HOAG MEMORIAL HOSPITAL PRESBYTERIAN: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HOAG MEMORIAL HOSPITAL PRESBYTERIAN (EIN 95-1643327)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202223189349319267
- Schema version
- 2021v4.2
- 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 F
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T18:52:29-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 | 18101 VON KARMAN AVE SUITE 1700 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951643327 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hoag Memorial Hospital Presbyterian | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ANDREW GUARNI | InCareOfNm |
| Business Name Control | HOAG | BusinessNameControlTxt |
| Phone | 9497644624 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOAG DRIVE PO BOX 6100 | AddressLine1Txt |
| City | NEWPORT BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 926586100 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREW GUARNI | PersonNm |
| Person Title | EVP & CFO | PersonTitleTxt |
| Phone | 9497644624 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANDREW | PersonFirstNm |
| Person Last | GUARNI | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KARA ADAMS | PreparerPersonNm |
| PTIN | P00023315 | PTIN |
| Phone | 9497942300 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT BRAITHWAITE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOAG DRIVE BOX 6100 | AddressLine1Txt |
| City | NEWPORT BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 926586100 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,218,876,198 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOAG.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION AS A NOT-FOR-PROFIT, FAITH- BASED HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 6811 | TotalEmployeeCnt |
| Total Volunteers | 1500 | TotalVolunteersCnt |
| Total Gross UBI | $3,023,311 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $49,331,489 | PYContributionsGrantsAmt |
| CY Contributions Grants | $27,267,692 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,196,773,576 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,363,888,248 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,467,127 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,888,076 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,184,151 | PYOtherRevenueAmt |
| CY Other Revenue | $12,634,712 | CYOtherRevenueAmt |
| PY Total Revenue | $1,260,756,343 | PYTotalRevenueAmt |
| CY Total Revenue | $1,413,678,728 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,298,904 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,297,226 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $530,197,022 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $590,503,217 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $660,062,545 | PYOtherExpensesAmt |
| CY Other Expenses | $693,071,625 | CYOtherExpensesAmt |
| PY Total Expenses | $1,201,558,471 | PYTotalExpensesAmt |
| CY Total Expenses | $1,292,872,068 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $59,197,872 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $120,806,660 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,606,270,386 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,940,743,462 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $955,953,775 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $946,715,374 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,650,316,611 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,994,028,088 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION AS A NOT-FOR-PROFIT, FAITH-BASED HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTHCARE SERVICES TO THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $925,095,488 | ExpenseAmt |
| Grant | $9,297,226 | GrantAmt |
| Revenue | $1,372,109,690 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $925,095,488 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 815 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 6811 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREW GUARNI | PersonNm |
| Phone | 9497644624 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOAG DRIVE PO BOX 6100 | AddressLine1Txt |
| City | NEWPORT BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92658 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| RODNEY HOCHMAN MD | |||||||||
| BOARD MEMBER | 2.0 | 63.0 | Yes (X) | $0 | $8,639,819 | $840,345 | |||
| ROBERT BRAITHWAITE | |||||||||
| CEO/PRESIDENT/BOARD MEMBEER | 50.0 | 9.0 | $1,744,587 | $0 | $218,833 | Yes (X) | |||
| FLYNN ANDRIZZI | |||||||||
| SVP | 2.0 | 52.0 | $950,386 | $0 | $79,416 | Yes (X) | |||
| JENNIFER MITZNER | |||||||||
| VP EXEC. | 0.0 | 54.0 | $794,236 | $0 | $67,087 | Yes (X) | |||
| KRIS V IYER MD | |||||||||
| VP SR & CAO | 2.0 | 52.0 | $819,091 | $0 | $36,626 | Yes (X) | |||
| ANDREW GUARNI | |||||||||
| EVP & CFO | 50.0 | 6.0 | $709,033 | $0 | $59,649 | Yes (X) | |||
| RICHARD MARTIN | |||||||||
| SVP & CHIEF NURSING OFFICER | 50.0 | 0.0 | $645,345 | $0 | $77,123 | Yes (X) | |||
| MARCY BROWN | |||||||||
| SVP & CHO | 50.0 | 0.0 | $640,330 | $0 | $53,069 | Yes (X) | |||
| ALLYSON BROOKS MD | |||||||||
| EXEC DIR MED WOMENS HEALTH | 50.0 | 0.0 | $606,980 | $0 | $52,931 | Yes (X) | |||
| JAN BLUE | |||||||||
| SR VP HUMAN RESOURCES | 50.0 | 0.0 | $599,407 | $0 | $43,700 | Yes (X) | |||
| SANFORD SMITH | |||||||||
| SVP REAL ESTATE & FACILITIES | 50.0 | 0.0 | $585,569 | $0 | $47,742 | Yes (X) | |||
| MICHAEL BRANT-ZAWADZKI | |||||||||
| EXECUTIVE MEDICAL DIRECTOR | 50.0 | 0.0 | $579,612 | $0 | $47,939 | Yes (X) | |||
| MARGARET T CONK | |||||||||
| VP SR CHIEF CLINICAL INSTITUTE | 50.0 | 0.0 | $540,111 | $0 | $52,076 | Yes (X) | |||
| MARTIN FEE | |||||||||
| SENIOR VP/CCO | 50.0 | 0.0 | $485,678 | $0 | $44,561 | Yes (X) | |||
| KATHY AZEEZ NARAIN | |||||||||
| VP CHIEF DIGITAL OFFICER | 50.0 | 0.0 | $472,734 | $0 | $13,680 | Yes (X) | |||
| NHAT Q TRAN | |||||||||
| PRINCIPAL SR AND CMIO | 50.0 | 0.0 | $428,725 | $0 | $53,238 | Yes (X) | |||
| MILES CHANG MD | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DENNIS J GILMORE | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JOEL KATZ MD | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KAREN D LINDEN | |||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY H MARGOLIS | |||||||||
| BOARD MEMBER | 2.0 | 5.0 | Yes (X) | $0 | $0 | $0 | |||
| PAMELA MASSEY | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KATHLEEN ARMSTRONG | |||||||||
| BOARD MEMBER | 2.0 | 5.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES SHEPHERDSON | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CHRIS CALLERO | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| PAUL HEESCHEN | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT S BRUNSWICK | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| VICKI BOOTH | |||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| CYNTHIA STOKKE | |||||||||
| CHAIR-ELECT | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GEORGE WOOD | |||||||||
| PAST CHAIR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL YOUNG | |||||||||
| CHAIR | 5.0 | 2.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ERIC ALCOULOUMRE MD | |||||||||
| SECRETARY | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,601,824 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,639,819 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,788,015 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1499 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PACIFIC HOSPITALISTS ASSOCIATES | |||||
| 17360 BROOKHURST ST | FOUNTAIN VALLEY | CA | 92708 | MEDICAL SERVICES | $13,431,853 |
| NEWPORT CRITICAL CARE PHYS MED | |||||
| 17 EMERALD TERRACE | ALISO VIEJO | CA | 92656 | MEDICAL SERVICES | $6,182,900 |
| EMERALD TEXTILES LLC | |||||
| 1725 DORNOCH COURT STE 202 | SAN DIEGO | CA | 92154 | TEXTILE RENTAL SVCS. | $4,259,714 |
| WATER COOLER GROUP LLC | |||||
| P O BOX 321 | NORWALK | CT | 06856 | MARKETING SERVICES | $4,000,000 |
| RENOVO SOLUTIONS LLC | |||||
| 4 EXECUTIVE CIR STE 185 | IRVINE | CA | 92614 | BIOMED SERVICES | $3,675,412 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 175 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $26,329,091 | RelatedOrganizationsAmt |
| All Other Contributions | $938,601 | AllOtherContributionsAmt |
| Total Contributions | $27,267,692 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Services | 622110 | $1,198,011,466 | $1,198,011,466 |
| HMO Capitated Payment | 622110 | $90,917,993 | $90,917,993 |
| MOB Rental Income | 531190 | $46,133,493 | $46,133,493 |
| QA GRANTS FROM PSJH | 624410 | $10,521,720 | $10,521,720 |
| CAFETERIA SALES | 722212 | $3,400,893 | $3,400,893 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,902,683 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,902,683 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,363,888,248 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,776,644 | TotalRevenueColumnAmt |
| Exclusion | $22,776,644 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $792,308,902 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $805,137,212 | SecuritiesAmt |
| Other | $60,258 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$12,828,310 | SecuritiesAmt |
| Other | -$60,258 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,888,568 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$60,258 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$12,828,310 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Income from Partnerships | 525990 | -$1,221,305 | -$1,221,305 | ||
| Misc-HOI Services | 561110 | $12,255,305 | $3,973,605 | $8,281,700 | |
| All other revenue | 900099 | $1,600,712 | $271,011 | $1,329,701 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,634,712 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,413,678,728 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,372,109,690 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,023,311 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,278,035 | 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 | $9,297,226 | TotalAmt |
| Program Services | $9,297,226 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,233,460 | TotalAmt |
| Program Services | $477,408 | ProgramServicesAmt |
| Management And General | $6,756,052 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,969 | TotalAmt |
| Management And General | $164,969 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,697,609 | TotalAmt |
| Program Services | $366,471,538 | ProgramServicesAmt |
| Management And General | $107,226,071 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,975,359 | TotalAmt |
| Program Services | $14,907,393 | ProgramServicesAmt |
| Management And General | $7,067,966 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,604,271 | TotalAmt |
| Program Services | $26,233,957 | ProgramServicesAmt |
| Management And General | $29,370,314 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,827,549 | TotalAmt |
| Program Services | $22,783,447 | ProgramServicesAmt |
| Management And General | $9,044,102 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,020,156 | TotalAmt |
| Program Services | $205,561 | ProgramServicesAmt |
| Management And General | $8,814,595 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,117 | TotalAmt |
| Management And General | $634,117 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,483 | TotalAmt |
| Management And General | $27,483 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,753,449 | TotalAmt |
| Management And General | $4,753,449 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,326,460 | TotalAmt |
| Program Services | $85,356,849 | ProgramServicesAmt |
| Management And General | $64,969,611 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,449,342 | TotalAmt |
| Program Services | $141,779 | ProgramServicesAmt |
| Management And General | $5,307,563 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,930,077 | TotalAmt |
| Program Services | $8,512,141 | ProgramServicesAmt |
| Management And General | $7,417,936 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,899,072 | TotalAmt |
| Program Services | $14,968,899 | ProgramServicesAmt |
| Management And General | $930,173 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,952,481 | TotalAmt |
| Program Services | $43,242,420 | ProgramServicesAmt |
| Management And General | $22,710,061 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,759 | TotalAmt |
| Program Services | $184,063 | ProgramServicesAmt |
| Management And General | $183,696 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,441 | TotalAmt |
| Program Services | $56,370 | ProgramServicesAmt |
| Management And General | $245,071 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,673,967 | TotalAmt |
| Program Services | $17,500,392 | ProgramServicesAmt |
| Management And General | $173,575 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,347,355 | TotalAmt |
| Program Services | $34,957,699 | ProgramServicesAmt |
| Management And General | $61,389,656 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,876,920 | TotalAmt |
| Program Services | $6,366,616 | ProgramServicesAmt |
| Management And General | $3,510,304 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| Medical Supplies | $200,027,123 | $200,027,123 | $0 | |
| QA Fee | $43,942,965 | $43,942,965 | $0 | $0 |
| Dues & Subscriptions | $17,599,460 | $0 | $0 | $17,599,460 |
| Licenses & Taxes | $8,975,635 | $0 | $0 | $8,975,635 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,966,363 | TotalAmt |
| Program Services | $29,461,642 | ProgramServicesAmt |
| Management And General | $504,721 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,292,872,068 | TotalAmt |
| Program Services | $925,095,488 | ProgramServicesAmt |
| Management And General | $367,776,580 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,346,664 | BOYAmt |
| EOY | $20,081,903 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,644,172 | BOYAmt |
| EOY | $144,348,713 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,067,569 | BOYAmt |
| EOY | $207,433,947 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,992,355 | BOYAmt |
| EOY | $1,366,365 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,170,698 | BOYAmt |
| EOY | $17,855,295 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,180,716 | BOYAmt |
| EOY | $22,623,138 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,077,724,789 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $977,424,203 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $902,389,730 | BOYAmt |
| EOY | $1,100,300,586 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $833,279,748 | BOYAmt |
| EOY | $656,998,946 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,255,598,158 | BOYAmt |
| EOY | $1,565,191,000 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,881,266 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $625,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,094,310 | BOYAmt |
| EOY | $204,543,569 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,606,270,386 | BOYAmt |
| EOY | $3,940,743,462 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,350,820 | BOYAmt |
| EOY | $166,502,292 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $876,022 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $801,726,933 | BOYAmt |
| EOY | $780,213,082 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $955,953,775 | BOYAmt |
| EOY | $946,715,374 | 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 | $2,650,239,214 | BOYAmt |
| EOY | $2,993,973,537 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,397 | BOYAmt |
| EOY | $54,551 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,650,316,611 | BOYAmt |
| EOY | $2,994,028,088 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,606,270,386 | BOYAmt |
