PROVIDENCE SAINT JOHNS HEALTH CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE SAINT JOHNS HEALTH CENTER (EIN 95-1684082)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202313189349311916
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-14T14:20:43-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	560 MISSION STREET SUITE 1600	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951684082	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE SAINT JOHN'S HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PROV	BusinessNameControlTxt
Phone	3108295511	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JIM MARTIN	PersonNm
Person Title	CHIEF ACCOUNTING OFFICER	PersonTitleTxt
Phone	4255253985	PhoneNum
Signature	2023-11-07	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JIM	PersonFirstNm
Person Last	MARTIN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN
Phone	4158948000	PhoneNum
Preparation	2023-11-05	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	GREG HOFFMAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW ATTN TAX DEPT	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$468,942,275	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	CALIFORNIA.PROVIDENCE.ORG/SAINT-JOHNS/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1942	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE OAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1924	TotalEmployeeCnt
Total Volunteers	100	TotalVolunteersCnt
Total Gross UBI	$6,466,737	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,458,012	PYContributionsGrantsAmt
CY Contributions Grants	$17,951,447	CYContributionsGrantsAmt
PY Program Service Revenue	$420,208,837	PYProgramServiceRevenueAmt
CY Program Service Revenue	$447,569,890	CYProgramServiceRevenueAmt
PY Investment Income	$2,217,669	PYInvestmentIncomeAmt
CY Investment Income	$261,030	CYInvestmentIncomeAmt
PY Other Revenue	$4,438,840	PYOtherRevenueAmt
CY Other Revenue	$2,367,220	CYOtherRevenueAmt
PY Total Revenue	$435,323,358	PYTotalRevenueAmt
CY Total Revenue	$468,149,587	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,819,034	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,077,677	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$149,786,999	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$150,318,051	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$402,132,092	PYOtherExpensesAmt
CY Other Expenses	$443,284,379	CYOtherExpensesAmt
PY Total Expenses	$554,738,125	PYTotalExpensesAmt
CY Total Expenses	$599,680,107	CYTotalExpensesAmt
PY Revenues Less Expenses	-$119,414,767	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$131,530,520	CYRevenuesLessExpensesAmt
Total Assets BOY	$662,566,140	TotalAssetsBOYAmt
Total Assets EOY	$666,988,301	TotalAssetsEOYAmt
Total Liabilities BOY	$241,539,006	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$193,091,365	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$421,027,134	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$473,896,936	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$526,569,995	ExpenseAmt
Grant	$6,077,677	GrantAmt
Revenue	$449,933,037	RevenueAmt
Desc	SEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT ENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSPROVIDENCE CONTINUES TO ADVANCE A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION ("DEI"), AND ENVIRONMENTAL STEWARDSHIP. IN 2022, WE ELEVATED THE WORK OF DEI, BY RESTRUCTURING RESOURCES WITH PLANS TO ALIGN AND SCALE DEI STRATEGIES ACROSS THE PROVIDENCE FAMILY OF ORGANIZATIONS. WE CONTINUE TO EXECUTE ON OUR INTEGRATED STRATEGIC & FINANCIAL PLAN WHICH CLEARLY EXPRESSES OUR COMMITMENT AND ACCELERATION OF THIS IMPORTANT WORK TO ADDRESS SOCIAL, RACIAL, AND ECONOMIC DISPARITIES IN THE COMMUNITIES WE SERVE. PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. WE HAVE IMPLEMENTED AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USAGE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL. WE HAVE ALSO HELD ENVIRONMENTAL STEWARDSHIP AS ONE OF THE TOP PRIORITIES FOR OUR LEADERSHIP INCENTIVE PROGRAM TO ENSURE ALIGNMENT AND MOMENTUM CONTINUES. IN APRIL 2022, PROVIDENCE PUBLISHED ITS FIRST ENVIRONMENTAL STEWARDSHIP REPORT, IN WHICH WE REPORTED 12 PERCENT REDUCTION IN CARBON EMISSIONS IN SEVEN KEY CATEGORIES IN OUR ACUTE CARE FACILITIES SINCE OUR 2019 BASELINE. AS OF SEPTEMBER 30, 2022, (THE MOST RECENT DATA AVAILABLE), WE HAVE INCREASED THAT REDUCTION TO 13 PERCENT.2022 PROGRAM SERVICE ACCOMPLISHMENTSFOR MORE THAN SEVENTY-FIVE YEARS, SAINT JOHN'S HEALTH CENTER HAS OFFERED A RANGE OF HEALTH CARE PROGRAMS AND SERVICES UNPARALLELED ON THE WESTSIDE OF LOS ANGELES.IN ADDITION, PROVIDENCE SAINT JOHN'S MADE PROGRESS TOWARD FOUR KEY INITIATIVES.INITIATIVE 1: STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE FOR PATIENTS EXPERIENCING HOMELESSNESS AS A HOSPITAL THAT SEES A SIGNIFICANT NUMBER OF PATIENTS EXPERIENCING HOMELESSNESS THAT COME IN THROUGH OUR EMERGENCY DEPARTMENTS FOR CARE.2022 ACCOMPLISHMENTS:- SCREENED OVER 282 ER PATIENTS FOR HOMELESSNESS.- DISCHARGED OVER 25 PATIENTS TO TEMPORARY/PERMANENT HOUSING.- $150,000 IN GRANTS AWARDED BY PSJHC TO LOCAL HOMELESS SERVICE PROVIDERS.INITIATIVE 2: IMPROVE ACCESS TO HEALTH CARE SERVICES WE WILL CONTINUE TO PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY CLINICS AND NONPROFIT ORGANIZATIONS THAT IMPROVE HEALTH CARE ACCESS TO UNDERSERVED AND VULNERABLE POPULATIONS.2022 ACCOMPLISHMENTS:- $275,000 IN GRANTS AWARDED FROM PSJHC TO LOCAL ORGANIZATIONS FOR ACCESS TO CARE.- $110,226 IN-KIND LAB AND DIAGNOSTIC SERVICES PROVIDED TO LOCAL FQHCS.- $150,000 IN GRANTS AWARDED FROM SAINT JOHN'S HEALTH CENTER FOUNDATION TO LOCAL ORGANIZATIONS FOR ACCESS TO CARE.INITIATIVE 3: IMPROVE ACCESS TO BEHAVIORAL HEALTH AND REDUCE STIGMA.- 52 FAMILIES LINKED TO SERVICES THROUGH THE WARM LINE REFERRAL.- 11 TRAININGS AT SCHOOLS FOR TEACHERS AND PARENTS HOSTED BY THE CHILD AND FAMILY DEVELOPMENT CENTER.- 44 CHILDREN PROVIDED MENTAL HEALTH SERVICES IN SMMUSD PRESCHOOL CLASSROOMS.INITIATIVE 4: TRAIN AND DEPLOY A WORKFORCE OF COMMUNITY HEALTH WORKERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN UNDERSERVED POPULATIONS PROVIDENCE HAS A LONG HISTORY IN EMPLOYING COMMUNITY HEALTH WORKERS (CHWS) IN A DIVERSE BREADTH OF ROLES IN PROGRAMS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH.- 71 CALFRESH APPLICATIONS ASSISTED, WITH 35 CONFIRMED ENROLLMENTS.- 121 PEOPLE TRAINED IN MENTAL HEALTH FIRST AID.- ONE CHW INTERN PLACED AT A HEALTHCARE LOCATION IN THE SAINT JOHN'S SERVICE AREA THROUGH PROVIDENCE'S COMMUNITY HEALTH WORKER ACADEMY PROGRAM.FOR MORE INFORMATION BY NEED AREA GO TO OUR CB ANNUAL REPORT LOCATED AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/SOUTHERN-CALIFORNIA	Desc
Total Program Service Expenses	$526,569,995	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	181	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1924	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JIM MARTIN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4255253985	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1801 LIND AVE SW	AddressLine1Txt
City	RENTON	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98057	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ERIK WEXLER
FRMR KE - PSJH PRES. STRAT. OPS (SO)	0.00	65.00	Yes (X)	$0	$4,701,760	$400,152
GREG HOFFMAN
PRESIDENT/CEO	0.50	64.50		$0	$2,619,615	$278,536	Yes (X)
JO ANN ESCASA-HAIGH
TREASURER/CFO/VP	0.50	64.50		$0	$2,157,414	$35,815	Yes (X)
MIKE BUTLER
FRMR PRESIDENT	0.00	0.00	Yes (X)	$0	$1,835,706	$7,828
JOHN WHIPPLE
SECRETARY - THRU 5/22	0.50	54.50		$0	$1,743,754	$11,047	Yes (X)
MICHAEL RICKS
CHIEF EXEC ST JOHNS HEALTH CNT	54.50	0.50		$0	$1,234,832	$239,813		Yes (X)
ANNA NEWSOM
SECRETARY (PART YEAR)	0.50	54.50		$0	$801,000	$225,085	Yes (X)
JIM WATSON ESQ
FRMR OFF - PSJH SEC./ASST. SEC.	0.00	55.00	Yes (X)	$0	$837,237	$124,389
ROBERT KLEIN
PRESIDENT/CEO-FOUNDATION	0.00	55.00		$717,866	$0	$95,910			Yes (X)
STELLA NICHOLS
DIR FINANCE-FOUNDATION	0.50	54.50		$455,370	$0	$59,725			Yes (X)
MINA KANG
CHIEF MEDICAL OFFICER HOSPITAL	50.00	0.00		$459,313	$0	$50,552			Yes (X)
JARED AMERSON
COO ST JOHNS HEALTH CNT	55.00	0.00		$477,401	$0	$32,455		Yes (X)
NAHID NOORI
ULTRASOUND TECHNICIAN GF	50.00	0.00		$405,986	$0	$33,338			Yes (X)
MICHAEL AVILA
SVP DEVELOPMENT-FOUNDATION	50.00	0.00		$356,195	$0	$28,013			Yes (X)
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	0.50	54.50		$0	$256,992	$31,183	Yes (X)
CINDY STRAUSS
FRMR SECRETARY	0.00	0.00	Yes (X)	$0	$146,754	$0
MARY LYONS PHD
BOARD CHAIR	1.00	26.50		$0	$75,936	$0				Yes (X)
RICHARD BLAIR
DIRECTOR	0.50	14.50		$0	$61,313	$0				Yes (X)
MICHAEL MURPHY
DIRECTOR	0.50	13.50		$0	$50,668	$0				Yes (X)
CHARLES SORENSON MD
DIRECTOR	0.50	13.50		$0	$50,000	$0				Yes (X)
ISIAAH CRAWFORD PHD
DIRECTOR	0.50	15.00		$0	$50,000	$0				Yes (X)
CHRISTINA FISHER
DIRECTOR - THRU 11/22	0.50	13.50		$0	$40,000	$0				Yes (X)
ERIC SPRUNK
DIRECTOR	0.50	13.50		$0	$40,000	$0				Yes (X)
MARY BETH KINGSTON
DIRECTOR (PART YEAR)	0.50	12.50		$0	$0	$0				Yes (X)
SISTER CAROL PACINI LCM
DIRECTOR	0.50	13.50		$0	$0	$0				Yes (X)
SISTER DIANE HEJNA CSJ RN
DIRECTOR	0.50	13.50		$0	$0	$0				Yes (X)
SISTER PHYLLIS HUGHES RSM DRPH
DIRECTOR	0.50	13.50		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,872,131	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$16,702,981	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,653,841	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	572	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AMN HEALTHCARE INC
PO BOX 56157	LOS ANGELES	CA	900176157	STAFFING SERVICES	$25,494,697
AMN LOS ANGELES AMN SHIFTWISE
12400 HIGH BLUFF DR	SAN DIEGO	CA	92130	STAFFING SERVICES	$11,391,758
CROTHALL SERVICES GROUP
13028 COLLECTION CTR DR	CHICAGO	IL	60693	CLEANING SERVICES	$3,147,548
CASS INFORMATION SYSTEMS INC
12444 POWERSCOURT DR 550	ST LOUIS	MO	63131	TECHNOLOGY SERVICES	$3,036,064
SPECIALTYCARE CARDIOVASCULAR
214 CENTERVILLE DR 100	BRENTWOOD	TN	37027	MEDICAL SERVICES	$2,353,789

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	81	CntrctRcvdGreaterThan100KCnt
Related Organizations	$14,899,405	RelatedOrganizationsAmt
All Other Contributions	$3,052,042	AllOtherContributionsAmt
Total Contributions	$17,951,447	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$447,569,890	TotalRevenueColumnAmt
Related Or Exempt Func Income	$441,103,153	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,466,737	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$447,569,890	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$283,884	TotalRevenueColumnAmt
