PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (EIN 51-0216589)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2021-09-21
IRS object ID: 202132649349301758
Schema version: 2019v5.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-09-21T19:18:21-05:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	510216589	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PROVIDENCE HEALTH SYSTEM - SO	BusinessNameLine1Txt
Business Name Line2	CALIFORNIA	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	PROV	BusinessNameControlTxt
Phone	4255253985	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JO ANN ESCASA-HAIGH	PersonNm
Person Title	EVP/ASSISTANT TREASURER	PersonTitleTxt
Phone	4255253985	PhoneNum
Signature	2021-09-21	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN
Phone	4158948000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd
Principal Officer	GREG HOFFMAN	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$2,015,822,349	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://CALIFORNIA.PROVIDENCE.ORG/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1903	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE OAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	12325	TotalEmployeeCnt
Total Volunteers	3560	TotalVolunteersCnt
Total Gross UBI	$230,000	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$204,268	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$19,539,151	PYContributionsGrantsAmt
CY Contributions Grants	$27,226,224	CYContributionsGrantsAmt
PY Program Service Revenue	$1,918,127,213	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,907,023,890	CYProgramServiceRevenueAmt
PY Investment Income	$5,663,886	PYInvestmentIncomeAmt
CY Investment Income	$11,308,442	CYInvestmentIncomeAmt
PY Other Revenue	$18,229,581	PYOtherRevenueAmt
CY Other Revenue	$38,291,169	CYOtherRevenueAmt
PY Total Revenue	$1,961,559,831	PYTotalRevenueAmt
CY Total Revenue	$1,983,849,725	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,537,545	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$14,274,746	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$747,558,304	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$759,413,409	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$5,008,486	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,028,588,017	PYOtherExpensesAmt
CY Other Expenses	$1,343,714,844	CYOtherExpensesAmt
PY Total Expenses	$1,778,683,866	PYTotalExpensesAmt
CY Total Expenses	$2,117,402,999	CYTotalExpensesAmt
PY Revenues Less Expenses	$182,875,965	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$133,553,274	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,506,901,522	TotalAssetsBOYAmt
Total Assets EOY	$1,831,614,125	TotalAssetsEOYAmt
Total Liabilities BOY	$622,338,971	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$680,244,823	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$884,562,551	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,151,369,302	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,761,695,145	ExpenseAmt
Grant	$14,274,746	GrantAmt
Revenue	$1,938,819,379	RevenueAmt
Desc	SEE SCHEDULE OPROVIDENCE ST. JOSEPH HEALTH SYSTEMON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT. BY COMING TOGETHER, PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITS COMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICAL CARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEW SERVICES WHERE THEY ARE NEEDED MOST. TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS, 829 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.THE FOUNDERS OF BOTH ORGANIZATIONS WERE COURAGEOUS WOMEN AHEAD OF THEIR TIME. THE SISTERS OF PROVIDENCE AND THE SISTERS OF ST. JOSEPH OF ORANGE BROUGHT HEALTH CARE AND OTHER SOCIAL SERVICES TO THE AMERICAN WEST WHEN IT WAS STILL A RUGGED, UNTAMED FRONTIER. NOW, AS WE FACE A DIFFERENT LANDSCAPE A CHANGING HEALTH CARE ENVIRONMENT WE DRAW UPON THEIR PIONEERING AND COMPASSIONATE SPIRIT TO PLAN FOR THE NEXT CENTURY OF HEALTH CARE.PROVIDENCE HEALTH & SERVICESIN 1856, MOTHER JOSEPH AND FOUR SISTERS OF PROVIDENCE ESTABLISHED HOSPITALS, SCHOOLS AND ORPHANAGES ACROSS THE NORTHWEST. OVER THE YEARS, OTHER CATHOLIC SISTERS TRANSFERRED SPONSORSHIP OF THEIR MINISTRIES TO PROVIDENCE, INCLUDING THE LITTLE COMPANY OF MARY, DOMINICANS AND CHARITY OF LEAVENWORTH. RECENTLY, SWEDISH HEALTH SERVICES, KADLEC REGIONAL MEDICAL CENTER AND PACIFIC MEDICAL CENTERS HAVE JOINED PROVIDENCE AS SECULAR PARTNERS WITH A COMMON COMMITMENT TO SERVING ALL MEMBERS OF THE COMMUNITY. TODAY, PROVIDENCE SERVES ALASKA, CALIFORNIA, MONTANA, OREGON AND WASHINGTON.ST. JOSEPH HEALTH SYSTEMIN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIFORNIA TO PROVIDE EDUCATION AND HEALTH CARE. THEY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA.OUR CORE VALUES - RESPECT, COMPASSION, JUSTICE, EXCELLENCE, AND STEWARDSHIPOUR COMMITMENT - AS A NOT-FOR-PROFIT HEALTH CARE MINISTRY, PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA EMBRACES OUR RESPONSIBILITY TO RESPOND TO THE NEEDS OF PEOPLE IN OUR COMMUNITIES, ESPECIALLY THE POOR AND VULNERABLE. THIS COMMITMENT, THIS MISSION ROOTED IN GOD'S LOVE FOR ALL, BEGAN WITH THE SISTERS OF PROVIDENCE MORE THAN 150 YEARS AGO.THE HEART OF OUR MISSION WE FOCUS OUR COMMUNITY BENEFIT OUTREACH ON FOUR SPECIFIC POPULATIONS. THESE ARE LOW-INCOME AND UNINSURED PEOPLE, DIVERSE POPULATIONS, OLDER CITIZENS, AND PEOPLE WITH BEHAVIORAL NEEDS. OUR OUTREACH CAN RANGE FROM COVERING THE MEDICAL BILLS OF A HUSBAND AND FATHER DISABLED BY DIABETES, TO FINANCIALLY SUPPORTING A NONPROFIT THAT EMBRACES OLDER REFUGEES AND IMMIGRANTS. DURING THESE HARD ECONOMIC TIMES IN OUR NEIGHBORHOODS AND OUR NATION, WE REINFORCE OUR COMMITMENTS TO CARING FOR THE POOR AND VULNERABLE. THIS COMPASSIONATE CARING IS, AND ALWAYS HAS BEEN, THE HEART OF OUR MISSION.FROM THE SAN FERNANDO VALLEY TO THE WESTSIDE AND THE SOUTH BAY, SIX EXCEPTIONAL HOSPITALS AND OUR AFFILIATED MEDICAL GROUPS ARE REDEFINING HEALTH CARE IN THE 21ST CENTURY. EVERY DAY, THE MEDICAL CENTERS OF PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA, ARE PROVING IT IS POSSIBLE TO PROVIDE LEADING-EDGE CARE WHILE STAYING TRUE TO A MORE THAN 150-YEAR-OLD MISSION TO SERVE THE POOR AND VULNERABLE.EXCEPTIONAL PROGRAMS AND SERVICES THROUGHOUT LOS ANGELES COUNTY AND BEYOND, WE'RE KNOWN FOR OUR OUTSTANDING PROGRAMS IN CANCER, CARDIOLOGY, NEUROSCIENCES, ORTHOPEDICS, WOMEN'S SERVICES, HOSPICE AND PALLIATIVE CARE, AND MANY OTHER SPECIALTIES. WE CONTINUE TO ADD SERVICES AND TECHNOLOGY TO MEET THE NEEDS OF OUR EVER CHANGING COMMUNITIES. THE ROY AND PATRICIA DISNEY FAMILY CANCER CENTER AT PROVIDENCE SAINT JOSEPH MEDICAL CENTER, IS THE LARGEST, MOST COMPREHENSIVE CANCER CENTER IN THE SAN FERNANDO AND SURROUNDING VALLEYS. PROVIDENCE CONTINUOUSLY INVESTS IN THE LATEST TECHNOLOGY AND SEEKS NEW EVIDENCE-BASED WAYS TO IMPROVE DIAGNOSES, TREATMENTS AND PATIENT SAFETY, ALL IN AN ENVIRONMENT OF COMPASSIONATE CARE. PROVIDENCE PROVIDES CARE ACROSS THE SPECTRUM FROM OUR FAMILY-CENTERED NEONATAL ICUS FOR THE MOST FRAGILE OF INFANTS TO NATIONALLY RECOGNIZE PEDIATRIC, CARDIAC AND CANCER SERVICES TO SPECIALIZED TEAM-BASED CARE FOR THE ELDERLY. THE PRACTICE OF EXPERT-TO-EXPERT COLLABORATION PROVIDES A WEALTH OF EXPERIENCE AND KNOWLEDGE IN MANAGING COMPLEX ILLNESSES BY BRINGING IN A RANGE OF SPECIALISTS TO HELP ENSURE THE BEST POSSIBLE OUTCOMES FOR OUR PATIENTS. PROVIDENCE MEDICAL CENTERS ARE DEDICATED TO IMPROVING UPON EXCELLENCE, AFFILIATING WITH SOME OF THE BEST PHYSICIANS IN SOUTHERN CALIFORNIA, ENCOURAGING NURSES TO SEEK INNOVATION IN PATIENT CARE AND PROVIDING A SHARED ELECTRONIC MEDICAL RECORD TO HELP ENSURE THE BEST CARE FOR EVERY PATIENT, EVERY TIME. FIVE STARS FOR EXCELLENCE PROVIDENCE HEALTH SYSTEM - SO. CALIFORNIA IS THE FIRST AND ONLY HEALTH SYSTEM IN THE STATE TO HAVE ALL OUR ELIGIBLE HOSPITALS RECOGNIZED WITH THE HEALTHGRADES' DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE. OUR PROVIDENCE MEDICAL CENTERS HAVE WON NATIONAL AWARDS FOR EXCELLENCE AND SAFETY IN NEUROSCIENCES, ORTHOPEDICS, CRITICAL AND CORONARY CARE, WOMEN'S SERVICES, MATERNITY SERVICES, BARIATRICS AND GASTROINTESTINAL TREATMENT. THESE NATIONAL AWARDS RECOGNIZE THE HIGH LEVEL OF CARE AND DEDICATION TO PATIENT SAFETY AND IMPROVED OUTCOMES. GOLD-STANDARD STROKE CARESTROKE IS THE THIRD LEADING CAUSE OF DEATH AND THE LEADING CAUSE OF DISABILITY FOR ALL AMERICANS. WHEN AND WHERE YOU SEEK TREATMENT CAN MAKE A WORLD OF DIFFERENCE. FIVE OF OUR MEDICAL CENTERS ARE CERTIFIED AS ADVANCED PRIMARY STROKE CENTERS, WHERE THE STROKE CARE PROGRAM FOLLOWS NATIONAL STANDARDS AND GUIDELINES THAT CAN SIGNIFICANTLY IMPROVE OUTCOMES FOR STROKE PATIENTS, EARNING THEM THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ADVANCED PRIMARY STROKE CENTERS AND TOP AWARDS FROM THE AMERICAN HEART/AMERICAN STROKE ASSOCIATIONS. IN ADDITION, PROVIDENCE SAINT JOSEPH MEDICAL CENTER RECEIVED THE HEALTHGRADES STROKE CARE EXCELLENCE AWARD. LEADERS IN HEART ATTACK CARE AND FOR PATIENTS SUFFERING THE MOST SEVERE TYPE OF HEART ATTACK, ALL OF OUR HOSPITALS ARE DESIGNATED STEMI-RECEIVING CENTERS, RECOGNIZED BY LOS ANGELES COUNTY FOR THEIR DEMONSTRATED ABILITIES TO PROVIDE RAPID AND EFFECTIVE CARE FOR THE MOST SERIOUS HEART ATTACKS TO HELP REDUCE LONG-TERM HEART DAMAGE. DIAGNOSIS BEGINS UPON ARRIVAL IN OUR EMERGENCY DEPARTMENTS AND TREATMENT FOLLOWS IMMEDIATELY, WITH A FULL STAFF OF SPECIALISTS, NURSES AND THERAPISTS HIGHLY TRAINED IN CRITICAL CARE. LONG TRADITION OF COMMUNITY SERVICE OUR ROOTS DATE BACK MORE THAN 150 YEARS, WHEN THE SISTERS OF PROVIDENCE AND THE SISTERS OF THE LITTLE COMPANY OF MARY ARRIVED IN THE WEST TO SUPPORT COMMUNITIES IN NEED. TODAY, COMMUNITY SERVICE IS STILL ONE OF OUR HIGHEST PRIORITIES. WE OFFER A WIDE ARRAY OF FREE OR LOW-COST OUTREACH PROGRAMS FOR THOSE IN NEED, FROM PRIMARY CARE CLINICS AND HEALTH SCREENINGS, TO EXERCISE AND HEALTH EDUCATION CLASSES, TO MENTAL HEALTH COUNSELING AND TELEPHONE VISITS FOR SENIORS. IN ALL, PROVIDENCE'S COMMUNITY BENEFIT PROGRAMS TOUCH THE LIVES OF NEARLY A QUARTER MILLION PEOPLE EACH YEAR. FROM SCHOOL CHILDREN TO THE ELDERLY, OUR COMMUNITIES ARE SERVED BY PROGRAMS THAT PROMOTE GOOD HEALTH FOR THE MIND, BODY AND SPIRIT. OUR MISSION TO SERVE IS THE CORNERSTONE OF PROVIDENCE. * PROVIDENCE TARZANA MEDICAL CENTER RECEIVED RECOGNITION AS A DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE RANKING IT AMONG THE TOP 5 PERCENT IN THE NATION FOR PERFORMANCE ON 27 OF THE MOST COMMON DIAGNOSIS AND PROCEDURES. DESIGNATED AS A PEDIATRIC MEDICAL CENTER, PROVIDENCE TARZANA IS CERTIFIED TO INCLUDE TREATING CRITICALLY ILLCHILDREN TRANSPORTED BY THE 9-1-1 EMERGENCY MEDICAL SERVICES SYSTEM. IT HAS ONE OF THE LARGEST AND MOST RENOWNED NEONATAL INTENSIVE CARE UNITS IN THE AREA.* THE AWARD-WINNING PROVIDENCE SAINT JOSEPH MEDICAL CENTER IN BURBANK IS KNOWN FOR ADVANCED TECHNOLOGY, INCLUDING THE USE OF ROBOTICS, TO BOLSTER A TRADITION OF QUALITY CARE. PROVIDENCE SAINT JOSEPH HAS RECEIVED RECOGNITION FOR ORTHOPEDICS, NEUROLOGY, BARIATRICS AND CARDIAC SERVICES.* PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE HAS A REPUTATION FOR CLINICAL EXCELLENCE AND SOPHISTICATED TECHNOLOGY WITH A PERSONAL TOUCH. WINNER OF TRUVEN HEALTH ANALYTICS' 100 TOP HOSPITALS AWARD THREE YEARS IN A ROW.	Desc
Total Program Service Expenses	$1,761,695,145	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	883	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	12325	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JO ANN ESCASA-HAIGH	PersonNm
Phone	9493814000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3345 MICHELSON DRIVE SUITE 100	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (52 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ROD F HOCHMAN MD
FORMER PRESIDENT/CEO	0.00	60.00	Yes (X)	$0	$9,697,491	$1,217,351
MIKE BUTLER
PRESIDENT	7.00	53.00		$0	$3,421,103	$597,820	Yes (X)
ERIK WEXLER
EVP CHIEF EXECUTIVE PSJH SO CA	8.00	57.00		$0	$2,323,821	$283,835		Yes (X)
DEBRA CANALES
FORMER EVP CAO PSJH	0.00	60.00	Yes (X)	$0	$2,204,087	$353,537
RHONDA MEDOWS MD
FORMER PRESIDENT POP HEALTH / AYIN	0.00	60.00	Yes (X)	$0	$1,888,838	$274,454
CINDY STRAUSS
SECRETARY	7.00	53.00		$0	$1,735,009	$347,233	Yes (X)
AMY COMPTON-PHILLIPS MD
FORMER EVP CHIEF CLINICAL OFC PSJH	0.00	55.00	Yes (X)	$0	$1,701,825	$248,465
VENKAT BHAMIDIPATI
EVP/TREASURER	7.00	53.00		$0	$1,615,492	$304,802	Yes (X)
DALE SUROWITZ
CHIEF EXEC PROV TARZANA MED CN	59.00	0.00		$0	$1,510,249	$200,905		Yes (X)
LISA VANCE
FORMER EVP REGIONAL CE OR	0.00	60.00	Yes (X)	$0	$1,313,995	$245,652
JOEL GILBERTSON
FORMER EVP COMMUNITY PARTNERSHIPS	0.00	60.00	Yes (X)	$0	$1,315,140	$203,790
AARON MARTIN
FORMER EVP CHIEF MKT/DIGITAL INNO OF	0.00	70.00	Yes (X)	$0	$1,302,273	$194,312
VICTOR JORDAN
COO SO CA	50.00	0.00		$0	$1,211,448	$213,793		Yes (X)
JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER	6.00	54.00		$0	$1,188,910	$217,824	Yes (X)
TOM MCDONAGH
FORMER VP/CHIEF INVESTMENT OFFICER	0.00	58.00	Yes (X)	$0	$1,356,638	$46,012
SHARON TONCRAY
FORMER SVP/CHIEF LABOR EE COUNSEL	0.00	60.00	Yes (X)	$0	$1,364,262	$36,627
GREG TILL
FORMER CHIEF PEOPLE OFFICER	0.00	65.00	Yes (X)	$0	$1,166,513	$196,967
BERNIE KLEIN MD
CHIEF EXEC PROV HOLY CROSS MC	50.00	0.00		$0	$1,130,832	$220,436		Yes (X)
MIKE WATERS
FORMER EVP AMBULATORY CARE NETWORK	0.00	65.00	Yes (X)	$0	$1,049,713	$159,733
JOHN WHIPPLE
ASSISTANT SECRETARY	7.00	53.00		$0	$905,646	$235,831	Yes (X)
JANICE NEWELL
FORMER SVP/CHIEF INFORMATION OFFCR	0.00	60.00	Yes (X)	$0	$1,071,876	$18,740
OREST HOLUBEC
FORMER SVP CHIEF COMMUNICATION OFCR	0.00	55.00	Yes (X)	$0	$891,959	$168,978
JIM WATSON ESQ
ASSISTANT SECRETARY	6.00	54.00		$0	$843,494	$137,810	Yes (X)
DAVID BROWN
FORMER SVP CAO AMBULATORY CARE	0.00	55.00	Yes (X)	$0	$797,114	$164,344
DEBBIE BURTON
FORMER SVP CHIEF NURSING OFFICER	0.00	60.00	Yes (X)	$0	$710,092	$170,287
GARRY OLNEY
