HOAG CLINIC INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HOAG CLINIC INC (EIN 33-0676831)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-12
- IRS object ID
- 202113169349312741
- Schema version
- 2020v4.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-12T20:23:36-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | 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 | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330676831 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hoag Clinic | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ANDREW GUARNI | InCareOfNm |
| Business Name Control | HOAG | BusinessNameControlTxt |
| Phone | 9497644448 | 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 | SVP & CFO | PersonTitleTxt |
| Phone | 9497644448 | PhoneNum |
| Signature | 2021-11-11 | 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 |
| Preparation | 2021-11-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | 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 PO BOX 6100 | AddressLine1Txt |
| City | NEWPORT BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92658 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $119,097,519 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $2,089,749 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $545,341 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,614,780 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $76,625,549 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $112,789,711 | CYProgramServiceRevenueAmt |
| PY Investment Income | $59,355 | PYInvestmentIncomeAmt |
| CY Investment Income | $44,653 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,177,847 | PYOtherRevenueAmt |
| CY Other Revenue | $3,648,375 | CYOtherRevenueAmt |
| PY Total Revenue | $80,408,092 | PYTotalRevenueAmt |
| CY Total Revenue | $119,097,519 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $60,566 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $66,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $37,957,385 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $63,378,685 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $83,915,812 | PYOtherExpensesAmt |
| CY Other Expenses | $130,493,610 | CYOtherExpensesAmt |
| PY Total Expenses | $121,933,763 | PYTotalExpensesAmt |
| CY Total Expenses | $193,938,295 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$41,525,671 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$74,840,776 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $80,012,290 | TotalAssetsBOYAmt |
| Total Assets EOY | $103,168,179 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $117,001,692 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,300,144 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$36,989,402 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $82,868,035 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $131,613,361 | ExpenseAmt |
| Grant | $66,000 | GrantAmt |
| Revenue | $114,271,016 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $131,613,361 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | false | 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 | false | OperateHospitalInd |
| 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 | false | 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 | false | 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 173 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | 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 | false | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| 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 | 9497644448 | 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 (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ROBERT BRAITHWAITE | |||||||||
| PRES/CHAIR HMHP/BD MBR HHF | 2.0 | 57.0 | Yes (X) | Yes (X) | $0 | $2,127,362 | $213,954 | ||
| JENNIFER MITZNER | |||||||||
| CEO/VP EXEC HMHP/CEO HOI | 2.0 | 50.0 | Yes (X) | Yes (X) | $0 | $1,030,889 | $96,994 | ||
| ANDREW GUARNI | |||||||||
| Secret. & CFO HMHP/PRES. HMTS | 4.0 | 52.0 | Yes (X) | $0 | $838,919 | $58,565 | |||
| KRIS IYER MD | |||||||||
| BOARD MEMBER | 50.0 | 4.0 | Yes (X) | $0 | $745,289 | $55,176 | |||
| SCOTT ROPP | |||||||||
| CFO - PART YEAR (TERM 05/2020) | 50.0 | 0.0 | Yes (X) | $0 | $356,960 | $28,237 | |||
| JAMES CAILLOUETTE MD | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $233,676 | $139,422 | $0 | |||
| FRED DILUZIO | |||||||||
| DIR. OF BUS. APP. (TERM 12/20) | 50.0 | 0.0 | $0 | $345,933 | $23,481 | Yes (X) | |||