Exclusion	$283,884	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$640,050	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$769,834	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$129,784	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$129,784	TotalRevenueColumnAmt
Exclusion	-$129,784	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$22,854	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$22,854	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$22,854	TotalRevenueColumnAmt
Exclusion	-$22,854	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$133,857	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$133,857	TotalRevenueColumnAmt
Exclusion	$133,857	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARKING REVENUE	812930	$1,476,235	$1,476,235
CHILD CARE SERVICE REV	624410	$322,465	$322,465
PHARMACY REVENUE	456110	$275,373	$275,373

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$289,074	TotalRevenueColumnAmt
Related Or Exempt Func Income	$289,074	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,363,147	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$468,149,587	TotalRevenueColumnAmt
Related Or Exempt Func Income	$443,466,300	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,466,737	UnrelatedBusinessRevenueAmt
Exclusion	$265,103	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$6,077,677	TotalAmt
Program Services	$6,077,677	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$509,856	TotalAmt
Program Services	$437,979	ProgramServicesAmt
Management And General	$71,877	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$137,366,962	TotalAmt
Program Services	$118,001,575	ProgramServicesAmt
Management And General	$19,365,387	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,210,178	TotalAmt
Program Services	$1,898,597	ProgramServicesAmt
Management And General	$311,581	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,231,055	TotalAmt
Program Services	$8,788,726	ProgramServicesAmt
Management And General	$1,442,329	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,664,666	TotalAmt
Program Services	$5,725,111	ProgramServicesAmt
Management And General	$939,555	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$101,551,340	TotalAmt
Program Services	$87,235,082	ProgramServicesAmt
Management And General	$14,316,258	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$57,452	TotalAmt
Management And General	$57,452	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,565,193	TotalAmt
Program Services	$3,062,588	ProgramServicesAmt
Management And General	$502,605	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$23,635	TotalAmt
Program Services	$20,303	ProgramServicesAmt
Management And General	$3,332	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,046,718	TotalAmt
Program Services	$11,207,449	ProgramServicesAmt
Management And General	$1,839,269	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$304,776	TotalAmt
Program Services	$261,810	ProgramServicesAmt
Management And General	$42,966	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,626,439	TotalAmt
Management And General	$4,626,439	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,720,552	TotalAmt
Program Services	$9,209,216	ProgramServicesAmt
Management And General	$1,511,336	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$108,235	TotalAmt
Program Services	$108,235	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SYSTEM COST ALLOCATION	$191,847,205	$164,801,435	$27,045,770
MEDICAL SUPPLIES	$86,014,164	$86,014,164
HOSPITAL FEE	$17,419,719	$17,419,719
LICENSES AND TAXES	$3,635,726	$3,123,177	$512,549

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,698,559	TotalAmt
Program Services	$3,177,152	ProgramServicesAmt
Management And General	$521,407	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$599,680,107	TotalAmt
Program Services	$526,569,995	ProgramServicesAmt
Management And General	$73,110,112	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,600	BOYAmt
EOY	$3,015,707	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	-$3,723,029	BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$422,652	BOYAmt
EOY	$1,512,375	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$67,168,074	BOYAmt
EOY	$80,752,261	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,000	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,608,344	BOYAmt
EOY	$8,913,109	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,055,109	BOYAmt
EOY	$891,217	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$374,787,236	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$89,810,487	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$293,045,682	BOYAmt
EOY	$284,976,749	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$274,985,137	BOYAmt
EOY	$276,414,431	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,997,571	BOYAmt
EOY	$10,512,452	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$662,566,140	BOYAmt
EOY	$666,988,301	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$52,666,841	BOYAmt
EOY	$46,826,127	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$274,233	BOYAmt
EOY	$20,821,863	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$188,597,932	BOYAmt
EOY	$125,443,375	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$241,539,006	BOYAmt
EOY	$193,091,365	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$246,663,609	BOYAmt
EOY	$296,210,284	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$174,363,525	BOYAmt
EOY	$177,686,652	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$421,027,134	BOYAmt
EOY	$473,896,936	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$662,566,140	BOYAmt
EOY	$666,988,301	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$131,530,520	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$184,400,322	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$131,409	OtherActivitiesAmt
Total Lobbying Expenditures	$131,409	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ALLIANCE OF CATHOLIC HEALTH CARE, AMERICAN HOSPITAL ASSOCIATION AND CALIFORNIA HOSPITAL ASSOCIATION ALLOCATED TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$150,000,000	OtherCostOrOtherBasisAmt
Book Value	$150,000,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$113,603,166	OtherCostOrOtherBasisAmt
Depreciation	$26,298,783	DepreciationAmt
Book Value	$87,304,383	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,581,421	OtherCostOrOtherBasisAmt
Depreciation	$1,102,625	DepreciationAmt
Book Value	$478,796	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,191,722	OtherCostOrOtherBasisAmt
Depreciation	$62,409,079	DepreciationAmt
Book Value	$17,782,643	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,410,927	OtherCostOrOtherBasisAmt
Book Value	$29,410,927	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$284,976,749	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	BENEFICIAL INTEREST IN FOUNDATION	Desc
Book Value	$276,414,431	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$276,414,431	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$10,656,090
CAPITAL LEASE OBLIGATIONS	$812,661
I/C - TAX-EXEMPT BOND LIABILITIES	$118,740,000
HOSPITAL FEE/PROVIDER TAX LIABILITY	$20,363,519
DUE TO THIRD PARTY	-$25,128,895

Field	Value	IRS element (for citing)
Total Liability	$125,443,375	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,216,791	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,216,791	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,444,383	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,407,516	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,036,867	NetCommunityBenefitExpnsAmt
Total Expense	0.06010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,661,174	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,407,516	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,253,658	NetCommunityBenefitExpnsAmt
Total Expense	0.06380	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$905,027	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$249,373	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$655,654	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$792,544	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$792,544	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,886,904	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,823,158	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,063,746	NetCommunityBenefitExpnsAmt
Total Expense	0.00680	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$789,417	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$789,417	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,373,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,072,531	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,301,361	NetCommunityBenefitExpnsAmt
Total Expense	0.01050	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,035,066	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,480,047	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,555,019	NetCommunityBenefitExpnsAmt
Total Expense	0.07430	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,336,099	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$220,826	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,115,273	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,846	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,846	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,351,945	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$220,826	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,131,119	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Reimbursed By Medicare	$194,980,000	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$310,277,651	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$115,297,651	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 SM WILSHIRE IMAGING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	OUTPATIENT IMAGING CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT JOHN'S HEALTH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2121 SANTA MONICA BLVD	AddressLine1Txt
City	SANTA MONICA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90404	ZIPCd

Field	Value	IRS element (for citing)
Website Address	CALIFORNIA.PROVIDENCE.ORG/SAINT-JOHNS/	WebsiteAddressTxt
State License	930000158	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT JOHN'S HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 3E:	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE PRIORITIZED BASED ON THE METHODOLOGY DESCRIBED IN THE MOST RECENT CHNA SECTION ON SIGNIFICANT HEALTH NEEDS.
