Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2018 , and ending 12-31-2018
BCheck if applicable:
CName of organization
PROVIDENCE ST JOSEPH HEALTH
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1801 LIND AVE SW ATTN TAX DEPT
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
RENTON, WA980579016
D Employer identification number

81-1244422
E Telephone number

G Gross receipts $ 34,216,731
F Name and address of principal officer:
ROD HOCHMAN MD
1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.PSJHEALTH.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 2015
M State of legal domicile: WA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O.AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
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 18
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 38,093,391 34,216,731
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 0 0
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 38,093,391 34,216,731
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
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) 36,808,399 33,575,207
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,284,992 17,852,896
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 38,093,391 51,428,103
19 Revenue less expenses. Subtract line 18 from line 12....... 0 -17,211,372
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 4,426,619,378 4,172,675,208
21 Total liabilities (Part X, line 26)............. 4,424,747,015 4,183,800,115
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,872,363 -11,124,907
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 16,787,603 including grants of $ 0 ) (Revenue $ 34,216,731 )
SEE SCHEDULE O.PROVIDENCE ST. JOSEPH HEALTH SYSTEMON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE - A CHANGING HEALTH CARE ENVIRONMENT - WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON.ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA.PROVIDENCE ST. JOSEPH HEALTH IS THE PARENT ORGANIZATION OF PROVIDENCE HEALTH & SERVICES AND ST. JOSEPH HEALTH SYSTEM. IT STRIVES TO SUPPORT IMPROVEMENTS IN HEALTH CARE DELIVERY AND OUTCOMES WITHIN THE CONTEXT OF NONPROFIT, CHARITABLE OWNERSHIP.
4b (Code:   ) (Expenses $ 17,186,038 including grants of $ 0 ) (Revenue $ 0 )
GRANTS & ALLOCATIONS.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet33,973,641
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II..............
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part IIIClick to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV
........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
18
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletJO ANN ESCASA-HAIGH3345 MICHELSON DRIVE SUITE 100   IRVINE,CA92612 (949) 381-4000
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) DICK P ALLEN......................................................................
DIRECTOR
0.10
.................
5.00
X           0 30,360 0
(2) RICHARD BLAIR......................................................................
BOARD CHAIR
0.10
.................
7.70
X           0 60,360 0
(3) ISIAAH CRAWFORD PHD......................................................................
DIRECTOR
0.10
.................
4.10
X           0 30,360 0
(4) SR LUCILLE DEAN SP......................................................................
DIRECTOR
0.10
.................
5.50
X           0 0 0
(5) SR DIANE HEJNA CSJ RN......................................................................
DIRECTOR
0.10
.................
5.30
X           0 0 0
(6) ROD F HOCHMAN MD......................................................................
PRESIDENT/CEO
7.00
.................
58.00
X   X       6,569,155 0 4,266,266
(7) MICHAEL HOLCOMB......................................................................
DIRECTOR
0.10
.................
5.50
X           0 30,360 0
(8) SR PHYLLIS HUGHES RSM DRPH......................................................................
DIRECTOR
0.10
.................
5.00
X           0 0 0
(9) SALLYE LINER MSN RN......................................................................
DIRECTOR
0.10
.................
5.00
X           0 25,360 0
(10) MARY LYONS PHD......................................................................
DIRECTOR
0.10
.................
4.60
X           0 30,360 0
(11) WALTER NOCE JR......................................................................
DIRECTOR
0.10
.................
5.50
X           0 30,360 0
(12) DAVE OLSEN......................................................................
BOARD VICE CHAIR
0.10
.................
7.00
X           0 30,360 0
(13) CAROLINA REYES MD......................................................................
DIRECTOR
0.10
.................
6.00
X           0 30,360 0
(14) PHOEBE YANG......................................................................
DIRECTOR
0.10
.................
5.50
X           0 25,360 0
(15) DONALD ANDERSON JR......................................................................
ASSISTANT SECRETARY FOR ENROLLMENT
7.00
.................
53.00
    X       0 210,649 37,871
(16) VENKAT BHAMIDIPATI......................................................................
EVP/TREASURER
7.00
.................
53.00
    X       1,227,009 0 673,841
(17) MIKE BUTLER......................................................................
PRESIDENT
7.00
.................
53.00
    X       4,583,366 0 968,461
Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) JO ANN ESCASA-HAIGH........................................................................
EVP/ASSISTANT TREASURER
6.00
.......................54.00
    X       1,110,835 0 527,424
(19) CINDY STRAUSS........................................................................
SECRETARY
7.00
.......................53.00
    X       1,884,790 0 690,548
(20) JIM WATSON ESQ........................................................................
ASSISTANT SECRETARY
6.00
.......................54.00
    X       0 576,188 65,143
(21) JOHN WHIPPLE........................................................................
ASSISTANT SECRETARY
7.00
.......................53.00
    X       0 1,029,547 345,689
(22) RICHARD AFABLE........................................................................
EVP/PSJH SO. CA REGION
6.00
.......................44.00
      X     2,248,235 0 18,707
(23) DEBRA CANALES........................................................................
EVP/CAO
7.00
.......................53.00
      X     2,732,103 0 724,111
(24) AMY COMPTON-PHILLIPS........................................................................
EVP/CHIEF CLINICAL OFFICER
6.00
.......................49.00
      X     1,654,073 0 667,254
(25) SHANNON DWYER........................................................................
EVP/GENERAL COUNSEL
6.00
.......................44.00
      X     2,087,535 0 30,965
(26) CARLADENISE EDWARDS........................................................................
EVP/CHIEF STRATEGY OFFICER
6.00
.......................44.00
      X     239,709 378,447 312,279
(27) DOUGAL HEWITT........................................................................
EVP/CHIEF MISSION OFFICER PSJH
7.00
.......................53.00
      X     173,003 0 113,553
(28) OREST HOLUBEC........................................................................
SVP/CHIEF COMM/EXT AFF OFF
6.00
.......................49.00
      X     1,111,242 0 274,690
(29) AARON MARTIN........................................................................
EVP/CHIEF DIGITAL INNOV. OFFICER
7.00
.......................63.00
      X     1,196,074 0 435,284
(30) RHONDA MEDOWS MD........................................................................
EVP/CHIEF POPULATION HEALTH OFFICER
7.00
.......................53.00
      X     2,024,470 0 605,869
(31) DARRIN MONTALVO........................................................................
PRES. ENTERPRISE SVCS.
6.00
.......................44.00
      X     975,240 0 29,511
(32) ANNETTE WALKER........................................................................
PRESIDENT OF STRATEGY
6.00
.......................44.00
      X     1,272,062 0 37,406
(33) TODD HOFHEINS........................................................................
FORMER EVP/CFO/TREAS.
0.00
.......................60.00
          X 820,571 0 35,946
(34) TAMMY TEODOSIO........................................................................
FORMER ASSISTANT SECRETARY
7.00
.......................53.00
          X 0 122,692 24,264
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 31,909,472 2,641,123 10,885,082
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet17
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$  
h Total. Add lines 1a-1f.......MediumBullet  
 Program Service RevenueAmt Business Code
2a RELATED EO MGMT FEES 561000 34,216,731 34,216,731    
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f ....MediumBullet 34,216,731
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet        
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss)......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss).....MediumBullet        
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See Instructions......MediumBullet 34,216,731 34,216,731 0 0
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21    
2 Grants and other assistance to domestic individuals. See Part IV, line 22    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 32,113,817 16,056,909 16,056,908  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 856,517 428,258 428,259  
7 Other salaries and wages        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ........... 604,873 302,436 302,437  
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 1,229   1,229  
12 Advertising and promotion ....        
13 Office expenses ....... 13,519   13,519  
14 Information technology ......        
15 Royalties ..        
16 Occupancy ...........        
17 Travel ............ 158,893   158,893  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 43,618   43,618  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..        
23 Insurance ...        
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 INVESTMENT - HOAG ORTH. 17,186,038 17,186,038    
b TAXES & LICENSES 415,858   415,858  
c EVENT EXPENSES 18,657   18,657  
d RELOCATION 7,853   7,853  
e All other expenses 7,231   7,231  
25 Total functional expenses. Add lines 1 through 24e 51,428,103 33,973,641 17,454,462 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1 37,868
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net .............   4  
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
  5  
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 ..............
  6  
7 Notes and loans receivable, net ....   7  
8 Inventories for sale or use ........   8  
9 Prepaid expenses and deferred charges ......   9  
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a  
b Less: accumulated depreciation 10b     10c  
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 4,426,619,378 15 4,172,637,340
16 Total assets. Add lines 1 through 15 (must equal line 34)... 4,426,619,378 16 4,172,675,208
Liabilities 17 Accounts payable and accrued expenses ..... 22,587,015 17 9,673,804
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities ......... 4,402,160,000 20 4,147,775,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
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..   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
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 0 25 26,351,311
26 Total liabilities. Add lines 17 through 25.. 4,424,747,015 26 4,183,800,115
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 1,872,363 27 -11,124,907
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 1,872,363 33 -11,124,907
34 Total liabilities and net assets/fund balances ........ 4,426,619,378 34 4,172,675,208
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
34,216,731
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
51,428,103
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-17,211,372
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,872,363
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
4,214,102
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-11,124,907
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number

81-1244422
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.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................14
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) PROVIDENCE HEALTH & SERVICES - WA
 
510216586 3 Yes   0 0
(B) PROVIDENCE HEALTH & SERVICES - OR
 
510216587 3 Yes   0 0
(C) PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
 
510216589 3 Yes   0 0
(D) PROVIDENCE HEALTH & SERVICES - MT
 
810231793 3 Yes   0 0
(E) MISSION HOSPITAL REGIONAL MEDICAL CENTER
 
951643360 3 Yes   0 0
(F) QUEEN OF THE VALLEY MEDICAL CENTER
 
941243669 3 Yes   0 0
(G) ST JOSEPH HOSPITAL OF ORANGE
 
951643359 3 Yes   0 0
(H) ST JOSEPH HOSPITAL OF EUREKA
 
941156596 3 Yes   0 0
(I) ST JUDE HOSPITAL
 
951643325 3 Yes   0 0
(J) SANTA ROSA MEMORIAL HOSPITAL
 
941231005 3 Yes   0 0
(K) ST MARY MEDICAL CENTER
 
951914489 3 Yes   0 0
(L) REDWOOD MEMORIAL HOSPITAL
 
941384665 3 Yes   0 0
(M) ST JUDE HOSPITAL YORBA LINDA
 
330185031 3 Yes   0 0
(N) PROVIDENCE ST JOHN'S HEALTH CENTER
 
951684082 3 Yes   0 0
Total
14
0 0
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

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) right arrow (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) right arrow (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  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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

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) right arrow (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) right arrow (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

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
No
1
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.
1
Yes
 
2
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).
2
Yes
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
No
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
No
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
No
7
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) .
7
 
No
8
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).
8
 
No
9a
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.
9a
 
No
b
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.
9b
 
No
c
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.
9c
 
No
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
 
No
b
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

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
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
 
No
Section B. Type I Supporting Organizations
Yes
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
Yes
 
2
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).
2
Yes
 
3
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.
3
Yes
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
Yes
 
b
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.
3b
Yes
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990 or 990-EZ) 2018

