Form990


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)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2022 , and ending 12-31-2022
BCheck if applicable:
CName of organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
ONE HOAG DRIVE PO BOX 6100
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEWPORT BEACH, CA926586100
D Employer identification number

95-1643327
E Telephone number

G Gross receipts $ 1,690,491,800
F Name and address of principal officer:
ROBERT BRAITHWAITE
ONE HOAG DRIVE PO BOX 6100
NEWPORT BEACH,CA926586100
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HOAG.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: 1944
M State of legal domicile: CA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: OUR MISSION AS A NOT-FOR-PROFIT, FAITH-BASED HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE COMMUNITIES WE SERVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 9,340
6 Total number of volunteers (estimate if necessary) ............. 6 1,500
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 16,622,727
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 2,225,493
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 27,267,692 55,211,303
9 Program service revenue (Part VIII, line 2g) ......... 1,363,888,248 1,485,406,894
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 9,888,076 76,013,312
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 12,634,712 29,876,087
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,413,678,728 1,646,507,596
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 9,297,226 9,399,443
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) 590,503,217 703,347,225
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).... 693,071,625 887,938,180
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,292,872,068 1,600,684,848
19 Revenue less expenses. Subtract line 18 from line 12....... 120,806,660 45,822,748
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 3,940,743,462 4,246,917,299
21 Total liabilities (Part X, line 26)............. 946,715,374 1,440,069,401
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,994,028,088 2,806,847,898
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 (2021)
Form 990 (2021)
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: OUR MISSION AS A NOT-FOR-PROFIT, FAITH-BASED HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE COMMUNITIES WE SERVE.
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 $ 1,077,425,805 including grants of $ 9,399,443 ) (Revenue $ 1,510,775,731 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,077,425,805
Form 990 (2021)
Form 990 (2021)
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
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
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 IClick to see attachment
List of Attached Documents:
// Content
.............
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 IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
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 Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
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
List of Attached Documents:
// Content
.........................
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
List of Attached Documents:
// Content
....
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
List of Attached Documents:
// Content
..............
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
List of Attached Documents:
// Content
..............
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 V......
10
Yes
 
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
List of Attached Documents:
// Content
...................
11a
Yes
 
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
List of Attached Documents:
// Content
.......
11b
Yes
 
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
List of Attached Documents:
// Content
.......
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
List of Attached Documents:
// Content
............
11d
 
No
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
11f
Yes
 
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
List of Attached Documents:
// Content
......................
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
List of Attached Documents:
// Content
12b
Yes
 
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.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
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.....Click to see attachment
List of Attached Documents:
// Content
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...Click to see attachment
List of Attached Documents:
// Content
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....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
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.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
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........Click to see attachment
List of Attached Documents:
// Content
22
 
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
List of Attached Documents:
// Content
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 attachment
List of Attached Documents:
// Content
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 .... Click to see attachment
List of Attached Documents:
// Content
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.......................Click to see attachment
List of Attached Documents:
// Content
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment
List of Attached Documents:
// Content
...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment
List of Attached Documents:
// Content
.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
List of Attached Documents:
// Content
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? 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
List of Attached Documents:
// Content
33
Yes
 
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
35b
Yes
 
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on 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
894
b
Enter the number of Forms W-2G included on 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
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
9,340
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
Yes
 
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
Yes
 
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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 the 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
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
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
16
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
15
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
Yes
 
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 on 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 on 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 on 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
Yes
 
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
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
CA
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 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:
MediumBulletANDREW GUARNIONE HOAG DRIVE PO BOX 6100   NEWPORT BEACH,CA92658 (949) 764-4624
Form 990 (2021)
Form 990 (2021)
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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(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) DAN YOUNG......................................................................
CHAIR
2.00
.................
0.00
X   X       0 0 0
(2) CINDY STOKKE......................................................................
CHAIR-ELECT
2.00
.................
0.00
X   X       0 0 0
(3) ERIC ALCOULOUMRE MD......................................................................
SECRETARY
2.00
.................
0.00
X   X       0 0 0
(4) VICKI BOOTH......................................................................
BOARD MEMBER
2.00
.................
0.00
X           0 0 0
(5) ROBERT BRUNSWICK......................................................................
BOARD MEMBER
2.00
.................
0.00
X           0 0 0
(6) CHRIS CALLERO......................................................................
BOARD MEMBER
2.00
.................
0.00
X           0 0 0
(7) MD CHANG MD......................................................................
BOARD MEMBER
2.00
.................
0.00
X           0 0 0
(8) DENNIS GILMORE......................................................................
BOARD MEMBER
2.00
.................
0.00
X           0 0 0
(9) RICHARD HASKELL MD......................................................................
BOARD MEMBER
2.00
.................
0.00
X           0 0 0
(10) PAUL HEESCHEN......................................................................
BOARD MEMBER
2.00
.................
0.00
X           0 0 0
(11) JOEL KATZ MD......................................................................
BOARD MEMBER
2.00
.................
0.00
X           0 0 0
(12) KAREN LINDEN......................................................................
BOARD MEMBER
2.00
.................
2.00
X           0 0 0
(13) JEFF MARGOLIS......................................................................
BOARD MEMBER
2.00
.................
5.00
X           0 0 0
(14) PAMELA MASSEY......................................................................
BOARD MEMBER
2.00
.................
0.00
X           0 0 0
(15) JAMIE SHEPHERDSON......................................................................
BOARD MEMBER
2.00
.................
0.00
X           0 0 0
(16) RICK TAKETA......................................................................
BOARD MEMBER
2.00
.................
0.00
X           0 0 0
(17) ROBERT BRAITHWAITE......................................................................
CEO
50.00
.................
9.00
    X       3,232,319 0 315,573
Form 990 (2021)
Form 990 (2021)
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(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) ANDREW GUARNI........................................................................
EVP AND CFO
50.00
.......................6.00
    X       1,096,127 0 76,089
(19) RICHARD MARTIN........................................................................
VP SR PATIENT CARE SVC AND CNO
50.00
.......................0.00
      X     799,566 0 53,594
(20) MARCY BROWN........................................................................
VP SR CHIEF HOSPITAL OPERATION
50.00
.......................0.00
      X     826,218 0 65,502
(21) SANFORD SMITH........................................................................
VP SR REAL ESTATE & FACILITIES
50.00
.......................0.00
      X     689,126 0 55,193
(22) FLYNN ANDRIZZI........................................................................
FOUNDATION PRESIDENT
2.00
.......................52.00
      X     750,940 0 44,596
(23) JAN BLUE........................................................................
VP SR CHIEF ADMIN OFFICER
50.00
.......................0.00
      X     861,155 0 44,444
(24) ERIC CHEUNG........................................................................
VP SR & CHIEF LEGAL OFFICER
50.00
.......................0.00
      X     519,401 0 66,957
(25) MARTIN FEE........................................................................
VP SR AND CCO
50.00
.......................0.00
      X     641,980 0 47,027
(26) MARGARET T CONK........................................................................
VP SR CHIEF CLINICAL INST OFF.
50.00
.......................0.00
      X     770,145 0 58,587
(27) KRIS IYER........................................................................
VP SR & CHIEF PHYS DEV OFFICER
2.00
.......................52.00
      X     737,341 0 37,275
(28) KATHY AZEEZ NARAIN........................................................................
VP CHIEF DIGITAL OFFICER
50.00
.......................0.00
        X   636,051 0 15,250
(29) MICHAEL BRANT-ZAWADSKI........................................................................
EXEC DIR MED R PHYSICIAN EXEC
50.00
.......................0.00
        X   737,582 0 52,390
(30) ALLYSON BROOKS........................................................................
EXEC DIR MED WOMENS HEALTH
50.00
.......................0.00
        X   617,971 0 59,021
(31) CARMELLA CASSETTA........................................................................
VP CIO IT OPERATIONS
50.00
.......................0.00
        X   504,290 0 53,183
(32) PINKIE NOLAN........................................................................
VP CHIEF VALUE OFFICER
50.00
.......................0.00
        X   490,664 0 28,801
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 13,910,876 0 1,073,482
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 MediumBullet1,788
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
 
No
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
PACIFIC HOSPITALIST ASSOC

361 HOSPITAL RD STE 521
NEWPORT BEACH,CA92663
PHYSICIAN SERVICES 14,368,499
HEALTHCARE DESIGN & CONSTRUCTION LLC

18302 IRVINE BLVD STE 120
TUSTIN,CA92780
CONSTRUCTION SERVICE 9,984,154
NEWPORT CRITICAL CARE PHYS MED

62 ENDLESS VIS
ALISO VIEJO,CA92656
PHYSICIAN SERVICES 5,649,962
DVA RENAL HEALTHCARE INC

PO BOX 781607
PHILADELPHIA,PA191781607
DIALYSIS SERVICES 4,142,807
RENOVO SOLUTIONS

4 EXECUTIVES CIRCLE STE 185
IRVINE,CA92614
MAINTENANCE SERVICES 4,009,244
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet92
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 36,429,247
e Government grants (contributions)1e 7,408,935
f All other contributions, gifts, grants, and similar amounts not included above1f 11,373,121
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 55,211,303
 Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENU 622110 1,329,937,078 1,329,937,078    
b HMO CAPITATED REVENUE 622110 98,832,101 98,832,101    
c MOB RENTAL INCOME 531190 45,280,304 45,280,304    
d CLINICAL TRIAL REVENUE 541715 7,769,566 7,769,566    
e CAFETERIA SALES 621990 3,587,845 3,587,845    
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 1,485,406,894
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 10,607,002   12,286,702 -1,679,700
4 Income from investment of tax-exempt bond proceedsMediumBullet 725,154     725,154
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   108,665,360 7a
b Less: cost or other basis and sales expenses   43,984,204 7b
c Gain or (loss)   64,681,156 7c
d Net gain or (loss).........MediumBullet 64,681,156     64,681,156
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a HOI SERVICES 561110 11,105,360 6,951,742 4,153,618  
b REFUNDS/REBATES 900099 8,675,308 8,675,308    
c OTHER REVENUE 900099 5,322,932 5,322,932    
d All other revenue .... 4,772,487 4,418,855 182,407 171,225
e Total. Add lines 11a–11d ...... MediumBullet 29,876,087
12 Total revenue. See instructions.....MediumBullet 1,646,507,596 1,510,775,731 16,622,727 63,897,835
Form 990 (2021)
Form 990 (2021)
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 .... 9,399,443 9,399,443
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, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 10,830,271 7,147,979 3,682,292  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 191,169   191,169  
7 Other salaries and wages........ 554,876,768 427,424,090 127,452,678  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 25,579,650 7,211,084 18,368,566  
9 Other employee benefits ....... 73,089,536 45,510,050 27,579,486  
10 Payroll taxes ........... 38,779,831 30,055,838 8,723,993  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 4,195,158 145,149 4,050,009  
c Accounting ........... 637,003   637,003  
d Lobbying ........... 27,500   27,500  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 7,910,182   7,910,182  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 159,658,021 114,378,161 45,279,860  
12 Advertising and promotion .... 2,936,529 243,564 2,692,965  
13 Office expenses ....... 20,253,700 10,240,403 10,013,297  
14 Information technology ...... 19,595,615 15,004,564 4,591,051  
15 Royalties ..        
16 Occupancy ........... 65,806,633 49,484,286 16,322,347  
17 Travel ............ 821,656 602,019 219,637  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 536,314 128,734 407,580  
20 Interest ........... 23,064,569 21,865,195 1,199,374  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 101,310,487 31,704,621 69,605,866  
23 Insurance ... 4,045,665 2,727,216 1,318,449  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 227,830,588 227,176,551 654,037  
b PSJH DISAFFILIATION 139,174,690 0 139,174,690  
c OTHER EXPENSES 71,374,674 38,217,662 33,157,012  
d QA FEE 38,759,196 38,759,196    
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 1,600,684,848 1,077,425,805 523,259,043 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 (2021)
Form 990 (2021)
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 ........ 20,081,903 1 92,057,628
2 Savings and temporary cash investments ......... 144,348,713 2 52,883,699
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 207,433,947 4 233,332,933
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 1,366,365 7 699,582
8 Inventories for sale or use ............ 17,855,295 8 16,832,357
9 Prepaid expenses and deferred charges ...... 22,623,138 9 22,861,176
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,201,471,997
b Less: accumulated depreciation 10b 1,043,634,073 1,100,300,586 10c 1,157,837,924
11 Investments—publicly traded securities . 656,998,946 11 547,406,199
12 Investments—other securities. See Part IV, line 11 ..... 1,565,191,000 12 1,923,906,201
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ............... 0 14 3,427,942
15 Other assets. See Part IV, line 11 ........... 204,543,569 15 195,671,658
16 Total assets. Add lines 1 through 15 (must equal line 33)... 3,940,743,462 16 4,246,917,299
Liabilities 17 Accounts payable and accrued expenses ..... 166,502,292 17 307,281,628
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities ......... 0 20 362,904,322
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23 556,915,020
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 780,213,082 25 212,968,431
26 Total liabilities. Add lines 17 through 25.. 946,715,374 26 1,440,069,401
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 2,993,973,537 27 2,806,259,831
28 Net assets with donor restrictions ........... 54,551 28 588,067
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 2,994,028,088 32 2,806,847,898
33 Total liabilities and net assets/fund balances ........ 3,940,743,462 33 4,246,917,299
Form 990 (2021)
Form 990 (2021)
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
1,646,507,596
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,600,684,848
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
45,822,748
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
2,994,028,088
5
Net unrealized gains (losses) on investments ...............
5
-179,920,030
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
-53,082,908
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
2,806,847,898
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 on
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
Yes
 
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
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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 instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number

95-1643327
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
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
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed 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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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 5 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
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
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) 2022

Schedule A (Form 990) 2022
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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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 on 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
First 5 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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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
 
 
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
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
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 box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
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 lines 5b and 5c 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
 
 
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
 
 
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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
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
 
 
b
Did one or more disqualified persons (as defined on 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
 
 
c
Did a disqualified person (as defined on 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
 
 
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
 
 
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) 2022

Schedule A (Form 990) 2022
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 on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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
 
 
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
 
 
3
By reason of the relationship described in line 2 above, 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
 
 
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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", provide details in Part VI.
3a
 
 
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
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
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 0.015 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 0.035 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) 2022

Schedule A (Form 990) 2022
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2022
(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, 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 2022. 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 2023. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2022


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number

95-1643327
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2022)
Schedule B (Form 990) (2022) Page 2
Name of organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number
95-1643327
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 3
Name of organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number

95-1643327
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 4
Name of organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number

95-1643327
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2022)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

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

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number

95-1643327
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2021


Schedule C (Form 990) 2021
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
27,500
j
Total. Add lines 1c through 1i ....................................................................................................
27,500
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: LOBBYING ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES ALLOCATED TO HOAG MEMORIAL HOSPITAL PRESBYTERIAN.
Schedule C (Form 990) 2021


Additional Data


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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 instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number

95-1643327
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
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 FASB 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 FASB 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 FASB 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) 2021

Schedule D (Form 990) 2021
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 .... 184,029,760 164,655,908 143,701,793 130,966,595 136,620,451
b Contributions ... -158,581 3,030,230 5,819,236 6,011,242 894,423
c Net investment earnings, gains, and losses -12,677,007 23,223,391 21,695,599 13,990,511 1,598,221
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
5,704,570 6,879,769 6,560,720 7,266,555 8,146,500
f Administrative expenses ....          
g End of year balance ...... 165,489,602 184,029,760 164,655,908 143,701,793 130,966,595
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet3.426 %
b
Permanent endowment SchDMd Bullet57.804 %
c
Term endowment SchDMd Bullet38.770 %
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)
 
No
(ii) Related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
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 .....   113,166,933 113,166,933
b Buildings ....   1,210,165,448 535,254,416 674,911,032
c Leasehold improvements   240,039,196 154,212,383 85,826,813
d Equipment ....   450,295,469 354,167,274 96,128,195
e Other .....   187,804,951   187,804,951
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,157,837,924
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
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) BOARD DESIGNATED INV
1,626,544,975 F

(B) UNDER INDENTURE AGREEMENT
279,433,523 F

(C) MALPRACTICE RESERVES
17,927,703 F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 1,923,906,201
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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
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  
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 212,968,431
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) 2021

Schedule D (Form 990) 2021
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
PART X, LINE 2: ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ASC TOPIC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AT DECEMBER 31, 2022 AND 2021.
Schedule D (Form 990) 2021


Additional Data


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Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number

95-1643327
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region
(f) Total expenditures
for and investments
in the region
CENTRAL AMERICA/CARIBBEAN     INVESTMENTS, PROGRAM-RELATED   811,675,968
EUROPE     INVESTMENTS, PROGRAM-RELATED   4,562,743
SOUTH AMERICA     INVESTMENTS, PROGRAM-RELATED   992
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 816,239,703
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 816,239,703
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of noncash
assistance
(h) Description
of noncash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
PART III ACCOUNTING METHOD:  
SCHEDULE F, PART I, LINE 3, COLUMN F ACCOUNTING METHOD THE AMOUNTS REPORTED IN PART I, LINE 3, COLUMN F REPRESENT THE MARKET VALUES OF THE INVESTMENTS IN THE IDENTIFIED REGIONS AS OF THE ORGANIZATION'S FISCAL YEAR ENDED DECEMBER 31, 2022.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2022
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number

95-1643327
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    10,663,690 0 10,663,690 0.670 %
b Medicaid (from Worksheet 3, column a) . . . . .     147,713,023 80,516,899 67,196,124 4.200 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     8,378 0 8,378 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     158,385,091 80,516,899 77,868,192 4.870 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     3,653,639 0 3,653,639 0.230 %
f Health professions education (from Worksheet 5) . . .     183,517 0 183,517 0.010 %
g Subsidized health services (from Worksheet 6) . . . .     262,510 0 262,510 0.020 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     10,244,932 0 10,244,932 0.640 %
j Total. Other Benefits . .     14,344,598   14,344,598 0.900 %
k Total. Add lines 7d and 7j .     172,729,689 80,516,899 92,212,790 5.770 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
10,729,483
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
239,592,986
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
354,844,230
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-115,251,244
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
 
No
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

 