PART V, SECTION B, LINE 5:	PROVIDENCE SAINT JOHN'S HEALTH CENTER PARTICIPATED IN A COLLABORATIVE PROCESS TO IDENTIFY A DIVERS GROUP OF 31 INDIVIDUAL STAKEHOLDER INTERVIEWS, WHICH INCLUDED CEDARS-SINAI MEDICAL CENTER, CEDERS-SINAI MARINA DEL REY HOSPITAL, PROVIDENCE SAINT JOHN'S HEALTH CENTER, RONALD REAGAN UCLA MEDICAL CENTER, UCLA MEDICAL CENTER, SANTA MONICA, AND RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA. GIVEN THAT THESE PARTNERS SHARE AN OVERLAPPING SERVICE AREA, A COLLABORATIVE EFFORT INCREASED PRIMARY DATA COLLECTION EFFICIENCY AND REDUCED REDUNDANCIES. KEY INFORMANT INTERVIEWS WERE CONDUCTED, AND ORGANIZATIONS THAT PARTICIPATED ARE LISTED BELOW ALONG WITH THE NEED AREAS THEY ADDRESS.-ASIAN AMERICANS ADVANCING JUSTICE (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY).-CALIFORNIA COMMUNITY FOUNDATION (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY).-CATHOLIC CHARITIES OF LA (NATIONAL ORGANIZATION, HOMELESS SERVICES).-CHARLES R. DREW UNIVERSITY OF MEDICINE AND SCIENCE (COLLEGE, EDUCATION).-CITY OF LOS ANGELES (GOVERNMENT).-CITY OF SANTA MONICA (GOVERNMENT).-COMMUNITY CORPORATION OF SANTA MONICA (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS).-COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (COMMUNITY BASED ORGANIZATION, HEALTH CARE).-DIDI HIRSCH MENTAL HEALTH SERVICES (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH).-JEWISH FAMILY SERVICES OF LOS ANGELES (NATIONAL ORGANIZATION, SOCIAL SERVICES).-L.A. CARE HEALTH PLAN (COMMUNITY BASED ORGANIZATION, HEALTH CARE COVERAGE).-LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH (GOVERNMENT, BEHAVIORAL HEALTH).-LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH (GOVERNMENT, PUBLIC HEALTH).-LOS ANGELES HOMELESS SERVICES AUTHORITY (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS).-LOS ANGELES LGBT CENTER (COMMUNITY BASED ORGANIZATION, SOCIAL SERVICES, HEALTH, AND ADVOCACY).-LOS ANGELES UNIFIED SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION).-MEALS ON WHEELS WEST (NATIONAL ORGANIZATION, FOOD SECURITY).-NATIONAL ALLIANCE ON MENTAL ILLNESS WESTSIDE LOS ANGELES (NATIONAL ORGANIZATION, BEHAVIORAL HEALTH).-PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIA (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY).-SANTA MONICA COLLEGE (COLLEGE, EDUCATION).-SANTA MONICA - MALIBU UNIFIED SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION).-SANTA MONICA YMCA (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT).-ST. JOSEPH CENTER (COMMUNITY BASED ORGANIZATION, HOMELESSNESS).-THE MAR VISTA FAMILY CENTER (COMMUNITY BASED ORGANIZATION, EARLY EDUCATION).-THE PEOPLE CONCERN (COMMUNITY BASED ORGANIZATION, SOCIAL SERVICES).-TWIN TOWN TREATMENT CENTERS (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH).-UCLA/ VA VETERAN FAMILY WELLNESS CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE).-UNIHEALTH FOUNDATION (COMMUNITY BASED ORGANIZATION, HEALTH GRANTMAKING).-UNITED WAY OF GREATER LOS ANGELES (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY).-VENICE FAMILY CLINIC (COMMUNITY BASED ORGANIZATION, HEALTH CARE).-WISE & HEALTHY AGING (COMMUNITY BASED ORGANIZATION, SENIOR SERVICES).PROVIDENCE SAINT JOHN'S HEALTH CENTER CONDUCTED LISTENING SESSIONS IN JUNE 2022, WITH COMMUNITY MEMBERS AND INTERVIEWS WITH COMMUNITY STAKEHOLDERS AS PART OF THEIR COLLECTION OF PRIMARY DATA. THE 2022 CHNA WAS APPROVED BY THE BOARD OF DIRECTORS ON NOVEMBER 30, 2022, AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2022.
PART V, SECTION B, LINE 6A:	THE 2022 PROVIDENCE SAINT JOHN'S HEALTH CENTER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) KEY INFORMANT INTERVIEW DATA COLLECTION PROCESS WAS CONDUCTED BY BIEL CONSULTING INC. IN COLLABORATION WITH THE CEDARS-SINAI MEDICAL CENTER, CEDARS-SINAI MARINA DEL REY HOSPITAL, AND THE RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA.
PART V, SECTION B, LINE 6B:	THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH BIEL CONSULTING, INC.
PART V, SECTION B, LINE 7A:	CHNA REPORT WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER SOUTHERN CALIFORNIA
PART V, SECTION B, LINE 9:	THE HOSPITAL FACILITY ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 26, 2023 IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
PART V, SECTION B, LINE 10A:	IMPLEMENTATION STRATEGY WEBSITEHTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTSUNDER SOUTHERN CALIFORNIA
PART V, SECTION B, LINE 11:	IN DEVELOPING THE LIST OF PRIORITY NEEDS, PROVIDENCE LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. IN OUR 2022 CHNA, THE BOARD COMMITTEE ON COMMUNITY BENEFITS IDENTIFIED THE FOLLOWING AS THE HIGHEST PRIORITY NEEDS WITHIN OUR COMMUNITIES:1. HOMELESSNESS AND HOUSING INSTABILITY2. BEHAVIORAL HEALTH3. ACCESS TO HEALTH CARE AND PREVENTATIVE CAREWHILE THE IMPLEMENTATION STRATEGY FOR THE IDENTIFIED HEALTH NEEDS FROM THE 2022 CHNA IS SET TO BE APPROVED IN 2023, THE FIVE PRIORITIZED HEALTH NEEDS FROM THE 2020-2022 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ARE BEING ADDRESSED WITHIN THE CONTEXT OF FOUR INITIATIVES THAT MAKE UP ITS THREE-YEAR IMPLEMENTATION STRATEGY BASED UPON THE NEEDS PRIORITIZED IN THE 2019 CHNA:1) STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE FOR PATIENTS EXPERIENCING HOMELESSNESS- SCREENED OVER 282 ER PATIENTS FOR HOMELESSNESS.-DISCHARGED OVER 25 PATIENTS TO TEMPORARY/PERMANENT HOUSING-$150,000 IN GRANTS AWARDED BY PSJHC TO LOCAL HOMELESS SERVICE PROVIDERS2) INITIATIVE #2: IMPROVE ACCESS TO HEALTH CARE SERVICESOUR GOAL IS TO IMPROVE ACCESS TO QUALITY HEALTH CARE SERVICES FOR VULNERABLE POPULATIONS BY:-$275,000 IN GRANTS AWARDED FROM PSJHC TO LOCAL ORGANIZATIONS FOR ACCESS TO CARE-$110,226 IN-KIND LAB AND DIAGNOSTIC SERVICES PROVIDED TO LOCAL FQHCS-$150,000 IN GRANTS AWARDED FROM SAINT JOHN'S HEALTH CENTER FOUNDATION TO LOCAL ORGANIZATIONS FOR ACCESS TO CARE.3) INITIATIVE #3: IMPROVE ACCESS TO BEHAVIORAL HEALTH AND REDUCE STIGMA OUR GOAL IS TO:-52 FAMILIES LINKED TO SERVICES THROUGH THE WARM LINE REFERRAL-11 TRAININGS AT SCHOOLS FOR TEACHERS AND PARENTS HOSTED BY THE CHILD AND FAMILY DEVELOPMENT CENTER-44 CHILDREN PROVIDED MENTAL HEALTH SERVICES IN SMMUSD PRESCHOOL CLASSROOMS4) INITIATIVE #4: TRAIN AND DEPLOY A WORKFORCE OF COMMUNITY HEALTH WORKERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN UNDERSERVED POPULATIONS-71 CALFRESH APPLICATIONS ASSISTED, WITH 35 CONFIRMED ENROLLMENTS-121 PEOPLE TRAINED IN MENTAL HEALTH FIRST AID-ONE CHW INTERN PLACED AT A HEALTHCARE LOCATION IN THE SAINT JOHN'S SERVICE AREA THROUGH PROVIDENCE'S COMMUNITY HEALTH WORKER ACADEMY PROGRAMNEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAMNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR HEALTH FACILITIES DO NOT PROVIDE ORAL HEALTH CARE, AND IT IS NOT OUR AREA OF EXPERTISE WITHIN THE PROVIDENCE HEALTH SYSTEM IN THE LOS ANGELES REGION. HOWEVER, THERE ARE A NUMBER OF COMMUNITY PARTNERS INCLUDING LOCAL FEDERALLY QUALIFIED HEALTH CENTERS WHO ARE FOCUSING ON INCREASING ACCESS TO ORAL HEALTH CARE ESPECIALLY FOR THE MEDI-CAL POPULATION. FOR COMMUNITY MEMBERS IN NEED OF THESE SERVICES WE REFER THEM TO THESE PROVIDERS OF LOW-COST DENTAL CARE.
