REDWOOD MEMORIAL HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- REDWOOD MEMORIAL HOSPITAL (EIN 94-1384665)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-14
- IRS object ID
- 201831349349309783
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-14T17:27:10-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 VON KARMAN AVE STE 1700 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941384665 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDWOOD MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JONI MURPHY | InCareOfNm |
| Business Name Control | REDW | BusinessNameControlTxt |
| Phone | 7072694259 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 RENNER DRIVE | AddressLine1Txt |
| City | FORTUNA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95540 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERTA LUSKIN-HAWK MD | PersonNm |
| Person Title | CHIEF EXECUTIVE | PersonTitleTxt |
| Signature | 2018-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KARA ADAMS | PreparerPersonNm |
| PTIN | P00023315 | PTIN |
| Phone | 9497942300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERTA LUSKIN-HAWK MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 RENNER DRIVE | AddressLine1Txt |
| City | FORTUNA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95540 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $54,384,386 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.stjoehumboldt.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING HEALTH & QUALITY OF LIFE OF THE PEOPLE IN THE COMM WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 236 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,774,548 | PYContributionsGrantsAmt |
| CY Contributions Grants | $797,350 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $50,507,101 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,061,059 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,532,845 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,525,977 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $55,814,494 | PYTotalRevenueAmt |
| CY Total Revenue | $54,384,386 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $79,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $798,800 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,412,320 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,900,590 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $340,654 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,405,956 | PYOtherExpensesAmt |
| CY Other Expenses | $21,644,541 | CYOtherExpensesAmt |
| PY Total Expenses | $39,897,276 | PYTotalExpensesAmt |
| CY Total Expenses | $43,343,931 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,917,218 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,040,455 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $93,873,983 | TotalAssetsBOYAmt |
| Total Assets EOY | $107,868,140 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,053,942 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,948,659 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $84,820,041 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $97,919,481 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | REDWOOD MEMORIAL HOSPITAL IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE PEOPLE IN THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $40,876,909 | ExpenseAmt |
| Grant | $798,800 | GrantAmt |
| Revenue | $51,061,059 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $40,876,909 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 236 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JONI MURPHY | PersonNm |
| Phone | 7074458121 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2700 DOLBEER ST | AddressLine1Txt |
| City | EUREKA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95501 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MEGAN SMITH-ZAGONE MD | ||||||||||
| BOARD MEMBER (PART YEAR) | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| EVAN BUXBAUM MD | ||||||||||
| BOARD MEMBER/CHIEF OF STAFF | 2.0 | 2.0 | Yes (X) | $13,500 | $0 | $0 | ||||
| RICK CENTER | ||||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER KAREN CLOCK | ||||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL OHTA | ||||||||||
| BOARD MEMBER | 2.0 | 52.0 | Yes (X) | $0 | $394,459 | $27,683 | ||||
| BECKY GIACOMINI | ||||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER PAT HAYHURST CSJ | ||||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| RON JONES MD | ||||||||||
| BOARD VICE CHAIR | 4.0 | 6.0 | Yes (X) | $2,450 | $0 | $0 | ||||
| DENNIS LEONARDI | ||||||||||
| BOARD CHAIR | 4.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||||
| ELLEN MAHONEY MD | ||||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JEFF NELSON | ||||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID SOMERVILLE | ||||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| SR MARY THERESE SWEENEY CSJ | ||||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID WELLS | ||||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| DONALD WHEELER MD | ||||||||||
| BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID O'BRIEN MD | ||||||||||
| PRESIDENT | 7.0 | 50.0 | Yes (X) | $0 | $874,136 | $44,573 | Yes (X) | |||
| PATRICK CLEARY | ||||||||||
| BOARD MEMBER (PART YEAR) | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN GIEREK JR | ||||||||||
| BOARD CHAIR (PART YEAR) | 4.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT SAGEMAN MD | ||||||||||
| BOARD MEMBER (PART YEAR) | 2.0 | 2.0 | Yes (X) | $0 | $21,000 | $0 | ||||
| OLUYEMI ADEYANJU | ||||||||||
| SECRETARY | 2.0 | 52.0 | $0 | $475,496 | $10,990 | Yes (X) | ||||
| MICHEL RICCIONI | ||||||||||
| CFO (PART YEAR) | 2.0 | 48.0 | $0 | $602,515 | $53,316 | Yes (X) | ||||
| JULIE MALVEY | ||||||||||
| VP, MISSION INTEGRATION | 7.0 | 45.0 | $0 | $144,038 | $33,673 | Yes (X) | ||||
| ROBERT PETRINA | ||||||||||
| INTERIM CFO (BEG. 5/1/17) | 14.0 | 36.0 | $0 | $0 | $0 | Yes (X) | ||||
| DAVID SOUTHERLAND | ||||||||||
| VP, COO | 7.0 | 43.0 | $0 | $374,583 | $19,394 | Yes (X) | ||||
| MAUREEN DISBOT | ||||||||||
| REG VP QUALITY & SAFETY | 10.0 | 49.0 | $0 | $437,276 | $32,125 | Yes (X) | ||||
| WILLIAM PARKS | ||||||||||
| VP, MEDICAL AFFAIRS/CMO | 7.0 | 43.0 | $0 | $449,355 | $44,091 | Yes (X) | ||||
| TAMMY BARK | ||||||||||
| VP, CNO | 7.0 | 43.0 | $0 | $312,330 | $14,239 | Yes (X) | ||||
| LAURIE WATSON-STONE | ||||||||||
| VP, ANCILLARY & SUPPORT SRVCS | 7.0 | 43.0 | $0 | $298,631 | $37,903 | Yes (X) | ||||
| KEVIN KLOCKENGA | ||||||||||
| REGIONAL EVP | 2.0 | 48.0 | $0 | $1,270,400 | $31,292 | Yes (X) | ||||
| JAYNIE BOREN | ||||||||||
| N CA REG VP - STRATEGIC SRVCS | 10.0 | 49.0 | $0 | $444,251 | $33,304 | Yes (X) | ||||
| ROBERT EISEN | ||||||||||
| REGIONAL VP, HR NOCAL (PT YR) | 2.0 | 48.0 | $0 | $370,407 | $21,488 | Yes (X) | ||||
| LAURIE GARRISON | ||||||||||
| DIR NURSING | 40.0 | 2.0 | $179,559 | $0 | $23,885 | Yes (X) | ||||
| LYNETTA HAGAN | ||||||||||
| SUPV IMAGING SRVS | 40.0 | 0.0 | $163,573 | $0 | $32,709 | Yes (X) | ||||
| LANI SAMS | ||||||||||
| CLINICAL PHARMACIST | 30.0 | 0.0 | $150,746 | $0 | $21,353 | Yes (X) | ||||
| PAMELA CASSADY | ||||||||||
| ADMIN SUPERVISOR | 36.0 | 0.0 | $148,794 | $0 | $38,608 | Yes (X) | ||||
| ADRIENNE TINDAL-SCHULZ | ||||||||||
| MGR NURSING | 40.0 | 0.0 | $145,337 | $0 | $26,376 | Yes (X) | ||||
| JOSHUA ALLEE | ||||||||||
| VP MISSION INTEGRATION | 0.0 | 45.0 | $0 | $269,051 | $17,330 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $803,959 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,737,928 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $564,332 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 41 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMN HEALTHCARE INC | |||||
| PO BOX 56157 | LOS ANGELES | CA | 90074 | STAFFING SERVICES | $1,355,853 |
| MEDICAL STAFFING NETWORK HEALTHCARE | |||||
| PO BOX 840292 | DALLAS | TX | 75284 | STAFFING SERVICES | $782,243 |
| FASTAFF LLC | |||||
| PO BOX 911452 | DENVER | CO | 80291 | STAFFING SERVICES | $592,090 |
| JB JORDAN AND ASSOCIATES | |||||
| PO BOX 3629 | EUREKA | CA | 95502 | MAINTENANCE SERVICES | $461,887 |
| STAFF CARE INC | |||||
| PO BOX 281923 | ATLANTA | GA | 30384 | PHYSICIAN SERVICES | $428,849 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $797,350 | RelatedOrganizationsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $797,350 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $50,422,497 | $50,422,497 | $0 | $0 |
| CAFETERIA REVENUE | 722310 | $106,254 | $106,254 | $0 | $0 |
| MOB REVENUE | 531120 | $45,214 | $45,214 | $0 | $0 |
| EHR REVENUE | 900099 | $202,605 | $202,605 | $0 | $0 |
| PRIVATE HOSPITAL SUP. FUND REVENUE | 900099 | $284,489 | $284,489 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,061,059 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,525,977 | TotalRevenueColumnAmt |
| Exclusion | $2,525,977 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,384,386 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,061,059 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,525,977 | 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 | $798,800 | TotalAmt |
| Program Services | $798,800 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,175 | TotalAmt |
| Program Services | $53,938 | ProgramServicesAmt |
| Management And General | $251,237 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,089,644 | TotalAmt |
| Program Services | $13,247,961 | ProgramServicesAmt |
| Management And General | $573,261 | ManagementAndGeneralAmt |
| Fundraising | $268,422 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $748,964 | TotalAmt |
| Program Services | $706,618 | ProgramServicesAmt |
| Management And General | $36,300 | ManagementAndGeneralAmt |
| Fundraising | $6,046 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,606,450 | TotalAmt |
| Program Services | $4,380,190 | ProgramServicesAmt |
| Management And General | $200,598 | ManagementAndGeneralAmt |
| Fundraising | $25,662 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,150,357 | TotalAmt |
| Program Services | $1,093,549 | ProgramServicesAmt |
| Management And General | $46,699 | ManagementAndGeneralAmt |
| Fundraising | $10,109 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,672,964 | TotalAmt |
| Program Services | $2,672,964 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,084 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $235,084 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,239 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $6,239 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,504 | TotalAmt |
| Program Services | $3,504 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,269,228 | TotalAmt |
| Program Services | $9,786,917 | ProgramServicesAmt |
| Management And General | $465,606 | ManagementAndGeneralAmt |
| Fundraising | $16,705 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,427 | TotalAmt |
| Program Services | $26,826 | ProgramServicesAmt |
| Management And General | $9,085 | ManagementAndGeneralAmt |
| Fundraising | $1,516 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,797,957 | TotalAmt |
| Program Services | $1,762,658 | ProgramServicesAmt |
| Management And General | $34,234 | ManagementAndGeneralAmt |
| Fundraising | $1,065 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,004 | TotalAmt |
| Program Services | $502,599 | ProgramServicesAmt |
| Management And General | $26,207 | ManagementAndGeneralAmt |
| Fundraising | $4,198 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $467,836 | TotalAmt |
| Program Services | $464,465 | ProgramServicesAmt |
| Management And General | $2,331 | ManagementAndGeneralAmt |
| Fundraising | $1,040 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,732 | TotalAmt |
| Program Services | $11,924 | ProgramServicesAmt |
| Management And General | $55,187 | ManagementAndGeneralAmt |
| Fundraising | $5,621 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,234 | TotalAmt |