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 HOAG ORTHOPEDIC INST
 
SPECIALTY HOSPITAL 51.000 %   44.000 %
22 MAIN STREET SPECIALT
 
OUTPATIENT SURGERY CENTER 26.110 %   14.660 %
33 HOAG OUTPATIENT CENT
 
ENDOSCOPY CENTER 39.530 %   49.000 %
44 NEWPORT BEACH RADIOS
 
SURGERY CENTER 50.000 %   50.000 %
55 NEWPORT SURGICAL PAR
 
SURGERY CENTER 39.530 %   49.000 %
66 NEWPORT BEACH ENDOSC
 
ENDOSCOPY CENTER 39.530 %   49.000 %
77 COASTAL ASC JOINT VE
 
JV MGMT CO 77.500 %   5.000 %
88 IRVINE SURGICAL PART
 
SURGERY CENTER 39.530 %   26.800 %
99 IRVINE ENDOSCOPY PAR
 
ENDOSCOPY CENTER 39.530 %   49.000 %
1010 SOUTHERN CALIFORNIA
 
HOLDING COMPANY 17.370 %   43.230 %
1111 NEWPORT BAY SURGERY
 
SURGERY CENTER 39.530 %   49.000 %
1212 DIAGNOSTIC AND INTER
 
SURGERY CENTER 15.610 %   49.000 %
1313 COASTAL ENDOSCOPY PARTNERS LLC
 
ENDOSCOPY CENTER 39.530 %   49.000 %
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN
ONE HOAG DRIVE BOX 6100
NEWPORT BEACH,CA92618
WWW.HOAG.ORG
C0194920
X X     X   X      
2 HOAG ORTHOPEDIC INSTITUTE
16520 SAND CANYON AVENUE
IRVINE,CA92618
WWW.HOAGORTHOPEDICINSTITUTE.COM
200835010044
X               ORTHOPEDIC HOSPITAL  
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM COMMUNITY REPRESENTATIVES TARGETED INTERVIEWS, SURVEY TOOLS, AND FOCUS GROUPS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY HOAG MEMORIAL HOSPITAL PRESBYTERIAN. HOAG UTILIZED A MIXED-METHODS APPROACH TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING DATA SOURCES INFORMED THIS REPORT: - KEY STAKEHOLDER INTERVIEWS: SEMI-STRUCTURED INTERVIEWS WERE CONDUCTED WITH 18 INDIVIDUALS. INTERVIEWEES WERE SELECTED IN COLLABORATION WITH HOAG HOSPITAL COMMUNITY BENEFIT STAFF. INTERVIEWS WERE CONDUCTED TO OBTAIN INFORMATION ABOUT THE HEALTH NEEDS OF ORANGE COUNTY RESIDENTS FROM A SYSTEMS-LEVEL PERSPECTIVE. PARTICIPATING INTERVIEWEES REPRESENTED THE FOLLOWING: HEALTH EDUCATORS/SERVICE PROVIDERS, MEDICAL RESEARCH, EXECUTIVE DIRECTORS/CEO'S OF COMMUNITY ORGANIZATIONS, LOCAL FUNDING AGENCIES, HEALTH SERVICES COORDINATORS, COUNTY HEALTH OFFICER, COUNTY PUBLIC HEALTH NURSE, MENTAL HEALTH SPECIALISTS, AND CITY OFFICIALS. - PROVIDER SURVEY. THE PROVIDER SURVEY WAS DEVELOPED AND ADMINISTERED ONLINE TO INDIVIDUALS AT ORGANIZATIONS/DEPARTMENTS THAT PROVIDE HEALTH SERVICES TO COMMUNITY MEMBERS. THE SURVEY WAS DISTRIBUTED TO A WIDE RANGE OF COUNTY, PRIVATE, AND NON-PROFIT AGENCIES WHO SERVE RESIDENTS OF ORANGE COUNTY. THE SURVEY WAS AVAILABLE IN 6 LANGUAGES. DURING THE TWO-MONTH SURVEY ADMINISTRATION TIMEFRAME, A TOTAL OF 210 RESPONSES WERE COLLECTED AND USED FOR ANALYSIS. THE PURPOSE OF THE SURVEY WAS TO OBTAIN PROVIDERS' PERSPECTIVES AND EXPERIENCES REGARDING PRIORITY HEALTH NEEDS, AND THE AVAILABILITY AND PROVISION OF HEALTH SERVICES THROUGHOUT ORANGE COUNTY. - COMMUNITY MEMBER SURVEY. THE COMMUNITY SURVEY WAS DEVELOPED BY ADVANCEOC AND DISTRIBUTED ONLINE. THE SURVEY WAS TRANSLATED INTO 10 LANGUAGES AND ADMINISTERD TO COMMUNITY MEMBERS THROUGH DIRECT OUTREACH AT COMMUNITY EVENTS, CANVASSING, EMAIL, AND SOCIAL MEDIA. THE SURVEY WAS DISTRIBUTED THROUGH A WIDE RANGE OF COUNTY, PRIVATE, AND NON-PROFIT AGENCIES WHO SERVE RESIDENTS OF ORANGE COUNTY. A TOTAL OF 806 RESPONSES WERE COLLECTED. - FOCUS GROUPS. THE STUDY TEAM CONDUCTED NINE FOCUS GROUPS IN ORANGE COUNTY IN AUGUST 2022 WITH 98 PARTICIPANTS. EACH SESSION LASTED APPROXIMATELY 1 HOUR AND WAS RECORDED AND TRANSCRIBED USING IN-LANGUAGE NOTE TAKING. THREE FOCUS GROUPS WERE CONDUCTED IN SPANISH, 1 IN CHINESE (MANDARIN) AND 1 IN FARSI (PERSIAN).
SCHEDULE H, PART V, SECTION B, LINE 6A HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND HOAG ORTHOPEDIC INSTITUTE CONDUCTED A COMBINED CHNA.
SCHEDULE H, PART V, SECTION B, LINE 7A FACILITY 1HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/FACILITY 2HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/
SCHEDULE H, PART V, SECTION B, LINE 10A FACILITY 1HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/FACILITY 2HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/
SCHEDULE H, PART V, SECTION B, LINE 11 THE 2022 CHNA IDENTIFIED THE FOLLOWING AS HOAG'S PRIORITIZED SIGNIFICANT NEEDS TO BE ADDRESSED: MENTAL HEALTH AND BEHAVIORAL HEALTH, ACCESS TO CARE, AND CANCER/CHRONIC DISEASE. FOR EACH HEALTH NEED THE HOSPITALS PLAN TO ADDRESS, THE STRATEGIES BELOW OUTLINE THE ACTIONS THE HOSPITALS INTEND TO TAKE, INCLUDING PROGRAMS AND RESOURCES IT PLANS TO COMMIT AND PLANNED COLLABORATION WITH OTHER ORGANIZATIONS. MENTAL HEALTH AND BEHAVIORAL HEALTH STRATEGIES: 1) PROVIDE MENTAL HEALTH CARE SERVICES THROUGH HOAG'S MENTAL HEALTH CENTER PRIMARILY FOCUSED ON THE LOW-INCOME POPULATION 2) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFIT ORGANIZATIONS THAT FOCUS ON MENTAL HEALTH THAT GOES BEYOND OUR SCOPE OF CARE. THIS INCLUDES PARTNERSHIPS WITH LOCAL FQHCS AND BE WELL OC. 3) PROVIDE WORKFORCE DEVELOPMENT OPPORTUNITIES (INTERNSHIPS, INTERNAL AND EXTERNAL PROFESSIONAL DEVELOPMENT) FOR THE MENTAL HEALTH PROFESSION. 4) USE EXISTING PATHWAYS TO EXPAND OUR CONTINUUM OF CARE FOR MENTAL HEALTH. ACCESS TO CARE STRATEGIES: 1) PROVIDE FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. 2) OFFER INFORMATION AND ENROLLMENT ASSISTANCE FOR NO COST AND LOW-COST INSURANCE PROGRAMS. 3) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY CLINICS. 4) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFIT ORGANIZATIONS THAT REDUCE BARRIERS TO ACCESSING CARE. 5) PROVIDE PARTNERS WITH SPACE AND RESOURCES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING. 6) PROVIDE TRANSPORTATION SUPPORT FOR SENIORS TO INCREASE ACCESS TO HEALTH CARE SERVICES. CANCER AND CHRONIC DISEASE STRATEGIES: 1) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY CLINICS. 2) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFIT ORGANIZATIONS THAT FOCUS ON CANCER/CHRONIC DISEASE PREVENTION AND MANAGEMENT. 3) PROVIDE PARTNERS WITH SPACE AND RESOURCES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING. 4) OFFER CHRONIC DISEASE PREVENTION, MANAGEMENT, EDUCATION, CARE NAVIGATION, SCREENINGS AND SUPPORT GROUPS. 5) CONTINUE TO PROVIDE WELLNESS AND PREVENTION PROGRAMS TO VULNERABLE COMMUNITIES. TO ACCOMPLISH SOME OF THESE STRATEGIES HOAG WILL ALSO COLLABORATE WITH COMMUNITY PARTNERS, SHARING RESOURCES AND ENHANCING THE CAPACITY OF PARTNER ORGANIZATIONS TO SUPPORT THE ACHIEVEMENTS OF OUR GOALS. POTENTIAL COLLABORATIVE PARTNERS INCLUDE, BUT ARE NOT LIMITED TO: - FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) - OC PUBLICLY FUNDED HEALTH INSURANCE PLAN - CAL OPTIMA - BE WELL OC - ORANGE COUNTY HEALTH CARE AGENCY - COMMUNITY HEALTH CENTERS AND COMMUNITY CLINICS - COMMUNITY-BASED ORGANIZATIONS - FAITH BASED ORGANIZATIONS - FAMILY RESOURCE CENTERS - LOCAL MUNICIPALITIES - MENTAL HEALTH ASSOCIATIONS - SCHOOL DISTRICTS AND SCHOOLS - LOCAL FOOD BANKS - SENIOR CENTERS AND ADULT DAY CENTERS - ADVOCACY GROUPS KNOWING THAT THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE IDENTIFIED COMMUNITY HEALTH NEEDS, HOAG CHOSE TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN BE ADDRESSED EFFECTIVELY GIVEN THE FACILITIES' AREAS OF FOCUS AND EXPERTISE. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA WILL NOT BE PRIORITIZED, HOWEVER AN EXPLANATION IS PROVIDED BELOW ON VARIOUS EFFORTS THAT ADDRESS THESE NEEDS: - COMMUNITY AND FAMILY SAFETY- OTHER ORGANIZATIONS IN THE COMMUNITY HAVE THE EXPERTISE AND COMPETENCY TO EFFECTIVELY ADDRESS THESE NEEDS. HOAG PARTNERS WITH HUMAN OPTIONS IN PROVIDING SUPPORT GROUPS AND WORKSHOPS AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING FOCUSED ON DOMESTIC VIOLENCE PREVENTION AND PARENTING CLASSES. - COVID-19/CONTAGIOUS AND INFECTIOUS DISEASES-WHILE HOAG IS NOT PRIORITIZING COVID-19 IN THE IMPLEMENTATION PLAN AT THIS POINT IN THE PANDEMIC, HOAG WILL CONTINUE TO DELIVER VACCINES, TESTING, AND MEDICAL CARE TO ADDRESS COVID-19 IN THE COMMUNITY. HOAG WILL ALSO CONNECT WITH LOCAL CLINICS AND THE ORANGE COUNTY HEALTH CARE AGENCY TO REFER OUT SERVICES TO ADDRESS THESE UNMET NEEDS. - ECONOMIC INSECURITY- HOAG PARTNERS WITH THE SECOND HARVEST FOOD BANK TO PROVIDE FRESH PRODUCE AND GROCERIES TWICE A MONTH TO THOSE IN NEED. HOAG WILL PARTNER WITH CAL OPTIMA HEALTH PLAN TO LAUNCH THE MEDICALLY TAILORED MEAL PROGRAM FOR ELIGIBLE PATIENTS UPON HOSPITAL DISCHARGE. IN ADDITION, HOAG HOSTS A DIAPER DISTRIBUTION IN PARTNERSHIP WITH COMMUNITY ACTION PARTNERSHIP OC TO PROVIDE DIAPERS TO THOSE FAMILIES IN NEED. HOAG ALSO PARTNERS WITH CIELO, A NONPROFIT ORGANIZATION THAT PROVIDES EDUCATIONAL WORKSHOPS RELATED TO WORKFORCE DEVELOPMENT, BUSINESS AND ENTREPRENEURIAL SKILLS, AND FINANCIAL AND COMPUTER LITERACY. PROJECT SELF SUFFICIENCY IS ANOTHER COLLABORATIVE PARTNER THAT PROVIDES SUPPORT AND RESOURCES FOR SINGLE PARENTS ENROLLED IN COLLEGE. HOAG IS ALSO STARTING A NEW PARTNERSHIP WITH UNITED WAY'S SPARK POINT PROGRAM TO ADVANCE ECONOMIC SECURITY FOR LOW-INCOME AND UNDER RESOURCED FAMILIES. - ENVIRONMENT/CLIMATE CHANGE- OTHER ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THIS NEED. - HOUSING AND HOMELESSNESS- HOAG PARTNERS WITH SHARE OUR SELVES AND FAMILIES FORWARD TO PROVIDE RENTAL AND MOTEL ASSISTANCE TO THOSE ELIGIBLE APPLICANTS. HOAG ALSO PARTNERS WITH SERVING PEOPLE IN NEED (SPIN) TO PROVIDE GUIDED ASSISTANCE TO PERMANENT HOUSING PLACEMENT.
SCHEDULE H, PART V, SECTION B, LINE 13H HOAG PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE FAMILY INCOME LEVELS OF UP TO 400% THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES. HOAG GIVES CONSIDERATION TO ELIGIBLE PATIENTS WITH INSURANCE IF THEY INCUR HIGH MEDICAL COSTS AS DEFINED BY CALIFORNIA LAW, AND ALSO HAVE FAMILY INCOMES UP TO 400% OF THE FPL. HMHP AND HOI'S POLICY ALSO PROVIDES FOR DISCRETIONARY DETERMINATION OF CHARITY CARE TAKING INTO CONSIDERATION INDIVIDUAL FACTS AND CIRCUMSTANCES.
SCHEDULE H, PART V, SECTION B, LINE 15E PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE PROGRAM (FAP) APPLICATION. APPLICATIONS CAN BE FOUND ON THE HOAG.ORG WEBSITE, VIA FINANCIAL COUNSELORS, BY MAIL, AND BY CONTACTING HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER AT (949) 764-8400 FOR HOAG AND (949) 764-8404 FOR HOI.
SCHEDULE H, PART V, SECTION B, LINE 16A FACILITY 1HTTPS://WWW.HOAG.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-CHARITY-CARE/FACILITY 2HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, SECTION B, LINE 16B FACILITY 1HTTPS://WWW.HOAG.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-CHARITY-CARE/FACILITY 2HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, SECTION B, LINE 16C FACILITY 1HTTPS://WWW.HOAG.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE-CHARITY-CARE/FACILITY 2HTTPS://WWW.HOAGORTHOPEDICINSTITUTE.COM/FOR-PATIENTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?13
Name and address Type of Facility (describe)
1 1 - MAIN ST SPECIALTY SURGERY CENTER
280 MAIN STREET 100
ORANGE,CA92660
OUTPATIENT SURGERY CENTER
2 2 - ORTHOPEDIC SURGERY CENTER OF OC
22 CORPORATE PLAZA DR STE 150
NEWPORT BEACH,CA92660
OUTPATIENT ORTHOPEDIC SURGERY CENTER
3 3 - DIAGNOSTIC & INTERVENTIONAL SURGICAL CTR
13160 MINDANAO WAY STE 150
MARINA DEL REY,CA90292
OUTPATIENT SURGERY CENTER
4 4 - CALIFORNIA SPECIALTY SURGERY CENTER
26371 CROWN VALLEY PARKWAY
MISSION VIEJO,CA92691
OUTPATIENT SURGERY CENTER
5 5 - NEWPORT BEACH RADIOSURGERY
1605 AVOCADO AVENUE
NEWPORT BEACH,CA92660
OUTPATIENT SURGERY CENTER
6 6 - NEWPORT IMAGING CENTER
360 SAN MIGUEL
NEWPORT BEACH,CA92660
IMAGING CENTER
7 7 - HOAG ORTHOPEDIC INS SURGERY CTR BH
9090 WILSHIRE BLVD SUITE 102
BEVERLY HILLS,CA90211
OUTPATIENT ORTHOPEDIC SURGERY CENTER
8 8 - HOAG OUTPATIENT CENTERS LLC
500 SUPERIOR AVE SUITE 120
NEWPORT BEACH,CA92663
OUTPATIENT SURGERY CENTER
9 9 - NEWPORT BEACH ENDOSCOPY CENTER LLC
1525 SUPERIOR AVE SUITE 114
NEWPORT BEACH,CA92663
OUTPATIENT SURGERY CENTER
10 10 - IRVINE ENDOSCOPY PARTNERS LLC
16405 SAND CANYON AVE SUITE 110
IRVINE,CA92618
OUTPATIENT SURGERY CENTER
11 11 - IRVINE SURGICAL PARTNERS LLC
16405 SAND CANYON AVE SUITE 100
IRVINE,CA92618
OUTPATIENT SURGERY CENTER
12 12 - NEWPORT SURGICAL PARTNERS LLC
1901 NEWPORT BOULEVARD SUITE 120
COASTA MESA,CA92627
OUTPATIENT SURGERY CENTER
13 13 - NEWPORT BAY SURGERY CENTER LLC
3333 W PACIFIC COAST HWY SUITE 100
NEWPORT BEACH,CA92663
OUTPATIENT SURGERY CENTER
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 7: COST ACCOUNTING SYSTEM WAS USED TO DERIVE THE COST-TO-CHARGE RATIO. OURTOTAL COSTS (DIRECT AND INDIRECT) AND TOTAL CHARGES WERE $354,844,230 AND$239,592,986, RESPECTIVELY. THIS RESULTED IN A COST-TO-CHARGE RATIO OFAPPROXIMATELY 148.1% WHICH WAS USED TO CALCULATE CHARITY CARE AT COST(GROSS PATIENT CHARGES WRITTEN OFF ON THE P&L TIMES COST-TO-CHARGERATIO). THE COST ACCOUNTING SYSTEM ADDRESSES INPATIENT, OUTPATIENT ANDVARIOUS PAYOR TYPES. FOR THE SECTIONS OF LINE 7 AS APPLICABLE, WORKSHEET2 WAS NOT USED WHILE THE COST TO CHARGE RATIO WAS USED.
PART III, LINE 4: HMHP ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTINGSTANDARDS UPDATE 2014-09 TOPIC 606 (ASU 606) EFFECTIVE JANUARY 1, 2018.ASU 606 AND THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA)DIFFERENTIATE BAD DEBT FROM IMPLICIT PRICE CONCESSIONS. ACCORDINGLY, HMHPNO LONGER SEPARATELY PRESENTS A PROVISION FOR BAD DEBTS ON THE STATEMENTOF OPERATIONS OR THE RELATED ALLOWANCE FOR BAD DEBTS ON THE BALANCESHEET.