| SHEILA PORTER | |||||||||
| VP GROUP PRACTICE OPERATIONS | 50.0 | 0.0 | $0 | $321,151 | $29,805 | Yes (X) | |||
| WING CHOI | |||||||||
| EXEC DIR HOAG CLINIC BUS DEVEL | 50.0 | 0.0 | $0 | $240,993 | $47,600 | Yes (X) | |||
| JENNY MAY | |||||||||
| DIRECTOR OF ACCOUNTING | 50.0 | 0.0 | $0 | $235,315 | $21,428 | Yes (X) | |||
| KELLY REYNOLDS | |||||||||
| EXEC DIR URGENT PRIMARY CARE | 50.0 | 0.0 | $0 | $238,902 | $12,431 | Yes (X) | |||
| JUSTIN DAVIS | |||||||||
| DIRECTOR BUS DEVELOPMENT HEH | 50.0 | 0.0 | $0 | $210,566 | $14,352 | Yes (X) | |||
| MICHAEL GAM | |||||||||
| VP & HOAG CLINIC CFO | 50.0 | 0.0 | Yes (X) | $0 | $70,292 | $0 | |||
| VICKI BOOTH | |||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY MARGOLIS | |||||||||
| BOARD MEMBER/CHAIR | 5.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| DAN YOUNG | |||||||||
| BOARD MEMBER | 2.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| KAREN LINDEN | |||||||||
| BOARD MEMBER/PAST CHAIR HMHP | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $233,676 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,901,993 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $602,023 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | 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 |
|---|---|---|---|---|---|
| HOAG MEDICAL GROUP | |||||
| 2995 RED HILL AVE SUITE 100 | COSTA MESA | CA | 92626 | MEDICAL SERVICES | $30,465,891 |
| ORANGE COAST WOMEN'S MEDICAL GROUP | |||||
| 24411 HEALTH CENTER DRIVE SUITE 20 | LAGUNA HILLS | CA | 92653 | MEDICAL SERVICES | $12,497,619 |
| EPIC SYSTEMS CORPORATION | |||||
| 1979 MILKY WAY | VERONA | WI | 53593 | IT SERVICES | $8,129,244 |
| HOAG SPECIALTY CLINIC | |||||
| 2995 RED HILL AVE SUITE 100 | COSTA MESA | CA | 92626 | MEDICAL SERVICES | $5,498,880 |
| RIGHTSOURCING INC | |||||
| PO BOX 515743 | LOS ANGELES | CA | 900515118 | STAFFING SERVICES | $4,363,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 52 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,087,361 | RelatedOrganizationsAmt |
| Government Grants | $1,527,419 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $2,614,780 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICES | 621498 | $96,745,757 | $96,745,757 | $0 | $0 |
| HMO CAPITATED PAYMENTS | 621498 | $15,541,978 | $15,541,978 | $0 | $0 |
| RENTAL INCOME | 531190 | $501,976 | $501,976 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $112,789,711 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,653 | TotalRevenueColumnAmt |
| Exclusion | $44,653 | 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 |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
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 |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| 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 (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| MANAGEMENT SERVICE REVENUE | 561110 | $2,089,749 | $0 | $2,089,749 | $0 |
| All other revenue | 900099 | $1,558,626 | $1,558,626 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,648,375 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $119,097,519 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $114,348,337 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,089,749 | UnrelatedBusinessRevenueAmt |
| Exclusion | $44,653 | 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 | $66,000 | TotalAmt |
| Program Services | $66,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,424,380 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,424,380 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,885,094 | TotalAmt |
| Program Services | $34,587,555 | ProgramServicesAmt |
| Management And General | $18,297,539 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,459,877 | TotalAmt |
| Program Services | $465,288 | ProgramServicesAmt |
| Management And General | $994,589 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,479,690 | TotalAmt |
| Program Services | $3,585,384 | ProgramServicesAmt |
| Management And General | $894,306 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,129,644 | TotalAmt |
| Program Services | $2,328,698 | ProgramServicesAmt |
| Management And General | $800,946 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,311,210 | TotalAmt |
| Program Services | $1,231,387 | ProgramServicesAmt |
