PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (EIN 51-0216589)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-29
- IRS object ID
- 201713339349300421
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-29T14:23:54-06:00 | 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 | 510216589 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE HEALTH SYSTEM -SO CALIFORNIA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROV | BusinessNameControlTxt |
| Phone | 4255253985 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue 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 | 12:23:33 | 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 Avenue SW No 9016 | AddressLine1Txt |
| City | Renton | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 980579016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,135,610,972 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://california.providence.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1903 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Healthcare with special concern for the poor & vulnerable in So. California. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 12533 | TotalEmployeeCnt |
| Total Volunteers | 3459 | TotalVolunteersCnt |
| Total Gross UBI | $399,975 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $323,293 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $19,383,355 | PYContributionsGrantsAmt |
| CY Contributions Grants | $29,101,286 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,856,980,941 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,888,981,195 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,477,739 | PYInvestmentIncomeAmt |
| CY Investment Income | -$4,025,822 | CYInvestmentIncomeAmt |
| PY Other Revenue | $236,488,913 | PYOtherRevenueAmt |
| CY Other Revenue | $36,167,300 | CYOtherRevenueAmt |
| PY Total Revenue | $2,114,330,948 | PYTotalRevenueAmt |
| CY Total Revenue | $1,950,223,959 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,639,055 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $47,295,225 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $682,369,430 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $736,521,512 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $378,022 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,444,224,330 | PYOtherExpensesAmt |
| CY Other Expenses | $1,416,085,319 | CYOtherExpensesAmt |
| PY Total Expenses | $2,138,232,815 | PYTotalExpensesAmt |
| CY Total Expenses | $2,199,902,056 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$23,901,867 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$249,678,097 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,527,702,061 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,438,713,618 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,898,153,480 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,103,918,595 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $629,548,581 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $334,795,023 | 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 Southern California. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,378,547,800 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,667,304,012 | RevenueAmt |
| Desc | Acute Care - Inpatient Patient Days - 300,694Admissions - 72,542Acute Care - Outpatient - including surgeries & procedures/emergency/trauma services. Patient Visits - 1,584,249Our Core Values - Respect, Compassion, Justice, Excellence, and StewardshipOur Commitment - As a not-for-profit health care ministry, Providence Health System - So. California embraces our responsibility to respond to the needs of people in our communities, especially the poor and vulnerable. This commitment, this Mission rooted in God's love for all, began with the Sisters of Providence more than 150 years ago.The Heart of our Mission We focus our community benefit outreach on four specific populations. These are low-income and uninsured people, diverse populations, older citizens, and people with behavioral needs. Our outreach can range from covering the medical bills of a husband and father disabled by diabetes, to financially supporting a nonprofit that embraces older refugees and immigrants. During these hard economic times in our neighborhoods and our nation, we reinforce our commitments to caring for the poor and vulnerable. This compassionate caring is, and always has been, the heart of our Mission.From the San Fernando Valley to the Westside and the South Bay, six exceptional hospitals and our affiliated medical groups are redefining health care in the 21st Century. Every day, the medical centers of Providence Health & Services, Southern California, are proving it is possible to provide leading-edge care while staying true to a more than 150-year-old Mission to serve the poor and vulnerable.Exceptional Programs and Services Throughout Los Angeles County and beyond, we're known for our outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, hospice and palliative care, and many other specialties. We continue to add services and technology to meet the needs of our ever changing communities. The Roy and Patricia Disney Family Cancer Center at Providence Saint Joseph Medical Center, is the largest, most comprehensive cancer center in the San Fernando and surrounding valleys. Providence continuously invests in the latest technology and seeks new evidence-based ways to improve diagnoses, treatments and patient safety, all in an environment of compassionate care. Providence provides care across the spectrum from our family-centered Neonatal ICUs for the most fragile of infants to nationally recognize pediatric, cardiac and cancer services to specialized team-based care for the elderly. The practice of expert-to-expert collaboration provides a wealth of experience and knowledge in managing complex illnesses by bringing in a range of specialists to help ensure the best possible outcomes for our patients. Providence Medical Centers are dedicated to improving upon excellence, affiliating with some of the best physicians in Southern California, encouraging nurses to seek innovation in patient care and providing a shared electronic medical record to help ensure the best care for every patient, every time. Five Stars for Excellence Providence Southern California is the first and only health system in the state to have all our eligible hospitals recognized with the Healthgrades' Distinguished Hospital Award for Clinical Excellence . Our Providence Medical Centers have won national awards for excellence and safety in neurosciences, orthopedics, critical and coronary care, women's services, maternity services, bariatrics and gastrointestinal treatment. These national awards recognize the high level of care and dedication to patient safety and improved outcomes. Gold-Standard Stroke CareStroke is the third leading cause of death and the leading cause of disability for all Americans. When and where you seek treatment can make a world of difference. Five of our medical centers are certified as Advanced Primary Stroke Centers, where the stroke care program follows national standards and guidelines that can significantly improve outcomes for stroke patients, earning them The Joint Commission's Gold Seal of Approval for Advanced Primary Stroke Centers and top awards from the American Heart/American Stroke Associations. In addition, Providence Saint Joseph Medical Center received the Healthgrades Stroke Care Excellence Award . Leaders in Heart Attack Care And for patients suffering the most severe type of heart attack, all of our hospitals are designated STEMI-receiving centers, recognized by Los Angeles County for their demonstrated abilities to provide rapid and effective care for the most serious heart attacks to help reduce long-term heart damage. Diagnosis begins upon arrival in our emergency departments and treatment follows immediately, with a full staff of specialists, nurses and therapists highly trained in critical care. Long Tradition of Community Service Our roots date back more than 150 years, when the Sisters of Providence and the Sisters of the Little Company of Mary arrived in the West to support communities in need. Today, community service is still one of our highest priorities. We offer a wide array of free or low-cost outreach programs for those in need, from primary care clinics and health screenings, to exercise and health education classes, to mental health counseling and telephone visits for seniors. In all, Providence's community benefit programs touch the lives of nearly a quarter million people each year. From school children to the elderly, our communities are served by programs that promote good health for the mind, body and spirit. Our Mission to serve is the cornerstone of Providence.* Providence Tarzana Medical Center received recognition as a Distinguished Hospital for Clinical Excellence ranking it among the top 5 percent in the nation for performance on 27 of the most common diagnosis and procedures. Designated as a Pediatric Medical Center, Providence Tarzana is certified to include treating critically ill children transported by the 9-1-1 Emergency Medical Services System. It has one of the largest and most renowned Neonatal Intensive Care Units in the area.* The award-winning Providence Saint Joseph Medical Center in Burbank is known for advanced technology, including the use of robotics, to bolster a tradition of quality care. Providence Saint Joseph has received recognition for orthopedics, neurology, bariatrics and cardiac services.* Providence Little Company of Mary Medical Center Torrance has a reputation for clinical excellence and sophisticated technology with a personal touch. Winner of Truven Health Analytics' 100 Top Hospitals award three years in a row.* For more than 86 years, Providence Little Company of Mary Medical Center San Pedro has provided the South Bay community with clinically excellent and compassionate healthcare and the South Bay's first Certified Primary Stroke Center.* Nationally recognized for clinical performance and trauma care, Providence Holy Cross Medical Center in Mission Hills also is the only community hospital in the San Fernando Valley to receive Magnet Status for Nursing Excellence. It is one of only two 24/7 trauma centers in the San Fernando Valley. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $131,095,208 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $133,348,629 | RevenueAmt |
| Desc | Health Care Capitation - See Line 4a Narrative | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $79,533,504 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $96,199,827 | RevenueAmt |