| EOY | $3,940,743,462 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $120,806,660 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $298,000,002 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$75,095,185 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $27,483 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $27,483 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES THE LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES ALLOCATED TO HOAG MEMORIAL HOSPITAL PRESBYTERIAN. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $164,655,908 | BeginningYearBalanceAmt |
| Contributions | $3,030,230 | ContributionsAmt |
| Investment Earnings Or Losses | $23,223,391 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,879,769 | OtherExpendituresAmt |
| End Year Balance | $184,029,760 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $143,701,793 | BeginningYearBalanceAmt |
| Contributions | $5,819,236 | ContributionsAmt |
| Investment Earnings Or Losses | $21,695,599 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,560,720 | OtherExpendituresAmt |
| End Year Balance | $164,655,908 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $130,966,595 | BeginningYearBalanceAmt |
| Contributions | $6,011,242 | ContributionsAmt |
| Investment Earnings Or Losses | $13,990,511 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,266,555 | OtherExpendituresAmt |
| End Year Balance | $143,701,793 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $136,620,451 | BeginningYearBalanceAmt |
| Contributions | $894,423 | ContributionsAmt |
| Investment Earnings Or Losses | $1,598,221 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $8,146,500 | OtherExpendituresAmt |
| End Year Balance | $130,966,595 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $126,638,880 | BeginningYearBalanceAmt |
| Contributions | $2,373,258 | ContributionsAmt |
| Investment Earnings Or Losses | $7,539,150 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$69,163 | OtherExpendituresAmt |
| End Year Balance | $136,620,451 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.03600 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.44900 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.51500 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $113,166,933 | OtherCostOrOtherBasisAmt |
| Book Value | $113,166,933 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,257,859,830 | OtherCostOrOtherBasisAmt |
| Depreciation | $496,822,480 | DepreciationAmt |
| Book Value | $761,037,350 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $186,881,094 | OtherCostOrOtherBasisAmt |
| Depreciation | $143,120,013 | DepreciationAmt |
| Book Value | $43,761,081 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $430,690,648 | OtherCostOrOtherBasisAmt |
| Depreciation | $337,481,710 | DepreciationAmt |
| Book Value | $93,208,938 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $89,126,284 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $89,126,284 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,100,300,586 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| EQUITY COMMINGLED FUNDS | $337,591,000 | F |
| HEDGE FUNDS | $699,700,000 | F |
| PRIVATE EQUITY | $327,185,000 | F |
| REAL ASSETS | $200,715,000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,565,191,000 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RIGHT OF USE ASSETS - OP LEASE | $67,459,289 |
| OTHER RECEIVABLES | $53,014,700 |
| HOSPITAL FEE RECEIVABLE | $43,788,938 |
| DUE FROM RELATED ENTITIES | $25,370,877 |
| DEFERRED INCOME GUARANTEE | $7,685,352 |
| LEASE INCENTIVES | $7,224,413 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $204,543,569 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCO WITH HEALTH SYSTEM-BONDS | $494,400,057 |
| OTHER ACCRUED LIABILITIES | $105,994,272 |
| LEASE INCENTIVE OBLIGATION | $70,458,545 |
| SELF INSURANCE LIABILITIES | $52,754,599 |
| NOTE PAYABLE | $8,663,533 |
| CAPITATED CONTRACTS | $4,364,033 |
| ACCRUED INCOME GUARANTEE | $2,874,221 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $780,213,082 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | FOOTNOTE FROM THE HOAG MEMORIAL HOSPITAL PRESPBYTERIAN CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED 12/31/2021: ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ASC TOPIC 740 ALSO PROVIDES GUIDANCE ON DE-RECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT DECEMBER 31, 2021 AND 2020. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|
| Central America and the Caribbean | Investments, program-relate | $873,527,260 |
| Europe (Including Iceland and Greenland) | Investments, program-relate | $2,448,072 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $875,975,332 | SubtotalSpentAmt |
| Total Spent | $875,975,332 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (true) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (true) | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F, PART I, LINE 3, COLUMN F | FormAndLineReferenceDesc |
| Explanation | ACCOUNTING METHOD THE AMOUNTS REPORTED IN PART I, LINE 3, COLUMN F REPRESENT THE MARKET VALUES OF THE INVESTMENTS IN THE IDENTIFIED REGIONS AS OF THE ORGANIZATION'S FISCAL YEAR ENDED DECEMBER 31, 2021. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,864,473 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,864,473 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $142,476,549 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,488,441 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $65,988,108 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05020 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,378 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,378 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $153,349,400 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,488,441 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $76,860,959 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05820 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,580,880 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,580,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,782 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,782 | NetCommunityBenefitExpnsAmt |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $318,348 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $318,348 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,127,915 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,127,915 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00770 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,037,925 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,037,925 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01060 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $167,387,325 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,488,441 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $90,898,884 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06880 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $795,454 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $314,836,194 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $225,515,951 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $89,320,243 | 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 | false | WrittenDebtCollectionPolicyInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| HOAG ORTHO INST | ||
| SPECIALTY HOSPITAL | 0.51 | 0.44 |
| MAIN ST SPEC SURGERY | ||
| OUTPATIENT SURGERY CENTER | 0.2611 | 0.1466 |
| NWPT BCH RADIOSRGRY | ||
| SURGERY CENTER | 0.5 | 0.5 |
| NWPT BAY SURGERY CTR | ||
| SURGERY CENTER | 0.4737 | 0.41165 |
| DIAG AND INTVTNL | ||
| SURGERY CENTER | 0.1561 | 0.49 |
| CA SPECIALTY SURGERY | ||
| SURGERY CENTER | 0.0018 | 0.428 |
| IRVINE SURGICAL PTRS | ||
| SURGERY CENTER | 0.3953 | 0.268 |
| COASTAL ENDOSCOPY | ||
| SURGERY/CTR/MGMT SVCS | 0.3953 | 0.49 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Critical Access HospitalCriticalAccessHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | ||||||||||||
| 1 | ONE HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | WWW.HOAG.ORG | C0194920 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| HOAG ORTHOPEDIC INSTITUTE | ||||||||||||
| 2 | 16520 SAND CANYON AVENUE | Irvine | CA | 92618 | WWW.HOAGORTHOPEDICINSTITUTE.COM | 200835010044 | Yes (X) | A | ORTHOPEDIC HOSPITAL | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | 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 (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | 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 (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | 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 (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 3E | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
| SCHEDULE H, PART V, SECTION B, LINE 5 | INPUT FROM COMMUNITY REPRESENTATIVES TARGETED INTERVIEWS AND FOCUS GROUPS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY HOAG MEMORIAL HOSPITAL PRESBYTERIAN. HOAG UTILIZED A MIXED-METHODS APPROACH TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING DATA SOURCES INFORMED THIS REPORT: - KEY STAKEHOLDER INTERVIEWS (KSIS). SEMI-STRUCTURED INTERVIEWS WERE CONDUCTED WITH 21 INDIVIDUALS. INTERVIEWEES WERE SELECTED IN COLLABORATION WITH HOAG HOSPITAL COMMUNITY BENEFIT STAFF. INTERVIEWS WERE CONDUCTED TO OBTAIN INFORMATION ABOUT THE HEALTH NEEDS OF ORANGE COUNTY RESIDENTS FROM A SYSTEMS-LEVEL PERSPECTIVE. PARTICIPATING INTERVIEWEES REPRESENTED THE FOLLOWING: HEALTH EDUCATORS/SERVICE PROVIDERS, MEDICAL RESEARCH, EXECUTIVE DIRECTORS/CEO'S OF COMMUNITY ORGANIZATIONS, LOCAL FUNDING AGENCIES, HEALTH SERVICES COORDINATORS, COUNTY HEALTH OFFICER, COUNTY PUBLIC HEALTH NURSE, MENTAL HEALTH SPECIALISTS, AND CITY OFFICIALS. INTERVIEWEES PROVIDED INFORMATION ABOUT: (1) HEALTH PRIORITIES; (2) CAUSES AND CONTRIBUTING FACTORS OF POOR HEALTH; (3) ACCESS TO AND AVAILABILITY OF SERVICE PROVISION; (4) THEIR STRENGTHS AS SERVICE PROVIDERS; AND (5) RECOMMENDATIONS AND STRATEGIES FOR IMPROVING THE PROVISION OF HEALTH SERVICES TO ORANGE COUNTY RESIDENTS. - PROVIDER SURVEY. THE PROVIDER SURVEY WAS DEVELOPED AND ADMINISTERED ONLINE BY EVALCORP DURING MARCH AND APRIL 2020 TO INDIVIDUALS AT OVER 170 ORGANIZATIONS/DEPARTMENTS THAT PROVIDE OR FUND HEALTH SERVICES TO COMMUNITY MEMBERS. THE SURVEY WAS DISTRIBUTED TO A WIDE RANGE OF COUNTY, PRIVATE, AND NON-PROFIT AGENCIES WHO SERVE RESIDENTS OF ORANGE COUNTY. DURING THE TWO-MONTH SURVEY ADMINISTRATION TIMEFRAME, A TOTAL OF 140 RESPONSES WERE COLLECTED AND USED FOR ANALYSIS. THE PURPOSE OF THE SURVEY WAS TO OBTAIN PROVIDERS' PERSPECTIVES AND EXPERIENCES REGARDING PRIORITY HEALTH NEEDS, AND THE AVAILABILITY AND PROVISION OF HEALTH SERVICES THROUGHOUT ORANGE COUNTY. - COMMUNITY MEMBER SURVEY. THE COMMUNITY SURVEY WAS DEVELOPED BY EVALCORP AND DISTRIBUTED ONLINE FROM JULY 1 THROUGH AUGUST 10, 2020 TO COMMUNITY MEMBERS VIA 18 COMMUNITY-BASED AGENCIES. THE SURVEY WAS DISTRIBUTED THROUGH A WIDE RANGE OF COUNTY, PRIVATE, AND NON-PROFIT AGENCIES WHO SERVE RESIDENTS OF ORANGE COUNTY. DURING THE FIVE-WEEK SURVEY ADMINISTRATION TIMEFRAME, A TOTAL OF 548 RESPONSES WERE COLLECTED. - FOCUS GROUPS. FOCUS GROUPS WERE CONDUCTED TO ASSESS CURRENT MENTAL AND BEHAVIORAL HEALTH NEEDS, ACCESS TO CARE, AVAILABILITY OF EXISTING RESOURCES, AND NEEDS CAN BE ADDRESSED WITHIN ORANGE COUNTY. ALL FOCUS GROUPS USED A SEMI-STRUCTURED PROTOCOL AND WERE FACILITATED IN ONE OF THE FOLLOWING LANGUAGES: SPANISH, ENGLISH, VIETNAMESE, OR CAMBODIAN (KHMER). FOCUS GROUPS WERE PURPOSIVELY SAMPLED TO REPRESENT A VARIETY OF AGES FROM YOUTH TO OLDER ADULTS, RACE/ETHNICITIES, AND VULNERABLE OR UNDERSERVED POPULATIONS (E.G., LGBTQ+ AND VETERANS). EIGHT FOCUS GROUPS WERE SUCCESSFULLY CONDUCTED WITH A TOTAL OF 54 PARTICIPANTS IN ATTENDANCE ACROSS THE EIGHT SESSIONS. TABLE 2 OF THE 2019 CHNA PROVIDES FURTHER DETAILS ABOUT EACH OF THE FOCUS GROUPS. THE FOLLOWING COMMUNITY PARTNERS/ORGANIZATIONS ASSISTED US THROUGHOUT THE DATA COLLECTION PROCESS: - ACCESS CALIFORNIA SERVICES - ALZHEIMER'S FAMILY CENTER - AMERICAN LEGION - CALOPTIMA - CAMBODIAN FAMILY - COMMUNITY HEALTH INITIATIVES OF ORANGE COUNTY - COUNCIL ON AGING - FIRST 5 ORANGE COUNTY - GIRLS INC. - HUMAN OPTIONS - ILLUMINATION FOUNDATION - JAMBOREE HOUSING - KIDS HEALTHY - MOMS ORANGE COUNTY - NAMI - NEWPORT MESA UNIFIED SCHOOL DISTRICT - HOPE CLINIC - OMID MULTICULTURAL INSTITUTE FOR DEVELOPMENT (OMID) - ORANGE COUNTY ASIAN PACIFIC ISLANDER COMMUNITY ALLIANCE - ORANGE COUNTY HUMAN RELATIONS - ORANGE COUNTY MECCA - ORANGE COUNTY UNITED WAY - ORANGE COUNTY WOMEN'S HEALTH PROJECT - RADIANT HEALTH CENTERS - SECOND HARVEST FOOD BANK - SHARE OURSELVES - UNIVERSITY OF CALIFORNIA, IRVINE |
| SCHEDULE H, PART V, SECTION B, LINE 6A | HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND HOAG ORTHOPEDIC INSTITUTE CONDUCTED A COMBINED CHNA. |
| SCHEDULE H, PART V, SECTION B, LINE 7A | FACILITY 1 HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/ FACILITY 2 HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/ |
| SCHEDULE H, PART V, SECTION B, LINE 10A | FACILITY 1 HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/ FACILITY 2 HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/ |
| SCHEDULE H, PART V, SECTION B, LINE 11 | THE 2019 CHNA IDENTIFIED THE FOLLOWING AS HOAG'S SIGNIFICANT NEEDS TO BE ADDRESSED: MENTAL HEALTH, ACCESS TO CARE, ECONOMIC SECURITY, PREVENTION OF CHRONIC DISEASE AND MANAGEMENT, WOMEN'S HEALTH, AND SUBSTANCE USE. FOR EACH HEALTH NEED THE HOSPITALS PLAN TO ADDRESS, THE STRATEGIES BELOW OUTLINE THE ACTIONS THE HOSPITALS INTEND TO TAKE, INCLUDING PROGRAMS AND RESOURCES IT PLANS TO COMMIT AND PLANNED COLLABORATION WITH OTHER ORGANIZATIONS. MENTAL HEALTH STRATEGIES 1) PROVIDE MENTAL HEALTH CARE SERVICES THROUGH HOAG'S MENTAL HEALTH CENTER PRIMARILY FOCUSED ON THE LOW-INCOME POPULATION. 2) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFIT ORGANIZATIONS THAT FOCUS ON MENTAL HEALTH THAT GOES BEYOND OUR SCOPE OF CARE. 3) PROVIDE WORKFORCE DEVELOPMENT OPPORTUNITIES (INTERNSHIPS, INTERNAL AND EXTERNAL PROFESSIONAL DEVELOPMENT) FOR THE MENTAL HEALTH PROFESSION. 4) USE EXISTING PATHWAYS TO EXPAND OUR CONTINUUM OF CARE FOR MENTAL HEALTH. ACCESS TO CARE STRATEGIES 1) PROVIDE FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. 2) OFFER INFORMATION AND ENROLLMENT ASSISTANCE FOR NO COST AND LOW-COST INSURANCE PROGRAMS. 3) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY CLINICS. 4) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFIT ORGANIZATIONS THAT REDUCE BARRIERS TO ACCESSING CARE. 5) PROVIDE PARTNERS WITH SPACE AND RESOURCES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING. 6) PROVIDE TRANSPORTATION SUPPORT FOR SENIORS TO INCREASE ACCESS TO HEALTH CARE SERVICES. ECONOMIC SECURITY STRATEGIES 1) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFIT ORGANIZATIONS THAT FOCUS ON ECONOMIC SECURITY MEASURES. 2) BUILD COMMUNITY CAPACITY BY PROVIDING COLLABORATIVE PARTNERS WITH SPACE AND RESOURCES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING. 3) CONTINUE AND EXPAND PROGRAMS THAT ALLEVIATE FOOD INSECURITY. PREVENTION OF CHRONIC DISEASE AND MANAGEMENT STRATEGIES 1) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY CLINICS. 2) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO COMMUNITY NONPROFIT ORGANIZATIONS THAT FOCUS ON DISEASE PREVENTION, INCLUDING OBESITY PREVENTION AND CHRONIC DISEASE MANAGEMENT. 3) PROVIDE PARTNERS WITH SPACE AND RESOURCES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING. 4) OFFER CHRONIC DISEASE PREVENTION, MANAGEMENT, EDUCATION, CARE NAVIGATION, SCREENINGS AND SUPPORT GROUPS. 5) CONTINUE TO PROVIDE WELLNESS AND PREVENTION PROGRAMS TO VULNERABLE COMMUNITIES. WOMEN'S HEALTH STRATEGIES 1) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO ORGANIZATIONS FOCUSED ON WOMEN'S HEALTH. 2) COLLABORATE WITH HOAG WOMEN'S HEALTH INSTITUTE IN IDENTIFYING GAPS IN CARE FOR THE LOW INCOME AND VULNERABLE PATIENT POPULATION. 3) OFFER HEALTH EDUCATION, CARE NAVIGATION, ADVOCACY AND RESOURCE BROKERING. SUBSTANCE USE STRATEGIES 1) PROVIDE FUNDING AND/OR IN-KIND SUPPORT TO ORGANIZATIONS FOCUSED ON SUBSTANCE USE 2) COLLABORATE WITH HOAG'S ADDICTION TREATMENT CENTERS TO DEVELOP OPPORTUNITIES FOR LOW-INCOME POPULATION. 3) COLLABORATE WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) THAT ADDRESS SUBSTANCE USE DISORDERS AND PROVIDE MEDICATION-ASSISTED TREATMENT (MAT). TO ACCOMPLISH SOME OF THESE STRATEGIES HOAG WILL ALSO COLLABORATE WITH COMMUNITY PARTNERS. SHARING RESOURCES AND ENHANCING THE CAPACITY OF PARTNER ORGANIZATIONS SUPPORTS THE ACHIEVEMENTS OF OUR GOALS. POTENTIAL COLLABORATIVE PARTNERS INCLUDE, BUT ARE NOT LIMITED TO: - ADVOCACY GROUPS - COMMUNITY HEALTH CENTERS AND COMMUNITY CLINICS - COMMUNITY-BASED ORGANIZATIONS - FAITH BASED ORGANIZATIONS - FAMILY RESOURCE CENTERS - FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) - LOCAL MUNICIPALITIES - MENTAL HEALTH ASSOCIATIONS - ORANGE COUNTY HEALTH CARE AGENCY - SCHOOL DISTRICTS AND SCHOOLS - LOCAL FOOD BANKS - SENIOR CENTERS AND ADULT DAY CENTERS |