| Management And General | $10,079,823 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,364,146 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,364,146 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,875 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $12,875 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,884,519 | TotalAmt |
| Program Services | $50,956,064 | ProgramServicesAmt |
| Management And General | $2,928,455 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,449,447 | TotalAmt |
| Program Services | $352,554 | ProgramServicesAmt |
| Management And General | $2,096,893 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,249,668 | TotalAmt |
| Program Services | $1,174,218 | ProgramServicesAmt |
| Management And General | $3,075,450 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,599 | TotalAmt |
| Program Services | $71,785 | ProgramServicesAmt |
| Management And General | $257,814 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,367,786 | TotalAmt |
| Program Services | $13,821,307 | ProgramServicesAmt |
| Management And General | $3,546,479 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,536 | TotalAmt |
| Program Services | $83,242 | ProgramServicesAmt |
| Management And General | $152,294 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,419 | TotalAmt |
| Program Services | $102,554 | ProgramServicesAmt |
| Management And General | $80,865 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,044,932 | TotalAmt |
| Program Services | $2,543,749 | ProgramServicesAmt |
| Management And General | $2,501,183 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,687 | TotalAmt |
| Program Services | $28,292 | ProgramServicesAmt |
| Management And General | $25,395 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PURCHASED SERVICES | $16,664,542 | $5,525,929 | $11,138,613 | $0 |
| MEDICAL SUPPLIES | $14,002,043 | $14,002,043 | $0 | $0 |
| DUES AND SUBSCRIPTIONS | $2,076,860 | $169,817 | $1,907,043 | $0 |
| LICENSES AND TAXES | $1,083,234 | $403,661 | $679,573 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,107 | TotalAmt |
| Program Services | $113,834 | ProgramServicesAmt |
| Management And General | $66,273 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,938,295 | TotalAmt |
| Program Services | $131,613,361 | ProgramServicesAmt |
| Management And General | $62,324,934 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,380,803 | BOYAmt |
| EOY | $2,169,212 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,640,179 | BOYAmt |
| EOY | $9,679,595 | 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 | $6,247,910 | BOYAmt |
| EOY | $18,481,491 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,860 | BOYAmt |
| EOY | $317,374 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,465,752 | BOYAmt |
| EOY | $3,563,847 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $47,601,089 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,893,105 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,495,434 | BOYAmt |
| EOY | $35,707,984 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,301,491 | BOYAmt |
| EOY | $31,067,924 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,242,861 | BOYAmt |
| EOY | $2,180,752 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,012,290 | BOYAmt |
| EOY | $103,168,179 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,117,750 | BOYAmt |
| EOY | $17,306,307 | 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 | $311,468 | BOYAmt |
| EOY | $1,535,923 | 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 | $96,572,474 | BOYAmt |
| EOY | $1,457,914 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,001,692 | BOYAmt |
| EOY | $20,300,144 | 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 | -$36,989,402 | BOYAmt |
| EOY | $82,868,035 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$36,989,402 | BOYAmt |
| EOY | $82,868,035 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,012,290 | BOYAmt |
| EOY | $103,168,179 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$74,840,776 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $194,698,213 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $545,341 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,614,780 | CurrentTaxYearAmt |
| Total | $3,160,121 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $35,249 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $76,863,033 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $114,348,337 | CurrentTaxYearAmt |
| Total | $191,246,619 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,249 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $77,408,374 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $116,963,117 | CurrentTaxYearAmt |