CHIEF EXECUTIVE SOUTH BAY	50.00	0.00		$0	$640,839	$176,773		Yes (X)
JACK MUDD
FORMER SVP/MISSION LEADERSHIP	0.00	29.00	Yes (X)	$0	$802,158	$6,452
KELLY LINDEN
CHIEF EXEC PROV ST JOSEPH MC	50.00	0.00		$0	$646,235	$158,364		Yes (X)
JIM NOBLE
CFO SO CA REGION	50.00	0.00		$0	$620,277	$128,524		Yes (X)
RICHARD GLIMP
CMO TORRANCE	50.00	0.00		$575,965	$0	$53,520			Yes (X)
GLEN KOMATSU
CMO PTCH	0.00	40.00		$536,834	$0	$86,225			Yes (X)
HOWARD DAVIS
CMO TARZANA	50.00	0.00		$564,567	$0	$50,912			Yes (X)
SUSAN DOLBERT
PRESIDENT/CDO	40.00	15.00		$554,602	$0	$26,893			Yes (X)
NICK LYMBEROPOULOS
COO TARZANA	50.00	0.00		$433,121	$0	$66,912			Yes (X)
STEVEN MOHR
FORMER CFO - LA SERVICE AREA	0.00	50.00	Yes (X)	$0	$459,400	$9,342
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	7.00	53.00		$0	$222,743	$19,991	Yes (X)
TAMMY TEODOSIO
FORMER ASSISTANT SECRETARY	7.00	53.00	Yes (X)	$0	$133,465	$24,894
DAVE OLSEN
BOARD CHAIR	0.10	7.00		$0	$65,360	$0				Yes (X)
RICHARD BLAIR
PAST CHAIR	0.10	7.70		$0	$50,360	$0				Yes (X)
ISIAAH CRAWFORD PHD
DIRECTOR	0.10	4.10		$0	$46,550	$0				Yes (X)
DICK P ALLEN
DIRECTOR	0.10	5.00		$0	$40,789	$0				Yes (X)
MICHAEL HOLCOMB
DIRECTOR	0.10	5.50		$0	$40,391	$0				Yes (X)
MARY LYONS PHD
DIRECTOR	0.10	4.60		$0	$40,360	$0				Yes (X)
CAROLINA REYES MD
DIRECTOR	0.10	6.00		$0	$40,360	$0				Yes (X)
PHOEBE YANG
DIRECTOR	0.10	5.50		$0	$30,360	$0				Yes (X)
CHARLES SORENSON MD
DIRECTOR	0.10	5.00		$0	$30,360	$0				Yes (X)
LYDIA MARSHALL
DIRECTOR	0.10	5.00		$0	$22,860	$0				Yes (X)
SISTER DIANE HEJNA CSJ RN
DIRECTOR	0.10	5.30		$0	$0	$0				Yes (X)
SISTER LUCILLE DEAN SP
DIRECTOR	0.10	5.50		$0	$0	$0				Yes (X)
KATHARIN DYER
DIRECTOR	0.10	5.00		$0	$0	$0				Yes (X)
MICHAEL MURPHY
DIRECTOR	0.10	5.00		$0	$0	$0				Yes (X)
SR PHYLLIS HUGHES RSM DRPH
DIRECTOR	0.10	5.00		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,665,089	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$47,650,687	TotReportableCompRltdOrgAmt
Total Other Compensation	$7,268,340	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2371	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PROVIDENCE MEDICAL ASSOCIATES
3460 TORRANCE BLVD 310	TORRANCE	CA	90503	MEDICAL SERVICES	$67,536,014
PROVIDENCE SPECIALTY MEDICAL GROUP
5315 TORRANCE BLVD STE A	TORRANCE	CA	90503	MEDICAL SERVICES	$42,066,318
PACIFIC NEUROSCIENCE INSTITUTE MED GROUP
11645 WILSHIRE BLVD	LOS ANGELES	CA	90025	MEDICAL SERVICES	$20,465,319
SANTA MONICA FAMILY PHYSICIANS
261 N BOWLING GREEN WY	LOS ANGELES	CA	90049	MEDICAL SERVICES	$7,227,804
THERAPEUTIC ASSOCIATES INC
PO BOX 848289	BOSTON	MA	02284	MEDICAL SERVICES	$6,042,261

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	245	CntrctRcvdGreaterThan100KCnt
Fundraising	$77,975	FundraisingAmt
Related Organizations	$26,508,702	RelatedOrganizationsAmt
All Other Contributions	$639,547	AllOtherContributionsAmt
Total Contributions	$27,226,224	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621110	$1,846,678,227	$1,846,678,227
HOSPITAL FEE	621110	$60,927,972	$60,927,972
JV INCOME	900099	-$582,309	-$582,309

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,907,023,890	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,501,385	TotalRevenueColumnAmt
Exclusion	$2,501,385	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$34,358,038	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$29,436,317	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,921,721	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,921,721	TotalRevenueColumnAmt
Exclusion	$4,921,721	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$300,000	SecuritiesAmt
Other	$8,577,215	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$70,158	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$229,842	SecuritiesAmt
Other	$8,577,215	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,807,057	TotalRevenueColumnAmt
Exclusion	$8,807,057	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$87,677	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$77,975	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$62,116	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,561	TotalRevenueColumnAmt
Exclusion	$25,561	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$12,260	GamingGrossIncomeAmt
Gaming Direct Expenses	$3,420	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,840	TotalRevenueColumnAmt
Exclusion	$8,840	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,509,919	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,400,613	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$890,694	TotalRevenueColumnAmt
Exclusion	-$890,694	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
EDUCATION REVENUE	611710	$8,354,896	$8,354,896
CLINICAL TRIALS	621110	$6,628,543	$6,628,543
CAFETERIA REVENUE	722514	$6,099,588		$6,099,588

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,142,714	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,912,714	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$230,000	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$34,225,741	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,983,849,725	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,938,819,379	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$230,000	UnrelatedBusinessRevenueAmt
Exclusion	$21,473,458	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	$14,274,746	TotalAmt
Program Services	$14,274,746	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$691,254,481	TotalAmt
Program Services	$605,690,765	ProgramServicesAmt
Management And General	$82,849,350	ManagementAndGeneralAmt
Fundraising	$2,714,366	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,296,634	TotalAmt
Program Services	$151,655	ProgramServicesAmt
Management And General	$14,144,979	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,550,632	TotalAmt
Program Services	$339,349	ProgramServicesAmt
Management And General	$2,211,268	ManagementAndGeneralAmt
Fundraising	$15	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$51,311,662	TotalAmt
Program Services	$44,454,983	ProgramServicesAmt
Management And General	$6,664,416	ManagementAndGeneralAmt
Fundraising	$192,263	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$130,997	TotalAmt
Program Services	$433	ProgramServicesAmt
Management And General	$130,499	ManagementAndGeneralAmt
Fundraising	$65	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,912,249	TotalAmt
Program Services	$236,642	ProgramServicesAmt
Management And General	$4,675,607	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$30,001	TotalAmt
Program Services	$8,801	ProgramServicesAmt
Management And General	$21,200	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$15,800	TotalAmt
Management And General	$15,800	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$195,143,486	TotalAmt
Program Services	$133,994,467	ProgramServicesAmt
Management And General	$61,082,033	ManagementAndGeneralAmt
Fundraising	$66,986	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$363,803	TotalAmt
Program Services	$8,749	ProgramServicesAmt
Management And General	$355,054	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$36,251,479	TotalAmt
Program Services	$26,571,927	ProgramServicesAmt
Management And General	$9,532,841	ManagementAndGeneralAmt
Fundraising	$146,711	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$998,264	TotalAmt
Program Services	$429,913	ProgramServicesAmt
Management And General	$567,037	ManagementAndGeneralAmt
Fundraising	$1,314	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,215,053	TotalAmt
Program Services	$5,815,603	ProgramServicesAmt
Management And General	$7,354,122	ManagementAndGeneralAmt
Fundraising	$45,328	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,212,436	TotalAmt
Program Services	$746,918	ProgramServicesAmt
Management And General	$426,007	ManagementAndGeneralAmt
Fundraising	$39,511	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,472,128	TotalAmt
Program Services	$364,861	ProgramServicesAmt
Management And General	$1,084,486	ManagementAndGeneralAmt
Fundraising	$22,781	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,709,207	TotalAmt
Program Services	$3,793	ProgramServicesAmt
Management And General	$13,705,414	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$58,798,876	TotalAmt
Program Services	$26,376,276	ProgramServicesAmt
Management And General	$32,394,172	ManagementAndGeneralAmt
Fundraising	$28,428	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$200,315	TotalAmt
Program Services	$13,303	ProgramServicesAmt
Management And General	$187,012	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SYSTEM ALLOCATION COST	$637,159,628	$530,121,580	$105,530,916	$1,507,132
MEDICAL SUPPLIES	$238,553,602	$238,553,602
HOSPITAL FEES	$129,209,660	$129,209,660
LICENSES & TAXES	$4,324,786	$1,376,394	$2,948,392

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,013,074	TotalAmt
Program Services	$2,950,725	ProgramServicesAmt
Management And General	$4,818,763	ManagementAndGeneralAmt
Fundraising	$243,586	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,117,402,999	TotalAmt
Program Services	$1,761,695,145	ProgramServicesAmt
Management And General	$350,699,368	ManagementAndGeneralAmt
Fundraising	$5,008,486	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,075,536	BOYAmt
EOY	$8,072,829	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$263,638	BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$924,900	BOYAmt
EOY	$4,542,551	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$211,360,020	BOYAmt
EOY	$218,963,118	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$7,123,788	BOYAmt
EOY	$8,995,309	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,962,358	BOYAmt
EOY	$19,228,478	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,695,258	BOYAmt
EOY	$7,976,984	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,059,805,978	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,166,101,143	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$760,457,717	BOYAmt
EOY	$893,704,835	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$6,741,604	BOYAmt
EOY	$6,709,010	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$215,418,984	BOYAmt
EOY	$234,572,742	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$276,877,719	BOYAmt
EOY	$428,848,269	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,506,901,522	BOYAmt
EOY	$1,831,614,125	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$142,378,345	BOYAmt
EOY	$279,969,247	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$17,098,891	BOYAmt
EOY	$3,372,782	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$462,861,735	BOYAmt
EOY	$396,902,794	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$622,338,971	BOYAmt
EOY	$680,244,823	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	$769,302,566	BOYAmt
EOY	$1,039,079,911	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$115,259,985	BOYAmt
EOY	$112,289,391	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$884,562,551	BOYAmt
EOY	$1,151,369,302	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,506,901,522	BOYAmt
EOY	$1,831,614,125	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$133,553,274	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$26,777	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$400,386,802	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$191,349	OtherActivitiesAmt
Total Lobbying Expenditures	$191,349	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$511,439	BeginningYearBalanceAmt
Contributions	$35,929	ContributionsAmt
Investment Earnings Or Losses	$5,182	InvestmentEarningsOrLossesAmt
End Year Balance	$552,550	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$497,829	BeginningYearBalanceAmt
Contributions	$14,322	ContributionsAmt
Investment Earnings Or Losses	-$712	InvestmentEarningsOrLossesAmt
End Year Balance	$511,439	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$386,035	BeginningYearBalanceAmt
Contributions	$108,955	ContributionsAmt
Investment Earnings Or Losses	$2,839	InvestmentEarningsOrLossesAmt
End Year Balance	$497,829	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$386,224	BeginningYearBalanceAmt
Contributions	$120	ContributionsAmt
Investment Earnings Or Losses	-$309	InvestmentEarningsOrLossesAmt
End Year Balance	$386,035	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$380,469	BeginningYearBalanceAmt
Contributions	$178	ContributionsAmt
Investment Earnings Or Losses	$32,206	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$26,629	GrantsOrScholarshipsAmt
End Year Balance	$386,224	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$104,022,161	OtherCostOrOtherBasisAmt
Book Value	$104,022,161	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$655,240,869	OtherCostOrOtherBasisAmt
Depreciation	$382,374,133	DepreciationAmt
Book Value	$272,866,736	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,778,827	OtherCostOrOtherBasisAmt
Depreciation	$15,482,893	DepreciationAmt
Book Value	$38,295,934	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$879,224,032	OtherCostOrOtherBasisAmt
Depreciation	$766,359,091	DepreciationAmt
Book Value	$112,864,941	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$367,540,089	OtherCostOrOtherBasisAmt
Depreciation	$1,885,026	DepreciationAmt
Book Value	$365,655,063	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$893,704,835	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEALTHCARE JOINT VENTURES	$21,736,180	F
BENEFICIAL INTEREST IN FOUNDATION	$212,836,562	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$234,572,742	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$233,983,725
OTHER LT REC. - PERPETUAL TRUST	$1,407,514
DUE FROM THIRD PARTY	$10,486,494
HOSPITAL FEE/ PROVIDER TAX RECEIVABLE	$110,917,355
OTHER ASSETS	$69,156,656
INVESTMENT IN SUBSIDIARIES	$2,896,525

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$428,848,269	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