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
Part I, Line 12G Column VI PROVIDENCE ST. JOSEPH HEALTH (PSJH) PROVIDES SUPPORT TO ITS SUPPORTED ORGANIZATIONS THROUGH VARIOUS ADMINISTRATIVE AND GOVERNANCE ACTIVITIES INCLUDING: * MAINTAINING THE RELATIONSHIPS PSJH AND THE SUPPORTED ORGANIZATIONS HAVE ESTABLISHED WITH LIKE-MINDED FAITH-BASED AND SECULAR ORGANIZATIONS, AND IN SUCH CAPACITY PROVIDE OVERALL MISSION, VISION, STRATEGIC, FINANCIAL AND OPERATIONAL DIRECTION FOR SUCH MINISTRIES AND ORGANIZATIONS; * FACILITATING THE ESTABLISHMENT, OPERATION, AND MAINTENANCE OF THE CHARITABLE AND EDUCATIONAL ACTIVITIES AND FACILITIES OF THE SUPPORTED ORGANIZATION INCLUDING HOSPITALS, NURSING HOMES AND OTHER FACILITIES DESIGNED TO MEET THE HEALTH, EDUCATIONAL AND SOCIAL NEEDS OF THE COMMUNITIES SERVED BY THE SUPPORTED ORGANIZATIONS; * FACILITATING THE ESTABLISHMENT, OPERATION AND MAINTENANCE A VARIETY OF PROGRAMS CONDUCTED BY THE SUPPORTED ORGANIZATIONS THAT PROVIDE HIGH-QUALITY, COST-EFFECTIVE HEALTH CARE AND RELATED SERVICES WITH PARTICULAR CONSIDERATION FOR THE SPECIAL NEEDS OF THE POOR AND VULNERABLE IN THE COMMUNITIES SERVED BY THE SUPPORTED ORGANIZATIONS; * FACILITATING THE PROVISION OF SCIENTIFIC RESEARCH, EDUCATIONAL, CHARITABLE AND SUCH OTHER ACTIVITIES, SERVICES AND PROGRAMS CONDUCTED BY THE SUPPORTED ORGANIZATIONS; * ENGAGING, AS APPROPRIATE, IN OTHER CHARITABLE WORKS WHICH ARE CONSISTENT WITH THE OBJECTIVES OF THE SUPPORTED ORGANIZATIONS AND THE MISSION AND VALUES OF THE CO-SPONSORS. PSJH HAS SEVERAL COMMITTEES DEVOTED TO VARIOUS SUPPORT FUNCTIONS FOR THE SUPPORTED ORGANIZATIONS. THEY INCLUDE THE AUDIT AND COMPLIANCE COMMITTEE, GOVERNANCE COMMITTEE, WORKLIFE COMMITTEE, FINANCE COMMITTEE, NOMINATING COMMITTEE, EXECUTIVE COMPENSATION COMMITTEE, AND QUALITY AND PATIENT SAFETY COMMITTEE. THESE COMMITTEES OF THE PSJH BOARD, IN THE PERFORMANCE OF THEIR RESPECTIVE DUTIES, PROVIDE OVERALL MANAGEMENT AND COORDINATION SERVICES FOR THE SUPPORTED ORGANIZATIONS. THE AUDIT & COMPLIANCE COMMITTEE PROVIDES ALL SYSTEM SUPPORTED ORGANIZATIONS WITH ACCOUNTING AND FINANCIAL REPORTING PROCESSES, INTERNAL CONTROL SYSTEMS, INCLUDING INFORMATION SECURITY, SYSTEM-WIDE INTEGRITY AND COMPLIANCE PROGRAM, ENTERPRISE RISK MANAGEMENT PROGRAM, AND THE ALIGNMENT OF PSJH'S BUSINESS PRACTICES WITH ITS MISSION AND CORE VALUES. THE WORKLIFE COMMITTEE PROVIDES HUMAN RESOURCES STRATEGIES, PLANS, AND POLICIES THAT HAVE SIGNIFICANT IMPLICATIONS FOR THE ATTAINMENT OF ITS STRATEGIC GOALS, AND ALIGNMENT OF PSJH STRATEGIES AND OBJECTIVES FOR ALL SUPPORTED ORGANIZATIONS OF THE SYSTEM. THE FINANCE COMMITTEE APPROVES FINANCIAL POLICIES, GOALS, AND BUDGETS THAT SUPPORT THE MISSION, VALUES, AND STRATEGIC GOALS OF THE SUPPORTED ORGANIZATIONS. THE QUALITY AND PATIENT SAFETY COMMITTEE REVIEWS AND SEEKS TO CONTINUOUSLY IMPROVE MATTERS CONCERNING OR RELATING TO THE QUALITY OF MEDICAL CARE DELIVERED TO PATIENTS, INCLUDING PATIENT SAFETY, CARE EFFECTIVENESS, COMPASSIONATE SERVICE, SEAMLESSNESS, PERSONALIZATION, EXPERIENCE, AND VALUE OF CARE OF ALL SUPPORTED ORGANIZATIONS IN ACCORDANCE WITH THE MISSION, VALUES, AND PHILOSOPHY OF THE PSJH AND ALL THE SUPPORTED ORGANIZATIONS. * CONDUCTING THEIR RESPONSIBILITIES, THE MEMBERS OF THE STANDING COMMITTEES OF PSJH BOARD ARE EXPECTED TO SUPPORT THE EFFORTS OF PSJH AND THE PSJH BOARD IN WORKING CLOSELY AND CONTINUOUSLY WITH, AND BEING RESPONSIVE TO THE NEEDS OF, THE SUPPORTED ORGANIZATIONS AND THEIR RESPECTIVE GOVERNING BODIES.
Part IV, Section A, Line 2 THE FOLLOWING SUPPORTED ORGANIZATIONS ARE EXEMPT UNDER GROUP EXEMPTION #0928 AND ARE LISTED IN THE OFFICIAL CATHOLIC DIRECTORY FOR 2018: PROVIDENCE HEALTH & SERVICES - MONTANA MISSION HOSPITAL REGIONAL MEDICAL CENTER QUEEN OF THE VALLEY MEDICAL CENTER ST. JOSEPH HOSPITAL OF ORANGE ST. JOSEPH HOSPITAL OF EUREKA ST. JUDE HOSPITAL SANTA ROSA MEMORIAL HOSPITAL ST. MARY MEDICAL CENTER REDWOOD MEMORIAL HOSPITAL ST. JUDE HOSPITAL YORBA LINDA THE ABOVE SUPPORTED ORGANIZATIONS ARE PUBLICLY SUPPORTED HOSPITAL ORGANIZATIONS DESCRIBED IN IRC SECTION 170(B)(1)(A)(III).
Part IV, Section A, Line 6 IN ADDITION TO THE ENTITIES SPECIFICALLY INDICATED AS SUPPORTING ORGANIZATIONS IN ITS GOVERNING DOCUMENTS, PSJH ALSO SUPPORTS OTHER ORGANIZATIONS WITHIN THE PSJH SYSTEM THAT ARE DESCRIBED IN IRC SECTION 501(C)(3) AND ARE OPERATED, SUPERVISED, OR CONTROLLED DIRECTLY BY OR IN CONNECTION WITH SUCH PUBLICLY SUPPORTED ORGANIZATIONS IN ACCORDANCE WITH TREASURY REGULATIONS 1.509(A)-4(E)(1).
Part IV, Section D, Line 3 THE OFFICERS AND DIRECTORS OF PROVIDENCE ST. JOSEPH HEALTH (PSJH) WORK CLOSELY WITH ITS SUPPORTED ORGANIZATIONS. THROUGH THESE RELATIONSHIPS AND BOARD AND OFFICER OVERLAP, THE SUPPORTED ORGANIZATIONS MEET THE "SIGNIFICANT VOICE" TEST. * THE SENIOR EXECUTIVES OF PSJH CONTROL AND MANAGE EACH SUPPORTED ORGANIZATION BY PROVIDING OVERALL SENIOR MANAGEMENT AND COORDINATION FOR THE PSJH SYSTEM. THIS SENIOR LEADERSHIP ENSURES COORDINATED INTERACTION WITH THE SUPPORTED ORGANIZATIONS, INCLUDING 20 DESIGN PLANS THAT COORDINATE FUNCTIONS THROUGHOUT THE COMBINED SYSTEM. THE PLANS INCLUDE VISION AND GUIDING PRINCIPLES OF EACH SYSTEM OFFICE FUNCTIONS (I.E. ENTERPRISE RISK MANAGEMENT, MARKETING, FINANCE, LEGAL, ETC.); DESIGN PLANS FOR EACH FUNCTION THAT INCLUDES PROCESS AND WORK DESIGN, ORGANIZATIONAL STRUCTURE, AND KEY PERFORMANCE METRICS; AND IMPLEMENTATION PLANS WHICH INCLUDE A 6 MONTH, 12 MONTH AND GREATER THAN 2 YEAR ROAD MAP TO IMPLEMENT THE DESIGN PLANS. * THE OFFICERS (INCLUDING THE CORPORATE EXECUTIVES AND DIRECTORS) OF THE SUPPORTED ORGANIZATIONS WORK IN AN INTEGRATED, DAY-TO-DAY MANNER ON A BROAD RANGE OF STRATEGIC AND OPERATIONAL ISSUES WITH THE OFFICERS AND DIRECTORS OF PSJH IN ORDER TO ACCOMPLISH THE OVERARCHING CHARITABLE GOALS AND OBJECTIVES OF THE PSJH SYSTEM. THERE ARE REGULAR OPERATIONS MEETINGS/CALLS WITH THE HOSPITAL CHIEF EXECUTIVES OF THE SUPPORTED ORGANIZATIONS AND THE PSJH PRESIDENT, OPERATIONS AND SERVICES, OFFICERS AND OTHER PSJH EXECUTIVES. * THE DIRECTORS OF THE SUPPORTED ORGANIZATIONS CONDUCT THEIR DUTIES IN AN INTEGRATED, DAY-TO-DAY MANNER ON A BROAD RANGE OF STRATEGIC AND OPERATIONAL ISSUES WITH THE OFFICERS AND DIRECTORS OF PSJH IN ORDER TO ACCOMPLISH THE OVERARCHING CHARITABLE GOALS AND OBJECTIONS OF THE PSJH SYSTEM. BOTH THE PH&S SHARED GOVERNANCE AND THE SJHS TIERED GOVERNANCE MODELS COORDINATE GOVERNANCE APPROVALS IN FURTHERANCE OF THE CHARITABLE PURPOSES AND GOALS OF ALL ENTITIES. * MULTIPLE FORUMS, COUNCILS, OPERATIONAL COMMITTEES AND OTHER ORGANIZATIONAL MANAGEMENT VEHICLES WILL EXIST WITHIN THE PSJH SYSTEM THROUGH WHICH THE CORPORATE GOVERNANCE, EXECUTIVE LEADERSHIP AND MEDICAL STAFF LEADERSHIP OF THE SUPPORTED ORGANIZATIONS WILL INTERACT IN THE ORDINARY COURSE OF PSJH'S ACTIVITIES. IN ADDITION, THE CALIFORNIA ATTORNEY GENERAL REQUIREMENTS INCLUDE THE EXPANSION OF PROVIDENCE CLINICAL INSTITUTES ACROSS THE COMBINED SYSTEM. THIS WILL REQUIRE THE PARTICIPATION OF PHYSICIANS AT ALL OF THE SUPPORTED ORGANIZATIONS. * THE EVALUATION OF THE PERFORMANCE OF EACH OF THE PSJH TRUSTEES, COMMITTEE MEMBERS AND CORPORATE EXECUTIVES IS BASED IN PART ON THE EXTENT TO WHICH THEY ARE, IN THEIR DUTIES, ATTENTIVE TO THE NEEDS AND INTERESTS OF THE SUPPORTED ORGANIZATIONS. THE PSJH BOARD ENGAGES IN AN ASSESSMENT PROCESS TO EVALUATE ITS PERFORMANCE AND FULFILLMENT OF FIDUCIARY DUTIES, INCLUDING OVERSIGHT (GOVERNANCE, COMPLIANCE) OF THE SUPPORTED ORGANIZATION'S LOCAL MINISTRY AND COMMUNITY MINISTRY BOARDS. PERFORMANCE OF PSJH EXECUTIVES WILL BE BASED IN PART ON THEIR LEADERSHIP/SERVICE TO THE SUPPORTED ORGANIZATIONS. IN SOME CASES, SATISFACTION SURVEYS RELATED TO SYSTEM SERVICES ARE CONDUCTED TO SOLICIT FEEDBACK FROM THE SUPPORTED ORGANIZATIONS. * IN THE PERFORMANCE OF EACH PSJH EXECUTIVE'S DUTIES, THE EXECUTIVE IS EXPECTED TO WORK CLOSELY AND CONTINUOUSLY WITH, AND BE RESPONSIVE TO THE NEEDS OF, THE SUPPORTED ORGANIZATIONS (AS THEY RELATE TO THE SCOPE OF THAT EXECUTIVE'S PARTICULAR DUTIES AND RESPONSIBILITIES). PSJH EXECUTIVES ARE EXPECTED TO WORK CLOSELY AND REGULARLY WITH LEADERSHIP AT THE SUPPORTED ORGANIZATIONS TO ENSURE ACHIEVEMENT OF STRATEGIC PLANS AND OBJECTIVES IN FURTHERANCE OF THE MISSION AND CHARITABLE PURPOSES OF THE ORGANIZATION(S). * THE COMMITTEES OF THE PSJH BOARD REQUIRE THE COMMITTEES, IN THE PERFORMANCE OF THEIR RESPECTIVE DUTIES, TO BE SUPPORTIVE OF, AND ACT CONSISTENT WITH THE RESPONSIBILITIES OF THE PSJH BOARD IN THE IMPLEMENTATION OF PSJHS' CHARITABLE MISSION OF PROVIDING OVERALL MANAGEMENT AND COORDINATION SERVICES FOR THE PSJH SYSTEM. * CERTAIN CRITICAL DECISIONS WITH RESPECT TO (A) CORPORATE STRATEGY; (B) CONSOLIDATED BUDGETING AND ACCOUNTING; (C) CORPORATE GOVERNANCE; (D) MATERIAL TRANSACTIONS; AND (E) AMENDMENT OF BYLAWS AND ARTICLES OF INCORPORATION, MUST BE INITIATED AT THE SUPPORTED ORGANIZATION LEVEL AND PSJH CANNOT IMPLEMENT OR INITIATE ANY DECISIONS WITH RESPECT TO THOSE MATTERS WITHOUT PRIOR ACTION BY THE SUPPORTED ORGANIZATIONS. STRATEGY AND BUDGETS ARE ESTABLISHED THROUGH A COLLABORATIVE PROCESS REFERRED TO AS THE INTEGRATED STRATEGIC AND FINANCIAL PLANNING PROCESS THAT INCLUDES THE SUPPORTED ORGANIZATION (LEADERSHIP AND GOVERNANCE).
Part IV, Section E, Line 3A PROVIDENCE ST. JOSEPH HEALTH (PSJH) IS THE SOLE MEMBER OF PROVIDENCE HEALTH & SERVICES (PH&S) AND ST. JOSEPH HEALTH SYSTEM (SJHS). PSJH HAS THE POWER TO ELECT THE DIRECTORS OF ITS SUPPORTED ORGANIZATIONS. IN SOME CASES, THE DIRECTORS OF THE SUPPORTED ORGANIZATIONS ARE THE SAME AS PSJH'S BOARD AND IN OTHER CASES, PSJH ELECTS DIRECTORS OF THE SUPPORTED ORGANIZATION'S BOARDS THROUGH SJHS.
Part IV, Section E, Line 3B PSJH HAS DIRECTION AND CONTROL OVER THE SUPPORTED ORGANIZATIONS. * IN PERFORMING THEIR DUTIES, THE SENIOR EXECUTIVES OF PSJH ARE EXPECTED TO CONTROL AND MANAGE EACH SUPPORTED ORGANIZATION BY PROVIDING OVERALL SENIOR MANAGEMENT AND COORDINATION FOR THE PSJH SYSTEM. THIS SENIOR LEADERSHIP ENSURES COORDINATED INTERACTION WITH THE SUPPORTED ORGANIZATIONS, INCLUDING 20 DESIGN PLANS THAT COORDINATE FUNCTIONS THROUGHOUT THE COMBINED SYSTEM. THE PLANS INCLUDE: 1) VISION AND GUIDING PRINCIPLES OF EACH SYSTEM OFFICE FUNCTIONS (I.E. ENTERPRISE RISK MANAGEMENT, MARKETING, FINANCE, LEGAL, ETC.). 2) DESIGN PLANS FOR EACH FUNCTION THAT INCLUDES PROCESS AND WORK DESIGN, ORGANIZATIONAL STRUCTURE, AND KEY PERFORMANCE METRICS. 3) IMPLEMENTATION PLANS WHICH INCLUDES A 6 MONTH, 12 MONTH AND GREATER THAN 2 YEAR ROAD MAP TO IMPLEMENT THE DESIGN PLANS. * THE OFFICERS (INCLUDING THE CORPORATE EXECUTIVES) OF THE SUPPORTED ORGANIZATIONS WORK IN AN INTEGRATED, DAY-TO-DAY MANNER ON A BROAD RANGE OF STRATEGIC AND OPERATIONAL ISSUES WITH THE OFFICERS AND DIRECTORS OF PSJH IN ORDER TO ACCOMPLISH THE OVERARCHING CHARITABLE GOALS AND OBJECTIVES OF THE PSJH SYSTEM. THERE ARE REGULAR OPERATIONS MEETINGS/CALLS WITH THE HOSPITAL CHIEF EXECUTIVES OF THE SUPPORTED ORGANIZATIONS AND PSJH PRESIDENT, OPERATIONS AND SERVICES, OFFICERS AND OTHER PSJH EXECUTIVES.
Schedule A (Form 990 or 990-EZ) 2018


Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number

81-1244422
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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

Schedule D (Form 990) 2018
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
 
(ii) related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 .....      
b Buildings ....        
c Leasehold improvements        
d Equipment ....        
e Other .....        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 0
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other 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)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program 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.)Small Bullet  
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) DUE FROM AFFILIATES 24,862,340
(2) I/C - TAX-EXEMPT BOND LIABILITIES 4,147,775,000
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 4,172,637,340
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  
AMOUNTS OWED TO RELATED ORGANIZATIONS 26,351,311
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 26,351,311
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

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:  




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
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number

81-1244422
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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 .........
1b
Yes
 
2
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? ..
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

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
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1ROD F HOCHMAN MD
PRESIDENT/CEO
(i)

(ii)
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
-------------
0
2DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT
(i)

(ii)
0
-------------
195,960
0
-------------
14,071
0
-------------
618
0
-------------
29,366
0
-------------
8,505
0
-------------
248,520
0
-------------
0
3VENKAT BHAMIDIPATI
EVP/TREASURER
(i)

(ii)
903,927
-------------
0
282,772
-------------
0
40,310
-------------
0
649,292
-------------
0
24,549
-------------
0
1,900,850
-------------
0
0
-------------
0
4MIKE BUTLER
PRESIDENT
(i)

(ii)
1,320,076
-------------
0
2,525,154
-------------
0
738,136
-------------
0
942,095
-------------
0
26,366
-------------
0
5,551,827
-------------
0
692,718
-------------
0
5JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER
(i)

(ii)
676,469
-------------
0
396,611
-------------
0
37,755
-------------
0
503,453
-------------
0
23,971
-------------
0
1,638,259
-------------
0
0
-------------
0
6CINDY STRAUSS
SECRETARY
(i)

(ii)
769,625
-------------
0
724,144
-------------
0
391,021
-------------
0
664,452
-------------
0
26,096
-------------
0
2,575,338
-------------
0
356,681
-------------
0
7JIM WATSON ESQ
ASSISTANT SECRETARY
(i)