| Total | $194,406,740 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $194,406,740 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $10,275 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $59,355 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44,653 | CurrentTaxYearAmt |
| Total | $114,283 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,571,319 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,940,363 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,089,749 | CurrentTaxYearAmt |
| Total | $7,601,431 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,581,594 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,999,718 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,134,402 | CurrentTaxYearAmt |
| Total | $7,715,714 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,616,843 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,408,092 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $119,097,519 | CurrentTaxYearAmt |
| Total | $202,122,454 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,091,281 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,203,552 | DepreciationAmt |
| Book Value | $2,887,729 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,013,755 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,582,524 | DepreciationAmt |
| Book Value | $5,431,231 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,496,053 | OtherCostOrOtherBasisAmt |
| Depreciation | $107,029 | DepreciationAmt |
| Book Value | $27,389,024 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $35,707,984 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED LIAB. - CAPITATED CONTRACTS | $749,784 |
| DUE TO AFFILIATES | $549,882 |
| NOTE PAYABLE TO AFFILIATES | $100,697 |
| DEFERRED RENT | $57,551 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,457,914 | 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 | UNCERTAIN TAX POSITION UNDER ASC 740 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, 2020 AND 2019. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| MIRACLES FOR KIDS | |||||||
| 3002 DOW AVENUE SUITE 126 | TUSTIN | CA | 92780 | 912160616 | 501(c)(3) | $60,000 | PROGRAM SUPPORT PROGRAM SUPPORT |
| HOAG CHARITY SPORTS | |||||||
| 2081 BUSINESS CENTER DRIVE SUITE 19 | IRVINE | CA | 92612 | 452982422 | 501(c)(3) | $6,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | MONITORING OF GRANT FUNDS HOAG CLINIC ONLY PROVIDES CONTRIBUTIONS TO 501(C)(3) ORGANIZATIONS. ONCE THE CONTRIBUTION IS MADE, NO FURTHER MONITORING IS DONE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT BRAITHWAITE | ||||||||||||||
| PRES/CHAIR HMHP/BD MBR HHF | $0 | $783,220 | $0 | $1,340,000 | $0 | $4,142 | $0 | $194,762 | $0 | $19,192 | $0 | $2,341,316 | $0 | $0 |
| JENNIFER MITZNER | ||||||||||||||
| CEO/VP EXEC HMHP/CEO HOI | $0 | $562,932 | $0 | $463,339 | $0 | $4,618 | $0 | $74,100 | $0 | $22,894 | $0 | $1,127,883 | $0 | $0 |
| ANDREW GUARNI | ||||||||||||||
| Secret. & CFO HMHP/PRES. HMTS | $0 | $473,818 | $0 | $352,620 | $0 | $12,481 | $0 | $49,696 | $0 | $8,869 | $0 | $897,484 | $0 | $0 |
| KRIS IYER MD | ||||||||||||||
| BOARD MEMBER | $0 | $419,057 | $0 | $315,585 | $0 | $10,647 | $0 | $33,750 | $0 | $21,426 | $0 | $800,465 | $0 | $0 |
| SCOTT ROPP | ||||||||||||||
| CFO - PART YEAR (TERM 05/2020) | $0 | $184,996 | $0 | $171,318 | $0 | $646 | $0 | $20,041 | $0 | $8,196 | $0 | $385,197 | $0 | $0 |
| FRED DILUZIO | ||||||||||||||
| DIR. OF BUS. APP. (TERM 12/20) | $0 | $211,758 | $0 | $106,132 | $0 | $28,043 | $0 | $13,712 | $0 | $9,769 | $0 | $369,414 | $0 | $0 |
| SHEILA PORTER | ||||||||||||||
| VP GROUP PRACTICE OPERATIONS | $0 | $277,712 | $0 | $42,477 | $0 | $962 | $0 | $18,150 | $0 | $11,655 | $0 | $350,956 | $0 | $0 |
| WING CHOI | ||||||||||||||
| EXEC DIR HOAG CLINIC BUS DEVEL | $0 | $213,326 | $0 | $24,730 | $0 | $2,937 | $0 | $29,047 | $0 | $18,553 | $0 | $288,593 | $0 | $0 |
| JENNY MAY | ||||||||||||||
| DIRECTOR OF ACCOUNTING | $0 | $192,481 | $0 | $42,296 | $0 | $538 | $0 | $11,885 | $0 | $9,543 | $0 | $256,743 | $0 | $0 |
| KELLY REYNOLDS | ||||||||||||||
| EXEC DIR URGENT PRIMARY CARE | $0 | $201,821 | $0 | $35,329 | $0 | $1,752 | $0 | $11,858 | $0 | $573 | $0 | $251,333 | $0 | $0 |
| JUSTIN DAVIS | ||||||||||||||
| DIRECTOR BUS DEVELOPMENT HEH | $0 | $137,074 | $0 | $73,096 | $0 | $396 | $0 | $6,898 | $0 | $7,454 | $0 | $224,918 | $0 | $0 |
| JAMES CAILLOUETTE MD | ||||||||||||||