| SCHEDULE H, PART V, SECTION B, LINE 13H | HOAG PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE FAMILY INCOME LEVELS OF UP TO 400% THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES. HOAG GIVES CONSIDERATION TO ELIGIBLE PATIENTS WITH INSURANCE IF THEY INCUR HIGH MEDICAL COSTS AS DEFINED BY CALIFORNIA LAW, AND ALSO HAVE FAMILY INCOMES UP TO 400% OF THE FPL. HMHP AND HOI'S POLICY ALSO PROVIDES FOR DISCRETIONARY DETERMINATION OF CHARITY CARE TAKING INTO CONSIDERATION INDIVIDUAL FACTS AND CIRCUMSTANCES. |
| SCHEDULE H, PART V, SECTION B, LINE 15E | PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE PROGRAM (FAP) APPLICATION. APPLICATIONS CAN BE FOUND ON THE HOAG.ORG WEBSITE, VIA FINANCIAL COUNSELORS, BY MAIL, AND BY CONTACTING HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER AT (949) 764-8400 FOR HOAG AND (949) 764-8404 FOR HOI. |
| SCHEDULE H, PART V, SECTION B, LINE 16A | FACILITY 1 HTTPS://WWW.HOAG.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSIS TANCE-CHARITY-CARE/ FACILITY 2 https://www.hoagorthopedicinstitute.com/for-patients/billing-and-insurance /financial-assistance/ |
| SCHEDULE H, PART V, SECTION B, LINE 16B | FACILITY 1 HTTPS://WWW.HOAG.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSIS TANCE-CHARITY-CARE/ FACILITY 2 https://www.hoagorthopedicinstitute.com/for-patients/billing-and-insurance /financial-assistance/ |
| SCHEDULE H, PART V, SECTION B, LINE 16C | PLAIN LANGUAGE SUMMARY FACILITY 1 HTTPS://WWW.HOAG.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSIS TANCE-CHARITY-CARE/ FACILITY 2 https://www.hoagorthopedicinstitute.com/for-patients/billing-and-insurance /financial-assistance/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Main St Specialty Surgery Center | ||||
| 280 Main Street 100 | Orange | CA | 92660 | outpatient surgery center |
| Orthopedic Surgery Center of OC | ||||
| 22 Corporate Plaza Dr Ste 150 | Newport Beach | CA | 92660 | outpatient orthopedic surgery center |
| Diagnostic & Interventional Surgical Ctr | ||||
| 13160 Mindanao Way Ste 150 | Marina Del Rey | CA | 90292 | outpatient surgery center |
| California Specialty Surgery Center | ||||
| 26371 Crown Valley Parkway | Mission Viejo | CA | 92691 | outpatient surgery center |
| Newport Beach Radiosurgery | ||||
| 1605 Avocado Avenue | Newport Beach | CA | 92660 | outpatient surgery center |
| Newport Imaging Center | ||||
| 360 San Miguel | Newport Beach | CA | 92660 | Imaging center |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES, INCLUDING BUT NOT LIMITED TO DISABILITY AND HOMELESSNESS ARE CONSIDERED WHEN DETERMINING ELIGIBILITY. |
| SCHEDULE H, PART I, LINE 6A | HOAG MEMORIAL HOSPITAL PRESBYTERIAN PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/ |
| SCHEDULE H, PART I, LINE 7A-I | COST ACCOUNTING SYSTEM WAS USED TO DERIVE THE COST-TO-CHARGE RATIO. OUR TOTAL COSTS (DIRECT AND INDIRECT) AND TOTAL CHARGES WERE $314,836,194 AND $225,515,951, RESPECTIVELY. THIS RESULTED IN A COST-TO-CHARGE RATIO OF APPROXIMATELY 139.6% WHICH WAS USED TO CALCULATE CHARITY CARE AT COST (GROSS PATIENT CHARGES WRITTEN OFF ON THE P&L TIMES COST-TO-CHARGE RATIO). THE COST ACCOUNTING SYSTEM ADDRESSES INPATIENT, OUTPATIENT AND VARIOUS PAYOR TYPES. FOR THE SECTIONS OF LINE 7 AS APPLICABLE, WORKSHEET 2 WAS NOT USED WHILE THE COST TO CHARGE RATIO WAS USED. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | THE PROPORTIONATE SHARE OF THE ORGANIZATION'S JOINT VENTURE EXPENSES HAVE BEEN INCLUDED IN THE CALCULATION OF THE COMMUNITY BENEFIT EXPENSE PERCENTAGES. |
| SCHEDULE H, PART I, LINE 7G | NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. |
| SCHEDULE H, PART III, LINE 2 | HMHP ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTING STANDARDS UPDATE 2014-09 TOPIC 606 (ASU 606) EFFECTIVE JANUARY 1, 2018. ASU 606 AND THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) DIFFERENTIATE BAD DEBT FROM IMPLICIT PRICE CONCESSIONS. ACCORDINGLY, HMHP NO LONGER SEPARATELY PRESENTS A PROVISION FOR BAD DEBTS ON THE STATEMENT OF OPERATIONS OR THE RELATED ALLOWANCE FOR BAD DEBTS ON THE BALANCE SHEET. |
| SCHEDULE H, PART III, LINE 4 | The organization's audited financial statements do not include a footnote discussing bad debt expense, accounts receivable, allowance for doubtful accounts or similar designations. SCHEDULE H, Part III, Line 8 TREATMENT OF MEDICARE SHORTFALL/(SURPLUS) AS COMMUNITY BENEFIT THE ORGANIZATION DOES NOT TREAT THE SURPLUS FROM MEDICARE AS A COMMUNITY BENEFIT. MEDICARE COSTING METHODOLOGY MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. |
| SCHEDULE H, PART III, LINE 9B | PATIENT ACCOUNTS MANAGEMENT IS RESPONSIBLE FOR THE COLLECTION OF PATIENT ACCOUNTS AFTER DISCHARGE. PROCEDURES ARE FOLLOWED IN ACCORDANCE WITH THE FAIR DEBT COLLECTION PRACTICES ACT. ACCOUNTS UNPAID AFTER ONE HUNDRED FIFTY (150) DAYS MAY BE RECOMMENDED FOR ASSIGNMENT TO AN OUTSIDE COLLECTION AGENCY. ALL APPROPRIATE EFFORTS TO COLLECT AND/OR RESOLVE THE BALANCES DUE WITH THE PATIENT, GUARANTOR OR THIRD PARTY PAYOR MUST BE EXHAUSTED PRIOR TO RECOMMENDATION TO COLLECTORS. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT HMHP CONDUCTED A NEW 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOPED A RELATED IMPLEMENTATION STRATEGY WHICH WERE ADOPTED NOVEMBER 5-6, 2020. PRIORITIZED NEEDS FROM THIS CHNA WILL BE USED TO PLAN AND EVALUATE PROGRAMMING FOR 3 YEARS, 2020-2022. A DESCRIPTION OF HOW THEY ARE BEING ADDRESSED WILL BE PROVIDED WITH THE SCHEDULE H EACH TAX YEARS. HMHP'S 2019 CHNA AND 2020-2022 IMPLEMENTATION STRATEGIES MAY BE VIEWED ONLINE AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS IN ADDITION TO THE COMMUNITY WIDE NEEDS ASSESSMENT CONDUCTED EVERY THREE YEARS, HOAG CONTINUALLY ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IN VARIOUS WAYS. MANY OF THE COMMUNITY BENEFIT STAFF SERVE ON BOARD OF DIRECTORS AND COMMITTEES OF NONPROFIT ORGANIZATIONS WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AS WELL AND PROVIDE SUPPORT AND STRATEGIC DIRECTION. CLIENTS THAT ACCESS SERVICES AT THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING ALSO COMPLETE A SCREENING TOOL WHICH ALLOWS US TO ASSESS FUTURE PROGRAMMING NEEDS FOR THE COMMUNITY. THE DIRECTOR OF THE DEPARTMENT SERVES AS THE CHAIR OF THE ORANGE COUNTY MENTAL HEALTH BOARD AND IS ALSO AN ACTIVE MEMBER OF THE BE WELL ORANGE COUNTY PARTNERSHIP WHICH ALLOWS FOR CONTINUOUS ASSESSMENT OF MENTAL HEALTH NEEDS, GAPS AND OPPORTUNITIES FOR THE COUNTY. THE DIRECTOR OF COMMUNITY BENEFIT ALSO COFOUNDED THE COMMUNITY SUICIDE PREVENTION INITIATIVE WITH THE GOAL OF INCREASING AWARENESS AND ACCESSIBILITY TO AVAILABLE RESOURCES, HOSTING COMMUNITY EDUCATIONAL EVENTS, AND REDUCING SUICIDE IN ORANGE COUNTY. COMMUNITY BENEFIT STAFF ALSO HOLD A SEAT WITH THE ORANGE COUNTY HEALTH CARE AGENCY'S HEALTH IMPROVEMENT PARTNERSHIP AND ORANGE COUNTY GRANTMAKERS WHICH BRINGS TOGETHER VARIOUS HEALTH RELATED ORGANIZATIONS AND PHILANTHROPIC FUNDERS TO DISCUSS COMMUNITY NEEDS, PROGRAMMING, AND COLLABORATIVE OPPORTUNITIES. HOAG'S CENTER FOR HEALTHY LIVING ALSO HOSTS A MONTHLY PROFESSIONAL NETWORK RESOURCE EXCHANGE MEETING WHICH BRINGS TOGETHER COMMUNITY LEADERS FROM THE NONPROFIT SECTOR, LOCAL SCHOOL DISTRICTS, AND HEALTH RELATED SERVICES TO DISCUSS RECENT HEALTH TRENDS AND OPPORTUNITIES TO MEET THOSE NEEDS. COMMUNITY BENEFIT STAFF ALSO INTERFACES WITH VARIOUS CITY OFFICIALS IN ORANGE COUNTY WHICH ALLOWS HOAG TO BE ENGAGED AND COLLABORATE ON ISSUES THAT ARISE. OUR ROBUST COMMUNITY BENEFIT GRANTS PROGRAM ALSO PROVIDES US WITH A LENS INTO COMMUNITY NEED AS WE INTERFACE WITH OVER 80 NONPROFIT ORGANIZATIONS WHO APPLY FOR PROGRAM FUNDING. THE APPLICATION PROCESS FOR FUNDING PROVIDES US WITH A LEARNING OPPORTUNITY ABOUT THE ORGANIZATIONS MISSION AS WELL AS GAPS AND NEEDS THEIR COMMUNITY IS FACED WITH. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE HOAG PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE FAMILY INCOME LEVELS OF UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES. HOAG GIVES CONSIDERATION TO ELIGIBLE PATIENTS WITH INSURANCE IF THEY INCUR HIGH MEDICAL COSTS AS DEFINED BY CALIFORNIA LAW, AND ALSO HAVE FAMILY INCOMES UP TO 400% OF THE FPL. HOAG INFORMS AND EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE IN THE FOLLOWING WAYS: - FINANCIAL ASSISTANCE NOTICES PRINTED IN ENGLISH AND SPANISH ARE ALSO PLACED IN THE PUBLIC ADMISSION AREAS AT HOAG HOSPITALS. - STATEMENTS MAILED TO THE PATIENT INCLUDE A CLEAR AND CONSPICUOUS NOTICE ADVISING THE PATIENT OF HOAG FINANCIAL ASSISTANCE PROGRAM AND THE APPROPRIATE CONTACT INFORMATION. - PATIENT CAN ALSO VISIT PATIENT FINANCIAL SERVICES TO MEET WITH A FINANCIAL COUNCILOR OR BY CONTACTING HOAG'S PATIENT FINANCIAL SERVICES CALL CENTER TO ANSWER ANY QUESTIONS REGARDING FINANCIAL ASSISTANCE OPTIONS. - HMHP DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION HOAG'S COMMUNITY, AS DEFINED FOR THE PURPOSE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES 53 ZIP CODES SPANNING 27 CITIES AND UNINCORPORATED COMMUNITIES IN BOTH ORANGE COUNTY AND LOS ANGELES COUNTY (ONE ZIP CODE IS LOCATED IN LONG BEACH). THIS COMMUNITY DEFINITION WAS DETERMINED BECAUSE A MAJORITY OF HOAG'S PATIENTS ORIGINATE FROM THIS AREA. THE POPULATION OF THE HOSPITAL'S SERVICE AREA IS ESTIMATED AT 1,991,457 PEOPLE. POPULATION ORANGE COUNTY IS THE 47TH LARGEST COUNTY IN CALIFORNIA IN TERMS OF GEOGRAPHIC AREA. IN 2018, THE ORANGE COUNTY POPULATION WAS 3.16 MILLION PEOPLE (3,164,182). BETWEEN 2013 AND 2018, THE TOTAL POPULATION OF ORANGE COUNTY INCREASED BY 112,411, WHICH INDICATES A POPULATION GROWTH RATE OF 3.7% DURING THE FIVE-YEAR PERIOD. IN GENERAL, ORANGE COUNTY'S POPULATION GROWTH RATE IS COMPARABLE TO THE STATE POPULATION GROWTH OF 3.9%. TABLE 4 OF THE 2019 CHNA PROVIDES FURTHER DETAILS. GENDER FROM THE TOTAL ORANGE COUNTY POPULATION, HOAG HOSPITAL SERVES APPROXIMATELY 2M PEOPLE (1,977,308). FEMALES COMPRISED A SLIGHTLY HIGHER PERCENTAGE (51%) OF THE TOTAL POPULATION SERVED BY HOAG HOSPITAL COMPARED TO MALES (50%). THESE NUMBERS ARE SIMILAR ACROSS ORANGE COUNTY AND CALIFORNIA. AGE IN 2018, THE MEDIAN AGE OF ORANGE COUNTY RESIDENTS WAS 38 YEARS. IT IS EXPECTED THAT THE ADULT POPULATION 18 YEARS AND OLDER WILL INCREASE BY 4.4% (107,213) BY 2023 (0.9% GROWTH RATE PER YEAR). THE AGE DISTRIBUTION OF THE HOAG SERVICE AREA IS 22% CHILDREN AND YOUTH, 64% ADULTS, AND 14% SENIORS 65 AND OLDER. TABLE 5 OF THE 2019 CHNA DETAILS THE AGE DISTRIBUTION OF COMMUNITY MEMBERS IN THE HOAG SERVICE AREA COMPARED TO ORANGE COUNTY AND CALIFORNIA. THE SENIOR POPULATION IN THE HOAG SERVICE IS COMPARABLE ACROSS ORANGE COUNTY AND CALIFORNIA IN GENERAL (14% RESPECTIVELY). THE PERCENTAGE OF YOUTH AND YOUNG ADULTS IS SLIGHTLY LOWER COMPARED TO THE COUNTY AND STATE LEVEL. RACE AND ETHNICITY IN 2018, THE THREE MAJOR RACIAL AND ETHNIC GROUPS IN THE HOAG SERVICE AREA WERE: CAUCASIANS (64%), HISPANIC/LATINOS (31%), AND ASIANS (22%). THESE FIGURES ARE LOWER THAN THE PROPORTION OF THE POPULATION IN ORANGE COUNTY PERTAINING TO THESE RACIAL AND ETHNIC GROUPS EXCEPT FOR BLACK OR AFRICAN AMERICANS (2%). TABLE 6 OF THE 2019 CHNA DISPLAYS THE RACE AND ETHNICITY PROPORTIONS OF HOAG, ORANGE COUNTY, AND CALIFORNIA. LANGUAGE THE U.S. CENSUS BUREAU DEFINES THOSE WITH ""LIMITED ENGLISH"" AS THE POPULATION 5 YEARS AND OLDER WHO SPEAK ENGLISH ""LESS THAN VERY WELL."" THE PERCENTAGE OF THE POPULATION IN THE HOAG SERVICE AREA WHO FALL WITHIN THIS CATEGORY OF ENGLISH PROFICIENCY IS 18%, WHICH IS SLIGHTLY COMPARABLE TO THAT OF THE COUNTY (18%). FROM THOSE WITH LIMITED ENGLISH SKILLS, THE PREDOMINANT LANGUAGE WITHIN THE HOAG SERVICE AREA IS SPANISH (53%), FOLLOWED BY ASIAN AND PACIFIC ISLANDER LANGUAGES (39%). SEE TABLE 8 OF THE 2019 CHNA. HOUSEHOLD SIZE AND MEDIAN HOUSEHOLD INCOME THERE ARE A TOTAL OF 676,685 OCCUPIED HOUSING UNITS IN THE SERVICE AREA OF WHICH 32% ARE 2 PERSON HOUSEHOLDS, WHICH IS COMPARABLE TO THE COUNTY STATES' OF 31% (TABLE 9). IN GENERAL, THE AVERAGE HOUSEHOLD SIZE IN THE HOAG SERVICE AREA IS 2.84 WHICH IS SLIGHTLY LOWER THAN THE AVERAGE HOUSEHOLD SIZE IN THE COUNTY (3.02) AND THE STATE'S AVERAGE (2.96). ONE OF THE MOST INFLUENTIAL SOCIAL DETERMINANTS OF HEALTH IS INCOME. A HOUSEHOLD'S INCOME WILL DETERMINE A FAMILY'S ABILITY AND RESOURCES TO ACCESS HEALTH CARE OR CONTINUE RECEIVING IT. POVERTY AS OF 2018, 11% OF THE HOAG SERVICE AREA POPULATION WAS LIVING 100% BELOW THE FEDERAL POVERTY LEVEL WHICH WAS COMPARABLE TO THAT OF THE COUNTY IN (11%) AND STATE (12%). IN THE HOAG SERVICE AREA, 29% OF THE POPULATION UNDER 18 YEARS WERE LIVING BELOW 100% THE FEDERAL POVERTY LEVEL. ADDITIONALLY, DATA OUTLINED IN THE 2019 - AN EQUITY PROFILE OF ORANGE COUNTY REPORT FOUND THAT PEOPLE OF COLOR ARE MORE LIKELY TO BE IN POVERTY OR AMONG THE WORKING POOR. POVERTY WAS FOUND TO BE HIGHEST AMONG LATINOS AND NATIVE AMERICANS; WITH LATINOS HAVING THE HIGHEST SHARE OF WORKING POOR. FOR MORE DETAILS ON THIS INFORMATION, PLEASE REFER TO THE 2019 CHNA AT: HTTPS://WWW.HOAG.ORG/ABOUT-HOAG/COMMUNITY-BENEFIT/REPORTS/ OTHER HOSPITALS IN THE AREA INCLUDE, BUT ARE NOT LIMITED TO: - AHMC ANAHEIM REGIONAL MEDICAL CENTER - ANAHEIM - ANAHEIM GENERAL HOSPITAL (ANAHEIM, BUENA PARK) - CHAPMAN MEDICAL CENTER - ORANGE - CHILDREN'S HOSPITAL AT MISSION - MISSION VIEJO - CHILDREN'S HOSPITAL OF ORANGE COUNTY - ORANGE - FOUNTAIN VALLEY RGNL HOSP AND MED CTR - FOUNTAIN VALLEY - GARDEN GROVE HOSPITAL AND MEDICAL CENTER - GARDEN GROVE - HUNTINGTON BEACH HOSPITAL - HUNTINGTON BEACH - KAISER PERMANENTE (IRVINE, ANAHEIM) - KINDRED HOSPITAL (SANTA ANA, WESTMINSTER) - LA PALMA INTERCOMMUNITY HOSPITAL - LA PALMA - MISSION HOSPITAL LAGUNA BEACH - LAGUNA BEACH - MISSION HOSPITAL REGIONAL MEDICAL CENTER - MISSION VIEJO - ORANGE COAST MEMORIAL MEDICAL CENTER - FOUNTAIN VALLEY - SADDLEBACK MEMORIAL MEDICAL CENTER (LAGUNA HILLS/SAN CLEMENTE) - ST. JOSEPH HOSPITAL - ORANGE - ST. JUDE MEDICAL CENTER - FULLERTON - UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER - ORANGE - WESTERN MEDICAL CENTER - SANTA ANA |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH HOAG MEMORIAL HOSPITAL PRESBYTERIAN PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. HOAG MEMORIAL HOSPITAL PRESBYTERIAN IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: - COMMUNITY BENEFIT STAFF CONTINUOUSLY ASSESS THE HEALTH NEEDS OF THE COMMUNITY BY SERVING ON BOARD OF DIRECTORS AND COMMITTEES OF NONPROFIT ORGANIZATIONS WHICH ALLOWS THEM TO BE ACTIVELY ENGAGED WITH THE COMMUNITY AND PROVIDE SUPPORT AND STRATEGIC DIRECTION. - HOAG HOSPITAL AND SHARE OUR SELVES CORPORATION (SOS) HAVE NURTURED A UNIQUE PARTNERSHIP SINCE 1984. THIS LONG-STANDING RELATIONSHIP BETWEEN SOS AND HOAG HAS ENSURED PRIMARY CARE SERVICES FOR THE MOST VULNERABLE WITH STRATEGIC GOALS THAT WORK TO IMPROVE THE OVERALL WELL-BEING OF OUR SHARED COMMUNITY. THIS COLLABORATIVE PARTNERSHIP HAS ENABLED AN INCREASED ACCESS TO PRIMARY CARE ALLOWING FOR TIMELY, EFFICIENT, AND QUALITY HEALTH CARE FOR THOSE IN NEED AS WELL AS REDUCED UTILIZATION OF EMERGENCY DEPARTMENT DUE TO ACCESS FOR MEDICAL CARE AT SOS. - HOAG HOSPITAL ALSO MAINTAINS A UNIQUE RELATIONSHIP WITH THE ALZHEIMER'S FAMILY CENTER (AFC) WHICH IS COMMITTED TO THE MISSION OF IMPROVING THE QUALITY OF LIFE FOR FAMILIES CHALLENGED BY ALZHEIMER'S DISEASE OR ANOTHER DEMENTIA THROUGH SERVICES TAILORED TO MEET INDIVIDUAL NEEDS. HOAG HOSPITAL OWNS THE AFC FACILITY AND PROVIDES IT AT NO CHARGE, INCLUDING MAINTENANCE SERVICES AS SPECIFIED IN THE LEASE, TO THE AGENCY. ADDITIONALLY, THE HOSPITAL PROVIDES ANNUAL OPERATING AND TRANSPORTATION GRANTS. - HOAG HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY THROUGH A CREDENTIALING PROCESS. MEMBERSHIP AND PRIVILEGES ARE GRANTED TO QUALIFIED MD'S, DO'S, AND OTHER ALLIED HEALTH PROFESSIONALS BY THE MEDICAL STAFF AND HOAG HOSPITAL BOARD OF DIRECTORS. - AS A NOT-FOR-PROFIT INSTITUTION, GOVERNANCE IS PROVIDED BY A VOLUNTEER BOARD OF DIRECTORS COMPRISED OF 18 VOTING MEMBERS. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS. - THE BOARD OF DIRECTORS ALLOCATE A SIGNIFICANT PORTION OF THE NET OPERATING INCOME TO PROMOTING THE HEALTH OF THE COMMUNITY, SPECIFICALLY SERVING THE NEEDS OF THE UNINSURED AND LOW INCOME COMMUNITIES THROUGH CHARITY CARE AND A VARIETY OF FREE OR LOW COST SERVICES AND PROGRAMS PROVIDED BY THE DEPARTMENT OF COMMUNITY HEALTH. - IN AN EFFORT TO INCREASE THE COMMUNITY POOL OF AVAILABLE TRAINED AND EDUCATED HEALTH PROFESSIONALS, HOAG INVESTS ANNUALLY IN HEALTH PROFESSIONAL TRAINING AND DEVELOPMENT. THE HOSPITAL CURRENTLY WORKS WITH A NUMBER OF PROFESSIONAL GROUPS IN THIS ENDEAVOR, INCLUDING NURSES, PHYSICAL THERAPISTS, PHARMACISTS, LABORATORY PROFESSIONALS, SOCIAL WORKERS, AND CLINICAL CARE EXTENDERS. - HOAG PROVIDES UNCOMPENSATED CARE (CHARITY) TO PATIENTS WHO ARE UNABLE TO PAY FOR THE FULL COST OF THEIR CARE. HOAG'S CHARITY CARE AND SELF-PAY DISCOUNT POLICY STATES THAT SELF-PAY AND UNINSURED PATIENTS WHO ARE UNABLE TO PAY FOR THE FULL COST OF THEIR CARE MAY QUALIFY FOR CHARITY OR DISCOUNTS ON A SLIDING SCALE FOR INCOMES UP TO 400% OF THE FEDERAL POVERTY LEVEL. TOTAL QUANTIFIABLE COMMUNITY BENEFIT EXPENDITURES (EXCLUDING MEDICARE COST OF UNREIMBURSED CARE) FOR CY2021 AMOUNTED TO OVER $74 MILLION. THE MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING (MHSCHL) IS A ROBUST ONE-STOP SHOP OF INTERCONNECTED AND SUPPORTIVE SERVICES THAT PROMOTE HEALTH AND WELL-BEING. THE CENTER HOUSES A WIDE VARIETY OF NON-PROFIT PARTNER AGENCIES AND THE PROGRAMS THAT ADDRESS KEY ISSUES AFFECTING THE HEALTH OF OUR COMMUNITY. A KEY COMPONENT WHICH MAKES THE COLLABORATIVE UNIQUE AND IS ESSENTIALLY THE GLUE BETWEEN THE COMMUNITY AND THE CENTER, IS OUR CENTRALIZED REGISTRATION AND CASE MANAGEMENT TEAM. THIS TEAM ASSURES THAT ALL CLIENT'S COMING INTO THE CENTER FILL OUT A SCREENER WHICH SEEKS TO IDENTIFY; SOCIO-ECONOMIC STRESSORS, POTENTIAL HEALTH RISKS, MENTAL AND EMOTIONAL HEALTH ISSUES, LEGAL ISSUES, ACCESS TO HEALTH CARE, AND OTHER LIFE STRESSORS THAT CAN AFFECT ONE'S QUALITY OF LIFE. OUR CASE-MANAGEMENT TEAM PLAYS A CRITICAL ROLE IN LINKING CLIENTS TO THE APPROPRIATE SERVICES, WHILE ALSO MONITORING CLIENT'S PROGRESSION THROUGH THE REFERRAL PROCESS. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM IN 2013, HOAG MEMORIAL HOSPITAL PRESBYTERIAN BECAME AFFILIATED WITH ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. TOGETHER, THE COMBINED CAREGIVERS SERVE IN 51 HOSPITALS, 1,085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. EFFECTIVE FEBRUARY 1, 2022, HOAG MEMORIAL HOSPITAL PRESBYTERIAN AND PROVIDENCE HEALTH & SERVICES ANNOUNCED THEIR AGREEMENT TO END THEIR AFFILIATION. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (102 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Share Our Selves Clinic | |||||||
| 1550 Superior Ave | Costa Mesa | CA | 92627 | 953222316 | 501 (c) (3) | $2,225,000 | Access to Care Expansion, Rental Assistance Progra Operations and Community Education & Outreach Prog Pediatric Diabetes Services at Allen Diabetes Cent Feeding Families OC Free Tax Prep NMUSD Health and Wellness Program Mental Health Programs, CY22 Grant Planned Parenthood of OC NAMI Connects & Mental Health Education Public Law Services Friendly Visitor Program, 2021 Smilemakers Gifts, Better Together 2022, CY22 Grant Women's Health & Prevention and Management, Event Planned Parenthood of OC Maternal Child Health Coordination SOLACE-Supporting Others Through Loss BRIDGES, Diversity, Inclusion, and Equity Training Access to Health Coverage and Mental Health Servic Senior Transportation, Operations of programs, Mob Mental Health Counseling Program, Family Solutions Overcoming Financial Barriers to Care Specialized Domestic Violence MH Services, Sponsor Food Truck Feeding Program, 2021 Hungry Games Spon South County Adult Day Services; Advance Care Plan Clinic in the Park High School Bi |
| Alzheimer's Family Services Center | |||||||
| 9451 Indianapolis Ave | Huntington Beach | CA | 92646 | 953463978 | 501 (c) (3) | $1,376,467 | Access to Health Coverage and Mental Health Services |
| Childrens Hospital Orange County (CHOC) Services a | |||||||
| 1201 W LA VETA AVENUE | Orange | CA | 92868 | 952321786 | 501 (c) (3) | $902,821 | Senior Transportation, Operations of programs, Mobile Meals |
| Second Harvest Food Bank | |||||||
| 426 S West Almond Ave | Orange | CA | 92866 | 953033494 | 501 (c) (3) | $275,000 | |
| Orange County United Way | |||||||
| 18012 Michell Ave South | Irvine | CA | 92614 | 330047994 | 501 (c) (3) | $225,000 | |
| Newport -Mesa Unified School District | |||||||
| 2045 Meyer Place Bldg B | Costa Mesa | CA | 92626 | 952417783 | GOVT | $221,000 | |
| CHOC Foundation | |||||||
| 455 S Main St | Orange | CA | 92868 | 956097416 | 501 (c) (3) | $200,000 | |
| PLANNED PARENTHOOD OF ORANGE | |||||||
| 700 AVENIDA PICO | San Clemente | CA | 92673 | 472443093 | 501 (c) (3) | $150,000 | |
| NAMI Orange County | |||||||
| 24822 Jeronimo Lane | Lake Forest | CA | 92630 | 953726369 | 501 (c) (3) | $125,000 | |
| Public Law Center | |||||||
| 601 W Civic Center Dr | Santa Ana | CA | 92701 | 953709253 | 501 (c) (3) | $120,000 | |
| Council on Aging Orange County | |||||||
| 1971 E 4th St Suite 200 | Santa Ana | CA | 92705 | 952874089 | 501 (c) (3) | $115,000 | |
| Girls Inc | |||||||
| 1815 Anaheim Ave | Costa Mesa | CA | 92627 | 951810150 | 501 (c) (3) | $105,000 | |
| Latino Health Access | |||||||
| 450 W 4th Street Ste130 | Santa Ana | CA | 92701 | 330562943 | 501 (c) (3) | $105,000 | |
| MELODY WOMEN'S HEALTHPLANNED PARENTHOOD | |||||||
| 700 S TUSTIN STREET | Orange | CA | 92866 | 956152773 | 501 (c) (3) | $100,000 | |
| MOMS | |||||||
| 1128 W Santa Ana Blvd | Santa Ana | CA | 92703 | 330518078 | 501 (c) (3) | $100,000 | |
| Regents of the University of California at Irvine | |||||||
| 120 Theory Ste200 | Irvine | CA | 92697 | 952226406 | 501 (c) (3) | $100,000 | |
| Orange County Human Relations | |||||||
| 1801 E Edinger Ave Ste 115 | Santa Ana | CA | 92705 | 330438086 | 501 (c) (3) | $85,000 | PROGRAM SUPPORT |
| Access California Services | |||||||
| 631 South Brookhurst Street | Anaheim | CA | 92804 | 330826205 | 501 (c) (3) | $80,000 | |
| Age Well Senior Services (South County Sr Svc) | |||||||
| 24300 El Toro Rd Bldg A Ste 2000 | Laguna Woods | CA | 92637 | 931163563 | 501 (c) (3) | $75,000 | |
| Families Forward | |||||||
| 8 Thomas | Irvine | CA | 92618 | 330086043 | 501 (c) (3) | $75,000 | |
| Susan G Komen | |||||||
| 3191 Airport Loop Dr A | Costa Mesa | CA | 92626 | 330487943 | 501 (c) (3) | $75,000 | |
| Human Options | |||||||
| PO Box 53745 | Irivne | CA | 92619 | 953667817 | 501 (c) (3) | $55,250 | |
| Bracken's Kitchen | |||||||
| 9643 Turtlodove Ave | Fountain Valley | CA | 26708 | 462633171 | 501 (c) (3) | $55,000 | |
| Alzheimers Orange County | |||||||
| 2515 McCabe Way Suite 200 | Irvine | CA | 92614 | 953702013 | 501 (c) (3) | $50,000 | |
| American Academy of Pediatrics | |||||||
| 5000 Campus Drive | Newport Beach | CA | 92660 | 953731523 | 501 (c) (3) | $50,000 | |
| Big Brothers Big Sisters of Orange County | |||||||
| 1801 E Edinger Ave Ste 100 | Santa Ana | CA | 92705 | 951992702 | 501 (c) (3) | $50,000 | |
| CHOC Foundation Providence Speech & Hearing Cente | |||||||
| 1301 Providence Ave | Orange | CA | 92868 | 956154473 | 501 (c) (3) | $50,000 | |
| City of Costa Mesa | |||||||
| PO Box 1200 695 W 19th St | Costa Mesa | CA | 92627 | 956005030 | 501 (c) (3) | $50,000 | |
| City of Huntington Beach | |||||||
| 1718 Orange Ave | Huntingon Beach | CA | 92648 | 956000723 | 501 (c) (3) | $50,000 | |
| City of Newport Beach | |||||||
| PO Box 269110- Fire Dept | Sacramento | CA | 92858 | 956000751 | 501 (c) (3) | $50,000 | |
| Community Senior Serve | |||||||
| 1200 N Knollwood Circle | Anaheim | CA | 92801 | 952771715 | 501 (c) (3) | $50,000 | |
| Healthy Smiles | |||||||
| 2101 E 4th St Suite 220 | Santa Ana | CA | 92705 | 383675065 | 501 (c) (3) | $50,000 | |
| Irvine Adult Day Health Services | |||||||
| 20 Lake Road | Irvine | CA | 92604 | 330599371 | 501 (c) (3) | $50,000 | |
| Korean Community Services Inc | |||||||
| 451 W LINCOLN AVE STE 100 | Anaheim | CA | 92805 | 953245254 | 501 (c) (3) | $50,000 | |
| LGBTQ Center Orange County | |||||||
| 1605 N SPURGEON STREET | Santa Ana | CA | 92701 | 952934041 | 501 (c) (3) | $50,000 | |
| ONE OC | |||||||
| 1901 E Fouth St Ste 100 | Santa Ana | CA | 92705 | 952021700 | 501 (c) (3) | $50,000 | |
| Orange County Bar Foundation Corp | |||||||
| 1605 E 17th Street | Santa Ana | CA | 92705 | 237068923 | 501 (c) (3) | $50,000 | |
| Pediatric Adolescent Diabetes Research Edu (PADRE) | |||||||
| 455 S Main Street | Orange | CA | 92868 | 330099451 | 501 (c) (3) | $50,000 | |
| People for Irvine Community Health DBA 211 Orange | |||||||
| 1505 E 17 Street Ste108 | Santa Ana | CA | 92705 | 330063532 | 501 (c) (3) | $50,000 | |
| Save Our Youth | |||||||
| 661 Hamilton 180 | Costa Mesa | CA | 92627 | 330585600 | 501 (c) (3) | $50,000 | |
| Serving Kids Hope | |||||||
| 2100 W Alton Ave 2 | Santa Ana | CA | 92704 | 471518476 | 501 (c) (3) | $50,000 | PROGRAM SUPPORT |
| Serving People In Need (SPIN) | |||||||
| 151 Kalmus Drive ste H2 | Costa Mesa | CA | 92626 | 330329687 | 501 (c) (3) | $50,000 | PROGRAM SUPPORT |
| The Cambodian Family | |||||||
| 1626 E 4th Street | Santa Ana | CA | 92701 | 953854831 | 501 (c) (3) | $50,000 | PROGRAM SUPPORT |
| United Cerebral Palsy of OC | |||||||
| 980 Roosevelt Ste100 | Irvine | CA | 92620 | 951856340 | 501 (c) (3) | $50,000 | PROGRAM SUPPORT |
| Youth Employment Services | |||||||
| 114 East 19th St | Costa Mesa | CA | 92627 | 952704522 | 501 (c) (3) | $50,000 | |
| TIYYA Foundation | |||||||
| 505 N Tustin Ste280 | Santa Ana | CA | 92705 | 273128801 | 501 (c) (3) | $45,000 | |
| Charitable Ventures OC Grantmakers | |||||||
| 1820 E 16th Street | Santa Ana | CA | 92701 | 953031389 | 501 (c) (3) | $35,500 | |
| Community for Innovations Entrepreneurship (CIELO | |||||||
| 16787 Beach Blvd Ste233 | Huntington Beach | CA | 92647 | 611495237 | 501 (c) (3) | $35,000 | |
| Crime Survivors Inc | |||||||
| PO Box 54552 | Irvine | CA | 92619 | 300229425 | 501 (c) (3) | $35,000 | |
| Epilepsy Support Network of OC | |||||||
| 1500 Adams St Suite 301 | Costa Mesa | CA | 92626 | 270681680 | 501 (c) (3) | $35,000 | |
| Project Self Sufficiency | |||||||
| 307 Placentia ste 203 | Newport Beach | CA | 92663 | 330597719 | 501 (c) (3) | $35,000 | |
| Community Health Initiative of Orange County (CHIO | |||||||
| 1505 E 17th St Suite 121 | Santa Ana | CA | 92705 | 472671013 | 501 (c) (3) | $30,000 | |
| American Red Cross | |||||||
| 600 Parkcenter | Santa Ana | CA | 92705 | 530196605 | 501 (c) (3) | $25,000 | |
| Braille Institute | |||||||
| 741 N Vermont Ave | Los Angeles | CA | 90029 | 951641426 | 501 (c) (3) | $25,000 | |
| Build Futures | |||||||
| 18822 Beach Blvd21 | Huntington Beach | CA | 92648 | 900629740 | 501 (c) (3) | $25,000 | |
| Casa Teresa Inc | |||||||
| PO Box 429 | Orange | CA | 92856 | 953251986 | 501 (c) (3) | $25,000 | |
| Charitable Ventures of OC Project Kinship | |||||||
| 4041 Macarthur ste 510 | Newport Beach | CA | 92660 | 208756660 | 501 (c) (3) | $25,000 | |
| Child Guidance Center Inc (Strong Families Stron | |||||||
| 525 Cabrlito Park Dr Ste 300 | Santa Ana | CA | 92701 | 952546170 | 501 (c) (3) | $25,000 | |
| Community Action Partnership of OC | |||||||
| 11870 Monarch St | Garden Grove | CA | 92841 | 952452787 | 501 (c) (3) | $25,000 | |
| Friendship Shelter | |||||||
| PO Box 4252 | Laguna Beach | CA | 92652 | 330219404 | 501 (c) (3) | $25,000 | |
| Innovative Housing Opportunities | |||||||
| 501 N Golden Circle Ste 100 | Santa Ana | CA | 92705 | 953068902 | 501 (c) (3) | $25,000 | |
| Irvine Children's Fund | |||||||
| 14301 Yale Ave | Irvine | CA | 92604 | 330177921 | 501 (c) (3) | $25,000 | |
| Irvine Public Schools Foundation | |||||||
| 1 Post Ste 250 | Irvine | CA | 92618 | 330733191 | 501 (c) (3) | $25,000 | |
| Laguna Beach Seniors Inc (The SusiQ) | |||||||
| 380 Third St | Laguna Beach | CA | 92651 | 952983350 | 501 (c) (3) | $25,000 | |
| Mary's Shelter | |||||||
| 18221 E 17 Street | Santa Ana | CA | 92705 | 330203768 | 501 (c) (3) | $25,000 | |
| Mercy House | |||||||
| PO Box 1905 | Santa Ana | CA | 92701 | 330315864 | 501 (c) (3) | $25,000 | |
| Miracles for Kids | |||||||
| 17848 Sky Park Cycle Ste C | Irvine | CA | 92614 | 912160616 | 501 (c) (3) | $25,000 | |
| Orange County Community Housing Corp | |||||||
| 501 N Golden Circle Dr 200 | Santa Ana | CA | 92705 | 953221290 | 501 (c) (3) | $25,000 | |
| Project Hope Alliance | |||||||
| 1954 Placentia Ave Ste 202 | Costa Mesa | CA | 92627 | 753099628 | 501 (c) (3) | $25,000 | |
| Radiant Health CentersAIDS Service Foundation | |||||||
| 17982 Skypark Circle Ste J | Irvine | CA | 92614 | 330126481 | 501 (c) (3) | $25,000 | PROGRAM SUPPORT |
| Segerstrom Center for the Arts | |||||||
| 600 Town Center Drive | Costa Mesa | CA | 92626 | 237287150 | 501 (c) (3) | $25,000 | |
| Seneca OC | |||||||
| 18302 Irvine Blvd 300 | Tustin | CA | 92780 | 942971761 | 501 (c) (3) | $25,000 | |
| South County Outreach | |||||||
| 7 WHATNEY STE B | Irvine | CA | 92618 | 330330233 | 501 (c) (3) | $25,000 | |
| St Jeanne De Lestonnac Clinic | |||||||
| 1215 E Chapman Ave | Orange | CA | 92866 | 953499011 | 501 (c) (3) | $25,000 | |
| Strength in Support | |||||||
| 23461 South Pointe Dr Suite 310 | Laguna Hills | CA | 92653 | 461896501 | 501 (c) (3) | $25,000 | |
| Waymakers | |||||||
| 1221 E Dyer Ste120 | Santa Ana | CA | 92705 | 953167866 | 501 (c) (3) | $25,000 | |
| Wiseplace | |||||||
| 1411 N Broadway | Santa Ana | CA | 92706 | 951684796 | 501 (c) (3) | $25,000 | |
| Young Lives Redeemed | |||||||
| 1351 E Chapman Ave Suite C | Fullerton | CA | 92831 | 471849084 | 501 (c) (3) | $25,000 | |
| Laurel House | |||||||
| 13722 Fairmont Way | Tustin | CA | 92780 | 330098433 | 501 (c) (3) | $20,000 | |
| Mariposa Women and Family Center | |||||||
| 200 E KATELLA AVENUE | Orange | CA | 92867 | 953626580 | 501 (c) (3) | $20,000 | |
| Omid Multicultural Institute for Development | |||||||
| 2101 BUSINESS CENTER DR 150 | Irvine | CA | 92612 | 272337843 | 501 (c) (3) | $20,000 | |
| Orange County Asian and Pacific Islander Community | |||||||
| 12912 Brookhurst St 410 | Garden Grove | CA | 92840 | 912047245 | 501 (c) (3) | $20,000 | |
| Phoenix House Orange County Inc | |||||||
| 11600 ELDRIDGE AVENUE | Lake View Terrace | CA | 91342 | 222268070 | 501 (c) (3) | $20,000 | |
| Shanti Orange County | |||||||
| 23461 South Pointe Dr Suite 100 | Laguna Hills | CA | 92653 | 330236592 | 501 (c) (3) | $20,000 | |
| The Wooden Floor | |||||||
| 1810 N MAIN STREET | Santa Ana | CA | 92706 | 330299356 | 501 (c) (3) | $20,000 | |
| Veterans Legal Institute | |||||||
| 2100 N Broadway Ste209 | Santa Ana | CA | 92706 | 471608069 | 501 (c) (3) | $20,000 | |
| Vietnamese American Cancer Foundation | |||||||