PART V, SECTION B, LINE 13A:	THE FPL THRESHOLD PERCENTAGE WAS RAISED DURING THE YEAR TO COMPLY WITH NEW STATE LAW.
PART V, LINE 16A FAP WEBSITE:	HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE
PART V, LINE 16B FAP WEBSITE:	HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE
PART V, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE:	HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE#TABCONTENT-6-COLLAPSE-3
PART V, SECTION B, LINE 24:	FOR NON-MEDICALLY NECESSARY SERVICES A PATIENT MAY BE CHARGED FULL BILLED CHARGES.

Field	Value	IRS element (for citing)
Facility	99	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (99 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - PSJHC - HEMATOLOGY
2021 SANTA MONICA BLVD STE 400E	SANTA MONICA	CA	90404	SPECIALTY CLINIC
2 - SJPP - WEST HILLS HOSPITAL & MEDICAL CTR
7300 MEDICAL CENTER DR	WEST HILLS	CA	91307	SPECIALTY CLINIC
3 - SJPP - PROVIDENCE SJ MED FDN
12414 EXPOSITION BLVD	LOS ANGELES	CA	90064	SPECIALTY CLINIC
4 - SJPP - BEACHWOOD POST ACUTE & REHAB
1340 15TH ST	SANTA MONICA	CA	90404	SPECIALTY CLINIC
5 - SJPP - BERKLEY EAST CONVALESCENT HOSPITAL
2021 ARIZONA AVE	SANTA MONICA	CA	90404	SPECIALTY CLINIC
6 - SJPP - BERKLEY WEST CONVALESCENT HOSPITAL
1623 ARIZONA AVE	SANTA MONICA	CA	90404	SPECIALTY CLINIC
7 - SJPP - BRENTWOOD HEALTH CARE CENTER
1321 FRANKLIN ST	SANTA MONICA	CA	90404	SPECIALTY CLINIC
8 - SJPP - CA REHABILITATION INSTITUTE
2070 CENTURY PARK E	LOS ANGELES	CA	90067	SPECIALTY CLINIC
9 - SJPP - CARDIAC ELECTROPHYSIOLOGY INSTITUTE
8631 W 3RD ST STE 610E	LOS ANGELES	CA	90048	SPECIALTY CLINIC
10 - SJPP - CEDARS-SINAI MARINA DEL REY HOSPITA
4650 LINCOLN BOULEVARD	MARINA DEL REY	CA	90292	SPECIALTY CLINIC
11 - SJPP - CEDARS-SINAI MEDICAL CENTER
8700 BEVERLY BLVD	WEST HOLLYWOOD	CA	90048	SPECIALTY CLINIC
12 - SJPP - CEDARS-SINAI SURGERY CENTER
2121 WILSHIRE BLVD STE 201	SANTA MONICA	CA	90403	SPECIALTY CLINIC
13 - SJPP - CHILDRENS HOSPITAL LOS ANGELES
4650 W SUNSET BLVD	LOS ANGELES	CA	90027	SPECIALTY CLINIC
14 - SJPP - COUNTRY VILLA WESTWOOD HEALTHCARE C
12121 SANTA MONICA BLVD	LOS ANGELES	CA	90025	SPECIALTY CLINIC
15 - SJPP - DISNEY FAMILY CANCER CENTER
181 S BUENA VISTA STE 335	BURBANK	CA	91505	SPECIALTY CLINIC
16 - SJPP - FIRESIDE HEALTH CARE CENTER
947 3RD ST	SANTA MONICA	CA	90403	SPECIALTY CLINIC
17 - SJPP - GOOD SAMARITAN HOSPITAL
1225 WILSHIRE BLVD	LOS ANGELES	CA	90017	SPECIALTY CLINIC
18 - SJPP - GOOD SHEPHERD HEALTH CENTER
1131 ARIZONA AVE	SANTA MONICA	CA	90401	SPECIALTY CLINIC
19 - SJPP - HOAG HOSPITAL IRVINE
16200 SAND CANYON AVE	IRVINE	CA	92618	SPECIALTY CLINIC
20 - SJPP - HOAG HOSPITAL NEWPORT BEACH
1 HOAG DR	NEWPORT BEACH	CA	92663	SPECIALTY CLINIC
21 - SJPP - KINDRED HOSPITAL
5525 W SLAUSON AVE	LOS ANGELES	CA	90056	SPECIALTY CLINIC
22 - SJPP - ONE MEDICAL WITH PROVIDENCE
10000 WASHINGTON BLVD STE 108	CULVER CITY	CA	90232	SPECIALTY CLINIC
23 - SJPP - ONE MEDICAL WITH PROVIDENCE
10250 SANTA MONICA BLVD STE 1280	LOS ANGELES	CA	90067	SPECIALTY CLINIC
24 - SJPP - ONE MEDICAL WITH PROVIDENCE
12301 WILSHIRE BLVD STE 100	LOS ANGELES	CA	90025	SPECIALTY CLINIC
25 - SJPP - ONE MEDICAL WITH PROVIDENCE
525 BROADWAY STE 1101	SANTA MONICA	CA	90401	SPECIALTY CLINIC
26 - SJPP - ONE MEDICAL WITH PROVIDENCE
6250 TOPANGA CANYON BLVD STE 1585	WOODLAND HILLS	CA	91367	SPECIALTY CLINIC
27 - SJPP - ONE MEDICAL WITH PROVIDENCE
6400 E PACIFIC COAST HWY D-210	LONG BEACH	CA	90803	SPECIALTY CLINIC
28 - SJPP - ONE MEDICAL WITH PROVIDENCE
700 S FLOWER ST STE 2340	LOS ANGELES	CA	90017	SPECIALTY CLINIC
29 - SJPP - ONE MEDICAL WITH PROVIDENCE
740 S ALLIED WAY STE D	EL SEGUNDO	CA	90245	SPECIALTY CLINIC
30 - SJPP - ONE MEDICAL WITH PROVIDENCE
8570 W SUNSET BLVD	WEST HOLLYWOOD	CA	90069	SPECIALTY CLINIC
31 - SJPP - ONE MEDICAL WITH PROVIDENCE
9725 WILSHIRE BLVD	BEVERLY HILLS	CA	90212	SPECIALTY CLINIC
32 - SJPP - PACIFIC EYE & EAR SPECIALISTS
11645 WILSHIRE BLVD STE 600	LOS ANGELES	CA	90025	SPECIALTY CLINIC
33 - SJPP - PACIFIC EYE & EAR SPECIALISTS
2125 ARIZONA AVE	SANTA MONICA	CA	90404	SPECIALTY CLINIC
34 - SJPP - PACIFIC HEART INSTITUTE
2001 SANTA MONICA BLVD STE 280W	SANTA MONICA	CA	90404	SPECIALTY CLINIC
35 - SJPP - PACIFIC POST-ACUTE
1323 17TH ST	SANTA MONICA	CA	90404	SPECIALTY CLINIC
36 - SJPP - PAVILION SURGERY CENTER
1140 W LA VETA AVE STE 300	ORANGE	CA	92868	SPECIALTY CLINIC
37 - SJPP - PROVIDENCE CEDARS-SINAI TARZANA MED
18321 CLARK ST	TARZANA	CA	91356	SPECIALTY CLINIC
38 - SJPP - PROVIDENCE HOLY CROSS MEDICAL CTR
15031 RINALDI ST	MISSION HILLS	CA	91345	PRIMARY CARE
39 - SJPP - PLCM MEDICAL CENTER SAN PEDRO
1300 W 7TH ST	SAN PEDRO	CA	90732	PRIMARY CARE
40 - SJPP - PLCM MEDICAL CENTER TORRANCE
4101 TORRANCE BLVD	TORRANCE	CA	90503	SPECIALTY CLINIC
41 - SJPP - PLCM MEDICAL CENTER TORRANCE
5215 TORRANCE BLVD STE 300	TORRANCE	CA	90503	SPECIALTY CLINIC
42 - SJPP - PSJHC
2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	PRIMARY CARE
43 - SJPP - PROVIDENCE SJ MED FDN
101 E VALENCIA MESA DR	FULLERTON	CA	92835	SPECIALTY CLINIC
44 - SJPP - PROVIDENCE SJ MED FDN
11550 INDIAN HILLS RD STE 261	MISSION HILLS	CA	91345	SPECIALTY CLINIC
45 - SJPP - PROVIDENCE SJ MED FDN
12555 W JEFFERSON BLVD STE 301	LOS ANGELES	CA	90066	SPECIALTY CLINIC
46 - SJPP - PROVIDENCE SJ MED FDN
12555 W JEFFERSON BLVD STE 302	LOS ANGELES	CA	90066	SPECIALTY CLINIC
47 - SJPP - PROVIDENCE SJ MED FDN
12555 W JEFFERSON BLVD STE 303	LOS ANGELES	CA	90066	SPECIALTY CLINIC
48 - SJPP - PROVIDENCE SJ MED FDN
1301 20TH ST STE 110	SANTA MONICA	CA	90404	SPECIALTY CLINIC
49 - SJPP - PROVIDENCE SJ MED FDN
1301 20TH ST STE 145	SANTA MONICA	CA	90404	SPECIALTY CLINIC
50 - SJPP - PROVIDENCE SJ MED FDN
1301 20TH ST STE 150	SANTA MONICA	CA	90404	SPECIALTY CLINIC
51 - SJPP - PROVIDENCE SJ MED FDN