| BOARD MEMBER | $233,676 | $139,422 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $233,676 | $139,422 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | DESCRIPTION OF PRESIDENT PAID BY EXEMPT PARENT THE ORGANIZATION'S PRESIDENT IS PAID BY ITS TAX-EXEMPT PARENT, HOAG MEMORIAL HOSPITAL PRESBYTERIAN (HMHP), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, SECTION B, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY HOAG MEMORIAL HOSPITAL PRESBYTERIAN. |
| SCHEDULE J, PART I, LINE 4B | PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE ORGANIZATION'S TAX-EXEMPT PARENT, HOAG MEMORIAL HOSPITAL PRESBYTERIAN 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: ROBERT BRAITHWAITE - $176,237 ANDREW GUARNI - $15,946 JENNIFER MITZNER - $33,225 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 & PART III, LINE 1 | ORGANIZATION'S MISSION HOAG CLINIC'S MISSION IS TO PROMOTE THE CONTINUED AVAILABILITY OF HEALTH CARE SERVICES TO ALL PERSONS AND PROVIDE COMMUNITY EDUCATION TO HEALTH CARE PROFESSIONALS AND CONDUCT CLINICAL RESEARCH. |
| FORM 990, PART III, LINE 4A | PROGRAM SERVICE ACCOMPLISHMENTS HOAG CLINIC PRIMARY PURPOSES IS TO ESTABLISH, OPERATE AND MAINTAIN FOR CHARITABLE AND EDUCATIONAL PURPOSES (I) MULTISPECIALTY MEDICAL CLINICS AND OTHER CLINICS PURSUANT TO THE PROVISIONS OF SECTION 1206(G) OF THE CALIFORNIA HEALTH AND SAFETY CODE AND OTHER OUTPATIENT OR AMBULATORY HEALTH CARE FACILITIES, ENTITIES AND PROGRAMS FOR THE PROVISION OF HEALTH CARE SERVICES AND (II) EDUCATIONAL FACILITIES THAT, AMONG OTHER THINGS, CONDUCT HEALTH EDUCATION ACTIVITIES AND ENGAGE IN PROGRAMS AND ACTIVITIES DESIGNED TO MEET THE HEALTH, EDUCATION AND SOCIAL NEEDS OF THE GENERAL PUBLIC. IN 2020, HOAG CLINIC PROVIDED PRIMARY CARE SERVICES (INTERNAL MEDICINE, FAMILY PRACTICE AND PEDIATRICS), CONCIERGE MEDICINE, OBSTETRICS AND GYNECOLOGY, ALLERGY, RHEUMATOLOGY, ENDOCRINOLOGY, ONCOLOGY and CARDIOLOGY SERVICES. |
| FORM 990, PART V, LINE 2 | W-2S Hoag Memorial Hospital Presbyterian (HMHP) pays all employees of Hoag Clinic, and therefore issues all W-2s. |
| FORM 990, PART VI, SECTION A, LINE 2 | OFFICERS ROBERT BRAITHWAITE, JENNIFER MITZNER, ANDREW GUARNI, AND JAMES CAILLOUETTE, MD, HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OR STOCKHOLDERS THE SOLE CORPORATE MEMBER OF THE CORPORATION IS HOAG MEMORIAL HOSPITAL PRESBYTERIAN, A RELATED TAX-EXEMPT ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | POWER TO ELECT OR APPOINT MEMBERS THE CORPORATE MEMBER APPOINTS THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS RESERVED FOR MEMBERS OR STOCKHOLDERS THE ORGANIZATIONS MEMBER MUST APPROVE THE FOLLOWING: A) CHANGES OR AMENDMENTS TO THE BYLAWS; B) APPOINTMENT AND REMOVAL OF DIRECTORS; C) DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; D) ANY MERGER OR DISSOLUTION OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE BOARD OF DIRECTORS OF HOAG CLINIC HAS DESIGNATED THE AUDIT & COMPLIANCE COMMITTEE OF THE BORAD OF DIRECTORS OF HOAG MEMORIAL HOSPITAL PRESBYTERIAN TO ACT AS THE AUDIT & COMPLIANCE COMMITTEE OF HOAG CLINIC. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS USED TO REVIEW THE 990 HOAG MEMORIAL HOSPITAL PRESBYTERIAN'S AUDIT AND COMPLIACNE COMMITTEE (WHICH SERVES AS AN ADVISORY COMMITTEE TO THE HOAG CLINIC BOARD) AND HOAG CLINIC'S BOARD OF DIRECTORS REVIEW THE FORM 990 PRIOR TO ISSUANCE. THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE ACCOUNTING TEAM, HUMAN RESOURCES, CORPORATE COMPLIANCE AND GOVERNANCE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. MANAGEMENT PRESENTED THE RETURNS TO THE AUDIT AND COMPLIANCE COMMITTEE, AND DISCUSSED KEY DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE AUDIT AND COMPLIANCE COMMITTEE AND THE BOARD ARE PROVIDED WITH A DRAFT FORM 990 AND ARE PROVIDED AMPLE TIME TO READ THE DOCUMENT AND DEVELOP QUESTIONS. THE BOARD THEN CONVENES PRIOR TO THE ISSUANCE OF THE FORM 990 TO REVIEW AND DISCUSS THE DRAFT FORM 990 WITH MANAGEMENT. AN ELECTRONIC VERSION OF THE FORM 990 IS DISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY THE ORGANIZATION'S BOARD OF DIRECTORS HAS ADOPTED THE COMPREHENSIVE CONFLICT OF INTEREST POLICY OF ITS PARENT. OFFICERS, DIRECTORS, NON-DIRECTOR MEMBERS OF BOARD COMMITTEES, AND 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 PRIOR TO REVIEW AND CONSIDERATION BY THE AUDIT & COMPLIANCE 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 WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT INVOLVING THE ORGANIZATION OR AN AFFILIATE, THE COVERED PERSON