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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
2020
Open to Public
Inspection
Name of the organization
ST JOSEPH HEALTH SYSTEM
 
Employer identification number
95-3589356
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) COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057 		75-2765566 501(C)(3) 1,698,359       PROGRAM SUPPORT
(2) ST JUDE MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057 		95-1643325 501(C)(3) 1,433,889       PROGRAM SUPPORT
(3) ST JOSEPH HOSPITAL ORANGE
1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057 		95-1643359 501(C)(3) 1,414,092       PROGRAM SUPPORT
(4) MISSION HOSPITAL REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057 		95-1643360 501(C)(3) 1,147,829       PROGRAM SUPPORT
(5) ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057 		95-1914489 501(C)(3) 637,783       PROGRAM SUPPORT
(6) ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057 		81-4791043 501(C)(3) 580,212       PROGRAM SUPPORT
(7) SRM ALLIANCE HOSPITAL SERVICES
1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057 		68-0395200 501(C)(3) 211,390       PROGRAM SUPPORT
(8) ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPT
RENTON,WA98057 		68-0331084 501(C)(3) 25,191       PRGRAM SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
8
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020
Page 2

Schedule I (Form 990) 2020
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: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION.
Schedule I (Form 990) 2020



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