(ii)
0
-------------
449,476
0
-------------
64,532
0
-------------
62,180
0
-------------
24,750
0
-------------
40,393
0
-------------
641,331
0
-------------
0
8JOHN WHIPPLE
ASSISTANT SECRETARY
(i)

(ii)
0
-------------
420,678
0
-------------
357,576
0
-------------
251,293
0
-------------
321,644
0
-------------
24,045
0
-------------
1,375,236
0
-------------
218,336
9RICHARD AFABLE
EVP/PSJH SO. CA REGION
(i)

(ii)
0
-------------
0
947,399
-------------
0
1,300,836
-------------
0
4,125
-------------
0
14,582
-------------
0
2,266,942
-------------
0
302,961
-------------
0
10DEBRA CANALES
EVP/CAO
(i)

(ii)
857,075
-------------
0
881,587
-------------
0
993,441
-------------
0
706,123
-------------
0
17,988
-------------
0
3,456,214
-------------
0
949,253
-------------
0
11AMY COMPTON-PHILLIPS
EVP/CHIEF CLINICAL OFFICER
(i)

(ii)
775,101
-------------
0
744,687
-------------
0
134,285
-------------
0
638,301
-------------
0
28,953
-------------
0
2,321,327
-------------
0
90,925
-------------
0
12SHANNON DWYER
EVP/GENERAL COUNSEL
(i)

(ii)
175,831
-------------
0
686,380
-------------
0
1,225,324
-------------
0
6,912
-------------
0
24,053
-------------
0
2,118,500
-------------
0
828,507
-------------
0
13CARLADENISE EDWARDS
EVP/CHIEF STRATEGY OFFICER
(i)

(ii)
163,712
-------------
258,464
68,252
-------------
107,755
7,745
-------------
12,228
112,318
-------------
177,324
8,778
-------------
13,859
360,805
-------------
569,630
0
-------------
0
14DOUGAL HEWITT
EVP/CHIEF MISSION OFFICER PSJH
(i)

(ii)
143,966
-------------
0
0
-------------
0
29,037
-------------
0
110,583
-------------
0
2,970
-------------
0
286,556
-------------
0
0
-------------
0
15OREST HOLUBEC
SVP/CHIEF COMM/EXT AFF OFF
(i)

(ii)
414,903
-------------
0
376,200
-------------
0
320,139
-------------
0
248,009
-------------
0
26,681
-------------
0
1,385,932
-------------
0
284,306
-------------
0
16AARON MARTIN
EVP/CHIEF DIGITAL INNOV. OFFICER
(i)

(ii)
619,482
-------------
0
299,538
-------------
0
277,054
-------------
0
429,276
-------------
0
6,008
-------------
0
1,631,358
-------------
0
256,355
-------------
0
17RHONDA MEDOWS MD
EVP/CHIEF POPULATION HEALTH OFFICER
(i)

(ii)
892,539
-------------
0
881,144
-------------
0
250,787
-------------
0
585,104
-------------
0
20,765
-------------
0
2,630,339
-------------
0
207,264
-------------
0
18DARRIN MONTALVO
PRES. ENTERPRISE SVCS.
(i)

(ii)
0
-------------
0
145,330
-------------
0
829,910
-------------
0
1,400
-------------
0
28,111
-------------
0
1,004,751
-------------
0
0
-------------
0
19ANNETTE WALKER
PRESIDENT OF STRATEGY
(i)

(ii)
369,873
-------------
0
469,199
-------------
0
432,990
-------------
0
23,400
-------------
0
14,006
-------------
0
1,309,468
-------------
0
401,162
-------------
0
20TODD HOFHEINS
FORMER EVP/CFO/TREAS.
(i)

(ii)
0
-------------
0
0
-------------
0
820,571
-------------
0
4,960
-------------
0
30,986
-------------
0
856,517
-------------
0
0
-------------
0
21TAMMY TEODOSIO
FORMER ASSISTANT SECRETARY
(i)

(ii)
0
-------------
113,095
0
-------------
8,184
0
-------------
1,413
0
-------------
12,754
0
-------------
11,510
0
-------------
146,956
0
-------------
0
Schedule J (Form 990) 2018

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
Part I, Line 1a FIRST-CLASS OR CHARTER TRAVEL AIR TRAVEL IS REIMBURSABLE AND SHOULD BE AT THE LEAST EXPENSIVE AIRFARE; WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. FIRST CLASS FULL FARE TICKETS AND CHARTER MUST BE APPROVED BY A SENIOR LEVEL SUPERVISOR. HOUSING ALLOWANCE OR RESIDENCE TO PERSONAL USE PROVIDENCE HEALTH & SERVICES PROVIDES HOUSING ALLOWANCES FOR PURPOSES OF RELOCATION ASSISTANCE ONLY. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EVP, CAO PSJH MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE HEALTH & SERVICES FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED INCOME AND ARE THEREFORE SUBJECT TO PAYROLL TAXES. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE WILL GROSS-UP THE RELOCATION BENEFITS TO OFFSET THE PERSONAL TAX BURDEN TO THE EMPLOYEE FOR IRS ALLOWABLE EXPENSES. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PROVIDENCE HEALTH & SERVICES FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO OTHER EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED INCOME AND ARE THEREFORE SUBJECT TO PAYROLL TAXES. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990.
Part I, Lines 4a-b THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING 2018: RICHARD AFABLE - $813,062 SHANNON DWYER - $372,652 TODD HOFHEINS - $824,990 DARRIN MONTALVO - $834,208 ENTITIES WITHIN THE PSJH SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. CERTAIN EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE AMOUNTS SHOWN IN COLUMN F OF PART II REFLECT CURRENT YEAR PAYOUTS FROM THESE PLANS.
FORM 990, SCHEDULE J, PART II - EXECUTIVE INCENTIVE PROGRAM THE PROVIDENCE EXECUTIVE INCENTIVE PROGRAM PROVIDES A LUMP SUM AWARD ANNUALLY AS A PERCENT OF THE EXECUTIVE'S BASE PAY. PERCENT OPPORTUNITIES ARE ALIGNED WITH OUR TOTAL COMPENSATION PHILOSOPHY AS OUTLINED IN PART VI, SECTION B, LINE 15 (PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT, OFFICERS & KEY EMPLOYEES). FOR PROVIDENCE LEADERS, THE PERFORMANCE AWARD IS BASED ON THE LEVEL OF ACCOMPLISHMENT OF ANNUAL SYSTEM AND FUNCTIONAL (OR MARKET) OBJECTIVES. IN 2018, 60 PERCENT OF THE PARTICIPANT AWARDS WERE BASED ON PRE-DETERMINED ORGANIZATIONAL GOALS CONSISTENT WITH PROVIDENCE'S STRATEGIC PRIORITIES. IN 2018 THE PERCENT ALLOCATION FOR EACH OF THESE STRATEGIC PRIORITIES WAS AS OUTLINED BELOW: SYSTEM GOALS: FIRST-YEAR TURNOVER - 10% INPATIENT EXPERIENCE - 5% PATIENT EXPERIENCE - 5% MEDICAL GROUP PATIENT EXPERIENCE - 5% COMMUNITY BENEFIT - 10% CLINICAL EXCELLENCE - 15% FREE CASH FLOW - 10% THE REMAINING 40% WAS BASED ON A ROBUST SET OF FUNCTION SPECIFIC GOALS DESIGNED TO ALIGN CRITICAL MISSION AND BUSINESS DRIVERS.
Schedule J (Form 990) 2018
Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number
81-1244422
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A AIDEA 2011A
 
92-6001185 011903DZ1 11-17-2011 126,601,436 SEE PART VI   X   X   X
B CHFFA 2008C
 
52-1643828 13033F7L8 11-06-2008 284,700,329 SEE PART VI X     X   X
C CHFFA 2009B
 
52-1643828 13033LBZ9 07-29-2009 145,060,500 SEE PART VI   X   X   X
D CHFFA 2009A-D
 
52-1643828 13033LCN5 08-27-2009 421,100,000 SEE PART VI   X   X   X
CHFFA 2013A-D
 
52-1643828 13033LY76 07-24-2013 701,719,855 SEE PART VI   X   X   X
CHFFA 2014A
 
52-1643828 13033L4G9 06-11-2014 305,080,327 SEE PART VI   X   X   X
CHFFA 2014B
 
52-1643828 13033L4N4 08-06-2014 126,434,498 SEE PART VI   X   X   X
CHFFA 2016A
 
52-1643828 13032UFP8 09-28-2016 490,804,875 SEE PART VI   X   X   X
CHFFA 2016B
 
52-1643828 13032UGP7 09-28-2016 304,049,410 SEE PART VI   X   X   X
LHFDC 2008B
 
52-1313557 549208EM4 06-19-2008 115,035,840 SEE PART VI   X   X   X
LHFDC 2016C
 
52-1313557 549208EP7 09-28-2016 39,215,000 SEE PART VI   X   X   X
MFFA 2016F
 
81-0302402 61204KCB5 06-22-2006 50,645,000 SEE PART VI   X   X   X
OFA 2011C
 
93-6001787 68608JPT2 11-17-2011 24,927,615 SEE PART VI   X   X   X
OFA 2013A
 
93-6001787 68608JRH6 09-18-2013 86,048,852 SEE PART VI   X   X   X
OFA 2013C
 
93-6001787 68608JRL7 09-18-2013 161,675,000 SEE PART VI X     X   X
OFA 2015C
 
93-6001787 68608JTT8 09-13-2015 72,245,909 SEE PART VI   X   X   X
WHCFA 2006CDE
 
91-1108929 93978EB27 06-22-2006 165,050,000 SEE PART VI X     X   X
WHCFA 2010A
 
91-1108929 93978E7W6 07-01-2010 173,543,991 SEE PART VI   X   X   X
WHCFA 2011B
 
91-1108929 93978HDA0 07-13-2011 101,152,957 SEE PART VI   X   X   X
WHCFA 2012A-D
 
91-1108929 93978HGG4 07-19-2012 819,489,529 SEE PART VI   X   X   X
WHCFA 2014C
 
91-1108929 93978HKL8 09-10-2014 99,611,469 SEE PART VI   X   X   X
WHCFA 2014D
 
91-1108929 93978HKN4 11-06-2014 200,084,061 SEE PART VI   X   X   X
WHCFA 2015A
 
91-1108929 93978HQU2 08-12-2015 75,900,634 SEE PART VI   X   X   X
WHCFA 2016DE
 
91-1108929   09-28-2016 210,860,000 SEE PART VI   X   X   X
WHCFA 2018B
 
91-1108929 93978HUY9 01-30-2018 166,652,252 SEE PART VI   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 110,000,000 289,195,000 3,630,000 79,015,000
2 Amount of bonds legally defeased ..............   251,010,000    
3 Total proceeds of issue .................. 126,601,436 289,195,000 145,060,500 426,930,280
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............     13,434,940  
6 Proceeds in refunding escrows ............... 585,978,231     480,221,287
7 Issuance costs from proceeds ............... 1,601,436 4,582,212 2,072,500 4,480,280
8 Credit enhancement from proceeds ............. 2,465,562 1,035,827   242,643
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 110,684,400     180,000,000
11 Other spent proceeds ............. 302,110,000 284,612,788 129,553,060 242,450,000
12 Other unspent proceeds ............. 125,000,000     7,035,700
13 Year of substantial completion ............. 2012 2012 2012 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X     X X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0.490 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0.150 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0.640 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X X     X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..   0.700 %    
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............     X          
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X     X X     X
b Exception to rebate? ........   X   X   X   X
c No rebate due? .........   X X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
 
Morgan Stanley
Capital Services
 
 
 
 
c Term of hedge .........   2500.0000000000 %    
d Was the hedge superintegrated? ......       X        
e Was the hedge terminated? ........     X          
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I - PURPOSE OF BOND AIDEA 2011A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) & LONG TERM CARE FACILITY. CHFFA 2008C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2009A BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $180,000,000. PROJECT FUNDS TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL,ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. ORIGINAL ISSUE DATE AUGUST 27, 2009 ORIGINAL CUSIP 13033LCA3. IN ADDITION, THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JANUARY 29, 2004 ORIGINAL CUSIP 130911VQ0 & REFUNDED MAY 15, 2008 CUSIP 130795TU1 & REFUNDED AGAIN AUGUST 27, 2009 CUSIP 133033LCN5. CHFFA 2013A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2013A-D BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE, REFINANCING OF OUTSTANDING INDEBTEDNESS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $110,684,400. PROCEEDS TO BE UTILIZED FOR CERTAIN COST OF ACQUISITION, CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: HOAG HOSPITAL NEWPORT BEACH, ST. JOSEPH HOSPITAL, ORANGE, ST. JUDE MEDICAL CENTER , ST. MARY MEDICAL CENTER, SANTA ROSA MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA. ORIGINAL ISSUE DATE JULY 24, 2013. CHFFA 2014A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2014B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2016A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CHFFA INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON APRIL 17, 2007 AND CONVERTED MARCH 27, 2008. PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL (ORANGE), ST. MARY REGIONAL MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. CHFFA 2016B THE PROCEEDS DERIVED FROM THE SALE OF THE 2016B-1,2 &3 BONDS WERE USED TO REFUND THE SJHS 2011A-D BONDS, ORIGINALLY USED TO FUND CERTAIN COST OF ISSUANCE AND CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HOSPITAL OF EUREKA AND ST. JUDE MEDICAL CENTER. LHFDC 2008B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LHFDC INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON DECEMBER 1, 1998. ORIGINAL ISSUANCE ON JUNE 19, 2008 WITH CUSIP 549208D49, CONVERTED JULY 14, 2011. LHFDC 2016C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENT REFUND THE LHFDC REVENUE BONDS ISSUANCE OF MAY 15, 2008 WITH CUSIP 549208DX1, CONVERTED AUGUST 27, 2009. MFFA 2016F THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE MFFA 2006B BONDS WHICH WERE ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST JOSEPH MEDICAL CENTER MONTANA LOCATED IN POLSON, MT. OFA 2011C THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE SERIES 1999 & 2005 BONDS AND ADVANCE REFUNDED THE OFA SERIES 2002 BONDS. OFA 2013A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ADVANCE REFUNDED THE HFAMC SERIES 2004 BONDS. OFA 2013C THE PROCEEDS DERIVED FROM THE SALE OF BONDS CURRENT REFUNDED THE HACC SERIES 2003DEF&G BONDS. OFA 2015C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST VINCENT MEDICAL CENTER. WHCFA 2006CDE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 &1995 BONDS. WHCFA 2010A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2011B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFINANCE A BORROWING ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2012A-D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND ALL OUTSTANDING SWEDISH HEALTH SERVICES WHCFA BONDS. WHCFA 2014C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH EDMONDS & TO REFINANCE A BORROWING RELATED TO THE CONSTRUCTION AT: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2014D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR TO REFINANCE PRIOR BONDS ISSUED TO BENEFIT: KADLEC (FACILITATES ENTRY INTO THE OBLIGATED GROUP). WHCFA 2015A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: KADLEC REGIONAL MEDICAL CENTER & PROVIDENCE SACRED HEART MEDICAL CENTER. WHCFA 2016DE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006A. WHCFA 2018B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006CDE, WHICH WERE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 & 1995 BONDS.
PART IV, LINE 2C - REBATE CALCULATION CHFFA 2008C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 12/11/2013. CHFFA 2009B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 8/1/2014. CHFFA 2009A-D REBATE COMPUTATION PREPARED JANUARY 12, 2015 FOR THE PERIOD ENDING AUGUST 27, 2014 SHOWING NO REBATE DUE. CHFFA 2013A-D THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 7/17/2018 LHFDC 2008B REBATE COMPUTATION PREPARED JULY 23, 2008 FOR THE PERIOD ENDING JULY 1, 2008 SHOWING NO REBATE DUE. OFA 2011C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JANUARY 19, 2017. OFA 2013A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 1, 2018. OFA 2013C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 5, 2018. WHCFA 2006CDE THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JUNE 22, 2016. WHCFA 2010A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 1, 2015. WHCFA 2011B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 13, 2016.
Schedule K (Form 990) 2018