| Program Services | $13,234 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,332 | TotalAmt |
| Program Services | $63,332 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $768,554 | TotalAmt |
| Program Services | $767,339 | ProgramServicesAmt |
| Management And General | $1,215 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,008 | TotalAmt |
| Program Services | $247,008 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $3,204,908 | $3,204,905 | $3 | $0 |
| REPAIRS AND MAINTENANCE | $725,780 | $698,843 | $26,667 | $270 |
| TAX AND LICENSE | $40,429 | $6,174 | $34,255 | $0 |
| ALL OTHER EXPENSES | $485,321 | $363,161 | $122,160 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,343,931 | TotalAmt |
| Program Services | $40,876,909 | ProgramServicesAmt |
| Management And General | $2,126,368 | ManagementAndGeneralAmt |
| Fundraising | $340,654 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,249,947 | BOYAmt |
| EOY | $32,078,016 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,652,765 | BOYAmt |
| EOY | $6,299,352 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,365 | BOYAmt |
| EOY | $165,959 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,016,990 | BOYAmt |
| EOY | $1,157,262 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,325 | BOYAmt |
| EOY | $253,004 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $35,087,893 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,275,514 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,789,881 | BOYAmt |
| EOY | $11,812,379 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,038,821 | BOYAmt |
| EOY | $54,189,262 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,848,889 | BOYAmt |
| EOY | $1,912,906 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,873,983 | BOYAmt |
| EOY | $107,868,140 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,897,914 | BOYAmt |
| EOY | $4,406,460 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,156,028 | BOYAmt |
| EOY | $5,542,199 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,053,942 | BOYAmt |
| EOY | $9,948,659 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,731,683 | BOYAmt |
| EOY | $97,726,819 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,358 | BOYAmt |
| EOY | $192,662 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,820,041 | BOYAmt |
| EOY | $97,919,481 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,873,983 | BOYAmt |
| EOY | $107,868,140 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,040,455 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,400,900 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$1,341,915 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $3,504 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,504 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF LOBBYING ACTIVITIES DURING THE YEAR, ST. JOSEPH HEALTH SYSTEM CONDUCTED ADVOCACY EFFORTS WHICH INCLUDED SOME LOBBYING ACTIVITIES. THESE ACTIVITIES INCLUDED MEETING WITH LOCAL, STATE AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS, AS WELL AS COMMUNICATION TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION. THE LOBBYING EXPENDITURES REPORTED REPRESENTS THE PORTION OF DUES ALLOCATED TO REDWOOD MEMORIAL HOSPITAL. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,003 | OtherCostOrOtherBasisAmt |
| Book Value | $36,003 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,481,023 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,747,018 | DepreciationAmt |
| Book Value | $2,734,005 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,459,242 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,528,496 | DepreciationAmt |
| Book Value | $3,930,746 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,111,625 | OtherCostOrOtherBasisAmt |
| Book Value | $5,111,625 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,812,379 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCO WITH HEALTH SYSTEM BONDS | $1,310,342 |
| PAYABLE TO THIRD PARTIES | $2,943,702 |
| DUE TO AFFILIATES | $919,951 |
| OTHER LIABILITIES | $368,204 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,542,199 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $567,489 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $567,489 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01310 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,589,796 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,720,501 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,869,295 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04310 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,561 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,423 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,138 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,175,846 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,724,924 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,450,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05650 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $959,600 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,557 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $941,043 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02170 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,755 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,755 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,411 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,411 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $395,775 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $395,775 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00910 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,393,541 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,968 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,341,573 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,569,387 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,776,892 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,792,495 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08740 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,396 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,396 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,396 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,396 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,508,106 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $17,260,366 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,057,215 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,203,151 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDWOOD MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 RENNER DRIVE | AddressLine1Txt |
| City | FORTUNA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95540 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.stjoehumboldt.org/ | WebsiteAddressTxt |
| State License | D-0295172 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Redwood Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H, PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | COLLECTING COMMUNITY INPUT IS AN INTEGRAL PART OF THE NEEDS ASSESSMENT PROCESS. QUANTITATIVE DATA ONLY TELLS PART OF THE STORY, BUT HEARING DIRECTLY FROM RESIDENTS AND STAKEHOLDERS WORKING IN HEALTH-RELATED FIELDS PROVIDES CONTEXT AND FIRST-HAND EXPERIENCE OF THE NEEDS OCCURRING WHERE PEOPLE LIVE, WORK AND PLAY. OVER A TWO WEEK PERIOD IN FEBRUARY 2017 WE HELD THREE RESIDENT FOCUS GROUPS IN DIFFERENT GEOGRAPHIC LOCATIONS OF OUR SERVICE AREA AND WITH POPULATIONS WHO HAVE KNOWN HEALTH DISPARITIES. IN TOTAL, MORE THAN 30 PEOPLE PARTICIPATED. THE FOCUS GROUPS WERE HELD IN FORTUNA AND EUREKA AND INCLUDED SENIORS LIVING IN THE EEL RIVER VALLEY AS WELL AS ELDERS FROM THE TABLE BLUFF RANCHERIA, LOW-INCOME FAMILIES AND SPANISH-SPEAKING COMMUNITY MEMBERS. A FOURTH FOCUS GROUP WITH GOVERNMENT AND NON-PROFIT STAKEHOLDERS WAS ALSO HELD IN EUREKA. ELEVEN REPRESENTATIVES FROM NINE ENTITIES ATTENDED. AT EACH FOCUS GROUP PARTICIPANTS WERE PROVIDED WITH SUMMARY SECONDARY AND PUBLICALLY AVAILABLE DATA HIGHLIGHTING AREAS OF NEED AND ASKED TO PROVIDE FEEDBACK. FOR CONSISTENCY PURPOSES, THE SAME QUESTIONS WERE ASKED AT EACH OF THE FOCUS GROUPS BUT PARTICIPANTS WERE ENCOURAGED TO SHARE THEIR PERSONAL EXPERIENCES ABOUT THE VARIOUS FACTORS INFLUENCING THEIR HEALTH AND THE HEALTH OF THEIR COMMUNITY. THEY WERE ALSO ASKED TO IDENTIFY ANY GAPS OR MISSING INFORMATION. AFTER GATHERING INPUT FROM FOCUS GROUPS, A RESIDENT COMMUNITY FORUM WAS HELD AT THE SEQUOIA CONFERENCE CENTER IN EUREKA. THE FORUM WAS OPEN TO ALL COMMUNITY MEMBERS. CALIFORNIA CENTER FOR RURAL POLICY FACILITATED THE FORUM AND SHARED THE HEALTH NEEDS THAT HAD EMERGED FROM THE CHNA PROCESS SO FAR. AFTER ROBUST DISCUSSION, PARTICIPANTS ENGAGED IN A CUMULATIVE VOTING PROCESS USING DOTS TO INDICATE THEIR GREATEST CONCERNS. THROUGH THIS DESIGN, THE FORUM SERVED AS SOMETHING OF A "CAPSTONE" TO THE COMMUNITY INPUT. |
| SCHEDULE H, PART V, SECTION B, LINES 6A AND 6B | CHNA HOSPITAL FACILITIES: ST. JOSEPH HOSPITAL OF EUREKA CHNA OTHER ORGANIZATIONS: COUNTY OF HUMBOLDT DEPARTMENT OF HEALTH & HUMAN SERVICES - PUBLIC HEALTH BRANCH THE OLIN GROUP CALIFORNIA CENTER FOR RURAL POLICY |
| SCHEDULE H, PART V, SECTION B, LINE 7A | CHNA WEBSITE https://www.stjoehumboldt.org/documents/Community-Benefit/RMH-CHNA-FY17.pd f |
| SCHEDULE H, PART V, SECTION B, LINE 10A | https://www.stjoehumboldt.org/documents/Community-Benefit/RMH-CBPlan-IS-Re port-FY18-20.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 11 | NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH CORE COMMUNITY BENEFIT PROGRAMING (CARE TRANSITIONS, EVERGREEN LODGE, COMMUNITY RESOURCE CENTERS, PASO A PASO AND HEALTHY KIDS HUMBOLDT) AND BY FUNDING OTHER NON-PROFITS THROUGH OUR CARE FOR THE POOR COMMUNITY GRANTS PROGAM MANAGED BY THE ST. JOSEPH HOSPITAL COMMUNITY BENEFIT DEPARTMENT. |
| SCHEDULE H, PART V, SECTION B, LINE 13H | 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 USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT. |
| SCHEDULE H, PART V, SECTION B, LINE 16A | FINANCIAL ASSISTANCE POLICY https://www.stjoehumboldt.org/documents/Patient-Financial-Assistance/Finan cial-Assistance-Policy-ENGLISH_4.20.16.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 16B | FINANCIAL ASSISTANCE APPLICATION https://www.stjoehumboldt.org/documents/Patient-Financial-Assistance/Finan cial-Assistance-Policy-ENGLISH_4.20.16.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 16C | PLAIN LANGUAGE SUMMARY https://www.stjoehumboldt.org/documents/Patient-Financial-Assistance/Humbo ldt_FABrochure_2016.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 16J | THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, 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. |
| SCHEDULE H, PART I, LINE 6A | REDWOOD MEMORIAL HOSPITAL PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT: https://www.stjoehumboldt.org/documents/Community-Benefit/SJE-CBR-FY17.pdf SCHEDULE H, PART I, LINE 7A-I THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER. |
| SCHEDULE H, PART II | COMMUNITY BUILDING ACTIVITIES REDWOOD MEMORIAL HOSPITAL PROVIDED FUNDING TO SUPPORT ENGLISH LANGUAGE LEARNERS IN OUR COMMUNITY. ENGLISH EXPRESS CLASSES WERE HELD AT CENTRALLY LOCATED COMMUNITY CENTERS SO THEY WERE ACCESSIBLE BY NON-ENGLISH SPEAKING IMMIGRANTS. THOUGH THESE LOW-BARRIER TO ENTRY AND ENGAGING CLASSES, STUDENTS GAINED ENGLISH LANGUAGE PROFICIENCY WHILE TAKING FIELD TRIPS AND LEARNING ABOUT THEIR NEW COMMUNITY. WITH INCREASED ENGLISH LANGUAGE SKILLS, IMMIGRANTS ARE ABLE TO SECURE AND RETAIN EMPLOYMENT, COMMUNICATE WITH MEDICAL PROFESSIONALS AND THEIR CHILDREN'S TEACHERS. |
| SCHEDULE H, 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. SCHEDULE H, 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. BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. SCHEDULE H, PART III, LINE 4 FOOTNOTE FROM THE PROVIDENCE ST. JOSEPH HEALTH COMBINED FINANCIAL STATEMENTS FOR THE YEAR ENDED 12/31/2017 THE HEALTH SYSTEM PROVIDES 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. |