1301 20TH ST STE 250	SANTA MONICA	CA	90404	SPECIALTY CLINIC
52 - SJPP - PROVIDENCE SJ MED FDN
1301 20TH ST STE 270	SANTA MONICA	CA	90404	SPECIALTY CLINIC
53 - SJPP - PROVIDENCE SJ MED FDN
1301 20TH ST STE 290	SANTA MONICA	CA	90404	SPECIALTY CLINIC
54 - SJPP - PROVIDENCE SJ MED FDN
1301 20TH ST STE 300A	SANTA MONICA	CA	90404	SPECIALTY CLINIC
55 - SJPP - PROVIDENCE SJ MED FDN
1301 20TH ST STE 540	SANTA MONICA	CA	90404	SPECIALTY CLINIC
56 - SJPP - PROVIDENCE SJ MED FDN
181 S BUENA VISTA ST FL 3	BURBANK	CA	91505	SPECIALTY CLINIC
57 - SJPP - PROVIDENCE SJ MED FDN
1811 WILSHIRE BLVD STE 110	SANTA MONICA	CA	90403	SPECIALTY CLINIC
58 - SJPP - PROVIDENCE SJ MED FDN
1811 WILSHIRE BLVD STE 201	SANTA MONICA	CA	90403	SPECIALTY CLINIC
59 - SJPP - PROVIDENCE SJ MED FDN
1821 WILSHIRE BLVD STE 100	SANTA MONICA	CA	90403	SPECIALTY CLINIC
60 - SJPP - PROVIDENCE SJ MED FDN
1821 WILSHIRE BLVD STE 120	SANTA MONICA	CA	90403	SPECIALTY CLINIC
61 - SJPP - PROVIDENCE SJ MED FDN
1821 WILSHIRE BLVD STE 301	SANTA MONICA	CA	90403	SPECIALTY CLINIC
62 - SJPP - PROVIDENCE SJ MED FDN
1831 WILSHIRE BLVD STE A	SANTA MONICA	CA	90403	SPECIALTY CLINIC
63 - SJPP - PROVIDENCE SJ MED FDN
1831 WILSHIRE BLVD STE B	SANTA MONICA	CA	90403	SPECIALTY CLINIC
64 - SJPP - PROVIDENCE SJ MED FDN
2001 SANTA MONICA BLVD STE 360W	SANTA MONICA	CA	90404	SPECIALTY CLINIC
65 - SJPP - PROVIDENCE SJ MED FDN
2001 SANTA MONICA BLVD STE 460W	SANTA MONICA	CA	90404	SPECIALTY CLINIC
66 - SJPP - PROVIDENCE SJ MED FDN
2001 SANTA MONICA BLVD STE 680W	SANTA MONICA	CA	90404	SPECIALTY CLINIC
67 - SJPP - PROVIDENCE SJ MED FDN
2001 SANTA MONICA BLVD STE 760W	SANTA MONICA	CA	90404	SPECIALTY CLINIC
68 - SJPP - PROVIDENCE SJ MED FDN
2021 SANTA MONICA BLVD STE 245E	SANTA MONICA	CA	90404	SPECIALTY CLINIC
69 - SJPP - PROVIDENCE SJ MED FDN
2021 SANTA MONICA BLVD STE 335E	SANTA MONICA	CA	90404	SPECIALTY CLINIC
70 - SJPP - PROVIDENCE SJ MED FDN
2021 SANTA MONICA BLVD STE 400E	SANTA MONICA	CA	90404	SPECIALTY CLINIC
71 - SJPP - PROVIDENCE SJ MED FDN
2021 SANTA MONICA BLVD STE 421E	SANTA MONICA	CA	90404	SPECIALTY CLINIC
72 - SJPP - PROVIDENCE SJ MED FDN
2021 SANTA MONICA BLVD STE 424E	SANTA MONICA	CA	90404	SPECIALTY CLINIC
73 - SJPP - PROVIDENCE SJ MED FDN
2021 SANTA MONICA BLVD STE 625E	SANTA MONICA	CA	90404	SPECIALTY CLINIC
74 - SJPP - PROVIDENCE SJ MED FDN
2336 SANTA MONICA BLVD STE 207	SANTA MONICA	CA	90404	SPECIALTY CLINIC
75 - SJPP - PROVIDENCE SJ MED FDN
2701 OCEAN PARK BLVD STE 118	SANTA MONICA	CA	90405	SPECIALTY CLINIC
76 - SJPP - PROVIDENCE SJ MED FDN
4201 TORRANCE BLVD STE 520	TORRANCE	CA	90503	SPECIALTY CLINIC
77 - SJPP - PROVIDENCE SJ MED FDN
8631 W 3RD ST STE 531E	LOS ANGELES	CA	90048	SPECIALTY CLINIC
78 - SJPP - PROVIDENCE SJ MED FDN
881 ALMA REAL DR STE 101	PACIFIC PALISADES	CA	90272	SPECIALTY CLINIC
79 - SJPP - PROVIDENCE SJ MED FDN
881 ALMA REAL DR STE 316	PACIFIC PALISADES	CA	90272	SPECIALTY CLINIC
80 - SJPP - PROVIDENCE SJ MED FDN
901 WILSHIRE BLVD FL 1	SANTA MONICA	CA	90401	SPECIALTY CLINIC
81 - SJPP - PROVIDENCE SJ MED FDN
901 WILSHIRE BLVD FL 2	SANTA MONICA	CA	90401	SPECIALTY CLINIC
82 - SJPP - PROVIDENCE SJ MED FDN
901 WILSHIRE BLVD FL 3	SANTA MONICA	CA	90401	SPECIALTY CLINIC
83 - SJPP - PROVIDENCE SJ MED FDN
970 MONUMENT ST STE 220	PACIFIC PALISADES	CA	90272	SPECIALTY CLINIC
84 - SJPP - PROVIDENCE ST JUDE MEDICAL CENTER
2151 N HARBOR BLVD STE 3100	FULLERTON	CA	92835	SPECIALTY CLINIC
85 - SJPP - PSJMC
501 S BUENA VISTA ST	BURBANK	CA	91505	PRIMARY CARE
86 - SJPP - REHAB CENTER OF SANTA MONICA
1338 20TH ST	SANTA MONICA	CA	90404	SPECIALTY CLINIC
87 - SJPP - SANTA MONICA HEALTHCARE CENTER
1320 20TH ST	SANTA MONICA	CA	90404	SPECIALTY CLINIC
88 - SJPP - SANTA MONICA WOMENS HEALTH
2001 SANTA MONICA BLVD STE 970W	SANTA MONICA	CA	90404	SPECIALTY CLINIC
89 - SJPP - SEAPORT 17TH CARE CENTER
1330 17TH ST	SANTA MONICA	CA	90404	SPECIALTY CLINIC
90 - SJPP - SOCAL HEAD & NECK
1301 20TH ST STE 300	SANTA MONICA	CA	90404	SPECIALTY CLINIC
91 - SJPP - SOCAL HOSPITAL CULVER CITY
3828 DELMAS TERRACE	CULVER CITY	CA	90232	SPECIALTY CLINIC
92 - SJPP - SOCAL MEDICAL GASTROENTEROLOGY
1301 20TH ST STE 280	SANTA MONICA	CA	90404	SPECIALTY CLINIC
93 - SJPP - SOCAL MED GASTROENTEROLOGY GROUP
2336 SANTA MONICA BLVD STE 204	SANTA MONICA	CA	90404	SPECIALTY CLINIC
94 - SJPP - SPEC SURGICAL BEVERLY HILLS
8670 WILSHIRE BLVD STE 300	BEVERLY HILLS	CA	90211	SPECIALTY CLINIC
95 - SJPP - ST JOSEPH HOSPITAL ORANGE
1100 W STEWART DR	ORANGE	CA	92868	SPECIALTY CLINIC
96 - SJPP - UCLA
1225 15TH ST	SANTA MONICA	CA	90404	SPECIALTY CLINIC
97 - SJPP - VALLEY PRESBYTERIAN HOSPITAL
15107 VANOWEN ST	VAN NUYS	CA	91405	SPECIALTY CLINIC
98 - SJPP - VISTA DEL SOL
11620 W WASHINGTON BLVD	LOS ANGELES	CA	90066	SPECIALTY CLINIC
99 - SJPP - WINDSOR CARE CTR CHEVIOT HILLS
3533 MOTOR AVE	LOS ANGELES	CA	90034	SPECIALTY CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
PART I, LINE 6A:	PROVIDENCE SAINT JOHN'S HEALTH CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/SOUTHERN-CALIFORNIA
PART I, LINE 7:	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER.
PART I, LINE 7G:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:	PROVIDENCE SAINT JOHN'S EXTENDS CARE BEYOND THE HOSPITAL'S WALLS TO IMPROVE THE HEALTH OF THE COMMUNITY AND CONDUCTS COMMUNITY BUILDING ACTIVITIES THROUGH ITS FOCUS ON THE INFANT & TODDLER PRESCHOOL PROGRAM OPERATED BY THE HOSPITAL'S CHILD AND FAMILY DEVELOPMENT CENTER (CFDC). PROVIDENCE SAINT JOHN'S PROVIDES CHILD CARE SERVICES TO EMPLOYEES AND RESIDENTS OF SANTA MONICA, SERVING 38 CHILDREN IN 2022.ADDITIONALLY, A 10-WEEK INTERNSHIP PROGRAM WAS CREATED TO PROVIDE TECHNICAL TRAINING AND HEALTH CARE KNOWLEDGE FOR GRADUATE STUDENTS TO ADVANCE AS HOSPITAL ADMINISTRATORS AND HEALTH SYSTEM LEADERS POST-GRADUATION.