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number
81-1244422
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A AIDEA 2011A
 
92-6001185 011903DZ1 11-17-2011 126,601,436 SEE PART VI   X   X   X
B CHFFA 2008C
 
52-1643828 13033F7L8 11-06-2008 284,700,329 SEE PART VI X     X   X
C CHFFA 2009B
 
52-1643828 13033LBZ9 07-29-2009 145,060,500 SEE PART VI   X   X   X
D CHFFA 2009A-D
 
52-1643828 13033LCN5 08-27-2009 421,100,000 SEE PART VI   X   X   X
CHFFA 2013A-D
 
52-1643828 13033LY76 07-24-2013 701,719,855 SEE PART VI   X   X   X
CHFFA 2014A
 
52-1643828 13033L4G9 06-11-2014 305,080,327 SEE PART VI   X   X   X
CHFFA 2014B
 
52-1643828 13033L4N4 08-06-2014 126,434,498 SEE PART VI   X   X   X
CHFFA 2016A
 
52-1643828 13032UFP8 09-28-2016 490,804,875 SEE PART VI   X   X   X
CHFFA 2016B
 
52-1643828 13032UGP7 09-28-2016 304,049,410 SEE PART VI   X   X   X
LHFDC 2008B
 
52-1313557 549208EM4 06-19-2008 115,035,840 SEE PART VI   X   X   X
LHFDC 2016C
 
52-1313557 549208EP7 09-28-2016 39,215,000 SEE PART VI   X   X   X
MFFA 2016F
 
81-0302402 61204KCB5 06-22-2006 50,645,000 SEE PART VI   X   X   X
OFA 2011C
 
93-6001787 68608JPT2 11-17-2011 24,927,615 SEE PART VI   X   X   X
OFA 2013A
 
93-6001787 68608JRH6 09-18-2013 86,048,852 SEE PART VI   X   X   X
OFA 2013C
 
93-6001787 68608JRL7 09-18-2013 161,675,000 SEE PART VI X     X   X
OFA 2015C
 
93-6001787 68608JTT8 09-13-2015 72,245,909 SEE PART VI   X   X   X
WHCFA 2006CDE
 
91-1108929 93978EB27 06-22-2006 165,050,000 SEE PART VI X     X   X
WHCFA 2010A
 
91-1108929 93978E7W6 07-01-2010 173,543,991 SEE PART VI   X   X   X
WHCFA 2011B
 
91-1108929 93978HDA0 07-13-2011 101,152,957 SEE PART VI   X   X   X
WHCFA 2012A-D
 
91-1108929 93978HGG4 07-19-2012 819,489,529 SEE PART VI   X   X   X
WHCFA 2014C
 
91-1108929 93978HKL8 09-10-2014 99,611,469 SEE PART VI   X   X   X
WHCFA 2014D
 
91-1108929 93978HKN4 11-06-2014 200,084,061 SEE PART VI   X   X   X
WHCFA 2015A
 
91-1108929 93978HQU2 08-12-2015 75,900,634 SEE PART VI   X   X   X
WHCFA 2016DE
 
91-1108929   09-28-2016 210,860,000 SEE PART VI   X   X   X
WHCFA 2018B
 
91-1108929 93978HUY9 01-30-2018 166,652,252 SEE PART VI   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 110,000,000 289,195,000 3,630,000 79,015,000
2 Amount of bonds legally defeased ..............   251,010,000    
3 Total proceeds of issue .................. 126,601,436 289,195,000 145,060,500 426,930,280
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............     13,434,940  
6 Proceeds in refunding escrows ............... 585,978,231     480,221,287
7 Issuance costs from proceeds ............... 1,601,436 4,582,212 2,072,500 4,480,280
8 Credit enhancement from proceeds ............. 2,465,562 1,035,827   242,643
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 110,684,400     180,000,000
11 Other spent proceeds ............. 302,110,000 284,612,788 129,553,060 242,450,000
12 Other unspent proceeds ............. 125,000,000     7,035,700
13 Year of substantial completion ............. 2012 2012 2012 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X     X X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0.490 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0.150 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0.640 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X X     X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..   0.700 %    
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............     X          
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X     X X     X
b Exception to rebate? ........   X   X   X   X
c No rebate due? .........   X X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
 
Morgan Stanley
Capital Services
 
 
 
 
c Term of hedge .........   2500.0000000000 %    
d Was the hedge superintegrated? ......       X        
e Was the hedge terminated? ........     X          
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I - PURPOSE OF BOND AIDEA 2011A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) & LONG TERM CARE FACILITY. CHFFA 2008C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2009A BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $180,000,000. PROJECT FUNDS TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL,ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. ORIGINAL ISSUE DATE AUGUST 27, 2009 ORIGINAL CUSIP 13033LCA3. IN ADDITION, THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JANUARY 29, 2004 ORIGINAL CUSIP 130911VQ0 & REFUNDED MAY 15, 2008 CUSIP 130795TU1 & REFUNDED AGAIN AUGUST 27, 2009 CUSIP 133033LCN5. CHFFA 2013A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2013A-D BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE, REFINANCING OF OUTSTANDING INDEBTEDNESS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $110,684,400. PROCEEDS TO BE UTILIZED FOR CERTAIN COST OF ACQUISITION, CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: HOAG HOSPITAL NEWPORT BEACH, ST. JOSEPH HOSPITAL, ORANGE, ST. JUDE MEDICAL CENTER , ST. MARY MEDICAL CENTER, SANTA ROSA MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA. ORIGINAL ISSUE DATE JULY 24, 2013. CHFFA 2014A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2014B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2016A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CHFFA INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON APRIL 17, 2007 AND CONVERTED MARCH 27, 2008. PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL (ORANGE), ST. MARY REGIONAL MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. CHFFA 2016B THE PROCEEDS DERIVED FROM THE SALE OF THE 2016B-1,2 &3 BONDS WERE USED TO REFUND THE SJHS 2011A-D BONDS, ORIGINALLY USED TO FUND CERTAIN COST OF ISSUANCE AND CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HOSPITAL OF EUREKA AND ST. JUDE MEDICAL CENTER. LHFDC 2008B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LHFDC INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON DECEMBER 1, 1998. ORIGINAL ISSUANCE ON JUNE 19, 2008 WITH CUSIP 549208D49, CONVERTED JULY 14, 2011. LHFDC 2016C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENT REFUND THE LHFDC REVENUE BONDS ISSUANCE OF MAY 15, 2008 WITH CUSIP 549208DX1, CONVERTED AUGUST 27, 2009. MFFA 2016F THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE MFFA 2006B BONDS WHICH WERE ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST JOSEPH MEDICAL CENTER MONTANA LOCATED IN POLSON, MT. OFA 2011C THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE SERIES 1999 & 2005 BONDS AND ADVANCE REFUNDED THE OFA SERIES 2002 BONDS. OFA 2013A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ADVANCE REFUNDED THE HFAMC SERIES 2004 BONDS. OFA 2013C THE PROCEEDS DERIVED FROM THE SALE OF BONDS CURRENT REFUNDED THE HACC SERIES 2003DEF&G BONDS. OFA 2015C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST VINCENT MEDICAL CENTER. WHCFA 2006CDE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 &1995 BONDS. WHCFA 2010A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2011B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFINANCE A BORROWING ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2012A-D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND ALL OUTSTANDING SWEDISH HEALTH SERVICES WHCFA BONDS. WHCFA 2014C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH EDMONDS & TO REFINANCE A BORROWING RELATED TO THE CONSTRUCTION AT: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2014D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR TO REFINANCE PRIOR BONDS ISSUED TO BENEFIT: KADLEC (FACILITATES ENTRY INTO THE OBLIGATED GROUP). WHCFA 2015A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: KADLEC REGIONAL MEDICAL CENTER & PROVIDENCE SACRED HEART MEDICAL CENTER. WHCFA 2016DE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006A. WHCFA 2018B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006CDE, WHICH WERE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 & 1995 BONDS.
PART IV, LINE 2C - REBATE CALCULATION CHFFA 2008C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 12/11/2013. CHFFA 2009B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 8/1/2014. CHFFA 2009A-D REBATE COMPUTATION PREPARED JANUARY 12, 2015 FOR THE PERIOD ENDING AUGUST 27, 2014 SHOWING NO REBATE DUE. CHFFA 2013A-D THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 7/17/2018 LHFDC 2008B REBATE COMPUTATION PREPARED JULY 23, 2008 FOR THE PERIOD ENDING JULY 1, 2008 SHOWING NO REBATE DUE. OFA 2011C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JANUARY 19, 2017. OFA 2013A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 1, 2018. OFA 2013C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 5, 2018. WHCFA 2006CDE THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JUNE 22, 2016. WHCFA 2010A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 1, 2015. WHCFA 2011B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 13, 2016.
Schedule K (Form 990) 2018

Additional Data


Software ID:  
Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number
81-1244422
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A AIDEA 2011A
 
92-6001185 011903DZ1 11-17-2011 126,601,436 SEE PART VI   X   X   X
B CHFFA 2008C
 
52-1643828 13033F7L8 11-06-2008 284,700,329 SEE PART VI X     X   X
C CHFFA 2009B
 
52-1643828 13033LBZ9 07-29-2009 145,060,500 SEE PART VI   X   X   X
D CHFFA 2009A-D
 
52-1643828 13033LCN5 08-27-2009 421,100,000 SEE PART VI   X   X   X
CHFFA 2013A-D
 
52-1643828 13033LY76 07-24-2013 701,719,855 SEE PART VI   X   X   X
CHFFA 2014A
 
52-1643828 13033L4G9 06-11-2014 305,080,327 SEE PART VI   X   X   X
CHFFA 2014B
 
52-1643828 13033L4N4 08-06-2014 126,434,498 SEE PART VI   X   X   X
CHFFA 2016A
 
52-1643828 13032UFP8 09-28-2016 490,804,875 SEE PART VI   X   X   X
CHFFA 2016B
 
52-1643828 13032UGP7 09-28-2016 304,049,410 SEE PART VI   X   X   X
LHFDC 2008B
 
52-1313557 549208EM4 06-19-2008 115,035,840 SEE PART VI   X   X   X
LHFDC 2016C
 
52-1313557 549208EP7 09-28-2016 39,215,000 SEE PART VI   X   X   X
MFFA 2016F
 
81-0302402 61204KCB5 06-22-2006 50,645,000 SEE PART VI   X   X   X
OFA 2011C
 
93-6001787 68608JPT2 11-17-2011 24,927,615 SEE PART VI   X   X   X
OFA 2013A
 
93-6001787 68608JRH6 09-18-2013 86,048,852 SEE PART VI   X   X   X
OFA 2013C
 
93-6001787 68608JRL7 09-18-2013 161,675,000 SEE PART VI X     X   X
OFA 2015C
 
93-6001787 68608JTT8 09-13-2015 72,245,909 SEE PART VI   X   X   X
WHCFA 2006CDE
 
91-1108929 93978EB27 06-22-2006 165,050,000 SEE PART VI X     X   X
WHCFA 2010A
 
91-1108929 93978E7W6 07-01-2010 173,543,991 SEE PART VI   X   X   X
WHCFA 2011B
 
91-1108929 93978HDA0 07-13-2011 101,152,957 SEE PART VI   X   X   X
WHCFA 2012A-D
 
91-1108929 93978HGG4 07-19-2012 819,489,529 SEE PART VI   X   X   X
WHCFA 2014C
 
91-1108929 93978HKL8 09-10-2014 99,611,469 SEE PART VI   X   X   X
WHCFA 2014D
 
91-1108929 93978HKN4 11-06-2014 200,084,061 SEE PART VI   X   X   X
WHCFA 2015A
 
91-1108929 93978HQU2 08-12-2015 75,900,634 SEE PART VI   X   X   X
WHCFA 2016DE
 
91-1108929   09-28-2016 210,860,000 SEE PART VI   X   X   X
WHCFA 2018B
 
91-1108929 93978HUY9 01-30-2018 166,652,252 SEE PART VI   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 110,000,000 289,195,000 3,630,000 79,015,000
2 Amount of bonds legally defeased ..............   251,010,000    
3 Total proceeds of issue .................. 126,601,436 289,195,000 145,060,500 426,930,280
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............     13,434,940  
6 Proceeds in refunding escrows ............... 585,978,231     480,221,287
7 Issuance costs from proceeds ............... 1,601,436 4,582,212 2,072,500 4,480,280
8 Credit enhancement from proceeds ............. 2,465,562 1,035,827   242,643
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 110,684,400     180,000,000
11 Other spent proceeds ............. 302,110,000 284,612,788 129,553,060 242,450,000
12 Other unspent proceeds ............. 125,000,000     7,035,700
13 Year of substantial completion ............. 2012 2012 2012 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X     X X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0.490 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0.150 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0.640 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X X     X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..   0.700 %    
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............     X          
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X     X X     X
b Exception to rebate? ........   X   X   X   X
c No rebate due? .........   X X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
 