| SCHEDULE H, PART III, LINE 8 | THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING CMS STANDARD COSTING METHODS. THIS INCLUDES STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS. SCHEDULE H, 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. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS GUIDED BY THE FUNDAMENTAL UNDERSTANDING THAT MUCH OF A PERSON AND COMMUNITYS HEALTH IS DETERMINED BY THE CONDITIONS IN WHICH THEY LIVE, WORK, PLAY, AND PRAY. IN GATHERING INFORMATION ON THE COMMUNITIES SERVED BY THE HOSPITAL, WE LOOKED NOT ONLY AT THE HEALTH CONDITIONS OF THE POPULATION, BUT ALSO AT SOCIOECONOMIC FACTORS, THE PHYSICAL ENVIRONMENT, HEALTH BEHAVIORS, AND THE AVAILABILITY OF CLINICAL CARE. THIS FRAMEWORK, DEPICTED IN THE GRAPHIC BELOW FROM COUNTY HEALTH RANKINGS AND ROADMAPS, FOCUSES ATTENTION ON THE SOCIAL DETERMINANTS OF HEALTH TO LEARN MORE ABOUT OPPORTUNITIES FOR INTERVENTION THAT WILL HELP PEOPLE BECOME AND STAY HEALTHY WITHIN THEIR COMMUNITY. IN ADDITION, WE RECOGNIZED THAT WHERE PEOPLE LIVE TELLS US A LOT ABOUT THEIR HEALTH AND HEALTH NEEDS, AND THAT THERE CAN BE POCKETS WITHIN COUNTIES AND CITIES WHERE THE CONDITIONS FOR SUPPORTING HEALTH ARE SUBSTANTIALLY WORSE THAN NEARBY AREAS. WHEN DATA WAS PUBLICLY AVAILABLE, IT WAS COLLECTED AT THE ZIP CODE LEVEL TO SHOW THE DISPARITIES IN HEALTH AND THE SOCIAL DETERMINANTS OF HEALTH THAT OCCUR WITHIN THE HOSPITAL SERVICE AREA. METHODOLOGY COLLABORATIVE PARTNERS THE OLIN GROUP IS A SOCIALLY CONSCIOUS CONSULTING FIRM WORKING ACROSS NONPROFIT, PUBLIC, PRIVATE, AND PHILANTHROPIC SECTORS TO BRING ABOUT COMMUNITY TRANSFORMATION. BASED IN SANTA ANA, CALIFORNIA, THE OLIN GROUP HAS 15 YEARS OF EXPERIENCE WORKING ON EVALUATION, PLANNING, ASSESSMENT, FUNDRAISING, COMMUNICATION, AND OTHER SERVICES FOR NONPROFIT ORGANIZATIONS, AND HAD PREVIOUSLY SUPPORTED THE CHNA PROCESS OF MULTIPLE HOSPITALS IN THE ST. JOSEPH HEALTH SYSTEM. THE OLIN GROUP SERVED AS THE LEAD CONSULTANT IN THE CHNA PROCESS, COORDINATING THE QUANTITATIVE AND QUALITATIVE DATA COLLECTION PROCESSES AND ASSISTING IN THE PRIORITIZATION AND SELECTION OF HEALTH NEEDS. THE CALIFORNIA CENTER FOR RURAL POLICY (CCRP) FOSTERS "RURAL RESEARCH, FOR AND BY RURAL COMMUNITIES" TO IMPROVE THE HEALTH AND WELL-BEING OF RURAL PEOPLE AND ENVIRONMENTS. CCRP VALUES A RESEARCH APPROACH PARTNERING WITH RURAL PEOPLE TO ADDRESS THEIR PRIORITIES AND TO BUILD UPON COMMUNITY STRENGTHS. THE CENTER IS A LEADER IN INNOVATIVE METHODS OF RURAL RESEARCH. OUR EXPLORATION OF THE RELATIONSHIPS BETWEEN PEOPLE AND THEIR ENVIRONMENTS IS GROUNDED IN AN ECOLOGICAL APPROACH INVESTIGATING THE DETERMINANTS OF HEALTH AND WELL-BEING. CCRP EXAMINES THE INTERSECTIONS BETWEEN THE HEALTH OF INDIVIDUALS, THE HEALTH OF THE ECONOMY AND THE HEALTH OF THE ENVIRONMENT. CCRP ASSISTED IN THE PLANNING OF THE COMMUNITY INPUT SESSIONS, FACILITATED ALL FOCUS GROUPS AND THE FORUM, AND AIDED IN THE REPORTING ON THEIR FINDINGS. THE HUMBOLDT COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH BRANCH HAS BEEN WORKING COLLABORATIVELY WITH REDWOOD MEMORIAL HOSPITAL TO ALIGN NEEDS ASSESSMENT PROCESS AND IMPLEMENTATION PLANS FOR THE PAST FOUR YEAR. NON-PROFIT HOSPITALS AND ACCREDITED PUBLIC HEALTH AGENCIES HAVE SIMILAR REQUIREMENTS TO PERIODICALLY SURVEY THE HEALTH NEEDS OF THEIR COMMUNITIES AND CRAFT COMPREHENSIVE PLANS TO ADDRESS THE PRIORITIZED SIGNIFICANT HEALTH NEEDS. USING A COLLECTIVE IMPACT APPROACH, REDWOOD MEMORIAL HOSPITAL AND PUBLIC HEALTH ARE WORKING TO DEEPEN THEIR PARTNERSHIP BY SHARING DATA AND SETTING GOALS TOGETHER. THE RESULTING COMMUNITY-WIDE HEALTH IMPROVEMENT EFFORTS ARE BEING BRANDED LIVE WELL HUMBOLDT. COMMUNITY PARTNERS: REDWOOD MEMORIAL HOSPITAL PARTNERED WITH THE FOLLOWING COMMUNITY GROUPS TO RECRUIT FOR AND HOST THE FOCUS GROUPS AND FORUM AS WELL AS PROVIDE LOCAL-LEVEL DATA SPECIFIC TO RURAL COMMUNITIES: - MULTIGENERATIONAL CENTER AND THE FORTUNA SENIOR CENTER - WESTSIDE COMMUNITY IMPROVEMENT ASSOCIATION AND THE JEFFERSON COMMUNITY CENTER - HUMBOLDT SENIOR RESOURCE CENTER - TABLE BLUFF RANCHERIA - BETTY KWAN CHINN HOMELESS FOUNDATION AND DAY CENTER - EUREKA RESCUE MISSION - ALCOHOL AND DRUG CARE SERVICES - REDWOOD COMMUNITY ACTION AGENCY - LIVE WELL HUMBOLDT, COMMUNITY STRATEGIES TEAM - ENGLISH EXPRESS - HUMBOLDT DEL-NORTE MEDICAL SOCIETY - HUMBOLDT COUNTY OFFICE OF EDUCATION - LATINONET AND HUMBOLDT PROMOTORES DE SALUD SECONDARY DATA/PUBLICLY AVAILABLE DATA WITHIN THE GUIDING HEALTH FRAMEWORK FOR THE CHNA, PUBLICLY-AVAILABLE DATA WAS SOUGHT THAT WOULD PROVIDE INFORMATION ABOUT THE COMMUNITIES (AT THE CITY AND ZIP CODE LEVEL WHEN AVAILABLE) AND PEOPLE WITHIN OUR SERVICE AREA. IN ADDITION, COMPARISON DATA WAS GATHERED TO SHOW HOW THE SERVICE AREA COMMUNITIES ARE FARING COMPARED TO THE COUNTY OR STATE. INDICATORS WERE CHOSEN IF THEY WERE WIDELY ACCEPTED AS VALID AND APPROPRIATE MEASURES AND WOULD READILY COMMUNICATE THE HEALTH NEEDS OF THE SERVICE AREA. PREFERENCE WAS GIVEN TO DATA THAT WAS OBTAINED IN THE LAST 5 YEARS AND WAS AVAILABLE AT THE ZIP CODE LEVEL. THE DATA SOURCES USED ARE HIGHLY REGARDED AS RELIABLE SOURCES OF DATA (E.G., ESRI BUSINESS ANALYST ONLINE, US CENSUS BUREAU AMERICAN FACTFINDER, AND CALIFORNIA HEALTH INTERVIEW SURVEY NEIGHBORHOOD EDITION). IN TOTAL, 81 INDICATORS WERE SELECTED TO DESCRIBE THE HEALTH NEEDS IN THE HOSPITALS SERVICE AREA. IF AN INDICATOR HAD ZIP CODE LEVEL DATA AVAILABLE, DATA WAS POOLED TO DEVELOP INDICATOR VALUES FOR THE TOTAL SERVICE AREA (TSA), PRIMARY SERVICE AREA (PSA), AND SECONDARY SERVICE AREA (SSA) OF THE HOSPITAL. THIS ENABLED COMPARISONS OF ZIP CODE LEVEL DATA TO THE HOSPITAL SERVICE AREA AND COMPARISONS OF THE HOSPITAL SERVICE AREA TO COUNTY AND STATE MEASURES. AFTER THE DATA WAS GATHERED, THE ZIP CODE LEVEL DATA WAS COMPARED TO THE TOTAL SERVICE AREA VALUES AND COLOR CODED LIGHT PINK TO DARK RED DEPENDING ON HOW MUCH WORSE A ZIP CODE AREA WAS COMPARED TO THE TSA VALUE. THIS MADE IT EASIER TO VISUALIZE THE GEOGRAPHIC AREAS WITH GREATER HEALTH NEEDS. COMMUNITY INPUT THE PROCESS OF COLLECTING QUALITATIVE COMMUNITY INPUT TOOK THREE MAIN FORMS: COMMUNITY RESIDENT FOCUS GROUPS, A NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, AND A COMMUNITY FORUM. EACH GROUP WAS DESIGNED TO CAPTURE THE COLLECTED KNOWLEDGE AND OPINIONS OF PEOPLE WHO LIVE AND WORK IN THE COMMUNITIES SERVED BY REDWOOD MEMORIAL HOSPITAL. WE DEVELOPED A PROTOCOL FOR EACH GROUP TO ENSURE CONSISTENCY ACROSS INDIVIDUAL FOCUS GROUPS, ALTHOUGH THE FACILITATORS HAD SOME DISCRETION ON ASKING FOLLOW-UP QUESTIONS OR PROBES AS THEY SAW FIT. INVITATION AND RECRUITMENT PROCEDURES VARIED FOR EACH TYPE OF GROUP. RESIDENT FOCUS GROUPS FOR COMMUNITY RESIDENT FOCUS GROUPS, HOSPITAL COMMUNITY BENEFIT STAFF, IN COLLABORATION WITH THEIR COMMUNITY BENEFIT COMMITTEES AND THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIPS DEPARTMENT, IDENTIFIED GEOGRAPHIC AREAS WHERE DATA SUGGESTED THERE WERE SIGNIFICANT HEALTH, PHYSICAL ENVIRONMENT, AND SOCIOECONOMIC CONCERNS. THIS PROCESS ALSO IDENTIFIED THE LANGUAGE NEEDS OF THE COMMUNITY, WHICH DETERMINED THE LANGUAGE IN WHICH EACH FOCUS GROUP WAS CONDUCTED. COMMUNITY BENEFIT STAFF THEN PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS THAT SERVE THOSE AREAS TO RECRUIT FOR AND HOST THE FOCUS GROUPS. COMMUNITY BENEFIT STAFF DEVELOPED AN INVITATION LIST USING THEIR CONTACTS - AS WELL AS CONTACTS OF THE COMMUNITY-BASED ORGANIZATIONS - AND KNOWLEDGE OF THE AREA. TRANSPORTATION ASSISTANCE WAS OFFERED AND PARTICIPANTS WERE PROMISED A SMALL INCENTIVE FOR THEIR TIME. A NOURISHING MEAL (LUNCH OR DINNER DEPENDING ON THE TIME OF DAY) WAS PROVIDED AND CHILDCARE WAS OFFERED AT THE FOCUS GROUPS THAT INCLUDED FAMILIES. TWO FOCUS GROUPS WERE CONDUCTED IN ENGLISH AND ONE IN SPANISH. TWO CONSULTANTS STAFFED EACH FOCUS GROUP, SERVING AS FACILITATORS AND NOTE TAKERS. THESE CONSULTANTS WERE NOT DIRECTLY AFFILIATED WITH THE MINISTRY TO ENSURE CANDOR FROM THE PARTICIPANTS. NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP FOR THE NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, COMMUNITY BENEFIT STAFF DEVELOPED A LIST OF LEADERS FROM ORGANIZATIONS THAT SERVE DIVERSE CONSTITUENCIES WITHIN THE HOSPITALS SERVICE AREA. MINISTRY STAFF SOUGHT TO INVITE ORGANIZATIONS WITH WHICH THEY HAD EXISTING RELATIONSHIPS, BUT ALSO USED THE FOCUS GROUP AS AN OPPORTUNITY TO BUILD NEW RELATIONSHIPS WITH STAKEHOLDERS. SPECIFIC EFFORT WAS MADE TO REACH OUT TO STAKEHOLDERS IN NON-HEALTH SECTORS, SUCH AS EDUCATION AND LAW ENFORCEMENT. PARTICIPANTS WERE NOT GIVEN A MONETARY INCENTIVE FOR ATTENDANCE, BUT A CATERED LUNCH WAS PROVIDED. AS WITH THE RESIDENT FOCUS GROUPS, THIS GROUP WAS FACILITATED BY OUTSIDE CONSULTANTS WITHOUT A DIRECT LINK TO ST. JOSEPH HEALTH. RESIDENT COMMUNITY FORUM RECRUITMENT FOR THE RESIDENT COMMUNITY FORUM WAS MUCH BROADER TO ENCOURAGE AS MANY PEOPLE AS POSSIBLE TO ATTEND THE SESSION. COMMUNITY BENEFIT STAFF PUBLICIZED THE EVENT THROUGH FLYERS AND EMAILS USING THEIR EXISTING OUTREACH NETWORKS, AND ALSO ASKED THEIR PARTNER ORGANIZATIONS TO INVITE AND RECRUIT PARTICIPANTS. EVERYONE WHO ATTENDED A FOCUS GROUP WAS INVITED TO THE COMMUNITY FORUM. NO FORMAL INVITATION LIST WAS USED FOR THE FORUM AND ANYONE WHO WISHED TO ATTEND WAS WELCOMED. THE FORUM WAS CONDUCTED BY AN OUTSIDE CONSULTANT IN ENGLISH, |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION REDWOOD MEMORIAL HOSPITAL PROVIDES NORTH COAST COMMUNITIES WITH ACCESS TO ADVANCED CARE AND ADVANCED CARING. THE HOSPITAL IS LOCATED ON THE FAR NORTH COAST IN HUMBOLDT COUNTY - ONE OF THE LARGEST COUNTIES IN CALIFORNIA BY GEOGRAPHY, COVERING 3,568 SQUARE MILES. THE COUNTY IS DENSELY FORESTED, MOUNTAINOUS AND RURAL WITH NEARLY 1.5 MILLION ACRES OF COMBINED PUBLIC AND PRIVATE FORESTS. A LARGE PORTION - 680,000 ACRES OF REDWOOD FORESTS ARE PROTECTED OR STRICTLY CONSERVED. THE COUNTY IS THE SOUTHERN GATEWAY TO THE PACIFIC NORTHWEST AND IS SURROUNDED BY DEL NORTE COUNTY TO THE NORTH, TRINITY COUNTY TO THE EAST, MENDOCINO COUNTY TO THE SOUTH AND THE PACIFIC OCEAN ON THE WEST. THE COUNTY WAS ESTABLISHED IN MAY OF 1853 AND DERIVES ITS NAME FROM HUMBOLDT BAY, DISCOVERED BY A SEA OTTER HUNTING PARTY IN 1806 AND REDISCOVERED IN 1849, AND THE STATES SECOND LARGEST NATURAL BAY. THE COUNTY HAS A POPULATION OF 136,375 OR 38.2 PEOPLE PER SQUARE MILE. NEIGHBORING, TRINITY COUNTY, POPULATION 13,526 HAS ONLY 4.3 PEOPLE PER SQUARE MILE (COVERING 3,179 SQUARE MILES). CALIFORNIA AVERAGES 239.1 RESIDENTS PER SQUARE MILE AND CLASSIFIES RURAL COUNTIES AS UP TO 52 RESIDENTS PER SQUARE MILE. HUMBOLDT COUNTY IS CLASSIFIED AS A RURAL COUNTY AND TRINITY COUNTY IS CONSIDERED FRONTIER, BASED ON THIS PEOPLE PER SQUARE MILE AVERAGE. SEVEN PERCENT OF HUMBOLDT COUNTY HOUSEHOLDS ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, WHICH IS HIGHER THAN BOTH THE STATE AND NATIONAL LEVEL. IN SOME POCKETS OF HUMBOLDT COUNTY, MORE THAN A QUARTER OF HOUSEHOLDS ARE LIVING IN POVERTY. THE REGIONS ECONOMICALLY POOR RESIDENTS HAVE BEEN SEVERELY IMPACTED BY THE RECESSION AND THE ELIMINATION OF PROGRAMS AND SERVICES THAT LOCAL GOVERNMENTS ARE NO LONGER ABLE TO FUND. THE GROWING GAP IN NEEDED SERVICES HAS PLACED AT RISK THE HEALTH OF THOUSANDS OF UNDERSERVED INDIVIDUALS AND FAMILIES. HEALTH INSURANCE OPTIONS FOR LOCAL RESIDENTS HAVE INCREASED WITH MEDICAL EXPANSION AND OPENING OF THE STATE HEALTH INSURANCE EXCHANGE, COVERED CALIFORNIA. HOWEVER, THE COUNTY LACKS PROVIDERS TO CARE FOR THE REGIONS' NEWLY INSURED. HUMBOLDT COUNTY IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA AND A MEDICALLY UNDERSERVED AREA. ATTRACTING AND RETAINING PRIMARY CARE AND SPECIALTY PHYSICIANS AS WELL AS OTHER HEALTH PROFESSIONALS IS AN ONGOING CHALLENGE FOR THIS RURAL COMMUNITY. ACCESS TO AFFORDABLE HEALTHCARE AND BASIC NEEDS HAS ELEVATED TO A CRITICAL LEVEL FOR PEOPLE LIVING IN HUMBOLDT COUNTY. TO RESPOND EFFECTIVELY REQUIRES COLLABORATIVE PROBLEM SOLVING AT THE COMMUNITY LEVEL. NONPROFIT HEALTH PROVIDERS LARGE AND SMALL MUST WORK TOGETHER TO LEVERAGE RESOURCES AND MAXIMIZE HEALTH ASSETS IN