PROVIDENCE SAINT JOHNS HEALTH CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE SAINT JOHNS HEALTH CENTER (EIN 95-1684082)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-29
- IRS object ID
- 201703339349300420
- Schema version
- 2016v3.0
- 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 K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-29T14:25:23-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911194016 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clark Nuber PS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4th Suite 1400 | AddressLine1Txt |
| City | Bellevue | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951684082 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE SAINT JOHN'S HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROV | BusinessNameControlTxt |
| Phone | 3108295511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 LIND AVE SW No 9016 | AddressLine1Txt |
| City | RENTON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jo Ann Escasa-Haigh | PersonNm |
| Person Title | EVP/CFO - Operations | PersonTitleTxt |
| Phone | 4255253985 | PhoneNum |
| Signature | 2017-11-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Sara Elizabeth J Hyre CPA | PreparerPersonNm |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 170.173.0.16 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-29 | IPDt |
| IP Tm | 12:25:07 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C5F3CFF4C26DED891B80F887CA75C12EDBBE0CDF | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mike Butler | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 LIND AVE SW No 9016 | AddressLine1Txt |
| City | RENTON | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $350,939,739 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | california.providence.org/saint-johns/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1942 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Healthcare with special concern for the poor & vulnerable in Santa Monica & West L.A. County. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1966 | TotalEmployeeCnt |
| Total Volunteers | 386 | TotalVolunteersCnt |
| Total Gross UBI | $4,905,705 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $27,103 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,747,697 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,118,518 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $331,348,635 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $338,324,481 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,391,375 | PYInvestmentIncomeAmt |
| CY Investment Income | $672,889 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,311,098 | PYOtherRevenueAmt |
| CY Other Revenue | $1,943,671 | CYOtherRevenueAmt |
| PY Total Revenue | $350,798,805 | PYTotalRevenueAmt |
| CY Total Revenue | $348,059,559 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,832,144 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $594,175 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $125,716,779 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $133,713,250 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $181,959,807 | PYOtherExpensesAmt |
| CY Other Expenses | $183,539,078 | CYOtherExpensesAmt |
| PY Total Expenses | $309,508,730 | PYTotalExpensesAmt |
| CY Total Expenses | $317,846,503 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $41,290,075 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $30,213,056 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $772,982,759 | TotalAssetsBOYAmt |
| Total Assets EOY | $496,516,885 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $464,271,718 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $255,377,563 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $308,711,041 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $241,139,322 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service. Healthcare with special concern for the poor & vulnerable in Santa Monica and westside L.A. County communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $267,948,127 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $319,912,190 | RevenueAmt |
| Desc | Providence Saint John's Health Center has been serving the Santa Monica and Westside Los Angeles county communities since 1942, and since that time has earned a reputation for clinical excellence and award-winning care in a compassionate and tranquil healing environment.Today, Providence Saint John's is a nationally renowned 266-bed hospital with physicians, nurses, volunteers and support staff who work as a team to provide the best possible medical care to its patients and the community. Providence Saint John's provides the latest in diagnostic technology and specialty care with a strong commitment to its core service lines: heart and vascular care, oncology, orthopedics and women's health. Saint John's also is home to the world-renowned John Wayne Cancer Institute, dedicated to clinical research and medical advancements in cancer care.Providence Saint John's reputation for academically-based care guided by research and evidence-based medicine is due to the commitment to excellence by our physicians, nurses and caregivers. Our cancer surgeons care for patients in the Cancer Center and hold faculty positions at the John Wayne Cancer Institute and other teaching institutions in the community. Nearly every core service line at Providence Saint John's participates in research or clinical trials.Founded by the Sisters of Charity of Leavenworth, who in 2014 passed its sponsorship to Providence Health & Services, Providence Saint John's is rooted in the Catholic health care tradition, which is devoted to providing leading-edge medicine with unwavering compassion and personalized care. In line with both its Catholic Mission and its responsibilities as a non-profit health care provider, Providence Saint John's seeks to create healthier communities by investing in community benefit programs, with an emphasis on the poor and vulnerable.Providence Saint John's continually has achieved top ratings and distinguished hospital awards for clinical excellence and patient safety by the nation's leading accreditation organizations, such asHealthgrades, the Joint Commission and Leapfrog Group. Within the past decade, Providence Saint John's has received multiple acclamations by these organizations for a variety of services including cardiac care, coronary intervention, critical care, orthopedics, pulmonary care, joint replacement, neurosurgery, and women's health.Through the dedication and collaborative efforts of the community, friends, patrons, physicians, nurses, staff and volunteers, Providence Saint John's continues its world-class tradition established more than 70 years ago by providing breakthrough medicine in an environment of inspired healing.Year after year, Providence Saint John's Health Center along with its staff, physicians and nurses are recognized by the nation's leading healthcare rating organizations, the medical community and the media for clinical excellence and exceptional patient care. This comes naturally, given Providence Saint John's mission towards providing cutting-edge medicine with unwavering compassion and personalized care.The following are a few of the most recent honors and awards that have been presented to Providence Saint John's:-Overall Clinical Performance and Quality, and Providence Saint John's is the only hospital in California to be named one of Healthgrades America's 50 Best Hospitals for 9 years in a row;-Distinguished Hospital for Clinical Excellence for 13 years in a row;-Patient Safety Excellence Award for 6 years in a row;-One of America's 50 Best Hospitals for Cardiac Care Award for 3 years in a row;-One of America's 100 Best Hospitals for Joint Replacement for 4 years in a row;-Named among the Top 10% in the Nation for Overall Cardiac Services for6 years in a row;-Five-Star Recipient for Coronary Interventional Procedures for 7 years in a row;-Five-Star Recipient for Treatment of Heart Attack for 13 years in a row;-Named among the Top 5% in the Nation for Joint Replacement for 4 years in a row;-Five-Star Recipient for Total Knee Replacement for 5 years in a row;-Five-Star Recipient for Total Hip Replacement for 4 years in a row;-Named among the Top 10% in the Nation for GI Medical Treatment for 2 years in a row;-Five-Star Recipient for Esophageal/Stomach Surgeries for 3 years in a row;-Five-Star Recipient for Treatment of GI Bleed for 2 years in a row;-Five-Star Recipient for Treatment of Sepsis for 13 years in a row.Statistics:Licensed beds - 266Births - 1,770Admissions - 12,370ED Visits - 30,316Inpatient Surgeries - 5,166Outpatient Surgeries - 3,752 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,239,491 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,682,877 | RevenueAmt |
| Desc | Primary Care See Line 4a Narrative. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $594,175 | ExpenseAmt |
| Grant | $594,175 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Grants & Allocations - Saint John's motto, "...and the greatest of these is charity...," reminds us that love and charity are the same.Caritas is the Latin word for both "love and "charity." Caritas Benefits are the focus and priority for the Providence Saint John's community benefit program. These benefits are the goods, services and financial resources that Saint John's provides, manages or coordinates for those living in poverty in our community.Our community is fortunate to have many outstanding organizations and agencies delivering vital services for those living in poverty. OPCC, Saint Joseph Center, Venice Family Clinic, and Westside Family Health Center are just a few examples of these partners. Providence Saint John's commitment to care for the poor and underserved is a commitment to their work.Our care of those living in poverty is built on yet another partnership. The dedicated physicians who provide professional services in Providence Saint John's Laboratory, Imaging Department, and Heart Institute are our essential partners in caring for patients referred to Saint John's for diagnostic and other services by community agencies. These physicians volunteer their time and professional skills, as Providence Saint John's volunteers its staff, resources and facilities, to provide these services at no charge to those living in poverty.Providence Saint John's has been blessed by many extraordinary partners, such as Santa Monica-Malibu Unified School District (SMMUSD) and St. Anne's School. Providence Saint John's supports SMMUSD's School Nurse Program in order to enhance the health status of our community's school age children. Saint John's partners with St. Anne's School by funding a school nurse and providing a school counseling program, thereby extending its community health mission into local parochial schools.Providence Saint John's is a major employer and a not-for-profit corporate citizen on the Westside. As such, we support community organizations such as the Venice Family Clinic, the Santa Monica-Malibu Unified School District, the Westside Family Health Center, OPCC, Saint Joseph's Center, WISE & Healthy Aging, Upward Bound House, St. Anne's School, Pico Youth & Family Center, Palisades Will Rogers 5 & 10K Run Foundation, Meals on Wheels West, Boys & Girls Club of Santa Monica. Community Partners for Safe Place for Youth, and Opica Adult Day Care Center. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $279,781,793 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 301 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1966 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Karl E Fritschel CPA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4255253339 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW 9016 | AddressLine1Txt |
| City | Renton | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (58 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Richard Blair | ||||||||||
| Chair - Eff. 7/16 | 0.10 | 4.60 | Yes (X) | Yes (X) | $0 | $30,180 | $0 | |||
| Dave Olsen | ||||||||||
| Vice Chair - Eff. 7/16 | 0.10 | 5.50 | Yes (X) | Yes (X) | $0 | $24,135 | $0 | |||
| Dick P Allen | ||||||||||
| Director - Eff. 7/16 | 0.10 | 2.00 | Yes (X) | $0 | $15,180 | $0 | ||||
| Isiaah Crawford | ||||||||||
| Director | 0.10 | 4.10 | Yes (X) | $0 | $24,360 | $0 | ||||
| Sister Lucille Dean SP | ||||||||||
| Director - Eff. 7/16 | 0.10 | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Diane Hejna CSJ RN | ||||||||||
| Director - Eff. 7/16 | 0.10 | 1.90 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Holcomb | ||||||||||
| Director /Chair Thru 6/16 | 0.10 | 5.30 | Yes (X) | Yes (X) | $0 | $45,360 | $0 | |||
| Phyllis Hughes RSM | ||||||||||
| Director | 0.10 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sallye Liner | ||||||||||
| Director | 0.10 | 4.70 | Yes (X) | $0 | $20,360 | $0 | ||||
| Mary Lyons PhD | ||||||||||
| Director - Eff. 7/16 | 0.10 | 1.50 | Yes (X) | $0 | $15,180 | $0 | ||||
| Walter Noce Jr | ||||||||||
| Director - Eff. 7/16 | 0.10 | 2.00 | Yes (X) | $0 | $15,180 | $0 | ||||
| Carolina Reyes MD | ||||||||||
| Director | 0.10 | 4.60 | Yes (X) | $0 | $22,860 | $0 | ||||
| Phoebe Yang | ||||||||||
| Director - Eff. 7/16 | 0.10 | 2.00 | Yes (X) | $0 | $12,680 | $0 | ||||
| Fr Tom Kopfensteiner | ||||||||||
| Director - Res. 12/16 | 0.10 | 2.00 | Yes (X) | $0 | $6,400 | $0 | ||||
| Chauncey Boyle SP | ||||||||||
| Director - Thru 6/16 | 0.10 | 3.10 | Yes (X) | $0 | $0 | $0 | ||||
| Marian Schubert CSJ | ||||||||||
| Director - Thru 6/16 | 0.10 | 2.80 | Yes (X) | $0 | $0 | $0 | ||||