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT HMHP CONDUCTED A NEW 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOPED A RELATED IMPLEMENTATION STRATEGY WHICH WERE ADOPTED MAY 2023. PRIORITIZED NEEDS FROM THIS CHNA WILL BE USED TO PLAN AND EVALUATE PROGRAMMING FOR 3 YEARS, 2023-2025. A DESCRIPTION OF HOW THEY ARE BEING ADDRESSED WILL BE PROVIDED WITH THE SCHEDULE H EACH TAX YEARS. HMHP'S 2022 CHNA AND 2023-2025 IMPLEMENTATION STRATEGIES MAY BE VIEWED ONLINE AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS IN ADDITION TO THE COMMUNITY WIDE NEEDS ASSESSMENT CONDUCTED EVERY THREE YEARS, HOAG CONTINUALLY ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IN VARIOUS WAYS. MANY OF THE COMMUNITY BENEFIT STAFF SERVE ON THE BOARD OF DIRECTORS AND COMMITTEES OF NONPROFIT ORGANIZATIONS, WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AS WELL AND PROVIDE SUPPORT AND STRATEGIC DIRECTION. CLIENTS THAT ACCESS SERVICES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING ALSO COMPLETE A SCREENING TOOL WHICH ALLOWS US TO ASSESS FUTURE PROGRAMMING NEEDS FOR THE COMMUNITY. THE DIRECTOR OF THE DEPARTMENT IS AN ACTIVE MEMBER OF THE ORANGE COUNTY MENTAL HEALTH BOARD AND THE BE WELL ORANGE COUNTY PARTNERSHIP WHICH ALLOWS FOR CONTINUOUS ASSESSMENT OF MENTAL HEALTH NEEDS, GAPS AND OPPORTUNITIES FOR THE COUNTY. THE DIRECTOR OF COMMUNITY BENEFIT ALSO COFOUNDED THE COMMUNITY SUICIDE PREVENTION INITIATIVE WITH THE GOAL OF INCREASING AWARENESS AND ACCESSIBILITY TO AVAILABLE RESOURCES, HOSTING COMMUNITY EDUCATIONAL EVENTS, AND REDUCING SUICIDE IN ORANGE COUNTY. COMMUNITY BENEFIT STAFF ALSO HOLD A SEAT WITH THE ORANGE COUNTY HEALTH CARE AGENCY'S HEALTH IMPROVEMENT PARTNERSHIP AND ORANGE COUNTY GRANTMAKERS WHICH BRINGS TOGETHER VARIOUS HEALTH RELATED ORGANIZATIONS AND PHILANTHROPIC FUNDERS TO DISCUSS COMMUNITY NEEDS, PROGRAMMING, AND COLLABORATIVE OPPORTUNITIES. HOAG'S CENTER FOR HEALTHY LIVING ALSO HOSTS A MONTHLY PROFESSIONAL NETWORK RESOURCE EXCHANGE MEETING WHICH BRINGS TOGETHER COMMUNITY LEADERS FROM THE NONPROFIT SECTOR, LOCAL SCHOOL DISTRICTS, AND HEALTH RELATED SERVICES TO DISCUSS RECENT HEALTH TRENDS AND OPPORTUNITIES TO MEET THOSE NEEDS. COMMUNITY BENEFIT STAFF ALSO INTERFACES WITH VARIOUS CITY OFFICIALS IN ORANGE COUNTY WHICH ALLOWS HOAG TO BE ENGAGED AND COLLABORATE ON ISSUES THAT ARISE. OUR ROBUST COMMUNITY BENEFIT GRANTS PROGRAM ALSO PROVIDES US WITH A LENS INTO COMMUNITY NEED AS WE INTERFACE WITH OVER 80 NONPROFIT ORGANIZATIONS WHO APPLY FOR PROGRAM FUNDING. THE APPLICATION PROCESS FOR FUNDING PROVIDES US WITH A LEARNING OPPORTUNITY ABOUT THE ORGANIZATIONS MISSION AS WELL AS GAPS AND NEEDS THEIR COMMUNITY IS FACED WITH.
SCHEDULE H, PART VI, LINE 3 HOAG PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE FAMILY INCOME LEVELS OF UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES. HOAG GIVES CONSIDERATION TO ELIGIBLE PATIENTS WITH INSURANCE IF THEY INCUR HIGH MEDICAL COSTS AS DEFINED BY CALIFORNIA LAW, AND ALSO HAVE FAMILY INCOMES UP TO 400% OF THE FPL. HOAG INFORMS AND EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE IN THE FOLLOWING WAYS: - FINANCIAL ASSISTANCE NOTICES PRINTED IN ENGLISH AND SPANISH ARE ALSO PLACED IN THE PUBLIC ADMISSION AREAS AT HOAG HOSPITALS. - STATEMENTS MAILED TO THE PATIENT INCLUDE A CLEAR AND CONSPICUOUS NOTICE ADVISING THE PATIENT OF HOAG FINANCIAL ASSISTANCE PROGRAM AND THE APPROPRIATE CONTACT INFORMATION. - PATIENT CAN ALSO VISIT PATIENT FINANCIAL SERVICES TO MEET WITH A FINANCIAL COUNCILOR OR BY CONTACTING HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER TO ANSWER ANY QUESTIONS REGARDING FINANCIAL ASSISTANCE OPTIONS. - HMHP DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION HOAG'S COMMUNITY, AS DEFINED FOR THE PURPOSE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES 88 ZIP CODES AND ALL 582 CENSUS TRACTS IN ROANGE COUNTY. HOAG'S PATIENT POPULATION COMES FROM ALL 34 CITIES AND UNINCORPORATED COMMUNITIES IN ORANGE COUNTY. AMONG THE TOP 5 CITIES SERVED BY HOAG (IRVINE, HUNTINGTON BEACH, COSTA MESA, NEWPORT BEACH AND SANTA ANA), THE AVERAGE AGE OF PATIENTS RANGES FROM 29 YEARS TO 48 YEARS OLD WITH YOUNGER PATIENTS ON AVERAGE RESIDING IN THE CITIES OF COSTA MESA AND SANTA ANA. AMONG HOAG'S OBSTETRICIAN VISITS, THE AVERAGE AGE OF COSTA MESA AND SANTA ANA PATIENTS IS 29 YEARS. FOR EMERGENCY DEPARTMENT VISITS, THE YOUNGEST PATIENTS RESIDE IN COSTA MESA AND IRVINE AND THE OLDEST PATIENTS RESIDE IN NEWPORT BEACH. THE NUMBER OF MEDICAID PATIENTS RANGE FROM 8% IN THE CITIES OF HUNTINGTON BEACH AND IRVINE TO AS MUCH AS 25% AND 21% IN THE CITIES OF COSTA MESA AND SANTA ANA, RESPECTIVELY. MEDICAID PATIENTS SKEW FEMALE, AND THEY TEND TO REPRESENT A HIGHER PERCENTAGE OF PATIENTS VISITING THE EMERGENCY DEPARTMENT. ORANGE COUNTY IS HOME TO 3.19 MILLION PEOPLE PER THE LATEST 2020 DECENNIAL CENSUS WITH A MEDIAN AGE OF 38.3 YEARS. THE 2020 CENSUS SHOWS 45% OF ORANGE COUNTY'S POPULATION IS WHITE, WHILE 55% REPRESENT ANOTHER RACIAL GROUP OR MULTI-RACIAL GROUPS. THE COUNTY'S LARGEST NON-WHITE ETHNIC AND RACIAL GROUPS ARE HISPANIC/LATINO AND ASIAN NATIVE HAWAIIAN AND PACIFIC ISLANDER. APPROXIMATELY 34% OF ORANGE COUNTY RESIDENTS CONSIDER THEMSELVES OF HISPANIC ETHNICITY, WHILE 22% ARE ASIAN NATIVE HAWAIIAN AND PACIFIC ISLANDER. ALTOGETHER, AROUND 30% OF RESIDENTS IN ORANGE COUNTY ARE FOREIGN-BORN, AND ABOUT 45% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THE ORANGE COUNTY COMMUNITY EARNS ONE OF THE HIGHEST ANNUAL MEDIAN INCOMES IN THE U.S., BUT ALSO BEARS SOME OF THE HIGHEST COSTS OF LIVING. 2020 MEDIAN HOUSEHOLD INCOME IN ORANGE COUNTY IS $94,441; HOWEVER, ORANGE COUNTY IS ALSO RANKED AS ONE OF THE 10 MOST EXPENSIVE COUNTIES IN CALIFORNIA IN 2021 ACCORDING TO THE INSIGHT CENTER. THE CALIFORNIA FAMILY NEEDS CALCULATOR PUBLISHED BY THE INSIGHT CENTER REPORTS THAT A FAMILY OF 4 WITH 2 SCHOOL AGED CHILDREN NEEDS TO EARN AN HOURLY WAGE OF $23.99 PER ADULT IN THE HOUSEHOLD OR $101,336 AS A HOUSEHOLD TO PAY FOR BASIC LIVING EXPENSES IN ORANGE COUNTY. ORANGE COUNTY'S MEDIAN HOUSEHOLD INCOME IS $94,441, WHICH IS APPROXIMATELY $7,000 SHORT OF WHAT IS NEEDED TO MAKE ENDS MEET. THIS INCOME DISPARITY WILL CONTINUE TO PUT PRESSURE ON SOCIAL SERVICES IN ORANGE COUNTY TO FILL THE GAP AND WILL EXACERBATE HOUSING AND FINANCIAL INSECURITIES THAT LEAD TO POOR HEALTH AND HOMELESSNESS. FOR MORE DETAILS ON THIS INFORMATION, PLEASE REFER TO THE 2022 CHNA AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/ OTHER HOSPITALS IN THE AREA INCLUDE, BUT ARE NOT LIMITED TO: - AHMC ANAHEIM REGIONAL MEDICAL CENTER - ANAHEIM - ANAHEIM GENERAL HOSPITAL (ANAHEIM, BUENA PARK) - CHAPMAN MEDICAL CENTER - ORANGE- CHILDREN'S HOSPITAL AT MISSION - MISSION VIEJO - CHILDREN'S HOSPITAL OF ORANGE COUNTY - ORANGE - FOUNTAIN VALLEY RGNL HOSP AND MED CTR - FOUNTAIN VALLEY - GARDEN GROVE HOSPITAL AND MEDICAL CENTER - GARDEN GROVE - HUNTINGTON BEACH HOSPITAL - HUNTINGTON BEACH - KAISER PERMANENTE (IRVINE, ANAHEIM) - KINDRED HOSPITAL (SANTA ANA, WESTMINSTER) - LA PALMA INTERCOMMUNITY HOSPITAL - LA PALMA - MISSION HOSPITAL LAGUNA BEACH - LAGUNA BEACH - MISSION HOSPITAL REGIONAL MEDICAL CENTER - MISSION VIEJO - ORANGE COAST MEMORIAL MEDICAL CENTER - FOUNTAIN VALLEY - SADDLEBACK MEMORIAL MEDICAL CENTER (LAGUNA HILLS/SAN CLEMENTE) - ST. JOSEPH HOSPITAL - ORANGE - ST. JUDE MEDICAL CENTER - FULLERTON - UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER - ORANGE - WESTERN MEDICAL CENTER - SANTA ANA
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH HOAG MEMORIAL HOSPITAL PRESBYTERIAN PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. HOAG MEMORIAL HOSPITAL PRESBYTERIAN IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: - COMMUNITY BENEFIT STAFF CONTINUOUSLY ASSESS THE HEALTH NEEDS OF THE COMMUNITY BY SERVING ON BOARD OF DIRECTORS AND COMMITTEES OF NONPROFIT ORGANIZATIONS WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AND PROVIDE SUPPORT AND STRATEGIC DIRECTION. - HOAG HOSPITAL AND SHARE OUR SELVES CORPORATION (SOS) HAVE NURTURED A UNIQUE PARTNERSHIP SINCE 1984. THIS LONG-STANDING RELATIONSHIP BETWEEN SOS AND HOAG HAS ENSURED PRIMARY CARE SERVICES FOR THE MOST VULNERABLE WITH STRATEGIC GOALS THAT WORK TO IMPROVE THE OVERALL WELL-BEING OF OUR SHARED COMMUNITY. THIS COLLABORATIVE PARTNERSHIP HAS ENABLED AN INCREASED ACCESS TO PRIMARY CARE ALLOWING FOR TIMELY, EFFICIENT, AND QUALITY HEALTH CARE FOR THOSE IN NEED AS WELL AS REDUCED UTILIZATION OF EMERGENCY DEPARTMENT DUE TO ACCESS FOR MEDICAL CARE AT SOS. - HOAG HOSPITAL ALSO MAINTAINS A UNIQUE RELATIONSHIP WITH THE ALZHEIMER'S FAMILY CENTER (AFC) WHICH IS COMMITTED TO THE MISSION OF IMPROVING THE QUALITY OF LIFE FOR FAMILIES CHALLENGED BY ALZHEIMER'S DISEASE OR ANOTHER DEMENTIA THROUGH SERVICES TAILORED TO MEET INDIVIDUAL NEEDS. HOAG HOSPITAL OWNS THE AFC FACILITY AND PROVIDES IT AT NO CHARGE, INCLUDING MAINTENANCE SERVICES AS SPECIFIED IN THE LEASE, TO THE AGENCY. ADDITIONALLY, THE HOSPITAL PROVIDES ANNUAL OPERATING AND TRANSPORTATION GRANTS. - HOAG HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY THROUGH A CREDENTIALING PROCESS. MEMBERSHIP AND PRIVILEGES ARE GRANTED TO QUALIFIED MD'S, DO'S, AND OTHER ALLIED HEALTH PROFESSIONALS BY THE MEDICAL STAFF AND HOAG HOSPITAL BOARD OF DIRECTORS. - AS A NOT-FOR-PROFIT INSTITUTION, GOVERNANCE IS PROVIDED BY A VOLUNTEER BOARD OF DIRECTORS COMPRISED OF 18 VOTING MEMBERS. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS. - THE BOARD OF DIRECTORS ALLOCATE A SIGNIFICANT PORTION OF THE NET OPERATING INCOME TO PROMOTING THE HEALTH OF THE COMMUNITY, SPECIFICALLY SERVING THE NEEDS OF THE UNINSURED AND LOW INCOME COMMUNITIES THROUGH CHARITY CARE AND A VARIETY OF FREE OR LOW COST SERVICES AND PROGRAMS PROVIDED BY THE DEPARTMENT OF COMMUNITY HEALTH. - IN AN EFFORT TO INCREASE THE COMMUNITY POOL OF AVAILABLE TRAINED AND EDUCATED HEALTH PROFESSIONALS, HOAG INVESTS ANNUALLY IN HEALTH PROFESSIONAL TRAINING AND DEVELOPMENT. THE HOSPITAL CURRENTLY WORKS WITH A NUMBER OF PROFESSIONAL GROUPS IN THIS ENDEAVOR, INCLUDING NURSES, PHYSICAL THERAPISTS, PHARMACISTS, LABORATORY PROFESSIONALS, SOCIAL WORKERS, AND CLINICAL CARE EXTENDERS. - HOAG PROVIDES UNCOMPENSATED CARE (CHARITY) TO PATIENTS WHO ARE UNABLE TO PAY FOR THE FULL COST OF THEIR CARE. HOAG'S CHARITY CARE AND SELF-PAY DISCOUNT POLICY STATES THAT SELF-PAY AND UNINSURED PATIENTS WHO ARE UNABLE TO PAY FOR THE FULL COST OF THEIR CARE MAY QUALIFY FOR CHARITY OR DISCOUNTS ON A SLIDING SCALE FOR INCOMES UP TO 400% OF THE FEDERAL POVERTY LEVEL. TOTAL QUANTIFIABLE COMMUNITY BENEFIT EXPENDITURES (EXCLUDING MEDICARE COST OF UNREIMBURSED CARE) FOR CY2022 AMOUNTED TO OVER $78 MILLION. THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING (MHSCHL) IS A ROBUST ONE-STOP SHOP OF INTERCONNECTED AND SUPPORTIVE SERVICES THAT PROMOTE HEALTH AND WELL-BEING. THE CENTER HOUSES A WIDE VARIETY OF NON-PROFIT PARTNER AGENCIES AND THE PROGRAMS THAT ADDRESS KEY ISSUES AFFECTING THE HEALTH OF OUR COMMUNITY. A KEY COMPONENT WHICH MAKES THE COLLABORATIVE UNIQUE AND IS ESSENTIALLY THE GLUE BETWEEN THE COMMUNITY AND THE CENTER, IS OUR CENTRALIZED REGISTRATION AND CASE MANAGEMENT TEAM. THIS TEAM ASSURES THAT ALL CLIENT'S COMING INTO THE CENTER FILL OUT A SCREENER WHICH SEEKS TO IDENTIFY SOCIO-ECONOMIC STRESSORS, POTENTIAL HEALTH RISKS, MENTAL AND EMOTIONAL HEALTH ISSUES, LEGAL ISSUES, ACCESS TO HEALTH CARE, AND OTHER LIFE STRESSORS THAT CAN AFFECT ONE'S QUALITY OF LIFE. OUR CASE-MANAGEMENT TEAM PLAYS A CRITICAL ROLE IN LINKING CLIENTS TO THE APPROPRIATE SERVICES, WHILE ALSO MONITORING CLIENT'S PROGRESSION THROUGH THE REFERRAL PROCESS.
SCHEDULE H, PART VI, LINE 6 IN 2013, HOAG MEMORIAL HOSPITAL PRESBYTERIAN BECAME AFFILIATED WITH ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY.ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE 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, 1,085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND PROVIDENCE HEALTH & SERVICES DISSAFILIATED AS OF JANUARY 3, 2022.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORTCALIFORNIA
Schedule H (Form 990) 2022
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number
95-1643327
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) ACCESS CALIFORNIA SERVICES
631 SOUTH BROOKHURST STREET
ANAHEIM,CA92804
33-0826205 501 (C) (3) 80,000 0     HEALTH COV.MENTAL HEALTH.2021 GATEKEEPER
(2) AGE WELL SENIOR SERVICES (SOUTH COUNTY SR SVC)
24300 EL TORO RD BLDG A STE 2000
LAGUNA WOODS,CA92637
93-1163563 501 (C) (3) 75,000 0     SENIOR TRANSPORTATION PRG. MOBILE MEALS
(3) ALZHEIMER'S FAMILY SERVICES CENTER
9451 INDIANAPOLIS AVE
HUNTINGTON BEACH,CA92646
95-3463978 501 (C) (3) 2,039,699 0     OPERATIONS/COMMUNITY EDUC./OUTREACH PRG
(4) ALZHEIMERS ORANGE COUNTY
2515 MCCABE WAY SUITE 200
IRVINE,CA92614
95-3702013 501 (C) (3) 60,000 0     SPANISH SPEAKING DEMENTIA CAREGIVER
(5) AMERICAN ACADEMY OF PEDIATRICS
5000 CAMPUS DRIVE
NEWPORT BEACH,CA92660
95-3731523 501 (C) (3) 50,000 0     CLINIC IN THE PARK
(6) BEWELL OC
18650 MACARTHUR BLVD STE 220
IRIVNE,CA92612
83-3901590 501 (C ) (3) 1,000,000 0     MENTAL HEALTH SYSTEM DEVELOPMENT GRANT