INNOVATIVE WAYS TO RESTORE WHAT HAS BEEN LOST, ENHANCE WHAT STILL EXISTS AND ENSURE SUSTAINABLE HEALTH PROGRAMS AND SERVICES ARE AVAILABLE OVER THE LONG-TERM TO POPULATIONS THAT NEED THEM THE MOST. COMMUNITY-BASED COLLABORATION HAS BEEN A PRIORITY FOR HUMBOLDT COUNTY NONPROFIT ORGANIZATIONS, AND WILL CONTINUE TO DRIVE THIS HOSPITALS COMMUNITY BENEFIT EFFORTS IN THE FUTURE. HOSPITAL TOTAL SERVICE AREA THE COMMUNITY SERVED BY THE HOSPITAL IS DEFINED BASED ON THE GEOGRAPHIC ORIGINS OF THE HOSPITALS INPATIENTS. THE HOSPITAL TOTAL SERVICE AREA IS COMPRISED OF BOTH THE PRIMARY SERVICE AREA (PSA) AS WELL AS THE SECONDARY SERVICE AREA (SSA) AND IS ESTABLISHED BASED ON THE FOLLOWING CRITERIA: - PSA: 70 PERCENT OF DISCHARGES (EXCLUDING NORMAL NEWBORNS) - SSA: 71 PERCENT-85 PERCENT OF DISCHARGES (DRAW RATES PER ZIP CODE ARE CONSIDERED AND PSA/SSA ARE MODIFIED ACCORDINGLY) - INCLUDES ZIP CODES FOR CONTINUITY - NATURAL BOUNDARIES ARE CONSIDERED (I.E., FREEWAYS, MOUNTAIN RANGES, ETC.) - CITIES ARE PLACED IN PSA OR SSA, BUT NOT BOTH THE PRIMARY SERVICE AREA ("PSA") IS THE GEOGRAPHIC AREA FROM WHICH THE MAJORITY OF THE HOSPITALS PATIENTS ORIGINATE. THE SECONDARY SERVICE AREA ("SSA") IS WHERE AN ADDITIONAL POPULATION OF THE HOSPITALS INPATIENTS RESIDE. THE PSA IS COMPRISED OF EUREKA, ARCATA, MCKINLEYVILLE, BAYSIDE, SAMOA AND FORTUNA. THE SSA INCLUDES TRINIDAD, BLUE LAKE AND NORTHERN HUMBOLDT COUNTY, KLAMATH AND CRESCENT CITY AS WELL AS FERNDALE, RIO DELL, LOLETA AND KNEELAND. OTHER HOSPITALS IN THE COMMUNITY INCLUDE: JEROLD PHELPS COMMUNITY HOSPITAL MAD RIVER COMMUNITY HOSPITAL SEMPERVIRENS PSYCHIATRIC HOSPITAL ST. JOSEPH HOSPITAL OF EUREKA |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH REDWOOD MEMORIAL HOSPITAL IS A CRITICAL-CARE ACCESS HOSPITAL FOUNDED IN 1957, LOCATED IN FORTUNA, CA SERVING THE NORTH COAST REGION OF NORTHERN CALIFORNIA. REDWOOD MEMORIAL HOSPITAL PROVIDES VITAL HOSPITAL AND COMMUNITY SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE (TRADITIONAL CHARITY CARE) AND DISCOUNTED CARE. REDWOOD MEMORIAL HOSPITAL IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE OF ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES, 2) AN OPEN MEDICAL STAFF AND 3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ARE IN PART FUNDED BY CARE FOR THE POOR DOLLARS. REDWOOD MEMORIAL HOSPITAL IS A HEALING MINISTRY OF ST. JOSEPH HEALTH SYSTEM, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. ST. JOSEPH HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPITAL CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE PEOPLE IN THE COMMUNITIES WE SERVE. LOCAL COMMUNITY BENEFIT COMMITTEE: THE ROLE OF THE REDWOOD MEMORIAL HOSPITAL COMMUNITY BENEFIT COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMITTEE ACTS IN ACCORDANCE WITH A BOARD-APPROVED CHARTER. THE COMMUNITY BENEFIT COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS IDENTIFIED NEEDS IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS, AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY BENEFIT COMMITTEE HAS A MINIMUM OF EIGHT MEMBERS INCLUDING THREE MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES THREE MEMBERS OF THE BOARD OF TRUSTEES AND EIGHT COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE GENERALLY MEETS EVERY OTHER MONTH. REDWOOD MEMOIRAL HOSPITAL FY15-FY17 CB PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSED ON: 1. NUTRITION, HEALTHY FOOD AND FOOD SECURITY - GRANTED $157,000 TO 13 ORGANIZATIONS THAT PROVIDE HEALTHY FOOD TO INDIVIDUALS FACING FOOD INSECURITY (IN PARTNERSHIP WITH ST. JOSEPH HOSPITAL OF EUREKA) - FOR THE PAST FIVE YEARS REDWOOD MEMORIAL HOSPITAL HAS PARTICIPATED IN THE COUNTY-WIDE EFFORT TO INCREASE ENROLLMENT IN CALFRESH IN ORDER TO INCREASE ACCESS TO FRESH PRODUCE AND NUTRITIOUS FOODS FOR LOW INCOME FAMILIES AND INDIVIDUALS - 33 FREE COMMUNITY DINNERS/EVENTS FEATURING FRESH PRODUCE AND NUTRITIOUS FOODS HOSTED BY ST. JOSEPH AND REDWOOD MEMORIAL HOSPITALS' COMMUNITY BENEFIT PROGRAMS 2. MENTAL AND BEHAVIOR HEALTH SERVICES - INCREASED PARTICIPATION IN MAY IS MENTAL HEALTH AWARENESS MONTH WITH THE GOAL OF INCREASING AWARENESS OF AND REDUCING STIGMA ASSOCIATED WITH MENTAL ILLNESS - CONTINUED TO CONTRACT WITH BI-LINGUAL LICENSED MARRIAGE AND FAMILY THERAPIST TO PROVIDE FREE COUNSELING SERVICES TO LOW-INCOME SPANISH-SPEAKING FAMILIES; ADDED CONTRACT WITH A LICENSED THERAPIST TO PROVIDE SERVICES TO WILLOW CREEK CRC - GRANTED $131,000 TO 12 ORGANIZATIONS OFFERING MENTAL/BEHAVIORAL HEALTH SERVICES OR RESOURCES (IN PARTNERSHIP WITH ST. JOSEPH HOSPITAL) 3. CARE COORDINATION AND REFERRAL - IMPROVED COMMUNICATION BETWEEN EMERGENCY DEPARTMENT AND PRIMARY CARE BY ADDING A FULL TIME SOCIAL WORKER IN THE EMERGENCY DEPARTMENT, AND PILOTING PATIENT DISCHARGE FOLDERS - EXPANDED ACCESS TO MEDICAL RESPITE SERVICES BY OPENING BETTYS HOUSE IN JANUARY 2017 IN PARTNERSHIP WITH THE BETTY KWAN CHINN HOMELESS FOUNDATION - 1,543 AVOIDABLE BED DAYS IN MEDICAL RESPITE AT OUR THREE LOCATIONS: HEALING RING, SERENITY INN AND BETTYS HOUSE SUPPORTED BY CARE TRANSITIONS; A 63% INCREASE FROM FY16 - UPGRADED DOCUMENTATION SYSTEM FOR CARE TRANSITIONS AND PASO A PASO BY INVESTING IN ACTMD PLATFORM WHICH FEATURES COMMUNITY-WIDE CASE MANAGEMENT CAPABILITIES - PARTICIPATION IN THE RX SAFE HUMBOLDT WORKGROUP, CARE IMPROVEMENT MEETING, COMMUNITY HUDDLE, MDT (MULTI-DISCIPLINARY TEAM) MEETINGS HOSTED BY ADULT PROTECTIVE SERVICES AND THE LONG-TERM CARE ALTERNATIVES MEETING FY17 OTHER COMMUNITY BENEFIT PROGRAM ACCOMPLISMENTS INCLUDED: THE EMPLOYEES, VOLUNTEERS AND PHYSICIANS OF REDWOOD MEMORIAL HOSPITAL ARE THE GREATEST NON-FINANCIAL ASSET THE ORGANIZATION PROVIDES FOR THE COMMUNITY. OUR TEAM OF CAREGIVERS IS DEDICATED TO PROVIDING THE BEST PATIENT-CENTERED HEALTH CARE AVAILABLE ON THE NORTH COAST AND VOLUNTEER IN THE COMMUNITY ON A REGULAR BASIS. IN FY17 REDWOOD MEMORIAL HOSPITAL LAUNCHED TWO NEW PROGRAMS FOR CAREGIVERS A LIVING THE LEGACY FORMATION OPPORTUNITY AND SCHWARTZ ROUNDS WHICH IS A NATIONALLY RECOGNIZED PROGRAM TO PRESERVE AND PROTECT THE HUMAN CONNECTION IN HEALTH CARE. CARING FOR THE CAREGIVER AND PROVIDING AN EXCELLENT EXPERIENCE FOR EVERY PATIENT THAT NEEDS OUR CARE ARE A CENTRAL FOCUS FOR REDWOOD MEMORIAL HOSPITAL. FROM QUIET HOURS TO FRIENDLY GREETINGS, REDWOOD MEMORIAL HOSPITAL EMPLOYEES, VOLUNTEERS AND PHYSICIANS EMBRACE OUR VISION OUTCOMES OF PERFECT CARE, SACRED ENCOUNTERS AND HEALTHY COMMUNITIES. OUR CAREGIVERS SPEND COUNTLESS HOURS VOLUNTEERING IN OUR COMMUNITY. FROM FEEDING THE HOMELESS WITH CHURCH AND NON-PROFIT GROUPS, TO STAFFING MEDIC SERVICES AT MUSICAL EVENTS TO ORGANIZING TEAMS FOR RELAY FOR LIFE, OUR CAREGIVERS CONSISTENTLY GIVE BACK. CAREGIVERS VOLUNTEER TIME TO SERVE ON NON-PROFIT COMMUNITY BOARDS AND THEY GENEROUSLY DONATE THEIR HARD-EARNED DOLLARS TOWARDS EFFORTS TO ASSURE STABLE HEALTH CARE ACCESS FOR FUTURE GENERATIONS. COMMUNITY PARTNERSHIP IS SOMETHING WE BELIEVE IN AND ANOTHER NON-FINANCIAL BENEFIT WE PROVIDE THE COMMUNITY. THE COMMUNITY BENEFIT DEPARTMENT PARTNERS WITH LOCAL FOUNDATIONS AND FUNDERS VIA THE NORTH COAST GRANTMAKING PARTNERSHIP TO JOINTLY SUPPORT LOCAL PROJECTS AND PROGRAMS. WE PARTNER WITH FOOD FOR PEOPLE - OUR AREAS FOOD BANK BY PARTICIPATING IN THEIR ANNUAL HUNGER FIGHTER CHALLENGE DURING THE HOLIDAYS. WE ORGANIZE A BACK-TO-SCHOOL SUPPLY DRIVE FOR OUR AREAS CHILDREN AND A COLD WEATHER CLOTHING DRIVE FOR THOSE IN NEED. IN FY17 WE COLLECTED OVER 181 ITEMS OF CLOTHING INCLUDING JACKETS, SOCKS, RAIN PONCHOS AND STURDY SHOES. WE DONATE EXCESS HOSPITAL FOOD TO CHURCHES AND FOOD-SECURITY ORGANIZATION AND IN FY17 WE DONATED MEDICAL SUPPLIES TO SUPPORT TWO INTERNATIONAL MEDICAL MISSION TRIPS ORGANIZED BY OUR CAREGIVERS. IT IS THIS SELFLESSNESS AND PHILANTHROPIC SPIRIT THAT BINDS THIS RURAL AND ISOLATED COMMUNITY TOGETHER AND ENABLES US TO CARE FOR THE DEAR NEIGHBOR WITHOUT DISTINCTION, JUST AS OUR FOUNDING SISTERS HAVE DONE SINCE 1912. FOR MORE INFORMATION ABOUT REDWOOD MEMORIAL HOSPITAL, PLEASE VISIT WWW.STJOEHUMBOLDT.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM REDWOOD MEMORIAL HOSPITAL IS A HEALING MINISTRY OF PROVIDENCE ST. JOSEPH HEALTH, A NEW ORGANIZATION CREATED BY PROVIDENCE HEALTH & SERVICES AND ST. JOSEPH HEALTH WITH THE GOAL OF IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. TOGETHER, OUR 111,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 50 HOSPITALS, 829 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE SYSTEM INCLUDES 50 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. ST. JOSEPH HEALTH IN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIF., TO PROVIDE EDUCATION AND HEALTH CARE. THE MINISTRY LATER ESTABLISHED ROOTS IN ORANGE, CALIFORNIA, AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, THE CALIFORNIA HIGH DESERT, 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. SJH COMMUNITY PARTNERSHIP FUND IN 1986, ST. JOSEPH HEALTH (SJH) CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND (FORMERLY KNOWN AS THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. EVERY YEAR, EACH ST. JOSEPH HEALTH HOSPITAL CONTRIBUTES TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT OUTREACH EFFORTS FOR THE ECONOMICALLY POOR. IN FY17 THIS AMOUNT TOTALED $798,800 FOR REDWOOD MEMORIAL HOSPITAL. 75% OF THE CONTRIBUTIONS ARE USED TO SUPPORT CARE FOR POOR PROGRAMS BY EACH HOSPITAL. 17.5% OF FUNDS ARE USED TO SUPPORT ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND INITIATIVES. THE REMAINING 7.5% ARE DESIGNATED TOWARD AN ENDOWMENT WHICH HELPS ENSURE THE FUND'S ABILITY TO SUSTAIN PROGRAMS INTO THE FUTURE THAT ASSIST LOW-INCOME AND UNDERSERVED POPULATIONS. COMMUNITY INVESTMENT FUND ST. JOSEPH HEALTH FURTHERMORE RECOGNIZES THAT THE HEALTH OF ANY COMMUNITY DEPENDS ON THE MAINTENANCE AND CREATION OF STRONG STRUCTURES - BOTH PHYSICAL AND SOCIAL - THAT CONTRIBUTE TO THE LONG-TERM WELL-BEING OF PEOPLE. THAT PHILOSOPHY INSPIRED THE INITIATION OF THE ST. JOSEPH HEALTH COMMUNITY INVESTMENT FUND - AN EFFORT TO ENABLE NON PROFIT 501(C)3 ORGANIZATIONS TO ACHIEVE THEIR FULL POTENTIAL AND PLAY A MAJOR ROLE IN THE GROWTH OF THEIR COMMUNITIES. IN FY17, A TOTAL OF $11.5 MILLION WAS INVESTED INTO THE COMMUNITY THROUGH LOANS AND LINES OF CREDIT. FUNDED NON-PROFITS INCLUDE THOSE THAT SERVE THE HOMELESS, PROVIDE AFFORDABLE HOUSING, PROVIDE ACCESS TO PRIMARY MEDICAL CARE, AND ADDRESS YOUTH DEVELOPMENT. TO LEARN MORE ABOUT ST. JOSEPH HEALTH AND PROVIDENCE ST. JOSEPH HEALTH GO TO HTTP://WWW.STJHS.ORG HTTP://WWW.PSJHEALTH.ORG/ABOUT-US |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HEALTH SYSTEM FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3345 MICHELSON DRIVE | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 330143024 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $798,800 | CashGrantAmt |
| Purpose Of Grant | CARE FOR THE POOR | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS FUNDS THAT ARE TRANSFERRED TO ST. JOSEPH HEALTH SYSTEM FOUNDATION (CARE FOR THE POOR) ARE MONITORED AND DISTRIBUTED BY THE ST. JOSEPH HEALTH SYSTEM, AND ARE NOT MONITORED ON A HOSPITAL LEVEL ONCE THE FUNDS ARE TRANSFERRED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL OHTA | ||||||||||||||
| BOARD MEMBER | $0 | $252,546 | $0 | $111,699 | $0 | $30,214 | $0 | $20,203 | $0 | $7,480 | $0 | $422,142 | $0 | $0 |
| DAVID SOUTHERLAND | ||||||||||||||
| VP, COO | $0 | $263,857 | $0 | $85,744 | $0 | $24,982 | $0 | $10,355 | $0 | $9,039 | $0 | $393,977 | $0 | $0 |
| OLUYEMI ADEYANJU | ||||||||||||||
| SECRETARY | $0 | $324,633 | $0 | $120,656 | $0 | $30,207 | $0 | $2,034 | $0 | $8,956 | $0 | $486,486 | $0 | $0 |
| MICHEL RICCIONI | ||||||||||||||
| CFO (PART YEAR) | $0 | $387,200 | $0 | $155,385 | $0 | $59,930 | $0 | $18,261 | $0 | $35,055 | $0 | $655,831 | $0 | $0 |
| JULIE MALVEY | ||||||||||||||
| VP, MISSION INTEGRATION | $0 | $120,652 | $0 | $18,879 | $0 | $4,507 | $0 | $11,279 | $0 | $22,394 | $0 | $177,711 | $0 | $0 |
| JOSHUA ALLEE | ||||||||||||||
| VP MISSION INTEGRATION | $0 | $179,890 | $0 | $72,760 | $0 | $16,401 | $0 | $7,860 | $0 | $9,470 | $0 | $286,381 | $0 | $0 |
