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SAINT JOHN S CANCER INSTITUTE: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SAINT JOHN S CANCER INSTITUTE (EIN 95-4291515)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-06
IRS object ID
202023119349300882
Schema version
2019v5.1
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-06T10:34:24-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14365 EXECUTIVE DRIVE SUITE 1600AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN954291515EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN WAYNE CANCER INSTITUTEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone3108298411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL RICKSPersonNm
Person TitleCEOPersonTitleTxt
Phone3108298411PhoneNum
Signature2020-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRYAN MAYORPreparerPersonNm
PTINP01650740PTIN
Phone8585357200PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address181.28.77.104IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-06IPDt
IP Tm10:26:41IPTm
IP TimezoneUSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id45011F6A24E78954EFFEAFAC380573F3A3FE3C54AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerMICHAEL RICKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,577,499GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JWCI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO SUPPORT RESEARCH AND DEVELOPMENT OF, AND EDUCATION IN, THE BASIC AND CLINICAL SCIENCES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee132TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,051,465PYContributionsGrantsAmt
CY Contributions Grants$13,326,004CYContributionsGrantsAmt
PY Program Service Revenue$4,848,329PYProgramServiceRevenueAmt
CY Program Service Revenue$5,182,775CYProgramServiceRevenueAmt
PY Investment Income$25,836PYInvestmentIncomeAmt
CY Investment Income$4,451CYInvestmentIncomeAmt
PY Other Revenue$58,587PYOtherRevenueAmt
CY Other Revenue$64,269CYOtherRevenueAmt
PY Total Revenue$15,984,217PYTotalRevenueAmt
CY Total Revenue$18,577,499CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$31,560CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,160,994PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,971,316CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,894,172PYOtherExpensesAmt
CY Other Expenses$9,575,606CYOtherExpensesAmt
PY Total Expenses$18,055,166PYTotalExpensesAmt
CY Total Expenses$19,578,482CYTotalExpensesAmt
PY Revenues Less Expenses-$2,070,949PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,000,983CYRevenuesLessExpensesAmt
Total Assets BOY$21,692,845TotalAssetsBOYAmt
Total Assets EOY$27,230,495TotalAssetsEOYAmt
Total Liabilities BOY$21,419,008TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,061,033TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$273,837NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,169,462NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO SUPPORT RESEARCH AND DEVELOPMENT OF, AND EDUCATION IN, THE BASIC AND CLINICAL SCIENCES FOR THE PREVENTION, DETECTION, DIAGNOSIS, AND TREATMENT OF CANCER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,480,773ExpenseAmt
Grant$31,560GrantAmt
Revenue$5,247,044RevenueAmt
DescSEE SCHEDULE OPROVIDENCEON JULY 1, 2016, PROVIDENCE HEALTH & SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT TO FORM PROVIDENCE ST. JOSEPH HEALTH (PROVIDENCE). BY COMING TOGETHER, PROVIDENCE 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, 1,085 CLINICS ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON.MOLECULAR ONCOLOGY: THE DEPARTMENT OF MOLECULAR ONCOLOGY (MO) IS A LARGE RESEARCH PROGRAM AT JWCI (22 MEMBERS INCLUDING 3 ASSISTANT PROFESSORS). THE MOLECULAR ONCOLOGY PROGRAM IS INTERNATIONALLY RECOGNIZED BECAUSE OF MULTIPLE DISCOVERIES PARTICULARLY IN THE FIELD OF MOLECULAR BIOMARKERS. THE PROGRAM HAS BEEN FUNDED THROUGH FEDERAL GRANTS, PHILANTHROPY AND FOUNDATIONS. THE MAJOR FOCUS IS ON SOLID TUMORS INCLUDING MELANOMA, BREAST, BRAIN, AND GASTROINTESTINAL CANCERS. IN RECENT YEARS EMPHASIS HAS BEEN ON MOLECULAR PROGNOSTIC/DIAGNOSTIC BIOMARKERS AND EPIGENETICS REGULATORY AND THERAPEUTIC TARGETS. SOME OF THE MAJOR PIONEERING STUDIES ACCREDITED TO THE DEPARTMENT ADDRESS THE PROGNOSTIC UTILITY IN CANCER PATIENTS (PHASE II AND III CLINICAL TRIALS) OF CIRCULATING TUMOR CELLS (CTC) AND CIRCULATING DNA (GENOMIC, MUTATION, METHYLATION), THE MOLECULAR STAGING OF SENTINEL LYMPH NODES AND EPIGENETICS. THE DEPARTMENT RECENTLY RECEIVED FUNDING FROM THE NIH TCGA PROGRAM IN SEVERAL TYPES OF SOLID TUMORS FOR GENOMIC, METHYLATION, AND RNA SEQUENCING. THESE TRANSLATIONAL RESEARCH