| Desc | Long-Term Care, Subacute Skilled Nursing & Home Health Programs. Long-Term Care Days - 96,525; Home Health Visits - 70,881.Providence St. Elizabeth Care Center is a 52-bed skilled nursing facility. Every resident who lives at the Center experiences a compassionate, caring and comfortable atmosphere. Each resident is treated as a special person, giving careful attention to his or her total well-being. We offer an array of health care services for residents to enjoy themselves with family and friends. To complement our reputation for caring, our specially trained staff works in partnership with residents, families, doctors, referring hospitals, and health professionals to make sure residents' needs are met. We also provide for respiratory services, as needed.Providence Little Company of Mary Transitional Care Center, a skilled nursing facility in Torrance, earned five stars for the third straight year in this week's U.S. News and World Report feature listing the nation's top nursing homes.The magazine's prestigious rankings were based on U.S. Centers for Medicare and Medicaid surveys that rated the 115-bed transitional care center among the best care homes in the nation based on health inspections, nurse staffing, quality measures and safety. The care center is affiliated with Providence Little Company of Mary Medical Center Torrance, a 436-bed acute care hospital.Providence Little Company of Mary stands out among skilled nursing facilities because its patients typically are not long-term. The average length-of-stay is about two weeks, time for patients to rehabilitate from acute-care hospital stays before heading home. U.S. News ranked evaluated the 15,506 nursing homes and rehabilitation centers nationwide and 2,005 earned the five-star rating. The staff includes nurses, physical therapists, occupational therapists, speech therapists, respiratory therapists, dietitians and administrative support and their focus is always on quality centered in Providence core values and our mission of compassionate service | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $7,137,323 | $1,156,114 | $7,513,989 | Providence High School for children of the Northern San Fernando Valley and surrounding area. School Days - 178 Students - 431.Providence High School was founded in 1955 by the Sisters of Providence. This is a private, co-educational, independent, college preparatory Catholic high school. Providence High School is accredited by the Western Catholic Education Association (WCEA) and the Western Association of Schools and Colleges (WASC), a member of the California Association of Independent Schools (CAIS), and it is a nationally recognized Blue Ribbon High School. Providence High School initially started as an all-girls school, but in 1974 the campus became co-educational. Today the 400+ students enjoy a full college prep curriculum as well as access to three Focus Programs; Medical, Cinema Arts, and Technology. Providence High School also offer award winning performing arts, rewarding Christian Service and Campus Ministry opportunities, competitive athletics and numerous clubs and activities. |
| $0 | $0 | $156,341 | Healthcare Joint Ventures |
| $46,139,111 | $46,139,111 | $0 | Grant & Allocations - See Schedule I. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $53,276,434 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $47,295,225 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $7,670,330 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,642,452,946 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 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 | 974 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 12533 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| 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 Ave 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 (61 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 | 1.00 | 3.70 | Yes (X) | Yes (X) | $0 | $30,180 | $0 | |||
| Dave Olsen | ||||||||||
| Vice Chair - Eff. 7/16 | 1.00 | 4.60 | Yes (X) | Yes (X) | $0 | $24,135 | $0 | |||
| Dick P Allen | ||||||||||
| Director - Eff. 7/16 | 1.00 | 1.10 | Yes (X) | $0 | $15,180 | $0 | ||||
| Isiaah Crawford | ||||||||||
| Director | 1.00 | 3.20 | Yes (X) | $0 | $24,360 | $0 | ||||
| Sister Lucille Dean SP | ||||||||||
| Director - Eff. 7/16 | 1.00 | 1.20 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Diane Hejna CSJ RN | ||||||||||
| Director - Eff. 7/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Holcomb | ||||||||||
| Director /Chair Thru 6/16 | 1.00 | 4.40 | Yes (X) | Yes (X) | $0 | $45,360 | $0 | |||
| Phyllis Hughes RSM | ||||||||||
| Director | 1.00 | 4.10 | Yes (X) | $0 | $0 | $0 | ||||
| Sallye Liner | ||||||||||
| Director | 1.00 | 3.80 | Yes (X) | $0 | $20,360 | $0 | ||||
| Mary Lyons PhD | ||||||||||
| Director - Eff. 7/16 | 1.00 | 0.60 | Yes (X) | $0 | $15,180 | $0 | ||||
| Walter Noce Jr | ||||||||||
| Director - Eff. 7/16 | 1.00 | 1.10 | Yes (X) | $0 | $15,180 | $0 | ||||
| Carolina Reyes MD | ||||||||||
| Director | 1.00 | 3.70 | Yes (X) | $0 | $22,860 | $0 | ||||
| Phoebe Yang | ||||||||||
| Director - Eff. 7/16 | 1.00 | 1.10 | Yes (X) | $0 | $12,680 | $0 | ||||
| Fr Tom Kopfensteiner | ||||||||||
| Director - Res. 12/16 | 1.00 | 1.10 | Yes (X) | $0 | $6,400 | $0 | ||||
| Chauncey Boyle SP | ||||||||||
| Director - Thru 6/16 | 1.00 | 2.20 | Yes (X) | $0 | $0 | $0 | ||||
| Marian Schubert CSJ | ||||||||||
| Director - Thru 6/16 | 1.00 | 1.90 | Yes (X) | $0 | $0 | $0 | ||||
| Michael A Stein | ||||||||||
| Director - Thru 6/16 | 1.00 | 2.20 | Yes (X) | $0 | $7,680 | $0 | ||||
| Eugene Al Parrish | ||||||||||
| Director - Thru 6/16 | 1.00 | 1.90 | Yes (X) | $0 | $7,680 | $0 | ||||
| Bob Wilson | ||||||||||
| Director - Thru 6/16 | 1.00 | 2.00 | Yes (X) | $0 | $9,120 | $0 | ||||
| Martha Diaz Aszkenazy | ||||||||||
| Director - Thru 6/16 | 1.00 | 3.00 | Yes (X) | $0 | $9,180 | $0 | ||||
| Kirby McDonald | ||||||||||
| Director - Thru 6/16 | 1.00 | 1.90 | Yes (X) | $0 | $7,680 | $0 | ||||
| Charles Chuck Watts | ||||||||||
| Director - Thru 6/16 | 1.00 | 1.90 | Yes (X) | $0 | $9,180 | $0 | ||||
| Rod F Hochman MD | ||||||||||
| President / CEO - Thru 6/16 | 8.00 | 57.00 | Yes (X) | $0 | $4,060,921 | $43,543 | ||||
| Mike Butler | ||||||||||
| President - Eff. 7/16 | 7.00 | 53.00 | Yes (X) | $0 | $6,906,693 | $349,633 | ||||
| Todd Hofheins | ||||||||||
| EVP/CFO /Treas. Thru 11/16 | 7.00 | 53.00 | Yes (X) | $0 | $1,571,440 | $60,670 | ||||
| Jo Ann Escasa-Haigh | ||||||||||
| Interim CFO/Treas. | 6.00 | 44.00 | Yes (X) | $0 | $755,416 | $168,190 | ||||
| Cindy Strauss | ||||||||||
| EVP/Chief Legal Officer | 7.00 | 53.00 | Yes (X) | $0 | $1,462,780 | $58,266 | ||||
| Erik Wexler | ||||||||||
| CE/CA Region - Eff. 5/16 | 8.00 | 57.00 | Yes (X) | $0 | $1,358,828 | $359,677 | ||||
| Karl Carrier | ||||||||||
| Interim CE/CA. Region-Thru 4/16 | 7.00 | 53.00 | Yes (X) | $0 | $666,411 | $0 | ||||
| Steven Mohr | ||||||||||
| CFO/CA. Region | 6.00 | 43.90 | Yes (X) | $0 | $841,291 | $133,322 | ||||
| Debra Canales | ||||||||||
| EVP/CAO | 7.00 | 53.00 | $0 | $2,092,357 | $611,609 | Yes (X) | ||||
| Janice Newell | ||||||||||
| SVP/Chief Information Officer | 7.00 | 53.00 | $0 | $1,137,493 | $34,098 | Yes (X) | ||||
| Joel Gilbertson | ||||||||||
| SVP/Community Partnerships | 7.00 | 53.00 | $0 | $842,027 | $247,847 | Yes (X) | ||||
| Orest Holubec | ||||||||||
| SVP/Chief Comm./Ext. Affairs Officer | 7.00 | 48.00 | $0 | $782,688 | $207,806 | Yes (X) | ||||
| Greg Till | ||||||||||
| VP/Chief Talent Officer | 8.00 | 57.00 | $0 | $776,011 | $122,367 | Yes (X) | ||||
| Sharon Toncray | ||||||||||
| SVP / Chief Labor Employee Counsel | 7.00 | 53.00 | $0 | $764,977 | $243,728 | Yes (X) | ||||
| Jack Mudd - Thru 316 | ||||||||||
| SVP/Mission Leadership | 0.00 | 29.00 | $0 | $718,728 | $157,778 | Yes (X) | ||||
| Aaron Martin | ||||||||||
| SVP/Strategy & Innovation | 8.00 | 62.00 | $0 | $852,934 | $219,285 | Yes (X) | ||||
| Tom McDonagh | ||||||||||
| VP/Chief Investment Officer | 7.00 | 51.00 | $0 | $849,462 | $53,521 | Yes (X) | ||||
| Rhonda Medows MD | ||||||||||
| EVP/Population Health | 7.00 | 53.00 | $0 | $1,565,700 | $320,279 | Yes (X) | ||||
| Harvey Smith | ||||||||||
| SVP/Chief Customer Svc. Officer | 6.00 | 44.00 | $0 | $1,226,156 | $23,791 | Yes (X) | ||||
| Lisa Vance | ||||||||||
| SVP/Clinical Program Services | 7.00 | 53.00 | $0 | $1,220,348 | $125,445 | Yes (X) | ||||
| Mike Waters | ||||||||||
| VP,CAO/Physician Services | 8.00 | 57.00 | $0 | $703,777 | $184,023 | Yes (X) | ||||
| Amy Compton-Phillips | ||||||||||
| EVP/Chief Clinical Officer | 7.00 | 48.00 | $0 | $1,113,493 | $278,894 | Yes (X) | ||||
| David Brown | ||||||||||
| VP/Strategy & Business Development | 7.00 | 48.00 | $0 | $700,461 | $226,430 | Yes (X) | ||||
| Debbie Burton | ||||||||||
| SVP/ Chief Nrsg. Officer | 7.00 | 53.00 | $0 | $713,480 | $90,015 | Yes (X) | ||||
| Dale Surowitz | ||||||||||
| CE / Tarzana | 59.00 | 0.00 | $0 | $842,956 | $234,503 | Yes (X) | ||||
| Bernie Klein MD | ||||||||||
| CE / HCMC | 50.00 | 0.00 | $0 | $861,105 | $239,822 | Yes (X) | ||||
| Julie Sprengel - Thru 916 | ||||||||||
| CE / PSJMC | 50.00 | 0.00 | $0 | $678,809 | $13,556 | Yes (X) | ||||
| Mary Kingston | ||||||||||
| CE / LCM | 50.00 | 0.00 | $0 | $672,768 | $211,277 | Yes (X) | ||||
| Michael Bernstein | ||||||||||
| CMO | 50.00 | 0.00 | $604,793 | $0 | $48,811 | Yes (X) | ||||
| Teresa David | ||||||||||
| COO/Facey Med. Foundation | 1.00 | 49.00 | $569,049 | $0 | $26,731 | Yes (X) | ||||
| Jim Corwin | ||||||||||
| CFO/CA.Medical Foundations | 2.00 | 58.00 | $556,281 | $0 | $39,811 | Yes (X) | ||||
| Richard Glimp | ||||||||||
| CMO | 50.00 | 0.00 | $500,961 | $0 | $28,612 | Yes (X) | ||||
| Gary Olney | ||||||||||
| COO South Bay | 50.00 | 0.00 | $473,586 | $0 | $34,160 | 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) | ||||
| Michael Rembis | ||||||||||
| Former CEO - PSJMC | 0.00 | 0.00 | $0 | $221,288 | $0 | Yes (X) | ||||
| Phil Jackson | ||||||||||
| Former Chief Integration Officer | 0.00 | 0.00 | $0 | $114,365 | $4,117 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,704,670 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $40,581,894 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $5,223,182 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1837 | 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 |
|---|---|---|---|---|---|
| AMN Healthcare | |||||
| PO Box 56157 | Los Angeles | CA | 90074 | Staffing | $20,006,514 |
| AV Construction Inc | |||||
| 18444 Ward Street | Fountain Valley | CA | 92708 | Construction | $9,148,895 |
| Shiftwise Inc | |||||
| 2501 SW 1st Ave Ste 200 | Portland | OR | 97201 | Staffing | $5,031,502 |
| ETC Building and Design | |||||
| 6805 Nancy Ridge Drive | San Diego | CA | 92121 | Construction | $4,864,857 |
| Perkins Will | |||||
| PO Box 71181 | Chicago | IL | 60694 | Staffing | $3,376,644 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 121 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $3,485 | MembershipDuesAmt |
| Fundraising | $77,655 | FundraisingAmt |
| Related Organizations | $28,162,787 | RelatedOrganizationsAmt |
| Government Grants | $468,505 | GovernmentGrantsAmt |
| All Other Contributions | $388,854 | AllOtherContributionsAmt |
| Total Contributions | $29,101,286 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Acute Care | 900099 | $1,649,728,021 | $1,649,728,021 |
| Capitation Revenue | 900099 | $133,348,629 | $133,348,629 |
| LTC/HomeCare/Hospice | 623000 | $95,345,548 | $95,345,548 |
| Tuition & Fees | 611600 | $7,513,989 | $7,513,989 |
| Pharmacy | 900099 | $2,624,844 | $2,624,844 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $420,164 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $420,164 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,888,981,195 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $780,920 | TotalRevenueColumnAmt |
| Exclusion | $780,920 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $19,977,649 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,473,357 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,504,292 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,504,292 | TotalRevenueColumnAmt |
| Exclusion | $3,504,292 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $154,725,957 | SecuritiesAmt |
| Other | $8,595,329 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $160,916,075 | SecuritiesAmt |
| Other | $7,211,953 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$6,190,118 | SecuritiesAmt |
| Other | $1,383,376 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,806,742 | TotalRevenueColumnAmt |
| Exclusion | -$4,806,742 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $78,668 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $77,655 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $62,003 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,665 | TotalRevenueColumnAmt |
| Exclusion | $16,665 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $14,640 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $3,491 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,149 | TotalRevenueColumnAmt |
| Exclusion | $11,149 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $794,998 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $720,134 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,864 | TotalRevenueColumnAmt |
| Exclusion | $74,864 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Bad Debt Recoveries | 900099 | $8,289,051 | $8,289,051 | |
| Cafeteria Revenue | 722210 | $6,593,598 | $6,593,598 | |