Morgan Stanley
Capital Services
 
 
 
 
c Term of hedge .........   2500.0000000000 %    
d Was the hedge superintegrated? ......       X        
e Was the hedge terminated? ........     X          
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I - PURPOSE OF BOND AIDEA 2011A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) & LONG TERM CARE FACILITY. CHFFA 2008C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2009A BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $180,000,000. PROJECT FUNDS TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL,ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. ORIGINAL ISSUE DATE AUGUST 27, 2009 ORIGINAL CUSIP 13033LCA3. IN ADDITION, THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JANUARY 29, 2004 ORIGINAL CUSIP 130911VQ0 & REFUNDED MAY 15, 2008 CUSIP 130795TU1 & REFUNDED AGAIN AUGUST 27, 2009 CUSIP 133033LCN5. CHFFA 2013A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2013A-D BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE, REFINANCING OF OUTSTANDING INDEBTEDNESS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $110,684,400. PROCEEDS TO BE UTILIZED FOR CERTAIN COST OF ACQUISITION, CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: HOAG HOSPITAL NEWPORT BEACH, ST. JOSEPH HOSPITAL, ORANGE, ST. JUDE MEDICAL CENTER , ST. MARY MEDICAL CENTER, SANTA ROSA MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA. ORIGINAL ISSUE DATE JULY 24, 2013. CHFFA 2014A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2014B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2016A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CHFFA INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON APRIL 17, 2007 AND CONVERTED MARCH 27, 2008. PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL (ORANGE), ST. MARY REGIONAL MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. CHFFA 2016B THE PROCEEDS DERIVED FROM THE SALE OF THE 2016B-1,2 &3 BONDS WERE USED TO REFUND THE SJHS 2011A-D BONDS, ORIGINALLY USED TO FUND CERTAIN COST OF ISSUANCE AND CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HOSPITAL OF EUREKA AND ST. JUDE MEDICAL CENTER. LHFDC 2008B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LHFDC INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON DECEMBER 1, 1998. ORIGINAL ISSUANCE ON JUNE 19, 2008 WITH CUSIP 549208D49, CONVERTED JULY 14, 2011. LHFDC 2016C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENT REFUND THE LHFDC REVENUE BONDS ISSUANCE OF MAY 15, 2008 WITH CUSIP 549208DX1, CONVERTED AUGUST 27, 2009. MFFA 2016F THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE MFFA 2006B BONDS WHICH WERE ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST JOSEPH MEDICAL CENTER MONTANA LOCATED IN POLSON, MT. OFA 2011C THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE SERIES 1999 & 2005 BONDS AND ADVANCE REFUNDED THE OFA SERIES 2002 BONDS. OFA 2013A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ADVANCE REFUNDED THE HFAMC SERIES 2004 BONDS. OFA 2013C THE PROCEEDS DERIVED FROM THE SALE OF BONDS CURRENT REFUNDED THE HACC SERIES 2003DEF&G BONDS. OFA 2015C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST VINCENT MEDICAL CENTER. WHCFA 2006CDE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 &1995 BONDS. WHCFA 2010A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2011B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFINANCE A BORROWING ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2012A-D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND ALL OUTSTANDING SWEDISH HEALTH SERVICES WHCFA BONDS. WHCFA 2014C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH EDMONDS & TO REFINANCE A BORROWING RELATED TO THE CONSTRUCTION AT: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2014D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR TO REFINANCE PRIOR BONDS ISSUED TO BENEFIT: KADLEC (FACILITATES ENTRY INTO THE OBLIGATED GROUP). WHCFA 2015A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: KADLEC REGIONAL MEDICAL CENTER & PROVIDENCE SACRED HEART MEDICAL CENTER. WHCFA 2016DE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006A. WHCFA 2018B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006CDE, WHICH WERE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 & 1995 BONDS.
PART IV, LINE 2C - REBATE CALCULATION CHFFA 2008C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 12/11/2013. CHFFA 2009B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 8/1/2014. CHFFA 2009A-D REBATE COMPUTATION PREPARED JANUARY 12, 2015 FOR THE PERIOD ENDING AUGUST 27, 2014 SHOWING NO REBATE DUE. CHFFA 2013A-D THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 7/17/2018 LHFDC 2008B REBATE COMPUTATION PREPARED JULY 23, 2008 FOR THE PERIOD ENDING JULY 1, 2008 SHOWING NO REBATE DUE. OFA 2011C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JANUARY 19, 2017. OFA 2013A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 1, 2018. OFA 2013C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 5, 2018. WHCFA 2006CDE THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JUNE 22, 2016. WHCFA 2010A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 1, 2015. WHCFA 2011B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 13, 2016.
Schedule K (Form 990) 2018

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number
81-1244422
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A AIDEA 2011A
 
92-6001185 011903DZ1 11-17-2011 126,601,436 SEE PART VI   X   X   X
B CHFFA 2008C
 
52-1643828 13033F7L8 11-06-2008 284,700,329 SEE PART VI X     X   X
C CHFFA 2009B
 
52-1643828 13033LBZ9 07-29-2009 145,060,500 SEE PART VI   X   X   X
D CHFFA 2009A-D
 
52-1643828 13033LCN5 08-27-2009 421,100,000 SEE PART VI   X   X   X
CHFFA 2013A-D
 
52-1643828 13033LY76 07-24-2013 701,719,855 SEE PART VI   X   X   X
CHFFA 2014A
 
52-1643828 13033L4G9 06-11-2014 305,080,327 SEE PART VI   X   X   X
CHFFA 2014B
 
52-1643828 13033L4N4 08-06-2014 126,434,498 SEE PART VI   X   X   X
CHFFA 2016A
 
52-1643828 13032UFP8 09-28-2016 490,804,875 SEE PART VI   X   X   X
CHFFA 2016B
 
52-1643828 13032UGP7 09-28-2016 304,049,410 SEE PART VI   X   X   X
LHFDC 2008B
 
52-1313557 549208EM4 06-19-2008 115,035,840 SEE PART VI   X   X   X
LHFDC 2016C
 
52-1313557 549208EP7 09-28-2016 39,215,000 SEE PART VI   X   X   X
MFFA 2016F
 
81-0302402 61204KCB5 06-22-2006 50,645,000 SEE PART VI   X   X   X
OFA 2011C
 
93-6001787 68608JPT2 11-17-2011 24,927,615 SEE PART VI   X   X   X
OFA 2013A
 
93-6001787 68608JRH6 09-18-2013 86,048,852 SEE PART VI   X   X   X
OFA 2013C
 
93-6001787 68608JRL7 09-18-2013 161,675,000 SEE PART VI X     X   X
OFA 2015C
 
93-6001787 68608JTT8 09-13-2015 72,245,909 SEE PART VI   X   X   X
WHCFA 2006CDE
 
91-1108929 93978EB27 06-22-2006 165,050,000 SEE PART VI X     X   X
WHCFA 2010A
 
91-1108929 93978E7W6 07-01-2010 173,543,991 SEE PART VI   X   X   X
WHCFA 2011B
 
91-1108929 93978HDA0 07-13-2011 101,152,957 SEE PART VI   X   X   X
WHCFA 2012A-D
 
91-1108929 93978HGG4 07-19-2012 819,489,529 SEE PART VI   X   X   X
WHCFA 2014C
 
91-1108929 93978HKL8 09-10-2014 99,611,469 SEE PART VI   X   X   X
WHCFA 2014D
 
91-1108929 93978HKN4 11-06-2014 200,084,061 SEE PART VI   X   X   X
WHCFA 2015A
 
91-1108929 93978HQU2 08-12-2015 75,900,634 SEE PART VI   X   X   X
WHCFA 2016DE
 
91-1108929   09-28-2016 210,860,000 SEE PART VI   X   X   X
WHCFA 2018B
 
91-1108929 93978HUY9 01-30-2018 166,652,252 SEE PART VI   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 110,000,000 289,195,000 3,630,000 79,015,000
2 Amount of bonds legally defeased ..............   251,010,000    
3 Total proceeds of issue .................. 126,601,436 289,195,000 145,060,500 426,930,280
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............     13,434,940  
6 Proceeds in refunding escrows ............... 585,978,231     480,221,287
7 Issuance costs from proceeds ............... 1,601,436 4,582,212 2,072,500 4,480,280
8 Credit enhancement from proceeds ............. 2,465,562 1,035,827   242,643
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 110,684,400     180,000,000
11 Other spent proceeds ............. 302,110,000 284,612,788 129,553,060 242,450,000
12 Other unspent proceeds ............. 125,000,000     7,035,700
13 Year of substantial completion ............. 2012 2012 2012 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X     X X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0.490 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0.150 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0.640 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X X     X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..   0.700 %    
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............     X          
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X     X X     X
b Exception to rebate? ........   X   X   X   X
c No rebate due? .........   X X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
 
Morgan Stanley
Capital Services
 
 
 
 
c Term of hedge .........   2500.0000000000 %    
d Was the hedge superintegrated? ......       X        
e Was the hedge terminated? ........     X          
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I - PURPOSE OF BOND AIDEA 2011A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) & LONG TERM CARE FACILITY. CHFFA 2008C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2009A BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $180,000,000. PROJECT FUNDS TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL,ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. ORIGINAL ISSUE DATE AUGUST 27, 2009 ORIGINAL CUSIP 13033LCA3. IN ADDITION, THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JANUARY 29, 2004 ORIGINAL CUSIP 130911VQ0 & REFUNDED MAY 15, 2008 CUSIP 130795TU1 & REFUNDED AGAIN AUGUST 27, 2009 CUSIP 133033LCN5. CHFFA 2013A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2013A-D BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE, REFINANCING OF OUTSTANDING INDEBTEDNESS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $110,684,400. PROCEEDS TO BE UTILIZED FOR CERTAIN COST OF ACQUISITION, CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: HOAG HOSPITAL NEWPORT BEACH, ST. JOSEPH HOSPITAL, ORANGE, ST. JUDE MEDICAL CENTER , ST. MARY MEDICAL CENTER, SANTA ROSA MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA. ORIGINAL ISSUE DATE JULY 24, 2013. CHFFA 2014A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2014B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2016A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CHFFA INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON APRIL 17, 2007 AND CONVERTED MARCH 27, 2008. PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL (ORANGE), ST. MARY REGIONAL MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. CHFFA 2016B THE PROCEEDS DERIVED FROM THE SALE OF THE 2016B-1,2 &3 BONDS WERE USED TO REFUND THE SJHS 2011A-D BONDS, ORIGINALLY USED TO FUND CERTAIN COST OF ISSUANCE AND CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HOSPITAL OF EUREKA AND ST. JUDE MEDICAL CENTER. LHFDC 2008B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LHFDC INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON DECEMBER 1, 1998. ORIGINAL ISSUANCE ON JUNE 19, 2008 WITH CUSIP 549208D49, CONVERTED JULY 14, 2011. LHFDC 2016C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENT REFUND THE LHFDC REVENUE BONDS ISSUANCE OF MAY 15, 2008 WITH CUSIP 549208DX1, CONVERTED AUGUST 27, 2009. MFFA 2016F THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE MFFA 2006B BONDS WHICH WERE ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST JOSEPH MEDICAL CENTER MONTANA LOCATED IN POLSON, MT. OFA 2011C THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE SERIES 1999 & 2005 BONDS AND ADVANCE REFUNDED THE OFA SERIES 2002 BONDS. OFA 2013A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ADVANCE REFUNDED THE HFAMC SERIES 2004 BONDS. OFA 2013C THE PROCEEDS DERIVED FROM THE SALE OF BONDS CURRENT REFUNDED THE HACC SERIES 2003DEF&G BONDS. OFA 2015C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST VINCENT MEDICAL CENTER. WHCFA 2006CDE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 &1995 BONDS. WHCFA 2010A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2011B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFINANCE A BORROWING ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2012A-D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND ALL OUTSTANDING SWEDISH HEALTH SERVICES WHCFA BONDS. WHCFA 2014C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH EDMONDS & TO REFINANCE A BORROWING RELATED TO THE CONSTRUCTION AT: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2014D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR TO REFINANCE PRIOR BONDS ISSUED TO BENEFIT: KADLEC (FACILITATES ENTRY INTO THE OBLIGATED GROUP). WHCFA 2015A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: KADLEC REGIONAL MEDICAL CENTER & PROVIDENCE SACRED HEART MEDICAL CENTER. WHCFA 2016DE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006A. WHCFA 2018B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006CDE, WHICH WERE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 & 1995 BONDS.
PART IV, LINE 2C - REBATE CALCULATION CHFFA 2008C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 12/11/2013. CHFFA 2009B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 8/1/2014. CHFFA 2009A-D REBATE COMPUTATION PREPARED JANUARY 12, 2015 FOR THE PERIOD ENDING AUGUST 27, 2014 SHOWING NO REBATE DUE. CHFFA 2013A-D THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 7/17/2018 LHFDC 2008B REBATE COMPUTATION PREPARED JULY 23, 2008 FOR THE PERIOD ENDING JULY 1, 2008 SHOWING NO REBATE DUE. OFA 2011C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JANUARY 19, 2017. OFA 2013A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 1, 2018. OFA 2013C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 5, 2018. WHCFA 2006CDE THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JUNE 22, 2016. WHCFA 2010A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 1, 2015. WHCFA 2011B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 13, 2016.
Schedule K (Form 990) 2018

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number
81-1244422
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A AIDEA 2011A
 
92-6001185 011903DZ1 11-17-2011 126,601,436 SEE PART VI   X   X   X
B CHFFA 2008C
 
52-1643828 13033F7L8 11-06-2008 284,700,329 SEE PART VI X     X   X
C CHFFA 2009B
 
52-1643828 13033LBZ9 07-29-2009 145,060,500 SEE PART VI   X   X   X
D CHFFA 2009A-D
 
52-1643828 13033LCN5 08-27-2009 421,100,000 SEE PART VI   X   X   X
CHFFA 2013A-D
 
52-1643828 13033LY76 07-24-2013 701,719,855 SEE PART VI   X   X   X
CHFFA 2014A
 
52-1643828 13033L4G9 06-11-2014 305,080,327 SEE PART VI   X   X   X
CHFFA 2014B
 
52-1643828 13033L4N4 08-06-2014 126,434,498 SEE PART VI   X   X   X
CHFFA 2016A
 
52-1643828 13032UFP8 09-28-2016 490,804,875 SEE PART VI   X   X   X
CHFFA 2016B
 
52-1643828 13032UGP7 09-28-2016 304,049,410 SEE PART VI   X   X   X
LHFDC 2008B
 
52-1313557 549208EM4 06-19-2008 115,035,840 SEE PART VI   X   X   X
LHFDC 2016C
 
52-1313557 549208EP7 09-28-2016 39,215,000 SEE PART VI   X   X   X
MFFA 2016F
 
81-0302402 61204KCB5 06-22-2006 50,645,000 SEE PART VI   X   X   X
OFA 2011C
 
93-6001787 68608JPT2 11-17-2011 24,927,615 SEE PART VI   X   X   X
OFA 2013A
 
93-6001787 68608JRH6 09-18-2013 86,048,852 SEE PART VI   X   X   X
OFA 2013C
 
93-6001787 68608JRL7 09-18-2013 161,675,000 SEE PART VI X     X   X
OFA 2015C
 
93-6001787 68608JTT8 09-13-2015 72,245,909 SEE PART VI   X   X   X
WHCFA 2006CDE
 
91-1108929 93978EB27 06-22-2006 165,050,000 SEE PART VI X     X   X
WHCFA 2010A
 
91-1108929 93978E7W6 07-01-2010 173,543,991 SEE PART VI   X   X   X
WHCFA 2011B
 
91-1108929 93978HDA0 07-13-2011 101,152,957 SEE PART VI   X   X   X
WHCFA 2012A-D
 
91-1108929 93978HGG4 07-19-2012 819,489,529 SEE PART VI   X   X   X
WHCFA 2014C
 
91-1108929 93978HKL8 09-10-2014 99,611,469 SEE PART VI   X   X   X
WHCFA 2014D
 
91-1108929 93978HKN4 11-06-2014 200,084,061 SEE PART VI   X   X   X
WHCFA 2015A
 
91-1108929 93978HQU2 08-12-2015 75,900,634 SEE PART VI   X   X   X
WHCFA 2016DE
 
91-1108929   09-28-2016 210,860,000 SEE PART VI   X   X   X
WHCFA 2018B
 
91-1108929 93978HUY9 01-30-2018 166,652,252 SEE PART VI   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 110,000,000 289,195,000 3,630,000 79,015,000
2 Amount of bonds legally defeased ..............   251,010,000    
3 Total proceeds of issue .................. 126,601,436 289,195,000 145,060,500 426,930,280
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............     13,434,940  
6 Proceeds in refunding escrows ............... 585,978,231     480,221,287
7 Issuance costs from proceeds ............... 1,601,436 4,582,212 2,072,500 4,480,280
8 Credit enhancement from proceeds ............. 2,465,562 1,035,827   242,643
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 110,684,400     180,000,000
11 Other spent proceeds ............. 302,110,000 284,612,788 129,553,060 242,450,000
12 Other unspent proceeds ............. 125,000,000     7,035,700
13 Year of substantial completion ............. 2012 2012 2012 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X     X X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0.490 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0.150 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0.640 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X X     X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..   0.700 %    
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............     X          
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X     X X     X
b Exception to rebate? ........   X   X   X   X
c No rebate due? .........   X X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
 