| DAVID O'BRIEN MD | ||||||||||||||
| PRESIDENT | $0 | $432,098 | $0 | $371,997 | $0 | $70,041 | $0 | $18,550 | $0 | $26,023 | $0 | $918,709 | $0 | $0 |
| MAUREEN DISBOT | ||||||||||||||
| REG VP QUALITY & SAFETY | $0 | $289,747 | $0 | $120,139 | $0 | $27,390 | $0 | $7,950 | $0 | $24,175 | $0 | $469,401 | $0 | $0 |
| WILLIAM PARKS | ||||||||||||||
| VP, MEDICAL AFFAIRS/CMO | $0 | $312,470 | $0 | $104,124 | $0 | $32,761 | $0 | $4,438 | $0 | $39,653 | $0 | $493,446 | $0 | $0 |
| TAMMY BARK | ||||||||||||||
| VP, CNO | $0 | $221,269 | $0 | $71,943 | $0 | $19,118 | $0 | $5,111 | $0 | $9,128 | $0 | $326,569 | $0 | $0 |
| LAURIE WATSON-STONE | ||||||||||||||
| VP, ANCILLARY & SUPPORT SRVCS | $0 | $205,941 | $0 | $67,991 | $0 | $24,699 | $0 | $16,493 | $0 | $21,410 | $0 | $336,534 | $0 | $0 |
| KEVIN KLOCKENGA | ||||||||||||||
| REGIONAL EVP | $0 | $640,039 | $0 | $548,569 | $0 | $81,792 | $0 | $13,250 | $0 | $18,042 | $0 | $1,301,692 | $0 | $0 |
| JAYNIE BOREN | ||||||||||||||
| N CA REG VP - STRATEGIC SRVCS | $0 | $293,760 | $0 | $121,508 | $0 | $28,983 | $0 | $10,600 | $0 | $22,704 | $0 | $477,555 | $0 | $0 |
| ROBERT EISEN | ||||||||||||||
| REGIONAL VP, HR NOCAL (PT YR) | $0 | $235,415 | $0 | $113,682 | $0 | $21,310 | $0 | $7,889 | $0 | $13,599 | $0 | $391,895 | $0 | $0 |
| LAURIE GARRISON | ||||||||||||||
| DIR NURSING | $169,323 | $0 | $5,530 | $0 | $4,706 | $0 | $14,976 | $0 | $8,909 | $0 | $203,444 | $0 | $0 | $0 |
| LYNETTA HAGAN | ||||||||||||||
| SUPV IMAGING SRVS | $152,881 | $0 | $1,300 | $0 | $9,392 | $0 | $13,913 | $0 | $18,796 | $0 | $196,282 | $0 | $0 | $0 |
| LANI SAMS | ||||||||||||||
| CLINICAL PHARMACIST | $143,435 | $0 | $1,300 | $0 | $6,011 | $0 | $12,010 | $0 | $9,343 | $0 | $172,099 | $0 | $0 | $0 |
| PAMELA CASSADY | ||||||||||||||
| ADMIN SUPERVISOR | $143,760 | $0 | $1,300 | $0 | $3,734 | $0 | $11,984 | $0 | $26,624 | $0 | $187,402 | $0 | $0 | $0 |
| ADRIENNE TINDAL-SCHULZ | ||||||||||||||
| MGR NURSING | $138,481 | $0 | $6,561 | $0 | $295 | $0 | $9,792 | $0 | $16,584 | $0 | $171,713 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | TTHE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY ST. JOSEPH HEALTH SYSTEM. |
| SCHEDULE J, PART I, LINE 4B | BEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR AGE 65 VESTING SCHEDULE. EXECUTIVES PREVIOUSLY PARTICIPATED IN ANOTHER NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT WAS FROZEN EFFECTIVE DECEMBER 2007, AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED. THIS FROZEN PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. NO EMPLOYEES RECEIVED PAYMENTS FROM THESE PLANS DURING THE YEAR. |
| SCHEDULE J, PART I, LINE 7 | A PORTION OF EXECUTIVE SALARIES ARE PLACED AT-RISK AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE STRATEGIC OBJECTIVES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | ST. JOSEPH HEALTH SYSTEM THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORSMINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBLITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. PROVIDENCE ST. JOSEPH HEALTH ON JULY 1, 2016, PROVIDENCE HEALTH SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT, THE PURPOSE OF WHICH WAS TO BETTER SERVE BOTH ORGANIZATIONS COMMUNITIES, MAINTAIN STRONG TRADITIONS OF CATHOLIC HEALTHCARE, AND PROVIDE GREATER AFFORDABILITY AND ACCESS TO HEALTHCARE SERVICES. AS PART OF THE BUSINESS COMBINATION, PHS AND SJHS ALIGNED UNDER A SINGLE PARENT CORPORATION, PROVIDENCE ST. JOSEPH HEALTH, WITH A CONSOLIDATED BOARD OF DIRECTORS AND COSPONSORSHIP FROM THE PUBLIC JURIDIC PERSONS PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY. REALIZING OUR MISSION REDWOOD MEMORIAL HOSPITAL HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 60 YEARS. SERVING THE COMMUNITIES OF EUREKA, FORTUNA, FERNDALE, LOLETA, RIO DELL AND THROUGHOUT THE EEL RIVER VALLEY AND INTO SOUTHERN AND EASTERN HUMBOLDT COUNTY, REDWOOD MEMORIAL HOSPITAL IS A CRITICAL CARE ACCESS HOSPITAL THAT FOCUSES ON HOLISTIC, PATIENT CENTERED CARE AND PROVIDES QUALITY CARE IN THE AREAS OF EMERGENCY MEDICINE, DIAGNOSTIC IMAGING, CANCER PROGRAM AND OBSTETRICS, AS WELL AS COMMUNITY-BASED PROGRAMS AND RESOURCE CENTERS FOCUSED ON PREVENTION, OUTREACH, CARE COORDINATION AND COMMUNITY BUILDING. WITH OVER 210 EMPLOYEES COMMITTED TO REALIZING THE MISSION, REDWOOD MEMORIAL HOSPITAL IS ONE OF THE LARGER EMPLOYERS IN THE REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, REDWOOD MEMORIAL HOSPITAL IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. PATIENT FINANCIAL ASSISTANCE PROGRAM REDWOOD MEMORIAL HOSPITAL BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY REDWOOD MEMORIAL HOSPITAL HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY17, REDWOOD MEMORIAL HOSPITAL PROVIDED $567,489 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM REDWOOD MEMORIAL HOSPITAL PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY17, REDWOOD MEMORIAL HOSPITAL PROVIDED $1,869,295 IN MEDICAID SHORTFALL. PROGRAM SERVICE ACCOMPLISHMENTS COMMUNITY RESOURCE CENTERS THE COMMUNITY RESOURCE CENTERS (CRC) ARE A COMMUNITY BENEFIT PROGRAM OF REDWOOD MEMORIAL HOSPITAL AND PROVIDE RESOURCE AND REFERRAL SERVICES COUNTY-WIDE THROUGH FIVE PLACE-BASED COMMUNITY CENTERS IN DIFFERENT PARTS OF HUMBOLDT COUNTY (WILLOW CREEK, BLUE LAKE, EUREKA, LOLETA AND RIO DELL). THEIR FOCUS IS ON PROVIDING SERVICES FOR LOW-INCOME FAMILIES AND INDIVIDUALS SUCH AS EMERGENCY FOOD PANTRIES, TRANSPORTATION ASSISTANCE, EMPLOYMENT INFORMATION AND ASSISTANCE APPLYING FOR CALFRESH, MEDI-CAL, AND WOMEN INFANT AND CHILDRENS (WIC) AMONG OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THEY ALSO WORK TO BUILD COMMUNITY AND PREVENT SOCIAL ISOLATION IN OUR RURAL SERVICE AREA BY HOSTING COMMUNITY DINNERS AND WELLNESS AND SAFETY EVENTS SUCH AS BICYCLE RODEOS, PLAYGROUPS FOR KIDS AGE 0-5 YEARS OLD AND THEIR CAREGIVERS, AND MENTAL ILLNESS STIGMA REDUCTION SUPPORT GROUPS. EACH RESOURCE CENTER IS SIMILAR IN PURPOSE AND SCOPE, BUT TAILORED TO MEET THE SPECIFIC NEEDS OF THE COMMUNITY IT SERVES. CASH DONATIONS FOR THE POOR AND VULNERABLE THROUGHOUT FY17, REDWOOD MEMORIAL HOSPITAL, MADE SEVERAL CASH DONATIONS TO BENEFIT NON-PROFIT ORGANIZATIONS, PROGRAMS OR ACTIVITIES TARGETED FOR POOR AND VULNERABLE PERSONS LIVING IN HUMBOLDT AND THE SURROUNDING COUNTIES. A FEW EXAMPLES OF DONATIONS MADE INCLUDE: SUPPORTING FOOD FOR PEOPLE, THE AREAS LARGEST FOOD BANK THAT HAS 16 PANTRY SITES THROUGHOUT THE COUNTY AND SERVES MORE THAN 12,000 PEOPLE PER MONTH; SUPPORTING THE HUMBOLDT SENIOR RESOURCE CENTER FOR THEIR HOME DELIVERED MEAL PROGRAM TO LOW-INCOME, HOMEBOUND SENIORS. THIS PROGRAM DELIVERS FROZEN MEALS FOR THE WEEK AND PROVIDES A MUCH NEED SOCIAL CHECK BY THE DRIVER. ANOTHER DONATION WAS MADE TO OPEN DOOR COMMUNITY HEALTH CENTERS TO HELP THEM EXPAND ACCESS TO CARE IN THE EEL RIVER VALLEY AND TO INTEGRATE MENTAL HEALTH SERVICES WITH PRIMARY CARE. WE MADE SEVERAL SMALLER DONATIONS TO SUPPORT THE PURCHASE OF DENTAL SUPPLIES FOR KIDS, TO PREVENT ADVERSE CHILDHOOD EXPERIENCES, TO PROVIDE BASIC NEEDS TO THE HOMELESS AND TO SUPPORT OUR GOVERNMENT PARTNERS WITH THE POINT IN TIME COUNT. WE ALSO MADE A CASH DONATION TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT GRANT INITIATIVES TARGETED AT IMPROVING THE HEALTH CONDITION OF LOW-INCOME AND UNDER SERVED RESIDENTS LIVING IN THE COMMUNITIES WE SERVE. CARE TRANSITIONS PROGRAM THE CARE TRANSITIONS PROGRAM AT REDWOOD MEMORIAL HOSPITAL, HOUSED WITHIN THE REDWOOD MEMORIAL COMMUNITY BENEFIT DEPARTMENT, FOCUSES ON COMMUNITY-BASED INTERVENTIONS FOR HIGH-RISK PATIENTS RECENTLY DISCHARGED FROM AN IN-PATIENT SETTING AND PROVIDES INTENSIVE CASE MANAGEMENT SERVICES TO HIGH UTILIZERS OF THE EMERGENCY DEPARTMENT TO LINK THEM TO PRIMARY MEDICAL CARE AND/OR SOCIAL OR MENTAL HEALTH SERVICES. THE MULTI-DISCIPLINARY TEAM OF NURSE, SOCIAL WORKER AND HEALTH COACH PROVIDE TRANSITIONAL SUPPORT TO HOMELESS PATIENTS RECOVERING IN ONE OF OUR RESPITE BEDS AT HEALING RING, SERENITY INN OR BETTYS HOUSE. A SECOND NURSE WORKS WITH FREQUENT UTILIZERS OF THE EMERGENCY DEPARTMENT TO CONNECT THEM WITH PRIMARY CARE AND THE SUPPORT SERVICES THEY NEED WHILE TRYING TO DETERMINE THE ROOT CAUSE OF THEIR EMERGENCY DEPARTMENT OVERUSE. IN FY17 CARE TRANSITIONS PARTNERED WITH THE BETTY KWAN CHINN HOMELESS FOUNDATION TO OPEN A NEW MEDICAL RESPITE FACILITY TO EXPAND OUR CURRENT RESPITE SERVICES. IN FY17 TEN ADDITIONAL BEDS BECAME AVAILABLE TO HOMELESS PATIENTS NEEDING EXTRA TIME TO RECOVER AFTER A HOSPITAL STAY. FOR MORE INFORMATION ABOUT REDWOOD MEMORIAL HOSPITAL PLEASE VISIT WWW.STJOEHUMBOLDT.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM PLEASE VISIT WWW.STJHS.ORG. FOR MORE INFORMATION ABOUT Providence ST. JOSEPH HEALTH, PLEASE VISIT www.psjhealth.org. FORM 990, PART IV, LINES 11F AND 12B & PART XII, LINE 2B REDWOOD MEMORIAL HOSPITAL WAS INCLUDED IN CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS FOR PROVIDENCE ST. JOSEPH HEALTH FOR THE PERIOD ENDED DECEMBER 31, 2017. AS SUCH, AUDITED FINANCIAL STATEMENTS WERE NOT PREPARED FOR THE TAX YEAR ENDED JUNE 30, 2017. THE REPORTING ORGANIZATION WILL CHANGE ITS TAX YEAR END TO DECEMBER 31 FOR 2017. FORM 990, PART V, LINE 1A ST. JOSEPH HEALTH SYSTEM (SJHS) PAYS ALL VENDORS FOR SJHS ENTITIES FROM ITS SHARED SERVICES. SJHS ISSUES FORM 1099-MISC UNDER ITS TAX ID NUMBER AND COMPLIES WITH BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF REDWOOD MEMORIAL HOSPITAL. |
| FORM 990, PART VI, LINE 7A | POWER TO ELECT OR APPOINT MEMBERS REDWOOD MEMORIAL HOSPITAL HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE REDWOOD MEMORIAL HOSPITAL BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE REDWOOD MEMORIAL HOSPITAL BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. |
| FORM 990, PART VI, LINE 7B | THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. |
| FORM 990, PART VI, LINE 11B | THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE APRIL 2018 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING. |
| FORM 990, PART VI, LINE 12C | OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN CONNECTION WITH THAT INDIVIDUAL SATISFYING THEIR FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WITH GUIDANCE FROM THE ST. JOSEPH HEALTH SYSTEM CHIEF COMPLIANCE OFFICER (CCO), THE CHIEF EXECUTIVE AND/OR THE GOVERNING BOARD CHAIRPERSON, AS APPROPRIATE, CONSIDERS THE MATTER INITIALLY. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL, THE MATTER IS ESCALATED TO THE CCO. THE CCO, IN CONSULTATION WITH THE ST. JOSEPH HEALTH SYSTEM GENERAL COUNSEL, REVIEWS THE MATTER AND PRESENTS RECOMMENDATIONS TO THE GOVERNING BOARD AND/OR BOARD COMMITTEE, AS APPROPRIATE, FOR DISCUSSION AND VOTE. THE INDIVIDUAL WHOSE POTENTIAL CONFLICT IS BEING REVIEWED MAY BE REQUESTED TO BE PRESENT DURING ANY MEETING IN WHICH THE BOARD OR BOARD COMMITTEE CONDUCTS ITS EVALUATION BUT SHALL BE EXCUSED FOR ANY DISCUSSION OR VOTE. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. |
| FORM 990, PART VI, LINES 15A & 15B | It is St. Joseph Health System's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how St. Joseph Health System 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. St. Joseph Health System has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the St. Joseph Health System Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of St. Joseph Health System's legal entities. St. Joseph Health System also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. St. Joseph Health System has a consistent compensation philosophy for all of its officers, including our senior executives. Salaries for senior executives are reviewed by the Providence St. Joseph Health Committee and approved by the full Board of Directors, none of whom is a St. Joseph Health System employee. The Board 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. St. Joseph Health System 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 whose revenue is similar to that of St. Joseph Health System. Additionally, St. Joseph Health Systems labor market continues to spread across health care and into general industry. Because of this, St. Joseph Health System also takes into consideration general industry for-profit market data, where applicable. Base salaries for St. Joseph Health System executives are generally targeted to the median level of the market, 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. Performance incentives allow executives to earn additional compensation if they achieve specific organizational goals for furthering St. Joseph Health System operating commitments and strategic objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate market practices. The Board's process for executive compensation fully complies with IRS standards and mirrors best practices. THIS PROCESS WAS LAST COMPLETED IN SEPTEMBER 2016. |