EFFORTS HAVE BEEN CONDUCTED THROUGH CLOSE COLLABORATION BETWEEN JWCI ONCOLOGISTS AND OTHER CENTERS. THE MO DEPARTMENT HAS COLLECTED WELL ANNOTATED BLOOD AND TUMOR SPECIMENS FOR MOLECULAR STUDIES FROM OVER 75 CENTERS AROUND THE WORLD AND HAS SIGNIFICANT EXPERIENCE IN LARGE SCALE PHASE II AND III STUDIES. THE DEPARTMENT THEREFORE OFFERS A WELL-ORGANIZED RESEARCH PROGRAM THAT CAN OFFER COLLABORATIVE SUPPORT TO THE PROVIDENCE HEALTH SYSTEM AND INTELLECTUAL PROPERTY DEVELOPMENT.THE DEPARTMENT OF MO TRAINS ON AVERAGE 10 RESEARCH POSTDOCTORAL FELLOWS PER YEAR AND HAS A STRONG HISTORY OF TRAINING FOREIGN SURGICAL ONCOLOGY MD AND MD/PHD FELLOWS (>60) FROM MAJOR ELITE UNIVERSITIES IN JAPAN,(TOKYO, KEIO, OSAKA), THE NETHERLANDS (LEIDEN UNIVERSITY), AND CHINA (FUDAN UNIVERSITY, HUASHAN).GENE SEQUENCING CENTER: THE GENE SEQUENCING CENTER WAS ESTABLISHED AT THE JWCI IN DECEMBER 2013. USING STATE OF THE ART EQUIPMENT THE CENTER CAN PERFORM ANY POTENTIALLY USEFUL TYPE OF GENE SEQUENCING, INCLUDING WHOLE GENOME SEQUENCING. TO DATE, OVER 200 TUMORS HAVE BEEN SEQUENCED. A MAJOR PROJECT UNDERWAY THAT HAS TAKEN ADVANTAGE OF THE UNIQUE MELANOMA TUMOR REPOSITORY IS WHOLE GENOME SEQUENCING ON PAIRED MELANOMA TUMORS AND LYMPHOCYTES. THE FORMIDABLE REQUIREMENTS FOR DATA STORAGE, DATA TRANSFER AND BIOINFORMATICS ARE PROVIDED THROUGH CONTRACTS WITH THE NATIONAL LAMBDA RAILROAD (NLR; NANTWORKS) A HIGH SPEED (40TB/SEC) NETWORK CONNECTING JWCI TO OTHER CANCER INSTITUTES. FUNDING FOR THE SEQUENCING CENTER IS PROVIDED BY MAJOR CORPORATE GRANTS.MELANOMA RESEARCH: JWCI HAS ONE THE LARGEST MELANOMA PROGRAMS IN THE WORLD. RESEARCH HAS INVOLVED INTERNATIONAL MULTICENTER CLINICAL TRIALS, INDUSTRY SPONSORED CLINICAL TRIALS, AND BASIC SCIENCE RESEARCH. RESULTS OF THESE STUDIES HAVE BEEN PUBLISHED IN NUMEROUS PEER-REVIEW JOURNALS INCLUDING THE NEW ENGLAND JOURNAL OF MEDICINE. THERE ARE ONGOING POTENTIALLY PRACTICE-CHANGING CLINICAL TRIALS IN MELANOMA. BASIC SCIENCE RESEARCH INCLUDES GENOMICS, TRANSLATIONAL IMMUNOLOGY AND THE DEVELOPMENT OF NOVEL IMMUNOTHERAPIES.TRANSLATIONAL IMMUNOLOGY: THE DEPARTMENT OF TRANSLATIONAL NEURO-ONCOLOGY AND NEUROTHERAPEUTICS (TNON) WAS ESTABLISHED AT JWCI IN AUGUST 2015. TNON'S RESEARCH AREAS INCLUDE DISCOVERY AND DEVELOPMENT OF NOVEL DRUG CANDIDATES FOR CLINICALLY VALIDATED MOLECULAR TARGETS, BIOMARKER-BASED DRUG DEVELOPMENT FOR PRECISION MEDICINE, NANOTECHNOLOGY-BASED APPROACHES TO DELIVER DRUGS ACROSS THE BLOOD BRAIN BARRIER, NEW IMMUNOLOGICAL APPROACHES TO DIAGNOSE AND TREAT CANCER AND CNS DISEASES, AND INTEGRATED INFORMATION TECHNOLOGY, BIG DATA AND NOVEL BIOSENSOR/DEVICE DEVELOPMENT. THIS IS ACCOMPLISHED THROUGH BASIC SCIENCE RESEARCH, PRECLINICAL RESEARCH, TRANSLATIONAL RESEARCH, AND CLINICAL RESEARCH.TNON'S BASIC SCIENCE RESEARCH EXPLORES SPECIFIC ASPECTS OF HOW BRAIN CANCER INITIATES AND PROGRESSES. ACTIVE INITIATIVES INCLUDE TUMOR CELL METABOLISM, MOLECULAR SIGNALING PATHWAYS AND NANOTECHNOLOGY IN DRUG DELIVERY. TNON'S PRECLINICAL RESEARCH EVALUATES DISCOVERIES FROM BASIC RESEARCH IN PRECLINICAL ANIMAL MODELS. PATIENT DERIVED XENOGRAFT (PDX) AND ORTHOTOPIC ANIMAL MODELS ARE EMPLOYED FOR TESTING OF NOVEL THERAPEUTIC AGENTS TARGETING BRAIN TUMORS. A MAJOR FOCUS IS EVALUATING TARGETED THERAPIES (SMALL MOLECULES/BIOLOGICS) AND IMMUNOTHERAPIES AS A SINGLE OR COMBINATION DOSE WITH STANDARD OF CARE. TNON'S TRANSLATIONAL RESEARCH INITIATIVES INCLUDE COMPUTATIONAL MODELING AND NETWORK PHARMACOLOGY, BIOMARKER DEVELOPMENT, GENOMICS-PROTEOMICS, CANCER STEM CELLS, AND IMMUNOTHERAPY. TNON'S CLINICAL RESEARCH COMBINES CLINICAL EXPERTISE WITH LEADING-EDGE RESEARCH TO GAIN AN IN-DEPTH UNDERSTANDING OF EACH PATIENT'S INDIVIDUAL TUMOR. CLINICAL TRIALS OFFER MORE TREATMENT OPTIONS TO ELIGIBLE PATIENTS.SURGICAL ONCOLOGY FELLOWSHIP TRAINING PROGRAM AND OTHER RESEARCH PROGRAMS: SURGICAL ONCOLOGY FELLOWSHIP PROGRAM - JWCI HAS A LONG HISTORY OF TRAINING LEADING CLINICIANS, RESEARCHERS AND EDUCATORS THROUGH ITS FELLOWSHIP TRAINING PROGRAMS. CURRENTLY JWCI HAS CLINICAL TRAINING PROGRAMS IN SURGICAL ONCOLOGY (ACGME-ACCREDITED), GENITOURINARY ONCOLOGY AND NEUROSURGERY. GRADUATES OF THESE PROGRAMS ARE CURRENTLY IN LEADERSHIP POSITIONS AT LEADING ACADEMIC MEDICAL CENTERS THROUGHOUT THE COUNTRY. IN THE SOUTHERN CALIFORNIA AREA, THE JWCI HAS SEVERAL ALUMNI ON THE FACULTIES OF CEDARS SINAI (EXECUTIVE VICE-CHAIR, FELLOWSHIP PROGRAM DIRECTOR AND ASSOCIATE PROGRAM DIRECTOR), CITY OF HOPE (FELLOWSHIP PROGRAM DIRECTOR, CO-DIRECTOR BREAST PROGRAM), KAISER (CHIEF OF SURGERY), AND HARBOR-UCLA (CHIEF OF SURGICAL ONCOLOGY). OTHER RESEARCH PROGRAMS - JWCI ALSO OPERATES SEVERAL SMALLER RESEARCH PROGRAMS INCLUDING BREAST CANCER, PROSTATE CANCER, THORACIC CANCER, GASTROINTESTINAL CANCER, AND ENDOCRINE AND BONE DISEASE. TO FACILITATE ALL RESEARCH, JWCI PROVIDES CLINICAL TRIAL SUPPORT, STATISTICAL SUPPORT, AND OTHER BUSINESS AND ADMINISTRATIVE SUPPORT. GENITOURINARY (GU) ONCOLOGY PROGRAM: JWCI HAS 2 GU SURGICAL ONCOLOGISTS, AND 1 GU MEDICAL ONCOLOGIST. THE JWCI GU ONCOLOGY PROGRAM PARTICIPATES IN CUTTING EDGE PHARMA SPONSORED MEDICAL AND DEVICE CLINICAL TRIALS AS WELL AS COLLABORATES WITH THE DEPARTMENT OF MOLECULAR ONCOLOGY ON GU RELATED TRANSLATIONAL RESEARCH.Desc