| Parking Revenue | 900099 | $3,441,132 | $3,441,132 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,236,549 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,252,552 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $399,975 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,584,022 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $32,560,330 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,950,223,959 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,904,522,798 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $399,975 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,199,900 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,730,092 | TotalAmt |
| Program Services | $45,730,092 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,565,133 | TotalAmt |
| Program Services | $1,565,133 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,998,907 | TotalAmt |
| Program Services | $1,399,781 | ProgramServicesAmt |
| Management And General | $5,599,126 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,120,066 | TotalAmt |
| Program Services | $603,807,559 | ProgramServicesAmt |
| Management And General | $61,092,249 | ManagementAndGeneralAmt |
| Fundraising | $220,258 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,029,134 | TotalAmt |
| Program Services | $10,802,259 | ProgramServicesAmt |
| Management And General | $1,224,606 | ManagementAndGeneralAmt |
| Fundraising | $2,269 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,015,434 | TotalAmt |
| Program Services | $3,085,957 | ProgramServicesAmt |
| Management And General | $895,851 | ManagementAndGeneralAmt |
| Fundraising | $33,626 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,357,971 | TotalAmt |
| Program Services | $43,895,725 | ProgramServicesAmt |
| Management And General | $4,447,924 | ManagementAndGeneralAmt |
| Fundraising | $14,322 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,739,812 | TotalAmt |
| Program Services | $56,835 | ProgramServicesAmt |
| Management And General | $3,682,977 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,070 | TotalAmt |
| Management And General | $20,070 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,717 | TotalAmt |
| Management And General | $250,717 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,719 | TotalAmt |
| Management And General | $70,719 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,312,835 | TotalAmt |
| Program Services | $175,785,499 | ProgramServicesAmt |
| Management And General | $38,517,758 | ManagementAndGeneralAmt |
| Fundraising | $9,578 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $845,715 | TotalAmt |
| Program Services | -$127,105 | ProgramServicesAmt |
| Management And General | $946,209 | ManagementAndGeneralAmt |
| Fundraising | $26,611 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,222,186 | TotalAmt |
| Program Services | $31,446,313 | ProgramServicesAmt |
| Management And General | $9,731,267 | ManagementAndGeneralAmt |
| Fundraising | $44,606 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,470,276 | TotalAmt |
| Program Services | $1,149,096 | ProgramServicesAmt |
| Management And General | $319,623 | ManagementAndGeneralAmt |
| Fundraising | $1,557 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,559,259 | TotalAmt |
| Program Services | $23,373,111 | ProgramServicesAmt |
| Management And General | $11,186,148 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,446,058 | TotalAmt |
| Program Services | $946,341 | ProgramServicesAmt |
| Management And General | $499,696 | ManagementAndGeneralAmt |
| Fundraising | $21 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,663,960 | TotalAmt |
| Program Services | $654,384 | ProgramServicesAmt |
| Management And General | $1,004,610 | ManagementAndGeneralAmt |
| Fundraising | $4,966 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,587,584 | TotalAmt |
| Program Services | $26,587,584 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $637,700,809 | TotalAmt |
| Program Services | $263,438,356 | ProgramServicesAmt |
| Management And General | $374,262,453 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,825,190 | TotalAmt |
| Program Services | $34,037,999 | ProgramServicesAmt |
| Management And General | $15,787,191 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,630 | TotalAmt |
| Program Services | $78,630 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $219,115,038 | $219,115,038 | |
| Provider Tax Expense | $137,896,491 | $137,896,491 | |
| Intangible Impairment | $22,302,345 | $22,302,345 | |
| UBI Tax | $222,374 | $222,374 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,755,251 | TotalAmt |
| Program Services | $17,727,868 | ProgramServicesAmt |
| Management And General | $5,007,175 | ManagementAndGeneralAmt |
| Fundraising | $20,208 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,199,902,056 | TotalAmt |
| Program Services | $1,642,452,946 | ProgramServicesAmt |
| Management And General | $557,071,088 | ManagementAndGeneralAmt |
| Fundraising | $378,022 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,948,911 | BOYAmt |
| EOY | $1,730,647 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,115,494 | BOYAmt |
| EOY | $204,934,270 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,238 | BOYAmt |
| EOY | $207,698 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,319,722 | BOYAmt |
| EOY | $212,602,842 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,046,248 | BOYAmt |
| EOY | $2,219,877 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,455,126 | BOYAmt |
| EOY | $20,154,284 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,219,053 | BOYAmt |
| EOY | $4,807,715 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,918,436,527 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,157,954,910 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $686,004,798 | BOYAmt |
| EOY | $760,481,617 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,158,673 | BOYAmt |
| EOY | $6,024,747 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,191,899 | BOYAmt |
| EOY | $140,843,739 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,165,158,899 | BOYAmt |
| EOY | $1,084,706,182 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,527,702,061 | BOYAmt |
| EOY | $2,438,713,618 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $465,293,690 | BOYAmt |
| EOY | $874,238,472 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,315 | BOYAmt |
| EOY | $10,746 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,262,518 | BOYAmt |
| EOY | $13,190,287 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $440,250,001 | BOYAmt |
| EOY | $434,835,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $31,440 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,288,720 | BOYAmt |
| EOY | $75,286,705 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,897,022,236 | BOYAmt |
| EOY | $706,325,945 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,898,153,480 | BOYAmt |
| EOY | $2,103,918,595 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $551,663,443 | BOYAmt |
| EOY | $251,283,702 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,506,877 | BOYAmt |
| EOY | $60,431,382 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,378,261 | BOYAmt |
| EOY | $23,079,939 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $629,548,581 | BOYAmt |
| EOY | $334,795,023 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,527,702,061 | BOYAmt |
| EOY | $2,438,713,618 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$249,678,097 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $6,982,563 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$52,058,024 | 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) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | Yes (1) | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $110,555 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $140,162 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $250,717 | 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 activities, with the exception of advocacy, are limited to direct contact with government officials and mailings to the general public and legislators for the purpose of expressing opinions on legislative matters. Expenses include employee salaries, postage and incidental traveling expenditures. Additionally, a portion of the California Hospital Association dues are considered as lobbying expenses. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $386,224 | BeginningYearBalanceAmt |
| Contributions | $120 | ContributionsAmt |
| Investment Earnings Or Losses | $309 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $386,653 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $380,469 | BeginningYearBalanceAmt |
| Contributions | $178 | ContributionsAmt |
| Investment Earnings Or Losses | $32,206 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $26,629 | GrantsOrScholarshipsAmt |
| End Year Balance | $386,224 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $377,479 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,213 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $14,223 | GrantsOrScholarshipsAmt |
| End Year Balance | $380,469 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $373,802 | BeginningYearBalanceAmt |
| Contributions | $312 | ContributionsAmt |
| Investment Earnings Or Losses | $19,914 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $16,549 | GrantsOrScholarshipsAmt |
| End Year Balance | $377,479 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $369,341 | BeginningYearBalanceAmt |
| Contributions | $1,000 | ContributionsAmt |
| Investment Earnings Or Losses | $19,389 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $15,928 | GrantsOrScholarshipsAmt |
| End Year Balance | $373,802 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $103,630,767 | OtherCostOrOtherBasisAmt |
| Book Value | $103,630,767 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $927,798,610 | OtherCostOrOtherBasisAmt |
| Depreciation | $434,586,619 | DepreciationAmt |
| Book Value | $493,211,991 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,729,857 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,662,816 | DepreciationAmt |
| Book Value | $5,067,041 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $809,900,432 | OtherCostOrOtherBasisAmt |
| Depreciation | $628,140,177 | DepreciationAmt |
| Book Value | $181,760,255 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,376,861 | OtherCostOrOtherBasisAmt |
| Depreciation | $71,565,298 | DepreciationAmt |
| Book Value | -$23,188,437 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $760,481,617 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Healthcare Joint Ventures | $8,488,248 | F |
| Investment in Recipient Org. | $132,355,491 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $140,843,739 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (10 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Unamortized Bond Financing Costs | $4,775,671 |
| Due from Affiliates | $944,884,896 |
| Miscellaneous Receivables | $10,922,185 |
| Library Inventory | $13,000 |
| Third Party Settlements | $88,909,423 |
| Bond Premium Discount | $2,154,275 |
| Trustee Held Funds | $57,949 |
| Resident Trust Funds | $58,421 |
| Other LT Rec. - Perpetual Trust | $1,297,581 |
| AR Provider Tax | $31,632,781 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,084,706,182 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $647,107,787 |
| Liability for Risk Sharing | $7,614,036 |
| Capitalized Lease Obligation | $1,186,925 |
| LT Asset Retirement Obligation - FIN 47 | $14,744,785 |
| IBNR Payable | $1,350,944 |
| Third Party Settlements | $6,639,585 |
| Liability for Unpaid Claims | $3,080,466 |
| Bond Premium Discount | $24,501,850 |
| Security Deposit Payable | $99,567 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $706,325,945 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: | The organization is the custodian for a small amount of resident funds. These funds are held on behalf the of the residents for their utilization on incidental expenses. The amount of funds is reported as an asset and as a liability. |