PART III, LINE 4:	AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
PART III, LINE 8:	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:	OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS PRIOR TO MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	NEEDS ASSESSMENT:EVERY THREE YEARS, PROVIDENCE SAINT JOHN'S CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN SANTA MONICA. THROUGH A MIXED-METHODS APPROACH, USING QUANTITATIVE AND QUALITATIVE DATA, WE COLLECTED INFORMATION FROM EXISTING DATA SOURCHES. TO ACTIVELY ENGAGE THE COMMUNITY, WE CONDUCTED LISTENING SESSIONS WITH PEOPLE WHO HAVE CHRONIC CONDITIONS, ARE FROM DIVERSE COMMUNITIES, HAVE LOW-INCOMES, AND/OR ARE MEDICALLY UNDERSERVED. WE ALSO CONDUCTED STAKEHOLDER INTERVIEWS WITH REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE THESE POPULATIONS, SPECIFICALLY SEEKING TO GAIN A DEEPER UNDERSTANDING OF COMMUNITY STRENGTHS AND OPPORTUNITIES.THE 2022 CHNA WAS APPROVED BY THE BOARD OF DIRECTORS ON NOVEMBER 30, 2022, AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2022.
PART VI, LINE 3:	COMMUNICATION TO THE PUBLIC:THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS. WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
PART VI, LINE 4:	COMMUNITY INFORMATION:THE SERVICE AREA DEFINED FOR THE PROVIDENCE SAINT JOHN'S HEALTH CENTER (PSJHC) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDES THE ZIP CODES LOCATED WITHIN SERVICE PLANNING AREA (SPA) 5 OF LOS ANGELES COUNTY. THE PLANNING AREA INCLUDES THE COMMUNITIES LOCATED ON THE WEST SIDE OF THE COUNTY (REFERRED TO AS "THE WESTSIDE" LOCALLY, AND IN THE CHNA REPORT), AND REPRESENTS THE AREA WHERE A SIGNIFICANT PORTION (OVER 70%) OF THE PATIENTS SERVED BY THE HOSPITAL RESIDES. THE AREA INCLUDES 20 DISTINCT COMMUNITIES AND 30 ZIP CODES.- AGE: A MAJORITY OF RESIDENTS IN THE SERVICE AREA ARE BETWEEN 20 AND 39 YEARS OLD. CHILDREN UNDER THE AGE OF 19 COMPRISE 19% OF THE POPULATION. ADULTS 60 YEARS OF AGE AND OLDER MAKE UP 21.5% OF THE TOTAL SERVICE AREA POPULATION.- RACE/ETHNICITY: 69.7% OF RESIDENTS IDENTIFY AS WHITE, WHILE 13.8% IDENTIFY AS ASIAN/PACIFIC ISLANDER/HAWAIIAN, 0.5% AS ALASKA NATIVE OR AMERICAN INDIAN, 5.9% AS AFRICAN AMERICAN OR BLACK, AND 5.5% ARE OF TWO OR MORE RACES. AND WHILE 16% OF THE SERVICE AREA IDENTIFIES AS HISPANIC, IN THE HIGH NEED SERVICE AREA, 28% OF RESIDENTS IDENTIFY AS SUCH.- INCOME: IN 2022, 20.8% OF THE TOTAL SERVICE AREA FALLS BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN THE HIGH NEED SERVICE AREA, HOWEVER, 34.8% IS BELOW THAT LEVEL. THIS MIRRORS LOS ANGELES COUNTY, WHICH IS AT 34.9%.- EDUCATION: THE VAST MAJORITY (94.4 %) OF ADULTS AGE 25+ LIVING IN THE PSJHC SERVICE AREA HAVE AT LEAST GRADUATED FROM HIGH SCHOOL.- LANGUAGE: WITHIN THE PSJHC SERVICE AREA, APPROXIMATELY 4.5% OF THE GENERAL POPULATION HAS LIMITED ENGLISH PROFICIENCY. IN THE HIGH NEED SERVICE AREAS, THAT NUMBER IS ALMOST DOUBLE, AT 8.0%.OTHER HOSPITALS IN SERVICE AREA:THE OTHER HOSPITALS IN SANTA MONICA INCLUDE UCLA SANTA MONICA MEDICAL CENTER.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH:PROVIDENCE SAINT JOHN'S HEALTH CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. PROVIDENCE SAINT JOHN'S HEALTH CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS:1) OPEN MEDICAL STAFF.2) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS.SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM:AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 117,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,000 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WA AS A COMPREHENSIVE HEALTH CARE ORGANIZATION, WE ARE SERVING MORE PEOPLE, ADVANCING BEST PRACTICES AND CONTINUING OUR MORE THAN 100-YEAR TRADITION OF SERVING THE POOR AND VULNERABLE. DELIVERING SERVICES ACROSS SEVEN STATES, PROVIDENCE IS COMMITTED TO TOUCHING MILLIONS OF MORE LIVES AND ENHANCING THE HEALTH OF THE AMERICAN WEST TO TRANSFORM CARE FOR THE NEXT GENERATION AND BEYOND.THROUGH COMMUNITY BENEFIT PROGRAMS AND OTHER HIGH-IMPACT INVESTMENTS, WE WORK TO ENSURE BASIC HEALTH NEEDS ARE MET AND SERVE TO REMOVE BARRIERS TO CARE, BUILD COMMUNITY RESILIENCE AND INNOVATE FOR THE FUTURE. MINISTRIES AND AFFILIATES SUPPORT ORGANIZATIONS, PROGRAMS AND INITIATIVES THAT IMPROVE HEALTH AND WELL-BEING AND INCREASE EQUITABLE ACCESS TO QUALITY CARE AT THE COMMUNITY LEVEL AND AT SCALE ACROSS SEVEN STATES.WE ARE PROUD OF OUR HISTORY AND CONTINUED COMMITMENT TO HELPING BUILD A MORE EQUITABLE, SUSTAINABLE FUTURE. OUR STEADFAST COMMITMENT TO RESPONDING TO COMMUNITY NEED IS ONE OF THE MANY WAYS MINISTRIES, AFFILIATES AND CAREGIVERS LIVE OUT OUR SHARED MISSION AND CONTINUE TO SERVE AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Recipient EINRecipientEIN
CITY OF SANTA MONICA
1685 MAIN ST RM 111 BUILDING AND	SAFETY DIVISION	SANTA MONICA	CA	90401	GOVERNMENTAL	$5,000,000	$0	OPERATIONAL SUPPORT
SALVATION ARMY
SOUTH DIV 16941 KEEGAN AVE		CARSON	CA	90746	501(C)(3)	$250,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT	222406433
VENICE FAMILY CLINIC
604 ROSE AVENUE		VENICE	CA	90291	501(C)(3)	$175,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT	952769432
THE PEOPLE CONCERN
2116 ARLINGTON AVENUE SUITE		LOS ANGELES	CA	90018	501(C)(3)	$150,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT	956143865
SAINT ANNE SCHOOL
2015 COLORADO AVE		SANTA MONICA	CA	90404	501(C)(3)	$50,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT	951690538
WESTSIDE FAMILY HEALTH CENTER
3681 SEPULVEDA BLVD		CULVER CITY	CA	90230	501(C)(3)	$50,000	$0	COMMUNITY BENEFIT RESTRICTED GRANT	952931931

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ERIK WEXLER
FRMR KE - PSJH PRES. STRAT. OPS (SO)	$0	$1,437,860	$0	$2,266,630	$0	$997,270	$0	$382,614	$0	$17,538	$0	$5,101,912	$0	$884,974
GREG HOFFMAN
PRESIDENT/CEO	$0	$919,782	$0	$1,584,583	$0	$115,250	$0	$253,823	$0	$24,713	$0	$2,898,151	$0	$89,848
JO ANN ESCASA-HAIGH
TREASURER/CFO/VP	$0	$841,148	$0	$989,404	$0	$326,862	$0	$27,450	$0	$8,365	$0	$2,193,229	$0	$284,024
MIKE BUTLER
FRMR PRESIDENT	$0	$0	$0	$0	$0	$1,835,706	$0	$7,828	$0	$0	$0	$1,843,534	$0	$0
JOHN WHIPPLE
SECRETARY - THRU 5/22	$0	$319,672	$0	$277,940	$0	$1,146,142	$0	$5,571	$0	$5,476	$0	$1,754,801	$0	$855,652
MICHAEL RICKS
CHIEF EXEC ST JOHNS HEALTH CNT	$0	$613,657	$0	$266,755	$0	$354,420	$0	$169,072	$0	$70,741	$0	$1,474,645	$0	$51,690
ANNA NEWSOM
SECRETARY (PART YEAR)	$0	$535,718	$0	$50,000	$0	$215,282	$0	$202,914	$0	$22,171	$0	$1,026,085	$0	$0
JIM WATSON ESQ
FRMR OFF - PSJH SEC./ASST. SEC.	$0	$466,229	$0	$228,525	$0	$142,483	$0	$98,225	$0	$26,164	$0	$961,626	$0	$119,387
ROBERT KLEIN
PRESIDENT/CEO-FOUNDATION	$468,046	$0	$167,943	$0	$81,877	$0	$60,943	$0	$34,967	$0	$813,776	$0	$46,792	$0
STELLA NICHOLS
DIR FINANCE-FOUNDATION	$337,543	$0	$98,186	$0	$19,641	$0	$39,799	$0	$19,926	$0	$515,095	$0	$14,715	$0
MINA KANG
CHIEF MEDICAL OFFICER HOSPITAL	$376,613	$0	$61,281	$0	$21,419	$0	$18,656	$0	$31,896	$0	$509,865	$0	$0	$0
JARED AMERSON
COO ST JOHNS HEALTH CNT	$323,734	$0	$132,411	$0	$21,256	$0	$18,222	$0	$14,233	$0	$509,856	$0	$0	$0
NAHID NOORI
ULTRASOUND TECHNICIAN GF	$398,139	$0	$0	$0	$7,847	$0	$31,362	$0	$1,976	$0	$439,324	$0	$6,635	$0
MICHAEL AVILA
SVP DEVELOPMENT-FOUNDATION	$289,798	$0	$44,360	$0	$22,037	$0	$15,653	$0	$12,360	$0	$384,208	$0	$0	$0
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	$0	$219,186	$0	$36,718	$0	$1,088	$0	$13,600	$0	$17,583	$0	$288,175	$0	$0
CINDY STRAUSS
FRMR SECRETARY	$0	$0	$0	$146,754	$0	$0	$0	$0	$0	$0	$0	$146,754	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
PART I, LINE 3	DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: MIKE BUTLER - $1,835,706 JOHN WHIPPLE - $186,674 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: ERIK WEXLER - $884,974 GREG HOFFMAN - $89,848 JO ANN ESCASA-HAIGH - $284,024 JOHN WHIPPLE - $855,652 MICHAEL RICKS - $51,690 JIM WATSON, ESQ - $119,387 ROBERT KLEIN - $46,792 STELLA NICHOLS - $14,715 NAHID NOORI - $6,635
PART I, LINE 7	NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 15:	INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING.