Total Program Service Expenses$14,480,773TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document60IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee132EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JO ANN ESCASA-HAIGHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9493814000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13345 MICHELSON DRIVE SUITE 100AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MARCEL LOH
CE ST JOHNS HEALTH CNT (PT YR)5.0050.00Yes (X)$0$1,457,402$48,187
DAVE HOON
SR. LAB CHIEF40.000.00$325,313$0$33,422Yes (X)
BRIAN ANDERSON
DIRECTOR JWCI40.000.00$252,593$0$21,214Yes (X)
MICHAEL RICKS
CHIEF EXEC ST JOHNS HEALTH CNT20.0020.00Yes (X)$0$217,422$45,014
PRZEMYSLAW TWARDOWSKI
MED DIR. - ONC. RESEARCH40.000.00$254,856$0$3,750Yes (X)
SANTOSH KESARI
MED DIR TRANS-NEURO40.000.00$231,714$0$25,787Yes (X)
STACEY STERN
MGR DATA MANAGEMENT40.000.00$200,452$0$23,901Yes (X)
MICHAEL WAYNE
VICE CHAIR/SECRETARY2.000.00Yes (X)$0$0$0Yes (X)
PATRICK WAYNE
CHAIR2.000.00Yes (X)$0$0$0Yes (X)
CAROLE SCHWARTZ
DIRECTOR2.000.00$0$0$0Yes (X)
DOMINIC ORNATO
DIRECTOR2.000.00$0$0$0Yes (X)
DOUG MANCINO
DIRECTOR2.000.00$0$0$0Yes (X)
MARC EZRALOW
DIRECTOR2.000.00$0$0$0Yes (X)
MARIA ARECHAEDERRA
DIRECTOR2.000.00$0$0$0Yes (X)
MARK BAKER
DIRECTOR2.000.50$0$0$0Yes (X)
NORRIS BISHTON
DIRECTOR2.000.00$0$0$0Yes (X)
ROGER WACKER
DIRECTOR2.000.00$0$0$0Yes (X)
SEAN FISCHER MD
DIRECTOR2.000.00$0$0$0Yes (X)
TIM WILSON MD
DIRECTOR2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,264,928TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,674,824TotReportableCompRltdOrgAmt
Total Other Compensation$201,275TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K24IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THERMAL CTRL HEATING & AIR CONDITIONING
9980 INDIANA AVE STE 9RIVERSIDECA925035466MAINTENANCE SERVICES$269,262
ARCHITXTURE LLC
4 PARK PLAZA STE 100IRVINECA926148560MAINTENANCE SERVICES$180,872
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$11,843,062RelatedOrganizationsAmt
Government Grants$1,371,035GovernmentGrantsAmt
All Other Contributions$111,907AllOtherContributionsAmt
Total Contributions$13,326,004TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCLINICAL TRIALSDesc
Business621110BusinessCd
Total Revenue Column$5,182,775TotalRevenueColumnAmt
Related Or Exempt Func Income$5,182,775RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,182,775TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,451TotalRevenueColumnAmt
Exclusion$4,451ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$64,269TotalRevenueColumnAmt
Related Or Exempt Func Income$64,269RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$64,269OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,577,499TotalRevenueColumnAmt
Related Or Exempt Func Income$5,247,044RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,451ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$31,560TotalAmt
Program Services$31,560ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,296,564TotalAmt
Program Services$8,607,226ProgramServicesAmt
Management And General$689,338ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,775TotalAmt
Management And General$1,775ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$672,977TotalAmt
Program Services$5,126ProgramServicesAmt
Management And General$667,851ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,370TotalAmt
Management And General$3,370ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,659TotalAmt
Program Services$731ProgramServicesAmt
Management And General$928ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,875,749TotalAmt
Program Services$3,459,389ProgramServicesAmt
Management And General$2,416,360ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22,692TotalAmt
Program Services$18,717ProgramServicesAmt
Management And General$3,975ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$685,806TotalAmt
Program Services$540,678ProgramServicesAmt
Management And General$145,128ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,610TotalAmt