| FORM 990, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE EQUITY TRANSFER ($1,341,915) |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:3669310 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT SERVICES (REGISTRY) TOTAL FEES:4340898 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:1720102 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:538918 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (110 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT HEALTH NETWORK INC | ||||||||||
| 3345 MICHELSON DRIVE STE 100 | IRVINE | CA | 92612 | 461259908 | HEALTHCARE | CA | 501(C)(3) | 12,III | SJHS | Yes (true) |
| COVENANT ACO | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 611573313 | HEALTHCARE | TX | 501(C)(3) | 12,I | CHS | Yes (true) |
| COVENANT HEALTH SYSTEM | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752765566 | HEALTHCARE | TX | 501(C)(3) | 3 | SJHS | Yes (true) |
| COVENANT HEALTH SYSTEM FOUNDATION | ||||||||||
| 3623 22ND PLACE | LUBBOCK | TX | 79410 | 752897026 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | Yes (true) |
| COVENANT MEDICAL GROUP | ||||||||||
| 3420 22ND PLACE | LUBBOCK | TX | 79410 | 752743883 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| COVENANT HEALTH PARTNERS | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 463516417 | HEALTHCARE | TX | 501(C)(3) | 12,I | CHS | Yes (true) |
| HMTS INC | ||||||||||
| 1 HOAG DRIVE | NEWPORT BEACH | CA | 92658 | 453583707 | HEALTHCARE | CA | 501(C)(3) | 12,I | HMHP | Yes (true) |
| HOAG CHARITY SPORTS | ||||||||||
| 330 PLACENTIA AVE | NEWPORT BEACH | CA | 92663 | 452982422 | SUPPORT | CA | 501(C)(3) | 7 | HHF | Yes (true) |
| HOAG HOSPITAL FOUNDATION | ||||||||||
| 330 PLACENTIA AVE | NEWPORT BEACH | CA | 92663 | 953222343 | FUNDRAISING | CA | 501(C)(3) | 7 | HMHP | Yes (true) |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | ||||||||||
| 1 HOAG ROAD BOX 6100 | NEWPORT BEACH | CA | 92663 | 951643327 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| HOSPICE OF LUBBOCK | ||||||||||
| 3702 21ST STREET | LUBBOCK | TX | 79410 | 752133781 | HEALTHCARE | TX | 501(C)(3) | 10 | CHS | Yes (true) |
| LUBBOCK METHODIST HOSPITAL FOUNDATION | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752220963 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | Yes (true) |
| METHODIST CHILDREN'S HOSPITAL | ||||||||||
| 3610 21ST STREET | LUBBOCK | TX | 79410 | 752428911 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| METHODIST HOSPITAL LEVELLAND | ||||||||||
| 1900 COLLEGE AVENUE | LEVELLAND | TX | 79336 | 752246348 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| METHODIST HOSPITAL PLAINVIEW | ||||||||||
| 2601 DIMMITT ROAD | PLAINVIEW | TX | 79072 | 752426010 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| MISSION HOSPITAL REGIONAL MEDICAL CTR | ||||||||||
| 27700 MEDICAL CENTER ROAD | MISSION VIEJO | CA | 92691 | 951643360 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| QUEEN OF THE VALLEY MEDICAL CENTER | ||||||||||
| 1000 TRANCAS STREET | NAPA | CA | 94558 | 941243669 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| REDWOOD MEMORIAL FOUNDATION | ||||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 942779313 | HEALTHCARE | CA | 501(C)(3) | 7 | RMH | Yes (true) |
| SANTA ROSA MEMORIAL HOSPITAL | ||||||||||
| 1165 MONTGOMERY DRIVE | SANTA ROSA | CA | 95405 | 941231005 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| SRM ALLIANCE HOSPITAL SERVICES (PVH) | ||||||||||
| 400 NORTH MCDOWELL BLVD | PETALUMA | CA | 94954 | 680395200 | HEALTHCARE | CA | 501(C)(3) | 3 | SRMH | Yes (true) |
| ST JOSEPH HEALTH SYSTEM | ||||||||||
| 3345 MICHELSON DRIVE | IRVINE | CA | 92612 | 953589356 | HEALTHCARE | CA | 501(C)(3) | 12,I | PSJH | false |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||||||||||
| 3345 MICHELSON DRIVE STE 100 | IRVINE | CA | 92612 | 330143024 | HEALTHCARE | CA | 501(C)(3) | 7 | SJHS | Yes (true) |
| ST JOSEPH HOME CARE NETWORK | ||||||||||
| 1111 SONOMA STE 308 | SANTA ROSA | CA | 95405 | 680331084 | HEALTHCARE | CA | 501(C)(3) | 10 | SJHS | Yes (true) |
| ST JOSEPH HOSPITAL OF EUREKA | ||||||||||
| 2700 DOLBEER STREET | EUREKA | CA | 95501 | 941156596 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| ST JOSEPH HOSPITAL OF ORANGE | ||||||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 951643359 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| ST JOSEPH HERITAGE HEALTHCARE | ||||||||||
| 200 WEST CENTER ST PROMENADE | ANAHEIM | CA | 92805 | 330185031 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| ST JUDE HOSPITAL INC | ||||||||||
| 101 EAST VALENCIA MESA DRIVE | FULLERTON | CA | 92635 | 951643324 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| ST MARY MEDICAL CENTER | ||||||||||
| 18300 HIGHWAY 18 | APPLE VALLEY | CA | 92307 | 951914489 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| ST MARY OF THE PLAINS HOSPITAL FDN | ||||||||||
| 4000 24TH STREET | LUBBOCK | TX | 79410 | 751653181 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | Yes (true) |
| ST JOSEPH HEALTH NOR CAL LLC | ||||||||||
| 3345 MICHELSON DRIVE STE 100 | IRVINE | CA | 92612 | 814791043 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| SISTERS OF ST JOSEPH OF ORANGE | ||||||||||
| 480 S BATAVIA | ORANGE | CA | 92868 | 951643383 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | NA | false |
| ST JOSEPH HEALTH MINISTRY | ||||||||||
| 3345 MICHELSON DRIVE STE 100 | IRVINE | CA | 92612 | 271666576 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | SSJO | false |
| E WA & MT UNEMPLOYMENT COMP INSR TRUST | ||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 911082119 | UNEMPLOYMENT | WA | 501(C)(3) | 12,I | PHS WA | Yes (true) |
| EVERETT TRANSITIONAL CARE SERVICES | ||||||||||
| PO BOX 5128 | EVERETT | WA | 982065128 | 943264605 | TRANS. CARE | WA | 501(C)(3) | 10 | NA | false |
| FACEY MEDICAL FOUNDATION | ||||||||||
| 15451 SAN FERNANDO MISSION BLVD 2 | MISSION HILLS | CA | 91345 | 954322584 | SUPPORT | CA | 501(C)(3) | 7 | PHS SOCAL | Yes (true) |
| GAMELIN WASHINGTON ASSOCIATION | ||||||||||
| 1423 FIRST AVENUE | SEATTLE | WA | 98101 | 201910170 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| GLOBAL TO LOCAL HEALTH INITIATIVE | ||||||||||
| 2800 SOUTH 192ND ST 104 | SEATAC | WA | 98188 | 273133200 | HEALTHCARE | WA | 501(C)(3) | 7 | SHS | Yes (true) |
| INLAND NORTHWEST HEALTH SERVICES | ||||||||||
| 601 W 1ST AVENUE | SPOKANE | WA | 99201 | 911307555 | HEALTHCARE | WA | 501(C)(3) | 3 | PHS WA | Yes (true) |
| INSTITUTE FOR MENTAL HEALTH & WELLNESS | ||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 814260130 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS SJHS | Yes (true) |
| INSTITUTE FOR SYSTEMS BIOLOGY | ||||||||||
| 401 TERRY AVE N | SEATTLE | WA | 98109 | 912003593 | HEALTHCARE | WA | 501(C)(3) | 7 | WHC | Yes (true) |
| JOHN WAYNE CANCER INSTITUTE | ||||||||||
| 2200 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 954291515 | HEALTHCARE | CA | 501(C)(3) | 4 | PSJHC | Yes (true) |
| KADLEC AUXILIARY INC | ||||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 99352 | 916033089 | SUPPORT | WA | 501(C)(3) | 12,III | KRMC | Yes (true) |
| KADLEC FOUNDATION | ||||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 99352 | 237005501 | SUPPORT | WA | 501(C)(3) | 12,I | KRMC | Yes (true) |
| KADLEC NEUROLOGICAL RESOURCE CENTER | ||||||||||
| 1268 LEE BLVD | RICHLAND | WA | 99352 | 911266345 | HEALTHCARE | WA | 501(C)(3) | 10 | WHC | Yes (true) |
| KADLEC REGIONAL MEDICAL CENTER | ||||||||||
| 888 SWIFT BLVD | RICHLAND | WA | 99352 | 910655392 | HEALTHCARE | WA | 501(C)(3) | 3 | WHC | Yes (true) |
| LITTLE COMPANY OF MARY ANCILLARY SVCS CO | ||||||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 330844408 | IMAGING SVCS | CA | 501(C)(3) | 10 | PHS SOCAL | Yes (true) |
| LUNDBERG ASSOCIATIONPROVIDENCE HOUSE | ||||||||||
| 5921 E BURNSIDE | PORTLAND | OR | 97215 | 911562797 | SUPPORT | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| MARSHA RIVKIN CENTER FOR OVARIAN CANCER | ||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 912054035 | RESEARCH | WA | 501(C)(3) | 7 | SHS | Yes (true) |
| PACMED CLINICS | ||||||||||
| 1200 12TH AVENUE S | SEATTLE | WA | 98144 | 562290878 | HEALTHCARE | WA | 501(C)(3) | 10 | WHC | Yes (true) |
| PH&S FOUNDATIONSFVSA & SCVSA | ||||||||||
| 501 S BUENA VISTA STREET | BURBANK | CA | 91505 | 953544877 | HEALTHCARE | CA | 501(C)(3) | 7 | PHS SOCAL | Yes (true) |
| PROVIDENCE ALASKA FOUNDATION | ||||||||||
| 3300 PROVIDENCE DR TOWER 2 | ANCHORAGE | AK | 99508 | 920093565 | HEALTHCARE | AK | 501(C)(3) | 12,I | PHS WA | Yes (true) |
| PROVIDENCE BENEDICTINE NURSING CTR FNDN | ||||||||||
| 540 SOUTH MAIN STREET | MT ANGEL | OR | 973629532 | 911940286 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE BLANCHET ASSOCIATION | ||||||||||
| 1700 PROVIDENCE PL | CENTRALIA | WA | 98531 | 911789266 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE CHILD CENTER FOUNDATION | ||||||||||
| 830 NE 47TH | PORTLAND | OR | 97213 | 930800140 | SUPPORT | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE COMMUNITY HEALTH FOUNDATION | ||||||||||
| 1111 CRATER LAKE AVE | MEDFORD | OR | 97504 | 930692907 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE DETHMAN HOUSE | ||||||||||
| 1205 MONTELLO AVE | HOOD RIVER | OR | 97031 | 473385506 | SUPPORT | WA | 501(C)(3) | 7 | NA | false |
| PROVIDENCE FOUNDATION | ||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 943078543 | HEALTHCARE | WA | 501(C)(3) | 12,I | PHS WA | Yes (true) |
| PROVIDENCE GAMELIN HOUSE ASSOCIATION | ||||||||||
| 4515 MLK JR WAY S STE 200 | SEATTLE | WA | 98108 | 311744654 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE HEALTH & SERVICES | ||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 911549796 | HEALTHCARE | WA | 501(C)(3) | 12,II | PSJH | false |
| PROVIDENCE HEALTH & SERVICES - MONTANA | ||||||||||
| 500 W BROADWAY PO BOX 4587 | MISSOULA | MT | 598064587 | 810231793 | HEALTHCARE | MT | 501(C)(3) | 3 | PHS WA | Yes (true) |
| PROVIDENCE HEALTH & SERVICES - OREGON | ||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 510216587 | HEALTHCARE | OR | 501(C)(3) | 3 | PHS | Yes (true) |
| PROVIDENCE HEALTH & SERVICES - WA | ||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 510216586 | HEALTHCARE | WA | 501(C)(3) | 3 | PHS | Yes (true) |
| PROVIDENCE HEALTH & SERVICES - WEST WA | ||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 911303277 | HEALTHCARE | WA | 501(C)(3) | 3 | PMWHC | Yes (true) |
| PROVIDENCE HEALTH ASSURANCE | ||||||||||
| 4400 NE HALSEY BLDG 2 | PORTLAND | OR | 97213 | 550828701 | MEDICAID | OR | 501(C)(4) | N/A | PHP | Yes (true) |
| PROVIDENCE HEALTH CARE FNDN - E WA | ||||||||||
| 101 W 8TH AVENUE | SPOKANE | WA | 99204 | 320014330 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE HEALTH CARE FNDN (CENTRALIA) | ||||||||||
| 914 S SCHEUBER ROAD | CENTRALIA | WA | 98531 | 911433382 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE HEALTH PLAN | ||||||||||
| 4400 NE HALSEY BLDG 2 | PORTLAND | OR | 97213 | 930863097 | HEALTHCARE | OR | 501(C)(4) | N/A | PPP | Yes (true) |
| PROVIDENCE HEALTH SYSTEM - SO CAL | ||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 510216589 | HEALTHCARE | CA | 501(C)(3) | 3 | PHS | Yes (true) |