Morgan Stanley
Capital Services
 
 
 
 
c Term of hedge .........   2500.0000000000 %    
d Was the hedge superintegrated? ......       X        
e Was the hedge terminated? ........     X          
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I - PURPOSE OF BOND AIDEA 2011A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) & LONG TERM CARE FACILITY. CHFFA 2008C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2009A BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $180,000,000. PROJECT FUNDS TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL,ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. ORIGINAL ISSUE DATE AUGUST 27, 2009 ORIGINAL CUSIP 13033LCA3. IN ADDITION, THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JANUARY 29, 2004 ORIGINAL CUSIP 130911VQ0 & REFUNDED MAY 15, 2008 CUSIP 130795TU1 & REFUNDED AGAIN AUGUST 27, 2009 CUSIP 133033LCN5. CHFFA 2013A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2013A-D BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE, REFINANCING OF OUTSTANDING INDEBTEDNESS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $110,684,400. PROCEEDS TO BE UTILIZED FOR CERTAIN COST OF ACQUISITION, CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: HOAG HOSPITAL NEWPORT BEACH, ST. JOSEPH HOSPITAL, ORANGE, ST. JUDE MEDICAL CENTER , ST. MARY MEDICAL CENTER, SANTA ROSA MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA. ORIGINAL ISSUE DATE JULY 24, 2013. CHFFA 2014A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2014B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2016A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CHFFA INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON APRIL 17, 2007 AND CONVERTED MARCH 27, 2008. PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL (ORANGE), ST. MARY REGIONAL MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. CHFFA 2016B THE PROCEEDS DERIVED FROM THE SALE OF THE 2016B-1,2 &3 BONDS WERE USED TO REFUND THE SJHS 2011A-D BONDS, ORIGINALLY USED TO FUND CERTAIN COST OF ISSUANCE AND CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HOSPITAL OF EUREKA AND ST. JUDE MEDICAL CENTER. LHFDC 2008B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LHFDC INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON DECEMBER 1, 1998. ORIGINAL ISSUANCE ON JUNE 19, 2008 WITH CUSIP 549208D49, CONVERTED JULY 14, 2011. LHFDC 2016C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENT REFUND THE LHFDC REVENUE BONDS ISSUANCE OF MAY 15, 2008 WITH CUSIP 549208DX1, CONVERTED AUGUST 27, 2009. MFFA 2016F THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE MFFA 2006B BONDS WHICH WERE ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST JOSEPH MEDICAL CENTER MONTANA LOCATED IN POLSON, MT. OFA 2011C THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE SERIES 1999 & 2005 BONDS AND ADVANCE REFUNDED THE OFA SERIES 2002 BONDS. OFA 2013A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ADVANCE REFUNDED THE HFAMC SERIES 2004 BONDS. OFA 2013C THE PROCEEDS DERIVED FROM THE SALE OF BONDS CURRENT REFUNDED THE HACC SERIES 2003DEF&G BONDS. OFA 2015C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST VINCENT MEDICAL CENTER. WHCFA 2006CDE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 &1995 BONDS. WHCFA 2010A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2011B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFINANCE A BORROWING ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2012A-D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND ALL OUTSTANDING SWEDISH HEALTH SERVICES WHCFA BONDS. WHCFA 2014C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH EDMONDS & TO REFINANCE A BORROWING RELATED TO THE CONSTRUCTION AT: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2014D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR TO REFINANCE PRIOR BONDS ISSUED TO BENEFIT: KADLEC (FACILITATES ENTRY INTO THE OBLIGATED GROUP). WHCFA 2015A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: KADLEC REGIONAL MEDICAL CENTER & PROVIDENCE SACRED HEART MEDICAL CENTER. WHCFA 2016DE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006A. WHCFA 2018B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006CDE, WHICH WERE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 & 1995 BONDS.
PART IV, LINE 2C - REBATE CALCULATION CHFFA 2008C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 12/11/2013. CHFFA 2009B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 8/1/2014. CHFFA 2009A-D REBATE COMPUTATION PREPARED JANUARY 12, 2015 FOR THE PERIOD ENDING AUGUST 27, 2014 SHOWING NO REBATE DUE. CHFFA 2013A-D THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 7/17/2018 LHFDC 2008B REBATE COMPUTATION PREPARED JULY 23, 2008 FOR THE PERIOD ENDING JULY 1, 2008 SHOWING NO REBATE DUE. OFA 2011C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JANUARY 19, 2017. OFA 2013A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 1, 2018. OFA 2013C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 5, 2018. WHCFA 2006CDE THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JUNE 22, 2016. WHCFA 2010A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 1, 2015. WHCFA 2011B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 13, 2016.
Schedule K (Form 990) 2018

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number
81-1244422
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A AIDEA 2011A
 
92-6001185 011903DZ1 11-17-2011 126,601,436 SEE PART VI   X   X   X
B CHFFA 2008C
 
52-1643828 13033F7L8 11-06-2008 284,700,329 SEE PART VI X     X   X
C CHFFA 2009B
 
52-1643828 13033LBZ9 07-29-2009 145,060,500 SEE PART VI   X   X   X
D CHFFA 2009A-D
 
52-1643828 13033LCN5 08-27-2009 421,100,000 SEE PART VI   X   X   X
CHFFA 2013A-D
 
52-1643828 13033LY76 07-24-2013 701,719,855 SEE PART VI   X   X   X
CHFFA 2014A
 
52-1643828 13033L4G9 06-11-2014 305,080,327 SEE PART VI   X   X   X
CHFFA 2014B
 
52-1643828 13033L4N4 08-06-2014 126,434,498 SEE PART VI   X   X   X
CHFFA 2016A
 
52-1643828 13032UFP8 09-28-2016 490,804,875 SEE PART VI   X   X   X
CHFFA 2016B
 
52-1643828 13032UGP7 09-28-2016 304,049,410 SEE PART VI   X   X   X
LHFDC 2008B
 
52-1313557 549208EM4 06-19-2008 115,035,840 SEE PART VI   X   X   X
LHFDC 2016C
 
52-1313557 549208EP7 09-28-2016 39,215,000 SEE PART VI   X   X   X
MFFA 2016F
 
81-0302402 61204KCB5 06-22-2006 50,645,000 SEE PART VI   X   X   X
OFA 2011C
 
93-6001787 68608JPT2 11-17-2011 24,927,615 SEE PART VI   X   X   X
OFA 2013A
 
93-6001787 68608JRH6 09-18-2013 86,048,852 SEE PART VI   X   X   X
OFA 2013C
 
93-6001787 68608JRL7 09-18-2013 161,675,000 SEE PART VI X     X   X
OFA 2015C
 
93-6001787 68608JTT8 09-13-2015 72,245,909 SEE PART VI   X   X   X
WHCFA 2006CDE
 
91-1108929 93978EB27 06-22-2006 165,050,000 SEE PART VI X     X   X
WHCFA 2010A
 
91-1108929 93978E7W6 07-01-2010 173,543,991 SEE PART VI   X   X   X
WHCFA 2011B
 
91-1108929 93978HDA0 07-13-2011 101,152,957 SEE PART VI   X   X   X
WHCFA 2012A-D
 
91-1108929 93978HGG4 07-19-2012 819,489,529 SEE PART VI   X   X   X
WHCFA 2014C
 
91-1108929 93978HKL8 09-10-2014 99,611,469 SEE PART VI   X   X   X
WHCFA 2014D
 
91-1108929 93978HKN4 11-06-2014 200,084,061 SEE PART VI   X   X   X
WHCFA 2015A
 
91-1108929 93978HQU2 08-12-2015 75,900,634 SEE PART VI   X   X   X
WHCFA 2016DE
 
91-1108929   09-28-2016 210,860,000 SEE PART VI   X   X   X
WHCFA 2018B
 
91-1108929 93978HUY9 01-30-2018 166,652,252 SEE PART VI   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 110,000,000 289,195,000 3,630,000 79,015,000
2 Amount of bonds legally defeased ..............   251,010,000    
3 Total proceeds of issue .................. 126,601,436 289,195,000 145,060,500 426,930,280
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............     13,434,940  
6 Proceeds in refunding escrows ............... 585,978,231     480,221,287
7 Issuance costs from proceeds ............... 1,601,436 4,582,212 2,072,500 4,480,280
8 Credit enhancement from proceeds ............. 2,465,562 1,035,827   242,643
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 110,684,400     180,000,000
11 Other spent proceeds ............. 302,110,000 284,612,788 129,553,060 242,450,000
12 Other unspent proceeds ............. 125,000,000     7,035,700
13 Year of substantial completion ............. 2012 2012 2012 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X     X X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0.490 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0.150 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0.640 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X X     X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..   0.700 %    
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............     X          
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X     X X     X
b Exception to rebate? ........   X   X   X   X
c No rebate due? .........   X X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
 
Morgan Stanley
Capital Services
 
 
 
 
c Term of hedge .........   2500.0000000000 %    
d Was the hedge superintegrated? ......       X        
e Was the hedge terminated? ........     X          
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I - PURPOSE OF BOND AIDEA 2011A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) & LONG TERM CARE FACILITY. CHFFA 2008C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2009A BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $180,000,000. PROJECT FUNDS TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL,ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. ORIGINAL ISSUE DATE AUGUST 27, 2009 ORIGINAL CUSIP 13033LCA3. IN ADDITION, THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JANUARY 29, 2004 ORIGINAL CUSIP 130911VQ0 & REFUNDED MAY 15, 2008 CUSIP 130795TU1 & REFUNDED AGAIN AUGUST 27, 2009 CUSIP 133033LCN5. CHFFA 2013A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2013A-D BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE, REFINANCING OF OUTSTANDING INDEBTEDNESS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $110,684,400. PROCEEDS TO BE UTILIZED FOR CERTAIN COST OF ACQUISITION, CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: HOAG HOSPITAL NEWPORT BEACH, ST. JOSEPH HOSPITAL, ORANGE, ST. JUDE MEDICAL CENTER , ST. MARY MEDICAL CENTER, SANTA ROSA MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA. ORIGINAL ISSUE DATE JULY 24, 2013. CHFFA 2014A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2014B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2016A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CHFFA INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON APRIL 17, 2007 AND CONVERTED MARCH 27, 2008. PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL (ORANGE), ST. MARY REGIONAL MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. CHFFA 2016B THE PROCEEDS DERIVED FROM THE SALE OF THE 2016B-1,2 &3 BONDS WERE USED TO REFUND THE SJHS 2011A-D BONDS, ORIGINALLY USED TO FUND CERTAIN COST OF ISSUANCE AND CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HOSPITAL OF EUREKA AND ST. JUDE MEDICAL CENTER. LHFDC 2008B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LHFDC INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON DECEMBER 1, 1998. ORIGINAL ISSUANCE ON JUNE 19, 2008 WITH CUSIP 549208D49, CONVERTED JULY 14, 2011. LHFDC 2016C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENT REFUND THE LHFDC REVENUE BONDS ISSUANCE OF MAY 15, 2008 WITH CUSIP 549208DX1, CONVERTED AUGUST 27, 2009. MFFA 2016F THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE MFFA 2006B BONDS WHICH WERE ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST JOSEPH MEDICAL CENTER MONTANA LOCATED IN POLSON, MT. OFA 2011C THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE SERIES 1999 & 2005 BONDS AND ADVANCE REFUNDED THE OFA SERIES 2002 BONDS. OFA 2013A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ADVANCE REFUNDED THE HFAMC SERIES 2004 BONDS. OFA 2013C THE PROCEEDS DERIVED FROM THE SALE OF BONDS CURRENT REFUNDED THE HACC SERIES 2003DEF&G BONDS. OFA 2015C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST VINCENT MEDICAL CENTER. WHCFA 2006CDE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 &1995 BONDS. WHCFA 2010A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2011B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFINANCE A BORROWING ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2012A-D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND ALL OUTSTANDING SWEDISH HEALTH SERVICES WHCFA BONDS. WHCFA 2014C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH EDMONDS & TO REFINANCE A BORROWING RELATED TO THE CONSTRUCTION AT: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2014D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR TO REFINANCE PRIOR BONDS ISSUED TO BENEFIT: KADLEC (FACILITATES ENTRY INTO THE OBLIGATED GROUP). WHCFA 2015A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: KADLEC REGIONAL MEDICAL CENTER & PROVIDENCE SACRED HEART MEDICAL CENTER. WHCFA 2016DE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006A. WHCFA 2018B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006CDE, WHICH WERE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 & 1995 BONDS.
PART IV, LINE 2C - REBATE CALCULATION CHFFA 2008C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 12/11/2013. CHFFA 2009B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 8/1/2014. CHFFA 2009A-D REBATE COMPUTATION PREPARED JANUARY 12, 2015 FOR THE PERIOD ENDING AUGUST 27, 2014 SHOWING NO REBATE DUE. CHFFA 2013A-D THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 7/17/2018 LHFDC 2008B REBATE COMPUTATION PREPARED JULY 23, 2008 FOR THE PERIOD ENDING JULY 1, 2008 SHOWING NO REBATE DUE. OFA 2011C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JANUARY 19, 2017. OFA 2013A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 1, 2018. OFA 2013C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 5, 2018. WHCFA 2006CDE THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JUNE 22, 2016. WHCFA 2010A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 1, 2015. WHCFA 2011B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 13, 2016.
Schedule K (Form 990) 2018

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number
81-1244422
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A AIDEA 2011A
 