I/C - TAX-EXEMPT BOND LIABILITIES	$309,660,000
LT ASSET RETIREMENT OBLIGATION - FIN 47	$6,524,255
SECURITY DEPOSIT PAYABLE	$66,188
OTHER LONG TERM DEBT	$161,758
CAPITAL LEASE OBLIGATIONS	$60,985,407
DUE TO THIRD PARTY	$9,431,409
OTHER LIABILITIES	$10,073,777

Field	Value	IRS element (for citing)
Total Liability	$396,902,794	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4:	FormAndLineReferenceDesc
Explanation	THE HIGH SCHOOL HAS TWO ENDOWMENT FUNDS ESTABLISHED FOR SCHOLARSHIP PURPOSES AND IS DONOR-RESTRICTED.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$165,652	GrossReceiptsEvent1Amt
Charitable Contri Event1	$77,975	CharitableContriEvent1Amt
Gross Revenue Event1	$87,677	GrossRevenueEvent1Amt
Food And Beverage Event1	$44,700	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$17,416	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$165,652	GrossReceiptsTotalAmt
Charitable Contributions Tot	$77,975	CharitableContributionsTotAmt
Gross Revenue Total Events	$87,677	GrossRevenueTotalEventsAmt
Food And Beverage Total Events	$44,700	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$17,416	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$62,116	DirectExpenseSummaryEventsAmt
Net Income Summary	$25,561	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	21751	PersonsServedCnt
Total Community Benefit Expns	$27,691,057	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,691,057	NetCommunityBenefitExpnsAmt
Total Expense	0.01310	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	78659	PersonsServedCnt
Total Community Benefit Expns	$424,384,958	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$368,985,623	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,399,335	NetCommunityBenefitExpnsAmt
Total Expense	0.02620	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	100410	PersonsServedCnt
Total Community Benefit Expns	$452,076,015	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$368,985,623	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,090,392	NetCommunityBenefitExpnsAmt
Total Expense	0.03930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	89	ActivitiesOrProgramsCnt
Persons Served	68067	PersonsServedCnt
Total Community Benefit Expns	$23,045,222	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,391,367	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,653,855	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	2106	PersonsServedCnt
Total Community Benefit Expns	$9,205,214	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$518,691	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,686,523	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	3750	PersonsServedCnt
Total Community Benefit Expns	$6,451,402	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,648,999	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,802,403	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	107	ActivitiesOrProgramsCnt
Persons Served	73923	PersonsServedCnt
Total Community Benefit Expns	$38,701,838	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,559,057	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,142,781	NetCommunityBenefitExpnsAmt
Total Expense	0.01470	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	107	ActivitiesOrProgramsCnt
Persons Served	174333	PersonsServedCnt
Total Community Benefit Expns	$490,777,853	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$376,544,680	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$114,233,173	NetCommunityBenefitExpnsAmt
Total Expense	0.05400	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$32,035,111	BadDebtExpenseAmt
Reimbursed By Medicare	$634,620,587	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$820,090,323	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$185,469,736	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
PROVIDENCE ST JOSEPH MEDICAL CENTER
1	501 S BUENA VISTA ST	BURBANK	CA	91505	CALIFORNIA.PROVIDENCE.ORG	930000159	Yes (X)	Yes (X)	Yes (X)	A
PROVIDENCE LCM MED CTR - TORRANCE
2	4101 TORRANCE BOULEVARD	TORRANCE	CA	90505	CALIFORNIA.PROVIDENCE.ORG	930000089	Yes (X)	Yes (X)	Yes (X)	B
PROVIDENCE HOLY CROSS MEDICAL CENTER
3	15031 RINALDI ST	MISSION HILLS	CA	91345	CALIFORNIA.PROVIDENCE.ORG	930000404	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)
PROVIDENCE TARZANA MEDICAL CENTER
4	18321 CLARK STREET	TARZANA	CA	91356	CALIFORNIA.PROVIDENCE.ORG	930000097	Yes (X)	Yes (X)	Yes (X)	A
PROVIDENCE LCM MED CTR - SAN PEDRO
5	1300 WEST SEVENTH STREET	SAN PEDRO	CA	90732	CALIFORNIA.PROVIDENCE.ORG	930000142	Yes (X)	Yes (X)	Yes (X)	B

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
PHS - SOUTHERN CALIFORNIA ( GROUP A)
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	19	Yes (1)	https://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)
PHS - SOUTHERN CALIFORNIA ( GROUP B)
0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE LINE 10A URL BELOW	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	19	Yes (1)	https://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS	0	Yes (1)	Yes (X)	300.000000000000	350.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (1)

Supplemental Information SupplementalInformationGrp (26 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 3: PROVIDENCE HOLY CROSS MEDICAL CENTER, - Facility 1: PROVIDENCE ST. JOSEPH MEDICAL CENTER, - Facility 4: PROVIDENCE TARZANA MEDICAL CENTER
Part V, Section B	Facility Reporting Group B
Facility Reporting Group B consists of:	- Facility 2: PROVIDENCE LCM MED. CTR. - TORRANCE, - Facility 5: PROVIDENCE LCM MED. CTR. - SAN PEDRO
PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 3E:	AFTER ALL OF THE PRIMARY AND SECONDARY DATA WAS COLLECTED AND ANALYZED, A GROUP OF 18 COMMUNITY STAKEHOLDERS, 9 FROM PROVIDENCE AND 9 FROM DIFFERENT COMMUNITY SECTORS (PUBLIC SCHOOLS, PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC'S), AND COMMUNITY-BASED ORGANIZATIONS) MET ON TWO SEPARATE OCCASIONS TO REVIEW THE FINDINGS. AFTER FACILITATED DISCUSSION, THE GROUP REACHED A CONSENSUS ON THE TOP EIGHT HEALTH NEEDS:- HOMELESSNESS AND HOUSING INSTABILITY,- BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND SUBSTANCE USE,- FOOD INSECURITY,- PREVENTION AND MANAGEMENT OF CHRONIC DISEASES, AND- ACCESS TO HEALTH CARE AND RESOURCES- SENIOR CARE- IMMUNIZATION/SCHOOL HEALTH- VIOLENCE PREVENTION
PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 5:	PROVIDENCE CONDUCTED KEY INFORMANT INTERVIEWS WITH INDIVIDUALS WHO REPRESENT A VARIETY OF LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS THROUGHOUT THE HOSPITALS' SERVICE AREA.2019 CHNA KEY INFORMANTS:- 3WINS FITNESS (PROGRAM, PHYSICAL ACTIVITY)- CAL STATE UNIVERSITY, NORTHRIDGE (UNIVERSITY, PHYSICAL ACTIVITY)- ALLIANCE FOR COMMUNITY EMPOWERMENT (COMMUNITY BASED ORGANIZATION, COMMUNITY PROGRAMMING AND EMPOWERMENT)- ALL-INCLUSIVE COMMUNITY HEALTH CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- BURBANK HOUSING CORPORATION (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS)- CITY OF BURBANK (GOVERNMENT)- EL CENTRO DE AMISTAD (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH)- EL PROYECTO DEL BARRIO (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- LA FAMILY HOUSING (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS)- LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH (GOVERNMENT, PUBLIC HEALTH)- NORTH VALLEY CARING SERVICES (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS)- NORTHEAST VALLEY HEALTH CORPORATION (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- SAN FERNANDO AND SANTA CLARITA VALLEY HOMELESS COALITION (COALITION, HOUSING/HOMELESSNESS)- NORTHEAST VALLEY HEALTH CORPORATION (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- ONEGENERATION (COMMUNITY BASED ORGANIZATION, AGING SERVICES)- SAN FERNANDO COMMUNITY HEALTH CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- THE OFFICE OF LAUSD SCHOOL BOARD MEMBER KELLY GONEZ (GOVERNMENT, EDUCATION)- VALLEY CROSSROADS SEVENTH-DAY ADVENTIST CHURCH (FAITH BASED ORGANIZATION)- WEST VALLEY YMCA (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT)IN ADDITION TO CONDUCTING KEY INFORMANT INTERVIEWS AS PART OF ITS PRIMARY DATA COLLECTION, PROVIDENCE ALSO INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY AS PART OF ITS CHNA OVERSIGHT COMMITTEE.THE CHNA OVERSIGHT COMMITTEE, AUTHORIZED BY THE GOVERNING BOARDS IN MARCH 2019, MET TWICE IN THE FALL OF 2019 TO PRIORITIZE AND RECOMMEND THE TOP IDENTIFIED HEALTH NEEDS TO BE ADDRESSED OVER THE NEXT THREE YEARS. THE EXTERNAL REPRESENTATIVES INCLUDED THE PERSPECTIVE OF A PEDIATRICIAN, AN FQHC, MENTAL HEALTH SERVICES PROVIDER, AN AFFORDABLE HOUSING ORGANIZATION, SENIOR SERVICES PROVIDER AND THE AREA HEALTH OFFICER FOR THE SAN FERNANDO VALLEY FROM THE DEPARTMENT OF PUBLIC HEALTH. THE GROUP PARTICIPATED IN TWO MEETINGS TO REVIEW THE ASSEMBLED PRIMARY AND SECONDARY DATA FOR EACH IDENTIFIED HEALTH NEED. THE FIRST MEETING INCLUDED DISCUSSIONS ON HOW EACH ISSUE AFFECTED THE COMMUNITIES IN THE REGION, USING THE IDENTIFIED NEED OF HOMELESSNESS AND HOUSING INSTABILITY TO FAMILIARIZE AND PREPARE THE PARTICIPANTS FOR CRITERIA THAT WOULD BE APPLIED DURING THE PRIORITIZATION MEETING. IN THE SECOND MEETING COMMITTEE PARTICIPANTS RECEIVED A QUESTIONNAIRE AT THE START OF THE MEETING AND ASKED TO RATE THE SEVERITY OF EACH IDENTIFIED HEALTH NEED USING THREE CRITERIA: (1) THE CHANGE OVER TIME, (2) THE AVAILABILITY OF COMMUNITY RESOURCES/ASSETS TO ADDRESS THE HEALTH NEED, AND (3) THE COMMUNITY READINESS TO IMPLEMENT/SUPPORT PROGRAMS TO ADDRESS THE HEALTH NEED. OVERSIGHT COMMITTEE MEMBERS WERE THEN ASKED TO CONSIDER THE THREE QUESTIONS BELOW AND GIVEN THREE DOTS, OR "VOTES", TO ASSIGN TO THE IDENTIFIED HEALTH NEEDS, RESULTING IN A LIST OF PRIORITIZED NEEDS.- HOW DOES THIS NEED IMPACT THE WORK OF YOUR ORGANIZATION AND THE CLIENTS YOU SERVE?- WHAT OTHER SERVICE GAPS CURRENTLY EXIST?- WHAT ROLE CAN PROVIDENCE PLAY IN ADDRESSING THIS NEED?
PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 6A:	PROVIDENCE HOLY CROSS, PROVIDENCE SAINT JOSEPH AND PROVIDENCE TARZANA MEDICAL CENTERS COLLABORATED TOGETHER TO COMPLETE THEIR JOINT COMMUNITY HEALTH NEEDS ASSESSMENT.
PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 6B:	THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE CENTER FOR NONPROFIT MANAGEMENT (CNM), LOS ANGELES, CA.
PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, LINE 7B, CHNA REPORT WEBSITE:	HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS?SCREF=GLOBALSEARCH
PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 9:	THE HOSPITAL FACILITIES ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ON APRIL 16, 2020, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 11:	IN DEVELOPING THE LIST OF PRIORITY NEEDS, PROVIDENCE LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. AFTER CONSIDERABLE DISCUSSION, THE BOARD COMMITTEE ON COMMUNITY BENEFITS CAME TO A CONSENSUS THAT THE THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN WOULD ADDRESS EACH OF THE EIGHT IDENTIFIED HEALTH NEEDS:1) HOMELESSNESS AND HOUSING INSTABILITY2) BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND SUBSTANCE USE3) FOOD INSECURITY4) PREVENTION AND MANAGEMENT OF CHRONIC DISEASES5) ACCESS TO HEALTH CARE AND RESOURCES6) SENIOR CARE7) IMMUNIZATION/SCHOOL HEALTH8) VIOLENCE PREVENTION THE MOST SIGNIFICANT CHANGE TO THIS LIST (COMPARED TO THE 2016 CHNA) WAS THE ADDITION OF IMMUNIZATION/SCHOOL HEALTH AS AN IDENTIFIED COMMUNITY HEALTH NEED IN THE COMMUNITY.THE IDENTIFIED HEALTH NEEDS WILL BE ADDRESSED WITHIN THE CONTEXT OF FOUR INITIATIVES THAT MAKE UP THE THREE-YEAR IMPLEMENTATION STRATEGY:1) INITIATIVE #1: STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE FOR PATIENTS EXPERIENCING HOMELESSNESS OUR GOAL IS TO PROVIDE ADDITIONAL SUPPORT TO PATIENTS EXPERIENCING HOMELESSNESS AND HOUSING INSTABILITY THROUGH EFFORTS TO STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE. THESE EFFORTS INCLUDE NAVIGATORS, EARLY INTERVENTION FOR INDIVIDUALS WHO ARE AT HIGH RISK OF BECOMING HOMELESS, AND PROVIDING SUPPORT FOR ADDITIONAL TEMPORARY HOUSING AND/OR RECUPERATIVE CARE BEDS IN THE REGION.2) INITIATIVE #2: INCREASE REACH AND UTILIZATION OF COMMUNITY BASED WELLNESS AND ACTIVITY CENTERSOUR GOAL IS TO INCREASE THE REACH AND UTILIZATION OF PROVIDENCE COMMUNITY-BASED WELLNESS AND ACTIVITY CENTERS BY EXPANDING THE SCOPE OF HEALTH AND WELLNESS SERVICES AVAILABLE TO LOCAL RESIDENTS, STRENGTHENING THE INFRASTRUCTURE OF WELLNESS SERVICES IN UNDERSERVED COMMUNITIES AND ENGAGING PUBLIC AND PRIVATE PARTNERS TO WORK ALONGSIDE US IN THE IMPLEMENTATION OF PROGRAM SERVICES.3) INITIATIVE #3: IMPROVE ACCESS TO HEALTHCARE SERVICES AND PREVENTIVE RESOURCESOUR GOAL IS TO IMPROVE ACCESS TO HEALTH CARE AND PREVENTIVE RESOURCES TO THE MOST VULNERABLE COMMUNITIES OF THE REGION ESPECIALLY THE POOR AND UNDERSERVED BY DEPLOYING PROGRAMS TO ASSIST IN THE NAVIGATION OF THE HEALTH CARE SYSTEM, PROVIDE EDUCATION, AND ENROLLMENT ASSISTANCE. 4) INITIATIVE #4: SUPPORT COLLABORATIVE PARTNERSHIPS FOR BETTER HEALTH OUR GOAL IS TO BUILD COLLABORATIVE PARTNERSHIPS WITH NONPROFIT ORGANIZATIONS, COMMUNITY CLINICS, PUBLIC AND PRIVATE SCHOOLS IN THE SAN FERNANDO VALLEY TO ADDRESS THE NEEDS OF CHILDREN TO BECOME UP TO DATE ON AGE-APPROPRIATE IMMUNIZATIONS AND INCREASE FLU SHOT VACCINATIONS FOR CHILDREN, ADULTS AND SENIORS.
PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 16A:	FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE
PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 16B:	FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE-APPLICATION
PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 16C:	FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/PLAIN-LANGUAGE-SUMMARY
PHS - SOUTHERN CALIFORNIA (GROUP A) - PART V, SECTION B, LINE 24:	IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE.
PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 3E:	AFTER ALL OF THE PRIMARY AND SECONDARY DATA WAS COLLECTED AND ANALYZED, A GROUP OF 8 COMMUNITY STAKEHOLDERS, 4 FROM PROVIDENCE AND 4 FROM DIFFERENT COMMUNITY SECTORS (PUBLIC SCHOOLS, PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC'S), AND COMMUNITY-BASED ORGANIZATIONS) MET ON TWO SEPARATE OCCASIONS TO REVIEW THE FINDINGS. AFTER FACILITATED DISCUSSION, THE GROUP REACHED A CONSENSUS ON THE TOP TEN HEALTH NEEDS:- HOMELESSNESS AND HOUSING INSTABILITY- ACCESS TO HEALTH CARE- BEHAVIORAL HEALTH- ECONOMIC INSECURITY AND WORKFORCE DEVELOPMENT- FOOD INSECURITY- SERVICES FOR SENIORS- CHRONIC DISEASES- EARLY CHILDHOOD DEVELOPMENT- SOCIAL COHESION- ORAL HEALTH CARE
PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 5:	PROVIDENCE CONDUCTED KEY INFORMANT INTERVIEWS WITH INDIVIDUALS WHO REPRESENT A VARIETY OF LOW-INCOME, MEDICALLY UNDERSERVED, AND MINORITY POPULATIONS THROUGHOUT THE HOSPITALS' SERVICE AREA.2019 CHNA KEY INFORMANTS:- BEHAVIORAL HEALTH SERVICES, INC. (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH)- ST. JOSEPH CHURCH HAWTHORN (RELIGIOUS ORGANIZATION)- LAWNDALE ELEMENTARY SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION)- HARBOR COMMUNITY CLINIC (COMMUNITY BASED ORGANIZATION, HEALTH CARE)- BOYS & GIRLS CLUBS OF THE LOS ANGELES HARBOR (NATIONAL ORGANIZATION, YOUTH DEVELOPMENT)- THE VOLUNTEER CENTER SOUTH BAY, HARBOR, LONG BEACH (COMMUNITY BASED ORGANIZATION, MENTAL HEALTH, FOOD INSECURITY, COMMUNITY WELLBEING)- CALIFORNIA ASSOCIATION OF FOOD BANKS (STATE ORGANIZATION, FOOD INSECURITY)- FLYAWAYHOMES (COMMUNITY BASED ORGANIZATION, HOMELESSNESS)- RICHSTONE FAMILY CENTER (COMMUNITY BASED ORGANIZATION, CHILD ABUSE TREATMENT AND PREVENTION)- SOUTH BAY COALITION TO END HOMELESSNESS (COALITION, HOMELESSNESS)IN ADDITION TO CONDUCTING KEY INFORMANT INTERVIEWS AS PART OF ITS PRIMARY DATA COLLECTION, PROVIDENCE ALSO INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY AS PART OF ITS CHNA OVERSIGHT COMMITTEE.THE CHNA OVERSIGHT COMMITTEE, AUTHORIZED BY THE GOVERNING BOARD, MET TWICE IN THE FALL OF 2019 TO PRIORITIZE AND RECOMMEND THE TOP IDENTIFIED HEALTH NEEDS TO BE ADDRESSED OVER THE NEXT THREE YEARS. THE EXTERNAL REPRESENTATIVES INCLUDED THE PERSPECTIVE OF A FQHC, NONPROFIT SOCIAL SERVICES AGENCY, PUBLIC SCHOOLS AND THE DIRECTOR OF NUTRITION AND PHYSICAL ACTIVITY PROGRAM FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. THE GROUP PARTICIPATED IN TWO MEETINGS TO REVIEW THE ASSEMBLED PRIMARY AND SECONDARY DATA FOR EACH IDENTIFIED HEALTH NEED. THE FIRST MEETING INCLUDED DISCUSSIONS ON HOW EACH ISSUE AFFECTED THE COMMUNITIES IN THE REGION, USING THE IDENTIFIED NEEDS OF FOOD INSECURITY AND BEHAVIORAL HEALTH TO FAMILIARIZE AND PREPARE THE PARTICIPANTS FOR CRITERIA THAT WOULD BE APPLIED DURING THE PRIORITIZATION MEETING. IN THE SECOND MEETING COMMITTEE PARTICIPANTS RECEIVED A QUESTIONNAIRE AT THE START OF THE MEETING AND ASKED TO RATE THE SEVERITY OF EACH IDENTIFIED HEALTH NEED USING THREE CRITERIA: (1) THE CHANGE OVER TIME, (2) THE AVAILABILITY OF COMMUNITY RESOURCES/ASSETS TO ADDRESS THE HEALTH NEED, AND (3) THE COMMUNITY READINESS TO IMPLEMENT/SUPPORT PROGRAMS TO ADDRESS THE HEALTH NEED. OVERSIGHT COMMITTEE MEMBERS WERE THEN ASKED TO CONSIDER THE THREE QUESTIONS BELOW AND GIVEN THREE DOTS, OR "VOTES," TO ASSIGN TO THE IDENTIFIED HEALTH NEEDS, RESULTING IN A LIST OF PRIORITIZED NEEDS.- HOW DOES THIS NEED IMPACT THE WORK OF YOUR ORGANIZATION AND THE CLIENTS YOU SERVE?- WHAT OTHER SERVICE GAPS CURRENTLY EXIST?- WHAT ROLE CAN PROVIDENCE PLAY IN ADDRESSING THIS NEED?
PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 6A:	PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE COLLABORATED TOGETHER TO COMPLETE THEIR JOINT COMMUNITY HEALTH NEEDS ASSESSMENT.
PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 6B:	THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE CENTER FOR NONPROFIT MANAGEMENT (CNM), LOS ANGELES, CA.
PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, LINE 7B, CHNA REPORT WEBSITE:	HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS?SCREF=GLOBALSEARCH
PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 9:	THE HOSPITAL FACILITIES ADOPTED ITS IMPLEMENTATION STRATEGY ASSOCIATED WITH THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ON MARCH 24, 2020, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-3(A)(1).
PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 11:	IN DEVELOPING THE LIST OF PRIORITY NEEDS, PROVIDENCE LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. AFTER CONSIDERABLE DISCUSSION, THE BOARD COMMITTEE ON COMMUNITY BENEFITS CAME TO A CONSENSUS THAT THE THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN WOULD ADDRESS NINE OF THE TEN IDENTIFIED HEALTH NEEDS:1. HOMELESSNESS AND HOUSING INSTABILITY2. ACCESS TO HEALTH CARE3. BEHAVIORAL HEALTH4. ECONOMIC INSECURITY AND WORKFORCE DEVELOPMENT5. FOOD INSECURITY6. SERVICES FOR SENIORS7. CHRONIC DISEASES8. EARLY CHILDHOOD DEVELOPMENT9. SOCIAL COHESIONNO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. ORAL HEALTH WAS EXCLUDED AS A HEALTH NEED THAT WOULD BE ADDRESSED IN THE THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN. OUR HEALTH FACILITIES DO NOT PROVIDE ORAL HEALTH CARE, AND IT IS NOT OUR AREA OF EXPERTISE WITHIN THE PROVIDENCE HEALTH SYSTEM IN THE LOS ANGELES REGION. HOWEVER, THERE ARE NUMBER OF COMMUNITY PARTNERS INCLUDING LOCAL FEDERALLY QUALIFIED HEALTH CLINICS WHO ARE FOCUSING ON INCREASING ACCESS TO ORAL HEALTH CARE ESPECIALLY FOR THE MEDI-CAL POPULATION. FOR COMMUNITY MEMBERS IN NEED OF THESE SERVICES WE REFER THEM TO THESE PROVIDERS OF LOW-COST DENTAL CARE.THE MOST SIGNIFICANT CHANGE TO THIS LIST (COMPARED TO THE 2016 CHNA) WAS THE ADDITION OF IMMUNIZATION/SCHOOL HEALTH AS AN IDENTIFIED COMMUNITY HEALTH NEED IN THE COMMUNITY.THE NINE PRIORITIZED HEALTH NEEDS WILL BE ADDRESSED WITHIN THE CONTEXT OF FOUR INITIATIVES THAT MAKE UP THE THREE-YEAR IMPLEMENTATION STRATEGY:1) INITIATIVE #1: STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE FOR PATIENTS EXPERIENCING HOMELESSNESSOUR GOAL IS TO PROVIDE ADDITIONAL SUPPORT TO PATIENTS EXPERIENCING HOMELESSNESS AND HOUSING INSTABILITY THROUGH EFFORTS TO STRENGTHEN INFRASTRUCTURE OF CONTINUUM OF CARE. THESE EFFORTS INCLUDE NAVIGATORS, A COORDINATED ENTRY SYSTEM HOSPITAL LIAISON, EARLY INTERVENTION FOR INDIVIDUALS WHO ARE AT HIGH RISK OF BECOMING HOMELESS, AND PROVIDING SUPPORT FOR ADDITIONAL TEMPORARY HOUSING AND/OR RECUPERATIVE CARE BEDS IN THE REGION.2) INITIATIVE #2: IMPROVE ACCESS TO HEALTH CARE SERVICESOUR GOAL IS TO IMPROVE ACCESS TO QUALITY HEALTH CARE SERVICES FOR VULNERABLE POPULATIONS BY:- REDUCING THE UTILIZATION OF EMERGENCY DEPARTMENTS FOR "AVOIDABLE", NON-EMERGENCY VISITS AND IMPROVING LINKAGE TO A MEDICAL HOME.- REDUCING THE RATES OF UNINSURED PEOPLE IN THE COMMUNITY- INCREASING THE PERCENTAGE OF THE POPULATION WHO RECEIVE FLU SHOTS3) INITIATIVE #3: INVEST IN EXPANSION OF COMMUNITY-BASED WELLNESS AND ACTIVITY CENTERSOUR GOAL IS TO INCREASE THE REACH AND UTILIZATION OF PROVIDENCE COMMUNITY-BASED WELLNESS AND ACTIVITY CENTERS BY EXPANDING THE SCOPE OF HEALTH AND WELLNESS SERVICES AVAILABLE TO LOCAL RESIDENTS, STRENGTHENING THE INFRASTRUCTURE OF WELLNESS SERVICES IN UNDERSERVED COMMUNITIES AND ENGAGING PUBLIC AND PRIVATE PARTNERS TO WORK ALONGSIDE US IN THE IMPLEMENTATION OF PROGRAM SERVICES.4) INITIATIVE #4: TRAIN AND DEPLOY A WORKFORCE OF COMMUNITY HEALTH WORKERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH IN UNDERSERVED POPULATIONSOUR GOAL IS TO INCREASE THE NUMBER OF COMMUNITY HEALTH WORKERS EMPLOYED IN HEALTH CARE SETTINGS IN ROLES THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH- REDUCTION IN THE NUMBER OF PEOPLE WHO ARE UNINSURED- REDUCTION THE IN THE NUMBER OF ELIGIBLE BUT UNENROLLED IN CALFRESH/SNAP BENEFITS
PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 16A:	FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE
PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 16B:	FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/FINANCIAL-ASSISTANCE-APPLICATION
PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 16C:	FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/CA-LA/PLAIN-LANGUAGE-SUMMARY
PHS - SOUTHERN CALIFORNIA (GROUP B) - PART V, SECTION B, LINE 24:	IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE.

Field	Value	IRS element (for citing)
Facility	43	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (43 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - AMBULATORY SURGERY CENTER
2020 SANTA MONICA BLVD STE 140	SANTA MONICA	CA	90404	OUTPATIENT SERVICES
2 - BRAIN TUMOR CENTER
2121 SANTA MONICA BOULEVARD	SANTA MONICA	CA	90404	OUTPATIENT SERVICES
3 - CARDIAC AND PULMONARY REHAB
20929 HAWTHORNE BOULEVARD	TORRANCE	CA	90503	OUTPATIENT SERVICES
4 - CARSON PRIMARY CARE NORTH
20401 AVALON BOULEVARD STE B	CARSON	CA	90746	OUTPATIENT SERVICES
5 - CHILD AND FAMILY DEVELOPMENT CENTER
1339 20TH STREET	SANTA MONICA	CA	90404	OUTPATIENT SERVICES
6 - CLEFT PALATE CENTER
2121 SANTA MONICA BOULEVARD	SANTA MONICA	CA	90404	OUTPATIENT SERVICES
7 - COMMUNITY HEALTH
2601 AIRPORT DRIVE STE 220	TORRANCE	CA	90505	OUTPATIENT SERVICES
8 - CONCUSSION MANAGEMENT
501 S BUENA VISTA STREET	BURBANK	CA	91505	OUTPATIENT SERVICES
9 - DERMATOLOGICAL CENTER FOR SKIN HEALTH
2121 SANTA MONICA BOULEVARD	SANTA MONICA	CA	90404	OUTPATIENT SERVICES
10 - HIP AND PELVIS INSTITUTE
2001 SANTA MONICA BLVD STE 760	SANTA MONICA	CA	90404	OUTPATIENT SERVICES
11 - HOME HEALTH
2601 AIRPORT DRIVE STE 230	TORRANCE	CA	90505	OUTPATIENT SERVICES
12 - HOWARD AND HYCY HILL NEUROSCIENCE CENTER
501 S BUENA VISTA STREET	BURBANK	CA	91505	OUTPATIENT SERVICES
13 - IMAGING AND BREAST CENTER
1360 W 6TH STREET SUITE 100	SAN PEDRO	CA	90731	OUTPATIENT SERVICES
14 - MARGIE PETERSON BREAST CENTER
2121 SANTA MONICA BOULEVARD GARDEN	SANTA MONICA	CA	90404	OUTPATIENT SERVICES	LEVE
15 - NUTRITION AND DIABETES EDUCATION DEPARTM
2121 SANTA MONICA BOULEVARD	SANTA MONICA	CA	90404	OUTPATIENT SERVICES
16 - OUTPATIENT DIAGNOSTIC CENTER
11570 INDIAN HILLS ROAD	MISSION HILLS	CA	91345	OUTPATIENT SERVICES
17 - OUTPATIENT REHAB CENTER
21135 HAWTHORNE BOULEVARD	TORRANCE	CA	90503	OUTPATIENT SERVICES
18 - PERFORMANCE THERAPY
2020 SANTA MONICA BLVD STE 401	SANTA MONICA	CA	90404	OUTPATIENT SERVICES
19 - PROVIDENCE CENTER FOR COMMUNITY IMPROVEM
6801 COLDWATER CANYON AVE	NORTH HOLLYWOOD	CA	91605	OUTPATIENT SERVICES
20 - PROVIDENCE FAMILY MEDICAL CENTER
520 N PROSPECT AVE STE 103	REDONDO BEACH	CA	90277	OUTPATIENT SERVICES
21 - PROVIDENCE HOLY CROSS CANCER CENTER
15031 RINALDI STREET	MISSION HILLS	CA	91345	OUTPATIENT SERVICES
22 - PROVIDENCE HOLY CROSS HEALTH CENTER AT P
19950 RINALDI STREET	PORTER RANCH	CA	91326	OUTPATIENT SERVICES
23 - PROVIDENCE HOLY CROSS HEALTH CENTER AT S
26357 MCBEAN PARKWAY	SANTA CLARITA	CA	91355	OUTPATIENT SERVICES
24 - PROVIDENCE HOLY CROSS SURGERY CENTER
11550 INDIAN HILLS ROAD	MISSION HILLS	CA	91345	OUTPATIENT SERVICES
25 - PROVIDENCE PLAYA VISTA MEDICAL CENTER
6020 SEA BLUFF DRIVE STE 1	PLAYA VISTA	CA	90094	OUTPATIENT SERVICES
26 - PROVIDENCE SAINT JOSEPH BREAST HEALTH CE
181 S BUENA VISTA STREET STE 300	BURBANK	CA	91505	OUTPATIENT SERVICES
27 - PROVIDENCE SAINT JOSEPH DIAGNOSTIC CENTE
201 S BUENA VISTA STREET STE 125	BURBANK	CA	91505	OUTPATIENT SERVICES
28 - PROVIDENCE SAINT JOSEPH HEALTH CENTER
3413 W PACIFIC AVENUE	BURBANK	CA	91505	OUTPATIENT SERVICES
29 - PROVIDENCE ST ELIZABETH CARE CENTER
10425 MAGNOLIA BLVD	NORTH HOLLYWOOD	CA	91601	OUTPATIENT SERVICES
30 - PROVIDENCE TARZANA MRI CENTER
18321 CLARK STREET	TARZANA	CA	91356	OUTPATIENT SERVICES
31 - PROVIDENCE TARZANA OUTPATIENT IMAGING CE
18344 CLARK STREET STE 101	TARZANA	CA	91356	OUTPATIENT SERVICES
32 - PROVIDENCE TARZANA OUTPATIENT THERAPY CE
5359 BALBOA BLVD	ENCINO	CA	91316	OUTPATIENT SERVICES
33 - PROVIDENCE TARZANA WOMENS CENTER
18344 CLARK STREET STE 110	TARZANA	CA	91356	OUTPATIENT SERVICES
34 - PROVIDENCE TARZANA WOUND CARE CENTER
18411 CLARK STREET STE 301	TARZANA	CA	91356	OUTPATIENT SERVICES
35 - RADIATION ONCOLOGY
3531 FASHION WAY	TORRANCE	CA	90503	OUTPATIENT SERVICES
36 - RECOVERY CENTER
1386 W 7TH STREET	SAN PEDRO	CA	90732	OUTPATIENT SERVICES
37 - ROY AND PATRICIA DISNEY FAMILY CANCER CE
181 S BUENA VISTA STREET	BURBANK	CA	91505	OUTPATIENT SERVICES
38 - SAN FERNANDO VALLEY HEART INSTITUTE
18321 CLARK STREET	TARZANA	CA	91356	OUTPATIENT SERVICES
39 - SOUTH BAY OPHTHALMOLOGY CENTER
4825 TORRANCE BOULEVARD STE 100	TORRANCE	CA	90503	OUTPATIENT SERVICES
40 - SUB ACUTE CARE CENTER
1322 W 6TH STREET	SAN PEDRO	CA	90732	OUTPATIENT SERVICES
41 - TRANSITIONAL CARE CENTER
4320 MARICOPA STREET	TORRANCE	CA	90505	OUTPATIENT SERVICES
42 - VASEK POLAK HEALTH CLINIC
13355 HAWTHORNE BLVD	HAWTHORNE	CA	90250	OUTPATIENT SERVICES
43 - WOMEN'S IMAGING CENTER
20929 HAWTHORNE BOULEVARD	TORRANCE	CA	90503	OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
Part I, Line 6a:	PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTP://WWW.PSJHEALTH.ORG/COMMUNITY-BENEFIT/SOUTHERN-CALIFORNIA.