(7) BIG BROTHERS BIG SISTERS OF ORANGE COUNTY
1801 E EDINGER AVE SUITE 101
SANTA ANA,CA92705
95-1992702 501 (C) (3) 50,000 0     HS BIGS SCHOOL-BASED MENTORING PRG
(8) BRACKEN'S KITCHEN
1801 E EDINGER AVE STE 100
SANTA ANA,CA92705
95-1992702 501 (C) (3) 80,000 0     FOOD FEEDING PROGRAM. EVENT SPONSORSHIP
(9) BRAILLE INSTITUTE
9643 TURTLODOVE AVE
FOUNTAIN VALLEY,CA26708
46-2633171 501 (C) (3) 25,000 0     IN-HOME SVS TO OC RESIDENTS 18 & OLDER
(10) BUILD FUTURES
18822 BEACH BLVD SUITE 211
HUNTINGTON BEACH,CA92648
90-0629740 501 (C ) (3) 35,000 0     HOMELESS YOUTH SELF-SUFFICIENTY PARTNER
(11) ONE OC-CANCER KINSHIP
307 PLACENTIAL AVE SUITE 203
NEWPORT BEACH,CA92663
95-2021700 501 (C ) (3) 25,000 0     1 ON 1-PEER MENTORSHIP PROGRAM
(12) CASA TERESA INC
P O BOX 429
ORANGE,CA92856
95-3251986 501 (C ) (3) 25,000 0     EMERGENCY MATERNITY SHELTER
(13) CHARITABLE VENTURES OF OC PROJECT KINSHIP
4041 MACARTHUR STE 510
NEWPORT BEACH,CA92660
20-8756660 501 (C ) (3) 25,000 0     YOUTH DEVELOPMENT COURT PROGRAM
(14) CHILD GUIDANCE CENTER INC (STRONG FAMILIES STRON
525 CABRLITO PARK DR STE 300
SANTA ANA,CA92701
95-2546170 501 (C) (3) 25,000 0     STRONG FAMILIES, STRONG CHILDREN
(15) CHOC CHILDREN'S HOSPITAL
1201 W LA VETA AVE
ORANGE,CA92868
95-6097416 501 (C) (3) 510,415 0     CHOC DIAB CENTER OPERATING GRANT
(16) CHOC CHILDREN'S FOUNDATION
455 S MAIN ST
ORANGE,CA92868
95-6097416 501 (C) (3) 1,170,829 0     DIAB CENTER, BREATHMOBILE, SPEECH GRANTS
(17) CITY OF COSTA MESA
PO BOX 1200 695 W 19TH ST
COSTA MESA,CA92627
95-6005030 501 (C) (3) 50,000 0     TRANSPORTATION PROGRAM
(18) CITY OF HUNTINGTON BEACH
1718 ORANGE AVE
HUNTINGON BEACH,CA92648
95-6000723 501 (C) (3) 50,000 0     TRANSPORTATION PROGRAM
(19) CITY OF NEWPORT BEACH
PO BOX 269110- FIRE DEPT
SACRAMENTO,CA92858
95-6000751 501 (C) (3) 50,000 0     TRANSPORTATION PROGRAM
(20) COMMUNITY ACTION PARTNERSHIP OF OC
11870 MONARCH ST
GARDEN GROVE,CA92841
95-2452787 501 (C) (3) 25,000 0     ECONOMIC EMPOWERMENT PROGRAM
(21) COMMUNITY FOR INNOVATIONS ENTREPRENEURSHIP (CIELO
16787 BEACH BLVD STE233
HUNTINGTON BEACH,CA92647
61-1495237 501 (C) (3) 62,500 0     CHILDCARE GRANT, NIGHT MARKET SPONSOR
(22) COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY (CHIO
1505 E 17TH ST SUITE 121
SANTA ANA,CA92705
47-2671013 501 (C) (3) 27,500 0     COMMUNITY HEALTH ACCESS PROGRAM
(23) COMMUNITY SENIOR SERVE
1200 N KNOLLWOOD CIRCLE
ANAHEIM,CA92801
95-2771715 501 (C) (3) 50,000 0     SENIOR NUTRITION PROGRAM
(24) COUNCIL ON AGING ORANGE COUNTY
1971 E 4TH ST SUITE 200
SANTA ANA,CA92705
95-2874089 501 (C) (3) 115,000 0     VISITOR PRG, SMILEMAKERS, COMEDY SPONSOR
(25) CRIME SURVIVORS INC
PO BOX 54552
IRVINE,CA92619
30-0229425 501 (C) (3) 40,000 0     SUPPORT TO CRIME VICTIMS, HOLLY DAY
(26) EPILEPSY SUPPORT NETWORK OF OC
1500 ADAMS ST SUITE 301
COSTA MESA,CA92626
27-0681680 501 (C) (3) 35,000 0     SUPPORT AND EDUCATIONAL PROGRAMS
(27) FAMILIES FORWARD
8 THOMAS
IRVINE,CA92618
33-0086043 501 (C) (3) 225,000 0     FAMILY COUNSELING, RENTAL ASSISTANCE
(28) FRIENDSHIP SHELTER
PO BOX 4252
LAGUNA BEACH,CA92652
33-0219404 501 (C) (3) 25,000 0     PATHWAYS TO HOUSING
(29) GIRLS INC
1815 ANAHEIM AVE
COSTA MESA,CA92627
95-1810150 501 (C) (3) 110,000 0     BUILDING BLOCKS
(30) GOODWILL OF ORANGE COUNTY
410 N FAIRVIEW ST
SANTA ANA,CA92703
95-1644018 501 (C ) (3) 25,000 0     VETERANS SERVICE
(31) HEALTHY SMILES
2101 E 4TH ST SUITE 220
SANTA ANA,CA92705
38-3675065 501 (C) (3) 50,000 0     DENTAL SEDATION TO UNDERSERVED CHILDREN
(32) HOPE HARBORLAUREL HOUSE
1 HOPE DRIVE
TUSTIN,CA92782
33-0098433 501 (C ) (3) 30,000 0     HOME FOR TEENS IN CRISIS, SPONSORSHIP
(33) HUMAN OPTIONS
PO BOX 53745
IRIVNE,CA92619
95-3667817 501 (C) (3) 55,500 0     MENTAL HEALTH SVS TO VICTIMS-D. VIOLENCE
(34) HURTT CLINIC
1 HOPE DRIVE
TUSTIN,CA927820221
23-0906866 501 (C ) (3) 25,000 0     CARE NAVIGATION PROGRAM
(35) INNOVATIVE HOUSING OPPORTUNITIES
501 N GOLDEN CIRCLE STE 100
SANTA ANA,CA92705
95-3068902 501 (C) (3) 25,000 0     ECONOMIC SELF-RELIANCE
(36) IRVINE ADULT DAY HEALTH SERVICES
20 LAKE ROAD
IRVINE,CA92604
33-0599371 501 (C) (3) 50,000 0     TRANSPORTATION PROGRAM
(37) IRVINE CHILDREN'S FUND
14301 YALE AVENUE
IRVINE,CA92604
33-0177921 501 (C ) (3) 25,000 0     BEFORE & AFTER SCHOOL CHILD CARE SCHOLA
(38) IRVINE PUBLIC SCHOOLS FOUNDATION
18552 MAC ARTHUR BLVD SUITE 200
IRVINE,CA92612
33-0733191 501 (C ) (3) 25,000 0     IPSF HEALTH AND WELLNESS INITIATIVE
(39) KIWANIS CLUB OF COSTA MESA FOUNDATION
3843 S BRISTOL ST 274
SANTA ANA,CA92704
39-2071312 501 (C ) (3) 10,000 0     DISCRETIONARY: KELLY'S CLOSET - CLOTHE
(40) KOREAN COMMUNITY SERVICES INC
451 W LINCOLN AVE SUITE 100
ANAHEIM,CA92805
95-3245254 501 (C ) (3) 50,000 0     MEDICATION & INTEGRATED CARE IN IRVINE
(41) LAGUNA BEACH SENIORS INC (THE SUSIQ)
380 THIRD ST
LAGUNA BEACH,CA92651
95-2983350 501 (C) (3) 25,000 0     FEELING THE BLUES
(42) LATINO HEALTH ACCESS
450 W 4TH STREET STE130
SANTA ANA,CA92701
33-0562943 501 (C) (3) 70,000 0     WOMEN HEALTH/PREVENTION-CHRONIC DISEASE
(43) LGBTQ CENTER ORANGE COUNTY
1605 N SPURGEON STREET
SANTA ANA,CA92701
95-2934041 501 (C ) (3) 50,000 0     MENTAL HEALTH SERVICES
(44) MARIPOSA WOMEN AND FAMILY CENTER
1845 S ORANGEWOOD AVE STE 300
ORANGE,CA92868
95-3626580 501 (C ) (3) 25,000 0     COMMUNITY COUNSELING PROGRAM
(45) MARY'S SHELTER
18221 E 17 STREET
SANTA ANA,CA92705
33-0203768 501 (C) (3) 25,000 0     MENTAL HEALTH FOR FOSTER CARE GIRLS
(46) MERCY HOUSE
PO BOX 1905
SANTA ANA,CA92701
33-0315864 501 (C) (3) 25,000 0     THE FAMILY CARE CENTER
(47) MIRACLES FOR KIDS
17848 SKY PARK CYCLE STE C
IRVINE,CA92614
91-2160616 501 (C) (3) 25,000 0     HEALTH PRG TO CRITICALLY-ILL CHILDREN
(48) MOMS
1128 W SANTA ANA BLVD
SANTA ANA,CA92703
33-0518078 501 (C) (3) 75,000 0     MATERNAL CHILD HEALTH COORDINATION
(49) NAMI ORANGE COUNTY
24822 JERONIMO LANE
LAKE FOREST,CA92630
95-3726369 501 (C) (3) 125,000 0     MENTAL HEALTH & EDUCATION+NAMI IN LOBBY
(50) NEWPORT -MESA UNIFIED SCHOOL DISTRICT
2045 MEYER PLACE BLDG B
COSTA MESA,CA92626
95-2417783 501 (C) (3) 245,000 0     HOPE CLINIC -HOMELESS SENIORS SVS
(51) ORANGE COUNTY HUMAN RELATIONS
1801 E EDINGER AVE STE 115
SANTA ANA,CA92705
33-0438086 501 (C) (3) 80,000 0     YOUTH CONFERENCE + BRIDGES SCHOOL PRG
(52) OMID MULTICULTURAL INSTITUTE FOR DEVELOPMENT
2101 BUSINESS CENTER DR 150
IRVINE,CA92612
27-2337843 501 (C ) (3) 25,000 0     P.E.A.R.L.S FOR SENIORS
(53) ONE OC KID HEALTHY
1901 E FOUTH ST STE 100
SANTA ANA,CA92705
95-2021700 501 (C) (3) 25,000 0     PADRES EN ACCION
(54) ORANGE COUNTY ASIAN AND PACIFIC ISLANDER COMMUNITY
12912 BROOKHURST ST 410
GARDEN GROVE,CA92840
91-2047245 501 (C ) (3) 25,000 0     HEALTHY OPPORTUNITY-PROMOTE EMPOWERMENT
(55) ORANGE COUNTY COMMUNITY HOUSING CORP
501 N GOLDEN CIRCLE DR 200
SANTA ANA,CA92705
95-3221290 501 (C) (3) 25,000 0     STEPPINGUP PROGRAM
(56) ORANGE COUNTY UNITED WAY
18012 MICHELL AVE SOUTH
IRVINE,CA92614
33-0047994 501 (C) (3) 28,000 0     OC FREE TAX PREP, WOMENS PHILANTHROPY
(57) PEDIATRIC ADOLESCENT DIABETES RESEARCH EDU (PADRE
455 S MAIN STREET
ORANGE,CA92868
33-0099451 501 (C) (3) 55,000 0     TYPE 1 DIABETES EDUCATION, SPONSORSHIP
(58) PEOPLE FOR IRVINE COMMUNITY HEALTH DBA 211 ORANGE
1505 E 17 STREET STE108
SANTA ANA,CA92705
33-0063532 501 (C) (3) 50,000 0     CONNECT INITIATIVE
(59) PHOENIX HOUSE ORANGE COUNTY INC
11600 ELDRIDGE AVE
LAKE VIEW TERRACE,CA91342
22-2268070 501 (C ) (3) 25,000 0     USE DISORDER TREATMENT FOR OC ADULTS
(60) PHOENIX MULTISPORT INC DBA THE PHOENIX
2239 CHAMPA STREET
DENVER,CO80205
20-4648043 501 (C ) (3) 10,000 0     DISCRETIONARY:SOBER ACTIVE COMMUNITY PRG
(61) PROJECT HOPE ALLIANCE
1954 PLACENTIA AVE STE 202
COSTA MESA,CA92627
75-3099628 501 (C) (3) 25,000 0     PROMOTOR PATHWAY
(62) PROJECT SELF SUFFICIENCY
307 PLACENTIA STE 203
NEWPORT BEACH,CA92663
33-0597719 501 (C) (3) 35,000 0     HOMELESS PREVENTION/RAPID REHOUSING PRG
(63) PROJECT YOUTHORANGE COUNTY BAR FOUNDATION
1605 E 17TH STREET
SANTA ANA,CA92705
23-7068923 501 (C ) (3) 50,000 0     STOP SHORT OF ADDICTION
(64) PUBLIC LAW CENTER
601 W CIVIC CENTER DR
SANTA ANA,CA92701
95-3709253 501 (C) (3) 60,000 0     FAMILY LAW
(65) RADIANT HEALTH CENTERSAIDS SERVICE FOUNDATION
17982 SKYPARK CIRCLE STE J
IRVINE,CA92614
33-0126481 501 (C) (3) 25,000 0     HIV MEDICAL CASE MANAGEMENT PROGRAM
(66) SAVE OUR YOUTH
661 HAMILTON 180
COSTA MESA,CA92627
33-0585600 501 (C) (3) 50,000 0     HOLLISTIC APPROACH-IMPROVE TEEN HEALTH
(67) SECOND HARVEST FOOD BANK
426 S WEST ALMOND AVE
ORANGE,CA92866
95-3033494 501 (C) (3) 50,000 0     FEEDING FAMILIES
(68) SEGERSTROM CENTER FOR THE ARTS
600 TOWN CENTER DRIVE
COSTA MESA,CA92626
23-7287150 501 (C) (3) 25,000 0     DANCE & MUSIC SCHOOL-DISABILITIES CHILDREN
(69) SENECA OC
18302 IRVINE BLVD 300
TUSTIN,CA92780
94-2971761 501 (C) (3) 25,000 0     MENTAL HEALTH CLINICS
(70) SERVING KIDS HOPEDR RIBA'S HEALTH CLUB
2100 W ALTON AVE 2
SANTA ANA,CA92704
47-1518476 501 (C) (3) 30,000 0     HEAL: HEALTHY EATING AND LIVING
(71) SERVING PEOPLE IN NEED (SPIN)
151 KALMUS DRIVE STE H2
COSTA MESA,CA92626
33-0329687 501 (C) (3) 50,000 0     GUIDED ASSISTANCE TO PERMANENT PLACEMENT
(72) SHANTI ORANGE COUNTY
23461 SOUTH POINTE DR STE 100
LAGUNA HILLS,CA92653
33-0236592 501 (C ) (3) 25,000 0     MENTAL HEALTH SVS TO CHRONIC ILLNESS
(73) SHARE OUR SELVES CLINIC
1550 SUPERIOR AVE
COSTA MESA,CA92627
95-3222316 501 (C) (3) 965,000 0     ACCESS TO CARE EXPANSION, EVENT SPONSOR
(74) SHOES THAT FIT
1420 N CLAREMONT BLVD STE 204A
CLAREMONT,CA91711
95-4425565 501 (C ) (3) 10,000 0     S. CA BACK-TO-SCHOOL/HOLIDAY SHOE PROJ.
(75) SOUTH COUNTY OUTREACH
7 WHATNEY SUITE B
IRVINE,CA92618
33-0330233 501 (C ) (3) 25,000 0     SOUTH COUNTY-HOMELESS PREVENTION
(76) SUSAN G KOMEN
3191 AIRPORT LOOP DR A
COSTA MESA,CA92626
33-0487943 501 (C) (3) 25,000 0     TREATMENT ASSISTANCE PROGRAM (TAP)
(77) THE CAMBODIAN FAMILY
1626 E 4TH STREET
SANTA ANA,CA92701
95-3854831 501 (C) (3) 50,000 0     HEALTHY CHANGES PROGRAM
(78) THE PURPOSE OF RECOVERY
23 CORPORATE PLAZA DR SUITE 225
NEWPORT BEACH,CA92660
85-0914885 501 (C ) (3) 25,000 0     SPANISH SPEAKING RECOVERY COMM. SUPPORT
(79) THE WOODEN FLOOR
1810 N MAIN STREET
SANTA ANA,CA92706
33-0299356 501 (C ) (3) 25,000 0     YOUTH/FAMILY SVS AT THE WOODEN FLOOR
(80) TIYYA FOUNDATION
505 N TUSTIN AVE SUITE 280
SANTA ANA,CA92705
27-3128801 501 (C ) (3) 15,000 0     REFUGEE YOUTH ALL STAR PROGRAM
(81) UNITED CEREBRAL PALSY OF OC
980 ROOSEVELT STE100
IRVINE,CA92620
95-1856340 501 (C) (3) 50,000 0     CARE-LOW INCOME CHILDREN WITH DISABILITIES
(82) VETERANS LEGAL INSTITUTE
2100 N BROADWAY STE209
SANTA ANA,CA92706
47-1608069 501 (C) (3) 25,000 0     WOMEN VETERANS FREE LEGAL RIGHTS
(83) VITAL ACCESS CARE FOUNDATION
17150 NEWHOPE ST SUITE 203
FOUNTAIN VALLEY,CA92708
91-2170415 501 (C ) (3) 25,000 0     WOMEN'S HEALTH INITIATIVE
(84) WAYMAKERS
1221 E DYER STE120
SANTA ANA,CA92705
95-3167866 501 (C) (3) 35,000 0     CSP HUNTINGTON BEACH YOUTH SHELTER
(85) WELLNESS AND PREVENTION CENTER
700 AVENIDA PICO
SAN CLEMENTE,CA92673
47-2443093 501 (C ) (3) 25,000 0     GREATER ACCESS TO MENTAL HEALTH SVS
(86) WISEPLACE
1411 N BROADWAY
SANTA ANA,CA92706
95-1684796 501 (C) (3) 25,000 0     STEPS TO INDEPENDENCE
(87) YOUNG LIVES REDEEMED
1351 E CHAPMAN AVE SUITE C
FULLERTON,CA92831
47-1849084 501 (C) (3) 35,000 0     ORANGE COUNTY WELLNESS PROJECT
(88) YOUTH EMPLOYMENT SERVICES
114 EAST 19TH ST
COSTA MESA,CA92627
95-2704522 501 (C) (3) 40,000 0     COMPREHENSIVE YOUTH JOB READINESS PRG
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
86
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: IN ORDER TO BE ELIGIBLE FOR A COMMUNITY BENEFIT GRANT, AN APPLICANT ORGANIZATION (OR FISCAL AGENT) MUST BE DESIGNATED BY THE IRS AS A TAX EXEMPT NON-PROFIT AND SUBMIT A COPY OF THEIR EXEMPT STATUS FOR VERIFICATION. THE ORGANIZATION MUST HAVE AN EXECUTIVE DIRECTOR AND AN ESTABLISHED BOARD OF DIRECTORS THAT MEETS REGULARLY. PRIOR TO FUNDING, RESEARCH IS CONDUCTED REGARDING THE REPUTATION AND PERFORMANCE OF THE ORGANIZATION. APPLICANTS MUST APPLY FOR A GRANT EACH YEAR THROUGH THE COMMUNITY BENEFIT GRANTS PROGRAM. REQUESTS MUST INCLUDE: W-9, TAX EXEMPT VERIFICATION, PREVIOUS AND CURRENT YEAR BUDGETS, PROJECT BUDGETS, LIST OF BOARD OF DIRECTORS, PROGRAM GOALS AND OBJECTIVES, AND MEASURABLE OUTCOMES FOR THE SPECIFIED PROGRAM THAT IS BEING FUNDED. AN INTERVIEW WITH THE EXECUTIVE DIRECTOR AND ONE OR MORE BOARD MEMBERS MAY BE CONDUCTED AS WELL AS A SITE VISIT IN ORDER TO FAMILIARIZE OURSELVES WITH THE ORGANIZATION AND THE PROGRAMS OFFERED. DEPARTMENT STAFF MAY ACTIVELY PARTICIPATE WITH THE ORGANIZATION BY PROVIDING IN-KIND SERVICES AND BOARD PARTICIPATION. ONCE A GRANT REQUEST HAS BEEN APPROVED AND FUNDED, WE REQUIRE A 6-MONTH PROGRESS REPORT AND A FINAL 12 MONTH REPORT ON THE IMPLEMENTATION STRATEGY AND MEASURABLE OUTCOMES. THROUGHOUT THE FUNDING PERIOD OF A SPECIFIED PROGRAM, THERE MAY BE OCCASIONAL MEETINGS WITH THE DIRECTOR AND PROGRAM PERSONNEL TO RECEIVE REPORTS ON PROGRESS AND UPDATES OF THE ACTIVITIES CONDUCTED AS WELL AS THE NUMBER OF INDIVIDUALS SERVED. THIS PROCESS ALLOWS US TO MONITOR THAT THE GRANT FUNDS ARE BEING USED FOR THE INTENDED PURPOSES.
Schedule I (Form 990) 2022