92-6001185 011903DZ1 11-17-2011 126,601,436 SEE PART VI   X   X   X
B CHFFA 2008C
 
52-1643828 13033F7L8 11-06-2008 284,700,329 SEE PART VI X     X   X
C CHFFA 2009B
 
52-1643828 13033LBZ9 07-29-2009 145,060,500 SEE PART VI   X   X   X
D CHFFA 2009A-D
 
52-1643828 13033LCN5 08-27-2009 421,100,000 SEE PART VI   X   X   X
CHFFA 2013A-D
 
52-1643828 13033LY76 07-24-2013 701,719,855 SEE PART VI   X   X   X
CHFFA 2014A
 
52-1643828 13033L4G9 06-11-2014 305,080,327 SEE PART VI   X   X   X
CHFFA 2014B
 
52-1643828 13033L4N4 08-06-2014 126,434,498 SEE PART VI   X   X   X
CHFFA 2016A
 
52-1643828 13032UFP8 09-28-2016 490,804,875 SEE PART VI   X   X   X
CHFFA 2016B
 
52-1643828 13032UGP7 09-28-2016 304,049,410 SEE PART VI   X   X   X
LHFDC 2008B
 
52-1313557 549208EM4 06-19-2008 115,035,840 SEE PART VI   X   X   X
LHFDC 2016C
 
52-1313557 549208EP7 09-28-2016 39,215,000 SEE PART VI   X   X   X
MFFA 2016F
 
81-0302402 61204KCB5 06-22-2006 50,645,000 SEE PART VI   X   X   X
OFA 2011C
 
93-6001787 68608JPT2 11-17-2011 24,927,615 SEE PART VI   X   X   X
OFA 2013A
 
93-6001787 68608JRH6 09-18-2013 86,048,852 SEE PART VI   X   X   X
OFA 2013C
 
93-6001787 68608JRL7 09-18-2013 161,675,000 SEE PART VI X     X   X
OFA 2015C
 
93-6001787 68608JTT8 09-13-2015 72,245,909 SEE PART VI   X   X   X
WHCFA 2006CDE
 
91-1108929 93978EB27 06-22-2006 165,050,000 SEE PART VI X     X   X
WHCFA 2010A
 
91-1108929 93978E7W6 07-01-2010 173,543,991 SEE PART VI   X   X   X
WHCFA 2011B
 
91-1108929 93978HDA0 07-13-2011 101,152,957 SEE PART VI   X   X   X
WHCFA 2012A-D
 
91-1108929 93978HGG4 07-19-2012 819,489,529 SEE PART VI   X   X   X
WHCFA 2014C
 
91-1108929 93978HKL8 09-10-2014 99,611,469 SEE PART VI   X   X   X
WHCFA 2014D
 
91-1108929 93978HKN4 11-06-2014 200,084,061 SEE PART VI   X   X   X
WHCFA 2015A
 
91-1108929 93978HQU2 08-12-2015 75,900,634 SEE PART VI   X   X   X
WHCFA 2016DE
 
91-1108929   09-28-2016 210,860,000 SEE PART VI   X   X   X
WHCFA 2018B
 
91-1108929 93978HUY9 01-30-2018 166,652,252 SEE PART VI   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 110,000,000 289,195,000 3,630,000 79,015,000
2 Amount of bonds legally defeased ..............   251,010,000    
3 Total proceeds of issue .................. 126,601,436 289,195,000 145,060,500 426,930,280
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............     13,434,940  
6 Proceeds in refunding escrows ............... 585,978,231     480,221,287
7 Issuance costs from proceeds ............... 1,601,436 4,582,212 2,072,500 4,480,280
8 Credit enhancement from proceeds ............. 2,465,562 1,035,827   242,643
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 110,684,400     180,000,000
11 Other spent proceeds ............. 302,110,000 284,612,788 129,553,060 242,450,000
12 Other unspent proceeds ............. 125,000,000     7,035,700
13 Year of substantial completion ............. 2012 2012 2012 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X     X X  
15 Were the bonds issued as part of an advance refunding issue? .....   X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X     X X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0.490 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0.150 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0.640 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X X     X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..   0.700 %    
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............     X          
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X     X X     X
b Exception to rebate? ........   X   X   X   X
c No rebate due? .........   X X   X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
 
Morgan Stanley
Capital Services
 
 
 
 
c Term of hedge .........   2500.0000000000 %    
d Was the hedge superintegrated? ......       X        
e Was the hedge terminated? ........     X          
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
PART I - PURPOSE OF BOND AIDEA 2011A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ALASKA MEDICAL CENTER (PAMC) & LONG TERM CARE FACILITY. CHFFA 2008C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2009A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2009A BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $180,000,000. PROJECT FUNDS TO BE UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL,ST. JOSEPH HOSPITAL OF EUREKA, AND ST. JUDE MEDICAL CENTER. ORIGINAL ISSUE DATE AUGUST 27, 2009 ORIGINAL CUSIP 13033LCA3. IN ADDITION, THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON JANUARY 29, 2004 ORIGINAL CUSIP 130911VQ0 & REFUNDED MAY 15, 2008 CUSIP 130795TU1 & REFUNDED AGAIN AUGUST 27, 2009 CUSIP 133033LCN5. CHFFA 2013A-D THE PROCEEDS DERIVED FROM THE SALE OF THE 2013A-D BONDS ARE TO BE USED TO FUND CERTAIN COST OF ISSUANCE, REFINANCING OF OUTSTANDING INDEBTEDNESS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND TO ESTABLISH A PROJECT FUND IN THE SUM OF $110,684,400. PROCEEDS TO BE UTILIZED FOR CERTAIN COST OF ACQUISITION, CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: HOAG HOSPITAL NEWPORT BEACH, ST. JOSEPH HOSPITAL, ORANGE, ST. JUDE MEDICAL CENTER , ST. MARY MEDICAL CENTER, SANTA ROSA MEMORIAL HOSPITAL AND ST. JOSEPH HOSPITAL OF EUREKA. ORIGINAL ISSUE DATE JULY 24, 2013. CHFFA 2014A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2014B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF VARIOUS HEALTH CARE FACILITIES. CHFFA 2016A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE CHFFA INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON APRIL 17, 2007 AND CONVERTED MARCH 27, 2008. PROCEEDS ORIGINALLY UTILIZED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: MISSION HOSPITAL, QUEEN OF THE VALLEY MEDICAL CENTER, ST. JUDE MEDICAL CENTER, ST. JOSEPH HOSPITAL (ORANGE), ST. MARY REGIONAL MEDICAL CENTER AND SANTA ROSA MEMORIAL HOSPITAL. CHFFA 2016B THE PROCEEDS DERIVED FROM THE SALE OF THE 2016B-1,2 &3 BONDS WERE USED TO REFUND THE SJHS 2011A-D BONDS, ORIGINALLY USED TO FUND CERTAIN COST OF ISSUANCE AND CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: QUEEN OF THE VALLEY MEDICAL CENTER, ST. JOSEPH HOSPITAL OF EUREKA AND ST. JUDE MEDICAL CENTER. LHFDC 2008B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFUND THE LHFDC INSURED REVENUE BONDS ORIGINALLY EXECUTED AND DELIVERED ON DECEMBER 1, 1998. ORIGINAL ISSUANCE ON JUNE 19, 2008 WITH CUSIP 549208D49, CONVERTED JULY 14, 2011. LHFDC 2016C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENT REFUND THE LHFDC REVENUE BONDS ISSUANCE OF MAY 15, 2008 WITH CUSIP 549208DX1, CONVERTED AUGUST 27, 2009. MFFA 2016F THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE MFFA 2006B BONDS WHICH WERE ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST JOSEPH MEDICAL CENTER MONTANA LOCATED IN POLSON, MT. OFA 2011C THE PROCEEDS DERIVED FROM THE SALE OF BONDS REFUNDED THE SERIES 1999 & 2005 BONDS AND ADVANCE REFUNDED THE OFA SERIES 2002 BONDS. OFA 2013A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ADVANCE REFUNDED THE HFAMC SERIES 2004 BONDS. OFA 2013C THE PROCEEDS DERIVED FROM THE SALE OF BONDS CURRENT REFUNDED THE HACC SERIES 2003DEF&G BONDS. OFA 2015C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE ST VINCENT MEDICAL CENTER. WHCFA 2006CDE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 &1995 BONDS. WHCFA 2010A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2011B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO REFINANCE A BORROWING ORIGINALLY USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2012A-D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND ALL OUTSTANDING SWEDISH HEALTH SERVICES WHCFA BONDS. WHCFA 2014C THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: SWEDISH EDMONDS & TO REFINANCE A BORROWING RELATED TO THE CONSTRUCTION AT: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT. WHCFA 2014D THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR TO REFINANCE PRIOR BONDS ISSUED TO BENEFIT: KADLEC (FACILITATES ENTRY INTO THE OBLIGATED GROUP). WHCFA 2015A THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED FOR CERTAIN CONSTRUCTION, EXPANSION, REMODELING, RENOVATION, FURNISHING, EQUIPPING OF THE FOLLOWING HEALTH CARE FACILITIES: KADLEC REGIONAL MEDICAL CENTER & PROVIDENCE SACRED HEART MEDICAL CENTER. WHCFA 2016DE THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006A. WHCFA 2018B THE PROCEEDS DERIVED FROM THE SALE OF BONDS ARE TO BE USED TO CURRENTLY REFUND WHCFA SERIES 2006CDE, WHICH WERE USED TO CURRENTLY REFUND WHCFA SERIES 2002AB & WHCFA 1994 & 1995 BONDS.
PART IV, LINE 2C - REBATE CALCULATION CHFFA 2008C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 12/11/2013. CHFFA 2009B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 8/1/2014. CHFFA 2009A-D REBATE COMPUTATION PREPARED JANUARY 12, 2015 FOR THE PERIOD ENDING AUGUST 27, 2014 SHOWING NO REBATE DUE. CHFFA 2013A-D THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH 7/17/2018 LHFDC 2008B REBATE COMPUTATION PREPARED JULY 23, 2008 FOR THE PERIOD ENDING JULY 1, 2008 SHOWING NO REBATE DUE. OFA 2011C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JANUARY 19, 2017. OFA 2013A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 1, 2018. OFA 2013C THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH NOVEMBER 5, 2018. WHCFA 2006CDE THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JUNE 22, 2016. WHCFA 2010A THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 1, 2015. WHCFA 2011B THE MOST RECENT REBATE COMPUTATION FOR THE BONDS WAS COMPLETED THROUGH JULY 13, 2016.
Schedule K (Form 990) 2018

Additional Data


Software ID:  
Software Version:  

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
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number

81-1244422
Return Reference Explanation
Form 990, Part VI, Section A, line 6 CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY SERVE AS THE CANONICAL CO-SPONSORS (CO-SPONSORS COUNCIL) AND CORPORATE MEMBERS OF PROVIDENCE ST. JOSEPH HEALTH.
Form 990, Part VI, Section A, line 7a CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE ST. JOSEPH HEALTH HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE ST. JOSEPH HEALTH BOARD. ALL TRUSTEE NOMINATIONS THAT COME FROM THE PROVIDENCE ST. JOSEPH HEALTH BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY, AS THE CORPORATE MEMBERS.
Form 990, Part VI, Section A, line 7b CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL AND TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
Form 990, Part VI, Section B, line 11b PROCESS TO REVIEW 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
Form 990, Part VI, Section B, line 12c PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY REAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PSJH COI POLICY AND IN CONNECTION WITH THAT INDIVIDUAL SATISFYING HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY AND/OR IF AT ANY TIME AN ACTUAL, REAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PSJH CHIEF LEGAL OFFICER AND/OR THE PSJH CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR CONSIDER MATTERS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER. PSJH CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING WHEN ACTION IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF COI DISCLOSURES IS RETAINED PER ORGANIZATION RETENTION POLICY.
Form 990, Part VI, Section B, line 15 PROCESS FOR DETERMINING COMPENSATION IT IS PROVIDENCE ST. JOSEPH HEALTH'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ST. JOSEPH HEALTH ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE ST. JOSEPH HEALTH HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE ST. JOSEPH HEALTH MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE ST. JOSEPH HEALTH'S LEGAL ENTITIES. PROVIDENCE ST. JOSEPH HEALTH ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE ST. JOSEPH HEALTH HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE. THE BOARD RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE ST. JOSEPH HEALTH IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS WHOSE REVENUE IS SIMILAR TO THAT OF PROVIDENCE ST. JOSEPH HEALTH. ADDITIONALLY, PROVIDENCE ST. JOSEPH HEALTH'S LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, PROVIDENCE ST. JOSEPH HEALTH ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR PROVIDENCE ST. JOSEPH HEALTH EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE ST. JOSEPH HEALTH OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THE PROCESS TO REVIEW COMPENSATION WAS LAST COMPLETED MARCH 5, 2019.
Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE PSJH COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PSJH INTERNET SITE.
Form 990, Part XI, line 9: NET ASSET TRANSFERS TO AFFILIATES 4,214,102.
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:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach 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
PROVIDENCE ST JOSEPH HEALTH
 
Employer identification number

81-1244422
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











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


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
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 COMPENSATION INSURANCE 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 N/A
 
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,CA926586100
45-3583707
HEALTHCARE CA 501(c)(3) 12,I HMHP
 
Yes
 
(14)HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195

IRVINE,CA92612
45-2982422
SUPPORT CA 501(c)(3) 7 HHF
 
Yes
 
(15)HOAG CLINIC
1 HOAG DRIVE PO BOX 6100

NEWPORT BEACH,CA926586100
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)HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG DRIVE PO BOX 6100

NEWPORT BEACH,CA926586100
95-1643327
HEALTHCARE CA 501(c)(3) 3 CHN
 
Yes
 
(18)HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2133781
HEALTHCARE TX 501(c)(3) 10 CHS
 
Yes
 
(19)INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1307555
HEALTHCARE WA 501(c)(3) 3 PHS WA
 
Yes
 
(20)INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
81-4260130
HEALTHCARE WA 501(c)(3) 7 PHS SJHS
 
Yes
 
(21)INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-2003593
HEALTHCARE WA 501(c)(3) 7 WHC
 
Yes
 
(22)JOHN WAYNE CANCER INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-4291515
HEALTHCARE CA 501(c)(3) 4 PSJHC
 
Yes
 
(23)KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-6033089
SUPPORT WA 501(c)(3) 12,III KRMC
 
Yes
 
(24)KADLEC FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
23-7005501
SUPPORT WA 501(c)(3) 12,I KRMC
 
Yes
 
(25)KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-0655392
HEALTHCARE WA 501(c)(3) 3 WHC
 
Yes
 
(26)LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
33-0844408
IMAGING SVCS CA 501(c)(3) 10 PHS SOCAL
 
Yes
 
(27)LUBBOCK METHODIST HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2220963
HEALTHCARE TX 501(c)(3) 7 CHS
 
Yes
 
(28)LUNDBERG ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1562797
SUPPORT OR 501(c)(3) 7 PHS OR
 
Yes
 
(29)MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-2054035
RESEARCH WA 501(c)(3) 7 SHS
 
Yes
 
(30)METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2428911
HEALTHCARE TX 501(c)(3) 3 CHS
 
Yes
 
(31)METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2246348
HEALTHCARE TX 501(c)(3) 3 CHS
 
Yes
 
(32)METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
75-2426010
HEALTHCARE TX 501(c)(3) 3 CHS
 
Yes
 
(33)MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-1643360
HEALTHCARE CA 501(c)(3) 3 CHN
 
Yes
 
(34)NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069

SEATTLE,WA98116
20-0799737
SUPPORT WA 501(c)(3) 12,I SHS
 
Yes
 
(35)PACMED CLINICS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
56-2290878
HEALTHCARE WA 501(c)(3) 10 WHC
 
Yes
 
(36)PH&S FOUNDATIONSFVSA & SCVSA
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
95-3544877
HEALTHCARE CA 501(c)(3) 7 PHS SOCAL
 
Yes
 
(37)PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
92-0093565
HEALTHCARE AK 501(c)(3) 12,I PHS WA
 
Yes
 
(38)PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1940286
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(39)PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1789266
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(40)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
 
(41)PROVIDENCE COMMUNITY HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-0692907
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(42)PROVIDENCE DETHMAN HOUSE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
47-3385506
SUPPORT WA 501(c)(3) 7 N/A
 
No
(43)PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
31-1744654
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(44)PROVIDENCE HEALTH & SERVICES
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1549796
HEALTHCARE WA 501(c)(3) 12,II PSJH
 
 
No
(45)PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
81-0231793
HEALTHCARE MT 501(c)(3) 3 PHS WA
 
Yes
 
(46)PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
51-0216587
HEALTHCARE OR 501(c)(3) 3 PHS
 
Yes
 
(47)PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
51-0216586
HEALTHCARE WA 501(c)(3) 3 PHS
 
Yes
 
(48)PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1303277
HEALTHCARE WA 501(c)(3) 3 PMWHC
 
Yes
 
(49)PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
55-0828701
MEDICAID OR 501(c)(4) N/A PHP
 
Yes
 
(50)PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
32-0014330
HEALTHCARE WA 501(c)(3) 7 PHS WA
 
Yes
 
(51)PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1433382
HEALTHCARE WA 501(c)(3) 7 PHS W WA
 
Yes
 
(52)PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-0863097
HEALTHCARE OR 501(c)(4) N/A PPP
 
Yes
 
(53)PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
51-0216589
HEALTHCARE CA 501(c)(3) 3 PHS
 