| Part V, Line 4: | The High School has two endowment funds established for scholarship purposes and is donor-restricted. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $147,226 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $77,655 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $69,571 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $34,253 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $18,550 | OtherDirectExpensesEvent1Amt |
| Event2 | Casino Night | Event2Nm |
| Gross Receipts Event2 | $9,097 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $9,097 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $2,215 | RentFacilityCostsEvent2Amt |
| Entertainment Event2 | $1,000 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $4,485 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $156,323 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $77,655 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $78,668 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $2,215 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $34,253 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $23,035 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $62,003 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $16,665 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4727 | PersonsServedCnt |
| Total Community Benefit Expns | $23,395,539 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,395,539 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 81999 | PersonsServedCnt |
| Total Community Benefit Expns | $410,486,528 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $256,099,405 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $154,387,123 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07020 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 86726 | PersonsServedCnt |
| Total Community Benefit Expns | $433,882,067 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $256,099,405 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $177,782,662 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08080 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 46145 | PersonsServedCnt |
| Total Community Benefit Expns | $15,390,348 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,716,010 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,674,338 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2013 | PersonsServedCnt |
| Total Community Benefit Expns | $8,876,943 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,876,943 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 37651 | PersonsServedCnt |
| Total Community Benefit Expns | $17,658,811 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,953,168 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,705,643 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2750 | PersonsServedCnt |
| Total Community Benefit Expns | $883,787 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $883,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 88559 | PersonsServedCnt |
| Total Community Benefit Expns | $42,809,889 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,669,178 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,140,711 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01510 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 175285 | PersonsServedCnt |
| Total Community Benefit Expns | $476,691,956 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $265,768,583 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $210,923,373 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09590 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 164 | PersonsServedCnt |
| Total Community Benefit Expns | $656,373 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $483,650 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $172,723 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 164 | PersonsServedCnt |
| Total Community Benefit Expns | $656,373 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $483,650 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $172,723 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $52,031 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $604,470,529 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $787,008,027 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$182,537,498 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 5 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (5 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence St Joseph Medical Center | |||||||||||
| 1 | 501 S Buena Vista St | Burbank | CA | 91505 | california.providence.org | 930000159 | Yes (X) | Yes (X) | Yes (X) | A | |
| Providence LCM Med Ctr - Torrance | |||||||||||
| 2 | 4101 Torrance Boulevard | Torrance | CA | 90505 | california.providence.org | 930000089 | Yes (X) | Yes (X) | Yes (X) | B | |
| Providence Holy Cross Medical Center | |||||||||||
| 3 | 15031 Rinaldi St | Mission Hills | CA | 91345 | california.providence.org | 930000404 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
| Providence Tarzana Medical Center | |||||||||||
| 4 | 18321 Clark Street | Tarzana | CA | 91356 | california.providence.org | 930000097 | Yes (X) | Yes (X) | Yes (X) | A | |
| Providence LCM Med Ctr - San Pedro | |||||||||||
| 5 | 1300 West Seventh Street | San Pedro | CA | 90732 | california.providence.org | 930000142 | Yes (X) | Yes (X) | Yes (X) | B | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHS - SOUTHERN CALIFORNIA ( Group A) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | communitybenefit.providence.org/community-health-needs-assessments/ | Yes (X) | www.oshpd.ca.gov/HID/CommunityBenefit/archive.html | Yes (X) | Yes (1) | 14 | Yes (1) | communitybenefit.providence.org/community-health-needs-assessments/ | 0 | Yes (1) | Yes (X) | 300.000000000000 | 350.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www.providence.org/obp/ca/financial-assistance | Yes (X) | providence.org/obp/financial-assistance-application | Yes (X) | providence.org/obp/plain-language-summary | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| PHS - SOUTHERN CALIFORNIA ( Group B) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | communitybenefit.providence.org/community-health-needs-assessments/ | Yes (X) | www.oshpd.ca.gov/HID/CommunityBenefit/archive.html | Yes (X) | Yes (1) | 13 | Yes (1) | communitybenefit.providence.org/community-health-needs-assessments/ | 0 | Yes (1) | Yes (X) | 300.000000000000 | 350.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | www.providence.org/obp/ca/financial-assistance | Yes (X) | providence.org/obp/financial-assistance-application | Yes (X) | providence.org/obp/plain-language-summary | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (24 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B | Facility Reporting Group A |
| Facility Reporting Group A consists of: | - Facility 3: Providence Holy Cross Medical Center, - Facility 1: Providence St. Joseph Medical Center, - Facility 4: Providence Tarzana Medical Center |
| Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 5: | The organizations listed below represent the key informants that contributed to this CHNA. These individuals represent a variety of low-income, medically underserved, and minority populations throughout the San Fernando Valley region.Kimberly Wyard, CEO - Northeast Valley Health CorporationMarine Dzhgalyan, CEO - All-Inclusive Community Health CenterPatricia Ochoa, Executive Director - Valley Care Community ConsortiumMarianne Haver Hill, President/CEO - Meet Each Need with Dignity (MEND)Barbara Howell, CEO - Burbank Temporary Aid CenterSandra Yanez, Regional Director - Catholic Charities, San Fernando RegionRoger Williams - Family Rescue CenterArlene Brown, MD, PhD - UCLA Geffen School of MedicineMatthew Horvath, Instructional Director - LA Unified School District, NWRosemary Veniegas, Senior Program Officer - CA Community FoundationJenna Hauss, Director - ONEgenerationMarcus Hong, Chief Administrative Officer - Hope of the Valley Rescue Mission |
| Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 6a: | Providence Holy Cross, Providence St. Joseph and Providence Tarzana Medical Centers collaborated together to complete their community health needs assessments. |
| Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 11: | In developing the list of priority needs/issues, Providence looked at bringing its expertise and resources to those issues where it can make positive change. After considerable discussion, the Board Committee on Community Benefits came to a consensus that the three year Community Health Improvement Plan would address five of the top seven identified health needs: (1) Access to healthcare and resources(2) Prevention and management of chronic diseases(3) Senior care and resources(4) Mental health services (including substance abuse)(5) Poverty and food insecurity(6) Low educational attainment and unemployment(7) Crime and community safetyThe five identified health needs will be addressed within the context of four strategies that make up the 2017-19 Implementation Strategy:1) IMPROVE ACCESS TO HEALTH CARE SERVICES Our goal is to improve access to quality health care services for vulnerable populations. We will do this by collaborating with community partners to provide services that increase enrollment in and utilization of health insurance, increase the number of people with access to primary care, and increase the number of children who receive their recommended immunizations.2) IMPLEMENT PREVENTION INTERVENTIONS TO REDUCE THE PREVALENCE OR PROGRESSION OF CHRONIC DISEASEOur goal is to reduce the prevalence of diabetes and obesity. We will do this by partnering with organizations to increase physical activity, promote healthy nutrition, and educate individuals with diabetes or at-risk of developing diabetes on how to manage the disease.3) STRENGTHEN COMMUNITY BASED MENTAL HEALTH INFRASTRUCTURE TO BETTER ALIGN WITH HOSPITAL-BASED MENTAL HEALTH SERVICESOur goal is to improve access to the mental health continuum of care in the San Fernando Valley. We will do this by improving integration of mental health in primary care settings, teaching community classes and workshops that build resilience in and reduce the stigma of mental illness, and coordinate access to community mental health resources for patients discharged from our ministries. 4) ALIGN COMMUNITY BENEFIT PROGRAMS WITH SAN FERNANDO VALLEY MEDICAL CENTERSOur goal is to improve the alignment of Community Health programs to each of the Providence Medical Centers in the San Fernando Valley. We will do this by raising the visibility of Community Health programs within each Medical Center by offering opportunities for caregivers to volunteer in local communities, communicating internally about the progress we are making in high-need communities within each Medical Center's Service Area and developing pilot programs for vulnerable patients being discharged from medical centers or pilot programs that address specific populations prioritized by the 2016 CHNA. The remaining two identified health needs: 1) low educational attainment and unemployment and 2) Crime and community safety will not be part of the CHIP due to financial barriers to entry and the lack of Providence expertise in the topic area. In balancing the existing infrastructure available to address these two identified needs and the resources available to address the five areas identified above, the consensus of the group that it was unlikely for substantial progress to be made over the next three years in addressing these two needs and that the greater good for the community was to maximize the available resources for the health needs that were prioritized. |
| Group A-Facility 1 -- Providence St. Joseph Medical Center Part V, Section B, line 16j: | Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration. |
| Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 5: | The organizations listed below represent the key informants that contributed to this CHNA. These individuals represent a variety of low-income, medically underserved, and minority populations throughout the San Fernando Valley region.Kimberly Wyard, CEO - Northeast Valley Health CorporationMarine Dzhgalyan, CEO - All-Inclusive Community Health CenterPatricia Ochoa, Executive Director - Valley Care Community ConsortiumMarianne Haver Hill, President/CEO - Meet Each Need with Dignity (MEND)Barbara Howell, CEO - Burbank Temporary Aid CenterSandra Yanez, Regional Director - Catholic Charities, San Fernando RegionRoger Williams - Family Rescue CenterArlene Brown, MD, PhD - UCLA Geffen School of MedicineMatthew Horvath, Instructional Director - LA Unified School District, NWRosemary Veniegas, Senior Program Officer - CA Community FoundationJenna Hauss, Director - ONEgenerationMarcus Hong, Chief Administrative Officer - Hope of the Valley Rescue Mission |
| Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 6a: | Providence Holy Cross, Providence St. Joseph and Providence Tarzana Medical Centers collaborated together to complete their community health needs assessments. |
| Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 11: | In developing the list of priority needs/issues, Providence looked at bringing its expertise and resources to those issues where it can make positive change. After considerable discussion, the Board Committee on Community Benefits came to a consensus that the three year Community Health Improvement Plan would address five of the top seven identified health needs: (1) Access to healthcare and resources(2) Prevention and management of chronic diseases(3) Senior care and resources(4) Mental health services (including substance abuse)(5) Poverty and food insecurity(6) Low educational attainment and unemployment(7) Crime and community safetyThe five identified health needs will be addressed within the context of four strategies that make up the 2017-19 Implementation Strategy:1) IMPROVE ACCESS TO HEALTH CARE SERVICES Our goal is to improve access to quality health care services for vulnerable populations. We will do this by collaborating with community partners to provide services that increase enrollment in and utilization of health insurance, increase the number of people with access to primary care, and increase the number of children who receive their recommended immunizations. 2) IMPLEMENT PREVENTION INTERVENTIONS TO REDUCE THE PREVALENCE OR PROGRESSION OF CHRONIC DISEASEOur goal is to reduce the prevalence of diabetes and obesity. We will do this by partnering with organizations to increase physical activity, promote healthy nutrition, and educate individuals with diabetes or at-risk of developing diabetes on how to manage the disease. 3) STRENGTHEN COMMUNITY BASED MENTAL HEALTH INFRASTRUCTURE TO BETTER ALIGN WITH HOSPITAL-BASED MENTAL HEALTH SERVICESOur goal is to improve access to the mental health continuum of care in the San Fernando Valley. We will do this by improving integration of mental health in primary care settings, teaching community classes and workshops that build resilience in and reduce the stigma of mental illness, and coordinate access to community mental health resources for patients discharged from our ministries. 4) ALIGN COMMUNITY BENEFIT PROGRAMS WITH SAN FERNANDO VALLEY MEDICAL CENTERSOur goal is to improve the alignment of Community Health programs to each of the Providence Medical Centers in the San Fernando Valley. We will do this by raising the visibility of Community Health programs within each Medical Center by offering opportunities for caregivers to volunteer in local communities, communicating internally about the progress we are making in high-need communities within each Medical Center's Service Area and developing pilot programs for vulnerable patients being discharged from medical centers or pilot programs that address specific populations prioritized by the 2016 CHNA. The remaining two identified health needs: 1) low educational attainment and unemployment and 2) Crime and community safety will not be part of the CHIP due to financial barriers to entry and the lack of Providence expertise in the topic area. In balancing the existing infrastructure available to address these two identified needs and the resources available to address the five areas identified above, the consensus of the group that it was unlikely for substantial progress to be made over the next three years in addressing these two needs and that the greater good for the community was to maximize the available resources for the health needs that were prioritized. |
| Group A-Facility 3 -- Providence Holy Cross Medical Center Part V, Section B, line 16j: | Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration. |
| Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 5: | The organizations listed below represent the key informants that contributed to this CHNA. These individuals represent a variety of low-income, medically underserved, and minority populations throughout the San Fernando Valley region.Kimberly Wyard, CEO - Northeast Valley Health CorporationMarine Dzhgalyan, CEO - All-Inclusive Community Health CenterPatricia Ochoa, Executive Director - Valley Care Community ConsortiumMarianne Haver Hill, President/CEO - Meet Each Need with Dignity (MEND)Barbara Howell, CEO - Burbank Temporary Aid CenterSandra Yanez, Regional Director - Catholic Charities, San Fernando RegionRoger Williams - Family Rescue CenterArlene Brown, MD, PhD - UCLA Geffen School of MedicineMatthew Horvath, Instructional Director - LA Unified School District, NWRosemary Veniegas, Senior Program Officer - CA Community FoundationJenna Hauss, Director - ONEgenerationMarcus Hong, Chief Administrative Officer - Hope of the Valley Rescue Mission |
| Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 6a: | Providence Holy Cross, Providence St. Joseph and Providence Tarzana Medical Centers collaborated together to complete their community health needs assessments. |
| Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 11: | In developing the list of priority needs/issues, Providence looked at bringing its expertise and resources to those issues where it can make positive change. After considerable discussion, the Board Committee on Community Benefits came to a consensus that the three year Community Health Improvement Plan would address five of the top seven identified health needs: (1) Access to healthcare and resources(2) Prevention and management of chronic diseases(3) Senior care and resources(4) Mental health services (including substance abuse)(5) Poverty and food insecurity(6) Low educational attainment and unemployment(7) Crime and community safetyThe five identified health needs will be addressed within the context of four strategies that make up the 2017-19 Implementation Strategy:1) IMPROVE ACCESS TO HEALTH CARE SERVICES Our goal is to improve access to quality health care services for vulnerable populations. We will do this by collaborating with community partners to provide services that increase enrollment in and utilization of health insurance, increase the number of people with access to primary care, and increase the number of children who receive their recommended immunizations. 2) IMPLEMENT PREVENTION INTERVENTIONS TO REDUCE THE PREVALENCE OR PROGRESSION OF CHRONIC DISEASEOur goal is to reduce the prevalence of diabetes and obesity. We will do this by partnering with organizations to increase physical activity, promote healthy nutrition, and educate individuals with diabetes or at-risk of developing diabetes on how to manage the disease. 3) STRENGTHEN COMMUNITY BASED MENTAL HEALTH INFRASTRUCTURE TO BETTER ALIGN WITH HOSPITAL-BASED MENTAL HEALTH SERVICESOur goal is to improve access to the mental health continuum of care in the San Fernando Valley. We will do this by improving integration of mental health in primary care settings, teaching community classes and workshops that build resilience in and reduce the stigma of mental illness, and coordinate access to community mental health resources for patients discharged from our ministries. 4) ALIGN COMMUNITY BENEFIT PROGRAMS WITH SAN FERNANDO VALLEY MEDICAL CENTERSOur goal is to improve the alignment of Community Health programs to each of the Providence Medical Centers in the San Fernando Valley. We will do this by raising the visibility of Community Health programs within each Medical Center by offering opportunities for caregivers to volunteer in local communities, communicating internally about the progress we are making in high-need communities within each Medical Center's Service Area and developing pilot programs for vulnerable patients being discharged from medical centers or pilot programs that address specific populations prioritized by the 2016 CHNA. The remaining two identified health needs: 1) low educational attainment and unemployment and 2) Crime and community safety will not be part of the CHIP due to financial barriers to entry and the lack of Providence expertise in the topic area. In balancing the existing infrastructure available to address these two identified needs and the resources available to address the five areas identified above, the consensus of the group that it was unlikely for substantial progress to be made over the next three years in addressing these two needs and that the greater good for the community was to maximize the available resources for the health needs that were prioritized. |
| Group A-Facility 4 -- Providence Tarzana Medical Center Part V, Section B, line 16j: | Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration. |
| Part V, Section B | Facility Reporting Group B |
| Facility Reporting Group B consists of: | - Facility 2: Providence LCM Med. Ctr. - Torrance, - Facility 5: Providence LCM Med. Ctr. - San Pedro |
| Group B-Facility 2 -- Providence LCM Med. Ctr. - Torrance Part V, Section B, line 5: | The organizations listed below represent the key informants that contributed to this CHNA. These individuals represent a variety of low-income, medically underserved, and minority populations throughout South Bay.Barbara Andrade Dubransky, Dir of Program Development - First 5 LABen Schirmer, Executive Director - Harbor Community Benefit FoundationBrian Cole, Dr.PH - UCLA Fielding School of Public HealthBrian Markarian, Assistant Superintendent - Hawthorne School DistrictJann Hamilton Lee, CEO - South Bay Family HealthCareLinda Aragon, Acting Director - Division of Maternal, Child, and Adolescent Health; LA County Dept of Public HealthMichael Ballue, Chief Strategy Officer - Behavioral Health ServicesRosemary Veniegas, Senior Program Officer - CA Community FoundationSandra Gonzalez, Ed D, Executive Director - Training and Research FoundationSilvia Prieto, MD, - Area Health Officer, SPA 7 and 8; LA County Dept of Public HealthTahia Hayslet, ED - Harbor Interfaith ServicesTamra King, ED - Harbor Community ClinicYolanda Becerra, Chair, Health Committee - St. Joseph Catholic ChurchYolanda Vera, Sr Deputy for Health and Advocacy and Chief Counsel Office of Supervisor Mark Ridley-Thomas - Board Supervisors, County of LA, Office of Supervisor Mark Ridgley |
| Group B-Facility 2 -- Providence LCM Med. Ctr. - Torrance Part V, Section B, line 6a: | Providence Little Company of Mary Medical Center San Pedro and Providence Little Company of Mary Medical Center Torrance collaborated together to complete their community health needs assessments. |