Program Services$13,014ProgramServicesAmt
Management And General$3,596ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,756,209TotalAmt
Program Services$148,559ProgramServicesAmt
Management And General$1,607,650ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$216,569TotalAmt
Program Services$190,545ProgramServicesAmt
Management And General$26,024ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$61,345TotalAmt
Program Services$40,694ProgramServicesAmt
Management And General$20,651ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$474,603TotalAmt
Program Services$118,195ProgramServicesAmt
Management And General$356,408ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$61,265TotalAmt
Program Services$61,225ProgramServicesAmt
Management And General$40ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$393,546$393,546
DUES & SUBSCRIPTIONS$25,818$24,828$990
TAXES AND LICENCES$17,731$5,143$12,588
RECRUITING & RELOCATION$5,150$5,015$135

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$42,516TotalAmt
Program Services$816,582ProgramServicesAmt
Management And General-$859,098ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,578,482TotalAmt
Program Services$14,480,773ProgramServicesAmt
Management And General$5,097,709ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,896,038BOYAmt
EOY-$1,156,680EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$241,735BOYAmt
EOY$32,853EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$7,396EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,803BOYAmt
EOY$3,010EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,972,187LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,005,894LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,981,597BOYAmt
EOY$2,966,293EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$2,924,035EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$15,001,035BOYAmt
EOY$20,868,495EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$570,637BOYAmt
EOY$1,585,093EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,692,845BOYAmt
EOY$27,230,495EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,020,131BOYAmt
EOY$1,364,297EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$607,593BOYAmt
EOY$1,203,361EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,791,284BOYAmt
EOY$19,493,375EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,419,008BOYAmt
EOY$22,061,033EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$16,972,984BOYAmt
EOY-$13,309,634EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,246,821BOYAmt
EOY$18,479,096EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$273,837BOYAmt
EOY$5,169,462EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,692,845BOYAmt
EOY$27,230,495EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,000,983ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$27,997NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,868,611OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research OrganizationYes (X)MedicalResearchOrganizationInd

Hospital Name And Address HospitalNameAndAddressGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE SAINT JOHN'S HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
CitySANTA MONICACityNm
State AbbreviationCAStateAbbreviationCd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$375,041OtherCostOrOtherBasisAmt
Depreciation$79,240DepreciationAmt
Book Value$295,801BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,200OtherCostOrOtherBasisAmt
Depreciation$4,200DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,470,638OtherCostOrOtherBasisAmt
Depreciation$1,906,970DepreciationAmt
Book Value$2,563,668BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$122,308OtherCostOrOtherBasisAmt
Depreciation$15,484DepreciationAmt
Book Value$106,824BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,966,293TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescBENEFICIAL INTEREST IN FOUNDATIONDesc
Book Value$20,868,495BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$20,868,495TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$1,585,093BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,585,093TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$19,484,377
OTHER LIABILITIES$8,998
FieldValueIRS element (for citing)
Total Liability$19,493,375TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
EAST ASIA AND THE PACIFIC00PROGRAM SERVICESCLINICAL TRIALS$6,171
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICESCLINICAL TRIALS$4,709
EUROPE (INCLUDING ICELAND AND GREENLAND)00PROGRAM SERVICESCLINICAL TRIALS$9,981
