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2353569	INVESTMENTS	WA	NA	N/A
(37) PHS INVESTMENT TRUST PUBLIC EQUITY PORTF 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2283974	INVESTMENTS	WA	NA	N/A
(38) PHS INVESTMENT TRUST RELATIVE VALUE PORT 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2314743	INVESTMENTS	WA	NA	N/A
(39) PHS INVESTMENT TRUST RISK PARITY PORTFOL 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2336377	INVESTMENTS	WA	NA	N/A
(40) PHS INVESTMENT TRUST SHORT TERM INVESTME 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-2701056	INVESTMENTS	WA	NA	N/A
(41) PHS INVESTMENT TRUST TACTICAL TRADING PO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2327491	INVESTMENTS	WA	NA	N/A
(42) PHS INVESTMENT TRUST TIPS PORTFOLIO 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-2402609	INVESTMENTS	WA	NA	N/A
(43) PORTLAND MEDICAL IMAGING LLC 4400 NE HALSEY 495 PORTLAND,OR97213 20-1054971	IMAGING DIAG.	OR	NA	N/A
(44) PROV RADIATION ONCOLOGY DEVELOP ASSN 4400 NE HALSEY 495 PORTLAND,OR97213 26-0682491	REAL ESTATE - MOB	OR	NA	N/A
(45) PROVIDENCE CHILDREN'S NEONATAL SERVICES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 47-0918549	NEONATAL CARE	WA	NA	N/A
(46) PROVIDENCE IMAGING CENTER JOINT VENTURE 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 92-0118807	MEDICAL IMAGING	AK	NA	N/A
(47) PROVIDENCE PARTNERS FOR HEALTH LLC 501 S BUENA VISTA ST BURBANK,CA91505 45-4041798	CLIN QUALITY/INT	CA	NA	N/A
(48) PROVIDENCE ST JOSEPH HEALTH LONG TERM P 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 82-3190634	INVESTMENTS	WA	NA	N/A
(49) PROVIDENCE SURGERY CENTER LLC 902 N ORANGE ST MISSOULA,MT59802 84-1401625	AMBULATORY SURG	MT	NA	N/A
(50) PROVIDENCESILVERTON REHAB LLC 4400 NE HALSEY 425 PORTLAND,OR97213 48-1287267	REHAB SERVICES	OR	NA	N/A
(51) PROVIDENCEUSP SANTA CLARITA GP LLC 11550 INDIAN HILLS ROAD 160 MISSION HILLS,CA91345 20-2829660	AMBULATORY SURG	CA	NA	N/A
(52) PROVIDENCEUSP SURGERY CTRS LLC 11550 INDIAN HILLS ROAD 160 MISSION HILLS,CA91345 20-0905938	AMBULATORY SURG	CA	NA	N/A
(53) SHA LLC 12940 NORTH HIGHWAY 183 AUSTIN,TX78750 75-2569094	HEALTHCARE	TX	NA	N/A
(54) SJO ASC HOLDINGS LLC 1140 W LA VETA AVE ORANGE,CA92868 82-1655501	HEALTHCARE	CA	NA	N/A
(55) ST JOSEPH PHYSICIAN VENTURES I LLC 1100 WEST STEWART DRIVE ORANGE,CA92868 45-4521884	REAL ESTATE	CA	NA	N/A
(56) ST JOSEPHSATELLITE DIALYSIS CENTERS L 300 SANTANA ROW SUITE 300 SAN JOSE,CA95128 81-4657391	HEALTHCARE	CA	NA	N/A
(57) ST JUDE SURGICAL CENTERS LLC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 82-3352570	AMBULATORY SURG	CA	NA	N/A
(58) SURGERY CENTER AT TANASBOURNE LLC 11221 ROE AVE STE 300 LEAWOOD,KS66211 20-8187971	AMBULATORY SURG	KS	NA	N/A
(59) TARZANA PEDIATRIC VENTURES LLC 18321 CLARK ST TARZANA CA 91356 TARZANA,CA91356 82-1308306	HEALTHCARE	CA	NA	N/A
(60) THE MADISON SPOKANE INN LLC 15 WEST ROCKWOOD BLVD SPOKANE,WA99204 84-1606484	HOTEL SERVICES	WA	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) AMERICAN UNITY GROUP LTD 90 PITTS BAY ROAD PEMBROKE HM08 BD	CAPTIVE INSURANCE	BD	NA	C-CORP
(2) 1221 MADISON STREET OWNERS ASSOC 747 BROADWAY SEATTLE,WA98122 20-1954319	OWNERS' ASSOC.	WA	NA	C-CORP
(3) AYIN HEALTH SOLUTIONS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 83-3037172	HEALTHCARE	DE	NA	C-CORP
(4) BOURGET HEALTH SERVICES INC PO BOX 2687 SPOKANE,WA99220 91-1354431	CLIN/MED LAB	WA	NA	C-CORP
(5) CARON HEALTH CORPORATION 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 81-0486082	MED PHYS SVCS	MT	NA	C-CORP
(6) DATU HEALTH INC AND SUBSIDIARIES 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 46-3070062	IT SVCS	DE	NA	C-CORP
(7) GRACE CLINIC OF LUBBOCK 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 20-3856995	HEALTHCARE	TX	NA	C-CORP
(8) GRACE CLINIC SERVICES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 20-3857067	HEALTHCARE	TX	NA	C-CORP
(9) HOAG CLINIC (FKA COASTAL MGM SVS ORG) 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA926586100 33-0676831	HEALTHCARE	CA	HMHP	C-CORP			100.000 %	Yes
(10) HOAG MANAGEMENT SERVICES INC 1 HOAG DRIVE PO BOX 6100 NEWPORT BEACH,CA926586100 33-0731587	HEALTHCARE	CA	HMHP	C-CORP			100.000 %	Yes
(11) LUBBOCK METHODIST HOSP PRACTICE MGMT 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2578995	INACTIVE	TX	NA	C-CORP
(12) LUBBOCK METHODIST HOSPITAL SVCS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 75-2118585	HEALTHCARE	TX	NA	C-CORP
(13) LUMEDIC ACQUISITION CO INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 83-3881097	HEALTHCARE	WA	NA	C-CORP
(14) MISSION VIEJO MEDICAL VENTURES 27800 MEDICAL CENTER RD 354 MISSION VIEJO,CA92691 33-0212905	HEALTHCARE	CA	NA	C-CORP
(15) PHN HOLDINGS 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 46-1814184	STRAT PLAN SVCS	CA	NA	C-CORP
(16) PIONEER INNOVATIONS INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 36-4818191	HEALTH INNOVATNS	WA	NA	C-CORP
(17) PROVIDENCE ASSURANCE INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 20-8194071	CAPTIVE INSURANCE	AZ	NA	C-CORP
(18) PROVIDENCE HEALTH CARE VENTURES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 90-0155714	CLIN/MED LAB	WA	NA	C-CORP
(19) PROVIDENCE HEALTH NETWORK 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 80-0886966	PREPAID HEALTH	CA	NA	C-CORP
(20) PROVIDENCE HEALTH VENTURES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0122216	INVESTMENT	CA	NA	C-CORP
(21) ST JOSEPH HEALTH 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 46-2340232	HOLDING COMPANY	CA	NA	C-CORP
(22) ST JOSEPH HEALTH SOURCE INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 46-1900168	HEALTHCARE	CA	NA	C-CORP
(23) ST JOSEPH PROF SVCS ENTERPRSES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 33-0155323	HEALTHCARE	CA	NA	C-CORP
(24) VINSERRA INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 95-3943315	INVESTMENT	CA	NA	C-CORP
(25) WESTERN HEALTHCONNECT VENTURES INC 1801 LIND AVE SW ATTN TAX DEPT RENTON,WA980579016 80-0953654	INVESTMENT	WA	NA	C-CORP
(26) YAKIMA MEDICAL ARTS INC 611 N PERRY 100 SPOKANE,WA99202 91-0787963	RENT REAL ESTATE	WA	NA	C-CORP