| Group B-Facility 2 -- Providence LCM Med. Ctr. - Torrance Part V, Section B, line 11: | In developing the list of priority needs/issues, Providence looked at bringing its expertise and resources to those issues where it can make positive change. After considerable discussion, the Board Committee on Community Benefits came to a consensus that the three year Community Health Improvement Plan would address five of the top seven identified health needs: 1) Access to healthcare and resources2) Prevention and management of chronic diseases3) Mental health services (ncluding substance abuse treatement)4) Violence5) Affordable housing and homelessnessThe five prioritized health needs will be addressed within four strategies, as follows: 1) IMPROVE ACCESS TO HEALTH CARE SERVICES Our goal is to improve access to quality health care services for vulnerable populations. We will do this by collaborating with community partners to provide services that increase enrollment in and utilization of health insurance, increase the number of people with access to primary care, and increase the number of children who receive their recommended immunizations.2) IMPLEMENT PREVENTION INTERVENTIONS TO REDUCE THE PREVALENCE OR PROGRESSION OF CHRONIC DISEASEOur goal is to reduce the prevalence of diabetes and obesity. We will do this by partnering with organizations to increase physical activity, promote healthy nutrition, and educate individuals with diabetes or at-risk of developing diabetes on how to manage the disease. 3) STRENGTHEN COMMUNITY BASED MENTAL HEALTH INFRASTRUCTURE TO BETTER ALIGN WITH HOSPITAL-BASED MENTAL HEALTH SERVICES Our goal is to improve access to the mental health continuum of care in the South Bay. We will do this by improving integration of mental health in primary care settings, teaching community classes and workshops that build resilience in and reduce the stigma of mental illness, and coordinate access to community mental health resources for patients discharged from our ministries. 4) DEVELOP PARTNERSHIPS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTHOur goal is to collaborate with like-minded partners to create social and physical environments that promote good health for local communities. We will particularly focus on the social determinants that were prioritized identified community needs, namely: violence, affordable housing and homelessness, and poverty and food insecurity. We will do this by sustaining and expanding services at the Providence Wellness and Activity Center in Wilmington, strengthening collaborative partnerships with community organizations that focus on the prioritized social determinants of health, and providing services that improve access to healthy food in underserved communities. The remaining two identified health needs: 1) low educational attainment and unemployment and 2) Senior care and resources will not be part of the CHIP due to financial barriers to entry and the lack of PLCM expertise in the topic area. In balancing the existing infrastructure available to address these two identified needs and the resources available to address the five areas identified above, the consensus of the group that it was unlikely for substantial progress to be made over the next three years in addressing these two needs and that the greater good for the community was to maximize the available resources for the health needs that were prioritized. |
| Group B-Facility 2 -- Providence LCM Med. Ctr. - Torrance Part V, Section B, line 16j: | Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration. |
| Group B-Facility 5 -- Providence LCM Med. Ctr. - San Pedro Part V, Section B, line 5: | The organizations listed below represent the key informants that contributed to this CHNA. These individuals represent a variety of low-income, medically underserved, and minority populations throughout South Bay.Barbara Andrade Dubransky, Dir of Program Development - First 5 LABen Schirmer, Executive Director - Harbor Community Benefit FoundationBrian Cole, Dr.PH - UCLA Fielding School of Public HealthBrian Markarian, Assistant Superintendent - Hawthorne School DistrictJann Hamilton Lee, CEO - South Bay Family HealthCareLinda Aragon, Acting Director - Division of Maternal, Child, and Adolescent Health; LA County Dept of Public HealthMichael Ballue, Chief Strategy Officer - Behavioral Health ServicesRosemary Veniegas, Senior Program Officer - CA Community FoundationSandra Gonzalez, Ed D, Executive Director - Training and Research FoundationSilvia Prieto, MD, - Area Health Officer, SPA 7 and 8; LA County Dept of Public HealthTahia Hayslet, ED - Harbor Interfaith ServicesTamra King, ED - Harbor Community ClinicYolanda Becerra, Chair, Health Committee - St. Joseph Catholic ChurchYolanda Vera, Sr Deputy for Health and Advocacy and Chief Counsel Office of Supervisor Mark Ridley-Thomas - Board Supervisors, County of LA, Office of Supervisor Mark Ridgley |
| Group B-Facility 5 -- Providence LCM Med. Ctr. - San Pedro Part V, Section B, line 6a: | Providence Little Company of Mary Medical Center San Pedro and Providence Little Company of Mary Medical Center Torrance collaborated together to complete their community health needs assessments. |
| Group B-Facility 5 -- Providence LCM Med. Ctr. - San Pedro Part V, Section B, line 11: | In developing the list of priority needs/issues, Providence looked at bringing its expertise and resources to those issues where it can make positive change. After considerable discussion, the Board Committee on Community Benefits came to a consensus that the three year Community Health Improvement Plan would address five of the top seven identified health needs: 1) Access to healthcare and resources2) Prevention and management of chronic diseases3) Mental health services (ncluding substance abuse treatement)4) Violence5) Affordable housing and homelessnessThe five prioritized health needs will be addressed within four strategies, as follows: 1) IMPROVE ACCESS TO HEALTH CARE SERVICES Our goal is to improve access to quality health care services for vulnerable populations. We will do this by collaborating with community partners to provide services that increase enrollment in and utilization of health insurance, increase the number of people with access to primary care, and increase the number of children who receive their recommended immunizations.2) IMPLEMENT PREVENTION INTERVENTIONS TO REDUCE THE PREVALENCE OR PROGRESSION OF CHRONIC DISEASEOur goal is to reduce the prevalence of diabetes and obesity. We will do this by partnering with organizations to increase physical activity, promote healthy nutrition, and educate individuals with diabetes or at-risk of developing diabetes on how to manage the disease. 3) STRENGTHEN COMMUNITY BASED MENTAL HEALTH INFRASTRUCTURE TO BETTER ALIGN WITH HOSPITAL-BASED MENTAL HEALTH SERVICES Our goal is to improve access to the mental health continuum of care in the South Bay. We will do this by improving integration of mental health in primary care settings, teaching community classes and workshops that build resilience in and reduce the stigma of mental illness, and coordinate access to community mental health resources for patients discharged from our ministries. 4) DEVELOP PARTNERSHIPS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTHOur goal is to collaborate with like-minded partners to create social and physical environments that promote good health for local communities. We will particularly focus on the social determinants that were prioritized identified community needs, namely: violence, affordable housing and homelessness, and poverty and food insecurity. We will do this by sustaining and expanding services at the Providence Wellness and Activity Center in Wilmington, strengthening collaborative partnerships with community organizations that focus on the prioritized social determinants of health, and providing services that improve access to healthy food in underserved communities. The remaining two identified health needs: 1) low educational attainment and unemployment and 2) Senior care and resources will not be part of the CHIP due to financial barriers to entry and the lack of PLCM expertise in the topic area. In balancing the existing infrastructure available to address these two identified needs and the resources available to address the five areas identified above, the consensus of the group that it was unlikely for substantial progress to be made over the next three years in addressing these two needs and that the greater good for the community was to maximize the available resources for the health needs that were prioritized. |
| Group B-Facility 5 -- Providence LCM Med. Ctr. - San Pedro Part V, Section B, line 16j: | Charity and Discount policies are posted on the Office of Statewide Health Planning and Development's website as required by California law. Notices of the availability of financial assistance are provided on the hospital's website, in admitting departments, on billing notices and given to the patient at time of admission/registration. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 43 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - Ambulatory Surgery Center | |||||
| 2020 Santa Monica Blvd Ste 140 | Santa Monica | CA | 90404 | Outpatient Services | |
| 2 - Brain Tumor Center | |||||
| 2121 Santa Monica Boulevard | Santa Monica | CA | 90404 | Outpatient Services | |
| 3 - Cardiac and Pulmonary Rehab | |||||
| 20929 Hawthorne Boulevard | Torrance | CA | 90503 | Outpatient Services | |
| 4 - Carson Primary Care North | |||||
| 20401 Avalon Boulevard Ste B | Carson | CA | 90746 | Outpatient Services | |
| 5 - Child and Family Development Center | |||||
| 1339 20th Street | Santa Monica | CA | 90404 | Outpatient Services | |
| 6 - Cleft Palate Center | |||||
| 2121 Santa Monica Boulevard | Santa Monica | CA | 90404 | Outpatient Services | |
| 7 - Community Health | |||||
| 2601 Airport Drive Ste 220 | Torrance | CA | 90505 | Outpatient Services | |
| 8 - Concussion Management | |||||
| 501 S Buena Vista Street | Burbank | CA | 91505 | Outpatient Services | |
| 9 - Dermatological Center for Skin Health | |||||
| 2121 Santa Monica Boulevard | Santa Monica | CA | 90404 | Outpatient Services | |
| 10 - Hip and Pelvis Institute | |||||
| 2001 Santa Monica Blvd Ste 760 | Santa Monica | CA | 90404 | Outpatient Services | |
| 11 - Home Health | |||||
| 2601 Airport Drive Ste 230 | Torrance | CA | 90505 | Outpatient Services | |
| 12 - Howard and Hycy Hill Neuroscience Center | |||||
| 501 S Buena Vista Street | Burbank | CA | 91505 | Outpatient Services | |
| 13 - Imaging and Breast Center | |||||
| 1360 W 6th Street Suite 100 | San Pedro | CA | 90731 | Outpatient Services | |
| 14 - Margie Peterson Breast Center | |||||
| 2121 Santa Monica Boulevard Garden | Santa Monica | CA | 90404 | Outpatient Services | Leve |
| 15 - Nutrition and Diabetes Education Departm | |||||
| 2121 Santa Monica Boulevard | Santa Monica | CA | 90404 | Outpatient Services | |
| 16 - Outpatient Diagnostic Center | |||||
| 11570 Indian Hills Road | Mission Hills | CA | 91345 | Outpatient Services | |
| 17 - Outpatient Rehab Center | |||||
| 21135 Hawthorne Boulevard | Torrance | CA | 90503 | Outpatient Services | |
| 18 - Performance Therapy | |||||
| 2020 Santa Monica Blvd Ste 401 | Santa Monica | CA | 90404 | Outpatient Services | |
| 19 - Providence Center for Community Improvem | |||||
| 6801 Coldwater Canyon Ave | North Hollywood | CA | 91605 | Outpatient Services | |
| 20 - Providence Family Medical Center | |||||
| 520 N Prospect Ave Ste 103 | Redondo Beach | CA | 90277 | Outpatient Services | |
| 21 - Providence Holy Cross Cancer Center | |||||
| 15031 Rinaldi Street | Mission Hills | CA | 91345 | Outpatient Services | |
| 22 - Providence Holy Cross Health Center at P | |||||
| 19950 Rinaldi Street | Porter Ranch | CA | 91326 | Outpatient Services | |
| 23 - Providence Holy Cross Health Center at S | |||||
| 26357 McBean Parkway | Santa Clarita | CA | 91355 | Outpatient Services | |
| 24 - Providence Holy Cross Surgery Center | |||||
| 11550 Indian Hills Road | Mission Hills | CA | 91345 | Outpatient Services | |
| 25 - Providence Playa Vista Medical Center | |||||
| 6020 Sea Bluff Drive Ste 1 | Playa Vista | CA | 90094 | Outpatient Services | |
| 26 - Providence Saint Joseph Breast Health Ce | |||||
| 181 S Buena Vista Street Ste 300 | Burbank | CA | 91505 | Outpatient Services | |
| 27 - Providence Saint Joseph Diagnostic Cente | |||||
| 201 S Buena Vista Street Ste 125 | Burbank | CA | 91505 | Outpatient Services | |
| 28 - Providence Saint Joseph Health Center | |||||
| 3413 W Pacific Avenue | Burbank | CA | 91505 | Outpatient Services | |
| 29 - Providence St Elizabeth Care Center | |||||
| 10425 Magnolia Blvd | North Hollywood | CA | 91601 | Outpatient Services | |
| 30 - Providence Tarzana MRI Center | |||||
| 18321 Clark Street | Tarzana | CA | 91356 | Outpatient Services | |