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA IS THE SOLE CORPORATE MEMBER OF PROVIDENCE SAINT JOHN'S HEALTH CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE SAINT JOHN'S HEALTH CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE SAINT JOHN'S HEALTH CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE SAINT JOHN'S HEALTH CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12C	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS RECUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2023.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11G	AGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 36,054,494. MANAGEMENT AND GENERAL EXPENSES 5,916,948. TOTAL EXPENSES 41,971,442. BILLING AND COLLECTIONS: PROGRAM SERVICE EXPENSES 100,804. MANAGEMENT AND GENERAL EXPENSES 16,543. TOTAL EXPENSES 117,347. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 5,416,367. MANAGEMENT AND GENERAL EXPENSES 888,887. TOTAL EXPENSES 6,305,254. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 12,026,653. MANAGEMENT AND GENERAL EXPENSES 1,973,709. TOTAL EXPENSES 14,000,362. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 25,163,743. MANAGEMENT AND GENERAL EXPENSES 4,129,653. TOTAL EXPENSES 29,293,396. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 8,473,021. MANAGEMENT AND GENERAL EXPENSES 1,390,518. TOTAL EXPENSES 9,863,539.
FORM 990, PART XI, LINE 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 183,628,968. OTHER CHANGES IN NET ASSETS 2,665,186. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT -1,893,832.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (111 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COLLABRIA CARE
414 SOUTH JEFFERSON STREET	NAPA	CA	94559	680393144	HEALTHCARE	CA	501(C)(3)	10	SJHCN	Yes (1)
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611573313	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT CHILDREN'S PHYSICIANS GROUP
3615 19TH STREET	LUBBOCK	TX	79410	881290850	HEALTHCARE	TX	501(C)(3)	PENDING	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	461259908	HEALTHCARE	CA	501(C)(3)	12, III	SJHS	Yes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	463516417	HEALTHCARE	TX	501(C)(3)	12, I	CHS	Yes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (1)
COVENANT HOME AND COMMUNITY CARE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	920275096	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	844273963	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	822913146	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128	EVERETT	WA	982065128	943264605	TRANSITIONAL CARE	WA	501(C)(3)	10		0	N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	201910170	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	203856995	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
HMTS INC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(C)(3)	12, I	HMHP	Yes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (1)
HOAG CLINIC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE	CA	501(C)(3)	10	HMHP	Yes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752133781	HEALTHCARE	TX	501(C)(3)	10	CHS	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(C)(3)	PF	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912003593	HEALTHCARE	WA	501(C)(3)	7	WHC	Yes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	916033089	SUPPORT	WA	501(C)(3)	12, III	KRMC	Yes (1)
KADLEC FOUNDATION
888 SWIFT BLVD	RICHLAND	WA	99352	237005501	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910655392	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330844408	IMAGING SERVICES	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	264021016	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911562797	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643360	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069	SEATTLE	WA	98116	200799737	SUPPORT	WA	501(C)(3)	12, I	SHS	Yes (1)
OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911608508	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	562290878	HEALTHCARE	WA	501(C)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREET	BURBANK	CA	915054809	953544877	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021	ANCHORAGE	AK	99508	920093565	HEALTHCARE	AK	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN ST	MT ANGEL	OR	97362	911940286	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911789266	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35	PORTLAND	OR	97213	930800140	SUPPORT	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410	MEDFORD	OR	97504	930692907	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	473385506	SUPPORT	WA	501(C)(3)	7		0	N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954322584	SUPPORT	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311744654	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911549796	HEALTHCARE	WA	501(C)(3)	12, II	PSJH	0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231793	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216587	HEALTHCARE	OR	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216586	HEALTHCARE	WA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911303277	HEALTHCARE	WA	501(C)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	550828701	MEDICAID HEALTHCARE PROVIDER	OR	501(C)(4)	N/A	PHP	Yes (1)
PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA)
101 W 8TH AVE	SPOKANE	WA	99204	320014330	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH PLAN
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	930863097	HEALTHCARE	OR	501(C)(4)	N/A	PPP	Yes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	510216589	HEALTHCARE	CA	501(C)(3)	3	PHS	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149	HOOD RIVER	OR	97031	930921990	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1615 75TH ST SW SUITE 210	EVERETT	WA	98203	272552749	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220	TUKWILA	WA	98168	912077378	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVD	TORRANCE	CA	90503	510224944	HEALTHCARE	CA	501(C)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
3725 PROVIDENCE POINT DRIVE SE	ISSAQUAH	WA	980297219	931554288	HEALTHCARE	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	330283773	HEALTHCARE	CA	501(C)(3)	12, I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVE	MILWAUKIE	OR	97222	943079515	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057		RELIGIOUS ORG	WA	501(C)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SW	SEATTLE	WA	981262799	911188119	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVE	NEWBERG	OR	97132	930889144	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311629656	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	911861964	HEALTHCARE	WA	501(C)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN ST	PORTLAND	OR	972132967	931231494	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	311584166	SUPPORT	WA	501(C)(3)	10	PHS WA	Yes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814542216	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROAD	SEASIDE	OR	97138	930927320	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE SW WASHINGTON FOUNDATION (FKA PROV ST PETER FDN)
413 LILLY ROAD NE	OLYMPIA	WA	985065166	911097056	SUPPORT	WA	501(C)(3)	7	PHS W WA	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	912171539	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943244854	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(C)(3)	12, III		0	N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599	PORTLAND	OR	97213	943078543	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810463482	HEALTHCARE	MT	501(C)(3)	3	PHS WA	Yes (1)
PROVIDENCE ST MARY FOUNDATION
401 W POPLAR STREET	WALLA WALLA	WA	99362	452841492	HEALTHCARE	WA	501(C)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111	PORTLAND	OR	97225	930575982	HEALTHCARE	OR	501(C)(3)	7	PHS OR	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953264139	HEALTHCARE	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
5315 TORRANCE BLVD NO B-1	TORRANCE	CA	90503	330261016	HEALTHCARE	CA	501(C)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREET	OREGON CITY	OR	97045	931003750	HEALTHCARE	OR	501(C)(3)	12, I	PHS OR	Yes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREET	EUREKA	CA	95501	942779313	HEALTHCARE	CA	501(C)(3)	7	SJHNC LLC	Yes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	954291515	HEALTHCARE	CA	501(C)(3)	4	PSJHC	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVD	SANTA MONICA	CA	90404	956100079	SUPPORT SAINT JOHN HEALTH CENTER & JWCI	CA	501(C)(3)	7	PSJHC	Yes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	611502822	PHYSICIAN COLLABORATION	WA	501(C)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	262612415	SHELL CORPORATION	MT	501(C)(3)	1	PHS WA	0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643383	RELIGIOUS ORG	CA	501(C)(3)	1		0	N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680395200	HEALTHCARE	CA	501(C)(3)	3	SJHNC LLC	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814791043	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	953589356	HEALTHCARE	CA	501(C)(3)	12, I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	HEALTHCARE	CA	501(C)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951643325	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	943176618	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	951914489	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREET	MISSOULA	MT	59802	237056976	HEALTHCARE	MT	501(C)(3)	7	PHS WA	Yes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810233495	EDUCATION	MT	501(C)(3)	10	PHS WA	Yes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	272305304	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	910433740	HEALTHCARE	WA	501(C)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAY	SEATTLE	WA	98122	910983214	HEALTHCARE	WA	501(C)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	273139262	HOLDING COMPANY	WA	501(C)(3)	12, I	SHS	Yes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	833972614	HEALTHCARE	CA	501(C)(3)	3	PHS SOCAL	Yes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911180824	SUPPORT	WA	501(C)(3)	7	PHS WA	Yes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911293869	SUPPORT	CA	501(C)(3)	10	PHS SOCAL	Yes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	911214491	SUPPORT	OR	501(C)(3)	10	PHS OR	Yes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING A	KENNEWICK	WA	99336	911739024	SUPPORT	WA	501(C)(3)	7	KRMC	Yes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	810231777	EDUCATION	MT	501(C)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	454171900	SHELL CORPORATION	WA	501(C)(3)	12, II	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (49 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