| Michael A Stein | ||||||||||
| Director - Thru 6/16 | 0.10 | 3.10 | Yes (X) | $0 | $7,680 | $0 | ||||
| Eugene Al Parrish | ||||||||||
| Director - Thru 6/16 | 0.10 | 2.80 | Yes (X) | $0 | $7,680 | $0 | ||||
| Bob Wilson | ||||||||||
| Director - Thru 6/16 | 0.10 | 2.90 | Yes (X) | $0 | $9,120 | $0 | ||||
| Martha Diaz Aszkenazy | ||||||||||
| Director - Thru 6/16 | 0.10 | 3.90 | Yes (X) | $0 | $9,180 | $0 | ||||
| Kirby McDonald | ||||||||||
| Director - Thru 6/16 | 0.10 | 2.80 | Yes (X) | $0 | $7,680 | $0 | ||||
| Charles Chuck Watts | ||||||||||
| Director - Thru 6/16 | 0.10 | 2.80 | Yes (X) | $0 | $9,180 | $0 | ||||
| Rod F Hochman MD | ||||||||||
| President / CEO - Thru 6/16 | 1.00 | 64.00 | Yes (X) | $0 | $4,060,921 | $43,543 | ||||
| Mike Butler | ||||||||||
| President - Eff. 7/16 | 1.00 | 59.00 | Yes (X) | $0 | $6,906,693 | $349,633 | ||||
| Todd Hofheins | ||||||||||
| EVP/CFO /Treas. Thru 11/16 | 1.00 | 59.00 | Yes (X) | $0 | $1,571,440 | $60,670 | ||||
| Jo Ann Escasa-Haigh | ||||||||||
| Interim CFO/Treasurer - Eff.12/16 | 1.00 | 49.00 | Yes (X) | $0 | $755,416 | $168,190 | ||||
| Cindy Strauss | ||||||||||
| EVP/Chief Legal Officer | 1.00 | 59.00 | Yes (X) | $0 | $1,462,780 | $58,266 | ||||
| Marcel Loh | ||||||||||
| CEO/St. John's | 45.00 | 5.00 | Yes (X) | $0 | $1,159,933 | $41,146 | ||||
| James Uli | ||||||||||
| CFO/St. John's | 48.00 | 2.00 | Yes (X) | $302,476 | $0 | $20,770 | ||||
| Erik Wexler | ||||||||||
| CE/CA Region - Eff. 5/16 | 1.00 | 64.00 | $0 | $1,358,828 | $359,677 | Yes (X) | ||||
| Karl Carrier | ||||||||||
| Interim CE/CA. Region | 1.00 | 59.00 | $0 | $666,411 | $0 | Yes (X) | ||||
| Mary Cranstoun | ||||||||||
| VP/Total Rewards | 1.00 | 59.00 | $0 | $663,031 | $114,417 | Yes (X) | ||||
| Debra Canales | ||||||||||
| EVP/CAO | 1.00 | 59.00 | $0 | $2,092,357 | $611,609 | Yes (X) | ||||
| Janice Newell | ||||||||||
| SVP/Chief Information Officer | 1.00 | 59.00 | $0 | $1,137,493 | $34,098 | Yes (X) | ||||
| Joel Gilbertson | ||||||||||
| SVP/Community Partnerships | 1.00 | 59.00 | $0 | $842,027 | $247,847 | Yes (X) | ||||
| Orest Holubec | ||||||||||
| SVP/Chief Comm./Ext. Affairs Officer | 1.00 | 54.00 | $0 | $782,688 | $207,806 | Yes (X) | ||||
| Greg Till | ||||||||||
| VP/Chief Talent Officer | 1.00 | 64.00 | $0 | $776,011 | $122,367 | Yes (X) | ||||
| Sharon Toncray | ||||||||||
| SVP / Chief Labor Employee Counsel | 1.00 | 59.00 | $0 | $764,977 | $243,728 | Yes (X) | ||||
| Jack Mudd - Thru 316 | ||||||||||
| SVP/Mission Leadership | 1.00 | 28.00 | $0 | $718,728 | $157,778 | Yes (X) | ||||
| Aaron Martin | ||||||||||
| SVP/Strategy & Innovation | 1.00 | 69.00 | $0 | $852,934 | $219,285 | Yes (X) | ||||
| Tom McDonagh | ||||||||||
| VP/Chief Investment Officer | 1.00 | 57.00 | $0 | $849,462 | $53,521 | Yes (X) | ||||
| Rhonda Medows MD | ||||||||||
| EVP/Population Health | 1.00 | 59.00 | $0 | $1,565,700 | $320,279 | Yes (X) | ||||
| Harvey Smith | ||||||||||
| SVP/Chief Customer Svc. Officer | 1.00 | 49.00 | $0 | $1,226,156 | $23,791 | Yes (X) | ||||
| Lisa Vance | ||||||||||
| SVP/Clinical Program Services | 1.00 | 59.00 | $0 | $1,220,348 | $125,445 | Yes (X) | ||||
| Mike Waters | ||||||||||
| VP,CAO/Physician Services | 1.00 | 64.00 | $0 | $703,777 | $184,023 | Yes (X) | ||||
| Amy Compton-Phillips | ||||||||||
| EVP/Chief Clinical Officer | 1.00 | 54.00 | $0 | $1,113,493 | $278,894 | Yes (X) | ||||
| David Brown | ||||||||||
| VP/Strategy & Business Development | 1.00 | 54.00 | $0 | $700,461 | $226,430 | Yes (X) | ||||
| Debbie Burton | ||||||||||
| SVP/ Chief Nrsg. Officer | 1.00 | 59.00 | $0 | $713,480 | $90,015 | Yes (X) | ||||
| Paul Stoddart - Thru 916 | ||||||||||
| VP/Marketing | 1.00 | 54.00 | $0 | $641,423 | $22,381 | Yes (X) | ||||
| Robert O Klein | ||||||||||
| President/CEO Foundation | 1.00 | 40.00 | $546,491 | $0 | $35,961 | Yes (X) | ||||
| Dawna Hendel | ||||||||||
| CNO | 40.00 | 0.00 | $321,985 | $0 | $35,325 | Yes (X) | ||||
| Stella Nichols | ||||||||||
| CFO/Foundation | 1.00 | 40.00 | $297,365 | $0 | $32,912 | Yes (X) | ||||
| David Tam | ||||||||||
| COO | 40.00 | 0.00 | $470,745 | $0 | $32,338 | Yes (X) | ||||
| Donald Larsen Jr | ||||||||||
| CMO | 40.00 | 0.00 | $418,950 | $0 | $21,333 | Yes (X) | ||||
| Michael Hunn | ||||||||||
| Former /CE / CA. Region | 0.00 | 0.00 | $0 | $385,737 | $1,110 | Yes (X) | ||||
| Randy Axelrod MD - Former | ||||||||||
| EVP/Clinical & Patient Services | 0.00 | 0.00 | $0 | $1,419,333 | $0 | Yes (X) | ||||
| Craig Wright MD | ||||||||||
| Former SVP/Physician Services | 0.00 | 0.00 | $0 | $1,119,939 | $20,455 | Yes (X) | ||||
| Jack Friedman - Former | ||||||||||
| SVP/Accountable Care & Payor Rel. | 0.00 | 0.00 | $0 | $299,327 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,358,012 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $38,813,699 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,565,043 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 405 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Rightsourcing Inc | |||||
| 1328 Twenty-Second Street | Santa Monica | CA | 90404 | Staffing | $9,714,335 |
| AV Construction Inc | |||||
| 18444 Ward Street | Fountain Valley | CA | 92708 | Construction | $2,534,065 |
| ARUP Laboratories Inc | |||||
| CCHCA PO Box 27964 | Salt Lake City | UT | 84127 | Lab Services | $1,482,995 |
| Specialtycare Cardiovascular | |||||
| PO 11407 | Birmingham | AL | 35246 | Transfusion Services | $1,033,419 |
| Perkins Eastman Architects | |||||
| 115 Fifth Avenue | New York | NY | 10003 | Architect Services | $903,690 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 44 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,573,667 | GovernmentGrantsAmt |
| All Other Contributions | $5,544,851 | AllOtherContributionsAmt |
| Total Contributions | $7,118,518 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Pharmacy | 446110 | $128,434,398 | $128,434,398 | |
| Lab | 621500 | $104,500,215 | $99,594,510 | $4,905,705 |
| Acute Care | 900099 | $91,714,117 | $91,714,117 | |
| Primary Care | 621110 | $13,675,751 | $13,675,751 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $338,324,481 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,070,139 | RealAmt |
| Personal | $41,162 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,629,395 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$559,256 | RealAmt |
| Personal | $41,162 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$518,094 | TotalRevenueColumnAmt |
| Exclusion | -$518,094 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $672,889 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $672,889 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $672,889 | TotalRevenueColumnAmt |
| Exclusion | $672,889 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $205,453 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $250,785 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$45,332 | TotalRevenueColumnAmt |
| Exclusion | -$45,332 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria | 722410 | $1,321,329 | $1,321,329 | |
| Parking Revenue | 812930 | $500,833 | $500,833 | |
| Non-Invest. Interest | 900099 | $198,358 | $117,164 | $81,194 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $486,577 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $95,097 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $391,480 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,507,097 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $348,059,559 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $333,595,067 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,905,705 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,440,269 | 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 | $582,250 | TotalAmt |
| Program Services | $582,250 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,925 | TotalAmt |
| Program Services | $11,925 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,495,296 | TotalAmt |
| Management And General | $1,495,296 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,188,680 | TotalAmt |
| Program Services | $109,204,410 | ProgramServicesAmt |
| Management And General | $12,984,270 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,798,670 | TotalAmt |
| Program Services | $1,588,101 | ProgramServicesAmt |
| Management And General | $210,569 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,230,604 | TotalAmt |
| Program Services | $7,267,055 | ProgramServicesAmt |
| Management And General | $963,549 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,556,368 | TotalAmt |
| Program Services | $96,209 | ProgramServicesAmt |
| Management And General | $1,460,159 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,000 | TotalAmt |
| Management And General | $10,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,687,061 | TotalAmt |
| Program Services | $45,956,469 | ProgramServicesAmt |
| Management And General | $9,730,592 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,757 | TotalAmt |
| Management And General | $399,757 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,890,989 | TotalAmt |
| Program Services | $2,956,116 | ProgramServicesAmt |
| Management And General | $934,873 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $330,091 | TotalAmt |
| Program Services | $262,822 | ProgramServicesAmt |
| Management And General | $67,269 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,692,005 | TotalAmt |
| Program Services | $4,396,055 | ProgramServicesAmt |
| Management And General | $3,295,950 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,063 | TotalAmt |
| Program Services | $59,857 | ProgramServicesAmt |
| Management And General | $54,206 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,855 | TotalAmt |
| Program Services | $203,611 | ProgramServicesAmt |
| Management And General | $108,244 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,474,913 | TotalAmt |
| Program Services | $5,474,913 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,244,002 | TotalAmt |
| Program Services | $7,727,386 | ProgramServicesAmt |
| Management And General | $2,516,616 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,645 | TotalAmt |
| Program Services | $253,441 | ProgramServicesAmt |
| Management And General | $85,204 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $65,675,339 | $65,675,339 | |
| Provider Tax | $19,626,461 | $19,626,461 | |
| Bad Debts | $6,462,771 | $6,462,771 | |
| UBI Taxes | $105,010 | $105,010 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,619,748 | TotalAmt |
| Program Services | $1,976,602 | ProgramServicesAmt |
| Management And General | $3,643,146 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,846,503 | TotalAmt |
| Program Services | $279,781,793 | ProgramServicesAmt |
| Management And General | $38,064,710 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,600 | BOYAmt |
| EOY | $338,159 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,400 | BOYAmt |
| EOY | $82,097 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,468,308 | BOYAmt |
| EOY | $44,333,510 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,289,375 | BOYAmt |
| EOY | $6,146,180 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,028,634 | BOYAmt |
| EOY | $1,409,269 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $317,089,228 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $32,308,317 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,930,822 | BOYAmt |
| EOY | $284,780,911 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,254,043 | BOYAmt |
| EOY | $132,315,402 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $462,466 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,440,111 | BOYAmt |
| EOY | $27,111,357 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $772,982,759 | BOYAmt |
| EOY | $496,516,885 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,102,419 | BOYAmt |
| EOY | $36,808,358 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,323,483 | BOYAmt |
| EOY | $913,115 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,740,000 | BOYAmt |
| EOY | $118,740,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,105,816 | BOYAmt |
| EOY | $98,916,090 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $464,271,718 | BOYAmt |
| EOY | $255,377,563 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,502,150 | BOYAmt |
| EOY | $154,587,279 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,553,560 | BOYAmt |
| EOY | $70,692,481 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,655,331 | BOYAmt |
| EOY | $15,859,562 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $308,711,041 | BOYAmt |
| EOY | $241,139,322 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $772,982,759 | BOYAmt |
| EOY | $496,516,885 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $30,213,056 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$97,784,775 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $10,000 | GrantsOtherOrganizationsAmt |
| Total Lobbying Expenditures | $10,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Lobbying to oppose a proposed Santa Monica measure - an antidevelopment initiative. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $150,000,000 | OtherCostOrOtherBasisAmt |
| Book Value | $150,000,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,598,558 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,083,502 | DepreciationAmt |
| Book Value | $92,515,056 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,327,737 | OtherCostOrOtherBasisAmt |
| Depreciation | $908,739 | DepreciationAmt |