SHALL PROMPTLY MAKE DISCLOSURE OF THE INTEREST TO THE BOARD. THE AUDIT AND COMPLIANCE COMMITTEE SHALL THEN DETERMINE IF A DISCLOSED INTEREST MAY RESULT IN A CONFLICT OF INTEREST BY MEETING, DISCUSSING AND VOTING ON THE MATTER. THE PERSON HOLDING THE INTEREST BEING CONSIDERED SHALL NOT BE PRESENT DURING ANY MEETING IN WHICH THE AUDIT AND COMPLIANCE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. THE AUDIT AND COMPLIANCE COMMITTEE MAY REQUEST ADDITIONAL INFORMATION CONCERNING THE RELEVANT INTEREST FROM ALL REASONABLE SOURCES BEFORE REACHING A DETERMINATION. WHEN A CONFLICT OF INTEREST IS DETERMINED TO EXIST, ADDITIONAL PROCEDURES ARE FOLLOWED INCLUDING FURTHER REVIEW BY THE BOARD OF DIRECTORS. ANY DIRECTOR WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT SHALL REFRAIN FROM VOTING ON ANY MATTER RELATING TO THE CONTRACT, TRANSACTIONS OR ARRANGEMENT, OR BE EXCUSED FROM ANY MEETING WHERE THE PROPOSED CONTRACT IS DISCUSSED. |
| FORM 990, PART VI, SECTION B, LINES 15A & 15B | PROCESS FOR DETERMINING COMPENSATION: THE ORGANIZATION'S PRESIDENT AND OTHER OFFICERS ARE PAID BY HOAG MEMORIAL HOSPITAL PRESBYTERIAN, AND ARE DISCLOSED AS PERSONS PAID BY A RELATED ORGANIZATION DURING TAX YEAR ENDING 12-31-20. THE COMPENSATION OF THE OFFICERS ARE 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 2020. 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, SECTION C, LINE 19 | PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC HOAG CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | CHANGES IN NET ASSETS OR FUND BALANCE EQUITY TRANSFER FROM HOAG MEMORIAL HOSPITAL PRESBYTERIAN TO HOAG CLINIC - $183,212,600. EQUITY TRANSFER FROM HMTS TO HOAG CLINIC - $11,485,613. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN PROFESSIONAL FEES TOTAL FEES:52939047 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL DIRECTOR FEES TOTAL FEES:815608 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:129864 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (111 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | IRVINE | CA | 92612 | 452982422 | SUPPORT | CA | 501(C)(3) | 7 | HHF | Yes (true) |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | ||||||||||
| 1 HOAG DRIVE PO BOX 6100 | NEWPORT BEACH | CA | 92658 | 951643327 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| HOAG HOSPITAL FOUNDATION | ||||||||||
| 330 PLACENTIA AVE | NEWPORT BEACH | CA | 92663 | 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) |
| INLAND NORTHWEST HEALTH SERVICES | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 911307555 | HEALTHCARE | WA | 501(C)(3) | 3 | PHS WA | Yes (true) |
| INSTITUTE FOR MENTAL HEALTH & WELLNESS | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 814260130 | HEALTHCARE | WA | 501(C)(3) | 7 | 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) |
| MARSHA RIVKIN CTR FOR OVARIAN CANCER | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 912054035 | RESEARCH | WA | 501(C)(3) | 7 | SHS | 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 | 915054809 | 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 CARE FNDN (CENTRALIA) | ||||||||||
| 413 LILLY ROAD NE | OLYMPIA | WA | 985065166 | 911433382 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS W 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 | ||||||||||
| 2731 WETMORE AVE STE 500 | EVERETT | WA | 98201 | 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 | 980297219 | 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 | 981262799 | 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 | 972132967 | 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 | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 980579016 | 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 | 985065166 | 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 | ||||||||||
| 1801 LIND AVE SW ATTN TAX DEPT | RENTON | WA | 98057 | 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 | 951643324 | 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) | 12, I | 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 | ||||||||||
| 1025 S 2ND AVENUE | WALLA WALLA | WA | 99362 | 452841492 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (45 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| 20TH STREET SURGERY LLC | |||||||
| 1301 20TH STREET STE 140 | SANTA MONICA | CA | 90404 | 731735618 | AMBULATORY SURG | CA | NA |
| BRIDGEPORT MEDICAL IMAGING (BMI) | |||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 260796953 | IMAGING DIAG. | OR | NA |