| PROVIDENCE HOOD RIVER MEM HOSP FDN | ||||||||||
| 811 13TH ST | HOOD RIVER | OR | 97031 | 930921990 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE HOSPICE AND HOME CARE FNDN | ||||||||||
| 2731 WETMORE AVENUE STE 500 | EVERETT | WA | 98201 | 272552749 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE HOSPICE OF SEATTLE FOUNDATION | ||||||||||
| 425 PONTIUS AVENUE NORTH 300 | SEATTLE | WA | 980195452 | 912077378 | HEALTHCARE | WA | 501(C)(3) | 12,I | PHS WA | Yes (true) |
| PROVIDENCE LITTLE COMPANY OF MARY FNDN | ||||||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 510224944 | HEALTHCARE | CA | 501(C)(3) | 7 | PHS SOCAL | Yes (true) |
| PROVIDENCE MARIANWOOD FOUNDATION | ||||||||||
| 3725 PROVIDENCE POINT DRIVE SE | ISSAQUAH | WA | 980297219 | 931554288 | HEALTHCARE | WA | 501(C)(3) | 12,I | PHS WA | Yes (true) |
| PROVIDENCE MEDICAL INSTITUTE | ||||||||||
| 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 330283773 | HEALTHCARE | CA | 501(C)(3) | 12,I | PHS SOCAL | Yes (true) |
| PROVIDENCE MILWAUKIE FOUNDATION | ||||||||||
| 10150 SE 32ND | MILWAUKIE | OR | 97222 | 943079515 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE MOUNT ST VINCENT FOUNDATION | ||||||||||
| 4831 35TH AVENUE SW | SEATTLE | WA | 981262799 | 911188119 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE NEWBERG HEALTH FOUNDATION | ||||||||||
| 1001 PROVIDENCE DRIVE | NEWBERG | OR | 97132 | 930889144 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE PETER CLAVER ASSOCIATION | ||||||||||
| 7101 38TH AVENUE SOUTH | SEATTLE | WA | 98118 | 311629656 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE PLAN PARTNERS | ||||||||||
| 4400 NE HALSEY BLDG 2 | PORTLAND | OR | 97213 | 911861964 | HEALTHCARE | WA | 501(C)(4) | N/A | PHS OR | Yes (true) |
| PROVIDENCE PORTLAND MEDICAL FOUNDATION | ||||||||||
| 4805 NE GLISAN STREET | PORTLAND | OR | 972132967 | 931231494 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE ROSSI ASSOCIATION | ||||||||||
| 1700 PROVIDENCE PLACE | CENTRALIA | WA | 98531 | 311584166 | SUPPORT | WA | 501(C)(3) | 10 | PHS WA | Yes (true) |
| PROVIDENCE SAINT JOHN'S HEALTH CENTER | ||||||||||
| 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 951684082 | HEALTHCARE | CA | 501(C)(3) | 3 | PHS SOCAL | Yes (true) |
| PROVIDENCE SAINT JOHN'S MEDICAL FNDN | ||||||||||
| 20555 EARL ST | TORRANCE | CA | 90503 | 814542216 | HEALTHCARE | CA | 501(C)(3) | Pending | PHS SOCAL | Yes (true) |
| PROVIDENCE SEASIDE HOSPITAL FOUNDATION | ||||||||||
| 725 S WAHANNA RD | SEASIDE | OR | 97138 | 930927320 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE ST ELIZABETH HOUSE ASSOC | ||||||||||
| 3201 SW GRAHAM ST | SEATTLE | WA | 98126 | 912171539 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE ST FRANCIS ASSOCIATION | ||||||||||
| 3415 12TH AVENUE NE | OLYMPIA | WA | 98506 | 943244854 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE ST JOSEPH HEALTH | ||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 98057 | 811244422 | HEALTHCARE | WA | 501(C)(3) | 12,III | NA | false |
| PROVIDENCE ST JOSEPH MEDICAL CENTER | ||||||||||
| PO BOX 1010 | POLSON | MT | 598601010 | 810463482 | HEALTHCARE | MT | 501(C)(3) | 3 | PHS WA | Yes (true) |
| PROVIDENCE ST MARY FOUNDATION | ||||||||||
| 401 W POPLAR STREET | WALLA WALLA | WA | 99362 | 452841492 | HEALTHCARE | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE ST PETER FOUNDATION | ||||||||||
| 413 LILLY ROAD NE | OLYMPIA | WA | 985065166 | 911097056 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| PROVIDENCE ST VINCENT MEDICAL FNDN | ||||||||||
| 9205 SW BARNES ROAD | PORTLAND | OR | 97225 | 930575982 | HEALTHCARE | OR | 501(C)(3) | 7 | PHS OR | Yes (true) |
| PROVIDENCE TRINITYCARE HOSPICE | ||||||||||
| 5315 TORRANCE BLVD STE B1 | TORRANCE | CA | 90503 | 953264139 | HEALTHCARE | CA | 501(C)(3) | 10 | PHS SOCAL | Yes (true) |
| PROVIDENCE TRINITYCARE HOSPICE FNDN | ||||||||||
| 5315 TORRANCE BLVD STE B1 | TORRANCE | CA | 90503 | 330261016 | HEALTHCARE | CA | 501(C)(3) | 7 | PTCH | Yes (true) |
| PROVIDENCE WILLAMETTE FALLS MEDICAL FNDN | ||||||||||
| 1500 DIVISION STREET | OREGON CITY | OR | 97045 | 931003750 | HEALTHCARE | OR | 501(C)(3) | 12, I | PHS OR | Yes (true) |
| SAINT JOHN'S HOSPITALHEALTH CENTER FNDN | ||||||||||
| 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 956100079 | SUPPORT | CA | 501(C)(3) | 7 | PSJHC | Yes (true) |
| SEATTLE SCIENCE FOUNDATION | ||||||||||
| 550 17TH AVENUE | SEATTLE | WA | 98122 | 611502822 | PHYSN COLLAB | WA | 501(C)(3) | 7 | WHC | Yes (true) |
| SISTERS OF PROVIDENCE OF MONTANA CORP | ||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | 262612415 | SHELL CORP | MT | 501(C)(3) | 1 | PHS WA | |
| ST LUKE ASSOCIATION | ||||||||||
| 350 WASHINGTON AVE SE | CHEHALIS | WA | 98352 | 943176618 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| ST PATRICK HOSPITAL FOUNDATION | ||||||||||
| 500 WEST BROADWAY PO BOX 4587 | MISSOULA | MT | 598064587 | 237056976 | HEALTHCARE | MT | 501(C)(3) | 7 | PHS WA | Yes (true) |
| ST THOMAS CHILD AND FAMILY CENTER | ||||||||||
| 1710 BENEFIS COURT | GREAT FALLS | MT | 59405 | 810233495 | EDUCATION | MT | 501(C)(3) | 10 | PHS WA | Yes (true) |
| SWEDISH EDMONDS | ||||||||||
| 21601 76TH AVENUE | EDMONDS | WA | 98026 | 272305304 | HEALTHCARE | WA | 501(C)(3) | 3 | WHC | Yes (true) |
| SWEDISH HEALTH SERVICES | ||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 910433740 | HEALTHCARE | WA | 501(C)(3) | 3 | WHC | Yes (true) |
| SWEDISH MEDICAL CENTER FOUNDATION | ||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 910983214 | HEALTHCARE | WA | 501(C)(3) | 7 | SHS | Yes (true) |
| SWEDISH MJM HOLDINGS | ||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 273139262 | HOLDING CO | WA | 501(C)(3) | 12,I | SHS | Yes (true) |
| THE GAMELIN ASSOCIATION | ||||||||||
| 312 NORTH FOURTH STREET | YAKIMA | WA | 98901 | 911180824 | SUPPORT | WA | 501(C)(3) | 7 | PHS WA | Yes (true) |
| THE GAMELIN CALIFORNIA ASSOCIATION | ||||||||||
| 540 23RD STREET | OAKLAND | CA | 94612 | 911293869 | SUPPORT | CA | 501(C)(3) | 10 | PHS SOCAL | Yes (true) |
| THE GAMELIN OREGON ASSOCIATION | ||||||||||
| 5520 NE GLISAN | PORTLAND | OR | 97213 | 911214491 | SUPPORT | OR | 501(C)(3) | 10 | PHS OR | Yes (true) |
| UNIVERSITY OF GREAT FALLS | ||||||||||
| 1301 20TH STREET SOUTH | GREAT FALLS | MT | 59405 | 810231777 | EDUCATION | MT | 501(C)(3) | 2 | PHS | Yes (true) |
| WESTERN HEALTHCONNECT | ||||||||||
| 747 BROADWAY | SEATTLE | WA | 98122 | 454171900 | SHELL CORP | WA | 501(C)(3) | 12,II | PHS W WA | Yes (true) |
| PROVIDENCE MINISTRIES | ||||||||||
| 1801 LIND AVENUE SW 9016 | RENTON | WA | 980579016 | RELIGIOUS ORG | WA | 501(C)(3) | 1 | NA | false | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (58 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| ADVANCED SURGERY INSTITUTE LLC | ||||||||
| 1739 4TH STREET | SANTA ROSA | CA | 95404 | 262299255 | HEALTHCARE | CA | NA | N/A |
| COVENANT LONG-TERM CARE LP | ||||||||
| 4000 24TH STREET | LUBBOCK | TX | 79410 | 205033419 | HEALTHCARE | TX | NA | N/A |
| HERITAGE INVESTMENT GROUP I LLC | ||||||||
| 500 S MAIN STREET STE 1000 | ORANGE | CA | 92868 | 271000061 | INVESTMENTS | CA | NA | N/A |
| HOAG ORTHOPEDIC INSTITUTE | ||||||||
| 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 611588294 | HEALTHCARE | CA | NA | N/A |
| METHODIST DIAGNOSTIC IMAGING | ||||||||
| 4005 24TH STREET | LUBBOVK | TX | 79410 | 752343261 | HEALTHCARE | TX | NA | N/A |
| NEWPORT IMAGING CENTER | ||||||||
| 360 SN MIGUEL | NEWPORT BEACH | CA | 92660 | 330191776 | HEALTHCARE | CA | NA | N/A |
| SHA LLC | ||||||||
| 12940 NORTH HIGHWAY 183 | AUSTIN | TX | 78750 | 752569094 | HEALTHCARE | TX | NA | N/A |
| ST JOSEPH PHYSICIAN VENTURES I LLC | ||||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 454521884 | REAL ESTATE | CA | NA | N/A |
| NORTH BAY ENDOSCOPY CENTER | ||||||||
| 1383 N MCDOWELL BLVD SUITE 110 | PETALUMA | CA | 94954 | 611559876 | HEALTHCARE | CA | NA | N/A |
| SOUTHERN CALIFORNIA SURGERY CENTER LLC | ||||||||
| 18321 VENTURA BLVD STE 740 | TARZANA | CA | 91356 | 330939000 | HEALTHCARE | CA | NA | N/A |
| COASTAL ASC HOLDINGS LLC | ||||||||
| ONE HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92664 | 810986844 | HEALTHCARE | CA | NA | N/A |
| ST JOSEPHSATELLITE DIALYSIS CENTERS | ||||||||
| 300 SANTANA ROW SUITE 300 | SAN JOSE | CA | 95128 | 814657391 | HEALTHCARE | CA | NA | N/A |
| ALPHA MEDICAL LABORATORY LLC | ||||||||
| 611 N PERRY | SPOKANE | WA | 99202 | 912017347 | OUTPATIENT LAB | ID | NA | N/A |
| BROADWAY IMAGING LLC | ||||||||
| 500 W BROADWAY | MISSOULA | MT | 59802 | 522405971 | MEDICAL IMAGING | MT | NA | N/A |
| CALIFORNIA LABORATORY ASSOCIATES LLC | ||||||||
| 501 BUENA VISTA | BURBANK | CA | 91505 | 273888692 | OUTPATIENT LAB | CA | NA | N/A |
| CENTER FOR SPECIALTY SURGERY LLC | ||||||||
| 11782 SW BARNES RD | PORTLAND | OR | 97225 | 263638838 | AMBULATORY SURG | OR | NA | N/A |
| CLACKAMAS RADIATION ONCOLOGY CENTER LLC | ||||||||
| 4400 NE HALSEY ST BLDG II 495 | PORTLAND | OR | 97213 | 260381897 | RADIATION ONCOL | OR | NA | N/A |
| CTR FOR MED IMAGING-BRIDGEPORT LLC | ||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 260796953 | IMAGING DIAG. | OR | NA | N/A |
| CTR FOR MED IMAGING-TANASBOURNE LLC | ||||||||
| 4400 NE HALSEY 495 | PORTLAND | OR | 97213 | 200477972 | IMAGING DIAG. | OR | NA | N/A |
| GREATER VALLEY MEDICAL BUILDING LP | ||||||||
| 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 954570858 | REAL ESTATE - MOB | CA | NA | N/A |
| MINOR & JAMES MEDICAL PLLC | ||||||||
| 515 MINOR AVENUE 200 | SEATTLE | WA | 98104 | 911340223 | PHYSICIAN CLINIC | WA | NA | N/A |
| MOUNTAINSTAR CLINICAL LABORATORIES LLC | ||||||||
| 611 N PERRY | SPOKANE | WA | 99202 | 261345983 | OUTPATIENT LAB | MT | NA | N/A |
| OREGON ADVANCED IMAGING LLC | ||||||||
| 881 OHARE PARKWAY | MEDFORD | OR | 97504 | 450471748 | MEDICAL IMAGING | OR | NA | N/A |
| OREGON OUTPATIENT SURGERY CENTER | ||||||||
| 7300 SW CHILDS RD | TIGARD | OR | 97224 | 223883387 | AMBULATORY SURG | OR | NA | N/A |
| PACLAB LLC | ||||||||
| 611 N PERRY SPOKANE | SPOKANE | WA | 99202 | 911743952 | OUTPATIENT LAB | WA | NA | N/A |
| PATHOLOGY ASSOCIATES MEDICAL LABORATORIE | ||||||||
| 611 N PERRY SPOKANE | SPOKANE | WA | 99202 | 270943279 | OUTPATIENT LAB | WA | NA | N/A |
| PETCT IMAGING AT SWEDISH CANCER INSTITU | ||||||||
| 1221 MADISON STREET | SEATTLE | WA | 98104 | 203132044 | MEDICAL IMAGING | WA | NA | N/A |
| PORTLAND MEDICAL IMAGING LLC | ||||||||
| 4400 NE HALSEY | PORTLAND | OR | 97213 | 201054971 | IMAGING DIAGNOSTI | OR | NA | N/A |
| PROV RADIATION ONCOLOGY DEVELOP ASSN | ||||||||
| 4400 NE HALSEY | PORTLAND | OR | 97213 | 260682491 | REAL ESTATE - MOB | OR | NA | N/A |
| PROVIDENCE IMAGING CENTER | ||||||||
| 3340 PROVIDENCE DRIVE | ANCHORAGE | AK | 99508 | 920118807 | MEDICAL IMAGING | AK | NA | N/A |
| PROVIDENCE PARTNERS FOR HEALTH LLC | ||||||||
| 501 S BUENA VISTA ST | BURBANK | CA | 91505 | 454041798 | CLIN QUALITY/INT | CA | NA | N/A |
| PROVIDENCE SURGERY CENTER LLC | ||||||||
| 902 N ORANGE ST | MISSOULA | MT | 59802 | 841401625 | AMBULATORY SURG | MT | NA | N/A |
| PROVIDENCESILVERTON REHAB LLC | ||||||||
| 4400 NE HALSEY 425 | PORTLAND | OR | 97213 | 481287267 | REHAB SERVICES | OR | NA | N/A |
| PROVIDENCEUSP SANTA CLARITA GP LLC | ||||||||
| 11550 INDIAN HILLS ROAD | MISSION HILLS | CA | 91345 | 202829660 | AMBULATORY SURG | CA | NA | N/A |
| PROVIDENCEUSP SURGERY CTRS LLC | ||||||||
| 11550 INDIAN HILLS ROAD | MISSION HILLS | CA | 91345 | 200905938 | AMBULATORY SURG | CA | NA | N/A |
| SOUTHERN IDAHO REGIONAL LABORATORY LLC | ||||||||
| 611 N PERRY SPOKANE | SPOKANE | WA | 99202 | 820511819 | OUTPATIENT LAB | ID | NA | N/A |
| THE MADISON SPOKANE INN LLC | ||||||||
| 15 WEST ROCKWOOD BLVD | SPOKANE | WA | 99204 | 841606484 | HOTEL SERVICES | WA | NA | N/A |
| TRI-CITIES LABORATORY LLC | ||||||||
| 611 N PERRY | SPOKANE | WA | 99202 | 911773986 | OUTPATIENT LAB | WA | NA | N/A |
| HCSA PROPERTIES LLC | ||||||||