| Book Value | $2,418,998 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,044,070 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,316,076 | DepreciationAmt |
| Book Value | $22,727,994 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,118,863 | OtherCostOrOtherBasisAmt |
| Book Value | $17,118,863 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $284,780,911 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Investment in Foundation | $132,301,402 | C |
| Investment in PPH | $14,000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $132,315,402 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivable | $1,104,166 |
| Due from Affiliates | $23,771,923 |
| Unamortized Bond Financing Costs | $1,319,580 |
| Third Party Settlements | $915,688 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $27,111,357 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $120,000 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Third Party Settlements | $20,828 |
| Other payables | $24,256,945 |
| Due To Affiliates | $67,440,229 |
| Bond Premium Discount | $7,078,088 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $98,916,090 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 340 | PersonsServedCnt |
| Total Community Benefit Expns | $2,334,656 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,334,656 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00750 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2475 | PersonsServedCnt |
| Total Community Benefit Expns | $16,985,444 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$8,974,243 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,959,687 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08340 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2815 | PersonsServedCnt |
| Total Community Benefit Expns | $19,320,100 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$8,974,243 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,294,343 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09090 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2209 | PersonsServedCnt |
| Total Community Benefit Expns | $1,029,066 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,025,566 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 215 | PersonsServedCnt |
| Total Community Benefit Expns | $1,248,737 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,248,737 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4561 | PersonsServedCnt |
| Total Community Benefit Expns | $6,716,713 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,433,535 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,283,178 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 33342 | PersonsServedCnt |
| Total Community Benefit Expns | $1,450,318 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,450,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 40327 | PersonsServedCnt |
| Total Community Benefit Expns | $10,444,834 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,437,035 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,007,799 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01930 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 43142 | PersonsServedCnt |
| Total Community Benefit Expns | $29,764,934 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$4,537,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,302,142 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11020 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 75 | PersonsServedCnt |
| Total Community Benefit Expns | $2,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 107 | PersonsServedCnt |
| Total Community Benefit Expns | $1,601,636 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $609,098 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $992,538 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 182 | PersonsServedCnt |
| Total Community Benefit Expns | $1,604,136 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $609,298 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $994,838 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,462,771 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $125,886,742 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $194,115,158 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$68,228,416 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 SM Wilshire Imaging | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Outpatient imaging center | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Saint John's Health Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2121 Santa Monica Blvd | AddressLine1Txt |
| City | Santa Monica | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90404 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | california.providence.org/saint-johns/ | WebsiteAddressTxt |
| State License | 930000158 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint John's Health Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | 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 |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.providence.org/obp/ca/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.providence.org/obp/ca/financial-assistance-application | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.providence.org/obp/plain-language-summary | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Saint John's Health Center | Part V, Section B, Line 5: Elan Schultz - L.A. County Board of SupervisorsRosemary Veniegas - California Community FoundationElizabeth Forer - Venice Family ClinicYolanda Vera - L.A. County Board of SupervisorsKita Curry - Didi Hirsch Mental Health CenterNina Vaccaro - Southside Coalition of Community Health CentersLaurel Rosen - Santa Monica Chamber of CommerceMary Odell - UniHealth FoundationDeb Farmer - Westside Family Health CenterJeff Bujer - Saban ClinicMark Mariscal - L.A. City Dept. of Parks and Rec.Susan Cohen - L.A. Gay and Lesbian CenterLucia Diaz - Mar Vista Family CenterIvan Mason - U.S. Veteran's InitiativeMaryjane Puffer - The L.A. Trust for Children's HealthArmen D. Ross - Crenshaw Chamber of CommerceRichard Bruckner - L.A. County Dept. of PlanningNolan Rollins - Los Angeles Urban LeagueVivian Sauer - Jewish Family ServicesConnie Chung - Korean American Family ServicesLiz Romo - South L.A. Women, Infants & Child.David Giugni - City of West HollywoodLoretta Jones - Healthy African American FamiliesLora Morn - Santa Monica-Malibu Unified School DistrictAlison Herrmann - UCLA Kaiser Permanente Center for Health EquityDr. David Carlisle - Charles R. Drew University of Medicine and ScienceDr. John King - City of L.A. Housing AuthorityVeronica Lewis - Homeless Outreach Program Integrated Care SystemHeather Hays - First African American Episcopal Church of LATunua Thrash-Ntuk - West Los Angeles Community Development Corp.John Maceri - Ocean Park Community CenterMaureen Cyr - L.A. County Dept. of Mental HealthGrace Cheng Braun - WISE and Healthy AgingTod Lipka - Step Up on SecondDr. Kimberly Uyeda - Los Angeles Unified School DistrictDr. Patrick Dowling - UCLA David Geffen School of Med.Louise Jaffe - Santa Monica CollegeMsgr. Lloyd Torgerson - St. Monica ChurchChris Baca - Meals on Wheels WestLeticia Segura - L.A. Care Health PlanDr. Jan King - L.A. County Department of Public Health |
| Saint John's Health Center | Part V, Section B, Line 11: Based on a review of both primary and secondary data, five key priority health issues were identified to focus on over the next several years.1. Access to Care - access to affordable primary and specialty care.-Work in partnership with Providence Medical Institute, Doctors of Saint John's, Venice Family Clinic, and Westside Family Health Center to serve Medi-Cal patients for Obstetrical care and G.I. services.-Expand access to 2-3 more medical specialties for Medi ]Cal and uninsured patients residing on the Westside by working with physicians on the medical staff at PSJHC.2. Chronic Disease - better management and prevention of chronic illnesses.-Develop key partnerships with PSJHC and 8 to 10 area churches on the Westside to implement chronic disease education and screening programs.-Develop 3 to 4 chronic disease support groups for residents of the Westside area.-Conduct 4 community education forums on select chronic diseases serving 800 people.-Implement ongoing free blood pressure, body mass index, and glucose screenings at least six sites in the community.-Develop program for medically fragile seniors with WISE and Healthy Aging to improve their outcomes and functioning serving at least 100 patients/yr.3. Obesity and Nutrition - more programs focused on reducing obesity and improving nutrition.-Implement eight healthy eating education programs in the community serving 125 people/yr.-Link 300 eligible people/families with government food assistance benefits.-Partner with three area grocery stores to conduct nutrition education programs.-Develop walking groups at three partnering church locations.4. Mental Health/Substance Abuse - improve access to affordable mental health and substance abuse programs-Expand the preschool consultation program administered by the Child and Family Development Center to seventeen new sites.-Expand the Child and Family Development Center program for new mothers dealing with post ]partum depression, with a focus on Venice Family Clinic and Westside Family Health Center patients.-Provide at least two community benefit grants per year to local nonprofit organizations addressing substance abuse treatment and mental health needs for low ]income residents.5. Homelessness - growing number of homeless persons living in the area.-Expand the Homeless Care Navigation Program at PSJHC by adding a second full ]time Community Care Coordinator and serving an additional 350 pts/yr.-Get an approved license to allow PSJHC to access the Coordinated Entry System database to help direct homeless patients to available resources.-Work with The People Concern/OPCC on the development of their comprehensive wellness program for their homeless clients.-In collaboration with UCLA Santa Monica and Trinity Care Hospice, develop hospice services for the homeless residents with terminal illnesses living on the Westside targeting 15 to 20 patients/yr.There was an extensive list of needs and issues identified through this assessment process and the organization is unable to address all of them during this cycle due to funding and resource availability. There are other community organizations focusing on such issues, and Providence St. John's Health Center will be an engaged partner with other community led collaborative efforts. |
| Saint John's Health Center | Part V, Section B, Line 24: For non-medically necessary services, a patient may be charged full billed charges. |
| Part V, Section B, Line 7a | http://communitybenefit.providence.org/community-health-needs-assessments/ |
| Part V, Section B, Line 10a | http://communitybenefit.providence.org/community-health-needs-assessments/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Santa Monica Wilshire Imaging | ||||
| 2200-2202 Wilshire Blvd | Santa Monica | CA | 90404 | Outpatient/Imaging Ctr |
| 2 - Family and Obesity Medicine | ||||
| 12304 Santa Monica Blvd Suite 101 | Los Angeles | CA | 90025 | Primary Care |
| 3 - Pediatrics KIDDOX | ||||
| 1245 16th St Suite 305 | Santa Monica | CA | 90404 | Primary Care |
| 4 - Family Medicine | ||||
| 1811 Wilshire Blvd Suite 201 | Santa Monica | CA | 90403 | Primary Care |
| 5 - Family Medicine | ||||
| 1821 Wilshire Blvd Suite 301 | Santa Monica | CA | 90403 | Primary Care |
| 6 - Pediatrics | ||||
| 2021 Santa Monica Blvd Suite 245E | Santa Monica | CA | 90404 | Primary Care |
| 7 - Pediatrics | ||||
| 2021 Santa Monica Blvd Suite 421E | Santa Monica | CA | 90404 | Primary Care |
| 8 - Family Medicine PEAK | ||||
| 2143 S Sepulveda Bl 300 | Los Angeles | CA | 90025 | Primary Care |
| 9 - Internal Medicine | ||||
| 1301 20th St Suite 110 | Santa Monica | CA | 90404 | Specialty Clinic |
| 10 - Nephrology & Internal Medicine | ||||
| 1301 20th St Suite 290 | Santa Monica | CA | 90404 | Specialty Clinic |
| 11 - Rheumatology | ||||
| 2021 Santa Monica Blvd Suite 335E | Santa Monica | CA | 90404 | Specialty Clinic |
| 12 - Hospital Medicine | ||||
| 2121 Santa Monica Blvd | Santa Monica | CA | 90404 | Specialty Clinic |
| 13 - Rheumatology | ||||
| 2336 Santa Monica Bl 207 | Santa Monica | CA | 90404 | Specialty Clinic |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Eligibility for Charity is determined by an inability to pay defined in the policy based on one or more of the following criteria: Presumptive Charity and Charity. Presumptive Charity determines that financial Assistance Application is not required if a patient is either homeless, or is enrolled in some sort of Medicaid Program, or is verified to be unable to pay under income/asset test. Charity requires completion of Financial Assistance Application and validation that a patient's gross income is less than 350% of FPG. |
| Part I, Line 7: | Costs for table 7 are from actual expenses incurred. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 6,462,771. |