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$20,861SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$20,861TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3:SIGNED CONTRACTUAL AGREEMENT
PART III ACCOUNTING METHOD:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
JOHN WAYNE CANCER INSTITUTE AUXILLARY
10059 WESTWANDA DRIVEBEVERLY HILLSCA90210953987691501(C)(3)$10,000SPONSORSHIP
SAINT JOHN'S HOSPITAL & HEALTH CENTER FOUNDATION
2121 SANTA MONICA BOULEVARDSANTA MONICACA90404956100079501(C)(3)$15,000SPONSORSHIP
ASSOCIATES FOR BREAST AND PROSTATE CANCER STUDIES
2200 SANTA MONICA BOULEVARDSANTA MONICACA90404954246971501(C)(3)$6,500SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDESCRIPTION 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

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARCEL LOH
CE ST JOHNS HEALTH CNT (PT YR)$0$581,056$0$286,230$0$590,116$0$22,854$0$25,333$0$1,505,589$0$447,165
DAVE HOON
SR. LAB CHIEF$317,260$0$0$0$8,053$0$23,379$0$10,043$0$358,735$0$3,560$0
BRIAN ANDERSON
DIRECTOR JWCI$231,569$0$20,540$0$484$0$11,446$0$9,768$0$273,807$0$20,540$0
MICHAEL RICKS
CHIEF EXEC ST JOHNS HEALTH CNT$0$135,449$0$25,000$0$56,973$0$40,288$0$4,726$0$262,436$0$0
PRZEMYSLAW TWARDOWSKI
MED DIR. - ONC. RESEARCH$254,856$0$0$0$0$0$3,750$0$0$0$258,606$0$0$0
SANTOSH KESARI
MED DIR TRANS-NEURO$215,411$0$0$0$16,303$0$2,778$0$23,009$0$257,501$0$0$0
STACEY STERN
MGR DATA MANAGEMENT$165,538$0$4,992$0$29,922$0$14,903$0$8,998$0$224,353$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1APROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE PROVIDENCE PROVIDES HOUSING ALLOWANCES ONLY FOR PURPOSES OF RELOCATION ASSISTANCE TO A NEWLY HIRED EMPLOYEE. PROVIDENCE MAY PAY TEMPORARY LIVING EXPENSES FOR THE NEWLY HIRED EMPLOYEE UP TO A MAXIMUM OF 90 CALENDAR DAYS. COVERED EXPENSES ARE RENT (EXCLUDING "RENT" WHICH MAY BE PAID IN ORDER TO OCCUPY A NEW PERMANENT RESIDENCE UNTIL THE TITLE CLEARS) AND UTILITIES, INCLUDING HEAT, ELECTRICITY, GAS, WATER, LOCAL INTERNET AND LOCAL TELEPHONE AND GARBAGE SERVICES. THE EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER OF PROVIDENCE MAY APPROVE TEMPORARY HOUSING ASSISTANCE FOR UP TO SIX MONTHS WHEN FAMILY RELOCATION IS DELAYED TO ACCOMMODATE THE SCHOOL YEAR OR EQUIVALENT CIRCUMSTANCES. ONLY IN EXTENUATING CIRCUMSTANCES IS HOUSING EXTENDED BEYOND THIS SIX-MONTH PERIOD. THE AMOUNTS REPORTED FOR THESE RELOCATION/HOUSING PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990.
PART I, LINE 3DESCRIPTION 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 HEALTH SYSTEM - SOUTHERN CALIFORNIA, 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, LINE 4BENTITIES 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: MARCEL LOH - $317,000 DAVE HOON - $3,560
PART I, LINE 7NON-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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 15INDIVIDUALS 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 2PATRICK WAYNE & MICHAEL WAYNE HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE SAINT JOHN'S HEALTH CENTER IS THE SOLE CORPORATE MEMBER OF JOHN WAYNE CANCER INSTITUTE.
FORM 990, PART VI, SECTION A, LINE 7ACLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS JOHN WAYNE CANCER INSTITUTE HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT DIRECTORS TO THE JOHN WAYNE CANCER INSTITUTE BOARD. ALL DIRECTOR NOMINATIONS THAT COME FROM THE JOHN WAYNE CANCER INSTITUTE BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE SAINT JOHN'S HEALTH CENTER, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BCLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS 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 12CPROCESS 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 15PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY ITS TAX EXEMPT PARENT, PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11GGENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,717,611. MANAGEMENT AND GENERAL EXPENSES 1,694,016. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,411,627. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 632,465. MANAGEMENT AND GENERAL EXPENSES 777. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 633,242. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 17,623. MANAGEMENT AND GENERAL EXPENSES 525,936. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 543,559. MEDICAL DIRECTOR & MEDICAL PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 91,690. MANAGEMENT AND GENERAL EXPENSES 180,310. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 272,000. AGENCY/CONTRACT LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,321. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,321.