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
2022
Open to Public Inspection
Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number

95-1643327
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 on 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
 
 
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 on Line 1a? ....
2
 
 
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
 
No
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) 2022

Schedule J (Form 990) 2022
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, 1099-MISC compensation, and/or 1099-NEC (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
1ROBERT BRAITHWAITE
CEO
(i)

(ii)
1,219,237
-------------
0
2,005,600
-------------
0
7,482
-------------
0
292,025
-------------
0
24,823
-------------
0
3,549,167
-------------
0
210,960
-------------
0
2ANDREW GUARNI
EVP AND CFO
(i)

(ii)
700,800
-------------
0
370,564
-------------
0
24,763
-------------
0
68,120
-------------
0
9,057
-------------
0
1,173,304
-------------
0
19,961
-------------
0
3JAN BLUE
VP SR CHIEF ADMIN OFFICER
(i)

(ii)
527,981
-------------
0
319,610
-------------
0
13,564
-------------
0
37,275
-------------
0
8,175
-------------
0
906,605
-------------
0
0
-------------
0
4MARCY BROWN
VP SR CHIEF HOSPITAL OPERATION
(i)

(ii)
502,223
-------------
0
319,247
-------------
0
4,748
-------------
0
47,584
-------------
0
18,939
-------------
0
892,741
-------------
0
20,926
-------------
0
5RICHARD MARTIN
VP SR PATIENT CARE SVC AND CNO
(i)

(ii)
469,202
-------------
0
287,375
-------------
0
42,989
-------------
0
46,425
-------------
0
8,165
-------------
0
854,156
-------------
0
25,203
-------------
0
6MARGARET T CONK
VP SR CHIEF CLINICAL INST OFF.
(i)

(ii)
472,956
-------------
0
292,798
-------------
0
4,391
-------------
0
50,240
-------------
0
9,334
-------------
0
829,719
-------------
0
13,165
-------------
0
7FLYNN ANDRIZZI
FOUNDATION PRESIDENT
(i)

(ii)
494,376
-------------
0
222,242
-------------
0
34,322
-------------
0
38,255
-------------
0
7,361
-------------
0
796,556
-------------
0
22,845
-------------
0
8MICHAEL BRANT-ZAWADSKI
EXEC DIR MED R PHYSICIAN EXEC
(i)

(ii)
479,476
-------------
0
244,254
-------------
0
13,852
-------------
0
40,325
-------------
0
12,913
-------------
0
790,820
-------------
0
0
-------------
0
9KRIS IYER
VP SR & CHIEF PHYS DEV OFFICER
(i)

(ii)
443,014
-------------
0
284,835
-------------
0
9,492
-------------
0
37,275
-------------
0
435
-------------
0
775,051
-------------
0
0
-------------
0
10SANFORD SMITH
VP SR REAL ESTATE & FACILITIES
(i)

(ii)
424,273
-------------
0
252,950
-------------
0
11,903
-------------
0
37,275
-------------
0
18,872
-------------
0
745,273
-------------
0
0
-------------
0
11MARTIN FEE
VP SR AND CCO
(i)

(ii)
398,865
-------------
0
237,500
-------------
0
5,615
-------------
0
47,027
-------------
0
945
-------------
0
689,952
-------------
0
8,996
-------------
0
12ALLYSON BROOKS
EXEC DIR MED WOMENS HEALTH
(i)

(ii)
407,601
-------------
0
205,011
-------------
0
5,359
-------------
0
35,750
-------------
0
24,209
-------------
0
677,930
-------------
0
0
-------------
0
13KATHY AZEEZ NARAIN
VP CHIEF DIGITAL OFFICER
(i)

(ii)
444,074
-------------
0
191,105
-------------
0
872
-------------
0
15,250
-------------
0
427
-------------
0
651,728
-------------
0
0
-------------
0
14ERIC CHEUNG
VP SR & CHIEF LEGAL OFFICER
(i)

(ii)
518,261
-------------
0
0
-------------
0
1,140
-------------
0
45,500
-------------
0
22,492
-------------
0
587,393
-------------
0
9,750
-------------
0
15CARMELLA CASSETTA
VP CIO IT OPERATIONS
(i)

(ii)
335,713
-------------
0
163,984
-------------
0
4,593
-------------
0
35,265
-------------
0
18,775
-------------
0
558,330
-------------
0
0
-------------
0
16PINKIE NOLAN
VP CHIEF VALUE OFFICER
(i)

(ii)
321,842
-------------
0
165,744
-------------
0
3,078
-------------
0
15,250
-------------
0
14,405
-------------
0
520,319
-------------
0
0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
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 4B THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A SERP PLAN ON BEHALF OF CERTAIN MEMBERS OF SENIOR MANAGEMENT IN ACCORDANCE WITH PLAN DOCUMENTS. CERTAIN EXECUTIVES PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE FOLLOWING INDIVIDUALS RECEIVED A CONTRIBUTION DURING THE CURRENT YEAR: RICK MARTIN - $25,203 ROBERT BRAITHWAITE - $210,960 ANDREW GUARNI - $19,961 FLYNN ANDRIZZI - $22,845 MARTIN FEE - $8,996 MARCY BROWN - $20,926 MARGARET T. CONK- $13,165 ERIC CHEUNG - $9,750
Schedule J (Form 990) 2022

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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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number
95-1643327
Part
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 CALIFORNIA PUBLIC FINANCE AUTHORITY
 
47-4447476 13057EFR0 04-06-2022 370,003,643 SEE PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired ..................        
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 373,313,615      
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ...............        
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 94,087,989      
11 Other spent proceeds .............        
12 Other unspent proceeds ............. 279,225,626      
13 Year of substantial completion .............
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X            
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X            
16 Has the final allocation of proceeds been made? ..........   X            
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X              
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
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            
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X            
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   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?                
c Are there any research agreements that may result in private business use of bond-financed property? .............   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 %      
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 %      
6 Total of lines 4 and 5 ............. 0 %      
7 Does the bond issue meet the private security or payment test? ...   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            
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
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              
Part
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            
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X              
b Exception to rebate? ........   X            
c No rebate due? .........   X            
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X              
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X            
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   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            
7 Has the organization established written procedures to monitor the requirements of section 148? ... X              
Part
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              
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
PART I, COLUMN C PART I, COLUMN C, CUSIP#: THE CUSIP LISTED IN PART I IS THE FINAL MATURITY OF SERIES 2022B-2 PORTION OF THE ISSUE, THE FINAL MATURITY OF THE SERIES 2022B-1 PORTION IS 13057EFQ2, AND THE FINAL MATURITY OF THE SERIES 2022A PORTION IS 130578EEX8. PART I, COLUMN F, DESCRIPTION OF PURPOSE: THE PROCEEDS OF THE BONDS ARE BEING USED TO FINANCE A PORTION OF THE COST OF THE ACQUISITION, CONSTRUCTION, RENOVATION, EQUIPPING, FURNISHING AND INSTALLATION OF VARIOUS FACILITIES AT THE BORROWER'S IRVINE CAMPUS. PART II, LINE 3, TOTAL PROCEEDS: THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO INVESTMENT EARNINGS ON THE PROJECT FUND THROUGH 12/31/2022. PART IV, LINE 3: THE SERIES 2022A PORTION OF THE ISSUE IS FIXED, BUT SERIES 2022B-1 & 2022B-2 ARE VARIABLE RATE BONDS.
Schedule K (Form 990) 2021

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Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number

95-1643327
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) CHRISTOPHER CHEWENS SEE PART V 191,169 SEE PART V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
BUSINESS RELATIONSHIPS LINE (1) - JEFFREY MARGOLIS, BOARD MEMBER OF HMHP, IS THE FATHER-IN-LAWOF CHRISTOPHER CHEWENS WHO IS AN EMPLOYEE OF HOAG.
Schedule L (Form 990) 2021


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SCHEDULE O
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number