| Part II, Community Building Activities: | We extend our care beyond our hospital's walls in order to improve the health of our community. Our community building activities demonstrate this commitment. During this year, our community building activities included environmental stewardship, presentations to educational professional by Child & Family Development Center mental health providers, participation in the faith committee of the Westside Shelter & Hunger Coalition.We are an important part of our community and serve in many ways, from delivering core health care to preventive care to support of other civic groups.Our executives serve on the boards of many local nonprofit agencies throughout the community and our board of directors represents medical and business professionals, and all provide hours of service in support of our hospital. They are deeply involved in our needs assessment process, building programs and services, and community outreach to ensure that people know about services available to them through our hospital. When Saint John's has excess revenue over operating expenses, we use those funds to obtain current health care technologies and equipment, improve patient care, provide medical training education and research, and to expand access to points of care. These investments ensure we'll be here to care for future generations.We have an open medical staff, we provide several educational events designed to promote healthy behaviors, and access to medical care, and continue to donate unused supplies to nonprofit corporations in the community and those that serve international needs.We also support our employees in volunteering for community organizations, including serving on community boards, and provide opportunities for them to support causes through volunteer opportunities promoted by the hospital such as:-Autism Advisory Board-Boys and Girls Club of Santa Monica-CA Professional Society on the Abuse of Children (CAPSAC)-CA State College, Los Angeles-Child Abuse Professional Providers Association (CAPPA)-Clare Foundation-Hospital Association of Southern California-Interagency Council on Abuse and Neglect (ICAN)-Institute of Contemporary Psychology-John Adams Middle School Student Success Team Meetings-Los Angeles Unified School District (LAUSD)-Los Angeles Service Area 5 Provider Advisory Committee-LA County Department of Mental Health Networking Meetings-LA United School District Fair for Parents of Deaf and Hard of Hearing Children-Los Angeles Chapter of the Hearing Loss Association-Lifelong Learning Community Partnership-Lincoln School Counselor Meetings-McKinley Elementary School English Language Advisory Committee-Meals on Wheels West-OPCC (formerly Ocean Park Community Center)-Organization of Community Human Service Agencies-Pico Neighborhood Project and Pico Youth and Family Center-Rand Corporation Meetings (as invited)-Rideshare-Santa Monica Chamber of Commerce-Santa Monica Child Care Task Force-Santa Monica College - Child Development Department-Santa Monica Early Childhood Task Force-Santa Monica Rotary Club-Santa Monica Malibu Unified School District-Santa Monica College Foundation-Search to Involve Pilipino Americans-Southern California Bioethics Consortium-St Joseph Center-Unity Fair at Virginia Ave Park-Upward Bound House-Venice Family Clinic-West Service Planning Area-Westside Child Trauma Council-Westside Children's Center-Westside Diabetes Task Force-Westside Directors (UCLA/Connections for Children)-Westside Domestic Violence Coalition-Westside Family Health Center-West LA Department of Mental Health Child Mental Health Providers Group-Westside Health Coalition-Westside Transportation Collaborative-Wise & Healthy Aging-Youth Resource Team of Virginia Avenue ParkWe are good citizens and partner with other organizations and agencies to support a thriving community, including:-Santa Monica Chamber of Commerce-Santa Monica College Foundation-Santa Monica Police Activities League-Santa Monica Fire Department-Santa Monica YMCA -Westside Domestic Violence Network-Westside Housing, Hunger and Health Coalition |
| Part III, Line 2: | Bad debt expense represents the amount of gross charges for patients who do not have insurance and which Providence Saint John's Health Center was unable to qualify for assistance under either government programs or our internal charity care policy. |
| Part III, Line 4: | 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. |
| Part III, Line 8: | It is the organization's policy to exclude any Medicare shortfall from Community Benefit information.The amount reported on Part III, Section B, line 6, was determined by applying the Cost-to-Charge Ratio to the Medicare revenue. |
| Part III, Line 9b: | BILLING & COLLECTION PRACTICESProvidence has written policies about when and under whose authority patient debt is advanced for collection, and uses its best efforts to ensure that patient accounts are processed fairly and consistently.Providence ensures that practices to be used by their outside (non-hospital) collection agencies conform to the standards set forth in this policy, and obtains written commitments from such agencies that they will adhere to those standards. Providence also conducts an assessment of each collection agency's adherence to the policy. Such assessments are conducted at least annually.At time of billing, we provide to all low-income uninsured patients the same information concerning services and charges provided to all other patients who receive care at the hospital.When sending a bill to a patient, Providence includes a) a statement that indicates that if the patient meets certain income requirements the patient may be eligible for a government-sponsored program or for financial assistance from the hospital; and b) a statement that provides the patient with the name and telephone number of a hospital employee or office from whom or which the patient may obtain information about Providence's financial assistance policies for patients and how to apply for such assistance.Any patient (or the patient's legal representative) seeking financial assistance from Providence provides the individual facility with information concerning health benefits coverage, financial status (i.e. income, assets) and any other information that is necessary for the hospital to make a determination regarding the patient's status relative to Providence's financial assistance policy, discounted payment policy, or eligibility for government-sponsored programs.For patients who have an application pending determination for either government-sponsored coverage or for the hospitals' own financial assistance program, Providence will not knowingly send that patient's bill to a collection agency.Eligibility for financial assistance will be determined as closely as possible to the date of service. |
| Part VI, Line 2: | NEEDS ASSESSMENT:Process and Methods:Every three years, Providence Saint John's Health Center conducts a community health needs assessment (CHNA) for the Westside area/Service Planning Area 5. The CHNA is an evaluation of key health indicators of this targeted area. The assessment process includes a review of secondary data/studies completed on the area and primary research completed through telephone interviews with community stakeholders, written surveys of area residents, and in-person meetings with members of the Providence Saint John's Community Advisory Committee.A written survey was distributed at four community education forums to solicit input from community residents regarding the key health needs and contributing factors impacting the area. These community forums had representation from a broad sector of the community. There were a total of eighty-five residents who completed the surveys at these community events.As part of the CHNA data collection, Providence Saint John's Health Center partnered with the three other hospital systems in the area to identify key sectors in the community to seek input and those community stakeholders representing these areas. A list of questions was developed in collaboration with the other hospitals and forty-one individuals were selected to be interviewed via phone. These individuals included representation from local government, education, public health, health care providers, social services, mental health, community development, faith-based institutions, foundations, homeless agencies, programs serving the elderly, and organizations serving children.In order to get community input regarding the needs and issues impacting the Westside area, a written survey was developed to use with local residents. The survey was one page in length and asked for input on what the residents saw as the key needs facing the area, what contributing factors they felt impacted these needs, and what opportunities they saw for PSJHC to address the needs. The surveys were distributed at four community forum events to approximately 350 people and eighty-five people completed the surveys.Secondary data collected for the assessment included a review of demographic/census data, information from Community Commons, Think Health L.A., American Community Survey and Ask CHiS datasets and public health and mortality/morbidity data available from the County, State and Federal governments. |
| Part VI, Line 3: | COMMUNICATION TO THE PUBLIC:Providence hospitals post notices regarding the availability of financial assistance to low-income uninsured patients. These notices are posted in visible locations throughout the hospital such as admitting/registration, billing office, emergency department and other outpatient settings.Every posted notice regarding financial assistance policies contains brief instructions on how to apply for financial assistance or a discounted payment. The notices also include a contact telephone number that a patient or family member can call to obtain more information.At the time of registration, patients receive a packet that includes information on charity care and financial assistance. If patients have any questions, Providence has financial counselors that will educate them on any financial assistance through the hospital or any government program that the patient may qualify for.Providence ensures that appropriate staff members are knowledgeable about the existence of the hospital's financial assistance policies. Training is provided to staff members (i.e., billing office, financial department, etc.) who directly interact with patients regarding their hospital bills.When communicating to patients regarding their financial assistance policies, Providence attempts to do so in the primary language of the patient, or his/her family, if reasonably possible, and in a manner consistent with all applicable federal and state laws and regulations.Providence shares their financial assistance policies with appropriate community health and human services agencies and other organizations that assist such patients. |
| Part VI, Line 4: | The service area defined for the Providence Saint John's Health Center Community Health Needs Assessment includes the zip codes located within Service Planning Area (SPA) 5 of Los Angeles County. The planning area includes the communities located on the Westside of Los Angeles County and represents the area where a significant portion (over 70%) of the patients served by the hospital reside. Since the service planning area matched closely with where a majority of PSJHC's patients reside, it was decided to use this geographic area for the CHNA. The area includes 20 distinct communities and 30 zip codes.In looking at areas of the Westside with significant health, social, economic and other needs there were several composite measurements of needs utilized. These indices looked at multiple factors to measure the level of need in the community including the number of persons who were uninsured, household income level, unemployment rate, levels of poverty, education level, English proficiency, home ownership rate, environmental risk factors, and data elements identified with the social determinants of health. These measurements calculated need at a local level either at a census tract or zip code breakdown. The measurements used to identify higher need communities include the Community Need Index, SocioNeeds Index, Health Disparity Index, and the California Environmental Screen Index. Based on these four composite measures the following areas scored high in three or more of the indices:-West Los Angeles (zip code 90025)-Palms (zip code 90034)-Mar Vista (zip code 90066)-Culver City (zip code 90230)-Santa Monica (zip code 90404)As part of this community health improvement plan, PSJHC plans to target programs and services to these higher need areas to address the priority health issues.The total population of the area in 2016 was 674,787 persons which represent a 5 percent increase compared to the population in 2010, or an additional 32,000 residents living in the area. A breakdown of the population by age/gender for the area shows:-8.1 percent male youth (0-17 years)-7.8 percent female youth (0-17 years)-33.2 percent male adults (18-64 years)-34.7 percent female adults (18-64 years)-7.2 percent male senior adults (65+ years)-9.1 percent female senior adults (65+ years)Among Westside/SPA-5 residents in 2016, 68.5 percent were White, 13.4 percent Asian/Pacific Islander/Hawaiian, 0.43 percent were Alaska Native or American Indian, 6.0 percent were African American or Black, and 5.5 percent were of two or more races. In looking at the Latino population that resides in the area, approximately 15.4 percent of the residents identify themselves as being part of this group.In 2016, the median household income of the area varied significantly from a low of $55,025 for the community of Westwood to $158,545 for the community of Bel Air. This difference in income was also reflected in average household income of the area with the average being $78,891 in the community of Palms and $215,718 in the community of Bel Air. Although the Westside contains many affluent communities, the income data shows that there are areas within the service area with