FORM 990, PART XI, LINE 9:FAS 136 - RECIPIENT ORGANIZATION ADJUSTMENT 4,378,211. OTHER CHANGES IN NET ASSETS 1,489,249. NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 1,151.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (116 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COVENANT ACO
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057611573313HEALTHCARETX501(C)(3)12,ICHSYes (1)
COVENANT HEALTH NETWORK INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461259908HEALTHCARECA501(C)(3)12,IIISJHSYes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057463516417HEALTHCARETX501(C)(3)12,ICHSYes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752765566HEALTHCARETX501(C)(3)3SJHSYes (1)
COVENANT HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752897026HEALTHCARETX501(C)(3)7CHSYes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844273963HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057822913146HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL GROUP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752743883HEALTHCARETX501(C)(3)3CHSYes (1)
E WA & MT UNEMPLOYMENT COMPENSATION INSURANCE TRUST
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911082119UNEMPLOYMENTWA501(C)(3)12,IPHS WAYes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANS. CAREWA501(C)(3)100N/A
FACEY MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057954322584SUPPORTCA501(C)(3)7PHS SOCALYes (1)
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057201910170SUPPORTWA501(C)(3)7PHS WAYes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(C)(3)7SHSYes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057203856995HEALTHCARETX501(C)(3)3CHSYes (1)
HMTS INC
1 HOAG DRIVENEWPORT BEACHCA92658453583707HEALTHCARECA501(C)(3)12,IHMHPYes (1)
HOAG CHARITY SPORTS
2081 BUSINESS CENTER DR STE 195NEWPORT BEACHCA92663452982422SUPPORTCA501(C)(3)7HHFYes (1)
HOAG CLINIC
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330676831HEALTHCARECA501(C)(3)10HMHPYes (1)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVENEWPORT BEACHCA92663953222343FUNDRAISINGCA501(C)(3)7HMHPYes (1)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100NEWPORT BEACHCA92663951643327HEALTHCARECA501(C)(3)3CHNYes (1)
HOSPICE OF LUBBOCK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752133781HEALTHCARETX501(C)(3)10CHSYes (1)
INLAND NORTHWEST HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911307555HEALTHCAREWA501(C)(3)3PHS WAYes (1)
INSTITUTE FOR MENTAL HEALTH & WELLNESS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057814260130HEALTHCAREWA501(C)(3)7PHS SJHSYes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057912003593HEALTHCAREWA501(C)(3)7WHCYes (1)
KADLEC AUXILIARY INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057916033089SUPPORTWA501(C)(3)12,IIIKRMCYes (1)
KADLEC FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057237005501SUPPORTWA501(C)(3)7KRMCYes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057910655392HEALTHCAREWA501(C)(3)3WHCYes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330844408IMAGING SVCSCA501(C)(3)10PHS SOCALYes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057264021016HEALTHCARETX501(C)(3)3CHSYes (1)
LUBBOCK METHODIST HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752220963HEALTHCARETX501(C)(3)7CHSYes (1)
LUNDBERG ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911562797SUPPORTOR501(C)(3)7PHS ORYes (1)
MARSHA RIVKIN CENTER FOR OVARIAN CANCER RESEARCH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057912054035RESEARCHWA501(C)(3)7SHSYes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752428911HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752246348HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752426010HEALTHCARETX501(C)(3)3CHSYes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057951643360HEALTHCARECA501(C)(3)3CHNYes (1)
NORTHWEST HOPE & HEALING FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057200799737SUPPORTWA501(C)(3)12,ISHSYes (1)
PACMED CLINICS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057562290878HEALTHCAREWA501(C)(3)10WHCYes (1)
PH&S FOUNDATIONSFVSA & SCVSA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953544877HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE ALASKA FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057920093565HEALTHCAREAK501(C)(3)7PHS WAYes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911940286HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911789266SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930800140SUPPORTOR501(C)(3)7PHS ORYes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930692907HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057473385506SUPPORTWA501(C)(3)70N/A
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057311744654SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911549796HEALTHCAREWA501(C)(3)12,IIPSJH0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810231793HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057510216587HEALTHCAREOR501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057510216586HEALTHCAREWA501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911303277HEALTHCAREWA501(C)(3)3PMWHCYes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057550828701MEDICAIDOR501(C)(4)N/APHPYes (1)
PROVIDENCE HEALTH CARE FOUNDATION - EASTERN WASHINGTON
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057320014330HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH CARE FOUNDATION (CENTRALIA)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911433382HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930863097HEALTHCAREOR501(C)(4)N/APPPYes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057510216589HEALTHCARECA501(C)(3)3PHSYes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930921990HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057272552749HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057912077378HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057510224944HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE MARIANWOOD FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057931554288HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330283773HEALTHCARECA501(C)(3)12,IPHS SOCALYes (1)