| BROADWAY IMAGING LLC | |||||||
| 500 W BROADWAY | MISSOULA | MT | 59802 | 522405971 | MEDICAL IMAGING | 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 | |||||||
| 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 ONCOL | OR | NA |
| COASTAL ASC HOLDINGS LLC | |||||||
| ONE HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92663 | 810986844 | HEALTHCARE | CA | NA |
| 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 SURG | CA | NA |
| GREATER VALLEY MEDICAL BUILDING LP | |||||||
| 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 954570858 | REAL ESTATE - MOB | CA | NA |
| HCSA PROPERTIES LLC | |||||||
| 1600 M STREET NW | AUBURN | WA | 98001 | 460620892 | REAL ESTATE RENTA | 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 | NA |
| IMAGING ASSOCIATES LLC | |||||||
| 3650 PIPER STREET STE A | ANCHORAGE | AK | 99508 | 203906048 | MEDICAL IMAGING | AK | NA |
| INLAND IMAGING LLC | |||||||
| 801 S STEVENS ST | SPOKANE | WA | 99204 | 911855796 | MEDICAL IMAGING | 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 |
| MISSION VIEJO PARTNERS II LLC | |||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 330191776 | REAL ESTATE - MOB | CA | NA |
| NEWPORT IMAGING CENTER | |||||||
| 360 SAN MIGUEL | MISSION VIEJO | CA | 92691 | 392060266 | HEALTHCARE | CA | NA |
| NEWPORT SURGICAL PARTNERS LLC | |||||||
| 27271 LAS RAMBLAS 350 | MEDFORD | OR | 97504 | 450471748 | HEALTHCARE | CA | NA |
| OREGON ADVANCED IMAGING LLC | |||||||
| 881 OHARE PARKWAY | TIGARD | OR | 97224 | 223883387 | MEDICAL IMAGING | OR | NA |
| OREGON OUTPATIENT SURGERY CENTER | |||||||
| 7300 SW CHILDS RD | SEATTLE | WA | 98104 | 203132044 | AMBULATORY SURG | OR | NA |
| PETCT IMAGING AT SWEDISH CANCER INSTITU | |||||||
| 1221 MADISON STREET | RENTON | WA | 98057 | 812701056 | MEDICAL IMAGING | WA | NA |
| PHS INVESTMENT TRUST SHORT TERM INVESTME | |||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | PORTLAND | OR | 97213 | 260682491 | INVESTMENTS | WA | NA |
| PROV RADIATION ONCOLOGY DEVELOP ASSN | |||||||
| 4400 NE HALSEY 495 | RENTON | WA | 98057 | 470918549 | REAL ESTATE - MOB | OR | NA |
| PROVIDENCE CHILDREN'S NEONATAL SERVICES | |||||||
| NEONATAL CARE | WA | NA | |||||
| PROVIDENCE IMAGING CENTER JOINT VENTURE | |||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 920118807 | MEDICAL IMAGING | 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 SURG | MT | NA |
| PROVIDENCE UCLA USP SURGERY CENTER JV | |||||||
| 14201 Dallas Parkway | Dallas | TX | 75254 | 320503030 | AMBULATORY SURG | CA | NA |
| PROVIDENCESILVERTON REHAB LLC | |||||||
| 4400 NE HALSEY 425 | PORTLAND | OR | 97213 | 481287267 | REHAB SERVICE | OR | NA |
| PROVIDENCEUSP SOUTH BAY SURGERY CENTERS | |||||||
| 15305 DALLAS PKWY STE 1600 LB 28 | ADDISON | TX | 75001 | 475064486 | AMBULATORY SURG | CA | NA |
| PROVIDENCEUSP SURGERY CTRS LLC | |||||||
| 11550 INDIAN HILLS ROAD 160 | MISSION HILLS | CA | 91345 | 200905938 | AMBULATORY SURG | CA | NA |
| RADIATION THERAPY INNOVATIONS LLC | |||||||
| 1221 MADISON STREET 1ST FL | SEATTLE | WA | 98104 | 300553035 | HEALTHCARE | WA | NA |
| REDMOND AMBULATORY SURGERY CENTER LLC | |||||||
| 805 MADISON ST STE 901 | SEATTLE | WA | 98104 | 813558711 | AMBULATORY SURG | WA | NA |
| SANTA ANA MOB LLC | |||||||
| 1800 QUAIL STREET STE 100 | NEWPORT BEACH | CA | 92660 | 753205306 | REAL ESTATE - MOB | CA | NA |
| SJO ASC HOLDINGS LLC | |||||||
| HEALTHCARE | CA | NA | |||||
| ST JOSEPH PHYSICIAN VENTURES I LLC | |||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 821655501 | REAL ESTATE | CA | NA |
| ST JOSEPHSATELLITE DIALYSIS CTRS LLC | |||||||
| 300 SANTANA ROW SUITE 300 | ORANGE | CA | 92868 | 454521884 | HEALTHCARE | CA | NA |
| ST JUDE SURGICAL CENTERS LLC | |||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | SAN JOSE | CA | 95128 | 814657391 | AMBULATORY SURG | CA | NA |
| SURGERY CENTER AT TANASBOURNE LLC | |||||||
| 11221 ROE AVE STE 300 | RENTON | WA | 98057 | 823352570 | AMBULATORY SURG | KS | NA |
| TARZANA PEDIATRIC VENTURES LLC | |||||||
| 18321 CLARK ST | LEAWOOD | KS | 66211 | 208187971 | HEALTHCARE | CA | NA |
| THE MADISON SPOKANE INN LLC | |||||||
| 15 WEST ROCKWOOD BLVD | TARZANA | CA | 91356 | 821308306 | HOTEL SERVICES | WA | NA |
| YELM MEDICAL OFFICE BUILDING | |||||||
| 2840 CRITES ST SW STE 104 | SPOKANE | WA | 99204 | 841606484 | REAL ESTATE - MOB | WA | NA |
| YELM MEDICAL OFFICE BUILDING | |||||||