a higher portion of low-income households. Approximately, 24 percent of the population has annual incomes below 200% of the Federal Poverty Level compared to 41 percent in Los Angeles County as a whole.While most of the adults age 25+ living in households on the Westside have at least graduated from high school, there are several zip codes that had a higher percentage of adults who did not compete high school. These zip codes include Palms (90034) 11.5%, Mar Vista (90066) 11.5%, Culver City (90230) 12.1% and Culver City (90232) 10.2%.The share of Westside residents who are uninsured was 5.3 percent in 2016. Compared to the entire Los Angeles County with 79.3 percent of the population insured, the Westside has a higher percentage of insured (94.7 percent). For the same period, approximately 26.8 percent of area residents were covered by Medi-Cal. The increase in the number of people insured in the area is due in large part to the passage of the Affordable Care Act. One of the major health care access issues in the area is the lack of specialty care for those persons covered by Medi-Cal due to the low number of physicians in the area who accept this insurance. The most recent count identified that eighty-three specialty physicians in the Westside area accept Medi-Cal managed care patients.The Westside area has a large supply of physicians due in part because there is a large medical school and academic medical center in the vicinity. The increased number of physicians is also due to the fact that many of the communities in the area include higher income neighborhoods and residents with more generous health coverage benefits. One of the major issues impacting the area is that a good portion of the physicians located on the Westside do not accept all insurance plans, including Medicare and Medi-Cal. This problem of limited access to physicians for those covered by these plans raises access issues with a significant number of local residents. The City of Santa Monica is taking a more active role in trying to improve the health and wellbeing of its residents. The City recently completed a survey of its residents to get input on issues of concern regarding health and wellbeing. As part of this process, the City has created the Office of Civic Wellbeing to become more involved in this aspect of making the community a better place to live and work. Providence Saint John's Health Center will be working with staff from this new City office to identify areas of collaboration and opportunities to coordinate activities. |
| Part VI, Line 5: | Providence Saint John's Health Center seeks input from key community leaders regarding the programs, funding and services provided to improve the health of the community. This advisory committee meets approximately three times per year and includes representatives from local government, nonprofits, health care providers, schools, businesses and faith communities.Community benefit grants are provided by PSJHC to local nonprofits in the community working to improve the health and wellbeing of area residents, especially those who are poor and vulnerable. In 2016 the Health Center provided grants to 15 local nonprofits in the community supporting nineteen projects with an emphasis on helping those most vulnerable and in need. |
| Part VI, Line 6: | AFFILIATED HEALTH CARE SYSTEM:Effective July 1, 2016, Providence Health & Services and St. Joseph Health came together to serve more people in a partnership that joins two remarkable organizations with rich heritages. We are now connected by a new parent organization, Providence St. Joseph Health. Together, over 100,000 of our caregivers (employees) now serve in 50 hospitals, over 800 clinics and a comprehensive range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. All hospitals and other ministries will maintain their current names and identities. This parent structure allows our family of diverse organizations to work together to meet the needs of our communities both today and into the future. |
| Part VI, Line 7, Reports Filed With States | AK,CA,MT,OR,WA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Venice Family Clinic | |||||||
| 604 Rose Ave | Venice | CA | 90291 | 952769432 | 501(c)(3) | $175,000 | Support homeless healthcare program. |
| St Joseph Center | |||||||
| 204 Hampton Dr | Venice | CA | 90291 | 953874381 | 501(c)(3) | $55,000 | Support cafe serving homeless and low income clients. |
| Santa Monica Malibu Unified School District | |||||||
| 1651 16th St | Santa Monica | CA | 90401 | 956002855 | Government | $50,000 | Support school nursing services. |
| Westside Family Health Center | |||||||
| 1711 Ocean Park Blvd | Santa Monica | CA | 90405 | 952931931 | 501(c)(3) | $50,000 | Support diabetes management program. |
| Saint Anne School | |||||||
| 2015 Colorado Blvd | Santa Monica | CA | 90404 | 951690538 | 501(c)(3) | $50,000 | Support school nursing, counseling, tuition. |
| Ocean Park Community Center | |||||||
| 1453 16th St | Santa Monica | CA | 90404 | 956143865 | 501(c)(3) | $50,000 | Support recuperative care program for homeless recovering from illness. |
| Palisades Will Rogers 5 and 10K Run Foundation | |||||||
| P O Box 601 | Pacific Palisades | CA | 90272 | 463944524 | 501(c)(3) | $35,000 | Support 5/10K runs |
| Pico Youth and Family Center | |||||||
| 715 Pico Blvd | Santa Monica | CA | 90405 | 481269398 | 501(c)(3) | $25,000 | Support programs - fitness, health education, mental wellness. |
| Meals on Wheels West | |||||||
| 1823 Michigan Ave Ste A | Santa Monica | CA | 90404 | 954613280 | 501(c)(3) | $20,000 | Support home delivered meals program. |
| Wise and Healthy Aging | |||||||
| 1527 4th Street Floor 2 | Santa Monica | CA | 90401 | 952788014 | 501(c)(3) | $15,000 | Support training and education center. |
| Upward Bound House | |||||||
| 1104 Washington Blvd | Santa Monica | CA | 90403 | 954288926 | 501(c)(3) | $15,000 | Support temporary/transitional shelter program. |
| Boys and Girls Club of Santa Monica | |||||||
| 1220 Lincoln Blvd | Santa Monica | CA | 90401 | 951890706 | 501(c)(3) | $15,000 | Support Healthy Lifestyles program. |
| Community Partners for Safe Place for Youth | |||||||
| 2469 Lincoln Blvd | Santa Monica | CA | 90291 | 954302067 | 501(c)(3) | $14,000 | Support for mental health services for homeless youth at drop-in center. |
| OPICA | |||||||
| 11759 Missouri Ave | Los Angeles | CA | 90025 | 953493725 | 501(c)(3) | $10,000 | Support services for those with Alzheimer's disease and memory loss. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 14 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| Nursing scholarship, scholarships for pet program. | 4 | $3,056 | |||
| Patient assistance. | 288 | $8,869 | Cost | Grocery gift cards, toys for needy children, rent. |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Providence Saint John's Health Center monitors the use of grant funds through regular meetings with agency representatives to discuss programs. Additionally, Saint John's receives an annual report of fund usage on the number of individuals served for certain programs. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (36 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rod F Hochman MD | ||||||||||||||
| President / CEO - Thru 6/16 | $0 | $1,912,650 | $0 | $2,130,271 | $0 | $18,000 | $0 | $25,159 | $0 | $18,384 | $0 | $4,104,464 | $0 | $0 |
| Mike Butler | ||||||||||||||
| President - Eff. 7/16 | $0 | $1,241,463 | $0 | $5,618,732 | $0 | $46,498 | $0 | $324,347 | $0 | $25,286 | $0 | $7,256,326 | $0 | $2,182,191 |
| Todd Hofheins | ||||||||||||||
| EVP/CFO /Treas. Thru 11/16 | $0 | $765,052 | $0 | $762,582 | $0 | $43,806 | $0 | $33,684 | $0 | $26,986 | $0 | $1,632,110 | $0 | $0 |
| Jo Ann Escasa-Haigh | ||||||||||||||
| Interim CFO/Treasurer - Eff.12/16 | $0 | $284,195 | $0 | $465,096 | $0 | $6,125 | $0 | $158,719 | $0 | $9,471 | $0 | $923,606 | $0 | $0 |
| Cindy Strauss | ||||||||||||||
| EVP/Chief Legal Officer | $0 | $657,902 | $0 | $762,672 | $0 | $42,206 | $0 | $35,775 | $0 | $22,491 | $0 | $1,521,046 | $0 | $0 |
| Marcel Loh | ||||||||||||||
| CEO/St. John's | $0 | $553,674 | $0 | $351,014 | $0 | $255,245 | $0 | $20,961 | $0 | $20,185 | $0 | $1,201,079 | $0 | $0 |
| James Uli | ||||||||||||||
| CFO/St. John's | $260,108 | $0 | $26,165 | $0 | $16,203 | $0 | $11,925 | $0 | $8,845 | $0 | $323,246 | $0 | $0 | $0 |
| Erik Wexler | ||||||||||||||
| CE/CA Region - Eff. 5/16 | $0 | $521,453 | $0 | $600,000 | $0 | $237,375 | $0 | $347,285 | $0 | $12,392 | $0 | $1,718,505 | $0 | $0 |
| Karl Carrier | ||||||||||||||
| Interim CE/CA. Region | $0 | $666,411 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $666,411 | $0 | $0 |
| Mary Cranstoun | ||||||||||||||
| VP/Total Rewards | $0 | $372,857 | $0 | $272,174 | $0 | $18,000 | $0 | $91,147 | $0 | $23,270 | $0 | $777,448 | $0 | $0 |
| Debra Canales | ||||||||||||||
| EVP/CAO | $0 | $801,127 | $0 | $1,168,376 | $0 | $122,854 | $0 | $598,119 | $0 | $13,490 | $0 | $2,703,966 | $0 | $0 |
| Janice Newell | ||||||||||||||
| SVP/Chief Information Officer | $0 | $576,214 | $0 | $517,269 | $0 | $44,010 | $0 | $18,550 | $0 | $15,548 | $0 | $1,171,591 | $0 | $0 |
| Joel Gilbertson | ||||||||||||||
| SVP/Community Partnerships | $0 | $443,246 | $0 | $350,838 | $0 | $47,943 | $0 | $224,819 | $0 | $23,028 | $0 | $1,089,874 | $0 | $0 |
| Orest Holubec | ||||||||||||||
| SVP/Chief Comm./Ext. Affairs Officer | $0 | $396,372 | $0 | $343,782 | $0 | $42,534 | $0 | $185,290 | $0 | $22,516 | $0 | $990,494 | $0 | $0 |
| Greg Till | ||||||||||||||
| VP/Chief Talent Officer | $0 | $396,660 | $0 | $378,331 | $0 | $1,020 | $0 | $99,936 | $0 | $22,431 | $0 | $898,378 | $0 | $0 |
| Sharon Toncray | ||||||||||||||
| SVP / Chief Labor Employee Counsel | $0 | $408,183 | $0 | $308,273 | $0 | $48,521 | $0 | $221,561 | $0 | $22,167 | $0 | $1,008,705 | $0 | $0 |
| Jack Mudd - Thru 316 | ||||||||||||||
| SVP/Mission Leadership | $0 | $249,590 | $0 | $426,247 | $0 | $42,891 | $0 | $141,404 | $0 | $16,374 | $0 | $876,506 | $0 | $0 |
| Aaron Martin | ||||||||||||||
| SVP/Strategy & Innovation | $0 | $542,637 | $0 | $292,297 | $0 | $18,000 | $0 | $210,328 | $0 | $8,957 | $0 | $1,072,219 | $0 | $0 |
| Tom McDonagh | ||||||||||||||
| VP/Chief Investment Officer | $0 | $478,005 | $0 | $330,119 | $0 | $41,338 | $0 | $28,774 | $0 | $24,747 | $0 | $902,983 | $0 | $0 |
| Rhonda Medows MD | ||||||||||||||
| EVP/Population Health | $0 | $824,899 | $0 | $698,359 | $0 | $42,442 | $0 | $299,110 | $0 | $21,169 | $0 | $1,885,979 | $0 | $0 |
| Harvey Smith | ||||||||||||||
| SVP/Chief Customer Svc. Officer | $0 | $579,168 | $0 | $628,988 | $0 | $18,000 | $0 | $7,950 | $0 | $15,841 | $0 | $1,249,947 | $0 | $0 |
| Lisa Vance | ||||||||||||||
| SVP/Clinical Program Services | $0 | $571,069 | $0 | $606,964 | $0 | $42,315 | $0 | $110,502 | $0 | $14,943 | $0 | $1,345,793 | $0 | $0 |
| Mike Waters | ||||||||||||||
| VP,CAO/Physician Services | $0 | $426,739 | $0 | $274,903 | $0 | $2,135 | $0 | $172,012 | $0 | $12,011 | $0 | $887,800 | $0 | $0 |
| Amy Compton-Phillips | ||||||||||||||
| EVP/Chief Clinical Officer | $0 | $713,661 | $0 | $303,268 | $0 | $96,564 | $0 | $251,731 | $0 | $27,163 | $0 | $1,392,387 | $0 | $0 |
| David Brown | ||||||||||||||
| VP/Strategy & Business Development | $0 | $388,819 | $0 | $311,642 | $0 | $0 | $0 | $203,986 | $0 | $22,444 | $0 | $926,891 | $0 | $0 |
| Debbie Burton | ||||||||||||||
| SVP/ Chief Nrsg. Officer | $0 | $355,010 | $0 | $315,852 | $0 | $42,618 | $0 | $66,297 | $0 | $23,718 | $0 | $803,495 | $0 | $0 |
| Paul Stoddart - Thru 916 | ||||||||||||||
| VP/Marketing | $0 | $239,356 | $0 | $306,938 | $0 | $95,129 | $0 | $11,537 | $0 | $10,844 | $0 | $663,804 | $0 | $0 |
| Robert O Klein | ||||||||||||||
| President/CEO Foundation | $410,501 | $0 | $117,990 | $0 | $18,000 | $0 | $19,875 | $0 | $16,086 | $0 | $582,452 | $0 | $0 | $0 |
| Dawna Hendel | ||||||||||||||
| CNO | $248,227 | $0 | $55,758 | $0 | $18,000 | $0 | $19,875 | $0 | $15,450 | $0 | $357,310 | $0 | $0 | $0 |
| Stella Nichols | ||||||||||||||
| CFO/Foundation | $263,646 | $0 | $33,719 | $0 | $0 | $0 | $19,875 | $0 | $13,037 | $0 | $330,277 | $0 | $0 | $0 |
| David Tam | ||||||||||||||
| COO | $450,892 | $0 | $19,853 | $0 | $0 | $0 | $11,925 | $0 | $20,413 | $0 | $503,083 | $0 | $0 | $0 |
| Donald Larsen Jr | ||||||||||||||
| CMO | $372,801 | $0 | $46,149 | $0 | $0 | $0 | $11,925 | $0 | $9,408 | $0 | $440,283 | $0 | $0 | $0 |
| Michael Hunn | ||||||||||||||
| Former /CE / CA. Region | $0 | $0 | $0 | $0 | $0 | $385,737 | $0 | $1,110 | $0 | $0 | $0 | $386,847 | $0 | $0 |
| Randy Axelrod MD - Former | ||||||||||||||
| EVP/Clinical & Patient Services | $0 | $0 | $0 | $564,384 | $0 | $854,949 | $0 | $0 | $0 | $0 | $0 | $1,419,333 | $0 | $0 |
| Craig Wright MD | ||||||||||||||
| Former SVP/Physician Services | $0 | $14,760 | $0 | $551,522 | $0 | $553,657 | $0 | $2,107 | $0 | $18,348 | $0 | $1,140,394 | $0 | $0 |
| Jack Friedman - Former | ||||||||||||||