Part I, Line 7:	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSED ALL PATIENT SEGMENTS.
Part I, Line 7g:	NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED ON THIS LINE IN 2019.
Part III, Line 2:	THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE.
Part III, Line 3:	THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS WERE GRANTED 100 PERCENT FINANCIAL ASSISTANCE (FREE CARE). AFTER THE RECLASSIFICATION, THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
Part III, Line 4:	THE HEALTH SYSTEM PROVIDED FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
Part III, Line 8:	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
Part III, Line 9b:	PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE.
Part VI, Line 2:	NEEDS ASSESSMENT:REPORTING GROUP AEVERY THREE YEARS, PROVIDENCE HOLY CROSS, PROVIDENCE SAINT JOSEPH AND PROVIDENCE TARZANA MEDICAL CENTERS CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN THE SAN FERNANDO VALLEY. PRIOR TO BEGINNING THE PROCESS, THE COMMUNITY HEALTH DEPARTMENT STAFF MAKES A PRESENTATION TO THE SAN FERNANDO VALLEY COMMUNITY MINISTRY BOARD OUTLINING THE FRAMEWORK OF THE CHNA PROCESS AND REQUESTS AUTHORITY FROM THE GOVERNING BOARD TO FORM A BOARD COMMITTEE ON COMMUNITY BENEFIT TO OVERSEE THE CHNA PROCESS. THE COMMITTEE IS COMPOSED OF NINE INTERNAL PROVIDENCE STAFF, AND NINE COMMUNITY STAKEHOLDERS (I.E. PUBLIC SCHOOLS, PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC'S), AND COMMUNITY-BASED ORGANIZATIONS). THIS GROUP IS CHARGED WITH REVIEWING THE FINDINGS FROM THE PRIMARY AND SECONDARY DATA COLLECTED AND PRIORITIZING THE IDENTIFIED COMMUNITY NEEDS. THE PRIORITIZED NEEDS IDENTIFIED IN THE 2019 CHNA ARE LISTED ABOVE IN PART V, SECTION B. THESE PRIORITIZED NEEDS BECOME THE BASIS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY THAT SETS FORTH OBJECTIVES TO BE ACCOMPLISHED OVER THREE YEARS, UNTIL THE NEXT CHNA IS CONDUCTED.THE COMMITTEE MET TWICE IN THE FALL OF 2019 TO PRIORITIZE AND RECOMMEND THE TOP IDENTIFIED HEALTH NEEDS TO BE ADDRESSED OVER THE NEXT THREE YEARS. FINAL APPROVAL OF THE CHNA BY THE BOARD OF DIRECTORS TOOK PLACE AT THEIR DECEMBER 2019 MEETING.REPORTING GROUP BEVERY THREE YEARS, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTERS, SAN PEDRO AND TORRANCE CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN THE SOUTH BAY. PRIOR TO BEGINNING THE PROCESS, THE COMMUNITY HEALTH DEPARTMENT STAFF MAKES A PRESENTATION TO THE SOUTH BAY COMMUNITY MINISTRY BOARD OUTLINING THE FRAMEWORK OF THE CHNA PROCESS AND REQUESTS AUTHORITY FROM THE GOVERNING BOARD TO FORM A BOARD COMMITTEE ON COMMUNITY BENEFIT TO OVERSEE THE CHNA PROCESS. THE COMMITTEE IS COMPOSED OF FOUR INTERNAL PROVIDENCE STAFF, AND FOUR COMMUNITY STAKEHOLDERS (I.E. PUBLIC SCHOOLS, PUBLIC HEALTH, FEDERALLY QUALIFIED HEALTH CENTERS (FQHC'S), AND COMMUNITY-BASED ORGANIZATIONS). THIS GROUP IS CHARGED WITH REVIEWING THE FINDINGS FROM THE PRIMARY AND SECONDARY DATA COLLECTED AND PRIORITIZING THE IDENTIFIED COMMUNITY NEEDS. THE PRIORITIZED NEEDS IDENTIFIED IN THE 2019 CHNA ARE LISTED ABOVE IN PART V, SECTION B. THESE PRIORITIZED NEEDS BECOME THE BASIS OF THE COMMUNITY HEALTH IMPROVEMENT PLAN/IMPLEMENTATION STRATEGY THAT SETS FORTH OBJECTIVE TO BE ACCOMPLISHED OVER THREE YEARS, UNTIL THE NEXT CHNA IS CONDUCTED.THE COMMITTEE MET TWICE IN THE FALL OF 2019 TO PRIORITIZE AND RECOMMEND THE TOP IDENTIFIED HEALTH NEEDS TO BE ADDRESSED OVER THE NEXT THREE YEARS. FINAL APPROVAL OF THE CHNA BY THE BOARD OF DIRECTORS TOOK PLACE AT THEIR DECEMBER 2019 MEETING.
Part VI, Line 3:	COMMUNICATION TO THE PUBLIC:REPORTING GROUPS A & BPROVIDENCE HOLY CROSS, PROVIDENCE SAINT JOSEPH AND PROVIDENCE TARZANA MEDICAL CENTERS AS WELL AS PROVIDENCE LITTLE COMPANY OF MARY, SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY, TORRANCE POST NOTICES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE TO LOW-INCOME UNINSURED PATIENTS. THESE NOTICES ARE POSTED IN VISIBLE LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS ADMITTING/REGISTRATION, BILLING OFFICE, EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS.EVERY POSTED NOTICE REGARDING FINANCIAL ASSISTANCE POLICIES CONTAINS BRIEF INSTRUCTIONS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR A DISCOUNTED PAYMENT. THE NOTICES ALSO INCLUDE A CONTACT TELEPHONE NUMBER THAT A PATIENT OR FAMILY MEMBER CAN CALL TO OBTAIN MORE INFORMATION.PROVIDENCE ENSURES THAT APPROPRIATE STAFF MEMBERS ARE KNOWLEDGEABLE ABOUT THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES. TRAINING IS PROVIDED TO STAFF MEMBERS (I.E., BILLING OFFICE, FINANCIAL DEPARTMENT, ETC.) WHO DIRECTLY INTERACT WITH PATIENTS REGARDING THEIR HOSPITAL BILLS. WHEN COMMUNICATING TO PATIENTS REGARDING THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDENCE ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT, OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.PROVIDENCE SHARES THEIR FINANCIAL ASSISTANCE POLICIES WITH APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST SUCH PATIENTS.
Part VI, Line 4:	COMMUNITY INFORMATION:REPORTING GROUP ATHE PROVIDENCE SAN FERNANDO VALLEY SERVICE AREA (SFV SERVICE AREA) IS COMPRISED OF THE SERVICE AREAS OF THREE PROVIDENCE MEDICAL CENTERS INCLUDING PROVIDENCE HOLY CROSS MEDICAL CENTER (PHCMC; MISSION HILLS); PROVIDENCE ST. JOSEPH MEDICAL CENTER (PSJMC; BURBANK); AND PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER (PCSTMC; TARZANA). THE PROVIDENCE SAN FERNANDO VALLEY COMMUNITY BENEFIT SERVICE AREA CONSISTS OF ALL THREE MEDICAL CENTERS' COMMUNITY BENEFIT SERVICE AREAS. SIMILARLY, THE PROVIDENCE SAN FERNANDO VALLEY BROADER SERVICE AREA CONSISTS OF ZIP CODES WITHIN THE SFV SERVICE AREA, BUT OUTSIDE OF THE COMMUNITY BENEFIT SERVICE AREA. COMMUNITIES IN THE BROADER SERVICE AREA ARE MORE RESOURCE-RICH WITH A POPULATION ON THE HIGHER END OF THE SOCIOECONOMIC SPECTRUM. THIS SERVICE AREA ROUGHLY ALIGNS WITH LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH'S SERVICE PLANNING AREA (SPA) 2.POPULATION AND AGE DEMOGRAPHICSTHE TOTAL POPULATION OF THE PROVIDENCE SAN FERNANDO VALLEY (SFV) SERVICE AREA IN 2019 IS 2,225,425 PEOPLE, WHICH REPRESENTS A 0.2% INCREASE COMPARED TO THE 2016 POPULATION, OR APPROXIMATELY 5,000 ADDITIONAL RESIDENTS LIVING IN THE AREA. THE TOTAL POPULATION OF THE SFV COMMUNITY BENEFIT SERVICE AREA IS JUST OVER 52% OF THE TOTAL SERVICE AREA POPULATION, WITH NEARLY 1.2 MILLION PEOPLE. THE MAJORITY OF RESIDENTS IN THE SFV SERVICE AREA ARE BETWEEN 10 AND 39 YEARS OLD. CHILDREN UNDER THE AGE OF 19 MAKE UP 28.2% OF THE POPULATION. THIS IS NOTABLE AND INDICATES A GREATER PROPORTION OF YOUTH THAN ELSEWHERE IN THE STATE, WHERE CHILDREN UNDER THE AGE OF 18 MAKE UP 22.7% OF THE POPULATION. ADULTS 60 YEARS OF AGE AND OLDER MAKE UP 13.9% OF THE TOTAL SERVICE AREA POPULATION, COMPARED TO THE STATE OF CALIFORNIA, ADULTS 65 AND OLDER MAKE UP 14.3% OF THE POPULATION. THE SFV SERVICE AREA, THEREFORE, IS NOTABLY YOUNGER, ON AVERAGE, THAN THE TOTAL POPULATION OF THE STATE OF CALIFORNIA. POPULATION BY RACE AND ETHNICITYAMONG SFV COMMUNITY BENEFIT SERVICE AREA RESIDENTS, IN 2019, 52.3% WERE WHITE, 11.1% WERE ASIAN/PACIFIC ISLANDER/HAWAIIAN, 0.7% WERE ALASKA NATIVE OR AMERICAN INDIAN, 3.6% WERE AFRICAN AMERICAN OR BLACK, AND 5.0% WERE OF TWO OR MORE RACES. APPROXIMATELY 59.0% OF THE RESIDENTS IDENTIFY AS LATINO.INCOME LEVELSIN 2019, THE MEDIAN HOUSEHOLD INCOME OF THE SFV SERVICE AREA VARIED SIGNIFICANTLY FROM A LOW OF $41,053 FOR THE COMMUNITY OF GLENDALE, TO $166,406 FOR THE COMMUNITY OF LA CANADA FLINTRIDGE. THE SFV COMMUNITY BENEFIT SERVICE AREA, COMPARED TO LOS ANGELES COUNTY, IS HOME TO A HIGHER CONCENTRATION OF LOW-INCOME RESIDENTS; APPROXIMATELY 45.4% OF FAMILIES HAVE ANNUAL INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL; $51,500 FOR A FAMILY OF 4) COMPARED TO 39.6% IN LOS ANGELES COUNTY AS A WHOLE.EDUCATION LEVELWHILE MANY OF THE ADULTS LIVING IN THE SFV COMMUNITY BENEFIT SERVICE AREA HAVE AT LEAST A HIGH SCHOOL DIPLOMA (73.2%), THERE WERE SEVERAL ZIP CODES WITH A HIGH CONCENTRATION OF ADULTS WHO HAD NOT COMPLETED HIGH SCHOOL. THESE ZIP CODES INCLUDED PACOIMA (91331; 44.8%), SAN FERNANDO (91340; 39.3%), PANORAMA CITY (91402; 36.4%) AND SUN VALLEY (91352; 34.1%). ECONOMIC INDICATORSTHE PERCENT UNEMPLOYED IN THE SFV AVERAGES 4.9%. NONETHELESS, 35.1% OF THE POPULATION IS EXPERIENCING SEVERE HOUSING COST BURDEN, AND 11.3% OF THE POPULATION IS ENROLLED IN SNAP, OR FOOD ASSISTANCE PROGRAMS.LANGUAGE PROFICIENCYWITHIN LOS ANGELES COUNTY, 56.6% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. FAR FEWER HOUSEHOLDS (AN AVERAGE OF 30.1%) IN THE SFV SERVICE AREA SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, AND INDIVIDUALS SPEAKING LANGUAGES OTHER THAN ENGLISH AT HOME ARE CONCENTRATED IN PANORAMA CITY, PACOIMA, GLENDALE, AND SAN FERNANDO.REPORTING GROUP BTHE TWO PROVIDENCE SOUTH BAY COMMUNITY MEDICAL CENTERS, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE (HEREAFTER SOUTH BAY COMMUNITY), SHARE A COMMON GEOGRAPHY BECAUSE OF THEIR CLOSE PROXIMITY TO EACH OTHER. THE SOUTH BAY COMMUNITY SERVICE AREA IS COMPOSED OF 16 DISTINCT MUNICIPALITIES, AND IS A DEMOGRAPHICALLY AND GEOGRAPHICALLY DIVERSE REGION STRETCHING FROM EL SEGUNDO (NORTH), TO CARSON (EAST), TO THE PORT OF LOS ANGELES (SOUTH), TO THE PACIFIC OCEAN (WEST).POPULATION AND AGE DEMOGRAPHICSTHE SOUTH BAY SERVICE AREA IS SLIGHTLY YOUNGER, ON AVERAGE, THAN THE TOTAL POPULATION OF THE STATE OF CALIFORNIA. THE MAJORITY OF RESIDENTS IN THE SERVICE AREA ARE BETWEEN 10 AND 39 YEARS OLD. CHILDREN UNDER THE AGE OF 19 MAKE UP 29.6% OF THE POPULATION, COMPARED TO 22.7% ACROSS THE STATE. ADULTS AGED 60 YEARS AND OLDER MAKE UP 13.7% OF THE TOTAL SERVICE AREA POPULATION, WHICH IS LESS THAN THE STATE POPULATION AGED 65 AND OVER. POPULATION BY RACE AND ETHNICITYOF THE 358,565 RESIDENTS IN THE SOUTH BAY COMMUNITY SERVICE AREA IN 2019, 56.2% IDENTIFIED AS HISPANIC/LATINO. APPROXIMATELY 42% OF RESIDENTS IDENTIFIED AS WHITE, WHILE 28% IDENTIFIED AS ASIAN/PACIFIC ISLANDER, AMERICAN INDIAN/ALASKA NATIVE, OR ANOTHER RACE. APPROXIMATELY 13% IDENTIFIED AS BLACK, AND 12% AS ASIAN.INCOME LEVELSIN 2019, THE MEDIAN HOUSEHOLD INCOME OF THE AREA VARIED SIGNIFICANTLY FROM A LOW OF $43,717 FOR THE COMMUNITY OF WILMINGTON TO $189,068 FOR THE COMMUNITY OF PALOS VERDES PENINSULA. ALTHOUGH THE SOUTH BAY CONTAINS MANY AFFLUENT COMMUNITIES, THE INCOME DATA SHOW THERE ARE AREAS WITHIN THE SERVICE AREA WITH A HIGHER PORTION OF LOW-INCOME HOUSEHOLDS. THE MEDIAN HOUSEHOLD INCOME ($53,598) WITHIN THE BROADER SOUTH BAY SERVICE AREA IS LOWER THAN THE MEDIAN OF LOS ANGELES COUNTY ($62,751). APPROXIMATELY 44.7% OF HOUSEHOLDS HAVE ANNUAL INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL ($51,500 FOR A FAMILY OF 4).EDUCATION LEVELWHILE MANY OF THE ADULTS AGE 25+ LIVING IN HOUSEHOLDS IN THE SOUTH BAY HAVE AT LEAST GRADUATED FROM HIGH SCHOOL, THERE WERE SEVERAL ZIP CODES THAT HAD A HIGHER PERCENTAGE OF ADULTS WHO HAD NOT COMPLETED HIGH SCHOOL. THESE ZIP CODES INCLUDED WILMINGTON (90744; 43.3%), LAWNDALE (90260; 24.8%), HAWTHORNE (90250; 24.0%) AND GARDENA (90247; 22.1%).ECONOMIC INDICATORSTHE SOUTH BAY SERVICE AREA HAS SOME NOTABLE ECONOMIC INDICATORS. THE PERCENT UNEMPLOYED IN THE AREA AVERAGES 4.7%.LANGUAGE PROFICIENCYWITHIN LOS ANGELES COUNTY, 56.6% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. SLIGHTLY MORE HOUSEHOLDS (AN AVERAGE OF 58.7%) IN THE BROADER SOUTH BAY COMMUNITY SERVICE AREA SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, AND INDIVIDUALS SPEAKING LANGUAGES OTHER THAN ENGLISH AT HOME ARE CONCENTRATED IN WILMINGTON, CARSON, AND LAWNDALE.