| 2840 CRITES ST SW STE 104 | TUMATER | WA | 98512 | 263685020 | REAL ESTATE - MOB | WA | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (40 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1221 MADISON STREET OWNERS ASSOC | |||||||||||||
| 747 BROADWAY | SEATLE | WA | 98122 | 201954319 | OWNERS' ASSOC | WA | NA | C-CORP | |||||
| ACCLARA SOLUTIONS INTERMEDIATE LLC | |||||||||||||
| 10713 W SAM HOUSTON PKWY N 500 | HOUSTON | TX | 77064 | 371783298 | FINANCIAL SVCS | TX | NA | C-CORP | |||||
| AMERICAN UNITY GROUP LTD | |||||||||||||
| CAPTIVE INSURANCE | 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 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 | |||||
| DATU HEALTH INC | |||||||||||||
| 16150 MAIN CIRCLE DR SUITE 250 | CHESTERFIELD | MO | 63017 | 463070062 | 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 | |||||
| ENGAGE IT SERVICES INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844058573 | IT SVCS | DE | NA | C-CORP | |||||
| HMR WEIGHT MANAGEMENT SERVICES CORP | |||||||||||||
| 1801 LIND AVE SW | RENTON | WA | 98057 | 463598718 | HEALTHCARE | WA | NA | C-CORP | |||||
| HOAG MANAGEMENT SERVICES INC | |||||||||||||
| 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 330731587 | HEALTHCARE | CA | NA | C-CORP | |||||
| HOAG PHYSICIAN PARTNERS | |||||||||||||
| 16148 SAND CANYON AVE | IRVINE | CA | 92618 | 834276044 | HEALTHCARE | CA | HOAG CLINIC | 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 (FKA LUMEDIC ACQUISITION C | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 833881097 | HEALTHCARE | WA | NA | C-CORP | |||||
| MEDICAL SPECIALTIES MANAGERS INC | |||||||||||||
| 1801 LIND AVE | SW RENTRON | WA | 98057 | 330406218 | 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 | NA | C-CORP | IN | |||||
| PROVIDENCE HCC HOLDINGS INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | HOLDING COMPANY | CA | 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 | |||||
| QUIVIQ INC | |||||||||||||
| 1400-112TH AVENUE ST SUITE 100 | BELLEVUE | WA | 98004 | 833879444 | ANALYTICS | WA | 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 | |||||
| TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER L | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 842092143 | HOLDING COMPANY | DE | NA | C-CORP | |||||
| TEGRIA RCM GROUP INC (FKA PROVIDENCE R | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844686520 | HOLDING COMPANY | DE | NA | C-CORP | |||||
| TEGRIA SERVICES GROUP INC (FKA PROVIDE | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 844704409 | HOLDING COMPANY | DE | NA | C-CORP | |||||
| TEGRIA SERVICES GROUP-US INC (FKA BLUE | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 900872936 | HEALTHCARE | WI | NA | C-CORP | |||||
| VINSERRA INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 953943315 | INVESTMENT | CA | NA | C-CORP | |||||
| WESTERN HEALTHCONNECT VENTURES INC | |||||||||||||
| 1801 LIND AVENUE SW ATTN TAX DEPT | RENTON | WA | 98057 | 800953654 | INVESTMENT | WA | 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 | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HMTS | ||
| c | $11,485,613 | ACCRUAL |
| ST JOSEPH HERITAGE HEALTHCARE | ||
| m | $7,587,042 | ACCRUAL |
| HOAG HOSPITAL FOUNDATION | ||
| c | $1,087,361 | 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: 500 W. BROADWAY MISSOULA, MT 59802 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 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 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 NEWPORT SURGICAL PARTNERS, LLC EIN: 39-2060266 ADDRESS: 27271 LAS RAMBLAS #350 MISSION VIEJO, CA 92691 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 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 CHILDREN'S NEONATAL SERVICES EIN: 47-0918549 ADDRESS: 1801 LIND AVENUE SW ATTN: TAX DEPT., RENTON, WA 98057 PROVIDENCE HOUSE HEARING HEALTH CENTERS LLC EIN: N/A 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 ADDRESS: 14201 DALLAS PARKWAY, DALLAS, TX 75254 PROVIDENCE/SILVERTON REHAB, LLC EIN: 48-1287267 ADDRESS: 4400 NE HALSEY #425, PORTLAND, OR 97213 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 REDMOND AMBULATORY SURGERY CENTER LLC EIN: 81-3558711 ADDRESS: 805 MADISON ST STE 901, SEATTLE, WA 98104 SANTA ANA MOB, LLC EIN: 75-3205306 ADDRESS: 1800 QUAIL STREET, STE 100, NEWPORT BEACH, CA 92660 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 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 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 YELM MEDICAL OFFICE BUILDING EIN: 26-3685020 ADDRESS: 2840 CRITES ST SW STE 104, TUMATER, WA 98512 | ExplanationTxt |