| SVP/Accountable Care & Payor Rel. | $0 | $0 | $0 | $299,327 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $299,327 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | The reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of the related organization's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Providence Health & Services Expense Reimbursement Procedures include the following policies: Travel or Charter Travel or Travel of Companions Air travel is reimbursable and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class full fare tickets and charter must be approved by a senior level supervisor. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approved by the Executive Vice President, Chief Administrative Officer (EVP, CAO) of Providence St. Joseph Health. Spouse or Companion Travel. Travel expenses incurred by a PH&S employee's spouse or companion will not be reimbursed by PH&S unless the spouse or companion is required to, or invited to attend a PH&S System-sponsored meeting. These expenses may be considered a taxable benefit by the IRS and if so, will be included on the employee's W- 2. During 2016, there were 22 First Class tickets utilized by Officers, Directors or Key Employees listed on Form 990, Part VII. Tax Indemnifications or Gross-Up Payments - Relocation Providence Health & Services follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Providence has chosen to pay the relocation expenses, Providence reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Providence will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2016, there were 5 Key Employees receiving gross-up payments. The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990. Tax Indemnifications or Gross-Up Payments - Financial/Retirement Planning Providence Health & Services follows the federal and state taxation laws related to other expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Providence has chosen to pay these other expenses, Providence reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Providence will gross-up the financial/retirement planning benefits, during 2016 only, to offset the personal tax burden to the employee for IRS allowable expenses. During 2016, there were 4 Officers, 13 Key Employees and 2 Former Key Employees receiving this type of gross-up payment. The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990. Housing Allowance or Residence for Personal Use Providence Health & Services provides housing allowances for purposes of relocation assistance only. Providence may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The EVP, CAO PSJH may approve temporary housing assistance for up to six months when family relocation is delayed to accommodate the school year or equivalent circumstances. Only in extenuating circumstances is housing extended beyond this six month period. During 2016, there were 5 Key Employees receiving relocation/housing program payments. The amounts reported for these relocation/housing payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation on the Form 990. |
| Part I, Lines 4a-b | NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) DCRP = Defined Contribution Restoration Plan 1) Rod Hochman, MD a) SERP Earned but not Paid - $71,434 2) Cindy Strauss a) SERP Earned but not Paid - $23,073 3) Michael Butler a) SERP Vested but not Paid - $4,194,363 b) SERP Interest Credit - $280,622 4) Jo Ann Escasa-Haigh a) SERP Earned but not Vested - $144,759 5) Marcel Loh a) SERP Earned but not Paid - $36,805 6) Debra Canales a) SERP Earned but not Vested - $578,244 7) Rhonda Medows, MD a) SERP Earned but not Vested - $267,369 b) SERP Interest Credit - $11,866 8) Erik Wexler a) SERP Earned but not Vested - $339,335 9) Lisa Vance a) SERP Interest Credit - $79,015 10) Janice Newell a) SERP Earned but not Paid - $23,422 11) Amy Compton-Phillips a) SERP Earned but not Vested - $223,438 b) SERP Interest Credit - $8,418 12) Aaron Martin a) SERP Earned but not Vested - $188,376 13) Joel Gilbertson a) SERP Earned but not Vested - $160,455 b) SERP Interest Credit - $39,169 14) Orest Holubec a) SERP Earned but not Vested - $144,707 b) SERP Interest Credit - $19,483 15) Greg Till a) SERP Earned but not Vested - $78,010 b) SERP Interest Credit - $10,002 16) Sharon Toncray a) SERP Earned but not Vested- $172,369 b) SERP Interest Credit - $22,823 17) Jack Mudd a) SERP Earned but not Paid - $5,896 b) SERP Interest Credit - $115,845 18) Debbie Burton a) SERP Earned but not Paid - $16,879 b) SERP Interest Credit - $37,391 19) Mike Waters a) SERP Earned but not Vested - $143,129 b) SERP Interest Credit - $10,334 20) David Brown a) SERP Earned but not Vested - $134,921 b) SERP Interest Credit - $42,528 21) Mary Kingston a) SERP Earned but not Vested - $168,011 b) SERP Interest Credit - $1,203 c) Taxable DCRP Earned - $4,903 22) Randy Axelrod, MD a) SERP Paid - $564,384 23) Craig Wright, MD a) SERP Earned but not Paid - $233,982 24) Robert Klein a) Taxable DCRP Earned - $27,605 |
| Part I, Lines 4a-b | SEVERANCE 1) Paul Stoddart - $77,130 2) Randy Axelrod - $850,776 3) Craig Wright, MD - $525,300 4) Michael Hunn - $374,738 |
| FORM 990, SCHEDULE J, PART II - EXECUTIVE INCENTIVE PROGRAM | The Providence Executive Incentive Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). For Providence leaders, the performance award is based on the level of accomplishment of annual system and functional (or market) objectives. In 2016, 60 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's strategic priorities. In 2016 the percent allocation for each of these strategic priorities was as outlined below: System Goals: First-year Turnover - 10% Inpatient Experience - 5% Patient Experience - 5% Medical Group Patient Experience - 5% Community Benefit - 10% Clinical Excellence - 15% Free Cash Flow - 10% The remaining 40% was based on a robust set of function specific goals designed to align critical mission and business drivers. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | California Health Financing Authority | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521643828 | BondIssuerEIN |
| CUSIP | 13033L4N4 | CUSIPNum |
| Bond Issued | 2014-08-06 | BondIssuedDt |
| Issue Price | $126,434,498 | IssuePriceAmt |
| Purpose | Acquisition of Saint John's Health Center | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $126,434,498 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $1,434,498 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $125,000,000 | CapitalExpendituresAmt |
| Substantial Completion | 2014 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | Yes (1) | AnyResearchAgreementsInd |
| Engage Bond Counsel Research | Yes (1) | EngageBondCounselResearchInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole Corporate Member is Providence Health System - Southern California, a California nonprofit religious corporation. |
| Form 990, Part VI, Section A, line 7a | The Corporate Member has the power to: 1) Appoint or remove, with or without cause, after consultation with the Corporation's Board of Directors, any member of the Board of Directors. 2) Appoint or remove, with or without cause, after consultation with the Corporation's Board of Directors and the President/CEO of the Corporate Member, the President/CEO of this Corporation. |
| Form 990, Part VI, Section A, line 7b | Powers of the Corporate Member include the power to: 1) Change the Mission and Philosophy. 2) Adopt, amend or repeal the Articles of Incorporation or Bylaws. 3) Implement corporate goals, policies and procedures. 4) Approve the acquisition of assets, incurrence of indebtedness or the lease, sale, transfer, assumption, or encumbering of assets. 5) Approve the merger, dissolution or corporate restructuring. 6) Approve all long-range and strategic plans and operating and capital budgets and deviations thereto. 7) Appoint the auditors. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is prepared internally by experienced Providence Health & Services staff and reviewed by the internal PH&S Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. |
| Form 990, Part VI, Section B, line 15 | It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its 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 Providence 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. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Additionally, Providence's labor market continues to spread across health care and into general industry. Because of this, Providence also takes into consideration general industry for-profit market data, where applicable. Base salaries for Providence executives are generally targeted to the median level of the market, as identified by the independent consultant and reviewed with the Executive Compensation Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Executive Compensation Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Executive Compensation Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, 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 Providence 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. |
| Form 990, Part VI, Section C, line 19 | Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written request. The consolidated financial statements are available on our public Internet site www2.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site. |
| Form 990, Part VII Contact Addresses for Officers, Directors, Etc | Marcel Loh - 2121 Santa Monica Blvd, Santa Monica, CA 90503. James Uli - 2121 Santa Monica Blvd, Santa Monica, CA 90503. Erik Wexler - 20555 Earl Street, Torrance, CA 90503. Karl Carrier - 20555 Earl Street, Torrance, CA 90503. Robert O. Klein - 2121 Santa Monica Blvd, Santa Monica, CA 90503. Dawna Hendel - 2121 Santa Monica Blvd, Santa Monica, CA 90503. Stella Nichols - 2121 Santa Monica Blvd, Santa Monica, CA 90503. David Tam - 2121 Santa Monica Blvd, Santa Monica, CA 90503. Donald Larsen, Jr. - 2121 Santa Monica Blvd, Santa Monica, CA 90503. Michael Hunn - 501 S. Buena Vista Street, Burbank, CA 91505. |
| Form 990, Part IX, line 11g | Medical Director/Medical Physicians Fees: Program service expenses 14,590,646. Management and general expenses 0. Fundraising expenses 0. Total expenses 14,590,646. Agency Contract: Program service expenses 14,693,353. Management and general expenses 1,502,632. Fundraising expenses 0. Total expenses 16,195,985. Transcription: Program service expenses 24,713. Management and general expenses 0. Fundraising expenses 0. Total expenses 24,713. General Consulting Fees: Program service expenses 39,453. Management and general expenses 362,653. Fundraising expenses 0. Total expenses 402,106. Repairs & Maintenance: Program service expenses 2,094,011. Management and general expenses 1,809,622. Fundraising expenses 0. Total expenses 3,903,633. Other Administrative Services: Program service expenses 1,773,476. Management and general expenses 3,116,633. Fundraising expenses 0. Total expenses 4,890,109. Other Patient Services: Program service expenses 11,319,258. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,319,258. Dietary: Program service expenses 1,421,559. Management and general expenses 2,939,052. Fundraising expenses 0. Total expenses 4,360,611. |
| Form 990, Part XI, line 9: | FAS 136 Adjustments 24,255,696. IAF Equity Transfers -122,040,470. Rounding -1. |
| FORM 990, PART I, LINE 6 - VOLUNTEERS | Volunteers helped in the following ways: * Providing clerical support in various areas * Rounding on patients and providing non-medical patient assistance on nursing units and in the Emergency Department * Directing and escorting patients and visitors at Information Desks * Making handmade gifts for patients (quilts, caps and booties, etc.) * Visiting with patients, staff and visitors in our Pawsitive Pet Program * Playing music in our dining court * Supporting family and visitors in our Surgery Waiting Room * Running errands, stocking supplies and assisting with discharges from nursing units * Assisting teachers in the Child and Family Development Center * Sitting with end of life patients |
| FORM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE | The Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. |
| FORM 990, SCHEDULE R - RELATED ORGANIZATIONS | AFFILIATION AGREEMENTS Effective April 1, 2016, the Health System (Providence Health & Services) entered into a business combination agreement with the Institute for Systems Biology (ISB). The transaction was accounted for as an acquisition under ASC 958-805. 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. SJHS provides a full range of care facilities including 16 acute care hospitals, home health agencies, hospice care, outpatient services, skilled nursing facilities, community clinics, and physician groups spanning California, west Texas, and eastern New Mexico. The results of operations of these entities have been included in the combined statements of operations of the Health System since July 1, 2016, the effective date of the business combination. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (109 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health & Services - Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216586 | Healthcare System | WA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health & Services - Oregon | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216587 | Healthcare System | OR | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health System - So California | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216589 | Healthcare System | CA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Everett Transitional Care Services | |||||||||||
| PO Box 5128 | Everett | WA | 982065128 | 943264605 | Transitional Care | WA | 501( c)(3) | Line 10 | 0 | N/A | |
| Providence Plan Partners | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 911861964 | Healthcare Services | WA | 501( c)(4) | N/A | PH & S - Oregon | 0 | |
| Providence Health Plan | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 930863097 | Health Service Contractor | OR | 501( c)(4) | N/A | Providence Plan Partners | 0 | |
| Providence Health Assurance | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 550828701 | Medicaid Healthcare Provider | OR | 501( c)(4) | N/A | Providence Health Plan | 0 | |