| 1600 M STREET NW | AUBURN | WA | 98001 | 460620892 | REAL ESTATE RENT | WA | NA | N/A |
| PHS INVESTMENT TRUST HEDGE FUND PORTFOLI | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472293255 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST BANK LOANS PORTFOLI | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472357735 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRANSITION PORTFOLIO | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472279711 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST RISK PARITY PORTFOL | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472336377 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST LONG TREASURIES POR | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472385238 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST MLP PORTFOLIO | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472367538 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST RELATIVE VALUE PORT | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472314743 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST TIPS PORTFOLIO | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472402609 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST PUBLIC EQUITY PORTF | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472283974 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST LDI PORTFOLIO | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472392060 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST PUBLIC DEBT PORTFOL | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472353569 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST TACTICAL TRADING PO | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472327491 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST COMMODITIES PORTFOL | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 472269004 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST 2015 PRIVATE ASSETS | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 473393740 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST SHORT TERM INVESTME | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 812701056 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST 2016 PRIVATE ASSETS | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 811532735 | INVESTMENTS | WA | NA | N/A |
| PHS INVESTMENT TRUST 2016 PRIVATE REAL E | ||||||||
| 1801 Lind Avenue SW No 9016 | Renton | WA | 98057 | 812960145 | INVESTMENTS | WA | NA | N/A |
| LSC REAL PROPERTY LLC | ||||||||
| 2301 QUAKER AVENUE | LUBBOCK | TX | 79410 | 474646059 | REAL ESTATE | TX | NA | N/A |
| CALIFORNIA SPECIALTY SURGERY CENTER LP | ||||||||
| 26371 CROWN VALLEY PARKWAY | MISSION VIEJO | CA | 92691 | 330939003 | HEALTHCARE | CA | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN UNITY GROUP LTD | |||||||||||||
| 90 PITTS BAY ROAD | PEMBROKE | BD | HM08 | CAPTIVE INSURANCE | BD | NA | C-CORP | ||||||
| COASTAL MANAGEMENT SERVICES ORGANIZATION | |||||||||||||
| HEALTHCARE | NA | C-CORP | 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 330676831 | CA | |||||
| DATU HEALTH INC AND SUBSIDIARIES | |||||||||||||
| IT SVCS | NA | C-CORP | 16150 MAIN CIRCLE DR SUITE 250 | CHESTERFIELD | MO | 63017 | 463070062 | DE | |||||
| HOAG MANAGEMENT SERVICES INC | |||||||||||||
| HEALTHCARE | NA | C-CORP | 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 330731587 | CA | |||||
| LUBBOCK METHODIST HOSP PRACTICE MGMT | |||||||||||||
| INACTIVE | NA | C-CORP | 2107 OXFORD STREET STE 300 | LUBBOCK | TX | 79410 | 752578995 | TX | |||||
| LUBBOCK METHODIST HOSPITAL SVCS | |||||||||||||
| HEALTHCARE | NA | C-CORP | PO BOX 1201 | LUBBOCK | TX | 79410 | 752118585 | TX | |||||
| MISSION VIEJO MEDICAL VENTURES | |||||||||||||
| HEALTHCARE | NA | C-CORP | 27800 MEDICAL CENTER RD | MISSION VIEJO | CA | 92691 | 330212905 | CA | |||||
| ST JOSEPH HEALTH | |||||||||||||
| HOLDING COMPANY | NA | C-CORP | 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 462340232 | CA | |||||
| ST JOSEPH HEALTH SOURCE INC | |||||||||||||
| HEALTHCARE | NA | C-CORP | 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 461900168 | CA | |||||
| ST JOSEPH PROF SVCS ENTERPRSES INC | |||||||||||||
| HEALTHCARE | NA | C-CORP | 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 330155323 | CA | |||||
| OPHIE HEALTHCARE SERVICES INC | |||||||||||||
| HEALTHCARE | NA | C-CORP | 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 271002825 | CA | |||||
| PROVIDENCE HEALTH VENTURES INC | |||||||||||||
| INVESTMENT | NA | C-CORP | 4101 TORRANCE BLVD | TORRANCE | CA | 90503 | 330122216 | CA | |||||
| CARON HEALTH CORPORATION | |||||||||||||
| MED PHYS SVCS | NA | C-CORP | 510 W FRONT ST | MISSOULA | MT | 59802 | 810486082 | MT | |||||
| PROVIDENCE HEALTH CARE VENTURES INC | |||||||||||||
| CLIN/MED LAB | NA | C-CORP | 101 W 8TH AVE TAF C-9 | SPOKANE | WA | 99204 | 900155714 | WA | |||||
| PROVIDENCE PHYSICIAN SERVICES CO | |||||||||||||
| CLIN/MED LAB | NA | C-CORP | 101 W 8TH AVE TAF C-9 | SPOKANE | WA | 99204 | 911216033 | WA | |||||
| YAKIMA MEDICAL ARTS INC | |||||||||||||
| RENT REAL ESTATE | NA | C-CORP | 611 N PERRY 100 | SPOKANE | WA | 99202 | 910787963 | WA | |||||
| BOURGET HEALTH SERVICES INC | |||||||||||||
| CLIN/MED LAB | NA | C-CORP | PO BOX 2687 | SPOKANE | WA | 99220 | 911354431 | WA | |||||
| 1221 MADISON STREET OWNERS ASSOC | |||||||||||||
| OWNERS' ASSOC. | NA | C-CORP | 747 BROADWAY | SEATTLE | WA | 98122 | 201954319 | WA | |||||
| WESTERN HEALTHCONNECT VENTURES INC | |||||||||||||
| INVESTMENTS | NA | C-CORP | 1801 LIND AVE SW 9016 | RENTON | WA | 98057 | 800953654 | WA | |||||
| PHN HOLDINGS | |||||||||||||
| STRAT PLAN SVCS | NA | C-CORP | 20555 EARL STREET | TORRANCE | CA | 90503 | 461814184 | CA | |||||
| PROVIDENCE HEALTH NETWORK | |||||||||||||
| PREPAID HEALTH | NA | C-CORP | 20555 EARL STREET | TORRANCE | CA | 90503 | 800886966 | CA | |||||
| PIONEER INNOVATIONS INC | |||||||||||||
| HEALTH INNOVATNS | NA | C-CORP | 800 5TH AVE 10TH FLOOR | SEATTLE | WA | 98104 | 364818191 | WA | |||||
| VINSERRA INC | |||||||||||||
| INVESTMENTS | NA | C-CORP | 1328 22ND STREET | SANTA MONICA | CA | 90403 | 953943315 | CA | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||
| c | $144,900 | ACCRUAL |
| ST JOSEPH HEALTH SYSTEM FOUNDATION | ||
| b | $798,800 | ACCRUAL |
| ST JOSEPH HOSPITAL OF EUREKA | ||
| o | $2,291,754 | ACCRUAL |
| ST JOSEPH HOSPITAL OF EUREKA | ||
| p | $2,849,481 | ACCRUAL |
| ST JOSEPH HOSPITAL OF EUREKA | ||
| q | $3,074,585 | ACCRUAL |
| REDWOOD MEMORIAL FOUNDATION | ||
| o | $310,240 | ACCRUAL |
| ST JOSEPH HERITAGE HEALTHCARE | ||
| b | $435,208 | ACCRUAL |
| SANTA ROSA MEMORIAL HOSPITAL | ||
| q | $138,138 | ACCRUAL |
| SANTA ROSA MEMORIAL HOSPITAL | ||
| p | $995,951 | ACCRUAL |
| ST JOSEPH HERITAGE HEALTHCARE | ||
| l | $343,098 | ACCRUAL |
| REDWOOD MEMORIAL FOUNDATION | ||
| c | $652,450 | ACCRUAL |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART III | FormAndLineReferenceDesc |
| Explanation | IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 500 S. MAIN STREET, STE 1000, ORANGE, CA 92868 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD, STE 110, PETALUMA, CA 94954 SOUTHERN CALIFORNIA SURGERY CENTER, LLC EIN: 33-0939000 ADDRESS: 18321 VENTURA BLVD, STE 740, TARZANA, CA 91356 COASTAL ASC HOLDINGS LLC EIN: 81-0986844 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92664 ST. JOSEPH/SATELLITE DIALYSIS CENTERS, LLC EIN: 81-4657391 ADDRESS: 300 SANTANA ROW, STE 300, SAN JOSE, CA 95128 ALPHA MEDICAL LABORATORY, LLC EIN: 91-2017347 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 BROADWAY IMAGING, LLC EIN: 52-2405971 ADDRESS: 500 W. BROADWAY, MISSOULA, MT 59802 CALIFORNIA LABORATORY ASSOCIATES, LLC EIN: 27-3888692 ADDRESS: 501 BUENA VISTA, BURBANK, CA 91505 CENTER FOR SPECIALTY SURGERY, LLC EIN: 26-3638838 ADDRESS: 11782 SW BARNES ROAD, PORTLAND, OR 97225 CLACKAMAS RADIATION ONCOLOGY CENTER, LLC EIN: 26-0381897 ADDRESS: 4400 NE HALSEY ST., BLDG. II #495, PORTLAND, OR 97213 CENTER FOR MEDICAL IMAGING-BRIDGEPORT, LLC EIN: 26-0796953 ADDRESS: 4400 NE HALSEY #495, PORTLAND, OR 97213 CENTER FOR MEDICAL IMAGING-TANASBOURNE, LLC EIN: 20-0477972 ADDRESS: 4400 NE HALSEY #495, PORTLAND, OR 97213 GREATER VALLEY MEDICAL BUILDING, LP EIN: 95-4570858 ADDRESS: 501 S. BUENA VISTA STREET, BURBANK, CA 91505 MINOR & JAMES MEDICAL, PLLC EIN: 91-1340223 ADDRESS: 515 MINOR AVENUE #200, SEATTLE, WA 98104 MOUNTAINSTAR CLINICAL LABORATORIES, LLC EIN: 26-1345983 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 OREGON ADVANCED IMAGING, LLC EIN: 45-0471748 ADDRESS: 881 O'HARE PARKWAY, MEDFORD, OR 97504 OREGON OUTPATIENT SURGERY CENTER EIN: 22-3883387 ADDRESS: 7300 SW CHILDS ROAD, TIGARD, OR 97224 PACLAB, LLC EIN: 91-1743952 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 PATHOLOGY ASSOCIATES MEDICAL LABORATORIES, LLC EIN: 27-0943279 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 PET/CT IMAGING AT SWEDISH CANCER INSTITUTE, LLC EIN: 20-3132044 ADDRESS: 1221 MADISON STREET, SEATTLE, WA 98104 PORTLAND MEDICAL IMAGING, LLC EIN: 20-1054971 ADDRESS: 4400 NE HALSEY #495, PORTLAND, OR 97213 PROVIDENCE RADIATION ONCOLOGY DEVELOPMENT ASSOCIATION, LLC EIN: 26-0682491 ADDRESS: 4400 NE HALSEY #495, PORTLAND, OR 97213 PROVIDENCE IMAGING CENTER EIN: 92-0118807 ADDRESS: 3340 PROVIDENCE DRIVE, ANCHORAGE, AK 99508 PROVIDENCE PARTNERS FOR HEALTH, LLC EIN: 45-4041798 ADDRESS: 501 S. BUENA VISTA STREET, BURBANK, CA 91505 PROVIDENCE SURGERY CENTER, LLC EIN: 84-1401625 ADDRESS: 902 N. ORANGE STREET, MISSOULA, MT 59802 PROVIDENCE/SILVERTON REHAB, LLC EIN: 48-1287267 ADDRESS: 4400 NE HALSEY #425, PORTLAND, OR 97213 PROVIDENCE/USP SANTA CLARITA GP LLC EIN: 20-2829660 ADDRESS: 11550 INDIAN HILLS ROAD #160, MISSION HILLS, CA 91345 PROVIDENCE/USP SURGERY CENTERS., LLC EIN: 20-0905938 ADDRESS: 11550 INDIAN HILLS ROAD #160, MISSION HILLS, CA 91345 SOUTHERN IDAHO REGIONAL LABORATORY, LLC EIN: 82-0511819 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 THE MADISON SPOKANE INN, LLC EIN: 84-1606484 ADDRESS: 15 WEST ROCKWOOD BLVD, SPOKANE, WA 99204 TRI-CITIES LABORATORY, LLC EIN: 91-1773986 ADDRESS: 611 N. PERRY, SPOKANE, WA 99202 HCSA PROPERTIES LLC EIN: 46-0620892 ADDRESS: 1600 M STREET NW, AUBURN, WA 98001 PHS INVESTMENT TRUST HEDGE FUND PORTFOLIO EIN: 47-2293255 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST BANK LOANS PORTFOLIO EIN: 47-2357735 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRANSITION PORTFOLIO EIN: 47-2279711 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST RISK PARITY PORTFOLIO EIN: 47-2336377 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST LONG TREASURIES PORTFOLIO EIN: 47-2385238 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST MLP PORTFOLIO EIN: 47-2367538 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST RELATIVE VALUE PORTFOLIO EIN: 47-2314743 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST TIPS PORTFOLIO EIN: 47-2402609 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST PUBLIC EQUITY PORTFOLIO EIN: 47-2283974 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST LDI PORTFOLIO EIN: 47-2392060 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST PUBLIC DEBT PORTFOLIO EIN: 47-2353569 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST TACTICAL TRADING PORTFOLIO EIN: 47-2327491 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST COMMODITIES PORTFOLIO EIN: 47-2269004 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST 2015 PRIVATE ASSETS PORTFOLIO EIN: 47-3393740 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO EIN: 81-2701056 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST 2016 PRIVATE ASSETS PORTFOLIO EIN: 81-1532735 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 PHS INVESTMENT TRUST 2016 PRIVATE REAL ESTATE PORTFOLIO EIN: 81-2960145 ADDRESS: 1801 LIND AVENUE SW, #9016, RENTON, WA 98057 LSC REAL PROPERTY, LLC EIN: 47-4646059 ADDRESS: 2301 QUAKER AVE, LUBBOCK, TX 79410 CALIFORNIA SPECIALTY SURGERY CENTER, LP EIN: 33-0939003 ADDRESS: 26371 CROWN VALLEY PARKWAY, MISSION VIEJO, CA 92691 | ExplanationTxt |