| 17150 Newhope Ste 203 | Fountain Valley | CA | 92708 | 912170415 | 501 (c) (3) | $20,000 | |
| Juvenile Diabetes Research Foundation | |||||||
| 1391 WARNER AVENUE STE D | Tustin | CA | 92780 | 231907729 | 501 (c) (3) | $15,000 | |
| Phoenix Multisport Inc DBA The Phoenix | |||||||
| 2239 CHAMPA STREET | Denver | CO | 80205 | 204648043 | 501 (c) (3) | $15,000 | |
| The Purpose of Recovery | |||||||
| 23 CORPORATE PLAZA DR STE 225 | Newport Beach | CA | 92660 | 850914885 | 501 (c) (3) | $15,000 | |
| Wellness and Prevention Center | |||||||
| 700 AVENIDA PICO | San Clemente | CA | 92673 | 472443093 | 501 (c) (3) | $15,000 | |
| Goodwill of Orange County | |||||||
| 410 N FAIRVIEW STREET | Santa Ana | CA | 92703 | 951644018 | 501 (c) (3) | $12,500 | |
| Academy of International Dance | |||||||
| 2025 South Main St | Santa Ana | CA | 92707 | 262657759 | 501 (c) (3) | $10,000 | |
| Breast Cancer Angels | |||||||
| P O BOX 340 | LOS ALAMITOS | CA | 90720 | 330937846 | 501 (c) (3) | $10,000 | |
| Forever FootprintsOrange County Walk to Remember | |||||||
| 1439 W Chapman Ave 132 | Orange | CA | 92868 | 330529915 | 501 (c) (3) | $10,000 | |
| Kiwanis Costa Mesa | |||||||
| PO Box 4544 | Huntington Beach | CA | 92647 | 330762548 | 501 (c) (3) | $10,000 | |
| Newport Mesa Schools Foundation | |||||||
| PO Box 1368 | Newport Beach | CA | 92659 | 953545785 | 501 (c) (3) | $10,000 | |
| Orange County Rescue Mission | |||||||
| One Hope Drive | Tustin | CA | 92782 | 952479552 | 501 (c) (3) | $10,000 | |
| Poppy Life Care Foundation | |||||||
| 307 PLACENTIA AVENUE STE 203 | Newport Beach | CA | 92663 | 832081360 | 501 (c) (3) | $10,000 | |
| Shoes that Fit | |||||||
| 1420 N Claremont Blvd Ste 204A | Claremont | CA | 91711 | 954425565 | 501 (c) (3) | $10,000 | |
| Illumination Foundation | |||||||
| 1091 N Batavia | Orange | CA | 92867 | 711047686 | 501 (c) (3) | $6,488 | |
| American Foundation for Suicide Prevention | |||||||
| 120 WALL STREET FL 29 | NEW YORK | NY | 10005 | 133393329 | 501 (c) (3) | $6,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 102 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN ORDER TO BE ELIGIBLE FOR A COMMUNITY BENEFIT GRANT, AN APPLICANT ORGANIZATION (OR FISCAL AGENT) MUST BE DESIGNATED BY THE IRS AS A TAX EXEMPT NON-PROFIT AND SUBMIT A COPY OF THEIR EXEMPT STATUS FOR VERIFICATION. THE ORGANIZATION MUST HAVE AN EXECUTIVE DIRECTOR AND AN ESTABLISHED BOARD OF DIRECTORS THAT MEETS REGULARLY. PRIOR TO FUNDING, RESEARCH IS CONDUCTED REGARDING THE REPUTATION AND PERFORMANCE OF THE ORGANIZATION. APPLICANTS MUST APPLY FOR A GRANT EACH YEAR THROUGH THE COMMUNITY BENEFIT GRANTS PROGRAM. REQUESTS MUST INCLUDE: W-9, TAX EXEMPT VERIFICATION, PREVIOUS AND CURRENT YEAR BUDGETS, PROJECT BUDGETS, LIST OF BOARD OF DIRECTORS, PROGRAM GOALS AND OBJECTIVES, AND MEASURABLE OUTCOMES FOR THE SPECIFIED PROGRAM THAT IS BEING FUNDED. AN INTERVIEW WITH THE EXECUTIVE DIRECTOR AND ONE OR MORE BOARD MEMBERS MAY BE CONDUCTED AS WELL AS A SITE VISIT IN ORDER TO FAMILIARIZE OURSELVES WITH THE ORGANIZATION AND THE PROGRAMS OFFERED. DEPARTMENT STAFF MAY ACTIVELY PARTICIPATE WITH THE ORGANIZATION BY PROVIDING IN-KIND SERVICES AND BOARD PARTICIPATION. ONCE A GRANT REQUEST HAS BEEN APPROVED AND FUNDED, WE REQUIRE A 6-MONTH PROGRESS REPORT AND A FINAL 12 MONTH REPORT ON THE IMPLEMENTATION STRATEGY AND MEASURABLE OUTCOMES. THROUGHOUT THE FUNDING PERIOD OF A SPECIFIED PROGRAM, THERE MAY BE OCCASIONAL MEETINGS WITH THE DIRECTOR AND PROGRAM PERSONNEL TO RECEIVE REPORTS ON PROGRESS AND UPDATES OF THE ACTIVITIES CONDUCTED AS WELL AS THE NUMBER OF INDIVIDUALS SERVED. THIS PROCESS ALLOWS US TO MONITOR THAT THE GRANT FUNDS ARE BEING USED FOR THE INTENDED PURPOSES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JENNIFER MITZNER | ||||||||||||||
| VP EXEC. | $209,224 | $0 | $584,037 | $0 | $975 | $0 | $59,601 | $0 | $7,486 | $0 | $861,323 | $0 | $0 | $0 |
| ROBERT BRAITHWAITE | ||||||||||||||
| CEO/PRESIDENT/BOARD MEMBEER | $930,787 | $0 | $806,400 | $0 | $7,400 | $0 | $201,752 | $0 | $17,081 | $0 | $1,963,420 | $0 | $180,000 | $0 |
| SANFORD SMITH | ||||||||||||||
| SVP REAL ESTATE & FACILITIES | $412,353 | $0 | $167,593 | $0 | $5,623 | $0 | $35,450 | $0 | $12,292 | $0 | $633,311 | $0 | $0 | $0 |
| MARTIN FEE | ||||||||||||||
| SENIOR VP/CCO | $376,877 | $0 | $105,416 | $0 | $3,385 | $0 | $43,681 | $0 | $880 | $0 | $530,239 | $0 | $0 | $0 |
| FLYNN ANDRIZZI | ||||||||||||||
| SVP | $481,213 | $0 | $435,770 | $0 | $33,403 | $0 | $57,682 | $0 | $21,734 | $0 | $1,029,802 | $0 | $22,232 | $0 |
| MICHAEL BRANT-ZAWADZKI | ||||||||||||||
| EXECUTIVE MEDICAL DIRECTOR | $466,003 | $0 | $101,246 | $0 | $12,363 | $0 | $35,450 | $0 | $12,489 | $0 | $627,551 | $0 | $0 | $0 |
| KRIS V IYER MD | ||||||||||||||
| VP SR & CAO | $430,569 | $0 | $380,054 | $0 | $8,468 | $0 | $35,450 | $0 | $1,176 | $0 | $855,717 | $0 | $0 | $0 |
| JAN BLUE | ||||||||||||||
| SR VP HUMAN RESOURCES | $448,439 | $0 | $140,257 | $0 | $10,711 | $0 | $35,450 | $0 | $8,250 | $0 | $643,107 | $0 | $0 | $0 |
| ALLYSON BROOKS MD | ||||||||||||||
| EXEC DIR MED WOMENS HEALTH | $396,154 | $0 | $188,649 | $0 | $22,177 | $0 | $34,000 | $0 | $18,931 | $0 | $659,911 | $0 | $18,616 | $0 |
| RODNEY HOCHMAN MD | ||||||||||||||
| BOARD MEMBER | $0 | $2,224,561 | $0 | $5,586,400 | $0 | $828,858 | $0 | $810,415 | $0 | $29,930 | $0 | $9,480,164 | $0 | $764,400 |
| MARGARET T CONK | ||||||||||||||
| VP SR CHIEF CLINICAL INSTITUTE | $418,312 | $0 | $118,300 | $0 | $3,499 | $0 | $45,751 | $0 | $6,325 | $0 | $592,187 | $0 | $0 | $0 |
| KATHY AZEEZ NARAIN | ||||||||||||||
| VP CHIEF DIGITAL OFFICER | $425,509 | $0 | $46,221 | $0 | $1,004 | $0 | $12,721 | $0 | $959 | $0 | $486,414 | $0 | $0 | $0 |
| NHAT Q TRAN | ||||||||||||||
| PRINCIPAL SR AND CMIO | $357,365 | $0 | $70,220 | $0 | $1,140 | $0 | $34,000 | $0 | $19,238 | $0 | $481,963 | $0 | $0 | $0 |
| ANDREW GUARNI | ||||||||||||||
| EVP & CFO | $530,366 | $0 | $148,824 | $0 | $29,843 | $0 | $51,349 | $0 | $8,300 | $0 | $768,682 | $0 | $22,378 | $0 |
| RICHARD MARTIN | ||||||||||||||
| SVP & CHIEF NURSING OFFICER | $456,022 | $0 | $142,411 | $0 | $46,912 | $0 | $69,239 | $0 | $7,884 | $0 | $722,468 | $0 | $40,671 | $0 |
| MARCY BROWN | ||||||||||||||
| SVP & CHO | $481,225 | $0 | $142,441 | $0 | $16,664 | $0 | $40,718 | $0 | $12,351 | $0 | $693,399 | $0 | $12,313 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS TO A SERP PLAN ON BEHALF OF CERTAIN MEMBERS OF SENIOR MANAGEMENT IN ACCORDANCE WITH PLAN DOCUMENTS. CERTAIN EXECUTIVES PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY A RELATED ENTITY. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: RICHARD MARTIN - $40,671 ROBERT BRAITHWAITE - $180,000 ANDREW GUARNI - $22,378 FLYNN ANDRIZZI - $22,232 MARCY BROWN - $12,313 ALLYSON BROOKS - $18,616 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 INDIVIDUAL RECEIVED A PAYOUT DURING THE CURRENT YEAR: RODNEY HOCHMAN, MD - $764,400 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER CHEWENS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $164,969 | TransactionAmt |
| Transaction | SEE PART V | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | BUSINESS RELATIONSHIPS | FormAndLineReferenceDesc |
| Explanation | LINE (1) - JEFFREY MARGOLIS, BOARD MEMBER OF HMHP, IS THE FATHER-IN-LAW OF CHRISTOPHER CHEWENS WHO IS AN EMPLOYEE OF HOAG. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | THE HOAG MEMORIAL HOSPITAL PRESBYTERIAN COMMUNITY BENEFIT PROGRAM WAS FORMALIZED IN 1995 AND HAS GROWN SIGNIFICANTLY SINCE THAT TIME. WE HAVE SERVED OVER 100 NONPROFIT COMMUNITY ORGANIZATIONS IN A VARIETY OF HEALTH AND SOCIAL SERVICE CATEGORIES. WE CONTINUE TO EMPHASIZE THE DEVELOPMENT OF SUSTAINED COLLABORATIVE RELATIONSHIPS AND THE PROVISION OF UNDUPLICATED SERVICES TO DISADVANTAGED RESIDENTS IN OUR COMMUNITY AS CORE ELEMENTS OF THE PROGRAM. HOAG'S NONPROFIT REGIONAL HEALTH CARE DELIVERY NETWORK CONSISTS OF TWO ACUTE-CARE HOSPITALS - HOAG HOSPITAL NEWPORT BEACH, WHICH OPENED IN 1952, AND HOAG HOSPITAL IRVINE, WHICH OPENED IN 2010 - IN ADDITION TO 14 URGENT CARE CENTERS AND NINE HEALTH CENTERS, AND HAS DELIVERED A LEVEL OF PERSONALIZED CARE THAT IS UNSURPASSED AMONG ORANGE COUNTY'S HEALTH CARE PROVIDERS. RENOWNED FOR ITS EXCELLENCE, SPECIALIZED HEALTH CARE SERVICES AND EXCEPTIONAL PHYSICIANS AND STAFF, HOAG IS ADMIRED AS ONE OF CALIFORNIA'S LEADING HOSPITALS. IT IS ONE OF THE COUNTY'S LARGEST EMPLOYERS WITH APPROXIMATELY 7,000 EMPLOYEES AND MORE THAN 2,000 VOLUNTEERS. HOAG'S NETWORK OF MORE THAN 1,700 PHYSICIANS REPRESENTS 52 DIFFERENT SPECIALTIES. HOAG IS A DESIGNATED MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) AND IS FULLY ACCREDITED BY DNV. HOAG OFFERS A VARIETY OF HEALTH CARE SERVICES TO TREAT VIRTUALLY ANY ROUTINE OR COMPLEX MEDICAL CONDITION. THROUGH ITS MEDICAL STAFF, STATE-OF-THE-ART EQUIPMENT AND MODERN FACILITIES, HOAG PROVIDES A FULL SPECTRUM OF HEALTH CARE SERVICES INCLUDING SIX INSTITUTES THAT PROVIDE SPECIALIZED SERVICES IN THE FOLLOWING AREAS: CANCER, HEART AND VASCULAR, NEUROSCIENCES, WOMEN'S HEALTH, DIGESTIVE HEALTH AND ORTHOPEDICS THROUGH HOAG'S AFFILIATE, HOAG ORTHOPEDIC INSTITUTE, WHICH CONSISTS OF AN ORTHOPEDIC HOSPITAL AND FOUR AMBULATORY SURGICAL CENTERS. TO FURTHER HOAG'S COMMITMENT TO PROVIDE COMPREHENSIVE CARE TO THE COMMUNITIES WE SERVE, HOAG MEDICAL GROUP WAS ESTABLISHED IN 2012 WITH THE CORE VALUES OF EXCELLENCE, INNOVATION AND COMPASSION. THE PHYSICIAN GROUP COMPRISES SPECIALISTS AND SUBSPECIALISTS IN INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS, GERIATRICS, ACUPUNCTURE, NEUROMUSCULOSKELETAL, ENDOCRINOLOGY, GENETICS, RHEUMATOLOGY, DIABETES, ALLERGY & IMMUNOLOGY AND HIV MEDICINE. Hoag was once again the highest ranked hospital in Orange County in the 2021-2022 U.S. News & World Report. This marks the fifth year in a row Hoag has achieved this level of recognition. The organization was ranked the #4 hospital in the Los Angeles Metro Area and the #8 hospital in California. Additionally, Hoag was ranked #22 nationally in Diabetes & Endocrinology, #27 nationally in Orthopedics, #32 nationally in Pulmonology & Lung Surgery, #44 nationally in Gastroenterology and GI Surgery and #50 nationally in Geriatrics. Hoag ranked high performing in Cancer and Neurology & Neurosurgery, as well as in all 18 common adult procedures, including: Abdominal Aortic Aneurysm Repair, Aortic Valve Surgery, Back Surgery (spinal fusion), Chronic Obstructive Pulmonary Disease (COPD), Colon Cancer Surgery, Diabetes, Heart Attack, Heart Bypass Surgery, Heart Failure, Hip Fracture, Hip Replacement, Kidney Failure, Knee Replacement, Lung Cancer Surgery, Maternity Care (Uncomplicated Pregnancy), Pneumonia, Stroke and Transcatheter Aortic Valve Replacement (TAVR). The distinction makes Hoag one of only three elite hospitals in the nation to achieve high-performance rankings in all 18 specialty procedures and conditions recognized by U.S. News & World Report. THE DEPARTMENT OF COMMUNITY HEALTH PROVIDES DIRECT SERVICES AND COLLABORATES WITH OTHER NOT-FOR-PROFIT COMMUNITY-BASED ORGANIZATIONS TO PROMOTE THE HEALTH OF OUR COMMUNITIES. THE DEPARTMENT COORDINATES HOAG'S COMMUNITY BENEFIT ACTIVITIES, DRIVEN BY THE HEALTH NEEDS OF OUR SURROUNDING COMMUNITIES, WHICH ARE REGULARLY REVIEWED IN AN ONGOING MANNER. HOAG'S COMMUNITY BENEFIT PROGRAM IS GUIDED BY FIVE CORE PRINCIPLES: 1. EMPHASIS ON DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS (DUHN) - WE CONCENTRATE ON RESIDENTS WHO HAVE A HIGH PREVALENCE OF SEVERITY FOR A PARTICULAR HEALTH CONCERN; AND ON RESIDENTS WITH MULTIPLE HEALTH PROBLEMS AND LIMITED ACCESS TO TIMELY HIGH-QUALITY HEALTH CARE. 2. EMPHASIS ON PRIMARY PREVENTION - WE FOCUS ON PROGRAM ACTIVITIES THAT ADDRESS THE UNDERLYING CAUSES OF PERSISTENT HEALTH PROBLEMS AS PART OF A COMPREHENSIVE STRATEGY TO IMPROVE HEALTH STATUS AND QUALITY OF LIFE IN LOCAL COMMUNITIES. 3. BUILD A SEAMLESS CONTINUUM OF CARE - WE WORK TO DEVELOP AND SUSTAIN OPERATIONAL LINKAGES BETWEEN CLINICAL SERVICES AND COMMUNITY HEALTH IMPROVEMENT ACTIVITIES TO MANAGE CHRONIC ILLNESSES AMONG UNINSURED AND PUBLICLY INSURED POPULATIONS. 4. BUILD COMMUNITY CAPACITY - WE TARGET OUR CHARITABLE RESOURCES TO MOBILIZE AND STRENGTHEN EXISTING EFFECTIVE COMMUNITY HEALTH SERVICES. 5. EMPHASIS ON COLLABORATIVE GOVERNANCE - WE EMPHASIZE NETWORKING TO EXCHANGE INFORMATION; COORDINATION OF SYNERGISTIC ACTIVITIES; COOPERATION IN SHARING RESOURCES; AND COLLABORATION TO ENHANCE THE COMBINED CAPACITY OF OUR COMMUNITY HEALTH PARTNERS. THE DEPARTMENT PROVIDES SERVICES WHICH ARE UNDUPLICATED IN THE COMMUNITY. THESE CURRENTLY INCLUDE MENTAL HEALTH SERVICES, COMMUNITY NURSE NAVIGATION, COMMUNITY-BASED PROGRAM GRANTS, AND OTHER HEALTH AND WELLNESS PROGRAMS AND SERVICES. IN ORDER TO PROMOTE EFFECTIVE ACCESS TO HEALTH CARE AND RELATED SERVICES, THE DEPARTMENT WORKS IN COLLABORATION WITH A NUMBER OF NOT-FOR-PROFIT COMMUNITY-BASED ORGANIZATIONS TO PROVIDE INSURANCE COVERAGE AS WELL AS FREE SERVICES TO UNDERSERVED AND VULNERABLE RESIDENTS, MANY OF WHOM ARE UNDOCUMENTED. CHARITY CARE IS AN INTEGRAL COMPONENT OF THE BENEFIT THAT HOAG PROVIDES TO THE COMMUNITY. THE CURRENT HOSPITAL CHARITY CARE AND SELF PAY DISCOUNT POLICY PROVIDES ASSISTANCE ON A SLIDING SCALE FOR UNINSURED AND SELF-PAY PATIENTS WITH FAMILY INCOMES UP TO 400% OF THE FEDERAL POVERTY LEVEL. PROGRAM SERVICE ACCOMPLISHMENTS MENTAL HEALTH CENTER - PROVIDED MENTAL HEALTH SERVICES TO 626 CLIENTS IN THE FORM OF PSYCHOTHERAPY. - RESOURCE BROKERING, AND/OR CASE MANAGEMENT PROVIDED TO 368 INDIVIDUALS. - OFFERED PSYCHOTHERAPEUTIC, PSYCHO EDUCATIONAL GROUPS AND COMMUNITY PRESENTATIONS RESULTING IN 2,378 ENCOUNTERS. - A SAMPLING OF THE TRAININGS OFFERED INCLUDED: ASIST FOR SUICIDE ASSESSMENT AND INTERVENTION, ACES INTERFACE, NAMI PROVIDER TRAINING AND LAW AND ETHICS. THE NUMBER OF PROFESSIONALS TRAINED FOR CY2021 WAS 782 - PROVIDED A SUPERVISED CLINICAL INTERNSHIP TRAINING PROGRAM FOR 8 MSW (MASTER OF SOCIAL WORK) STUDENTS. EACH INTERN WAS PROVIDED WITH WEEKLY ONE-HOUR LONG SUPERVISION AND ONE AND A HALF HOUR LONG GROUP SUPERVISION - TRAINED 2 YOGA THERAPY INTERNS IN COLLABORATION WITH BE THE CHANGE YOGA AND ALCHEME YOGA THERAPY. COMMUNITY BENEFIT GRANTS PROGRAM - 97 GRANTS FUNDED TOTALING OVER $5M - PRIORITY FOCUS AREAS INCLUDED: ACCESS TO CARE, ECONOMIC SECURITY, MENTAL HEALTH, AND PREVENTION OF CHRONIC DISEASE AND MANAGEMENT, WOMEN'S HEALTH, AND SUBSTANCE USE. MELINDA HOAG SMITH CENTER FOR HEALTHY LIVING - 1,101 encounters for Girls Inc's after school homework, resiliency programming, and STEM activities (boys and girls) - 374 individuals have received legal consultation or representation from the Public Law Center, focusing on Family Law - divorce, DV, child custody etc. - 334 low-income tax returns prepared at the MHSCHL, at no-cost to the taxpayer - 3,428 individuals served through wellness classes such as yoga, Zumba and other fitness classes - 12,548 individuals received food assistance - 1764 families received diaper assistance - $300,000 provided towards rental assistance in partnership with Share Our Selves - $100,000 grocery store gift cards for individuals and families in need - 30 women received free hair and nail appointments in partnership with the Beauty Bus - 59 women received free mammograms Community Nurse Navigator Program - developed educational programs and created relationships with other organizations which vastly increased the ability to reach more of the community's most vulnerable populations. - CNNs completed 786 individual encounters. - Provided health education and wellness classes for 342 participants. Group health topics were tailored to meet the needs of various populations including women, seniors, and domestic violence survivors. Promotores Program - Promotores serve as links between their communities and health and social service providers - he promotores are bilingual and bicultural and serve the same communities in which they live. |