| Providence Medical Institute | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330283773 | Healthcare | CA | 501( c)(3) | Line 12/Type I | PHS - So California | 0 | |
| Little Company of Mary Ancillary Services Corporation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330844408 | Imaging Services | CA | 501( c)(3) | Line 10 | PHS - So California | 0 | |
| Providence TrinityCare Hospice | |||||||||||
| 5315 Torrance Blvd Suite B1 | Torrance | CA | 90503 | 953264139 | Hospice | CA | 501( c)(3) | Line 10 | PHS - So California | 0 | |
| Providence Blanchet Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 911789266 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Luke Association | |||||||||||
| 350 Washington Ave SE | Chehalis | WA | 98352 | 943176618 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Rossi Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 311584166 | Supportive Housing | WA | 501( c)(3) | Line 10 | PH & S - Washington | 0 | |
| Lundberg Association | |||||||||||
| 5921 E Burnside | Portland | OR | 97215 | 911562797 | Supportive Housing | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence St Francis Association | |||||||||||
| 3415 12th Avenue NE | Olympia | WA | 98506 | 943244854 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Peter Claver Association | |||||||||||
| 7101 38th Avenue South | Seattle | WA | 98118 | 311629656 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Elizabeth House Association | |||||||||||
| 3201 SW Graham St | Seattle | WA | 98126 | 912171539 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Gamelin House Association | |||||||||||
| 4515 MLK Jr Way S Ste 200 | Seattle | WA | 98108 | 311744654 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Association | |||||||||||
| 312 North Fourth St | Yakima | WA | 98901 | 911180824 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Oregon Association | |||||||||||
| 5520 NE Glisan | Portland | OR | 97213 | 911214491 | Supportive Housing | OR | 501( c)(3) | Line 10 | PH & S - Oregon | 0 | |
| The Gamelin California Association | |||||||||||
| 540 23rd St | Oakland | CA | 94612 | 911293869 | Supportive Housing | CA | 501( c)(3) | Line 10 | PHS - So California | 0 | |
| Gamelin Washington Association | |||||||||||
| 1423 First Avenue | Seattle | WA | 98101 | 201910170 | Supportive Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Dethman House | |||||||||||
| 1205 Montello Ave | Hood River | OR | 97031 | 473385506 | Supportive Housing | WA | 501( c)(3) | Line 7 | 0 | N/A | |
| Providence Foundation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 943078543 | Support PH&S and W. HealthConnect | WA | 501( c)(3) | Line 12/Type I | PH & S - Washington | 0 | |
| Providence Alaska Foundation | |||||||||||
| 3300 Providence Drive - B Tower2 | Anchorage | AK | 99508 | 920093565 | Support PHS-Alaska | AK | 501( c)(3) | Line 12/Type I | PH & S - Washington | 0 | |
| Providence St Peter Foundation | |||||||||||
| 413 Lilly Road NE | Olympia | WA | 985065166 | 911097056 | Support Affiliated Tax-Exempt Organization | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Health Care Foundation (Centralia) | |||||||||||
| 914 S Scheuber Road | Centralia | WA | 98531 | 911433382 | Support Providence Centralia Hospital | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Mount St Vincent Foundation | |||||||||||
| 4831 - 35th Avenue SW | Seattle | WA | 981262799 | 911188119 | Support Providence Mount St.Vincent | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Marianwood Foundation | |||||||||||
| 3725 Providence Point Drive SE | Issaquah | WA | 980297219 | 931554288 | Support Providence Marianwood | WA | 501( c)(3) | Line 12/Type I | PH & S - Washington | 0 | |
| Providence Newberg Health Foundation | |||||||||||
| 1001 Providence Drive | Newberg | OR | 97132 | 930889144 | Support Providence Newberg Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Seaside Hospital Foundation | |||||||||||
| 725 S Wahanna Rd | Seaside | OR | 97138 | 930927320 | Support Providence Seaside Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Community Health Foundation | |||||||||||
| 1111 Crater Lake Ave | Medford | OR | 97504 | 930692907 | Support Providence Medford Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Benedictine Nursing Center Foundation | |||||||||||
| 540 South Main St | Mt Angel | OR | 973629532 | 911940286 | Support Providence Benedictine Nursing Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Portland Medical Foundation | |||||||||||
| 4805 NE Glisan St | Portland | OR | 972132967 | 931231494 | Support Providence Portland Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence St Vincent Medical Foundation | |||||||||||
| 9205 SW Barnes Rd | Portland | OR | 97225 | 930575982 | Support Providence St. Vincent Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Milwaukie Foundation | |||||||||||
| 10150 SE 32nd | Milwaukie | OR | 97222 | 943079515 | Support Providence Milwaukie Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Child Center Foundation | |||||||||||
| 830 NE 47th | Portland | OR | 97213 | 930800140 | Support Providence Child Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence TrinityCare Hospice Foundation | |||||||||||
| 5315 Torrance Blvd Suite B1 | Torrance | CA | 90503 | 330261016 | Support TrinityCare Hospice | CA | 501( c)(3) | Line 7 | Providence TrinityCare Hospice | 0 | |
| Providence Little Company of Mary Foundation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 510224944 | Support Little Company of Mary Service Area | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| PH&S FoundationSFVSA & SCVSA | |||||||||||
| 501 S Buena Vista Street | Burbank | CA | 91505 | 953544877 | Support Program & Activities of SFVSA & SCVSA | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| Providence Hospice of Seattle Foundation | |||||||||||
| 425 Pontius Avenue North 300 | Seattle | WA | 981095452 | 912077378 | Support Hospice of Seattle | WA | 501( c)(3) | Line 12/Type I | PH & S - Washington | 0 | |
| Providence Health & Services - Western Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911303277 | Healthcare | WA | 501( c)(3) | Line 3 | Providence MinistriesWHC | 0 | |
| Providence Health & Services | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911549796 | Support Providence Institutions | WA | 501( c)(3) | Line 12/Type II | Providence St Joseph Health | 0 | |
| Providence Health & Services - Montana | |||||||||||
| 500 W Broadway PO Box 4587 | Missoula | MT | 598064587 | 810231793 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| Providence St Joseph Medical Center | |||||||||||
| PO Box 1010 | Polson | MT | 598601010 | 810463482 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| St Thomas Child and Family Center | |||||||||||
| 1710 Benefis Court | Great Falls | MT | 59405 | 810233495 | Early Childhood Education | MT | 501( c)(3) | Line 10 | PH & S - Washington | 0 | |
| Sisters of Providence of Montana Corporation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 262612415 | Shell Corporation | MT | 501( c)(3) | Line 1 | PH & S - Washington | 0 | |
| Providence Health Care Foundation - Eastern Washington | |||||||||||
| 101 W 8th Ave | Spokane | WA | 99204 | 320014330 | Support PH&S-WA. Ministries in E. WA. | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Patrick Hospital Foundation | |||||||||||
| 500 West Broadway PO Box 4587 | Missoula | MT | 598064587 | 237056976 | Support Healthcare in W. Montana | MT | 501( c)(3) | Line 7 | PH & S - Montana | 0 | |
| University of Great Falls | |||||||||||
| 1301 20th Street South | Great Falls | MT | 59405 | 810231777 | Post Secondary Education | MT | 501( c)(3) | Line 2 | Providence Health & Services | 0 | |
| E WA & MT Unemployment Compensation Insurance Trust | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911082119 | Unemployment Benefits | WA | 501( c)(3) | Line 12/Type I | PH & S - Washington | 0 | |
| Providence Willamette Falls Medical Foundation | |||||||||||
| 1500 Division Street | Oregon City | OR | 97045 | 931003750 | Support Willamette Falls Hospital | OR | 501( c)(3) | Line 12/Type I | PH & S - Oregon | 0 | |
| Providence Hood River Memorial Hospital Foundation Inc | |||||||||||
| 811 13th St | Hood River | OR | 97031 | 930921990 | Support Providence Hood River Memorial Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 0 | |
| Providence Hospice and Home Care Foundation | |||||||||||
| 2731 Wetmore Avenue Suite 500 | Everett | WA | 98201 | 272552749 | Support Program & Ministries of PHHC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Mary Foundation | |||||||||||
| 401 W Poplar St | Walla Walla | WA | 99362 | 452841492 | Support Program & Ministries of SMMC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Facey Medical Foundation | |||||||||||
| 15451 San Fernando Mission Blvd 200 | Mission Hills | CA | 913451420 | 954322584 | Support Facey Medical Group | CA | 501(c )(3) | Line 7 | PHS - So California | 0 | |
| Swedish Health Services | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 910433740 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Swedish Edmonds | |||||||||||
| 21601 76th Ave W | Edmonds | WA | 98026 | 272305304 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Swedish Medical Center Foundation | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 910983214 | Support Swedish Health Services | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Global To Local Health Initiative | |||||||||||
| 2800 South 192nd St 104 | SeaTac | WA | 98188 | 273133200 | Healthcare | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Swedish MJM Holdings | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 273139262 | Holding Company | WA | 501(c )(3) | Line 12/Type I | Swedish Health Services | 0 | |
| Marsha Rivkin Center for Ovarian Cancer Research | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 912054035 | Ovarian Cancer Research | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Western HealthConnect | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 454171900 | Shell Corporation | WA | 501(c )(3) | Line 12/Type II | PH&S Western Washington | 0 | |
| Inland Northwest Health Services | |||||||||||
| 601 W 1st Avenue | Spokane | WA | 99201 | 911307555 | Healthcare | WA | 501( c)(3) | Line 3 | PH&S - Washington | 0 | |
| Kadlec Regional Medical Center | |||||||||||
| 888 Swift Blvd | Richland | WA | 99352 | 910655392 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Kadlec Neurological Resource Center | |||||||||||
| 1268 Lee Blvd | Richland | WA | 99352 | 911266345 | Healthcare | WA | 501(c )(3) | Line 10 | Western HealthConnect | 0 | |
| Kadlec Foundation | |||||||||||
| 888 Swift Blvd | Richland | WA | 99352 | 237005501 | Support Kadlec Regional Medical Center | WA | 501(c )(3) | Line 12/Type I | Kadlec Regional Medical Center | 0 | |
| PacMed Clinics | |||||||||||
| 1200 12th Ave S | Seattle | WA | 98144 | 562290878 | Healthcare | WA | 501(c )(3) | Line 10 | Western HealthConnect | 0 | |
| Seattle Science Foundation | |||||||||||
| 550 17th Ave | Seattle | WA | 98122 | 611502822 | Physician Collaboration | WA | 501(c )(3) | Line 7 | Western HealthConnect | 0 | |
| John Wayne Cancer Institute | |||||||||||
| 2200 Santa Monica Blvd | Santa Monica | CA | 90404 | 954291515 | Cancer Treatment | CA | 501(c )(3) | Line 4 | Providence Saint John's Health Center | Yes (1) | |
| Providence St Joseph Health | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 98057 | 811244422 | Support PH&S and St. Joseph Health System | WA | 501(c )(3) | Line 12, Type III | 0 | N/A | |
| Institute for Systems Biology | |||||||||||
| 401 Terry Ave N | Seattle | WA | 98109 | 912003593 | Predict, prevent & cure disease | WA | 501(c )(3) | Line 7 | Western HealthConnect | 0 | |
| Providence Saint John's Medical Foundation | |||||||||||
| 20555 Earl St | Torrance | CA | 90503 | 814542216 | Healthcare | CA | 501(c )(3) | Pending | PHS - So California | 0 | |
| Institute for Mental Health & Wellness | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 98057 | 814260130 | Mental Healthcare | WA | 501(c )(3) | Line 7 | PH&SSt Joseph Health System | 0 | |
| Covenant Health Network Inc | |||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 461259908 | Healthcare | CA | 501 (C )(3) | Line 12, Type III | St Joseph Health System | 0 | |
| Covenant ACO | |||||||||||
| 3615 19th Street | Lubbock | TX | 79410 | 611573313 | Healthcare | TX | 501 (C )(3) | Line 12, Type I | Covenant Health System | 0 | |
| Covenant Health System | |||||||||||
| 3615 19th Street | Lubbock | TX | 79410 | 752765566 | Healthcare | TX | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| Covenant Health System Foundation | |||||||||||
| 3623 22nd Place | Lubbock | TX | 79410 | 752897026 | Healthcare | TX | 501 (C )(3) | Line 7 | Covenant Health System | 0 | |
| Covenant Medical Group | |||||||||||
| 3420 22nd Place | Lubbock | TX | 79410 | 752743883 | Healthcare | TX | 501 (C )(3) | Line 3 | Covenant Health System | 0 | |
| Covenant Health Partners | |||||||||||
| 3615 19Th Street | Lubbock | TX | 79410 | 463516417 | Healthcare | TX | 501 (C )(3) | Line 12, Type I | Covenant Health System | 0 | |
| HMTS Inc | |||||||||||
| 1 Hoag Drive | Newport Beach | CA | 92658 | 453583707 | Healthcare | CA | 501 (C )(3) | Line 12, Type I | Hoag Memorial Hospital Presbyterian | 0 | |
| Hoag Charity Sports | |||||||||||
| 330 Placentia Ave | Newport Beach | CA | 92663 | 452982422 | Support | CA | 501 (C )(3) | Line 7 | Hoag Hospital Foundation | 0 | |
| Hoag Hospital Foundation | |||||||||||