20TH STREET SURGERY LLC
1301 20TH STREET STE 140	SANTA MONICA	CA	90404	731735618	AMBULATORY SURGERY CENTER	CA	N/A	0	0
BRIDGEPORT MEDICAL IMAGING LLC (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
BROADWAY IMAGING LLC
PO BOX 4587	MISSOULA	MT	598064587	522405971	MEDICAL IMAGING	MT	N/A	0	Yes (1)
CANBY MEDICAL CENTER I LLC
4800 SW MACADAM AVE STE 120	PORTLAND	OR	97239	205470937	REAL ESTATE - MOB	OR	N/A	0	Yes (1)
CENTER FOR MEDICAL IMAGING LLC (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING - DIAGNOSTICS	OR	N/A	0	Yes (1)
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495	PORTLAND	OR	97213	260381897	RADIATION ONCOLOGY	OR	N/A	0	Yes (1)
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92663	810986844	HEALTHCARE	CA	N/A	0	Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
1031 W CHAPMAN AVE 101	ORANGE	CA	92868	264591502	HEALTHCARE	CA	N/A	0	Yes (1)
COVENANT HIGH PLAINS SURGERY CENTER LLC
40 VALLEY STREAM PKWY	MALVERN	PA	19355	752177401	HEALTHCARE	PA	N/A	0	Yes (1)
COVENANT PARK PHASE I VENTURE LLC
3615 19TH ST	LUBBOCK	TX	79410	871464045	REAL ESTATE	TX	N/A	0	0
CSS JV LLC
11782 SW BARNES ROAD STE 200 BLDG C	PORTLAND	OR	97225	263638838	AMBULATORY SURGERY CENTER	OR	N/A	0	0
FIRST HILL SURGERY CENTER LLC
1101 MADISON STREET STE 200	SEATTLE	WA	98104	472066485	AMBULATORY SURGERY CENTER	WA	N/A	0	Yes (1)
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	470927394	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENTAL	WA	N/A	0	0
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A	0	0
HOAG ORTHOPEDIC INSTITUTE
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	611588294	HEALTHCARE	CA	N/A	0	0
HOI ASC HOLDINGS LLC
16250 SAND CANYON AVE	IRVINE	CA	92618	825250937	INVESTMENTS	CA	N/A	0	0
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE A	ANCHORAGE	AK	99508	203906048	MEDICAL IMAGING	AK	N/A	0	Yes (1)
LSC REAL PROPERTY LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	474646059	REAL ESTATE	TX	N/A	0	Yes (1)
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A	0	Yes (1)
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823943675	REAL ESTATE - MOB	CA	N/A	0	Yes (1)
NEWPORT IMAGING CENTER
360 SN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	N/A	0	Yes (1)
NORTH OC IMAGING JV HOLDINGS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	852444305	HEALTHCARE	CA	N/A	0	0
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A	0	Yes (1)
PAVILION SURGERY CENTER LLC
1140 WEST LAVETA AVE	ORANGE	CA	92868	814376492	AMBULATORY SURGERY CENTER	CA	N/A	0	0
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A	0	Yes (1)
PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
19625 62ND AVENUE SOUTH SUITE 101	KENT	WA	98032	452901632	MEDICAL EQUIPMENT	WA	N/A	0	Yes (1)
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	812701056	INVESTMENTS	WA	N/A	0	0
PROVIDENCE ALASKA HOUSE I OWNER LP
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	882819223	SUPPORTIVE HOUSING	AK	N/A	0	0
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823765555	MEDICAL	AL	N/A	0	0
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	823270499	MEDICAL	AL	N/A	0	Yes (1)
PROVIDENCE HOUSE OAKLAND LP
540 23RD ST	OAKLAND	CA	94612	811441264	SUPPORTIVE HOUSING	CA	N/A	0	Yes (1)
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	920118807	MEDICAL IMAGING	AK	N/A	0	0
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823190634	INVESTMENTS	WA	N/A	0	0
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURGERY CENTER	MT	N/A	0	0
PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	881149413	AMBULATORY SURGERY CENTER	WA	N/A	0	0
PROVIDENCEUSP SURGERY CTRS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200684116	AMBULATORY SURGERY CENTER	CA	N/A	0	0
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON ST 1ST FL	SEATTLE	WA	98104	300553035	HEALTHCARE	WA	N/A	0	Yes (1)
RIVERSIDE HEALTHCARE
1107 HAZELTINE BLVD 200	CHASKA	MN	55318	411594648	HEALTHCARE	MN	N/A	0	Yes (1)
SJO ASC HOLDINGS LLC
27401 LOS ALTOS SUITE 200	MISSION VIEJO	CA	92691	821655501	HEALTHCARE	CA	N/A	0	0
ST JOSEPH PHYSICIAN VENTURES I LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	454521884	REAL ESTATE	CA	N/A	0	Yes (1)
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	814657391	HEALTHCARE	CA	N/A	0	0
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURGERY CENTER	CA	N/A	0	Yes (1)
ST MARY MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE	CA	N/A	0	0
ST PETER-SOUTH SOUND REGIONAL MRI CENTER
3417 ENSIGN RD NE	OLYMPIA	WA	98506	911455338	MEDICAL IMAGING	WA	N/A	0	Yes (1)
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURGERY CENTER	KS	N/A	0	Yes (1)
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	N/A	0	Yes (1)
WON-ONC LLC
1900 COOKS HILL RD	CENTRALIA	WA	98531	262181194	REAL ESTATE - MOB	WA	N/A	0	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (47 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOCIATION	WA	N/A	C	0
ACCLARA SOLUTIONS GROUP LLC
10713 W SAM HOUSTON PKWY N 500	HOUSTON	TX	77064	870837184	HOLDING COMPANY	TX	N/A	C	0
ACCLARA SOLUTIONS INTERMEDIATE LLC
10713 W SAM HOUSTON PKWY N 500	HOUSTON	TX	77064	371783298	HEALTHCARE FINANCIAL SERVICES	TX	N/A	C	0
ADVATA INC (FKA KENSCI INC)
615 2ND AVE 700	SEATTLE	WA	98104	474048082	HEALTHCARE	WA	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD	PEMBROKE	BD	HM08	BD
AYIN HEALTH SOLUTIONS INC
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	833037172	HEALTHCARE	DE	N/A	C	0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911354431	CLINICAL/MEDICAL LAB	WA	N/A	C	0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810486082	MEDICAL PHYSICIAN SERVICE	MT	N/A	C	0
CLOUD 21 LIMITED
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE		N/A	C	0					UK
COLBURN HILL GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	95057	863383433	HEALTHCARE	DE	N/A	C	0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
HMR WEIGHT MANAGEMENT SERVICES CORP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463598718	HEALTHCARE	WA	N/A	C	0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE	CA	N/A	C	0
HOAG PHYSICIAN PARTNERS
16148 SAND CANYON AVE	IRVINE	CA	92618	834276044	HEALTHCARE	CA	N/A	C	0
KENSCI TECH INDIA PRIVATE LIMITED
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0					IN
KENSCI ASIA PACIFIC PTE LTD
615 2ND AVE 700	SEATTLE	WA	98104		HEALTHCARE		N/A	C	0					SN
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752118585	HEALTHCARE	TX	N/A	C	0
LUMEDIC INC (FKA LUMEDIC ACQ CO INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833881097	HEALTHCARE	WA	N/A	C	0
MEDICAL SPECIALTIES MANAGERS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330406218	HEALTHCARE	WA	N/A	C	0
MISSION VIEJO MEDICAL VENTURES INC
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA	N/A	C	0
PERFORMANCE HEALTH TECHNOLOGY LTD
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	931211733	HEALTHCARE	OR	N/A	C	0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461814184	STRATEGIC PLANNING SERVICES	CA	N/A	C	0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208194071	CAPTIVE INSURANCE	AZ	N/A	C	0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	981516461	IT SVCS		N/A	C	0					IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	900155714	CLINICAL/MEDICAL LAB	WA	N/A	C	0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800886966	PREPAID HEALTHCARE	CA	N/A	C	0
PROVIDENCE PARTNERS HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCO	PORTLAND	OR	97213	882962549	INVESTMENT	DE	N/A	C	0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9	SPOKANE	WA	99204	911216033	HEALTHCARE	WA	N/A	C	0
PROVIDENCE RE
					INVESTMENT		N/A	C	0	2ND FLR N BLDG 878 WEST BAY RD P		CJ		CJ
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL ST	TORRANCE	CA	90503	823771547	HEALTHCARE	CA	N/A	C	0
QUIVIQ INC
1400-112TH AVENUE ST SUITE 100	BELLEVUE	WA	98004	833879444	HEALTHCARE ANALYTICS	WA	N/A	C	0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH MEDICAL PLAZA ASSOCIATION
1140 W LA VETA STE 400	ORANGE	CA	92868	330621539	CONDO ASSOCIATION	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330155323	HEALTHCARE	CA	N/A	C	0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	842092143	HOLDING COMPANY	DE	N/A	C	0
TEGRIA INSIGHTS GROUP HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861400769	HOLDING COMPANY	WA	N/A	C	0
TEGRIA INSIGHTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	861532593	HEALTHCARE	WA	N/A	C	0
TEGRIA PRODUCTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	870995138	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844686520	HOLDING COMPANY	DE	N/A	C	0
TEGRIA RCM GROUP US INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	863046450	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP-CAN INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE		N/A	C	0					CA
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844704409	HOLDING COMPANY	DE	N/A	C	0
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	900872936	HEALTHCARE	WI	N/A	C	0
TRUSANA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	922370159	HEALTHCARE	DE	N/A	C	0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953943315	INVESTMENT	CA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE HEALTH & SERVICES - WASHINGTON
L	$110,898	COST
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
J	$359,929	COST
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
O	$1,333,945	COST
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
K	$2,566,112	COST
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
O	$2,693,570	COST
PROVIDENCE TRINITYCARE HOSPICE
O	$308,298	COST
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
C	$14,849,405	COST