Schedule R (Form 990) 2018

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) ......................

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) ............................

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) ............................

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) HOAG ORTHOPEDIC INSTITUTE	l	21,038,410	ACCRUAL
(2) HOAG HOSPITAL FOUNDATION	c	21,719,715	ACCRUAL
(3) HOAG HOSPITAL FOUNDATION	j	594,024	ACCRUAL
(4) HOAG HOSPITAL FOUNDATION	q	8,945,958	ACCRUAL
(5) HOAG CLINIC	l	161,895	ACCRUAL
(6) ST JOSEPH HERITAGE HEALTHCARE	b	40,281,747	ACCRUAL

Schedule R (Form 990) 2018

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) 2018

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

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: OUR MISSION AS A NOT-FOR-PROFIT, FAITH- BASED HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE COMMUNITIES WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	6,993
6	Total number of volunteers (estimate if necessary) .............	6	1,800
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	-9,586,212
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	8,407,283	21,900,474
9	Program service revenue (Part VIII, line 2g) .........	531,143,262	1,082,620,235
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	17,211,500	19,816,876
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	15,407,354	2,231,126
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	572,169,399	1,126,568,711
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,738,526	10,906,763
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)	220,682,882	487,414,249
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	277,542,626	563,746,797
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	502,964,034	1,062,067,809
19	Revenue less expenses. Subtract line 18 from line 12.......	69,205,365	64,500,902
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,165,163,421	3,014,922,961
21	Total liabilities (Part X, line 26).............	854,487,151	819,247,996
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,310,676,270	2,195,674,965

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 623,401,361 including grants of $ 10,906,763 ) (Revenue $ 1,092,582,838 )
	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 expenses623,401,361

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	8,225,408	7,470,970	5,118,139

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	0
d	Related organizations		1d	21,719,715
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	180,759

g	Noncash contributions included in lines 1a - 1f:$ 0
h Total. Add lines 1a-1f.......		21,900,474