| FORM 990, PART III, LINE 4A (Continue) | The following are some accomplishments during CY2021: - 3605 outreach calls were made - 243 people participated in book clubs - 493 people attended an outdoor exercise class - 36 attended the Safe from the Start educational program on the effects of violence on the developing brain - 300 attended the Trunk or Treat Halloween activity for children at the Oak View Community - 40 attended Dealing with Emotions event at the Oak View Community - 192 attended the Talk Saves Lives program - 40 attended Dealing with Emotions event at the Oak View Community - 192 attended the Talk Saves Lives program |
| FORM 990, PART VI, LINE 2 | BUSINESS RELATIONSHIPS OFFICER ROBERT BRAITHWAITE, OFFICER ANDREW GUARNI, AND BOARD MEMBER PAUL HEESCHEN HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, SECTION A, PART VI, LINE 6 | MEMBERS OR STOCKHOLDERS THE MEMBERS OF THE CORPORATION CONSIST OF THE FOLLOWING: I. COVENANT HEALTH NETWORK INC. ("CHN") II. THE GEORGE HOAG FAMILY FOUNDATION ("GHF FOUNDATION") III. THE CONSTITUENT REFORMED PRESBYTERIAN CHURCHES LOCATED IN ORANGE COUNTY, CALIFORNIA WHICH INCLUDE DENOMINATIONS OF THE LOS RANCHOS PRESBYTERY OF THE PRESBYTERIAN CHURCH (USA) AND ECO: A COVENANT ORDER OF EVANGELICAL PRESBYTERIANS, AS REPRESENTED BY THE ASSOCIATION OF PRESBYTERIAN MEMBERS (THE "APM"), AND IV. SUCH INDIVIDUAL MEMBERS AS MAY BE APPOINTED BY THE GHF FOUNDATION OR THE APM UP TO A MAXIMUM OF FORTY-EIGHT (48) INDIVIDUAL MEMBERS TO BE DIVIDED EQUALLY BETWEEN THE GHF FOUNDATION AND THE APM. THERE CURRETNLY ARE NO INDIVIDUAL MEMBERS. |
| FORM 990, SECTION A, PART VI, LINE 7A | POWER TO ELECT OR APPOINT DIRECTORS PURSUSANT TO ITS BYLAWS, THE CORPORATION HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS HAVE THE RIGHT TO APPOINT DIRECTORS TO THE CORPORATION'S BOARD. THE CORPORATION'S GOVERNANCE COMMITTEE FIRST DESIGNATES NOMINEES TO THE BOARD. SUCH NOMINEES MUST THEN BE APPROVED BY AFFIRMATIVE VOTE OF AT LEAST A MAJORITY OF THE VOTES ENTITLED TO BE CAST BY THE GHF FOUNDATION, THE APM, AND THE INDIVIDUAL MEMBERS (IF ANY), PROVIDED THAT SUCH MAJORITY INCLUDES THE AFFIRMATIVE VOTE OF THE GHF FOUNDATION AND THE AFFIRMATIVE VOTE OF THE APM, SUBJECT TO APPROVAL BY THE AFFIRMATIVE VOTE OF NOT LESS THAN FIVE (5) OF THE SEVEN (7) DIRECTORS OF CHN, INCLUDING THE VOTE OF AT LEAST THREE (3) OF THE FOUR (4) DIRECTORS DESIGNATED BY PROVIDENCE ST. JOSEPH HEALTH, AND THE VOTE OF AT LEAST TWO (2) OF THE THREE (3) DIRECTORS DESIGNATED BY THE GHF FOUNDATION AND THE APM. PURSUANT TO THE CORPORATION'S BYLAWS, SUCH APPROVALS ARE TO BE GIVEN AT THE ANNUAL MEETING OF THE MEMBERS OR ANY SPECIAL MEETING CALLED FOR THAT PURPOSE. |
| FORM 990, PART VI, SECTION B, LINE 7B | DECISIONS RESERVED TO MEMBERS OR STOCKHOLDER DECISIONS RESERVED TO MEMBERS OF THE ORGANIZATION ARE SPECIFIED IN THE COVENANT HEALTH NETWORK, INC. GOVERNANCE MATRIX. THE GOVERNANCE MATRIX PROVIDES FOR APPROVAL BY THE CHN BOARD AND, IN SOME CASES, FINAL APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM ("SJHS") BOARD. EXAMPLES REQUIRING SJHS BOARD APPROVAL INCLUDE CHANGES TO THE STATEMENT OF COMMON VALUES, FINANCING, THE ANNUAL CONSOLIDATED BUDGET, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLANS, APPOINTMENT OR REMOVAL OF AUDITORS, CREATION OR INVESTMENT IN AN ENTITY, INCLUDING ANY JOINT VENTURE. A SUPERMAJORITY VOTE OF THE CHN BOARD IS REQUIRED TO APPROVE ANY MERGER OR SALE OF ALL OR SUBSTANTIALLY ALL ASSETS, APPROVAL AND REMOVAL OF MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, OR AMENDMENT OF BYLAWS AND ARTICLES. THE POWERS AND RESPONSIBILITIES OF THE MEMBERS OF THE CORPORATION INCLUDE, BUT ARE NOT LIMITED TO: (A) TO ASSURE THE BOARD OF DIRECTORS CARRIES OUT THE CORPORATION'S MISSION; (B) TO CONSIDER THE QUALIFICATIONS OF DIRECTORS TO BE ELECTED TO THE BOARD OF DIRECTORS; (C) TO APPROVE ANY AMENDMENT, MODIFICATION OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (D) TO APPROVE THE ELECTION, APPOINTMENT OR REMOVAL OF ANY DIRECTOR OF THE CORPORATION; AND (E) TO APPROVE ANY SALE, TRANSFER CONVEYANCE OR OTHER DISPOSITION OF ALL, SUBSTANTIALLY ALL OR A MATERIAL PORTION OF THE ASSETS OF THE CORPORATION, OR ANY MERGER, CONSOLIDATION, AFFILIATION OR DISSOLUTION OF THE CORPORATION. IN ADDITION, THE FOLLOWING ACTIONS ARE RESERVED TO THE GHF FOUNDATION AND THE APM: (A) ANY CHANGE IN THE NAME OF OR UTILIZED BY THE CORPORATION (OTHER THAN ANY CHANGE THAT WOULD REQUIRE AN AMENDMENT TO THE ARTICLES OR BYLAWS); AND (B) ANY CHANGES TO THE CORPORATION'S MISSION STATEMENT. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS USED TO REVIEW THE FORM 990 THE CORPORATION'S BOARD OF DIRECTORS HAS DELEGATED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD THE REVIEW OF FORM 990 PRIOR TO ISSUANCE. THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING ACCOUNTING, HUMAN RESOURCES, CORPORATE COMPLIANCE AND LEGAL. THE CORPORATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN IS INITIALLY REVIEWED BY MANAGEMENT, INCLUDING AN OFFICER OF THE ORGANIZATION. MANAGEMENT THEN PRESENTS THE RETURNS TO THE AUDIT AND COMPLIANCE COMMITTEE, WHICH DISCUSSES KEY DISCLOSURES AND OTHER INFORMATION INCLUDED IN THE FORM 990. IN ADDITION, AN ELECTRONIC VERSION OF THE FORM 990 IS POSTED TO A SECURE WEBSITE AVAILABLE TO ALL OF THE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY. THE ORGANIZATION HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY. OFFICERS, DIRECTORS, NON-DIRECTOR MEMBERS OF BOARD COMMITTEES, SENIOR EXECUTIVES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. RESPONSES TO THE QUESTIONNAIRE ARE SUBMITTED FOR REVIEW AND RECOMMENDATION TO THE CHIEF COMPLIANCE OFFICER AND CHIEF LEGAL OFFICER, FOLLOWED BY REVIEW AND CONSIDERATION BY THE AUDIT & COMPLIANCE COMMITTEE OR THE GOVERNANCE COMMITTEE OF THE BOARD. THE RESPONSES TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE ARE ALSO PRESENTED TO THE BOARD OF DIRECTORS. IF, SUBSEQUENT TO COMPLETION OF THE ANNUAL QUESTIONNAIRE, ANY COVERED PERSON BECOMES AWARE OF AN INTEREST THAT COULD GIVE RISE TO A CONFLICT OF INTEREST, THE COVERED PERSON IS OBLIGATED TO PROMPTLY DISCLOSE THE INTEREST. THE AUDIT AND COMPLIANCE COMMITTEE OR THE GOVERNANCE COMMITTEE THEN DETERMINES IF A DISCLOSED INTEREST MAY RESULT IN A CONFLICT OF INTEREST. THE PERSON WITH THE POTENTIAL CONFLICT OF INTEREST MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE AUDIT AND COMPLIANCE OR GOVERNANCE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS. THE AUDIT AND COMPLIANCE COMMITTEE OR GOVERNANCE COMMITTEE MAY REQUEST ADDITIONAL INFORMATION BEFORE REACHING A DETERMINATION. WHEN A CONFLICT OF INTEREST IS FOUNDTO EXIST, ADDITIONAL PROCEDURES ARE FOLLOWED, INCLUDING FURTHER REVIEW BY THE GOVERNANCE COMMITTEE AND THE BOARD OF DIRECTORS TO DETERMINE A REMEDY. ANY DIRECTOR HAVING A A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS PROHIBITED FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTIONS OR ARRANGEMENT, AND IS EXCUSED FROM THE PORTION OF THE MEETING WHERE THE PROPOSED CONTRACT IS DISCUSSED. |
| FORM 990, PART VI, LINE 15A | PROCESS FOR DETERMINING COMPENSATION OF CEO: THE COMPENSATION OF THE CEO IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF HOAG'S BOARD OF DIRECTORS, COMPRISED SOLELY OF INDEPENDENT DIRECTORS. THE COMPENSATION COMMITTEE RECEIVES A STUDY PERFORMED BY AN INDEPENDENT CONSULTING FIRM THAT REVIEWS LEVELS OF COMPENSATION AT COMPARABLE ORGANIZATIONS FOR COMPARABLE POSITIONS WHEN SETTING COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES. THIS PROCESS OF USING COMPARABLE DATA TO ESTABLISH LEVELS OF COMPENSATION HAS BEEN IN PLACE IN EXCESS OF 39 YEARS. THE COMPENSATION COMMITTEE DOCUMENTS THAT THE COMPENSATION IS REASONABLE IN ITS BOARD MINUTES DURING EXECUTIVE SESSION. THIS PROCESS WAS LAST COMPLETED IN 2021. IN ADDITION, THE INDEPENDENT CONSULTING FIRM PROVIDES THE BOARD WITH AN OPINION LETTER EACH YEAR CERTIFYING THAT THE COMPENSATION PROGRAM AND ALL PAY ELEMENTS (TOTAL REMUNERATION) APPROVED BY THE BOARD ARE DEEMED REASONABLE IN COMPLIANCE WITH IRC SECTION 4958. |
| FORM 990, PART VI, LINE 15B | PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION OF THE COO, CFO AND ALL SENIOR VICE PRESIDENTS (KEY EMPLOYEES) IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF HOAG'S BOARD OF DIRECTORS, COMPRISED SOLELY OF INDEPENDENT DIRECTORS. THE COMPENSATION COMMITTEE RECEIVES A STUDY PERFORMED BY AN INDEPENDENT CONSULTING FIRM THAT REVIEWS LEVELS OF COMPENSATION AT COMPARABLE ORGANIZATIONS FOR COMPARABLE POSITIONS WHEN SETTING COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES. THIS PROCESS OF USING COMPARABLE DATA TO ESTABLISH LEVELS OF COMPENSATION HAS BEEN IN PLACE IN EXCESS OF 39 YEARS. THE COMPENSATION COMMITTEE DOCUMENTS THAT THE COMPENSATION IS REASONABLE IN ITS BOARD MINUTES DURING EXECUTIVE SESSION. THIS PROCESS WAS LAST COMPLETED IN 2021. IN ADDITION, THE INDEPENDENT CONSULTING FIRM PROVIDES THE BOARD WITH AN OPINION LETTER EACH YEAR CERTIFYING THAT THE COMPENSATION PROGRAM AND ALL PAY ELEMENTS (TOTAL REMUNERATION) APPROVED BY THE BOARD ARE DEEMED REASONABLE IN COMPLIANCE WITH IRC SECTION 4958. |
| FORM 990, PART XI, LINE 9 | CHANGES IN NET ASSETS OR FUND BALANCE EQUITY TRANSFERS -100,691,851 EXCLUDED SERVICES PER HERITAGE AFFILIATION -54,551 INVESTMENT IN JV 24,429,912 UBI LOSS FROM PARTNERSHIP/LLC'S 1,221,305 ============= TOTAL -75,095,185 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:41615395 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SCV/CONSULTING TOTAL FEES:84533781 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:HMO PURCH. SVC. TOTAL FEES:24177284 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| NEWPORT HEALTHCARE CENTER LLC | |||||||||
| One Hoag Drive Box 6100 | Newport Beach | CA | 92663 | 331127904 | Medical Bldg | CA | $16,807,575 | $203,941,600 | HMHP |
| HOAG OUTPATIENT THERAPIES LLC | |||||||||
| One Hoag Drive Box 6100 | Newport Beach | CA | 92663 | 471467227 | OUTPAT THERAP | CA | $714,788 | $921,000 | HMHP |
| HOAG NEUROBEHAVIORAL HEALTH LLC | |||||||||
| One Hoag Drive Box 6100 | Newport Beach | CA | 92663 | 473282694 | Medical Svcs | CA | $0 | $4,589,207 | HMHP |
| PERSONALCARE PHYSICIANS LLC | |||||||||
| One Hoag Drive Box 6100 | Newport Beach | CA | 92663 | 264105404 | Medical Svcs | CA | $0 | $500,796 | HMHP |
| HOAG AT HOME LLC | |||||||||
| ONE HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92663 | 853629470 | MANAGEMENT | CA | $0 | $0 | HMHP |
| HOAG HOME HEALTH LLC | |||||||||
| ONE HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92663 | 861411277 | MEDICAL SVCS | CA | $0 | $9,550,177 | HMHP |
| OMO LLC | |||||||||
| ONE HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92663 | MANAGEMENT | TX | $104,954 | $84,488 | HMHP | |
| HOAG DIGITAL HEALTH | |||||||||
| 1 HOAG DRIVE | NEWPORT BEACH | CA | 92663 | HEALTHCARE | CA | $0 | $0 | HMHP | |
| HOAG ACCOUNTABLE CARE ORGANIZATION | |||||||||
| 1 HOAG DRIVE | NEWPORT BEACH | CA | 82663 | HEALTHCARE | CA | $0 | $0 | HMHP | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (110 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT ACO | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 611573313 | HEALTHCARE | TX | 501(C)(3) | 12, I | CHS | Yes (true) |
| COVENANT HEALTH NETWORK INC | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 461259908 | HEALTHCARE | CA | 501(C)(3) | 12, III | SJHS | Yes (true) |
| COVENANT HEALTH PARTNERS | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 463516417 | HEALTHCARE | TX | 501(C)(3) | 12, I | CHS | Yes (true) |
| COVENANT HEALTH SYSTEM | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752765566 | HEALTHCARE | TX | 501(C)(3) | 3 | SJHS | Yes (true) |
| COVENANT HEALTH SYSTEM FOUNDATION | ||||||||||
| 3623 22ND PLACE | LUBBOCK | TX | 79410 | 752897026 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | Yes (true) |
| COVENANT MEDICAL CENTER | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 822913146 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| COVENANT MEDICAL GROUP | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752743883 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| EVERETT TRANSITIONAL CARE SERVICES | ||||||||||
| PO BOX 5128 | EVERETT | WA | 98206 | 943264605 | TRANS. CARE | WA | 501(C)(3) | 10 | NA | false |
| GAMELIN WASHINGTON ASSOCIATION | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 201910170 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| GLOBAL TO LOCAL HEALTH INITIATIVE | ||||||||||
| 2800 SOUTH 192ND ST 104 | SEATAC | WA | 98188 | 273133200 | HEALTHCARE | WA | 501(C)(3) | 7 | SHS | Yes (true) |
| HMTS INC | ||||||||||
| 1 HOAG DRIVE PO BOX 6100 | NEWPORT BEACH | CA | 92658 | 453583707 | HEALTHCARE | CA | 501(C)(3) | 12, I | HMHP | Yes (true) |
| HOAG CHARITY SPORTS | ||||||||||
| 2081 BUSINESS CTR DR STE 195 | NEWPORT BEACH | CA | 92663 | 452982422 | SUPPORT | CA | 501(C)(3) | 7 | HHF | Yes (true) |
| HOAG CLINIC | ||||||||||
| 1 HOAG DRIVE PO BOX 6100 | NEWPORT BEACH | CA | 92658 | 330676831 | HEALTHCARE | CA | 501(C)(3) | 10 | HMHP | Yes (true) |
| HOAG HOSPITAL FOUNDATION | ||||||||||
| ONE HOAG DRIVE PO BOX 6100 | NEWPORT BEACH | CA | 92658 | 953222343 | FUNDRAISING | CA | 501(C)(3) | 7 | HMHP | Yes (true) |
| HOSPICE OF LUBBOCK | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752133781 | HEALTHCARE | TX | 501(C)(3) | 10 | CHS | Yes (true) |
| INSTITUTE FOR MENTAL HEALTH & WELLNESS | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 814260130 | HEALTHCARE | WA | 501(C)(3) | PF | PHSSJHS | Yes (true) |
| INSTITUTE FOR SYSTEMS BIOLOGY | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 912003593 | HEALTHCARE | WA | 501(C)(3) | 7 | WHC | Yes (true) |
| SAINT JOHN'S CANCER INSTITUTE | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 954291515 | HEALTHCARE | CA | 501(C)(3) | 4 | PSJHC | Yes (true) |
| KADLEC AUXILIARY INC | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 916033089 | SUPPORT | WA | 501(C)(3) | 12, III | KRMC | Yes (true) |
| KADLEC FOUNDATION | ||||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 99352 | 237005501 | SUPPORT | WA | 501(C)(3) | 7 | KRMC | Yes (true) |
| KADLEC REGIONAL MEDICAL CENTER | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 910655392 | HEALTHCARE | WA | 501(C)(3) | 3 | WHC | Yes (true) |
| LITTLE COMPANY OF MARY ANCILLARY SVCS CO | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330844408 | IMAGING SVCS | CA | 501(C)(3) | 10 | PHS SOCAL | Yes (true) |
| LUBBOCK HERITAGE HOSPITAL LLC | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 264021016 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| LUNDBERG ASSOCIATIONPROVIDENCE HOUSE | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911562797 | SUPPORT | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| METHODIST CHILDREN'S HOSPITAL | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752428911 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| METHODIST HOSPITAL LEVELLAND | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752246348 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| METHODIST HOSPITAL PLAINVIEW | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752426010 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| MISSION HOSPITAL REGIONAL MEDICAL CTR | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643360 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| NORTHWEST HOPE & HEALING FOUNDATION | ||||||||||
| PO BOX 16069 | SEATTLE | WA | 98116 | 200799737 | SUPPORT | WA | 501(C)(3) | 12,I | SHS | Yes (true) |
| PACMED CLINICS | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 562290878 | HEALTHCARE | WA | 501(C)(3) | 10 | WHC | Yes (true) |
| PH&S FOUNDATIONSFVSA & SCVSA | ||||||||||
| 501 SOUTH BUENA VISTA STREET | BURBANK | CA | 91505 | 953544877 | HEALTHCARE | CA | 501(C)(3) | 7 | PHS SOCAL | Yes (true) |
| PROVIDENCE ALASKA FOUNDATION | ||||||||||
| 3760 PIPER STREET SUITE 2021 | ANCHORAGE | AK | 99508 | 920093565 | HEALTHCARE | AK | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE BENEDICTINE NURSING CTR FNDN | ||||||||||