95-1643327
Return Reference Explanation
FORM 990, PART III, LINE 4A THE HOAG MEMORIAL HOSPITAL PRESBYTERIAN COMMUNITY BENEFIT PROGRAM WAS FORMALIZED IN 1995 AND HAS GROWN SIGNIFICANTLY SINCE THAT TIME. WE HAVE SERVED OVER 100 NONPROFIT COMMUNITY ORGANIZATIONS IN A VARIETY OF HEALTH AND SOCIAL SERVICE CATEGORIES. WE CONTINUE TO EMPHASIZE THE DEVELOPMENT OF SUSTAINED COLLABORATIVE RELATIONSHIPS AND THE PROVISION OF UNDUPLICATED SERVICES TO DISADVANTAGED RESIDENTS IN OUR COMMUNITY AS CORE ELEMENTS OF THE PROGRAM. THE DEPARTMENT OF COMMUNITY HEALTH PROVIDES DIRECT SERVICES AND COLLABORATES WITH OTHER NOT-FOR-PROFIT COMMUNITY-BASED ORGANIZATIONS TO PROMOTE THE HEALTH OF OUR COMMUNITIES. THE DEPARTMENT COORDINATES HOAG'S COMMUNITY BENEFIT ACTIVITIES, DRIVEN BY THE HEALTH NEEDS OF OUR SURROUNDING COMMUNITIES, WHICH ARE REGULARLY REVIEWED IN AN ONGOING MANNER. THE DEPARTMENT PROVIDES SERVICES WHICH ARE UNDUPLICATED IN THE COMMUNITY. THESE CURRENTLY INCLUDE MENTAL HEALTH SERVICES, COMMUNITY NURSE NAVIGATION, COMMUNITY-BASED PROGRAM GRANTS, AND OTHER HEALTH AND WELLNESS PROGRAMS AND SERVICES. IN ORDER TO PROMOTE EFFECTIVE ACCESS TO HEALTH CARE AND RELATED SERVICES, THE DEPARTMENT WORKS IN COLLABORATION WITH A NUMBER OF NOT-FOR-PROFIT COMMUNITY-BASED ORGANIZATIONS TO PROVIDE INSURANCE COVERAGE AS WELL AS FREE SERVICES TO UNDERSERVED AND VULNERABLE RESIDENTS, MANY OF WHOM ARE UNDOCUMENTED. CHARITY CARE IS AN INTEGRAL COMPONENT OF THE BENEFIT THAT HOAG PROVIDES TO THE COMMUNITY. THE CURRENT HOSPITAL CHARITY CARE AND SELF PAY DISCOUNT POLICY PROVIDES ASSISTANCE ON A SLIDING SCALE FOR UNINSURED AND SELF-PAY PATIENTS WITH FAMILY INCOMES UP TO 400% OF THE FEDERAL POVERTY LEVEL. PROGRAM SERVICE ACCOMPLISHMENTS MENTAL HEALTH CENTER: - PROVIDED MENTAL HEALTH SERVICES TO 669 CLIENTS IN THE FORM OF PSYCHOTHERAPY. - RESOURCE BROKERING, AND/OR CASE MANAGEMENT PROVIDED TO 251 INDIVIDUALS. - OFFERED PSYCHOTHERAPEUTIC, PSYCHO EDUCATIONAL GROUPS AND COMMUNITY PRESENTATIONS RESULTING IN 3114 ENCOUNTERS. - OUR PROFESSIONAL DEVELOPMENT PROGRAM PROVIDED 21 VIRTUAL TRAININGS. A SAMPLING OF THE TRAININGS OFFERED INCLUDED: ASIST FOR SUICIDE ASSESSMENT AND INTERVENTION, LAW AND ETHICS, SELF-COMPASSION, ACES INTERFACE, MENTAL HEALTH FIRST AID CLASSES, MENTAL HEALTH AND NUTRITION AND EMDR. THE NUMBER OF PROFESSIONALS TRAINED FOR CY2022 WAS 1,225 AND OF THOSE 419 RECEIVED FREE CONTINUING EDUCATION CREDITS COURTESY OF THE MENTAL HEALTH CENTER. - TRAINED 3 YOGA THERAPY INTERNS IN COLLABORATION WITH BE THE CHANGE YOGA WHO PROVIDED A TOTAL OF 147 YOGA THERAPY SESSIONS. COMMUNITY BENEFIT GRANTS PROGRAM: - 86 GRANTS FUNDED TOTALING OVER $7M - PRIORITY FOCUS AREAS INCLUDED: ACCESS TO CARE, ECONOMIC SECURITY, MENTAL HEALTH, AND PREVENTION OF CHRONIC DISEASE AND MANAGEMENT, WOMEN'S HEALTH, AND SUBSTANCE USE. MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING: THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING (MHSCHL) IS A ONE-STOP-SHOP FOR HEALTH AND SOCIAL SERVICES. THROUGH CO-LOCATION AND COLLABORATION WITH PARTNER AGENCIES, THE CENTER PROVIDES FREE CLASSES, WORKSHOPS AND SUPPORTIVE SERVICES TO THE COMMUNITY. -PROVIDED CRISIS CASE MANAGEMENT AND RESOURCE BROKERING TO 3,242 INDIVIDUALS. -GIRLS INC'S PROVIDED 1441 ENCOUNTERS FOR AFTER SCHOOL HOMEWORK, RESILIENCY PROGRAMMING, AND STEM ACTIVITIES. -PUBLIC LAW CENTER PROVIDED 131 INDIVIDUALS WITH LEGAL CONSULTATION OR REPRESENTATION IN THE AREA OF FAMILY LAW DIVORCE, DV, CHILD CUSTODY ETC. -PARTNERED WITH UNITED WAY'S OC FREE TAX PREP SERVICE TO PROVIDE 455 LOW-INCOME TAX RETURNS AT NO-COST TO THE TAXPAYER. -CHIOC CONNECTED 61 INDIVIDUALS TO AFFORDABLE, QUALITY HEALTH CARE AND SOCIAL SERVICES. -PROJECT SELF-SUFFICIENCY PROVIDED 158 INDIVIDUALS WITH FINANCIAL ASSISTANCE, LONG-TERM CASE MANAGEMENT, AND OTHER RESOURCES TO PROVIDE A PATH FOR A SUCCESSFUL ACADEMIC JOURNEY TOWARD ECONOMIC SELF-RELIANCE. -PARTNERED WITH OC DIAPER BANK TO DISTRIBUTE 179,490 DIAPERS/PULL UPS TO NEEDY FAMILIES. -PROVIDED WELLNESS CLASSES SUCH AS YOGA, ZUMBA AND OTHER FITNESS CLASSES TO 6,033 INDIVIDUALS -PARTNERED WITH SECOND HARVEST FOOD BANK TO PROVIDE 11,030 INDIVIDUALS WITH FRESH PRODUCE AND GROCERIES THROUGH OUR BIWEEKLY FOOD DISTRIBUTION -IN PARTNERSHIP WITH SHARE OUR SELVES AND FAMILIES FORWARD, 141 INDIVIDUALS RECEIVED RENTAL OR MOTEL ASSISTANCE TOTALING $88,972. - IN COLLABORATION WITH SUPERVISOR BARTLETT'S OFFICE, MHSCHL DISTRIBUTED $150,000 WORTH OF GROCERY GIFT CARDS FOR INDIVIDUALS AND FAMILIES FACING FOOD INSECURITY. - 18 INDIVIDUALS RECEIVED FREE HAIR AND NAIL APPOINTMENTS IN PARTNERSHIP WITH THE BEAUTY BUS. - PARTNERED WITH ALINEA TO PROVIDE FREE MAMMOGRAM SCREENINGS TO 89 WOMEN. - PROVIDED MONTHLY PROFESSIONAL NETWORKING AND RESOURCE EXCHANGE MEETINGS FOR 458 PROFESSIONALS TO NETWORK WITH COMMUNITY PARTNERS. - PARTNERED WITH GIRLS INC TO PROVIDE 2,117 STUDENTS WITH AFTERSCHOOL STEM ACTIVITIES AND SPRING/SUMMER CAMPS. - PARTNERED WITH NMUSD AND IKEA IN HOSTING A BACK-TO-SCHOOL RESOURCE FAIR SERVING OVER 3,000 INDIVIDUALS. - TRAINED AND CERTIFIED 158 INDIVIDUALS WITH CPR CERTIFICATION. - PARTNERED WITH CLINIC IN THE PARK TO PROVIDE BOOSTER SEATS AND CAR SEAT SAFETY TRAINING TO 94 CAREGIVERS. - IN COLLABORATION WITH COUNCIL ON AGING, 370 INDIVIDUALS PARTICIPATED IN ENGLISH AS A SECOND LANGUAGE CLASSES. COMMUNITY NURSE NAVIGATOR PROGRAM THE PROGRAM HAS 2 FULL-TIME REGISTERED NURSES. CLIENT CARE IS PROVIDED INDIVIDUALLY AND IN GROUP SETTINGS VIA THE FOLLOWING MODALITIES: IN PERSON, ZOOM, AND TELEPHONE. BELOW ARE A FEW HIGHLIGHTS FROM 2022: PROVIDED NURSING EDUCATION, CASE MANAGEMENT, NAVIGATION, AND ADVOCACY: 400 SESSIONS PROVIDED 247 SESSIONS OF HEALTH COACHING HEALTH EDUCATION WORKSHOPS (ENGLISH AND SPANISH) WERE PROVIDED TO 378 PARTICIPANTS PROMOTORES PROGRAM PROMOTORES SERVE AS LINKS BETWEEN THEIR COMMUNITIES AND HEALTH AND SOCIAL SERVICE PROVIDERS AND ARE BILINGUAL AND BICULTURAL AND SERVE THE SAME COMMUNITIES IN WHICH THEY LIVE. THE FOLLOWING ARE SOME ACCOMPLISHMENTS DURING CY2021: 8481 CONTACTS WERE MADE THROUGH DOOR-TO-DOOR AND TABLING EVENTS WITH HEALTH EDUCATION AND PSYCHOSOCIAL RESOURCES 263 PARTICIPANTS ATTENDED A HEALTH EDUCATIONAL PRESENTATION/CLASS 2449 FAMILIES RECEIVED FRESH FOOD AND PRODUCE 1338 OUTREACH PHONE CALLS WERE MADE 1223 CASE MANAGEMENT SESSIONS WERE PROVIDED 279 PEOPLE ATTENDED A FITNESS CLASS 235 PARTICIPATED IN A MONTHLY BOOK CLUB MEETING 60 ATTENDED THE TALK SAVES LIVES PROGRAM
FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS OFFICER ROBERT BRAITHWAITE, OFFICER ANDREW GUARNI, AND BOARD MEMBER PAUL HEESCHEN HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: THE CORPORATION AND PROVIDENCE ST. JOSEPH HEALTH DISSAFILIATED AS OF JANUARY 3, 2022. FROM JANUARY 1 -2, 2022, THE MEMBERS OF THE CORPORATION CONSISTED OF THE FOLLOWING: I. COVENANT HEALTH NETWORK INC. ("CHN") II. THE GEORGE HOAG FAMILY FOUNDATION ("GHF FOUNDATION") III. THE CONSTITUENT REFORMED PRESBYTERIAN CHURCHES LOCATED IN ORANGE COUNTY, CALIFORNIA WHICH INCLUDE DENOMINATIONS OF THE LOS RANCHOS PRESBYTERY OF THE PRESBYTERIAN CHURCH (USA) AND ECO: A COVENANT ORDER OF EVANGELICAL PRESBYTERIANS, AS REPRESENTED BY THE ASSOCIATION OF PRESBYTERIAN MEMBERS (THE "APM"), AND IV. SUCH INDIVIDUAL MEMBERS AS MAY BE APPOINTED BY THE GHF FOUNDATION OR THE APM UP TO A MAXIMUM OF FORTY-EIGHT (48) INDIVIDUAL MEMBERS TO BE DIVIDED EQUALLY BETWEEN THE GHF FOUNDATION AND THE APM, OF WHICH THERE WERE NONE APPOINTED. FROM JANUARY 3, 2022 THROUGH THE REMAINDER OF CY2022, THE MEMBERS OF THE CORPORATION CONSISTED OF THE FOLLOWING: III. THE GEORGE HOAG FAMILY FOUNDATION ("GHF FOUNDATION") II. THE CONSTITUENT REFORMED PRESBYTERIAN CHURCHES LOCATED IN ORANGE COUNTY, CALIFORNIA WHICH INCLUDE DENOMINATIONS OF THE LOS RANCHOS PRESBYTERY OF THE PRESBYTERIAN CHURCH (USA) AND ECO: A COVENANT ORDER OF EVANGELICAL PRESBYTERIANS, AS REPRESENTED BY THE ASSOCIATION OF PRESBYTERIAN MEMBERS (THE "APM"), AND III. SUCH INDIVIDUAL MEMBERS AS MAY BE APPOINTED BY THE GHF FOUNDATION OR THE APM UP TO A MAXIMUM OF FIFTY (50) INDIVIDUAL MEMBERS TO BE DIVIDED EQUALLY BETWEEN THE GHF FOUNDATION AND THE APM, OF WHICH THERE WERE NONE APPOINTED.
FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT DIRECTORS: PURSUANT TO ITS BYLAWS, THE CORPORATION HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS HAVE THE RIGHT TO APPOINT DIRECTORS TO THE CORPORATION'S BOARD. THE CORPORATION'S GOVERNANCE COMMITTEE FIRST DESIGNATES NOMINEES TO THE BOARD. SUCH NOMINEES MUST THEN BE APPROVED BY AFFIRMATIVE VOTE OF AT LEAST A MAJORITY OF THE VOTES ENTITLED TO BE CAST BY THE GHF FOUNDATION, THE APM, AND THE INDIVIDUAL MEMBERS (IF ANY), PROVIDED THAT SUCH MAJORITY INCLUDES THE AFFIRMATIVE VOTE OF THE GHF FOUNDATION AND THE AFFIRMATIVE VOTE OF THE APM. FROM JANUARY 1 - 2, 2022, THE FOREGOING WAS SUBJECT TO APPROVAL BY THE AFFIRMATIVE VOTE OF NOT LESS THAN FIVE (5) OF THE SEVEN (7) DIRECTORS OF CHN, INCLUDING THE VOTE OF AT LEAST THREE (3) OF THE FOUR (4) DIRECTORS OF CHN DESIGNATED BY PROVIDENCE ST. JOSEPH HEALTH SYSTEM, AND THE VOTE OF AT LEAST TWO (2) OF THE THREE (3) DIRECTORS OF CHN DESIGNATED BY THE GHF FOUNDATION AND THE APM.
FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDER: FROM JANUARY 1 - 2, 2022, DECISIONS RESERVED TO MEMBERS OF THE ORGANIZATION ARE SPECIFIED IN THE COVENANT HEALTH NETWORK, INC. GOVERNANCE MATRIX. THE GOVERNANCE MATRIX PROVIDES FOR APPROVAL BY THE CHN BOARD AND, IN SOME CASES, FINAL APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM ("SJHS") BOARD. EXAMPLES REQUIRING SJHS BOARD APPROVAL INCLUDE CHANGES TO THE STATEMENT OF COMMON VALUES, FINANCING, THE ANNUAL CONSOLIDATED BUDGET, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLANS, APPOINTMENT OR REMOVAL OF AUDITORS, CREATION OR INVESTMENT IN AN ENTITY, INCLUDING ANY JOINT VENTURE. A SUPERMAJORITY VOTE OF THE CHN BOARD IS REQUIRED TO APPROVE ANY MERGER OR SALE OF ALL OR SUBSTANTIALLY ALL ASSETS, APPROVAL AND REMOVAL OF MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, OR AMENDMENT OF BYLAWS AND ARTICLES. THE POWERS AND RESPONSIBILITIES OF THE MEMBERS OF THE CORPORATION INCLUDE, BUT ARE NOT LIMITED TO: (A) TO ASSURE THE BOARD OF DIRECTORS CARRIES OUT THE CORPORATION'S MISSION; (B) TO CONSIDER THE QUALIFICATIONS OF DIRECTORS TO BE ELECTED TO THE BOARD OF DIRECTORS; (C) TO APPROVE ANY AMENDMENT, MODIFICATION OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (D) TO APPROVE THE ELECTION, APPOINTMENT OR REMOVAL OF ANY DIRECTOR OF THE CORPORATION; AND (E) TO APPROVE ANY SALE, TRANSFER CONVEYANCE OR OTHER DISPOSITION OF ALL, SUBSTANTIALLY ALL OR A MATERIAL PORTION OF THE ASSETS OF THE CORPORATION, OR ANY MERGER, CONSOLIDATION, AFFILIATION OR DISSOLUTION OF THE CORPORATION. IN ADDITION, THE FOLLOWING ACTIONS ARE RESERVED TO THE GHF FOUNDATION AND THE APM: (A) ANY CHANGE IN THE NAME OF OR UTILIZED BY THE CORPORATION (OTHER THAN ANY CHANGE THAT WOULD REQUIRE AN AMENDMENT TO THE ARTICLES OR BYLAWS); AND (B) ANY CHANGES TO THE CORPORATION'S MISSION STATEMENT. FROM JANUARY 3, 2022 THROUGH THE REMAINDER OF CY2022, IN ADDITION TO THE POWER TO ELECT AND REMOVE DIRECTORS TO AND FROM THE BOARD OF DIRECTORS, THE RESPONSIBILITIES OF THE MEMBERS INCLUDE BUT ARE NOT BE LIMITED TO: (A) TO ASSURE THE BOARD CARRIES OUT THE CORPORATION'S MISSION; (B) TO CONSIDER THE QUALIFICATIONS OF DIRECTORS TO BE ELECTED TO THE BOARD; (C) TO APPROVE ANY CHANGE IN THE NAME OF THE CORPORATION; (D) TO APPROVE ANY CHANGES TO THE CORPORATION'S MISSION STATEMENT; (E) TO APPROVE ANY SALE, ALIENATION OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF THE CORPORATION; (F) TO APPROVE CHANGES TO THE CORPORATION'S GOVERNANCE STRUCTURE.
FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED TO REVIEW THE FORM 990: THE CORPORATION'S BOARD OF DIRECTORS HAS DELEGATED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD THE REVIEW OF FORM 990 PRIOR TO ISSUANCE. THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING ACCOUNTING, HUMAN RESOURCES, CORPORATE COMPLIANCE AND LEGAL. THE CORPORATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN IS INITIALLY REVIEWED BY MANAGEMENT, INCLUDING AN OFFICER OF THE ORGANIZATION. MANAGEMENT THEN PRESENTS THE RETURNS TO THE AUDIT AND COMPLIANCE COMMITTEE, WHICH DISCUSSES KEY DISCLOSURES AND OTHER INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, AN ELECTRONIC VERSION OF THE FORM 990 IS POSTED TO A SECURE WEBSITE AVAILABLE TO ALL OF THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C MONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT-OF-INTEREST POLICY. THE ORGANIZATION HAS A COMPREHENSIVE BOARD CONFLICT OF INTEREST POLICY. OFFICERS, DIRECTORS, NON-DIRECTOR MEMBERS OF BOARD COMMITTEES, SENIOR EXECUTIVES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. RESPONSES TO THE QUESTIONNAIRE ARE SUBMITTED FOR REVIEW AND RECOMMENDATION TO THE CHIEF COMPLIANCE OFFICER, FOLLOWED BY REVIEW AND CONSIDERATION BY THE AUDIT & COMPLIANCE COMMITTEE OR THE GOVERNANCE COMMITTEE OF THE BOARD. IF, SUBSEQUENT TO COMPLETION OF THE ANNUAL QUESTIONNAIRE, ANY COVERED PERSON BECOMES AWARE OF AN INTEREST THAT COULD GIVE RISE TO A CONFLICT OF INTEREST, THE COVERED PERSON IS OBLIGATED TO PROMPTLY DISCLOSE THE INTEREST. THE AUDIT AND COMPLIANCE COMMITTEE OR THE GOVERNANCE COMMITTEE SHALL DETERMINE IF A DISCLOSED INTEREST MAY RESULT IN A CONFLICT OF INTEREST. THE PERSON WITH THE POTENTIAL CONFLICT OF INTEREST MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE AUDIT AND COMPLIANCE OR GOVERNANCE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS. THE AUDIT AND COMPLIANCE COMMITTEE OR GOVERNANCE COMMITTEE MAY REQUEST ADDITIONAL INFORMATION BEFORE REACHING A DETERMINATION. WHERE A CONFLICT IS DETERMINED TO EXIST, THE AUDIT AND COMPLIANCE COMMITTEE OR GOVERNANCE COMMITTEE, WHICH FOR THESE PURPOSES MUST INCLUDE THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE, SHALL NOT ENGAGE IN A CONTRACT, TRANSACTION, OR ARRANGEMENT, UNLESS THE BOARD OF DIRECTORS OR GOVERNENCE COMMITTEE HAVE INVESTIGATED ALTERNATIVES AND DEVELOPED AND IMPLMENTED A PLAN FOR MANAGING THE CONFLICT.ANY DIRECTOR HAVING A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS PROHIBITED FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTIONS OR ARRANGEMENT, AND IS EXCUSED FROM THE PORTION OF THE MEETING WHERE THE PROPOSED CONTRACT IS DISCUSSED.
FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, LINE 15A PROCESS FOR DETERMINING COMPENSATION OF CEO: THE COMPENSATION OF THE CEO IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF HOAG'S BOARD OF DIRECTORS, COMPRISED SOLELY OF INDEPENDENT DIRECTORS. THE COMPENSATION COMMITTEE RECEIVES A STUDY PERFORMED BY AN INDEPENDENT CONSULTING FIRM THAT REVIEWS LEVELS OF COMPENSATION AT COMPARABLE ORGANIZATIONS FOR COMPARABLE POSITIONS WHEN SETTING COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES. THIS PROCESS OF USING COMPARABLE DATA TO ESTABLISH LEVELS OF COMPENSATION HAS BEEN IN PLACE IN EXCESS OF 40 YEARS. THE COMPENSATION COMMITTEE DOCUMENTS THAT THE COMPENSATION IS REASONABLE IN ITS BOARD MINUTES DURING EXECUTIVE SESSION. THIS PROCESS WAS LAST COMPLETED IN 2022. IN ADDITION, THE INDEPENDENT CONSULTING FIRM PROVIDES THE BOARD WITH AN OPINION LETTER EACH YEAR CERTIFYING THAT THE COMPENSATION PROGRAM AND ALL PAY ELEMENTS (TOTAL REMUNERATION) APPROVED BY THE BOARD ARE DEEMED REASONABLE IN COMPLIANCE WITH IRC SECTION 4958. FORM 990, PART VI, LINE 15B PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION OF THE COO, CFO AND ALL SENIOR VICE PRESIDENTS (KEY EMPLOYEES): IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF HOAG'S BOARD OF DIRECTORS, COMPRISED SOLELY OF INDEPENDENT DIRECTORS. THE COMPENSATION COMMITTEE RECEIVES A STUDY PERFORMED BY AN INDEPENDENT CONSULTING FIRM THAT REVIEWS LEVELS OF COMPENSATION AT COMPARABLE ORGANIZATIONS FOR COMPARABLE POSITIONS WHEN SETTING COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES. THIS PROCESS OF USING COMPARABLE DATA TO ESTABLISH LEVELS OF COMPENSATION HAS BEEN IN PLACE IN EXCESS OF 39 YEARS. THE COMPENSATION COMMITTEE DOCUMENTS THAT THE COMPENSATION IS REASONABLE IN ITS BOARD MINUTES DURING EXECUTIVE SESSION. THIS PROCESS WAS LAST COMPLETED IN 2022. IN ADDITION, THE INDEPENDENT CONSULTING FIRM PROVIDES THE BOARD WITH AN OPINION LETTER EACH YEAR CERTIFYING THAT THE COMPENSATION PROGRAM AND ALL PAY ELEMENTS (TOTAL REMUNERATION) APPROVED BY THE BOARD ARE DEEMED REASONABLE IN COMPLIANCE WITH IRC SECTION 4958. THE FOLLOWING INDIVIDUALS RECEIVED A CONTRIBUTION DURING THE CURRENT YEAR: ROBERT BRAITHWAITE - $210,960 FLYNN ANDRIZZI - $22,845
FORM 990, PART VI, SECTION C, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE POSTED ON THE ORGANIZATION'S WEBSITE.
FORM 990, PART XI, LINE 9: INVESTMENT IN JV 35,096,180. EQUITY TRANSFER TO HOAG CLINIC -88,179,088.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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
2021
Open to Public Inspection
Name of the organization
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
 