		Business Code
2a	PATIENT SERVICES	622110	987,296,508	987,296,508	0	0
b	HMO CAPITATED PAYMENTS	622110	38,887,757	38,887,757	0	0
c	MOB RENTAL INCOME	531190	34,634,869	34,634,869	0	0
d	CAFETERIA SALES	722212	4,972,854	4,972,854	0	0
e	QUALITY ASSURANCE FEE REVENUE	900099	7,817,164	7,817,164	0	0
f	All other program service revenue.		9,011,083	9,011,083	0	0
g	Total. Add lines 2a–2f ....		1,082,620,235

3 Investment income (including dividends, interest, and othersimilar amounts) ......			16,701,833			16,701,833
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	376,637	228,170,771
b	Less: cost or other basis and sales expenses		225,432,365
c	Gain or (loss)	376,637	2,738,406
d	Net gain or (loss).....			3,115,043			3,115,043
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	INCOME/LOSS FROM PARTNERSHIPS/LLCS		525990	-13,118,690	440,436	-13,559,126	0
b	MISC HOI SERVICES		561110	12,000,513	8,371,135	3,629,378	0
c	CHILD CARE PROGRAM		624410	1,854,735	0	0	1,854,735
d	All other revenue ....			1,494,568	1,151,032	343,536
e	Total. Add lines 11a–11d ......			2,231,126
12	Total revenue. See Instructions......			1,126,568,711	1,092,582,838	-9,586,212	21,671,611

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	10,906,763	10,906,763
2	Grants and other assistance to domestic individuals. See Part IV, line 22	0	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0	0
4	Benefits paid to or for members	0	0
5	Compensation of current officers, directors, trustees, and key employees ....	6,243,408	412,065	5,831,343	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) ....	206,108	73,286	132,822	0
7	Other salaries and wages	390,122,972	257,521,505	132,601,467	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	16,055,642	4,631,472	11,424,170	0
9	Other employee benefits .......	47,629,316	22,279,146	25,350,170	0
10	Payroll taxes ...........	27,156,803	18,612,295	8,544,508	0
11	Fees for services (non-employees):
a	Management ......	0	0	0	0
b	Legal .........	4,091,143	0	4,091,143	0
c	Accounting ...........	171,052	0	171,052	0
d	Lobbying ...........	31,353	31,353	0	0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	5,407,019	0	5,407,019	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	105,727,694	28,483,874	77,243,820	0
12	Advertising and promotion ....	3,944,761	43,519	3,901,242	0
13	Office expenses .......	12,676,783	2,318,053	10,358,730	0
14	Information technology ......	14,133,277	714,740	13,418,537	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	53,835,797	28,132,316	25,703,481	0
17	Travel ............	359,953	50,479	309,474	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0	0	0	0
19	Conferences, conventions, and meetings ....	342,552	130,176	212,376	0
20	Interest ...........	21,365,339	21,155,943	209,396	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization ..	86,979,661	27,225,489	59,754,172	0
23	Insurance ...	3,939,127	2,433,022	1,506,105	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	141,007,804	139,107,769	1,900,035	0
b	QA ASSURANCE FEE	53,482,409	53,482,409	0	0
c	LICENSES & TAXES	8,101,046	0	8,101,046	0
d	ALL OTHER EXPENSES	48,150,027	5,655,687	42,494,340	0
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	1,062,067,809	623,401,361	438,666,448	0
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

1	Cash–non-interest-bearing ........			115,792,086	1	31,864,569
2	Savings and temporary cash investments .........			99,851,188	2	114,363,016
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			103,156,794	4	147,957,101
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 ....			5,902,301	7	3,358,004
8	Inventories for sale or use ........			4,889,729	8	6,105,341
9	Prepaid expenses and deferred charges ......			22,847,032	9	14,317,549
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,779,662,046
b	Less: accumulated depreciation	10b	843,976,856	911,044,286	10c	935,685,190
11	Investments—publicly traded securities .			574,913,113	11	480,627,555
12	Investments—other securities. See Part IV, line 11 .....			1,113,304,696	12	1,150,592,824
13	Investments—program-related. See Part IV, line 11 ..			96,708,352	13	12,517,604
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			116,753,844	15	117,534,208
16	Total assets. Add lines 1 through 15 (must equal line 34)...			3,165,163,421	16	3,014,922,961

17	Accounts payable and accrued expenses .....	138,317,680	17	143,089,136
18	Grants payable ...	0	18	0
19	Deferred revenue .........	23,963,548	19	583,890
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	692,205,923	25	675,574,970
26	Total liabilities. Add lines 17 through 25..	854,487,151	26	819,247,996

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	2,310,606,460	27	2,195,594,546
28	Temporarily restricted net assets ...........	69,810	28	80,419
29	Permanently restricted net assets	0	29	0
	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 ...........	2,310,676,270	33	2,195,674,965
34	Total liabilities and net assets/fund balances ........	3,165,163,421	34	3,014,922,961

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No