PROVIDENCE MILWAUKIE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057943079515HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE MINISTRIES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057RELIGIOUS ORGWA501(C)(3)10N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911188119HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930889144HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057311629656SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911861964HEALTHCAREWA501(C)(4)N/APHS ORYes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057931231494HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057311584166SUPPORTWA501(C)(3)10PHS WAYes (1)
PROVIDENCE SAINT JOHN'S HEALTH CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057951684082HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057814542216HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930927320HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057912171539SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057943244854SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057811244422HEALTHCAREWA501(C)(3)12,III0N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057943078543HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810463482HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE ST MARY FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057452841492HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST PETER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911097056SUPPORTWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057930575982HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (1)
PROVIDENCE TRINITYCARE HOSPICE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330261016HEALTHCARECA501(C)(3)7PTCHYes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057931003750HEALTHCAREOR501(C)(3)12, IPHS ORYes (1)
QUEEN OF THE VALLEY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057941243669HEALTHCARECA501(C)(3)3SJHSYes (1)
REDWOOD MEMORIAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057942779313HEALTHCARECA501(C)(3)7RMHYes (1)
REDWOOD MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057941384665HEALTHCARECA501(C)(3)3SJHSYes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057956100079SUPPORTCA501(C)(3)7PSJHCYes (1)
SANTA ROSA MEMORIAL HOSPITAL
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057941231005HEALTHCARECA501(C)(3)3SJHSYes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057611502822PHYSN COLLABWA501(C)(3)7WHCYes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057262612415SHELL CORPMT501(C)(3)1PHS WA0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057951643383RELIGIOUS ORGCA501(C)(3)10N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057680395200HEALTHCARECA501(C)(3)3SRMHYes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057271666576RELIGIOUS ORGCA501(C)(3)1SSJO0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057814791043HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953589356HEALTHCARECA501(C)(3)12,IPSJH0
ST JOSEPH HEALTH SYSTEM FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330143024HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HERITAGE HEALTHCARE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330185031HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057680331084HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOSPITAL OF EUREKA
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057941156596HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057951643359HEALTHCARECA501(C)(3)3CHNYes (1)
ST JUDE HOSPITAL INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057951643324HEALTHCARECA501(C)(3)3CHNYes (1)
ST LUKE ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057943176618SUPPORTWA501(C)(3)7PHS WAYes (1)
ST MARY MEDICAL CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057951914489HEALTHCARECA501(C)(3)3CHNYes (1)
ST MARY OF THE PLAINS HOSPITAL FDN
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057751653181HEALTHCARETX501(C)(3)7CHSYes (1)
ST PATRICK HOSPITAL FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057237056976HEALTHCAREMT501(C)(3)7PHS WAYes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810233495EDUCATIONMT501(C)(3)10PHS WAYes (1)
SWEDISH EDMONDS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057272305304HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057910433740HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH MEDICAL CENTER FOUNDATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057910983214HEALTHCAREWA501(C)(3)7SHSYes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057273139262HOLDING COWA501(C)(3)12,ISHSYes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057833972614HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911180824SUPPORTWA501(C)(3)7PHS WAYes (1)
THE GAMELIN CALIFORNIA ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911293869SUPPORTCA501(C)(3)10PHS SOCALYes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057911214491SUPPORTOR501(C)(3)10PHS ORYes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810231777EDUCATIONMT501(C)(3)2PHSYes (1)
WESTERN HEALTHCONNECT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057454171900SHELL CORPORATIONWA501(C)(3)12,IIPHS W WAYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (45 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
20TH STREET SURGERY LLC
1301 20TH STREET STE 140SANTA MONICACA90404731735618AMBULATORY SURGCAN/A
BROADWAY IMAGING LLC
500 W BROADWAYMISSOULAMT59802522405971MEDICAL IMAGINGMTN/A
CENTER FOR MATERNAL NEWBORN AND CHILD
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057813526875HEALTHCARECAN/A
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY ST BLDG II 495PORTLANDOR97213260381897RADIATION ONCOLORN/A
COASTAL ASC HOLDINGS LLC
ONE HOAG DRIVE BOX 6100NEWPORT BEACHCA92663810986844HEALTHCARECAN/A
COVENANT LONG-TERM CARE LP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057205033419HEALTHCARETXN/A
BRIDGEPORT MEDICAL IMAGING (BMI)
4400 NE HALSEY 495PORTLANDOR97213260796953IMAGING DIAG.ORN/A
CENTER FOR MEDICAL IMAGING (CMI)
4400 NE HALSEY 495PORTLANDOR97213200477972IMAGING DIAG.ORN/A
FULLERTON SURGICAL CENTER LP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057470927394AMBULATORY SURGCAN/A
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA STBURBANKCA91505954570858REAL ESTATE - MOBCAN/A
HCSA PROPERTIES LLC
1600 M STREET NWAUBURNWA98001460620892REAL ESTATE RENTWAN/A