| 540 SOUTH MAIN ST | MT ANGEL | OR | 97362 | 911940286 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE BLANCHET ASSOCIATION | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911789266 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE CHILDREN'S HEALTH FOUNDATION | ||||||||||
| 4805 NE GLISAN ST STE 2N35 | PORTLAND | OR | 97213 | 930800140 | SUPPORT | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE COMMUNITY HEALTH FOUNDATION | ||||||||||
| 940 ROYAL AVE SUITE 410 | MEDFORD | OR | 97504 | 930692907 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE DETHMAN HOUSE | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 473385506 | SUPPORT | WA | 501(C)(3) | 7 | NA | false |
| PROVIDENCE GAMELIN HOUSE ASSOCIATION | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 311744654 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE HEALTH & SERVICES | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911549796 | HEALTHCARE | WA | 501(C)(3) | 12, II | PSJH | false |
| PROVIDENCE HEALTH & SERVICES - MONTANA | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810231793 | HEALTHCARE | MT | 501(C)(3) | 3 | PHS WA | Yes (true) |
| PROVIDENCE HEALTH & SERVICES - OREGON | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 510216587 | HEALTHCARE | OR | 501(C)(3) | 3 | PHS | Yes (true) |
| PROVIDENCE HEALTH & SERVICES - WA | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 510216586 | HEALTHCARE | WA | 501(C)(3) | 3 | PHS | Yes (true) |
| PROVIDENCE HEALTH & SERVICES - WEST WA | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911303277 | HEALTHCARE | WA | 501(C)(3) | 3 | PMWHC | Yes (true) |
| PROVIDENCE HEALTH ASSURANCE | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 550828701 | MEDICAID | OR | 501(C)(4) | N/A | PHP | Yes (true) |
| PROVIDENCE HEALTH CARE FNDN - E WA | ||||||||||
| 101 W 8TH AVE | SPOKANE | WA | 99204 | 320014330 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE HEALTH PLAN | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 930863097 | HEALTHCARE | OR | 501(C)(4) | N/A | PPP | Yes (true) |
| PROVIDENCE HEALTH SYSTEM - SO CAL | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 510216589 | HEALTHCARE | CA | 501(C)(3) | 3 | PHS | Yes (true) |
| PROVIDENCE HOOD RIVER MEM HOSP FNDN | ||||||||||
| 810 12TH STREET PO BOX 149 | HOOD RIVER | OR | 97031 | 930921990 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE HOSPICE AND HOME CARE FNDN | ||||||||||
| 1615 75TH ST SW SUITE 210 | EVERETT | WA | 98203 | 272552749 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS W WA | Yes (true) |
| PROVIDENCE HOSPICE OF SEATTLE FOUNDATION | ||||||||||
| 2811 SOUTH 102ND NO 220 | TUKWILA | WA | 98168 | 912077378 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS W WA | Yes (true) |
| PROVIDENCE LITTLE COMPANY OF MARY FNDN | ||||||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 510224944 | HEALTHCARE | CA | 501(C)(3) | 7 | PHS SOCAL | Yes (true) |
| PROVIDENCE MARIANWOOD FOUNDATION | ||||||||||
| 3725 PROVIDENCE POINT DRIVE SE | ISSAQUAH | WA | 98029 | 931554288 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS W WA | Yes (true) |
| PROVIDENCE MEDICAL INSTITUTE | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330283773 | HEALTHCARE | CA | 501(C)(3) | 12, I | PHS SOCAL | Yes (true) |
| PROVIDENCE MILWAUKIE FOUNDATION | ||||||||||
| 10150 SE 32ND AVE | MILWAUKIE | OR | 97222 | 943079515 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE MINISTRIES | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | RELIGIOUS ORG | WA | 501(C)(3) | 1 | NA | false | |
| PROVIDENCE MOUNT ST VINCENT FOUNDATION | ||||||||||
| 4831 35TH AVE SW | SEATTLE | WA | 98126 | 911188119 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE NEWBERG HEALTH FOUNDATION | ||||||||||
| 1001 PROVIDENCE DRIVE | NEWBERG | OR | 97132 | 930889144 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE PETER CLAVER ASSOCIATION | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 311629656 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE PLAN PARTNERS | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911861964 | HEALTHCARE | WA | 501(C)(4) | N/A | PHS OR | Yes (true) |
| PROVIDENCE PORTLAND MEDICAL FOUNDATION | ||||||||||
| 4805 NE GLISAN ST | PORTLAND | OR | 97213 | 931231494 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE ROSSI ASSOCIATION | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 311584166 | SUPPORT | WA | 501(C)(3) | 10 | PHS WA | Yes (true) |
| PROVIDENCE SAINT JOHN'S HEALTH CENTER | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951684082 | HEALTHCARE | CA | 501(C)(3) | 3 | PHS SOCAL | Yes (true) |
| PROVIDENCE SAINT JOHN'S MEDICAL FNDN | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 814542216 | HEALTHCARE | CA | 501(C)(3) | 3 | PHS SOCAL | Yes (true) |
| PROVIDENCE SEASIDE HOSPITAL FOUNDATION | ||||||||||
| 725 S WAHANNA ROAD | SEASIDE | OR | 97138 | 930927320 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE ST ELIZABETH HOUSE ASSOC | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 912171539 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE ST FRANCIS ASSOCIATION | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 943244854 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE ST JOSEPH HEALTH | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 811244422 | HEALTHCARE | WA | 501(C)(3) | 12, III | NA | false |
| PROVIDENCE ST JOSEPH HEALTH FOUNDATION | ||||||||||
| 4400 NE HALSEY ST STE 599 | PROTLAND | WA | 97213 | 943078543 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE ST JOSEPH MEDICAL CENTER | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810463482 | HEALTHCARE | MT | 501(C)(3) | 3 | PHS WA | Yes (true) |
| PROVIDENCE SOUTHWEST WASHINGTON FNDN | ||||||||||
| 413 LILLY ROAD NE | OLYMPIA | WA | 98506 | 911097056 | SUPPORT | WA | 501(C)(3) | 7 | PHS W WA | Yes (true) |
| PROVIDENCE ST VINCENT MEDICAL FNDN | ||||||||||
| 9205 SW BARNES ROAD STE MT2111 | PORTLAND | OR | 97225 | 930575982 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE TRINITYCARE HOSPICE | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 953264139 | HEALTHCARE | CA | 501(C)(3) | 10 | PHS SOCAL | Yes (true) |
| PROVIDENCE TRINITYCARE HOSPICE FNDN | ||||||||||
| 5315 TORRANCE BLVD NO B-1 | TORRANCE | CA | 90503 | 330261016 | HEALTHCARE | CA | 501(C)(3) | 7 | PTCH | Yes (true) |
| PROVIDENCE WILLAMETTE FALLS MEDICAL FNDN | ||||||||||
| 1500 DIVISION STREET | OREGON CITY | OR | 97045 | 931003750 | HEALTHCARE | OR | 501(C)(3) | 12, I | PHS OR | Yes (true) |
| REDWOOD MEMORIAL FOUNDATION | ||||||||||
| 2700 DOBEER STREET | EUREKA | CA | 95501 | 942779313 | HEALTHCARE | CA | 501(C)(3) | 7 | RMH | Yes (true) |
| SAINT JOHN'S HOSPITALHEALTH CENTER FNDN | ||||||||||
| 2121 SANTA MOINCA BLVD | SANTA MONICA | CA | 90404 | 956100079 | SUPPORT | CA | 501(C)(3) | 7 | PSJHC | Yes (true) |
| SEATTLE SCIENCE FOUNDATION | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 611502822 | PHYSN COLLAB | WA | 501(C)(3) | 7 | WHC | Yes (true) |
| SISTERS OF PROVIDENCE OF MONTANA CORP | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 262612415 | SHELL CORP | MT | 501(C)(3) | 1 | PHS WA | false |
| SISTERS OF ST JOSEPH OF ORANGE | ||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643383 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | NA | false |
| SRM ALLIANCE HOSPITAL SERVICES (PVH) | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 680395200 | HEALTHCARE | CA | 501(C)(3) | 3 | SRMH | Yes (true) |
| ST JOSEPH HEALTH MINISTRY | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 271666576 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | SSJO | false |
| ST JOSEPH HEALTH N CALIFORNIA LLC | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 814791043 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| ST JOSEPH HEALTH SYSTEM | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 953589356 | HEALTHCARE | CA | 501(C)(3) | 12, I | PSJH | false |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||||||||||
| 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 330143024 | HEALTHCARE | CA | 501(C)(3) | 10 | SJHS | Yes (true) |
| PROVIDENCE MEDICAL FOUNDATION | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330185031 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| ST JOSEPH HOME CARE NETWORK | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 680331084 | HEALTHCARE | CA | 501(C)(3) | 10 | SJHS | Yes (true) |
| ST JOSEPH HOSPITAL OF ORANGE | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643359 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| ST JUDE HOSPITAL INC | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951643325 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| ST LUKE ASSOCIATION | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 943176618 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| ST MARY MEDICAL CENTER | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 951914489 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| ST PATRICK HOSPITAL FOUNDATION | ||||||||||
| 502 W SPRUCE STREET | MISSOULA | MT | 59802 | 237056976 | HEALTHCARE | MT | 501(C)(3) | 7 | PHS WA | Yes (true) |
| ST THOMAS CHILD AND FAMILY CENTER | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810233495 | EDUCATION | MT | 501(C)(3) | 10 | PHS WA | Yes (true) |
| SWEDISH EDMONDS | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 272305304 | HEALTHCARE | WA | 501(C)(3) | 3 | WHC | Yes (true) |
| SWEDISH HEALTH SERVICES | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 910433740 | HEALTHCARE | WA | 501(C)(3) | 3 | WHC | Yes (true) |
| SWEDISH MEDICAL CENTER FOUNDATION | ||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 910983214 | HEALTHCARE | WA | 501(C)(3) | 7 | SHS | Yes (true) |
| SWEDISH MJM HOLDINGS | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 273139262 | HOLDING CO | WA | 501(C)(3) | 12, I | SHS | Yes (true) |
| THE GAMELIN ASSOCIATION | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911180824 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| THE GAMELIN CALIFORNIA ASSOCIATION | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911293869 | SUPPORT | CA | 501(C)(3) | 10 | PHS SOCAL | Yes (true) |
| THE GAMELIN OREGON ASSOCIATION | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911214491 | SUPPORT | OR | 501(C)(3) | 10 | PHS OR | Yes (true) |
| UNIVERSITY OF PROVIDENCE | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810231777 | EDUCATION | MT | 501(C)(3) | 2 | PHS | Yes (true) |
| WESTERN HEALTHCONNECT | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 454171900 | SHELL CORP | WA | 501(C)(3) | 12, II | PHS W WA | Yes (true) |
| GRACE CLINIC OF LUBBOCK | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 203856995 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| TARZANA MEDICAL CENTER LLC | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 833972614 | HEALTHCARE | CA | 501(C)(3) | 3 | PHS SOCAL | Yes (true) |
| PROVIDENCE FACEY MEDICAL FOUNDATION | ||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 954322584 | SUPPORT | CA | 501(C)(3) | 7 | PHS SOCAL | Yes (true) |
| TRI-CITIES CANCER CENTER | ||||||||||
| 1802 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911594526 | HEALTHCARE | WA | 501(C)(3) | 3 | KADLEC | Yes (true) |
| TRICITIES CANCER CENTER FOUNDATION | ||||||||||
| 7350 W DESCHUTES AVE BLDG A | KENNEWICK | WA | 99336 | 911739024 | SUPPORT | WA | 501(C)(3) | 7 | KADLEC | Yes (true) |
| COVENANT HOSPITAL HOBBS | ||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844273963 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| PROVIDENCE ST MARY FOUNDATION | ||||||||||
| 401 W PAPLAR STREET | WALLA WALLA | WA | 99362 | 452841492 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| COLLABRIA CARE | ||||||||||
| 414 SOUTH JEFFERSON STREET | NAPA | CA | 94559 | 680393144 | HEALTHCARE | CA | 501(C)(3) | 10 | SJHCN | Yes (true) |
| OPEN DOOR VENTURES | ||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911608508 | SUPPORT | WA | 501(C)(3) | PHS WA | Yes (true) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (50 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 20TH STREET SURGERY LLC | |||||||||||||
| 1301 20TH STREET STE 140 | SANTA MONICA | CA | 90404 | 731735618 | AMBULATORY SU | CA | NA | ||||||
| BRIDGEPORT MEDICAL IMAGING (BMI) | |||||||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 260796953 | IMAGING DIAG. | OR | NA | ||||||
| BROADWAY IMAGING LLC | |||||||||||||
| PO BOX 4587 | MISSOULA | MT | 598064587 | 522405971 | MEDICAL IMAGI | MT | NA | ||||||
| CENTER FOR MATERNAL NEWBORN AND CHILD | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 813526875 | HEALTHCARE | CA | NA | ||||||
| CENTER FOR MEDICAL IMAGING (CMI) | |||||||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 200477972 | IMAGING DIAG. | OR | NA | ||||||
| CLACKAMAS RADIATION ONCOL CENTER LLC | |||||||||||||
| 4400 NE HALSEY ST BLDG II 495 | PORTLAND | OR | 97213 | 260381897 | RADIATION ONC | OR | NA | ||||||
| COASTAL ASC HOLDINGS LLC | |||||||||||||
| ONE HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92663 | 810986844 | HEALTHCARE | CA | HMHP | $6,536,443 | $22,693,958 | Yes (true) | $0 | Yes (true) | 0.77500 |
| COVENANT LONG-TERM CARE LP | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 205033419 | HEALTHCARE | TX | NA | ||||||
| FULLERTON SURGICAL CENTER LP | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 470927394 | AMBULATORY SU | CA | NA | ||||||
| GREATER VALLEY MEDICAL BUILDING LP | |||||||||||||
| 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 954570858 | REAL ESTATE - | CA | NA | ||||||
| HCSA PROPERTIES LLC | |||||||||||||
| 1600 M STREET NW | AUBURN | WA | 98001 | 460620892 | REAL ESTATE R | WA | NA | ||||||
| HERITAGE INVESTMENT GROUP I LLC | |||||||||||||
| 500 S MAIN STREET STE 1000 | ORANGE | CA | 92868 | 271000061 | INVESTMENTS | CA | NA | ||||||
| HOAG ORTHOPEDIC INSTITUTE | |||||||||||||
| 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 611588294 | HEALTHCARE | CA | HMHP | $18,940,157 | $25,055,118 | Yes (true) | $0 | Yes (true) | 0.51000 |
| IMAGING ASSOCIATES LLC | |||||||||||||
| 3650 PIPER STREET STE A | ANCHORAGE | AK | 99508 | 203906048 | MEDICAL IMAGI | AK | NA | ||||||
| INLAND IMAGING LLC | |||||||||||||
| 801 S STEVENS ST | SPOKANE | WA | 99204 | 911855796 | MEDICAL IMAGI | WA | NA | ||||||
| LSC REAL PROPERTY LLC | |||||||||||||
| 2301 QUAKER AVENUE | LUBBOCK | TX | 79410 | 474646059 | REAL ESTATE | TX | NA | ||||||
| METHODIST DIAGNOSTIC IMAGING | |||||||||||||
| 4005 24TH STREET | LUBBOCK | TX | 79410 | 752343261 | HEALTHCARE | TX | NA | ||||||
| NEWPORT IMAGING CENTER | |||||||||||||
| 360 SAN MIGUEL | NEWPORT BEACH | CA | 92660 | 330191776 | HEALTHCARE | CA | HMHP | -$2,369,032 | $3,872,306 | Yes (true) | $0 | Yes (true) | 0.99880 |
| OREGON ADVANCED IMAGING LLC | |||||||||||||
| 881 OHARE PARKWAY | MEDFORD | OR | 97504 | 450471748 | MEDICAL IMAGI | OR | NA | ||||||
| OREGON OUTPATIENT SURGERY CENTER | |||||||||||||
| 7300 SW CHILDS RD | TIGARD | OR | 97224 | 223883387 | AMBULATORY SU | OR | NA | ||||||
| PETCT IMAGING AT SWEDISH CANCER INSTITU | |||||||||||||
| 1221 MADISON STREET | SEATTLE | WA | 98104 | 203132044 | MEDICAL IMAGI | WA | NA | ||||||
| PHS INVESTMENT TRUST SHORT TERM INVESTME | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 812701056 | INVESTMENTS | WA | NA | ||||||
| PROV RADIATION ONCOLOGY DEVELOP ASSN | |||||||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 260682491 | REAL ESTATE - | OR | NA | ||||||
| PROVIDENCE CHILDREN'S NEONATAL SERVICES | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 470918549 | NEONATAL CARE | WA | NA | ||||||
| PROVIDENCE IMAGING CENTER JOINT VENTURE | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 920118807 | MEDICAL IMAGI | AK | NA | ||||||
| PROVIDENCE ST JOSEPH HEALTH LONG TERM P | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 823190634 | INVESTMENTS | WA | NA | ||||||