| 31 - Providence Tarzana Outpatient Imaging Ce | |||||
| 18344 Clark Street Ste 101 | Tarzana | CA | 91356 | Outpatient Services | |
| 32 - Providence Tarzana Outpatient Therapy Ce | |||||
| 5359 Balboa Blvd | Encino | CA | 91316 | Outpatient Services | |
| 33 - Providence Tarzana Womens Center | |||||
| 18344 Clark Street Ste 110 | Tarzana | CA | 91356 | Outpatient Services | |
| 34 - Providence Tarzana Wound Care Center | |||||
| 18411 Clark Street Ste 301 | Tarzana | CA | 91356 | Outpatient Services | |
| 35 - Radiation Oncology | |||||
| 3531 Fashion Way | Torrance | CA | 90503 | Outpatient Services | |
| 36 - Recovery Center | |||||
| 1386 W 7th Street | San Pedro | CA | 90732 | Outpatient Services | |
| 37 - Roy and Patricia Disney Family Cancer Ce | |||||
| 181 S Buena Vista Street | Burbank | CA | 91505 | Outpatient Services | |
| 38 - San Fernando Valley Heart Institute | |||||
| 18321 Clark Street | Tarzana | CA | 91356 | Outpatient Services | |
| 39 - South Bay Ophthalmology Center | |||||
| 4825 Torrance Boulevard Ste 100 | Torrance | CA | 90503 | Outpatient Services | |
| 40 - Sub Acute Care Center | |||||
| 1322 W 6th Street | San Pedro | CA | 90732 | Outpatient Services | |
| 41 - Transitional Care Center | |||||
| 4320 Maricopa Street | Torrance | CA | 90505 | Outpatient Services | |
| 42 - Vasek Polak Health Clinic | |||||
| 13355 Hawthorne Blvd | Hawthorne | CA | 90250 | Outpatient Services | |
| 43 - Women's Imaging Center | |||||
| 20929 Hawthorne Boulevard | Torrance | CA | 90503 | Outpatient Services | |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | 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 6a: | In addition to having Community Benefit information included in the consolidated Providence Health & Services Community Benefit Report, this information is also included in the Providence Health System - Southern California Regional Community Benefit Report. |
| 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 $ 52,031. |
| Part II, Community Building Activities: | COMMUNITY BUILDING ACTIVITIES:Building Stronger Families program - aims to build the capacity of residents and organizations to strengthen families and the community. Building Stronger Families consists of a leadership training program for residents in the community, the development of a reducing social isolation task force, capacity building for local community organizations, and community events planned and organized by residents to improve social connections. Upon completing the leadership training program, community leaders throughout Wilmington will be able to help identify and recruit others in their community who are socially isolated, share information, resources, and tools that they have received with other community members, and ultimately have a more active approach in improving their community by volunteering and being engaged. |
| Part III, Line 2: | Bad debt expense represents the amount of gross charges for patients who do not have insurance and which PH&S-So. CA 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 Providence'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:Every three years, Providence Little Company of Mary Medical Centers, San Pedro and Torrance conduct a community health needs assessment (CHNA) for the communities in South Bay. Little Company of Mary Medical Centers, San Pedro and Torrance contracted HC2 Strategies, Inc. to conduct and document this community health needs assessment. HC2 Strategies, Inc. is a healthcare consulting firm with expertise in health care systems, strategy and innovation, community health needs assessments, and program evaluation. Every three years, Providence San Fernando Valley Region conducts a community health needs assessment (CHNA) for the communities served by Providence Holy Cross, St. Joseph, and Tarzana Medical Centers. 2016 is the first year that the three hospitals have engaged in a joint community health needs assessment and represents a commitment to developing regional strategies, increased collaboration, and recognition of shared challenges and solutions among those we serve and partner with.Developing metrics for population health interventions are imperative for continued success in elevating the health status of our community. The CHNA ensures that we can target our community investments into interventions that best address community needs. Our hospital is transitioning from process evaluation based system to a more inclusive and regional focus of metrics. This requires being in alignment with statewide and national indicators, such as Healthy People 2020 and The County Health Rankings & Roadmaps. The domains used in this assessment encompass the same type of national and state community health indicators. We recognize that health status is a product of multiple factors. Each domain influences the next, and through systematic and collective action, improved health can be achieved.The hospitals conducted key informant interviews, focus groups, and an online survey with community based organizations to gather more insightful data and aid in describing the community. Key informants were selected based on their expertise in working with low-income, medically underserved, minority, or otherwise vulnerable populations related to mental health, access to wellness related services and health insurance application assistance. Focus groups focused on end-user experiences and needs related to mental health and access to wellness related services, including health insurance and application assistance. The online survey was targeted to community based safety net organizations and focused on service needs among clients.After all the primary and secondary data was collected and summarized, a group of 14 community stakeholders, including seven affiliated with Providence and seven from different community sectors (public schools, Public Health, FQHC's, community based organizations and faith organizations) met on two separate occasions to review the findings. In 2016, Providence Health and Services Community Benefit staff provided leadership that resulted in the formation of a regional coalition of hospitals working to devise standard core indicators for community health to be used in community health needs assessments, implementation plans, and program planning. The efforts of the coalition resulted in an enhanced custom report furnished by the Epidemiology Unit at the Los Angeles Public Health Department. Based on the results of the 2015 LA County Health Survey, the report covers 65 indicators related to community health status, the majority of which are reported in 2016 CHNA.The custom report presented data for each hospital, grouped by zip code to further breakout and define areas of greater and lower need in the total service area and better identify existing health disparities. For each of the 65 core indicators, an estimate was obtained for the community benefit service area (areas of greater need), the Broader service area (remaining zip codes after application of the Community Need Index), and Los Angeles County. Other secondary data sources included publicly available state and nationally recognized data sources such as the US Census Bureau, Centers for Disease Control and Prevention, Community Commons, Nielsen, and various other state and federal databases. When feasible, health metrics have been further compared to national benchmarks, such as Healthy People 2020 objectives to better gauge health in our community.It should be noted that the community based organization survey results are not based on a stratified random sample of community based safety net organizations throughout Los Angeles County. The perspectives captured in this data simply represent the partners who agreed to participate. In addition, this assessment relies on several local, national, and state entities with publicly available data. All limitations inherent in these sources remain present for this assessment. |
| 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: | COMMUNITY INFORMATION:The total service area of the two Providence Little Company of Mary Medical Centers encompasses the South Bay region of Los Angeles County. The South Bay is a demographically and geographically diverse area stretching from El Segundo and Inglewood in the north, Carson to the East, the Los Angeles port to the South, and the Pacific Ocean in the west.Total population is 1,028,238, with an annual growth rate of about 0.46 percent. Age demographics reveal that 77 percent of the population is aged 18 years or older. The median age in this area is 37.8, compared to U.S. median age of 38.0. In 2016, the population comprised:" 19 percent youth (0-14 years)" 13.6 percent adolescent and young adults (15-24)" 27.1 percent adults (25-44 years)" 26.4 percent older adults (45-64 years)" 14 percent seniors (65 years and older)Among residents in the Total Service Area in 2016, 45.1 percent were White, 16.8 percent Asian, 39.5 percent were Hispanic or Latino, 0.6 percent were Alaska Native or American Indian, 13.2 percent were African American or Black, 0.7 percent were Native Hawaiian or other Pacific Islander, and 5.4 percent were of two or more races.In 2016, the median household income in the Total Service Area was $65,240, compared to $54,149 for all U.S. households. Median household income is projected to be $75,368 in five years, compared to $59,476 for all U.S. households. 47 percent of the 375,048 housing units in the area are owner occupied; 47.9 percent, renter occupied; and 5.1 percent are vacant. Comparatively, in the U.S., 55.4 percent of the housing units in the area are owner occupied; 32.9 percent are renter occupied; and 11.7 percent are vacant. Half of the households in the Community Benefit Service Area could be considered low-income, earning $50,000 or less per year (50 percent). Comparatively, 27 percent of households in the Broader South Bay Service Area have a household income of $50,000 or less and 47 percent earn $100,000 or more per year.In 2016, the percent of individuals who were uninsured was 5.2 percent. In 2015, 43 percent of adults in the Community Benefit Service Area had not seen a dentist or gone to a dental clinic in the past year. Comparatively, 30 percent of adults throughout the Broader South Bay Service Area and 41 percent of adults throughout Los Angeles County did not receive dental care in the past year.In 2015, 20 percent of adults in the Community Benefit Service Area reported their health to be fair or poor. Comparatively, 19 percent of adults in the Broader South Bay Service Area and 22 percent of adults in LA County reported fair or poor health. The percentages of children living with special needs are 17 percent in the Community Benefit Service Area, 16 percent in the Broader South Bay Service Area and 15 percent throughout LA County.The service area of Providence Holy Cross, Saint Joseph and Tarzana Medical Centers encompasses the San Fernando/Santa Clarita Valley Region of Southern California. The San Fernando Valley is a dynamic and diverse area with a population that spans the socioeconomic spectrum. Neighborhoods include the more resource rich and affluent areas such as Porter Ranch, Calabasas, and Studio City and other areas experiencing various barriers, including but not limited to, the neighborhoods and surrounding areas of San Fernando, Pacoima, North Hills, Canoga Park, Reseda, North Hills, North Hollywood and Sun Valley. According to the latest US Census Bureau estimates, the total population for the Total Service Area is 2,220,756, with an average annual growth rate of about 0.7% percent in 2016. Age demographics are 78 percent of the population are age 18 or older, and the median age is 37.2, compared to a U.S. median age of 38. In 2016 the population comprised:o 18.3 percent youth (0-14 years)o 13.6 percent adolescent and young adults (15-24)o 28.9 percent adults (25-44 years)o 26.1 percent older adults (45-64 years)o 13 percent seniors (65 years and older)Among Total Service Area residents in 2016, 60.4 percent were White, 12.1 percent Asian, 41 percent were Hispanic or Latino, 0.6 percent were Alaska Native or American Indian, 3.6 percent were African American or Black, 0.1 percent were Native Hawaiian or other Pacific Islander, and 5 percent were of two or more races.In 2016, the median household income for the Total Service Area was $65,976. Comparatively, the median household income across the three Community Benefit Service Areas was $50,710 and $85,121 for the Broader Service Areas.In 2016, the percent of individuals who were uninsured was 5.75 percent. Lack of access to dental care in the Community Benefit Service Areas surpassed LA County estimates for both adults and children, except among adults living in St. Joseph's Community Benefit Service Area and children living in Holy Cross' Community Benefit Service Area. Among adults living in St. Joseph's Community Benefit Service Area, 39 percent of adults did not see a dentist in the past year. Comparatively 41 percent of adults throughout LA County did not receive dental care in the past year.In 2015, adults living in the Holy Cross Community Benefit Service Area reported the highest percentage of fair or poor health status, in comparison to the other two community benefit areas. In contrast, 13 percent of adults living in the Broader Holy Cross Service Area reported fair or poor health status. |