Employer identification number

95-1643327
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) NEWPORT HEALTHCARE CENTER LLC
ONE HOAG DRIVE BOX 6100
NEWPORT BEACH,CA92663
33-1127904
MEDICAL BLDG CA 8,388,837 118,015,069 HMHP
 
(2) HOAG OUTPATIENT THERAPIES LLC
ONE HOAG DRIVE BOX 6100
NEWPORT BEACH,CA92663
47-1467227
OUTPATIENT THERAPY CA -179,828 656,003 HMHP
 
(3) HOAG NEUROBEHAVIORAL HEALTH LLC
ONE HOAG DRIVE BOX 6100
NEWPORT BEACH,CA92663
47-3282694
MEDICAL SVCS CA -326,694 2,975,474 HMHP
 
(4) PERSONALCARE PHYSICIANS LLC
ONE HOAG DRIVE BOX 6100
NEWPORT BEACH,CA92663
26-4105404
MEDICAL SVCS CA     HMHP
 
(5) HOAG AT HOME LLC
ONE HOAG DRIVE BOX 6100
NEWPORT BEACH,CA92663
85-3629470
MANAGEMENT CA   203,628 HMHP
 
(6) HOAG HOME HEALTH LLC
ONE HOAG DRIVE BOX 6100
NEWPORT BEACH,CA92663
86-1411277
MEDICAL SVCS CA 1,111,703 9,152,463 HMHP
 
(7) OMO LLC
ONE HOAG DRIVE BOX 6100
NEWPORT BEACH,CA92663
MANAGEMENT TX -483   HMHP
 
(8) HOAG DIGITAL HEALTH
1 HOAG DRIVE
NEWPORT BEACH,CA92663
HEALTHCARE CA     HMHP
 
(9) HOAG HOSPICE
4041 MACARTHUR BLVD SUITE 100
NEWPORT BEACH,CA926602554
95-1643327
HEALTHCARE CA 595,217 4,776,268 HMHP
 
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


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

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)COVENANT ACO
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
61-1573313
HEALTHCARE TX 501(C)(3) 12, I CHS
 
Yes
 
(2)COVENANT HEALTH NETWORK INC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
46-1259908
HEALTHCARE CA 501(C)(3) 12, III SJHS
 
Yes
 
(3)COVENANT HEALTH PARTNERS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
46-3516417
HEALTHCARE TX 501(C)(3) 12, I CHS
 
Yes
 
(4)COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
75-2765566
HEALTHCARE TX 501(C)(3) 3 SJHS
 
Yes
 
(5)COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE

LUBBOCK,TX79410
75-2897026
HEALTHCARE TX 501(C)(3) 7 CHS
 
Yes
 
(6)COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
82-2913146
HEALTHCARE TX 501(C)(3) 3 CHS
 
Yes
 
(7)COVENANT MEDICAL GROUP
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
75-2743883
HEALTHCARE TX 501(C)(3) 3 CHS
 
Yes
 
(8)EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128

EVERETT,WA98206
94-3264605
TRANS. CARE WA 501(C)(3) 10 N/A
 
No
(9)GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
20-1910170
SUPPORT WA 501(C)(3) 7 PHS WA
 
Yes
 
(10)GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104

SEATAC,WA98188
27-3133200
HEALTHCARE WA 501(C)(3) 7 SHS
 
Yes
 
(11)HMTS INC
1 HOAG DRIVE PO BOX 6100

NEWPORT BEACH,CA92658
45-3583707
HEALTHCARE CA 501(C)(3) 12, I HMHP
 
Yes
 
(12)HOAG CHARITY SPORTS
2081 BUSINESS CTR DR STE 195

NEWPORT BEACH,CA92663
45-2982422
SUPPORT CA 501(C)(3) 7 HHF
 
Yes
 
(13)HOAG CLINIC
1 HOAG DRIVE PO BOX 6100

NEWPORT BEACH,CA92658
33-0676831
HEALTHCARE CA 501(C)(3) 10 HMHP
 
Yes
 
(14)HOAG HOSPITAL FOUNDATION
ONE HOAG DRIVE PO BOX 6100

NEWPORT BEACH,CA92658
95-3222343
FUNDRAISING CA 501(C)(3) 7 HMHP
 
Yes
 
(15)HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
75-2133781
HEALTHCARE TX 501(C)(3) 10 CHS
 
Yes
 
(16)INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
81-4260130
HEALTHCARE WA 501(C)(3) PF PHSSJHS
 
Yes
 
(17)INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-2003593
HEALTHCARE WA 501(C)(3) 7 WHC
 
Yes
 
(18)SAINT JOHN'S CANCER INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
95-4291515
HEALTHCARE CA 501(C)(3) 4 PSJHC
 
Yes
 
(19)KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-6033089
SUPPORT WA 501(C)(3) 12, III KRMC
 
Yes
 
(20)KADLEC FOUNDATION
888 SWIFT BLVD

RICHLAND,WA99352
23-7005501
SUPPORT WA 501(C)(3) 7 KRMC
 
Yes
 
(21)KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-0655392
HEALTHCARE WA 501(C)(3) 3 WHC
 
Yes
 
(22)LITTLE COMPANY OF MARY ANCILLARY SVCS CO
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
33-0844408
IMAGING SVCS CA 501(C)(3) 10 PHS SOCAL
 
Yes
 
(23)LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
26-4021016
HEALTHCARE TX 501(C)(3) 3 CHS
 
Yes
 
(24)LUNDBERG ASSOCIATIONPROVIDENCE HOUSE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-1562797
SUPPORT OR 501(C)(3) 7 PHS OR
 
Yes
 
(25)METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
75-2428911
HEALTHCARE TX 501(C)(3) 3 CHS
 
Yes
 
(26)METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
75-2246348
HEALTHCARE TX 501(C)(3) 3 CHS
 
Yes
 
(27)METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
75-2426010
HEALTHCARE TX 501(C)(3) 3 CHS
 
Yes
 
(28)MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
95-1643360
HEALTHCARE CA 501(C)(3) 3 CHN
 
Yes
 
(29)NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069

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

RENTON,WA98057
56-2290878
HEALTHCARE WA 501(C)(3) 10 WHC
 
Yes
 
(31)PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREET

BURBANK,CA91505
95-3544877
HEALTHCARE CA 501(C)(3) 7 PHS SOCAL
 
Yes
 
(32)PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021

ANCHORAGE,AK99508
92-0093565
HEALTHCARE AK 501(C)(3) 7 PHS WA
 
Yes
 
(33)PROVIDENCE BENEDICTINE NURSING CTR FNDN
540 SOUTH MAIN ST

MT ANGEL,OR97362
91-1940286
HEALTHCARE OR 501(C)(3) 7 PHS OR
 
Yes
 
(34)PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-1789266
SUPPORT WA 501(C)(3) 7 PHS WA
 
Yes
 
(35)PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35

PORTLAND,OR97213
93-0800140
SUPPORT OR 501(C)(3) 7 PHS OR
 
Yes
 
(36)PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410

MEDFORD,OR97504
93-0692907
HEALTHCARE OR 501(C)(3) 7 PHS OR
 
Yes
 
(37)PROVIDENCE DETHMAN HOUSE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
47-3385506
SUPPORT WA 501(C)(3) 7 N/A
 
No
(38)PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
31-1744654
SUPPORT WA 501(C)(3) 7 PHS WA
 
Yes
 
(39)PROVIDENCE HEALTH & SERVICES
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-1549796
HEALTHCARE WA 501(C)(3) 12, II PSJH
 
 
No
(40)PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
81-0231793
HEALTHCARE MT 501(C)(3) 3 PHS WA
 
Yes
 
(41)PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
51-0216587
HEALTHCARE OR 501(C)(3) 3 PHS
 
Yes
 
(42)PROVIDENCE HEALTH & SERVICES - WA
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
51-0216586
HEALTHCARE WA 501(C)(3) 3 PHS
 
Yes
 
(43)PROVIDENCE HEALTH & SERVICES - WEST WA
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-1303277
HEALTHCARE WA 501(C)(3) 3 PMWHC
 
Yes
 
(44)PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
55-0828701
MEDICAID OR 501(C)(4) N/A PHP
 
Yes
 
(45)PROVIDENCE HEALTH CARE FNDN - E WA
101 W 8TH AVE

SPOKANE,WA99204
32-0014330
HEALTHCARE WA 501(C)(3) 7 PHS WA
 
Yes
 
(46)PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
93-0863097
HEALTHCARE OR 501(C)(4) N/A PPP
 
Yes
 
(47)PROVIDENCE HEALTH SYSTEM - SO CAL
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
51-0216589
HEALTHCARE CA 501(C)(3) 3 PHS
 
Yes
 
(48)PROVIDENCE HOOD RIVER MEM HOSP FNDN
810 12TH STREET PO BOX 149

HOOD RIVER,OR97031
93-0921990
HEALTHCARE OR 501(C)(3) 7 PHS OR
 
Yes
 
(49)PROVIDENCE HOSPICE AND HOME CARE FNDN
1615 75TH ST SW SUITE 210

EVERETT,WA98203
27-2552749
HEALTHCARE WA 501(C)(3) 7 PHS W WA
 
Yes
 
(50)PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220

TUKWILA,WA98168
91-2077378
HEALTHCARE WA 501(C)(3) 7 PHS W WA
 
Yes
 
(51)PROVIDENCE LITTLE COMPANY OF MARY FNDN
4101 TORRANCE BLVD

TORRANCE,CA90503
51-0224944
HEALTHCARE CA 501(C)(3) 7 PHS SOCAL
 
Yes
 
(52)PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SE

ISSAQUAH,WA98029
93-1554288
HEALTHCARE WA 501(C)(3) 7 PHS W WA
 
Yes
 
(53)PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
33-0283773
HEALTHCARE CA 501(C)(3) 12, I PHS SOCAL
 
Yes
 
(54)PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVE

MILWAUKIE,OR97222
94-3079515
HEALTHCARE OR 501(C)(3) 7 PHS OR
 
Yes
 
(55)PROVIDENCE MINISTRIES
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
RELIGIOUS ORG WA 501(C)(3) 1 N/A
 
No
(56)PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SW

SEATTLE,WA98126
91-1188119
HEALTHCARE WA 501(C)(3) 7 PHS WA
 
Yes
 
(57)PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVE

NEWBERG,OR97132
93-0889144
HEALTHCARE OR 501(C)(3) 7 PHS OR
 
Yes
 
(58)PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
31-1629656
SUPPORT WA 501(C)(3) 7 PHS WA
 
Yes
 
(59)PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-1861964
HEALTHCARE WA 501(C)(4) N/A PHS OR
 
Yes
 
(60)PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN ST

PORTLAND,OR97213
93-1231494
HEALTHCARE OR 501(C)(3) 7 PHS OR
 
Yes
 
(61)PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
31-1584166
SUPPORT WA 501(C)(3) 10 PHS WA
 
Yes
 
(62)PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
95-1684082
HEALTHCARE CA 501(C)(3) 3 PHS SOCAL
 
Yes
 
(63)PROVIDENCE SAINT JOHN'S MEDICAL FNDN
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
81-4542216
HEALTHCARE CA 501(C)(3) 3 PHS SOCAL
 
Yes
 
(64)PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROAD

SEASIDE,OR97138
93-0927320
HEALTHCARE OR 501(C)(3) 7 PHS OR
 
Yes
 
(65)PROVIDENCE ST ELIZABETH HOUSE ASSOC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-2171539
SUPPORT WA 501(C)(3) 7 PHS WA
 
Yes
 
(66)PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
94-3244854
SUPPORT WA 501(C)(3) 7 PHS WA
 
Yes
 
(67)PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
81-1244422
HEALTHCARE WA 501(C)(3) 12, III N/A
 
No
(68)PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599

PROTLAND,WA97213
94-3078543
HEALTHCARE WA 501(C)(3) 7 PHS WA
 
Yes
 
(69)PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
81-0463482
HEALTHCARE MT 501(C)(3) 3 PHS WA
 
Yes
 
(70)PROVIDENCE SOUTHWEST WASHINGTON FNDN
413 LILLY ROAD NE

OLYMPIA,WA98506
91-1097056
SUPPORT WA 501(C)(3) 7 PHS W WA
 
Yes
 
(71)PROVIDENCE ST VINCENT MEDICAL FNDN
9205 SW BARNES ROAD STE MT2111

PORTLAND,OR97225
93-0575982
HEALTHCARE OR 501(C)(3) 7 PHS OR
 
Yes
 
(72)PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
95-3264139
HEALTHCARE CA 501(C)(3) 10 PHS SOCAL
 
Yes
 
(73)PROVIDENCE TRINITYCARE HOSPICE FNDN
5315 TORRANCE BLVD NO B-1

TORRANCE,CA90503
33-0261016
HEALTHCARE CA 501(C)(3) 7 PTCH
 
Yes
 
(74)PROVIDENCE WILLAMETTE FALLS MEDICAL FNDN
1500 DIVISION STREET

OREGON CITY,OR97045
93-1003750
HEALTHCARE OR 501(C)(3) 12, I PHS OR
 
Yes
 
(75)REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREET

EUREKA,CA95501
94-2779313
HEALTHCARE CA 501(C)(3) 7 RMH
 
Yes
 
(76)SAINT JOHN'S HOSPITALHEALTH CENTER FNDN
2121 SANTA MOINCA BLVD

SANTA MONICA,CA90404
95-6100079
SUPPORT CA 501(C)(3) 7 PSJHC
 
Yes
 
(77)SEATTLE SCIENCE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
61-1502822
PHYSN COLLAB WA 501(C)(3) 7 WHC
 
Yes
 
(78)SISTERS OF PROVIDENCE OF MONTANA CORP
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
26-2612415
SHELL CORP MT 501(C)(3) 1 PHS WA
 
 
No
(79)SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT

RENTON,WA98057
95-1643383
RELIGIOUS ORG CA 501(C)(3) 1 N/A
 
No
(80)SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
68-0395200
HEALTHCARE CA 501(C)(3) 3 SRMH
 
Yes
 
(81)ST JOSEPH HEALTH MINISTRY
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
27-1666576
RELIGIOUS ORG CA 501(C)(3) 1 SSJO
 
 
No
(82)ST JOSEPH HEALTH N CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
81-4791043
HEALTHCARE CA 501(C)(3) 3 SJHS
 
Yes
 
(83)ST JOSEPH HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
95-3589356
HEALTHCARE CA 501(C)(3) 12, I PSJH
 
 
No
(84)ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100

IRVINE,CA92612
33-0143024
HEALTHCARE CA 501(C)(3) 10 SJHS
 
Yes
 
(85)PROVIDENCE MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
33-0185031
HEALTHCARE CA 501(C)(3) 3 SJHS
 
Yes
 
(86)ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
68-0331084
HEALTHCARE CA 501(C)(3) 10 SJHS
 
Yes
 
(87)ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
95-1643359
HEALTHCARE CA 501(C)(3) 3 CHN
 
Yes
 
(88)ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
95-1643325
HEALTHCARE CA 501(C)(3) 3 CHN
 
Yes
 
(89)ST LUKE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
94-3176618
SUPPORT WA 501(C)(3) 7 PHS WA
 
Yes
 
(90)ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
95-1914489
HEALTHCARE CA 501(C)(3) 3 CHN
 
Yes
 
(91)ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREET

MISSOULA,MT59802
23-7056976
HEALTHCARE MT 501(C)(3) 7 PHS WA
 
Yes
 
(92)ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
81-0233495
EDUCATION MT 501(C)(3) 10 PHS WA
 
Yes
 
(93)SWEDISH EDMONDS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
27-2305304
HEALTHCARE WA 501(C)(3) 3 WHC
 
Yes
 
(94)SWEDISH HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-0433740
HEALTHCARE WA 501(C)(3) 3 WHC
 
Yes
 
(95)SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAY

SEATTLE,WA98122
91-0983214
HEALTHCARE WA 501(C)(3) 7 SHS
 
Yes
 
(96)SWEDISH MJM HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
27-3139262
HOLDING CO WA 501(C)(3) 12, I SHS
 
Yes
 
(97)THE GAMELIN ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-1180824
SUPPORT WA 501(C)(3) 7 PHS WA
 
Yes
 
(98)THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-1293869
SUPPORT CA 501(C)(3) 10 PHS SOCAL
 
Yes
 
(99)THE GAMELIN OREGON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
91-1214491
SUPPORT OR 501(C)(3) 10 PHS OR
 
Yes
 
(100)UNIVERSITY OF PROVIDENCE
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
81-0231777
EDUCATION MT 501(C)(3) 2 PHS
 
Yes
 
(101)WESTERN HEALTHCONNECT
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
45-4171900
SHELL CORP WA 501(C)(3) 12, II PHS W WA
 