| PROVIDENCE SURGERY CENTER LLC | |||||||||||||
| 902 N ORANGE ST | MISSOULA | MT | 59802 | 841401625 | AMBULATORY SU | MT | NA | ||||||
| PROVIDENCE UCLA USP SURGERY CENTER JV | |||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 320503030 | AMBULATORY SU | CA | NA | ||||||
| PROVIDENCEUSP SOUTH BAY SURGERY CENTERS | |||||||||||||
| 15305 DALLAS PKWY STE 1600 LB 28 | ADDISON | TX | 75001 | 475064486 | AMBULATORY SU | CA | NA | ||||||
| PROVIDENCEUSP SURGERY CTRS | |||||||||||||
| 11550 INDIAN HILLS ROAD 160 | MISSION HILLS | CA | 91345 | 200905938 | AMBULATORY SU | CA | NA | ||||||
| RADIATION THERAPY INNOVATIONS LLC | |||||||||||||
| 1221 MADISON STREET 1ST FL | SEATTLE | WA | 98104 | 300553035 | HEALTHCARE | WA | NA | ||||||
| SANTA ANA MOB LLC | |||||||||||||
| 1800 QUAIL STREET STE 100 | NEWPORT BEACH | CA | 92660 | 753205306 | REAL ESTATE - | CA | NA | ||||||
| SJO ASC HOLDINGS LLC | |||||||||||||
| 1140 W LA VETA AVE | ORANGE | CA | 92868 | 821655501 | HEALTHCARE | CA | NA | ||||||
| ST JOSEPH PHYSICIAN VENTURES I LLC | |||||||||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 454521884 | REAL ESTATE | CA | NA | ||||||
| ST JOSEPHSATELLITE DIALYSIS CTRS LLC | |||||||||||||
| 300 SANTANA ROW SUITE 300 | SAN JOSE | CA | 95128 | 814657391 | HEALTHCARE | CA | NA | ||||||
| ST JUDE SURGICAL CENTERS LLC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 823352570 | AMBULATORY SU | CA | NA | ||||||
| SURGERY CENTER AT TANASBOURNE LLC | |||||||||||||
| 11221 ROE AVE STE 300 | LEAWOOD | KS | 66211 | 208187971 | AMBULATORY SU | KS | NA | ||||||
| TARZANA PEDIATRIC VENTURES LLC | |||||||||||||
| 18321 CLARK ST | TARZANA | CA | 91356 | 821308306 | HEALTHCARE | CA | NA | ||||||
| THE MADISON SPOKANE INN LLC | |||||||||||||
| 15 WEST ROCKWOOD BLVD | SPOKANE | WA | 99204 | 841606484 | HOTEL SERVICE | WA | NA | ||||||
| MISSION VIEJO PARTNERS II LLC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 823943675 | REAL ESTATE - | CA | MHRMC | ||||||
| CANBY MEDICAL CENTER I LLC | |||||||||||||
| 4800 SW MACADAM AVE STE 120 | PORTLAND | OR | 97239 | 205470937 | REAL ESTATE | OR | PHS OR | ||||||
| CSS JV LLC | |||||||||||||
| 11782 SW BARNES ROAD STE 200 BLDG | PORTLAND | OR | 97225 | 263638838 | AMBULATORY SURG | OR | PHS OR | ||||||
| FIRST HILL SURGERY CENTER LLC | |||||||||||||
| 1101 MADISON STREET STE 200 | SEATTLE | WA | 98104 | 472066485 | AMBULATORY SURG | WA | SHS | ||||||
| NORTH OC IMAGING JV HOLDINGS LLC | |||||||||||||
| 1801 LIND AVENUE SE ATTN TAX DEPT | RENTON | WA | 98057 | 852444305 | HEALTHCARE | WA | SJMC | ||||||
| PERFORMANCE MED EQUIP & RESP SRVCS | |||||||||||||
| 19625 622ND AVENUE SOUTH SUITE 101 | KENT | WA | 98032 | 452901632 | MEDICAL EQUIP. | WA | SHS | ||||||
| ST PETER-SOUTH SOUND REGIONAL MRI CNTR | |||||||||||||
| 3417 ENSIGN RD NE | OLYMPIA | WA | 98506 | 911455338 | MEDICAL IMAGING | WA | PHS WA | ||||||
| WON-ONC LLC | |||||||||||||
| 1900 COOKS HILL RD | CENTRALIA | WA | 98531 | 262181194 | REAL ESTATE | WA | PHS WA | ||||||
| PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC | |||||||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 823765555 | MEDICAL | AL | PHS OR | ||||||
| PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC | |||||||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 823270499 | MEDICAL | AL | PHS OR | ||||||
| COMPREHENSIVE IMAGING PARTNERS OF ORANGE | |||||||||||||
| ONE CITY BLVD W STE 1100 | ORANGE | CA | 92868 | 264591502 | HEALTHCARE | CA | SJO | ||||||
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1221 MADISON STREET OWNERS ASSOC | |||||||||||||||||
| 747 BROADWAY | SEATLE | WA | 98122 | 201954319 | OWNERS' ASSOC | WA | NA | C-CORP | |||||||||
| AMERICAN UNITY GROUP LTD | |||||||||||||||||
| CAPTIVE INSUR | NA | C-CORP | 90 PITTS BAY ROAD | PEMBROKE | BD | HM08 | BD | ||||||||||
| AYIN HEALTH SOLUTIONS INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 833037172 | HEALTHCARE | DE | NA | C-CORP | |||||||||
| BOURGET HEALTH SERVICES INC | |||||||||||||||||
| 101 W 8TH AVE TAF C-9 | SPOKANE | WA | 99220 | 911354431 | CLIN/MED LAB | WA | NA | C-CORP | |||||||||
| CARON HEALTH CORPORATION | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 810486082 | MED PHYS SVCS | MT | NA | C-CORP | |||||||||
| COMMUNITY TECHNOLOGIES INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844722399 | IT SVCS | DE | NA | C-CORP | |||||||||
| ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA | |||||||||||||||||
| 1301 20TH ST STE 280 | SANTA MONICA | CA | 90404 | 952880495 | HEALTHCARE | CA | NA | C-CORP | |||||||||
| HOAG MANAGEMENT SERVICES INC | |||||||||||||||||
| 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 330731587 | HEALTHCARE | CA | HMHP | C-CORP | $2,569,195 | $241,459,849 | 1.00000 | Yes (true) | |||||
| HOAG PHYSICIAN PARTNERS | |||||||||||||||||
| 16148 SAND CANYON AVE | IRVINE | CA | 92618 | 834276044 | HEALTHCARE | CA | NA | C-CORP | |||||||||
| LUBBOCK METHODIST HOSP PRACTICE MGMT | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752578995 | INACTIVE | TX | NA | C-CORP | |||||||||
| LUBBOCK METHODIST HOSPITAL SVCS | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 752118585 | HEALTHCARE | TX | NA | C-CORP | |||||||||
| LUMEDIC INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 833881097 | HEALTHCARE | WA | NA | C-CORP | |||||||||
| MEDIREVV INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 208783763 | HEALTHCARE | DE | NA | C-CORP | |||||||||
| MISSION VIEJO MEDICAL VENTURES | |||||||||||||||||
| 27800 MEDICAL CENTER RD 354 | MISSION VIEJO | CA | 92691 | 330212905 | HEALTHCARE | CA | NA | C-CORP | |||||||||
| PERFORMANCE HEALTH TECHNOLOGY LTD | |||||||||||||||||
| 3993 FAIRVIEW INDUSTRIAL DR SE | SALEM | OR | 97302 | 931211733 | HEALTHCARE | OR | NA | C-CORP | |||||||||
| PHN HOLDINGS | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 461814184 | STRAT PLAN SV | CA | NA | C-CORP | |||||||||
| PIONEER INNOVATIONS INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 364818191 | HEALTH INNOVA | WA | NA | C-CORP | |||||||||
| PROVIDENCE ASSURANCE INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 208194071 | CAPTIVE INSUR | AZ | NA | C-CORP | |||||||||
| PROVIDENCE GLOBAL CENTER LLP | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 981516461 | IT SVCS | IN | NA | C-CORP | |||||||||
| PROVIDENCE HEALTH CARE VENTURES INC | |||||||||||||||||
| 101 W 8TH AVE TAF C-9 | SPOKANE | WA | 99204 | 900155714 | CLIN/MED LAB | WA | NA | C-CORP | |||||||||
| PROVIDENCE HEALTH NETWORK | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 800886966 | PREPAID HEALT | CA | NA | C-CORP | |||||||||
| PROVIDENCE HEALTH VENTURES INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330122216 | INVESTMENT | CA | NA | C-CORP | |||||||||
| PROVIDENCE PHYSICIAN SERVICES CO | |||||||||||||||||
| 101 W 8TH AVE TAF C-9 | SPOKANE | WA | 99204 | 911216033 | HEALTHCARE | WA | NA | C-CORP | |||||||||
| PROVIDENCE ST JOSEPH HEALTH NETWORK | |||||||||||||||||
| 20555 EARL ST | TORRANCE | CA | 90503 | 823771547 | HEALTHCARE | CA | NA | C-CORP | |||||||||
| ST JOSEPH HEALTH | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 462340232 | HOLDING COMPA | CA | NA | C-CORP | |||||||||
| ST JOSEPH HEALTH SOURCE INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 461900168 | HEALTHCARE | CA | NA | C-CORP | |||||||||
| ST JOSEPH PROF SVCS ENTERPRSES INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330155323 | HEALTHCARE | CA | NA | C-CORP | |||||||||
| VINSERRA INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 953943315 | INVESTMENT | CA | NA | C-CORP | |||||||||
| TEGRIA SERVICES GROUP-US INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 900872936 | HEALTHCARE | WI | NA | C-CORP | |||||||||
| TEGRIA RCM GROUP INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844686520 | HOLDING COMPA | DE | NA | C-CORP | |||||||||
| TEGRIA SERVICES GROUP INC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844704409 | HOLDING COMPA | DE | NA | C-CORP | |||||||||
| TEGRIA HOLDINGS LLC | |||||||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 842092143 | HOLDING COMPA | DE | NA | C-CORP | |||||||||
| QUIVIQ INC | |||||||||||||||||
| 1400-112TH AVENUE ST SUITE 100 | BELLEVUE | WA | 98004 | 833879444 | ANALYTICS | WA | NA | C-CORP | |||||||||
| ACCLARA SOLUTIONS INTERMEDIATE LLC | |||||||||||||||||
| 10713 W SAM HOUSTON PKWY N 500 | HOUSTON | TX | 77064 | 371783298 | FINANCIAL SVC | TX | NA | C-CORP | |||||||||
| MEDICAL SPECIALTIES MANAGERS INC | |||||||||||||||||
| 1801 LIND AVE SW | RENTON | WA | 98057 | 330406218 | HEALTHCARE | WA | NA | C-CORP | |||||||||
| HMR WEIGHT MANAGEMENT SERVICES CORP | |||||||||||||||||
| 1801 LIND AVE SW | RENTON | WA | 98057 | 463598718 | RESEARCH | WA | NA | C-CORP | |||||||||
| ACCLARA SOLUTIONS GROUP LLC | |||||||||||||||||
| 10713 W SAM HOUSTON PKWY N 500 | HOUSTON | TX | 77064 | 870837184 | HOLDING CO. | TX | NA | C-CORP | |||||||||
| COLBURN HILL GROUP INC | |||||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 95057 | 863383433 | HEALTHCARE | DE | NA | C-CORP | |||||||||
| KENSCI INC | |||||||||||||||||
| 615 2ND DRIVE AVE 700 | SEATTLE | WA | 98104 | 474048082 | HEALTHCARE | WA | NA | C-CORP | |||||||||
| KENSCI TECH INDIA PRIVATE LIMITED | |||||||||||||||||
| 615 2ND AVE 700 | SEATTLE | WA | 98104 | HEALTHCARE | NA | C-CORP | IN | ||||||||||
| KENSCI ASIA PACIFIC PTE LTD | |||||||||||||||||
| 615 2ND AVE 700 | SEATTLE | WA | 98104 | HEALTHCARE | NA | C-CORP | SN | ||||||||||
| TEGRIA INSIGHTS GROUP HOLDINGS INC | |||||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 861400769 | HOLDING CO | WA | NA | C-CORP | |||||||||
| TEGRIA INSIGHTS GROUP INC | |||||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 861532593 | HEALTHCARE | WA | NA | C-CORP | |||||||||
| TEGRIA PRODUCTS GROUP INC | |||||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 870995138 | HOLDING CO | DE | NA | C-CORP | |||||||||
| TEGRIA RCM GROUP US INC | |||||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 863046450 | HOLDING CO | DE | NA | C-CORP | |||||||||
| TEGRIA SERVICES GROUP-CAN INC | |||||||||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | HEALTHCARE | NA | C-CORP | CA | ||||||||||
| HOAG ORTHOPEDIC NETWORK | |||||||||||||||||
| ONE HOAG DRIVE PO BOX 6100 | NEWPORT BEACH | CA | 92658 | 834062064 | HEALTHCARE | CA | NA | C-CORP | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HOAG ORTHOPEDIC INSTITUTE | ||
| l | $19,890,025 | ACCRUAL |
| HOAG HOSPITAL FOUNDATION | ||
| j | $1,014,247 | ACCRUAL |
| HOAG HOSPITAL FOUNDATION | ||
| q | $11,621,282 | ACCRUAL |
| HOAG HOSPITAL FOUNDATION | ||
| l | $90,000 | ACCRUAL |
| HOAG HOSPITAL FOUNDATION | ||
| c | $26,329,091 | ACCRUAL |
| HOAG CHARITY SPORTS | ||
| q | $903,175 | ACCRUAL |
| HOAG CLINIC | ||
| b | $100,523,308 | ACCRUAL |
| HOAG CLINIC | ||
| j | $1,545,629 | ACCRUAL |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART III | FormAndLineReferenceDesc |
| Explanation | IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP 20TH STREET SURGERY LLC EIN: 73-1735618 ADDRESS: 1301 20TH STREET, STE 140, SANTA MONICA, CA 90404 BRIDGEPORT MEDICAL IMAGING (BMI) EIN: 26-0796953 ADDRESS: 4400 NE HALSEY, #495 PORTLAND, OR 97213 BROADWAY IMAGING, LLC EIN: 52-2405971 ADDRESS: PO Box 4587, MISSOULA, MT 59806-4587 CANBY MEDICAL CENTER I, LLC EIN: 20-5470937 ADDRESS: 4800 SW MACADAM AVE., STE 120, PORTLAND, 97239 CENTER FOR MATERNAL, NEWBORN AND CHILD EIN: 81-3526875 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 CENTER FOR MEDICAL IMAGING (CMI) EIN: 20-0477972 ADDRESS: 4400 NE HALSEY ST., BLDG. II, #495 PORTLAND, OR 97213 CLACKAMAS RADIATION ONCOLOGY CENTER, LLC EIN: 26-0381897 ADDRESS: 4400 NE HALSEY ST., BLDG. II, #495 PORTLAND, OR 97213 COASTAL ASC HOLDINGS LLC EIN: 81-0986844 ADDRESS: ONE HOAG DRIVE, PO BOX 6100, NEWPORT BEACH, CA 92658 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY EIN: 26-4591502 ADDRESS: ONE CITY BLVD W STE 100, ORANGE, CA 92868 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 CSS JV, LLC EIN: 26-3638838 ADDRESS: 11782 SW BARNES ROAD, STE 200 BLDG C, PORTLAND, OR, 97225 FIRST HILL SURGERY CENTER, LLC EIN: 47-2066485 ADDRESS: 1101 MADISON STREET STE 200, SEATTLE, WA, 98104 FULLERTON SURGICAL CENTER LP EIN: 47-0927394 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 GREATER VALLEY MEDICAL BUILDING, L.P. EIN: 95-4570858 ADDRESS: 501 S. BUENA VISTA ST. BURBANK, CA 91505 HCSA PROPERTIES LLC EIN: 46-0620892 ADDRESS: 1600 M STREET NW AUBURN, WA 98001 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 500 S. MAIN STREET, STE 1000, ORANGE, CA 92868 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, PO BOX 6100, NEWPORT BEACH, CA 92658 IMAGING ASSOCIATES LLC EIN: 20-3906048 ADDRESS: 3650 PIPER STREET, STE A, ANCHORAGE, AK 99508 INLAND IMAGING, LLC EIN: 91-1855796 ADDRESS: 801 S. STEVENS ST., SPOKANE, WA 99204 LSC REAL PROPERTY, LLC EIN: 47-4646059 ADDRESS: 2301 QUAKER AVENUE, LUBBOCK, TX, 79410 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 MISSION VIEJO PARTNERS II, LLC EIN: 82-3943675 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SN MIGUEL, NEWPORT BEACH, CA 92660 NORTH OC IMAGING JV HOLDINGS, LLC EIN: 85-2444305 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA, 98057 OREGON ADVANCED IMAGING, LLC EIN: 45-0471748 ADDRESS: 881 O'HARE PARKWAY, MEDFORD, OR 97504 OREGON OUTPATIENT SURGERY CENTER EIN: 22-3883387 ADDRESS: 7300 SW CHILDS ROAD, TIGARD, OR 97224 PET/CT IMAGING AT SWEDISH CANCER INSTITUTE, LLC EIN: 20-3132044 ADDRESS: 1221 MADISON STREET SEATTLE, WA 98104 PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES, LLC EIN: 45-2901632 ADDRESS: 19625 62ND AVENUE SOUTH, SUITE 101, KENT, WASHINGTON 98032 PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO EIN: 81-2701056 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 PROV. RADIATION ONCOLOGY DEVELOP. ASSN., LLC EIN: 26-0682491 ADDRESS: 4400 NE HALSEY, #495 PORTLAND, OR 97213 PROVIDENCE & SCA OFF-CAMPUS HOLDINGS, LLC EIN: 82-3765555 569 BROCKWOOD VILLAGE, SUITE 901, BIRMINGHAM, AL 35209 PROVIDENCE & SCA ON-CAMPUS HOLDINGS, LLC EIN: 82-3270499 569 BROCKWOOD VILLAGE, SUITE 901, BIRMINGHAM, AL 35209 PROVIDENCE CHILDREN'S NEONATAL SERVICES EIN: 47-0918549 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 PROVIDENCE IMAGING CENTER JOINT VENTURE EIN: 92-0118807 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 PROVIDENCE ST. JOSEPH HEALTH LONG TERM PORTFOLIO EIN: 82-3190634 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 PROVIDENCE SURGERY CENTER, LLC EIN: 84-1401625 ADDRESS: 902 N. ORANGE ST MISSOULA, MT 59802 PROVIDENCE UCLA USP SURGERY CENTER JV EIN: 32-0503030 14201 DALLAS PARKWAY, DALLAS, TX 75254 PROVIDENCE/USP SOUTH BAY SURGERY CENTERS EIN: 47-5064486 ADDRESS: 15305 DALLAS PKWY, STE 1600, LB 28, ADDISON, TX 75001 PROVIDENCE/USP SURGERY CENTERS, LLC EIN: 20-0684116 ADDRESS: 11550 INDIAN HILLS ROAD #160, MISSION HILLS, CA 91345 RADIATION THERAPY INNOVATIONS, LLC EIN: 30-0553035 ADDRESS: 1221 MADISON STREET, 1ST FL, SEATTLE, WA 98104 SANTA ANA MOB, LLC EIN: 75-3205306 ADDRESS: 1800 QUAIL STREET, STE 100, NEWPORT BEACH, CA 92660 SJO ASC HOLDINGS LLC EIN: 82-1655501 ADDRESS: 1140 W. LA VETA AVE ORANGE, CA 92868 ST JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ST. JOSEPH/SATELLITE DIALYSIS CENTERS, LLC EIN: 81-4657391 ADDRESS: 300 SANTANA ROW, SUITE 300 SAN JOSE, CA 95128 ST. JUDE SURGICAL CENTERS, LLC EIN: 82-3352570 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 ST. PETER-SOUTH SOUND REGIONAL MRI CENTER EIN: 91-1455338 ADDRESS: 3417 ENSIGN RD NE, OLYMPIA, WA, 98506 SURGERY CENTER AT TANASBOURNE, LLC EIN: 20-8187971 ADDRESS: 11221 ROE AVE., STE 300, LEAWOOD, KS 66211 TARZANA PEDIATRIC VENTURES LLC EIN: 82-1308306 ADDRESS: 18321 CLARK ST, TARZANA, CA 91356 THE MADISON SPOKANE INN, LLC EIN: 84-1606484 ADDRESS: 15 WEST ROCKWOOD BLVD. SPOKANE, WA 99204 WON-ONC, LLC EIN: 26-2181194 ADDRESS: 1900 COOKS HILL RD, CENTRALIA, WA, 98531 | ExplanationTxt |