Yes
 
(54)PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-0921990
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(55)PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
27-2552749
HEALTHCARE WA 501(c)(3) 7 PHS W WA
 
Yes
 
(56)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
 
(57)PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
51-0224944
HEALTHCARE CA 501(c)(3) 7 PHS SOCAL
 
Yes
 
(58)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
 
(59)PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
33-0283773
HEALTHCARE CA 501(c)(3) 12,I PHS SOCAL
 
Yes
 
(60)PROVIDENCE MILWAUKIE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
94-3079515
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(61)PROVIDENCE MINISTRIES
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
RELIGIOUS ORG WA 501(c)(3) 1 N/A
 
No
(62)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
 
(63)PROVIDENCE NEWBERG HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-0889144
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(64)PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
31-1629656
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(65)PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-1861964
HEALTHCARE WA 501(c)(4) N/A PHS OR
 
Yes
 
(66)PROVIDENCE PORTLAND MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-1231494
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(67)PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
31-1584166
SUPPORT WA 501(c)(3) 10 PHS WA
 
Yes
 
(68)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
 
(69)PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
81-4542216
HEALTHCARE CA 501(c)(3) 3 PHS SOCAL
 
Yes
 
(70)PROVIDENCE SEASIDE HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
93-0927320
HEALTHCARE OR 501(c)(3) 7 PHS OR
 
Yes
 
(71)PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
91-2171539
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(72)PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
94-3244854
SUPPORT WA 501(c)(3) 7 PHS WA
 
Yes
 
(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 FOUNDATION
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 FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA980579016
33-0261016
HEALTHCARE CA 501(c)(3) 7 PTCH
 
Yes
 
(80)PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
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 FOUNDATION
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 CORPORATION
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 N/A
 
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 NORTHERN 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 CORPORATION 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
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


Yes No Yes No
(1) 20TH STREET SURGERY LLC

1301 20TH STREET STE 140
SANTA MONICA,CA90404
73-1735618
AMBULATORY SURG CA N/A
                 
(2) BROADWAY IMAGING LLC

500 W BROADWAY
MISSOULA,MT59802
52-2405971
MEDICAL IMAGING MT N/A
                 
(3) CENTER FOR SPECIALTY SURGERY LLC

11782 SW BARNES RD
PORTLAND,OR97225
26-3638838
AMBULATORY SURG OR N/A
                 
(4) CLACKAMAS RADIATION ONCOLOGY CENTER LLC

4400 NE HALSEY ST BLDG II 495
PORTLAND,OR97213
26-0381897
RADIATION ONCOL OR N/A
                 
(5) COASTAL ASC HOLDINGS LLC

ONE HOAG DRIVE PO BOX 6100
NEWPORT BEACH,CA926586100
81-0986844
HEALTHCARE CA N/A
                 
(6) COVENANT LONG-TERM CARE LP

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
20-5033419
HEALTHCARE TX N/A
                 
(7) CTR FOR MED IMAGING-BRIDGEPORT LLC

4400 NE HALSEY 495
PORTLAND,OR97213
26-0796953
IMAGING DIAG. OR N/A
                 
(8) CTR FOR MED IMAGING-TANASBOURNE LLC

4400 NE HALSEY 495
PORTLAND,OR97213
20-0477972
IMAGING DIAG. OR N/A
                 
(9) FULLERTON SURGICAL CENTER LP

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-0927394
AMBULATORY SURG CA N/A
                 
(10) GREATER VALLEY MEDICAL BUILDING LP

501 S BUENA VISTA ST
BURBANK,CA91505
95-4570858
REAL ESTATE - MOB CA N/A
                 
(11) HCSA PROPERTIES LLC

1600 M STREET NW
AUBURN,WA98001
46-0620892
REAL ESTATE RENT WA N/A
                 
(12) HERITAGE INVESTMENT GROUP I LLC

500 S MAIN STREET STE 1000
ORANGE,CA92868
27-1000061
INVESTMENTS CA N/A
                 
(13) HOAG ORTHOPEDIC INSTITUTE

ONE HOAG DRIVE PO BOX 6100
NEWPORT BEACH,CA926586100
61-1588294
HEALTHCARE CA HMHP
 
RELATED 1,573,836 1,746,310   No     No 5.000 %
(14) HOAG OUTPATIENT CENTERS LLC

27271 LAS RAMBLAS 350
MISSION VIEJO,CA92691
45-3587572
HEALTHCARE CA N/A
                 
(15) INLAND IMAGING LLC

801 S STEVENS ST
SPOKANE,WA99204
91-1855796
MEDICAL IMAGING WA N/A
                 
(16) LSC REAL PROPERTY LLC

2301 QUAKER AVENUE
LUBBOCK,TX79410
47-4646059
REAL ESTATE TX N/A
                 
(17) METHODIST DIAGNOSTIC IMAGING

4005 24TH STREET
LUBBOCK,TX79410
75-2343261
HEALTHCARE TX N/A
                 
(18) NEWPORT BAY SURGERY CENTER LLC

3333 W PACIFIC COAST HWY STE 100
NEW PORT BEACH,CA92663
56-2518360
HEALTHCARE CA N/A
                 
(19) NEWPORT BEACH ENDOSCOPY CENTER LLC

27271 LAS RAMBLAS 350
MISSION VIEJO,CA92691
77-0368744
HEALTHCARE CA N/A
                 
(20) NEWPORT IMAGING CENTER

360 SAN MIGUEL
NEWPORT BEACH,CA92660
33-0191776
HEALTHCARE CA N/A
                 
(21) NEWPORT SURGICAL PARTNERS LLC

27271 LAS RAMBLAS 350
MISSION VIEJO,CA92691
39-2060266
HEALTHCARE CA N/A
                 
(22) NORTH BAY ENDOSCOPY CENTER

1383 N MCDOWELL BLVD STE 110
PETALUMA,CA94954
61-1559876
HEALTHCARE CA N/A
                 
(23) OREGON ADVANCED IMAGING LLC

881 OHARE PARKWAY
MEDFORD,OR97504
45-0471748
MEDICAL IMAGING OR N/A
                 
(24) OREGON OUTPATIENT SURGERY CENTER

7300 SW CHILDS RD
TIGARD,OR97224
22-3883387
AMBULATORY SURG OR N/A
                 
(25) PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC

1221 MADISON STREET
SEATTLE,WA98104
20-3132044
MEDICAL IMAGING WA N/A
                 
(26) PHS INVESTMENT TRANSITION PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2279711
INVESTMENTS WA N/A
                 
(27) PHS INVESTMENT TRUST 2015 PRIVATE ASSETS PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-3393740
INVESTMENTS WA N/A
                 
(28) PHS INVESTMENT TRUST 2016 PRIVATE ASSETS PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
81-1532735
INVESTMENTS WA N/A
                 
(29) PHS INVESTMENT TRUST 2016 PRIVATE RE PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
81-2960145
INVESTMENTS WA N/A
                 
(30) PHS INVESTMENT TRUST BANK LOANS PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2357735
INVESTMENTS WA N/A
                 
(31) PHS INVESTMENT TRUST COMMODITIES PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2269004
INVESTMENTS WA N/A
                 
(32) PHS INVESTMENT TRUST HEDGE FUND PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2293255
INVESTMENTS WA N/A
                 
(33) PHS INVESTMENT TRUST LDI PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2392060
INVESTMENTS WA N/A
                 
(34) PHS INVESTMENT TRUST LONG TREASURIES PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2385238
INVESTMENTS WA N/A
                 
(35) PHS INVESTMENT TRUST MLP PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2367538
INVESTMENTS WA N/A
                 
(36) PHS INVESTMENT TRUST PUBLIC DEBT PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2353569
INVESTMENTS WA N/A
                 
(37) PHS INVESTMENT TRUST PUBLIC EQUITY PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2283974
INVESTMENTS WA N/A
                 
(38) PHS INVESTMENT TRUST RELATIVE VALUE PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2314743
INVESTMENTS WA N/A
                 
(39) PHS INVESTMENT TRUST RISK PARITY PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2336377
INVESTMENTS WA N/A
                 
(40) PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
81-2701056
INVESTMENTS WA N/A
                 
(41) PHS INVESTMENT TRUST TACTICAL TRADING PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2327491
INVESTMENTS WA N/A
                 
(42) PHS INVESTMENT TRUST TIPS PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-2402609
INVESTMENTS WA N/A
                 
(43) PORTLAND MEDICAL IMAGING LLC

4400 NE HALSEY 495
PORTLAND,OR97213
20-1054971
IMAGING DIAGNOSTICS OR N/A
                 
(44) PROV RADIATION ONCOLOGY DEVELOP ASSN

4400 NE HALSEY 495
PORTLAND,OR97213
26-0682491
REAL ESTATE - MOB OR N/A
                 
(45) PROVIDENCE CHILDREN'S NEONATAL SERVICES

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
47-0918549
NEONATAL CARE WA N/A
                 
(46) PROVIDENCE IMAGING CENTER JOINT VENTURE

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
92-0118807
MEDICAL IMAGING AK N/A
                 
(47) PROVIDENCE PARTNERS FOR HEALTH LLC

501 S BUENA VISTA ST
BURBANK,CA91505
45-4041798
CLIN QUALITY/INT CA N/A
                 
(48) PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
82-3190634
INVESTMENTS WA N/A
                 
(49) PROVIDENCE SURGERY CENTER LLC

902 N ORANGE ST
MISSOULA,MT59802
84-1401625
AMBULATORY SURG MT N/A
                 
(50) PROVIDENCESILVERTON REHAB LLC

4400 NE HALSEY 425
PORTLAND,OR97213
48-1287267
REHAB SERVICES OR N/A
                 
(51) PROVIDENCEUSP SANTA CLARITA GP LLC

11550 INDIAN HILLS ROAD 160
MISSION HILLS,CA91345
20-2829660
AMBULATORY SURG CA N/A
                 
(52) PROVIDENCEUSP SURGERY CENTERS LLC

11550 INDIAN HILLS ROAD 160
MISSION HILLS,CA91345
20-0905938
AMBULATORY SURG CA N/A
                 
(53) SHA LLC

12940 NORTH HIGHWAY 183
AUSTIN,TX78750
75-2569094
HEALTHCARE TX N/A
                 
(54) SJO ASC HOLDINGS LLC

1140 W LA VETA AVE
ORANGE,CA92868
82-1655501
HEALTHCARE CA N/A
                 
(55) ST JOSEPH PHYSICIAN VENTURES I LLC

1100 WEST STEWART DRIVE
ORANGE,CA92868
45-4521884
REAL ESTATE CA N/A
                 
(56) ST JOSEPHSATELLITE DIALYSIS CENTERS LLC

300 SANTANA ROW STE 300
SAN JOSE,CA95128
81-4657391
HEALTHCARE CA N/A
                 
(57) ST JUDE SURGICAL CENTERS LLC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
82-3352570
AMBULATORY SURG CA N/A
                 
(58) SURGERY CENTER AT TANASBOURNE LLC

11221 ROE Ave STE 300
LEAWOOD,KS66211
20-8187971
AMBULATORY SURG KS N/A
                 
(59) TARZANA PEDIATRIC VENTURES LLC

18321 CLARK ST
TARZANA,CA91356
82-1308306
HEALTHCARE CA N/A
                 
(60) THE MADISON SPOKANE INN LLC

15 WEST ROCKWOOD BLVD
SPOKANE,WA99204
84-1606484
HOTEL SERVICES WA 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?
Yes No
(1) 1221 MADISON STREET OWNERS ASSOC

747 BROADWAY
SEATTLE,WA98122
20-1954319
OWNERS' ASSOC. WA N/A
C         No
(2) AMERICAN UNITY GROUP LTD

90 PITTS BAY ROAD HM08
  PEMBROKE  
BD
CAPTIVE INSURANCE BD N/A
C         No
(3) AYIN HEALTH SOLUTIONS INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
83-3037172
HEALTHCARE DE N/A
C         No
(4) BOURGET HEALTH SERVICES INC

PO BOX 2687
SPOKANE,WA99223
91-1354431
CLIN/MED LAB WA N/A
C         No
(5) CARON HEALTH CORPORATION

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
81-0486082
MED PHYS SVCS MT N/A
C         No
(6) HOAG CLINIC

1 HOAG DRIVE PO BOX 6100
NEWPORT BEACH,CA926586100
33-0676831
HEALTHCARE CA N/A
C         No
(7) DATU HEALTH INC AND SUBSIDIARIES

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
46-3070062
IT SVCS DE N/A
C         No
(8) ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA

1301 20TH STREET STE 280
SANTA MONICA,CA90404
95-2880495
HEALTHCARE CA N/A
S         No
(9) GRACE CLINIC OF LUBBOCK

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
20-3856995
HEALTHCARE TX N/A
C         No
(10) GRACE CLINIC SERVICES INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
20-3857067
HEALTHCARE TX N/A
C         No
(11) HOAG MANAGEMENT SERVICES INC

1 HOAG DRIVE PO BOX 6100
NEWPORT BEACH,CA926586100
33-0731587
HEALTHCARE CA N/A
C         No
(12) LUBBOCK METHODIST HOSP PRACTICE MGMT

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
75-2578995
INACTIVE TX N/A
C         No
(13) LUBBOCK METHODIST HOSPITAL SVCS

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
75-2118585
HEALTHCARE TX N/A
C         No
(14) LUMEDIC ACQUISITION CO INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
83-3881097
HEALTHCARE WA N/A
C         No
(15) MISSION VIEJO MEDICAL VENTURES

27800 MEDICAL CENTER RD 354
MISSION VIEJO,CA92691
33-0212905
HEALTHCARE CA N/A
C         No
(16) PHN HOLDINGS

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
46-1814184
STRAT PLAN SVCS CA N/A
C         No
(17) PIONEER INNOVATIONS INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
36-4818191
HEALTH INNOVATNS WA N/A
C         No
(18) PROVIDENCE ASSURANCE INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
20-8194071
CAPTIVE INSURANCE AZ N/A
C         No
(19) PROVIDENCE HEALTH CARE VENTURES INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
90-0155714
CLIN/MED LAB WA N/A
C         No
(20) PROVIDENCE HEALTH NETWORK

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
80-0886966
PREPAID HEALTH CA N/A
C         No
(21) PROVIDENCE HEALTH VENTURES INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
33-0122216
INVESTMENT CA N/A
C         No
(22) ST JOSEPH HEALTH SOURCE INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
46-1900168
HEALTHCARE CA N/A
C         No
(23) ST JOSEPH HEALTH

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
46-2340232
HOLDING COMPANY CA N/A
C         No
(24) ST JOSEPH PROF SVCS ENTERPRSES INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
33-0155323
HEALTHCARE CA N/A
C         No
(25) VINSERRA INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
95-3943315
INVESTMENTS CA N/A
C         No
(26) WESTERN HEALTHCONNECT VENTURES INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA980579016
80-0953654
INVESTMENTS WA N/A
C         No
(27) YAKIMA MEDICAL ARTS INC

611 N PERRY 100
SPOKANE,WA99202
91-0787963
RENT REAL ESTATE WA N/A
C         No
Schedule R (Form 990) 2018
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
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) PROVIDENCE HEALTH & SERVICES

L 22,925,210 COST
(2) ST JOSEPH HEALTH SYSTEM

L 11,291,521 COST
(3) HOAG ORTHOPEDIC INSTITUTE

B 17,186,038 COST



Schedule R (Form 990) 2018
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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2018
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 (Form 990) 2018

Additional Data


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