Yes
 
(102)GRACE CLINIC OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
20-3856995
HEALTHCARE TX 501(C)(3) 3 CHS
 
Yes
 
(103)TARZANA MEDICAL CENTER LLC
1801 LIND AVE SW ATTN TAX DEPT

RENTON,WA98057
83-3972614
HEALTHCARE CA 501(C)(3) 3 PHS SOCAL
 
Yes
 
(104)PROVIDENCE FACEY MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT

RENTON,WA98057
95-4322584
SUPPORT CA 501(C)(3) 7 PHS SOCAL
 
Yes
 
(105)TRI-CITIES CANCER CENTER
1802 LIND AVENUE SW ATTN TAX DEPT

RENTON,WA98057
91-1594526
HEALTHCARE WA 501(C)(3) 3 KADLEC
 
Yes
 
(106)TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BLDG A

KENNEWICK,WA99336
91-1739024
SUPPORT WA 501(C)(3) 7 KADLEC
 
Yes
 
(107)COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPT

RENTON,WA98057
84-4273963
HEALTHCARE TX 501(C)(3) 3 CHS
 
Yes
 
(108)PROVIDENCE ST MARY FOUNDATION
401 W PAPLAR STREET

WALLA WALLA,WA99362
45-2841492
HEALTHCARE WA 501(C)(3) 7 PHS WA
 
Yes
 
(109)COLLABRIA CARE
414 SOUTH JEFFERSON STREET

NAPA,CA94559
68-0393144
HEALTHCARE CA 501(C)(3) 10 SJHCN
 
Yes
 
(110)OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPT

RENTON,WA98057
91-1608508
SUPPORT WA 501(C)(3)   PHS WA
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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 SU CA N/A
        No     No  
(2) BRIDGEPORT MEDICAL IMAGING (BMI)

4400 NE HALSEY 495
PORTLAND,OR97213
26-0796953
IMAGING DIAG. OR N/A
        No     No  
(3) BROADWAY IMAGING LLC

PO BOX 4587
MISSOULA,MT598064587
52-2405971
MEDICAL IMAGI MT N/A
        No     No  
(4) CENTER FOR MATERNAL NEWBORN AND CHILD

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,CA98057
81-3526875
HEALTHCARE CA N/A
        No     No  
(5) CENTER FOR MEDICAL IMAGING (CMI)

4400 NE HALSEY 495
PORTLAND,OR97213
20-0477972
IMAGING DIAG. OR N/A
        No     No  
(6) CLACKAMAS RADIATION ONCOL CENTER LLC

4400 NE HALSEY ST BLDG II 495
PORTLAND,OR97213
26-0381897
RADIATION ONC OR N/A
        No     No  
(7) COASTAL ASC HOLDINGS LLC

ONE HOAG DRIVE BOX 6100
NEWPORT BEACH,CA92658
81-0986844
HEALTHCARE CA HMHP
 
  7,975,792 22,506,715 Yes     Yes   77.500 %
(8) COVENANT LONG-TERM CARE LP

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
20-5033419
HEALTHCARE TX N/A
        No     No  
(9) FULLERTON SURGICAL CENTER LP

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
47-0927394
AMBULATORY SU CA N/A
        No     No  
(10) GREATER VALLEY MEDICAL BUILDING LP

501 S BUENA VISTA ST
BURBANK,CA91505
95-4570858
REAL ESTATE CA N/A
        No     No  
(11) HCSA PROPERTIES LLC

1600 M STREET NW
AUBURN,WA98001
46-0620892
REAL ESTATE R WA N/A
        No     No  
(12) HERITAGE INVESTMENT GROUP I LLC

500 S MAIN STREET STE 1000
ORANGE,CA92868
27-1000061
INVESTMENTS CA N/A
        No     No  
(13) HOAG ORTHOPEDIC INSTITUTE

1 HOAG DRIVE BOX 6100
NEWPORT BEACH,CA92658
61-1588294
HEALTHCARE CA HMHP
 
  26,214,608 35,614,966 Yes     Yes   51.000 %
(14) IMAGING ASSOCIATES LLC

3650 PIPER STREET STE A
ANCHORAGE,AK99508
20-3906048
MEDICAL IMAGI AK N/A
        No     No  
(15) INLAND IMAGING LLC

801 S STEVENS ST
SPOKANE,WA99204
91-1855796
MEDICAL IMAGI WA N/A
        No     No  
(16) LSC REAL PROPERTY LLC

2301 QUAKER AVENUE
LUBBOCK,TX79410
47-4646059
REAL ESTATE TX N/A
        No     No  
(17) METHODIST DIAGNOSTIC IMAGING

4005 24TH STREET
LUBBOCK,TX79410
75-2343261
HEALTHCARE TX N/A
        No     No  
(18) NEWPORT IMAGING CENTER

360 SAN MIGUEL
NEWPORT BEACH,CA92660
33-0191776
HEALTHCARE CA HMHP
 
  -2,779,850 5,659,906 Yes     Yes   99.880 %
(19) OREGON ADVANCED IMAGING LLC

881 OHARE PARKWAY
MEDFORD,OR97504
45-0471748
MEDICAL IMAGI OR N/A
        No     No  
(20) OREGON OUTPATIENT SURGERY CENTER

7300 SW CHILDS RD
TIGARD,OR97224
22-3883387
AMBULATORY SU OR N/A
        No     No  
(21) PETCT IMAGING AT SWEDISH CANCER INSTITU

1221 MADISON STREET
SEATTLE,WA98104
20-3132044
MEDICAL IMAGI WA N/A
        No     No  
(22) PHS INVESTMENT TRUST SHORT TERM INVESTME

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
81-2701056
INVESTMENTS WA N/A
        No     No  
(23) PROV RADIATION ONCOLOGY DEVELOP ASSN

4400 NE HALSEY 495
PORTLAND,OR97213
26-0682491
REAL ESTATE OR N/A
        No     No  
(24) PROVIDENCE CHILDREN'S NEONATAL SERVICES

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
47-0918549
NEONATAL CARE WA N/A
        No     No  
(25) PROVIDENCE IMAGING CENTER JOINT VENTURE

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,AK98057
92-0118807
MEDICAL IMAGI AK N/A
        No     No  
(26) PROVIDENCE ST JOSEPH HEALTH LONG TERM P

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
82-3190634
INVESTMENTS WA N/A
        No     No  
(27) PROVIDENCE SURGERY CENTER LLC

902 N ORANGE ST
MISSOULA,MT59802
84-1401625
AMBULATORY SU MT N/A
        No     No  
(28) PROVIDENCE UCLA USP SURGERY CENTER JV

14201 DALLAS PARKWAY
DALLAS,TX75254
32-0503030
AMBULATORY SU CA N/A
        No     No  
(29) PROVIDENCEUSP SOUTH BAY SURGERY CENTERS

15305 DALLAS PKWY STE 1600 LB 28
ADDISON,TX75001
47-5064486
AMBULATORY SU CA N/A
        No     No  
(30) PROVIDENCEUSP SURGERY CTRS

11550 INDIAN HILLS ROAD 160
MISSION HILLS,CA91345
20-0684116
AMBULATORY SU CA N/A
        No     No  
(31) RADIATION THERAPY INNOVATIONS LLC

1221 MADISON STREET 1ST FL
SEATTLE,WA98104
30-0553035
HEALTHCARE WA N/A
        No     No  
(32) SANTA ANA MOB LLC

1800 QUAIL STREET STE 100
NEWPORT BEACH,CA92660
75-3205306
REAL ESTATE CA N/A
        No     No  
(33) SJO ASC HOLDINGS LLC

1140 W LA VETA AVE
ORANGE,CA92868
82-1655501
HEALTHCARE CA N/A
        No     No  
(34) ST JOSEPH PHYSICIAN VENTURES I LLC

1100 WEST STEWART DRIVE
ORANGE,CA92868
45-4521884
REAL ESTATE CA N/A
        No     No  
(35) ST JOSEPHSATELLITE DIALYSIS CTRS LLC

300 SANTANA ROW SUITE 300
SAN JOSE,CA95128
81-4657391
HEALTHCARE CA N/A
        No     No  
(36) ST JUDE SURGICAL CENTERS LLC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
82-3352570
AMBULATORY SU CA N/A
        No     No  
(37) SURGERY CENTER AT TANASBOURNE LLC

11221 ROE AVE STE 300
LEAWOOD,KS66211
20-8187971
AMBULATORY SU KS N/A
        No     No  
(38) TARZANA PEDIATRIC VENTURES LLC

18321 CLARK ST
TARZANA,CA91356
82-1308306
HEALTHCARE CA N/A
        No     No  
(39) THE MADISON SPOKANE INN LLC

15 WEST ROCKWOOD BLVD
SPOKANE,WA99204
84-1606484
HOTEL SERVICE WA N/A
        No     No  
(40) MISSION VIEJO PARTNERS II LLC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
82-3943675
REAL ESTATE CA MHRMC
 
        No     No  
(41) CANBY MEDICAL CENTER I LLC

4800 SW MACADAM AVE STE 120
PORTLAND,OR97239
20-5470937
REAL ESTATE OR PHS OR
 
        No     No  
(42) CSS JV LLC

11782 SW BARNES ROAD STE 200 BLDG C
PORTLAND,OR97226
26-3638838
AMBULATORY SURG OR PHS OR
 
        No     No  
(43) FIRST HILL SURGERY CENTER LLC

1101 MADISON STREET STE 200
SEATTLE,WA98104
47-2066485
AMBULATORY SURG WA SHS
 
        No     No  
(44) NORTH OC IMAGING JV HOLDINGS LLC

1801 LIND AVENUE SE ATTN TAX DEPT
RENTON,WA98057
85-2444305
HEALTHCARE WA SJMC
 
        No     No  
(45) PERFORMANCE MED EQUIP & RESP SRVCS

19625 622ND AVENUE SOUTH SUITE 101
KENT,WA98032
45-2901632
MEDICAL EQUIP. WA SHS
 
        No     No  
(46) ST PETER-SOUTH SOUND REGIONAL MRI CNTR

3417 ENSIGN RD NE
OLYMPIA,WA98506
91-1455338
MEDICAL IMAGING WA PHS WA
 
        No     No  
(47) WON-ONC LLC

1900 COOKS HILL RD
CENTRALIA,WA98531
26-2181194
REAL ESTATE WA PHS WA
 
        No     No  
(48) PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC

569 BROOKWOOD VILLAGE SUITE 901
BIRMINGHAM,AL35209
82-3765555
MEDICAL AL PHS OR
 
        No     No  
(49) PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC

569 BROOKWOOD VILLAGE SUITE 901
BIRMINGHAM,AL35209
82-3270499
MEDICAL AL PHS OR
 
        No     No  
(50) COMPREHENSIVE IMAGING PARTNERS OF ORANGE

ONE CITY BLVD W STE 1100
ORANGE,CA92868
26-4591502
HEALTHCARE CA SJO
 
        No     No  
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
SEATLE,WA98122
20-1954319
OWNERS' ASSOC WA N/A
C         No
(2) AMERICAN UNITY GROUP LTD

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

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
83-3037172
HEALTHCARE DE N/A
C         No
(4) BOURGET HEALTH SERVICES INC

101 W 8TH AVE TAF C-9
SPOKANE,WA99220
91-1354431
CLIN/MED LAB WA N/A
C         No
(5) CARON HEALTH CORPORATION

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
81-0486082
MED PHYS SVCS MT N/A
C         No
(6) COMMUNITY TECHNOLOGIES INC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
84-4722399
IT SVCS DE N/A
C         No
(7) ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA

1301 20TH ST STE 280
SANTA MONICA,CA90404
95-2880495
HEALTHCARE CA N/A
C         No
(8) HOAG MANAGEMENT SERVICES INC

1 HOAG DRIVE BOX 6100
NEWPORT BEACH,CA92658
33-0731587
HEALTHCARE CA HMHP
 
C 596,707 241,471,979 100.000 %   No
(9) HOAG PHYSICIAN PARTNERS

16148 SAND CANYON AVE
IRVINE,CA92618
83-4276044
HEALTHCARE CA HC
 
C         No
(10) LUBBOCK METHODIST HOSP PRACTICE MGMT

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
75-2578995
INACTIVE TX N/A
C         No
(11) LUBBOCK METHODIST HOSPITAL SVCS

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
75-2118585
HEALTHCARE TX N/A
C         No
(12) LUMEDIC INC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
83-3881097
HEALTHCARE WA N/A
C         No
(13) MEDIREVV INC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
20-8783763
HEALTHCARE DE N/A
C         No
(14) MISSION VIEJO MEDICAL VENTURES

27800 MEDICAL CENTER RD 354
MISSION VIEJO,CA92691
33-0212905
HEALTHCARE CA N/A
C         No
(15) PERFORMANCE HEALTH TECHNOLOGY LTD

3993 FAIRVIEW INDUSTRIAL DR SE
SALEM,OR97302
93-1211733
HEALTHCARE OR N/A
C         No
(16) PHN HOLDINGS

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
46-1814184
STRAT PLAN SV CA N/A
C         No
(17) PIONEER INNOVATIONS INC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
36-4818191
HEALTH INNOVA WA N/A
C         No
(18) PROVIDENCE ASSURANCE INC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
20-8194071
CAPTIVE INSUR AZ N/A
C         No
(19) PROVIDENCE GLOBAL CENTER LLP

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
98-1516461
IT SVCS IN N/A
C         No
(20) PROVIDENCE HEALTH CARE VENTURES INC

101 W 8TH AVE TAF C-9
SPOKANE,WA99204
90-0155714
CLIN/MED LAB WA N/A
C         No
(21) PROVIDENCE HEALTH NETWORK

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
80-0886966
PREPAID HEALT CA N/A
C         No
(22) PROVIDENCE HEALTH VENTURES INC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
33-0122216
INVESTMENT CA N/A
C         No
(23) PROVIDENCE PHYSICIAN SERVICES CO

101 W 8TH AVE TAF C-9
SPOKANE,WA99204
91-1216033
HEALTHCARE WA N/A
C         No
(24) PROVIDENCE ST JOSEPH HEALTH NETWORK

20555 EARL ST
TORRANCE,CA90503
82-3771547
HEALTHCARE CA N/A
C         No
(25) ST JOSEPH HEALTH

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
46-2340232
HOLDING CO CA N/A
C         No
(26) ST JOSEPH HEALTH SOURCE INC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
46-1900168
HEALTHCARE CA N/A
C         No
(27) ST JOSEPH PROF SVCS ENTERPRSES INC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
33-0155323
HEALTHCARE CA N/A
C         No
(28) VINSERRA INC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
95-3943315
INVESTMENT CA N/A
C         No
(29) TEGRIA SERVICES GROUP-US INC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
90-0872936
HEALTHCARE WI N/A
C         No
(30) TEGRIA RCM GROUP INC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
84-4686520
HOLDING CO DE N/A
C         No
(31) TEGRIA SERVICES GROUP INC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
84-4704409
HOLDING CO DE N/A
C         No
(32) TEGRIA HOLDINGS LLC

1801 LIND AVENUE SW ATTN TAX DEPT
RENTON,WA98057
84-2092143
HOLDING CO DE N/A
C         No
(33) QUIVIQ INC

1400-112TH AVENUE ST SUITE 100
BELLEVUE,WA98004
83-3879444
ANALYTICS WA N/A
C         No
(34) ACCLARA SOLUTIONS INTERMEDIATE LLC

10713 W SAM HOUSTON PKWY N 500
HOUSTON,TX77064
37-1783298
FINANCIAL SVC TX N/A
C         No
(35) MEDICAL SPECIALTIES MANAGERS INC

1801 LIND AVE SW
RENTON,WA98057
33-0406218
HEALTHCARE WA N/A
C         No
(36) HMR WEIGHT MANAGEMENT SERVICES CORP

1801 LIND AVE SW
RENTON,WA98057
46-3598718
RESEARCH WA N/A
C         No
(37) ACCLARA SOLUTIONS GROUP LLC

10713 W SAM HOUSTON PKWY N 500
HOUSTON,TX77064
87-0837184
HOLDING CO. TX N/A
C         No
(38) COLBURN HILL GROUP INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA95057
86-3383433
HEALTHCARE DE N/A
C         No
(39) KENSCI INC

615 2ND DRIVE AVE 700
SEATTLE,WA98104
47-4048082
HEALTHCARE WA N/A
C         No
(40) KENSCI TECH INDIA PRIVATE LIMITED

615 2ND AVE 700
SEATTLE,WA98104
HEALTHCARE IN N/A
C         No
(41) KENSCI ASIA PACIFIC PTE LTD

615 2ND AVE 700
SEATTLE,WA98104
HEALTHCARE SN N/A
C         No
(42) TEGRIA INSIGHTS GROUP HOLDINGS INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057
86-1400769
HOLDING CO WA N/A
C         No
(43) TEGRIA INSIGHTS GROUP INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057
86-1532593
HEALTHCARE WA N/A
C         No
(44) TEGRIA PRODUCTS GROUP INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057
87-0995138
HOLDING CO DE N/A
C         No
(45) TEGRIA RCM GROUP US INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057
86-3046450
HOLDING CO DE N/A
C         No
(46) TEGRIA SERVICES GROUP-CAN INC

1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057
HEALTHCARE WA N/A
C         No
(47) HOAG ORTHOPEDIC NETWORK

ONE HOAG DRIVE PO BOX 6100
NEWPORT BEACH,CA92658
83-4062064
HEALTHCARE CA N/A
C         No
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
Yes
 
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
Yes
 
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
Yes
 
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) HOAG ORTHOPEDIC INSTITUTE

L 28,654,678 ACCRUAL
(2) HOAG HOSPITAL FOUNDATION

J 1,014,247 ACCRUAL
(3) HOAG HOSPITAL FOUNDATION

Q 12,069,041 ACCRUAL
(4) HOAG HOSPITAL FOUNDATION

L 120,000 ACCRUAL
(5) HOAG HOSPITAL FOUNDATION

C 36,429,247 ACCRUAL
(6) HOAG CHARITY SPORTS

Q 943,587 ACCRUAL
(7) HOAG CLINIC

B 88,179,088 ACCRUAL
(8) HOAG ORTHOPEDIC INSTITUTE

J 8,585,177 ACCRUAL
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


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