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000ORANGECA92868271000061INVESTMENTSCAN/A
HOAG ORTHOPEDIC INSTITUTE
ONE HOAG DRIVE BOX 6100NEWPORT BEACHCA92658611588294HEALTHCARECAN/A
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE AANCHORAGEAK99508203906048MEDICAL IMAGINGAKN/A
INLAND IMAGING LLC
801 S STEVENS STSPOKANEWA99204911855796MEDICAL IMAGINGWAN/A
LSC REAL PROPERTY LLC
2301 QUAKER AVENUELUBBOCKTX79410474646059REAL ESTATETXN/A
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOCKTX79410752343261HEALTHCARETXN/A
NEWPORT IMAGING CENTER
360 SAN MIGUELNEWPORT BEACHCA92660330191776HEALTHCARECAN/A
NEWPORT SURGICAL PARTNERS LLC
27271 LAS RAMBLAS 350MISSION VIEJOCA92691392060266HEALTHCARECAN/A
OREGON ADVANCED IMAGING LLC
881 OHARE PARKWAYMEDFORDOR97504450471748MEDICAL IMAGINGORN/A
OREGON OUTPATIENT SURGERY CENTER
7300 SW CHILDS RDTIGARDOR97224223883387AMBULATORY SURGORN/A
PETCT IMAGING AT SWEDISH CANCER INSTITUTE LLC
1221 MADISON STREETSEATTLEWA98104203132044MEDICAL IMAGINGWAN/A
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057812701056INVESTMENTSWAN/A
PROV RADIATION ONCOLOGY DEVELOP ASSN
4400 NE HALSEY 495PORTLANDOR97213260682491REAL ESTATE - MOBORN/A
PROVIDENCE CHILDREN'S NEONATAL SERVICES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057470918549NEONATAL CAREWAN/A
PROVIDENCE HOUSE HEARING HEALTH CENTERS LLC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCARECAN/A
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057920118807MEDICAL IMAGINGAKN/A
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057823190634INVESTMENTSWAN/A
PROVIDENCE SURGERY CENTER LLC
902 N ORANGE STMISSOULAMT59802841401625AMBULATORY SURGMTN/A
PROVIDENCESILVERTON REHAB LLC
4400 NE HALSEY 425PORTLANDOR97213481287267REHAB SERVICESORN/A
PROVIDENCE UCLA USP SURGERY CENTER JV
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001320503030AMBULATORY SURGCAN/A
PROVIDENCEUSP SOUTH BAY SURGERY CENTERS
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001475064486AMBULATORY SURGCAN/A
PROVIDENCEUSP SURGERY CENTERS LLC
11550 INDIAN HILLS ROAD 160MISSION HILLSCA91345200684116AMBULATORY SURGCAN/A
RADIATION THERAPY INNOVATIONS LLC
1221 MADISON STREET 1ST FLSEATTLEWA98104300553035HEALTHCAREWAN/A
REDMOND AMBULATORY SURGERY CENTER LLC
805 MADISON ST STE 901SEATTLEWA98104813558711AMBULATORY SURGWAN/A
SANTA ANA MOB LLC
1800 QUAIL STREET STE 100NEWPORT BEACHCA92660753205306REAL ESTATE - MOBCAN/A
SHA LLC
12940 NORTH HIGHWAY 183AUSTINTX78750752569094HEALTHCARETXN/A
SJO ASC HOLDINGS LLC
1140 W LA VETA AVEORANGECA92868821655501HEALTHCARECAN/A
ST JOSEPH PHYSICIAN VENTURES I LLC
1100 WEST STEWART DRIVEORANGECA92868454521884REAL ESTATECAN/A
ST JOSEPHSATELLITE DIALYSIS CENTERS LLC
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Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
747 BROADWAYSEATTLEWA98122201954319OWNERS' ASSOC.WAN/AC0
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCEN/AC090 PITTS BAY ROAD PEMBROKEBDBD
AYIN HEALTH SOLUTIONS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057833037172HEALTHCAREDEN/AC0
BLUETREE NETWORK INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057900872936HEALTHCAREWIN/AC0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9SPOKANEWA99220911354431CLIN/MED LABWAN/AC0
CARON HEALTH CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810486082MED PHYS SVCSMTN/AC0
COMMUNITY TECHNOLOGIES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844722399IT SVCSDEN/AC0
DATU HEALTH INC AND SUBSIDIARIES
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057463070062IT SVCSDEN/AC0
ENGAGE IT SERVICES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844058573IT SVCSDEN/AC0
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100NEWPORT BEACHCA92658330731587HEALTHCARECAN/AC0
HOAG PHYSICIAN PARTNERS
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LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752578995INACTIVETXN/AC0
LUBBOCK METHODIST HOSPITAL SVCS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752118585HEALTHCARETXN/AC0
LUMEDIC ACQUISITION CO INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057833881097HEALTHCAREWAN/AC0
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RDMISSION VIEJOCA92691330212905HEALTHCARECAN/AC0
PERFORMANCE HEALTH TECHNOLOGY LTD
3993 FAIRVIEW INDUSTRIAL DR SESALEMOR97302931211733HEALTHCAREORN/AC0
MEDIREVV INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057208783763HEALTHCAREDEN/AC0
PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461814184STRAT PLAN SVCSCAN/AC0
PIONEER INNOVATIONS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057364818191HEALTH INNOVATNSWAN/AC0
PROVIDENCE ASSURANCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057208194071CAPTIVE INSURANCEAZN/AC0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057981516461IT SVCSN/AC0IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9SPOKANEWA99220900155714CLIN/MED LABWAN/AC0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057800886966PREPAID HEALTHCAN/AC0
PROVIDENCE HEALTH VENTURES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330122216INVESTMENTCAN/AC0
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE TAF C-9SPOKANEWA99220911216033HEALTHCAREWAN/AC0
PROVIDENCE RCM GROUP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844686520HOLDING COMPANYDEN/AC0
PROVIDENCE SERVICES GROUP INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844704409HOLDING COMPANYDEN/AC0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057462340232HOLDING COMPANYCAN/AC0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461900168HEALTHCARECAN/AC0
ST JOSEPH PROF SVCS ENTERPRSES INC
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VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953943315INVESTMENTSCAN/AC0
WESTERN HEALTHCONNECT VENTURES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057800953654INVESTMENTSWAN/AC0
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280SANTA MONICACA90404952880495HEALTHCARECAN/AS0
GRADY BLOCKER LLC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057842092143HOLDING COMPANYDEN/AC0
PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL STTORRANCECA90503823771547HEALTHCARECAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE HEALTH AND SERVICES FOUNDATION VSA
C$280,837COST
SAINT JOHN'S HOSPITAL & HEALTH CENTER FOUNDATION
C$8,447,790COST