| 330 Placentia Ave | Newport Beach | CA | 92663 | 953222343 | Fundraising | CA | 501 (C )(3) | Line 7 | Hoag Memorial Hospital Presbyterian | 0 | |
| Hoag Memorial Hospital Presbyterian | |||||||||||
| 1 Hoag Road Box 6100 | Newport Beach | CA | 92663 | 951643327 | Healthcare | CA | 501 (C )(3) | Line 3 | Covenant Health Network | 0 | |
| Home Care Partners | |||||||||||
| 1165 Montgomery Dr | Santa Rosa | CA | 95405 | 680318656 | Inactive | CA | 501 (C )(3) | Line 3 | Santa Rosa Memorial Hospital | 0 | |
| Hospice Of Lubbock | |||||||||||
| 3702 21st Street | Lubbock | TX | 79410 | 752133781 | Healthcare | TX | 501 (C )(3) | Line 10 | Covenant Health System | 0 | |
| Lubbock Methodist Hospital Foundation | |||||||||||
| 3615 19th Street | Lubbock | TX | 79410 | 752220963 | Healthcare | TX | 501 (C )(3) | Line 7 | Covenant Health System | 0 | |
| Methodist Children's Hospital | |||||||||||
| 3610 21st Street | Lubbock | TX | 79410 | 752428911 | Healthcare | TX | 501 (C )(3) | Line 3 | Covenant Health System | 0 | |
| Methodist Hospital Levelland | |||||||||||
| 1900 College Avenue | Levelland | TX | 79336 | 752246348 | Healthcare | TX | 501 (C )(3) | Line 3 | Covenant Health System | 0 | |
| Methodist Hospital Plainview | |||||||||||
| 2601 Dimmitt Road | Plainview | TX | 79072 | 752426010 | Healthcare | TX | 501 (C )(3) | Line 3 | Covenant Health System | 0 | |
| Mission Hospital Regional Medical Ctr | |||||||||||
| 27700 Medical Center Road | Mission Viejo | CA | 92691 | 951643360 | Healthcare | CA | 501 (C )(3) | Line 3 | Covenant Health Network | 0 | |
| Queen Of The Valley Medical Center | |||||||||||
| 1000 Trancas Street | Napa | CA | 94558 | 941243669 | Healthcare | CA | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| Redwood Memorial Foundation | |||||||||||
| 3300 Renner Drive | Fortuna | CA | 95540 | 942779313 | Healthcare | CA | 501 (C )(3) | Line 7 | Redwood Memorial Hospital | 0 | |
| Redwood Memorial Hospital | |||||||||||
| 3300 Renner Drive | Fortuna | CA | 95540 | 941384665 | Healthcare | CA | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| Santa Rosa Memorial Hospital | |||||||||||
| 1165 Montgomery Dr | Santa Rosa | CA | 95405 | 941231005 | Healthcare | CA | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| SRM Alliance Hospital Services (Pvh) | |||||||||||
| 400 North McDowell Blvd | Petaluma | CA | 94954 | 680395200 | Healthcare | CA | 501 (C )(3) | Line 3 | Santa Rosa Memorial Hospital | 0 | |
| St Joseph Health System | |||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 953589356 | Healthcare | CA | 501 (C )(3) | Line 12, Type I | Providence St Joseph Health | 0 | |
| St Joseph Health System Foundation | |||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 330143024 | Healthcare | CA | 501 (C )(3) | Line 7 | St Joseph Health System | 0 | |
| St Joseph Home Care Network | |||||||||||
| 1111 Sonoma Ste 308 | Santa Rosa | CA | 95405 | 680331084 | Healthcare | CA | 501 (C )(3) | Line 10 | St Joseph Health System | 0 | |
| St Joseph Hospital Of Eureka | |||||||||||
| 2700 Dolbeer Street | Eureka | CA | 95501 | 941156596 | Healthcare | CA | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| St Joseph Hospital Of Orange | |||||||||||
| 1100 West Stewart Drive | Orange | CA | 92868 | 951643359 | Healthcare | CA | 501 (C )(3) | Line 3 | Covenant Health Network | 0 | |
| St Jude Hospital Yorba Linda | |||||||||||
| 200 West Center St Promenade | Anaheim | CA | 92805 | 330185031 | Healthcare | CA | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| St Jude Hospital Inc | |||||||||||
| 101 East Valencia Mesa Drive | Fullerton | CA | 92635 | 951643324 | Healthcare | CA | 501 (C )(3) | Line 3 | Covenant Health Network | 0 | |
| St Mary Medical Center | |||||||||||
| 18300 Highway 18 | Apple Valley | CA | 92307 | 951914489 | Healthcare | CA | 501 (C )(3) | Line 3 | Covenant Health Network | 0 | |
| St Mary Of The Plains Hospital Fdn | |||||||||||
| 4000 24th Street | Lubbock | TX | 79410 | 751653181 | Healthcare | TX | 501 (C )(3) | Line 7 | Covenant Health System | 0 | |
| St Joseph Health Northern California LLC | |||||||||||
| 3345 Michelson Drive | Irvine | CA | 92612 | 814791043 | Healthcare | CA | 501 (C )(3) | Line 3 | St Joseph Health System | 0 | |
| Sisters Of St Joseph Of Orange | |||||||||||
| 480 S Batavia | Orange | CA | 92868 | 951643383 | Religious Org | CA | 501 (C )(3) | Line 1 | 0 | N/A | |
| St Joseph Health Ministry | |||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 271666576 | Religious Org | CA | 501 (C )(3) | Line 1 | Sisters of St Joseph of Orange | 0 | |
| Kadlec Auxiliary Inc | |||||||||||
| 888 Swift Blvd | Richland | WA | 99352 | 916033089 | Support Kadlec Regional Medical Center | WA | 501 (C )(3) | Line 12, Type III | Kadlec Regional Medical Center | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Alpha Medical Laboratory LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 912017347 | Outpatient Lab | ID | N/A |
| Broadway Imaging LLC | |||||||
| 500 W Broadway | Missoula | MT | 59802 | 522405971 | Medical Imaging | MT | N/A |
| California Laboratory Associates LLC | |||||||
| 501 Buena Vista | Burbank | CA | 91505 | 273888692 | Outpatient Lab | CA | N/A |
| Center for Specialty Surgery LLC | |||||||
| 11782 SW Barnes Rd | Portland | OR | 97225 | 263638838 | Ambulatory Surgery Center | OR | N/A |
| Clackamas Radiation Oncology Center LLC | |||||||
| 4400 NE Halsey St Bldg II 495 | Portland | OR | 97213 | 260381897 | Radiation Oncology | OR | N/A |
| Ctr for Med Imaging-Bridgeport LLC | |||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 260796953 | Imaging - Diagnostics | OR | N/A |
| Ctr for Med Imaging-Tanasbourne LLC | |||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 200477972 | Imaging - Diagnostics | OR | N/A |
| Greater Valley Medical Building LP | |||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 954570858 | Real Estate - MOB | CA | N/A |
| Minor & James Medical PLLC | |||||||
| 515 Minor Avenue 200 | Seattle | WA | 98104 | 911340223 | Physician Clinic | WA | N/A |
| Mountainstar Clinical Laboratories LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 261345983 | Outpatient Lab | MT | N/A |
| Oregon Advanced Imaging LLC | |||||||
| 881 OHare Parkway | Medford | OR | 97504 | 450471748 | Medical Imaging | OR | N/A |
| Oregon Outpatient Surgery Center | |||||||
| 7300 SW Childs Rd | Tigard | OR | 97224 | 223883387 | Ambulatory Surgery Center | OR | N/A |
| PacLab LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 911743952 | Outpatient Lab | WA | N/A |
| Pathology Associates Medical Laboratories LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 270943279 | Outpatient Lab | WA | N/A |
| PETCT Imaging at Swedish Cancer Institute LLC | |||||||
| 1221 Madison Street | Seattle | WA | 98104 | 203132044 | Medical Imaging | WA | N/A |
| Portland Medical Imaging LLC | |||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 201054971 | Imaging - Diagnostics | OR | N/A |
| Prov Radiation Oncology Develop Assn LLC | |||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 260682491 | Real Estate - MOB | OR | N/A |
| Providence Imaging Center | |||||||
| 3340 Providence Drive | Anchorage | AK | 99508 | 920118807 | Medical Imaging | AK | N/A |
| Providence Partners for Health LLC | |||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 454041798 | Clinical Quality & Integration | CA | N/A |
| Providence Surgery Center LLC | |||||||
| 902 N Orange St | Missoula | MT | 59802 | 841401625 | Ambulatory Surgery Center | MT | N/A |
| ProvidenceSilverton Rehab LLC | |||||||
| 4400 NE Halsey 425 | Portland | OR | 97213 | 481287267 | Rehab Services | OR | N/A |
| ProvidenceUSP Santa Clarita GP LLC | |||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 202829660 | Ambulatory Surgery Center | CA | N/A |
| ProvidenceUSP Surgery Ctrs LLC | |||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 200905938 | Ambulatory Surgery Center | CA | N/A |
| Southern Idaho Regional Laboratory LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 820511819 | Outpatient Lab | ID | N/A |
| The Madison Spokane Inn LLC | |||||||
| 15 West Rockwood Blvd | Spokane | WA | 99204 | 841606484 | Hotel Services | WA | N/A |
| Tri-Cities Laboratory LLC | |||||||
| 611 N Perry | Spokane | WA | 99202 | 911773986 | Outpatient Lab | WA | N/A |
| HCSA Properties LLC | |||||||
| 1600 M Street NW | Auburn | WA | 98001 | 460620892 | Real estate rental | WA | N/A |
| Covenant Long-Term Care LP | |||||||
| 4000 24th Street | Lubbock | TX | 79410 | 205033419 | Healthcare | TX | N/A |
| Heritage Investment Group I LLC | |||||||
| 500 S Main Street Ste 1000 | Orange | CA | 92868 | 271000061 | Investments | CA | N/A |
| Hoag Orthopedic Institute | |||||||
| 1 Hoag Drive Box 6100 | Newport Beach | CA | 92658 | 611588294 | Healthcare | CA | N/A |
| Lubbock Surgery Center Ltd | |||||||
| 4000 24th Street | Lubbock | TX | 79410 | 752177401 | Healthcare | TX | N/A |
| Methodist Diagnostic Imaging | |||||||
| 4000 24th Street | Lubbock | TX | 79410 | 752343261 | Healthcare | TX | N/A |
| Mission Ambulatory Surgicenter Ltd | |||||||
| 27800 Medical Center Road Ste 362 | Mission Viejo | CA | 92691 | 330355575 | Healthcare | CA | N/A |
| Newport Imaging Center | |||||||
| 360 San Miguel | Newport Beach | CA | 92660 | 330191776 | Healthcare | CA | N/A |
| SHA LLC | |||||||
| 12940 North Highway 183 | Austin | TX | 78750 | 752569094 | Healthcare | TX | N/A |
| St Joseph Physician Ventures I LLC | |||||||
| 1100 West Stewart Drive | Orange | CA | 92868 | 454521884 | Real Estate | CA | N/A |
| North Bay Endoscopy Center | |||||||
| 1383 N McDowell Blvd Suite 110 | Petaluma | CA | 94954 | 611559876 | Healthcare | CA | N/A |
| Southern California Surgery Center LLC | |||||||
| 18321 Ventura Blvd Ste 740 | Tarzana | CA | 91356 | 330939000 | Healthcare | CA | N/A |
| Mission Viejo Physician Partners I LLC | |||||||
| 27700 Medical Center Road | Mission Viejo | CA | 92691 | 471559873 | Healthcare | CA | N/A |
| Advanced Surgery Institute LLC | |||||||
| 1739 4th Street | Santa Rosa | CA | 95404 | 262299255 | Healthcare | CA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health Ventures Inc | ||||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330122216 | Investment | CA | N/A | C | 0 | |||
| Caron Health Corporation | ||||||||||||
| 510 W Front St | Missoula | MT | 59802 | 810486082 | Medical Physician Service | MT | N/A | C | 0 | |||
| Providence Health Care Ventures Inc | ||||||||||||
| 101 W 8th Ave TAF C-9 | Spokane | WA | 99204 | 900155714 | Clinical/Medical Lab | WA | N/A | C | 0 | |||
| Providence Physician Services Co | ||||||||||||
| 101 W 8th Ave TAF C-9 | Spokane | WA | 99204 | 911216033 | Clinical/Medical Lab | WA | N/A | C | 0 | |||
| Yakima Medical Arts Inc | ||||||||||||
| 611 N Perry 100 | Spokane | WA | 99202 | 910787963 | Rental Real Estate | WA | N/A | C | 0 | |||
| Bourget Health Services Inc | ||||||||||||
| PO Box 2687 | Spokane | WA | 99220 | 911354431 | Clinical/Medical Lab | WA | N/A | C | 0 | |||
| 1221 Madison Street Owners Assoc | ||||||||||||
| 747 Broadway | Seattle | WA | 98122 | 201954319 | Owners' Association | WA | N/A | C | 0 | |||
| Western HealthConnect Ventures Inc | ||||||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 800953654 | Investment | WA | N/A | C | 0 | |||
| PHN Holdings | ||||||||||||
| 20555 Earl Street | Torrance | CA | 90503 | 461814184 | Strategic Planning Services | CA | N/A | C | 0 | |||
| Providence Health Network | ||||||||||||
| 20555 Earl Street | Torrance | CA | 90503 | 800886966 | Prepaid Healthcare | CA | N/A | C | 0 | |||
| Pioneer Innovations Inc | ||||||||||||
| 800 5th Ave 10th Floor | Seattle | WA | 98104 | 364818191 | Healthcare Innovations | WA | N/A | C | 0 | |||
| Vinserra Inc | ||||||||||||
| 1328 22nd Street | Santa Monica | CA | 90404 | 953943315 | Investment | CA | N/A | C | 0 | |||
| American Unity Group Ltd | ||||||||||||
| Captive Insurance | N/A | C | 0 | 90 Pitts Bay Road HM08 Pembroke | BD | BD | ||||||
| Coastal Management Services Organization | ||||||||||||
| 1 Hoag Drive Box 6100 | Newport Beach | CA | 92658 | 330676831 | Healthcare | CA | N/A | C | 0 | |||
| Datu Health Inc | ||||||||||||
| 16150 Main Circle Dr Suite 250 | Chesterfield | MO | 63017 | 463070062 | IT Svcs | DE | N/A | C | 0 | |||
| Hoag Management Services Inc | ||||||||||||
| 1 Hoag Drive Box 6100 | Newport Beach | CA | 92658 | 330731587 | Healthcare | CA | N/A | C | 0 | |||
| Lubbock Methodist Hosp Practice Mgmt | ||||||||||||
| 2107 Oxford Street Ste 300 | Lubbock | TX | 79410 | 752578995 | Inactive | TX | N/A | C | 0 | |||
| Lubbock Methodist Hospital Svcs | ||||||||||||
| PO Box 120 | Lubbock | TX | 79410 | 752118585 | Healthcare | TX | N/A | C | 0 | |||
| Mission Viejo Medical Ventures | ||||||||||||
| 27800 Medical Center Rd 354 | Mission Viejo | CA | 92691 | 330212905 | Healthcare | CA | N/A | C | 0 | |||
| St Joseph Health | ||||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 462340232 | Holding Company | CA | N/A | C | 0 | |||
| St Joseph Health Source Inc | ||||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 461900168 | Healthcare | CA | N/A | C | 0 | |||
| St Joseph Prof Svcs Enterprses Inc | ||||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 330155323 | Healthcare | CA | N/A | C | 0 | |||
| Ophie Healthcare Services Inc | ||||||||||||
| 3345 Michelson Drive Suite 100 | Irvine | CA | 92612 | 271002825 | Healthcare | CA | N/A | C | 0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | John Wayne Cancer Institute | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | A | TransactionTypeTxt |
| Involved | $1,280,100 | InvolvedAmt |