Part VI, Line 5:	PROMOTION OF COMMUNITY HEALTH:REPORTING GROUPS A & BAS A NOT-FOR-PROFIT CATHOLIC HEALTH CARE MINISTRY, PROVIDENCE HEALTH &SERVICES EMBRACES ITS RESPONSIBILITY TO PROVIDE FOR THE NEEDS OF THECOMMUNITIES IT SERVES - ESPECIALLY THE POOR AND VULNERABLE. PROVIDENCE'SNOT-FOR-PROFIT, TAX-EXEMPT STATUS ENABLES PROVIDENCE TO SERVE ITSCOMMUNITIES, TO SOLICIT DONATIONS THROUGH ITS FOUNDATIONS AND TO ACCESSCAPITAL TO RESPOND TO COMMUNITY NEEDS THAT OTHERWISE WOULD GO UNMET. THE CHARITABLE PURPOSE OF PROVIDENCE HEALTH & SERVICES AND EACH OF ITSMINISTRIES IS GUIDED BY ONE MISSION AND SET OF CORE VALUES BASED ONCATHOLIC HEALTH CARE AND GUIDED BY THE LEGACY OF THE SISTERS OFPROVIDENCE.
Part VI, Line 6:	AFFILIATED HEALTH CARE SYSTEM:PROVIDENCE ST. JOSEPH HEALTH SEEKS TO BETTER SERVE ITSCOMMUNITIES THROUGH GREATER PATIENT AFFORDABILITY, OUTSTANDING CLINICALCARE, IMPROVEMENTS TO THE PATIENT EXPERIENCE AND INTRODUCTION OF NEWSERVICES WHERE THEY ARE NEEDED MOST.TOGETHER, OUR CAREGIVERS SERVE IN 51 HOSPITALS AND OVER 1085 CLINICS ACROSSALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.
Part VI, Line 7, Reports Filed With States	CA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
WILMINGTON COMMUNITY
1009 N AVALON BLVD	WILMINGTON	CA	90744	953137803	501(C)(3)	$50,000	OPERATIONAL SUPPORT
MEND - MEET EACH NEED WITH DIGNITY
10641 N SAN FERNANDO RD	PACOLMA CITY	CA	91331	237306337	501(C)(3)	$50,000	OPERATIONAL SUPPORT
NORTHEAST VALLEY HEALTH CORP
1172 N MACLAY AVE	SAN FERNANDO CITY	CA	91340	237120632	501(C)(3)	$50,000	OPERATIONAL SUPPORT
LOS ANGELES FIRE DEPARTMENT FOUNDATION
1875 CENTURY PARK EAST SUITE 200	LOS ANGELES CITY	CA	90051	272007326	501(C)(3)	$340,000	OPERATIONAL SUPPORT
THE ILLUMINATION FOUNDATION
1090 N BATAVIA ST	ORANGE	CA	92867	711047686	501(C)(3)	$393,961	OPERATIONAL SUPPORT
FACEY MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98075	954322584	501(C)(3)	$478,285	OPERATIONAL SUPPORT
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98075	814542216	501(C)(3)	$678,891	OPERATIONAL SUPPORT
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98075	330283773	501(C)(3)	$1,488,515	OPERATIONAL SUPPORT
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98075	510224944	501(C)(3)	$3,795,837	OPERATIONAL SUPPORT
PROVIDENCE HEALTH & SERVICES FOUNDATION VSA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98075	953544877	501(C)(3)	$6,091,497	OPERATIONAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE APPLICATION FOR SUPPORT, A DETAILED EXPLANATION OF THE KIND OF SERVICES PROVIDED TO THE COMMUNITY ALONG WITH SPECIFIC FINANCIAL DATA IS REQUESTED. IF THE APPLICATION FOR SUPPORT IS APPROVED, A LETTER IS SENT INDICATING THE AMOUNT OF THE SUPPORT ALONG WITH A REQUEST FOR DOCUMENTATION OF HOW THE FUNDS WERE USED, ALONG WITH A REPORT OF THE NUMBER OF CHILDREN/FAMILIES SERVED OVER THE YEAR. GRANTS MADE TO AFFILIATED FOUNDATIONS ARE MONITORED ON A MONTHLY BASIS AS THE FINANCIAL STATEMENTS OF THESE ORGANIZATIONS ARE READILY AVAILABLE. OTHER GRANTS ARE MADE THAT COMPLY WITH THE MISSION AND FURTHER THE TAX-EXEMPT PURPOSE OF THE ORGANIZATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (37 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
ROD F HOCHMAN MD
FORMER PRESIDENT/CEO	$0	$2,116,529	$0	$6,126,469	$0	$1,454,493	$0	$1,187,824	$0	$29,527	$0	$10,914,842	$0	$3,819,383
MIKE BUTLER
PRESIDENT	$0	$1,445,448	$0	$1,133,982	$0	$841,673	$0	$571,275	$0	$26,545	$0	$4,018,923	$0	$1,472,737
ERIK WEXLER
EVP CHIEF EXECUTIVE PSJH SO CA	$0	$977,457	$0	$874,244	$0	$472,120	$0	$263,235	$0	$20,600	$0	$2,607,656	$0	$710,614
DEBRA CANALES
FORMER EVP CAO PSJH	$0	$893,126	$0	$651,636	$0	$659,325	$0	$336,204	$0	$17,333	$0	$2,557,624	$0	$929,511
RHONDA MEDOWS MD
FORMER PRESIDENT POP HEALTH / AYIN	$0	$941,139	$0	$618,340	$0	$329,359	$0	$254,421	$0	$20,033	$0	$2,163,292	$0	$577,152
CINDY STRAUSS
SECRETARY	$0	$823,797	$0	$528,043	$0	$383,169	$0	$321,803	$0	$25,430	$0	$2,082,242	$0	$640,817
AMY COMPTON-PHILLIPS MD
FORMER EVP CHIEF CLINICAL OFC PSJH	$0	$800,363	$0	$630,228	$0	$271,234	$0	$219,836	$0	$28,629	$0	$1,950,290	$0	$608,504
VENKAT BHAMIDIPATI
EVP/TREASURER	$0	$1,050,394	$0	$523,975	$0	$41,123	$0	$280,148	$0	$24,654	$0	$1,920,294	$0	$319,593
DALE SUROWITZ
CHIEF EXEC PROV TARZANA MED CN	$0	$628,210	$0	$285,964	$0	$596,075	$0	$182,038	$0	$18,867	$0	$1,711,154	$0	$700,702
LISA VANCE
FORMER EVP REGIONAL CE OR	$0	$783,943	$0	$383,946	$0	$146,106	$0	$220,810	$0	$24,842	$0	$1,559,647	$0	$282,049
JOEL GILBERTSON
FORMER EVP COMMUNITY PARTNERSHIPS	$0	$556,867	$0	$551,880	$0	$206,393	$0	$175,653	$0	$28,137	$0	$1,518,930	$0	$319,671
AARON MARTIN
FORMER EVP CHIEF MKT/DIGITAL INNO OF	$0	$677,199	$0	$396,342	$0	$228,732	$0	$188,750	$0	$5,562	$0	$1,496,585	$0	$430,874
VICTOR JORDAN
COO SO CA	$0	$706,823	$0	$199,553	$0	$305,072	$0	$200,339	$0	$13,454	$0	$1,425,241	$0	$134,553
JO ANN ESCASA-HAIGH
EVP/ASSISTANT TREASURER	$0	$722,963	$0	$270,658	$0	$195,289	$0	$209,155	$0	$8,669	$0	$1,406,734	$0	$427,495
TOM MCDONAGH
FORMER VP/CHIEF INVESTMENT OFFICER	$0	$24,798	$0	$219,548	$0	$1,112,292	$0	$29,571	$0	$16,441	$0	$1,402,650	$0	$644,223
SHARON TONCRAY
FORMER SVP/CHIEF LABOR EE COUNSEL	$0	$0	$0	$272,921	$0	$1,091,341	$0	$5,620	$0	$31,007	$0	$1,400,889	$0	$771,066
GREG TILL
FORMER CHIEF PEOPLE OFFICER	$0	$588,318	$0	$457,763	$0	$120,432	$0	$169,131	$0	$27,836	$0	$1,363,480	$0	$199,046
BERNIE KLEIN MD
CHIEF EXEC PROV HOLY CROSS MC	$0	$625,156	$0	$282,008	$0	$223,668	$0	$194,410	$0	$26,026	$0	$1,351,268	$0	$334,276
MIKE WATERS
FORMER EVP AMBULATORY CARE NETWORK	$0	$538,503	$0	$255,592	$0	$255,618	$0	$148,230	$0	$11,503	$0	$1,209,446	$0	$290,614
JOHN WHIPPLE
ASSISTANT SECRETARY	$0	$470,433	$0	$259,537	$0	$175,676	$0	$210,397	$0	$25,434	$0	$1,141,477	$0	$300,654
JANICE NEWELL
FORMER SVP/CHIEF INFORMATION OFFCR	$0	$0	$0	$325,436	$0	$746,440	$0	$17,430	$0	$1,310	$0	$1,090,616	$0	$426,198
OREST HOLUBEC
FORMER SVP CHIEF COMMUNICATION OFCR	$0	$467,371	$0	$231,245	$0	$193,343	$0	$141,823	$0	$27,155	$0	$1,060,937	$0	$260,468
JIM WATSON ESQ
ASSISTANT SECRETARY	$0	$467,350	$0	$370,314	$0	$5,830	$0	$103,753	$0	$34,057	$0	$981,304	$0	$0
DAVID BROWN
FORMER SVP CAO AMBULATORY CARE	$0	$400,767	$0	$231,141	$0	$165,206	$0	$137,229	$0	$27,115	$0	$961,458	$0	$251,637
DEBBIE BURTON
FORMER SVP CHIEF NURSING OFFICER	$0	$397,242	$0	$224,453	$0	$88,397	$0	$141,638	$0	$28,649	$0	$880,379	$0	$158,120
GARRY OLNEY
CHIEF EXECUTIVE SOUTH BAY	$0	$520,351	$0	$80,897	$0	$39,591	$0	$148,263	$0	$28,510	$0	$817,612	$0	$96,586
JACK MUDD
FORMER SVP/MISSION LEADERSHIP	$0	$6,684	$0	$80,840	$0	$714,634	$0	$5,550	$0	$902	$0	$808,610	$0	$112,956
KELLY LINDEN
CHIEF EXEC PROV ST JOSEPH MC	$0	$485,939	$0	$136,426	$0	$23,870	$0	$143,607	$0	$14,757	$0	$804,599	$0	$102,468
JIM NOBLE
CFO SO CA REGION	$0	$549,358	$0	$66,017	$0	$4,902	$0	$96,717	$0	$31,807	$0	$748,801	$0	$56,017
RICHARD GLIMP
CMO TORRANCE	$481,492	$0	$65,855	$0	$28,618	$0	$43,922	$0	$9,598	$0	$629,485	$0	$80,545	$0
GLEN KOMATSU
CMO PTCH	$411,029	$0	$72,065	$0	$53,740	$0	$58,658	$0	$27,567	$0	$623,059	$0	$94,089	$0
HOWARD DAVIS
CMO TARZANA	$409,460	$0	$60,974	$0	$94,133	$0	$32,152	$0	$18,760	$0	$615,479	$0	$73,199	$0
SUSAN DOLBERT
PRESIDENT/CDO	$419,286	$0	$86,118	$0	$49,198	$0	$4,200	$0	$22,693	$0	$581,495	$0	$105,456	$0
NICK LYMBEROPOULOS
COO TARZANA	$341,704	$0	$61,935	$0	$29,482	$0	$41,291	$0	$25,621	$0	$500,033	$0	$76,938	$0
STEVEN MOHR
FORMER CFO - LA SERVICE AREA	$0	$53,932	$0	$274,128	$0	$131,340	$0	$5,164	$0	$4,178	$0	$468,742	$0	$225,258
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT	$0	$200,073	$0	$22,110	$0	$560	$0	$10,673	$0	$9,318	$0	$242,734	$0	$22,110
TAMMY TEODOSIO
FORMER ASSISTANT SECRETARY	$0	$115,500	$0	$0	$0	$17,965	$0	$12,772	$0	$12,122	$0	$158,359	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	PROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICES PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
Part I, Line 3	DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
Part I, Lines 4a-b	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: TOM MCDONAGH - $491,471 SHARON TONCRAY - $421,300 JANICE NEWELL - $330,112 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(iii) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: ROD F. HOCHMAN, MD - $1,378,122 MIKE BUTLER - $795,755 ERIK WEXLER - $364,484 DEBRA CANALES - $613,775 RHONDA MEDOWS, MD - $283,794 CINDY STRAUSS - $344,018 AMY COMPTON-PHILLIPS, MD - $227,086 DALE SUROWITZ - $572,173 LISA VANCE - $103,747 JOEL GILBERTSON - $169,849 AARON MARTIN - $206,029 JO ANN ESCASA-HAIGH - $156,837 TOM MCDONAGH - $561,877 SHARON TONCRAY - $636,374 GREG TILL - $83,902 BERNIE KLEIN, MD - $199,765 MIKE WATERS - $155,073 JOHN WHIPPLE - $146,592 JANICE NEWELL - $289,417 OREST HOLUBEC - $156,821 DAVID BROWN - $143,978 DEBBIE BURTON - $57,156 GARRY OLNEY - $15,689 JACK MUDD - $32,116 RICHARD GLIMP - $14,690 GLEN KOMATSU - $22,024 HOWARD DAVIS - $12,225 SUSAN DOLBERT - $19,338 NICK LYMBEROPOULOS - $23,885 STEVEN MOHR - $107,880
Part I, Line 7	NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN, WHICH IS A PERFORMANCE-BASED ANNUAL INCENTIVE PLAN THAT AFFORDS PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a, Program Service Accomplishments (Continued):	* FOR MORE THAN 86 YEARS, PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO HAS PROVIDED THE SOUTH BAY COMMUNITY WITH CLINICALLY EXCELLENT AND COMPASSIONATE HEALTHCARE AND THE SOUTH BAY'S FIRST CERTIFIED PRIMARY STROKE CENTER. * NATIONALLY RECOGNIZED FOR CLINICAL PERFORMANCE AND TRAUMA CARE, PROVIDENCE HOLY CROSS MEDICAL CENTER IN MISSION HILLS ALSO IS THE ONLY COMMUNITY HOSPITAL IN THE SAN FERNANDO VALLEY TO RECEIVE MAGNET STATUS FOR NURSING EXCELLENCE. IT IS ONE OF ONLY TWO 24/7 TRAUMA CENTERS IN THE SAN FERNANDO VALLEY. PROVIDENCE ST. ELIZABETH CARE CENTER IS A 52-BED SKILLED NURSING FACILITY. EVERY RESIDENT WHO LIVES AT THE CENTER EXPERIENCES A COMPASSIONATE, CARING AND COMFORTABLE ATMOSPHERE. EACH RESIDENT IS TREATED AS A SPECIAL PERSON, GIVING CAREFUL ATTENTION TO HIS OR HER TOTAL WELL-BEING. WE OFFER AN ARRAY OF HEALTH CARE SERVICES FOR RESIDENTS TO ENJOY THEMSELVES WITH FAMILY AND FRIENDS. TO COMPLEMENT OUR REPUTATION FOR CARING, OUR SPECIALLY TRAINED STAFF WORKS IN PARTNERSHIP WITH RESIDENTS, FAMILIES, DOCTORS, REFERRING HOSPITALS, AND HEALTH PROFESSIONALS TO MAKE SURE RESIDENTS' NEEDS ARE MET. WE ALSO PROVIDE FOR RESPIRATORY SERVICES, AS NEEDED. PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER, A SKILLED NURSING FACILITY IN TORRANCE, EARNED FIVE STARS FOR THE FOURTH STRAIGHT YEAR IN THE WEEK'S U.S. NEWS AND WORLD REPORT FEATURE LISTING THE NATION'S TOP NURSING HOMES. THE MAGAZINE'S PRESTIGIOUS RANKINGS WERE BASED ON U.S. CENTERS FOR MEDICARE AND MEDICAID SURVEYS THAT RATED THE 115-BED TRANSITIONAL CARE CENTER AMONG THE BEST CARE HOMES IN THE NATION BASED ON HEALTH INSPECTIONS, NURSE STAFFING, QUALITY MEASURES AND SAFETY. THE CARE CENTER IS AFFILIATED WITH PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE, A 436-BED ACUTE CARE HOSPITAL. PROVIDENCE LITTLE COMPANY OF MARY STANDS OUT AMONG SKILLED NURSING FACILITIES BECAUSE ITS PATIENTS TYPICALLY ARE NOT LONG-TERM. THE AVERAGE LENGTH-OF-STAY IS ABOUT TWO WEEKS, TIME FOR PATIENTS TO REHABILITATE FROM ACUTE-CARE HOSPITAL STAYS BEFORE HEADING HOME. U.S. NEWS EVALUATED MORE THAN 15,000 NURSING HOMES NATIONWIDE AND OVER 2,000 EARNED THE FIVE-STAR RATING. THE STAFF INCLUDES NURSES, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH THERAPISTS, RESPIRATORY THERAPISTS, DIETITIANS AND ADMINISTRATIVE SUPPORT AND THEIR FOCUS IS ALWAYS ON QUALITY CENTERED IN PROVIDENCE CORE VALUES AND OUR MISSION OF COMPASSIONATE SERVICE.
Form 990, Part III, Line 4a, Program Service Accomplishments (Continued):	PROVIDENCE HIGH SCHOOL FOR CHILDREN OF THE NORTHERN SAN FERNANDO VALLEY AND SURROUNDING AREA. PROVIDENCE HIGH SCHOOL WAS FOUNDED IN 1955 BY THE SISTERS OF PROVIDENCE. THIS IS A PRIVATE, CO-EDUCATIONAL, INDEPENDENT, COLLEGE PREPARATORY CATHOLIC HIGH SCHOOL. PROVIDENCE HIGH SCHOOL IS ACCREDITED BY THE WESTERN CATHOLIC EDUCATION ASSOCIATION (WCEA) AND THE WESTERN ASSOCIATION OF SCHOOLS AND COLLEGES (WASC), A MEMBER OF THE CALIFORNIA ASSOCIATION OF INDEPENDENT SCHOOLS (CAIS), AND IT IS A NATIONALLY RECOGNIZED BLUE RIBBON HIGH SCHOOL. PROVIDENCE HIGH SCHOOL INITIALLY STARTED AS AN ALL-GIRLS SCHOOL, BUT IN 1974 THE CAMPUS BECAME CO-EDUCATIONAL. TODAY THE 400+ STUDENTS ENJOY A FULL COLLEGE PREP CURRICULUM AS WELL AS ACCESS TO THREE FOCUS PROGRAMS; MEDICAL, CINEMA ARTS, AND TECHNOLOGY. PROVIDENCE HIGH SCHOOL ALSO OFFER AWARD WINNING PERFORMING ARTS, REWARDING CHRISTIAN SERVICE AND CAMPUS MINISTRY OPPORTUNITIES, COMPETITIVE ATHLETICS AND NUMEROUS CLUBS AND ACTIVITIES. GRANT & ALLOCATIONS - SEE SCHEDULE I.
FORM 990, PART V, LINE 15	INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATIONS SECTION 4960 TAX ANALYSIS AND REPORTING.
Form 990, Part VI, Section A, line 6	DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH & SERVICES IS THE SOLE CORPORATE MEMBER OF PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA.
Form 990, Part VI, Section A, line 7a	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA BOARD. ALL DIRECTOR NOMINATIONS THAT COME FROM THE PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH & SERVICES, AS THE CORPORATE MEMBER.
Form 990, Part VI, Section A, line 7b	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL AND TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
Form 990, Part VI, Section B, line 11b	PROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
Form 990, Part VI, Section B, line 12c	PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR THE PROVIDENCE CHIEF RISK OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS EXCUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, THE CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE REGULARLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
Form 990, Part VI, Section B, line 15	PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE ST. JOSEPH HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN 2020.
Form 990, Part VI, Section C, line 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART VII - RELIGIOUS COMMUNITY MEMBERS	AS MEMBERS OF THE RELIGIOUS COMMUNITY, EACH SISTER HAS TAKEN A VOW OF POVERTY AS A COMPULSORY PART OF HER RELIGIOUS LIFE. ANY COMPENSATION FOR SERVICES OF A SISTER INURES ONLY FOR THE BENEFIT OF THE COMMUNITY, NOT THE INDIVIDUAL MEMBERS. ALL PAYMENTS FOR SERVICES ARE MADE DIRECTLY TO THE RELIGIOUS COMMUNITY.
Form 990, Part IX, line 11g	AGENCY/CONTRACT LABOR: Program service expenses 26,539,937. Management and general expenses 3,215,667. Fundraising expenses 0. Total expenses 29,755,604. MEDICAL DIRECTOR & MED PHYSICIAN FEES: Program service expenses 40,581,898. Management and general expenses 10,175,582. Fundraising expenses 0. Total expenses 50,757,480. REPAIRS & MAINTENANCE: Program service expenses 15,254,574. Management and general expenses 16,328,660. Fundraising expenses 18,630. Total expenses 31,601,864. BILLING & COLLECTIONS: Program service expenses 13,126. Management and general expenses 336,165. Fundraising expenses 0. Total expenses 349,291. OTHER PATIENT SERVICES: Program service expenses 29,754,247. Management and general expenses 927,178. Fundraising expenses 0. Total expenses 30,681,425. GENERAL CONSULTING FEES: Program service expenses 21,850,685. Management and general expenses 30,098,781. Fundraising expenses 48,356. Total expenses 51,997,822.
Form 990, Part XI, line 9:	NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 382,297,652. FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 19,253,241. OTHER -1,164,090. ROUNDING -1.
EXPLANATION OF AMENDED CHANGES	THE RETURN IS BEING AMENDED TO REPORT PROVIDENCE SYSTEM ALLOCATION EXPENSES FOR SHARED SERVICES PROVIDED TO THE FILING ORGANIZATION, INVESTMENTS IN CORPORATE SUBSIDIARIES AND JOINT VENTURES, AND THE REPORTING OF ADDITIONAL BUSINESS UNITS THAT WERE PREVIOUSLY OMITTED FROM THE RETURN. INCLUDED BELOW IS A DETAIL OF THE CHANGES MADE: PART IX, LINE 24 - ADDED $637,159,628 OF SYSTEM COST ALLOCATION EXPENSES PART III, LINE 4d - ADDED $530,121,580 OF SYSTEM COST ALLOCATION EXPENSES PART XI, LINE 9 - ADDED $637,159,628 OF SYSTEM COST ALLOCATION EXPENSES PART VIII, LINE 2c - UPDATED JV INCOME TO -$582,309 PART X, LINE 10a - UPDATED COST OR OTHER BASIS TO $2,059,805,978 PART X, LINE 10b - UPDATED ACCUMULATED DEPRECIATION TO $1,166,101,143 PART X, LINE 10c - UPDATED LAND, BUILDINGS, AND EQUIPMENT TO $893,704,835 PART X, LINE 13 - UPDATED INVESTMENTS PROGRAM-RELATED TO $234,572,742 PART X, LINE 15 - UPDATED OTHER ASSETS TO $428,848,269 PART X, LINE 17 - UPDATED ACCOUNTS PAYABLE AND ACCRUED EXPENSES TO $279,969,247 PART X, LINE 27 - UPDATED UNRESTRICTED NET ASSETS TO $1,039,079,911 Part X, Line 28 - UPDATED NET ASSETS WITH DONOR RESTRICTIONS TO $112,289,391 Part XI, Line 9 - UPDATED OTHER CHANGES IN NET ASSET TO $400,386,802

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BELL RIVER LLC
20555 EARL ST	TORRANCE	CA	90503	510216589	RENTAL	CA	$90,000	$77,646	PHS - SO CALIFORNIA
CALIFORNIA LABORATORY ASSOCIATES LLC
501 BUENA VISTA	BURBANK	CA	91505	273888692	OUTPATIENT LAB	CA	$0	$0	PHS - SO CALIFORNIA
PROVIDENCE PARTNERS FOR HEALTH LLC
20555 EARL ST	TORRANCE	CA	90503	454041798	CLIN QUALITY/INT	CA	$0	$0	PHS - SO CALIFORNIA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (116 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
COVENANT ACO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	611573313	HEALTHCARE	TX	501(c)(3)	12,I	CHS	Yes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461259908	HEALTHCARE	CA	501(c)(3)	12,III	SJHS	Yes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463516417	HEALTHCARE	TX	501(c)(3)	12,I	CHS	Yes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752765566	HEALTHCARE	TX	501(c)(3)	3	SJHS	Yes (1)
COVENANT HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752897026	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844273963	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	822913146	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
COVENANT MEDICAL GROUP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752743883	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911082119	UNEMPLOYMENT	WA	501(c)(3)	12,I	PHS WA	Yes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128	EVERETT	WA	982065128	943264605	TRANS. CARE	WA	501(c)(3)	10		0	N/A
FACEY MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	954322584	SUPPORT	CA	501(c)(3)	7	PHS SOCAL	Yes (1)
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	201910170	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104	SEATAC	WA	98188	273133200	HEALTHCARE	WA	501(c)(3)	7	SHS	Yes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	203856995	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
HMTS INC
1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE	CA	501(c)(3)	12,I	HMHP	Yes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(c)(3)	7	HHF	Yes (1)
HOAG CLINIC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE	CA	501(c)(3)	10	HMHP	Yes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(c)(3)	7	HMHP	Yes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752133781	HEALTHCARE	TX	501(c)(3)	10	CHS	Yes (1)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911307555	HEALTHCARE	WA	501(c)(3)	3	PHS WA	Yes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814260130	HEALTHCARE	WA	501(c)(3)	7	PHS SJHS	Yes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912003593	HEALTHCARE	WA	501(c)(3)	7	WHC	Yes (1)
JOHN WAYNE CANCER INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	954291515	HEALTHCARE	CA	501(c)(3)	4	PSJHC	Yes (1)
KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	916033089	SUPPORT	WA	501(c)(3)	12,III	KRMC	Yes (1)
KADLEC FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	237005501	SUPPORT	WA	501(c)(3)	7	KRMC	Yes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	910655392	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330844408	IMAGING SVCS	CA	501(c)(3)	10	PHS SOCAL	Yes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	264021016	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
LUBBOCK METHODIST HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752220963	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (1)
LUNDBERG ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911562797	SUPPORT	OR	501(c)(3)	7	PHS OR	Yes (1)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912054035	RESEARCH	WA	501(c)(3)	7	SHS	Yes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752428911	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752246348	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752426010	HEALTHCARE	TX	501(c)(3)	3	CHS	Yes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643360	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
NORTHWEST HOPE & HEALING FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	200799737	SUPPORT	WA	501(c)(3)	12,I	SHS	Yes (1)
PACMED CLINICS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	562290878	HEALTHCARE	WA	501(c)(3)	10	WHC	Yes (1)
PH&S FOUNDATIONSFVSA & SCVSA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953544877	HEALTHCARE	CA	501(c)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	920093565	HEALTHCARE	AK	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911940286	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911789266	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930800140	SUPPORT	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930692907	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	473385506	SUPPORT	WA	501(c)(3)	7		0	N/A
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311744654	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911549796	HEALTHCARE	WA	501(c)(3)	12,II	PSJH	0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810231793	HEALTHCARE	MT	501(c)(3)	3	PHS WA	Yes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216587	HEALTHCARE	OR	501(c)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510216586	HEALTHCARE	WA	501(c)(3)	3	PHS	Yes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911303277	HEALTHCARE	WA	501(c)(3)	3	PMWHC	Yes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	550828701	MEDICAID	OR	501(c)(4)	N/A	PHP	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	320014330	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911433382	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930863097	HEALTHCARE	OR	501(c)(4)	N/A	PPP	Yes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930921990	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	272552749	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912077378	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	510224944	HEALTHCARE	CA	501(c)(3)	7	PHS SOCAL	Yes (1)
PROVIDENCE MARIANWOOD FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931554288	HEALTHCARE	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330283773	HEALTHCARE	CA	501(c)(3)	12,I	PHS SOCAL	Yes (1)
PROVIDENCE MILWAUKIE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943079515	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE MINISTRIES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		RELIGIOUS ORG	WA	501(c)(3)	1		0	N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911188119	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930889144	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311629656	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911861964	HEALTHCARE	WA	501(c)(4)	N/A	PHS OR	Yes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931231494	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	311584166	SUPPORT	WA	501(c)(3)	10	PHS WA	Yes (1)
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 (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814542216	HEALTHCARE	CA	501(c)(3)	3	PHS SOCAL	Yes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930927320	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	912171539	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943244854	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	811244422	HEALTHCARE	WA	501(c)(3)	12,III		0	N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943078543	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
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 (1)
PROVIDENCE ST MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	452841492	HEALTHCARE	WA	501(c)(3)	7	PHS WA	Yes (1)
PROVIDENCE ST PETER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911097056	SUPPORT	WA	501(c)(3)	7	PHS W WA	Yes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	930575982	HEALTHCARE	OR	501(c)(3)	7	PHS OR	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953264139	HEALTHCARE	CA	501(c)(3)	10	PHS SOCAL	Yes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330261016	HEALTHCARE	CA	501(c)(3)	7	PTCH	Yes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	931003750	HEALTHCARE	OR	501(c)(3)	12, I	PHS OR	Yes (1)
QUEEN OF THE VALLEY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941243669	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
REDWOOD MEMORIAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	942779313	HEALTHCARE	CA	501(c)(3)	7	RMH	Yes (1)
REDWOOD MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941384665	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	956100079	SUPPORT	CA	501(c)(3)	7	PSJHC	Yes (1)
SANTA ROSA MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941231005	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	611502822	PHYSN COLLAB	WA	501(c)(3)	7	WHC	Yes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	262612415	SHELL CORP	MT	501(c)(3)	1	PHS WA	0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643383	RELIGIOUS ORG	CA	501(c)(3)	1		0	N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	680395200	HEALTHCARE	CA	501(c)(3)	3	SRMH	Yes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	271666576	RELIGIOUS ORG	CA	501(c)(3)	1	SSJO	0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	814791043	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953589356	HEALTHCARE	CA	501(c)(3)	12,I	PSJH	0
ST JOSEPH HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330143024	HEALTHCARE	CA	501(c)(3)	10	SJHS	Yes (1)
ST JOSEPH HERITAGE HEALTHCARE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330185031	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	680331084	HEALTHCARE	CA	501(c)(3)	10	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF EUREKA
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	941156596	HEALTHCARE	CA	501(c)(3)	3	SJHS	Yes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643359	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951643324	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
ST LUKE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	943176618	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	951914489	HEALTHCARE	CA	501(c)(3)	3	CHN	Yes (1)
ST MARY OF THE PLAINS HOSPITAL FDN
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	751653181	HEALTHCARE	TX	501(c)(3)	7	CHS	Yes (1)
ST PATRICK HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	237056976	HEALTHCARE	MT	501(c)(3)	7	PHS WA	Yes (1)
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 (1)
SWEDISH EDMONDS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	272305304	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	910433740	HEALTHCARE	WA	501(c)(3)	3	WHC	Yes (1)
SWEDISH MEDICAL CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	910983214	HEALTHCARE	WA	501(c)(3)	7	SHS	Yes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	273139262	HOLDING CO	WA	501(c)(3)	12,I	SHS	Yes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833972614	HEALTHCARE	CA	501(c)(3)	3	PHS SOCAL	Yes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911180824	SUPPORT	WA	501(c)(3)	7	PHS WA	Yes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911293869	SUPPORT	CA	501(c)(3)	10	PHS SOCAL	Yes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	911214491	SUPPORT	OR	501(c)(3)	10	PHS OR	Yes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810231777	EDUCATION	MT	501(c)(3)	2	PHS	Yes (1)
WESTERN HEALTHCONNECT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	454171900	SHELL CORPORATION	WA	501(c)(3)	12,II	PHS W WA	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (45 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
20TH STREET SURGERY LLC
1301 20TH STREET STE 140	SANTA MONICA	CA	90404	731735618	AMBULATORY SURG	CA	N/A
BROADWAY IMAGING LLC
500 W BROADWAY	MISSOULA	MT	59802	522405971	MEDICAL IMAGING	MT	N/A
CENTER FOR MATERNAL NEWBORN AND CHILD
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	813526875	HEALTHCARE	CA	N/A
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY ST BLDG II 495	PORTLAND	OR	97213	260381897	RADIATION ONCOL	OR	N/A
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92663	810986844	HEALTHCARE	CA	N/A
COVENANT LONG-TERM CARE LP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	205033419	HEALTHCARE	TX	N/A
BRIDGEPORT MEDICAL IMAGING (BMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	260796953	IMAGING DIAG.	OR	N/A
CENTER FOR MEDICAL IMAGING (CMI)
4400 NE HALSEY 495	PORTLAND	OR	97213	200477972	IMAGING DIAG.	OR	N/A
FULLERTON SURGICAL CENTER LP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	470927394	AMBULATORY SURG	CA	N/A
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA ST	BURBANK	CA	91505	954570858	REAL ESTATE - MOB	CA		PHS SOCAL	INVESTMENT	$645,858	$8,463,120	0	Yes (1)	0.50000
HCSA PROPERTIES LLC
1600 M STREET NW	AUBURN	WA	98001	460620892	REAL ESTATE RENT	WA	N/A
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000	ORANGE	CA	92868	271000061	INVESTMENTS	CA	N/A
HOAG ORTHOPEDIC INSTITUTE
ONE HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	611588294	HEALTHCARE	CA	N/A
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE A	ANCHORAGE	AK	99508	203906048	MEDICAL IMAGING	AK	N/A
INLAND IMAGING LLC
801 S STEVENS ST	SPOKANE	WA	99204	911855796	MEDICAL IMAGING	WA	N/A
LSC REAL PROPERTY LLC
2301 QUAKER AVENUE	LUBBOCK	TX	79410	474646059	REAL ESTATE	TX	N/A
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREET	LUBBOCK	TX	79410	752343261	HEALTHCARE	TX	N/A
NEWPORT IMAGING CENTER
360 SAN MIGUEL	NEWPORT BEACH	CA	92660	330191776	HEALTHCARE	CA	N/A
NEWPORT SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350	MISSION VIEJO	CA	92691	392060266	HEALTHCARE	CA	N/A
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAY	MEDFORD	OR	97504	450471748	MEDICAL IMAGING	OR	N/A
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RD	TIGARD	OR	97224	223883387	AMBULATORY SURG	OR	N/A
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREET	SEATTLE	WA	98104	203132044	MEDICAL IMAGING	WA	N/A
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	812701056	INVESTMENTS	WA	N/A
PROV RADIATION ONCOLOGY DEVELOP ASSN
4400 NE HALSEY 495	PORTLAND	OR	97213	260682491	REAL ESTATE - MOB	OR	N/A
PROVIDENCE CHILDREN'S NEONATAL SERVICES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	470918549	NEONATAL CARE	WA	N/A
PROVIDENCE HOUSE HEARING HEALTH CENTERS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057		HEALTHCARE	CA	N/A
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	920118807	MEDICAL IMAGING	AK	N/A
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	823190634	INVESTMENTS	WA		PHS WA	EXCLUDED	$267,251	$6,999,121	0	0	0.00120
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE ST	MISSOULA	MT	59802	841401625	AMBULATORY SURG	MT	N/A
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425	PORTLAND	OR	97213	481287267	REHAB SERVICES	OR	N/A
PROVIDENCE UCLA USP SURGERY CENTER JV
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	320503030	AMBULATORY SURG	CA		PHS SOCAL	RELATED	-$1,030,804	$4,868,792	0	0	0.72200
PROVIDENCEUSP SOUTH BAY SURGERY CENTERS
15305 DALLAS PKWY STE 1600 LB 28	ADDISON	TX	75001	475064486	AMBULATORY SURG	CA		PHS SOCAL	RELATED	$129,891	$6,913,822	0	0	0.49950
PROVIDENCEUSP SURGERY CENTERS LLC
11550 INDIAN HILLS ROAD 160	MISSION HILLS	CA	91345	200684116	AMBULATORY SURG	CA		PHS SOCAL	RELATED	$799,650	$1,843,454	0	0	0.49950
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON STREET 1ST FL	SEATTLE	WA	98104	300553035	HEALTHCARE	WA	N/A
REDMOND AMBULATORY SURGERY CENTER LLC
805 MADISON ST STE 901	SEATTLE	WA	98104	813558711	AMBULATORY SURG	WA	N/A
SANTA ANA MOB LLC
1800 QUAIL STREET STE 100	NEWPORT BEACH	CA	92660	753205306	REAL ESTATE - MOB	CA	N/A
SHA LLC
12940 NORTH HIGHWAY 183	AUSTIN	TX	78750	752569094	HEALTHCARE	TX	N/A
SJO ASC HOLDINGS LLC
1140 W LA VETA AVE	ORANGE	CA	92868	821655501	HEALTHCARE	CA	N/A
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVE	ORANGE	CA	92868	454521884	REAL ESTATE	CA	N/A
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
300 SANTANA ROW STE 300	SAN JOSE	CA	95128	814657391	HEALTHCARE	CA	N/A
ST JUDE SURGICAL CENTERS LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	823352570	AMBULATORY SURG	CA	N/A
SURGERY CENTER AT TANASBOURNE LLC
11221 ROE AVE STE 300	LEAWOOD	KS	66211	208187971	AMBULATORY SURG	KS	N/A
TARZANA PEDIATRIC VENTURES LLC
18321 CLARK ST	TARZANA	CA	91356	821308306	HEALTHCARE	CA		PHS SOCAL	RELATED		-$422,803	0	0	0.50000
THE MADISON SPOKANE INN LLC
15 WEST ROCKWOOD BLVD	SPOKANE	WA	99204	841606484	HOTEL SERVICES	WA	N/A
YELM MEDICAL OFFICE BUILDING
2840 CRITES ST SW STE 104	TUMATER	WA	98512	263685020	REAL ESTATE - MOB	WA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
1221 MADISON STREET OWNERS ASSOC
747 BROADWAY	SEATTLE	WA	98122	201954319	OWNERS' ASSOC.	WA	N/A	C	0
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		N/A	C	0	90 PITTS BAY ROAD PEMBROKE	BD	BD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833037172	HEALTHCARE	DE	N/A	C	0
BLUETREE NETWORK INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	900872936	HEALTHCARE	WI	N/A	C	0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99220	911354431	CLIN/MED LAB	WA	N/A	C	0
CARON HEALTH CORPORATION
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	810486082	MED PHYS SVCS	MT	N/A	C	0
COMMUNITY TECHNOLOGIES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844722399	IT SVCS	DE	N/A	C	0
DATU HEALTH INC AND SUBSIDIARIES
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	463070062	IT SVCS	DE	N/A	C	0
ENGAGE IT SERVICES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844058573	IT SVCS	DE	N/A	C	0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE	CA	N/A	C	0
HOAG PHYSICIAN PARTNERS
16148 SAND CANYON AVE	IRVINE	CA	92618	834276044	HEALTHCARE	CA	N/A	C	0
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752578995	INACTIVE	TX	N/A	C	0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	752118585	HEALTHCARE	TX	N/A	C	0
LUMEDIC ACQUISITION CO INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	833881097	HEALTHCARE	WA	N/A	C	0
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD	MISSION VIEJO	CA	92691	330212905	HEALTHCARE	CA	N/A	C	0
PERFORMANCE HEALTH TECHNOLOGY LTD
3993 FAIRVIEW INDUSTRIAL DR SE	SALEM	OR	97302	931211733	HEALTHCARE	OR	N/A	C	0
MEDIREVV INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208783763	HEALTHCARE	DE	N/A	C	0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461814184	STRAT PLAN SVCS	CA		C	Yes (1)				PHS SOCAL	$10,000	1.00000
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	364818191	HEALTH INNOVATNS	WA	N/A	C	0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	208194071	CAPTIVE INSURANCE	AZ	N/A	C	0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	981516461	IT SVCS		N/A	C	0			IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9	SPOKANE	WA	99220	900155714	CLIN/MED LAB	WA	N/A	C	Yes (1)
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800886966	PREPAID HEALTH	CA	N/A	C	0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330122216	INVESTMENT	CA		C	Yes (1)				PHS SOCAL	$2,886,525	1.00000
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9	SPOKANE	WA	99220	911216033	HEALTHCARE	WA	N/A	C	0
PROVIDENCE RCM GROUP
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844686520	HOLDING COMPANY	DE	N/A	C	0
PROVIDENCE SERVICES GROUP INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	844704409	HOLDING COMPANY	DE	N/A	C	0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	462340232	HOLDING COMPANY	CA	N/A	C	0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	461900168	HEALTHCARE	CA	N/A	C	0
ST JOSEPH PROF SVCS ENTERPRSES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	330155323	HEALTHCARE	CA	N/A	C	0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	953943315	INVESTMENTS	CA	N/A	C	0
WESTERN HEALTHCONNECT VENTURES INC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	800953654	INVESTMENTS	WA	N/A	C	0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280	SANTA MONICA	CA	90404	952880495	HEALTHCARE	CA	N/A	S	0
GRADY BLOCKER LLC
1801 LIND AVE SW ATTN TAX DEPT	RENTON	WA	98057	842092143	HOLDING COMPANY	DE	N/A	C	0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL ST	TORRANCE	CA	90503	823771547	HEALTHCARE	CA	N/A	C	0

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

Transactions Related Org TransactionsRelatedOrgGrp (50 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GREATER VALLEY MEDICAL BUILDING LP
L	$5,413,048	COST
JOHN WAYNE CANCER INSTITUTE
A	$3,222	COST
GREATER VALLEY MEDICAL BUILDING LP
J	$3,000,000	COST
JOHN WAYNE CANCER INSTITUTE
Q	$1,252,092	COST
JOHN WAYNE CANCER INSTITUTE
J	$116,159	COST
LCM ANCILLARY SERVICES CORPORATION
L	$16,245,869	COST
LCM ANCILLARY SERVICES CORPORATION
J	$4,247,710	COST
LCM ANCILLARY SERVICES CORPORATION
R	$2,331,121	COST
PROVIDENCE HEALTH & SERVICES WASHINGTON
R	$134,585,944	COST
PROVIDENCE HEALTH & SERVICES WASHINGTON
A	$38,932,315	COST
PROVIDENCE HEALTH & SERVICES WASHINGTON
L	$5,706,399	COST
PROVIDENCE HEALTH & SERVICES WASHINGTON
J	$3,259,911	COST
PROVIDENCE HEALTH & SERVICES WASHINGTON
O	$180,349	COST
PROVIDENCE HEALTH & SERVICES FOUNDATION VSA
R	$772,711	COST
PROVIDENCE HEALTH NETWORK
O	$5,823,507	COST
PROVIDENCE HEALTH NETWORK
R	$323,844	COST
PROVIDENCE HEALTH NETWORK
A	$272,361	COST
PROVIDENCE HEALTH & SERVICES WASHINGTON
S	$61,999,285	COST
PROVIDENCE SAINT JOHNS HEALTH CENTER
S	$12,651,167	COST
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
C	$13,105,670	COST
PROVIDENCE HEALTH & SERVICES FOUNDATION VSA
C	$13,374,708	COST
PROVIDENCE MEDICAL INSTITUTE
S	$7,425,851	COST
PROVIDENCE TRINITYCARE HOSPICE
S	$4,116,075	COST
PROVIDENCE MEDICAL INSTITUTE
S	$4,018,643	COST
VINSERRA INC
S	$2,362,374	COST
PROVIDENCE HEALTH VENTURES INC
S	$470,949	COST
PROVIDENCE HEALTH & SERVICES WASHINGTON
S	$186,125	COST
LCM ANCILLARY SERVICES CORPORATION
S	$156,931	COST
PROVIDENCE HEALTH VENTURES INC
L	$141,042	COST
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
R	$574,515	COST
PROVIDENCE MEDICAL INSTITUTE
R	$27,908,132	COST
PROVIDENCE MEDICAL INSTITUTE
J	$6,836,787	COST
PROVIDENCE MEDICAL INSTITUTE
L	$136,800	COST
PROVIDENCE SAINT JOHNS HEALTH CENTER
R	$61,934,343	COST
PROVIDENCE SAINT JOHNS HEALTH CENTER
J	$1,502,114	COST
PROVIDENCE SAINT JOHNS HEALTH CENTER
A	$451,314	COST
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
R	$13,588,618	COST
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
J	$8,738,335	COST
PROVIDENCE TRINITYCARE HOSPICE
R	$3,117,054	COST
PROVIDENCE TRINITYCARE HOSPICE
O	$2,111,758	COST
PROVIDENCE TRINITYCARE HOSPICE
L	$1,714,969	COST
PROVIDENCE TRINITYCARE HOSPICE
Q	$426,442	COST
PROVIDENCE TRINITYCARE HOSPICE
J	$218,996	COST
ST JOSEPH HEALTH SYSTEM
L	$737,984	COST
ST JOSEPH HEALTH SYSTEM
J	$188,399	COST
FACEY MEDICAL FOUNDATION
B	$478,285	COST
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
B	$678,891	COST
PROVIDENCE MEDICAL INSTITUTE
B	$1,488,515	COST
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
B	$3,795,837	COST
PROVIDENCE HEALTH & SERVICES FOUNDATION VSA
B	$6,091,497	COST