| Part VI, Line 5: | PROMOTION OF COMMUNITY HEALTH:As a not-for-profit Catholic health care ministry, Providence Health & Services embraces its responsibility to provide for the needs of the communities it serves - especially the poor and vulnerable. Providence's not-for-profit, tax-exempt status enables Providence to serve its communities, to solicit donations through its foundations and to access capital to respond to community needs that otherwise would go unmet.The charitable purpose of Providence Health & Services and each of its ministries is guided by one Mission and set of core values based on Catholic health care and guided by the legacy of the Sisters of Providence. As one system committed to caring for those who are poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Locally, Providence ministries are empowered to apply these policies to meet the needs of their community. Additionally, Providence ministries conduct local assessments to make sure the needs of the community are met.Opened in 2015 in partnership with Mercy Housing and Abode Communities, the Providence Wellness and Activity Center reflects a new endeavor to improved access to wellness services to Wilmington residents. Of the 14 communities that make up the South Bay, Wilmington is the community with the greatest, heath, social and economic disparities, compared to the more advantaged areas of the South Bay. The Center provides a place where residents can learn and grow and succeed in life by attending classes and support groups and access services that link them to community resources. Many of those who come to the facility are attending ongoing fitness, yoga, and Zumba classes, as well as dropping their children off at after-school and summer recreation programs.The Greater Los Angeles Area has a growing population of poor, uninsured and under-insured in need of basic health care, and the safety net has been further stretched by the current economic slowdown. In each service area, access to low cost or free primary care is the top health care need identified by the separate needs assessments conducted in the San Fernando Valley and South Bay regions. As the home to a large number of immigrants, all of whom have immediate health care and health education needs, finding a medical home and connecting children and adults to health care remains our greatest challenge. Untreated diabetes is epidemic, and among the growing Latino population the ability to provide services in Spanish is critical to successful clinical outcomes. Providence plays a leadership role in providing program infrastructure to the most economically disadvantaged communities in the service area and seeks to improve management of these chronic conditions. Each hospital's emergency department is open 24 hours and no patient is ever denied emergency care regardless of ability to pay. Because more and more patients utilize emergency rooms as primary care, Providence medical centers provide fast-track service for routine health issues and bilingual lay people to guide and direct children and adults to appropriate community based follow up services.Providence Saint Joseph Medical Center has a Paramedic Base Station where we relay instructions from our medical team so that paramedics can begin critical treatment protocols even before our patients arrive at the hospital. Furthermore, the Medical Center partners with Leeza's Care Connection, a safe home-like living room setting where family caregivers connect with each other and with vital resources. Located within Providence Saint Joseph's Hospital and Howard Hill Neuroscience Institute, all Leeza's Care Connection programs and services are free. They include scrapbooking to help caregivers and their loved ones honor memories, exercise and wellness programs for strengthening the body and the mind, and support groups so that caregivers can safely express, share, and connect during this challenging time. In addition, safety net organizations can apply for community grants from the Medical Center.Providence Holy Cross has one of the few Level II Trauma Centers serving both the San Fernando and Santa Clarita Valleys. As an open catchment trauma center, Providence Holy Cross Medical Center meticulously coordinates patient transportation within the LA system, ensuring that patients who have sustained traumatic injuries within our geographical area can get to the trauma center for treatment within the crucial 30-minute time period. As a Level II trauma center, our Center provides surgeons, surgical specialists, emergency physicians, nurses, and other healthcare professionals trained to give immediate care to the trauma patient. In addition, safety net organizations can apply for community grants from the Medical Center. |
| 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 | CA,WA,OR,MT,AK |
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 |
|---|---|---|---|---|---|---|---|
| Providence Medical Institute | |||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330283773 | 501 (c ) (3) | $27,161,421 | Support Operations |
| Providence Saint John's Health Center | |||||||
| 1801 Lind Ave SW | Renton | WA | 98057 | 951684082 | 501 (c ) (3) | $7,360,226 | Support Operations |
| Providence Health and Services Foundation | |||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 953544877 | 501 (c )(3) | $6,872,339 | Operational Support/Sponsor-Gala |
| Providence Little Company of Mary Foundation | |||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 510224944 | 501 (c )(3) | $3,900,455 | Support operations |
| Providence TrinityCare Hospice Foundation | |||||||
| 5315 Torrance Blvd | Torrance | CA | 90503 | 330261016 | 501 (c ) (3) | $296,596 | Support Operations |
| American Heart Association | |||||||
| 816 S Figueroa St | Los Angeles | CA | 90017 | 135613797 | 501 (c )(3) | $26,000 | Annual sponsorship |
| Valley Economic Alliance | |||||||
| 5121 Van Nuys Blvd Suite 200 | Sherman Oaks | CA | 91403 | 954524503 | 501 (c )(3) | $22,050 | Annual sponsorship |
| Meet Each Need with Dignity | |||||||
| 10641 N San Fernando Rd | Pacoima | CA | 91331 | 237306337 | 501 (c )(3) | $15,000 | Sponsor-Gala |
| United Chamber of Commerce of the San Fernando Valley | |||||||
| 5121 Van Nuys Blvd Suite 200 | Sherman Oaks | CA | 91403 | 953217120 | 501 (c )(6) | $9,000 | Sponsor-Luncheon |
| Burbank Temporary Aid Center Inc | |||||||
| 1304 W Burbank Blvd | Burbank | CA | 91506 | 953309130 | 501 ( c) (3) | $7,500 | Gold Sponsor |
| National Health Foundation | |||||||
| 515 S Figueroa St Suite 1300 | Los Angeles | CA | 90071 | 237314808 | 501 (c )(3) | $7,500 | Sponsor-Tribute |
| Association of California Nurse Leaders | |||||||
| 2520 Venture Oaks Way Suite 210 | Sacramento | CA | 95833 | 942910850 | 501 (c )(3) | $5,000 | Sponsor-Conference |
| New Horizons - Serving Individuals with Special Needs | |||||||
| 15725 Parthenia St | North Hills | CA | 91343 | 951862084 | 501 (c )(3) | $5,000 | Sponsor-Gala |
| Partners in Care Foundation | |||||||
| 732 Mott St Suite 150 | San Fernando | CA | 91340 | 953954057 | 501 (c )(3) | $5,000 | Sponsor-Tribute |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 13 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| Educational Assistance | 297 | $0 | $1,156,114 | FMV | Tuition Reduction |
| Scholarships | 2 | $1,000 | $0 | FMV | School Scholarships |
| Tuition for Nursing Programs | 70 | $0 | $405,019 | FMV | Tuition to University for nursing training |
| Patient/Family Assistance | 120 | $0 | $3,000 | FMV | Grocery store gift cards for needy families served by the medical centers |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | In the application for support/financial aid, we request a detailed explanation of the kind of services provided to the community along with specific financial data. If the application for support is approved, we send a letter indicating the amount of the support along with a request for documentation of how the funds were used, along with a report of the number of children/families served over the year. Grants made to affiliated foundations are monitored on a monthly basis since the financial statements of these organizations are readily available. Other grants are made that comply with the mission and further the tax exempt purpose of the organization. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (39 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/Treas. | $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 |
| 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-Thru 4/16 | $0 | $666,411 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $666,411 | $0 | $0 |
| Steven Mohr | ||||||||||||||
| CFO/CA. Region | $0 | $450,254 | $0 | $391,037 | $0 | $0 | $0 | $109,934 | $0 | $23,388 | $0 | $974,613 | $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 |
| Dale Surowitz | ||||||||||||||
| CE / Tarzana | $0 | $555,040 | $0 | $238,015 | $0 | $49,901 | $0 | $212,490 | $0 | $22,013 | $0 | $1,077,459 | $0 | $0 |
| Bernie Klein MD | ||||||||||||||
| CE / HCMC | $0 | $597,204 | $0 | $263,901 | $0 | $0 | $0 | $216,078 | $0 | $23,744 | $0 | $1,100,927 | $0 | $0 |
| Julie Sprengel - Thru 916 | ||||||||||||||
| CE / PSJMC | $0 | $429,015 | $0 | $208,011 | $0 | $41,783 | $0 | $6,699 | $0 | $6,857 | $0 | $692,365 | $0 | $0 |
| Mary Kingston | ||||||||||||||
| CE / LCM | $0 | $495,121 | $0 | $86,971 | $0 | $90,676 | $0 | $182,252 | $0 | $29,025 | $0 | $884,045 | $0 | $0 |
| Michael Bernstein | ||||||||||||||
| CMO | $457,849 | $0 | $146,944 | $0 | $0 | $0 | $32,860 | $0 | $15,951 | $0 | $653,604 | $0 | $0 | $0 |
| Teresa David | ||||||||||||||
| COO/Facey Med. Foundation | $321,921 | $0 | $229,128 | $0 | $18,000 | $0 | $18,285 | $0 | $8,446 | $0 | $595,780 | $0 | $0 | $0 |
| Jim Corwin | ||||||||||||||
| CFO/CA.Medical Foundations | $309,044 | $0 | $229,237 | $0 | $18,000 | $0 | $19,963 | $0 | $19,848 | $0 | $596,092 | $0 | $0 | $0 |
| Richard Glimp | ||||||||||||||
| CMO | $420,695 | $0 | $80,266 | $0 | $0 | $0 | $13,913 | $0 | $14,699 | $0 | $529,573 | $0 | $0 | $0 |
| Gary Olney | ||||||||||||||
| COO South Bay | $384,726 | $0 | $70,860 | $0 | $18,000 | $0 | $11,925 | $0 | $22,235 | $0 | $507,746 | $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 |
| Michael Rembis | ||||||||||||||
| Former CEO - PSJMC | $0 | $0 | $0 | $0 | $0 | $221,288 | $0 | $0 | $0 | $0 | $0 | $221,288 | $0 | $0 |
| Phil Jackson | ||||||||||||||
| Former Chief Integration Officer | $0 | $0 | $0 | $0 | $0 | $114,365 | $0 | $4,117 | $0 | $0 | $0 | $118,482 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | 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 19 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) Debra Canales a) SERP Earned but not Vested - $578,244 6) Rhonda Medows, MD a) SERP Earned but not Vested - $267,369 b) SERP Interest Credit - $11,866 7) Erik Wexler a) SERP Earned but not Vested - $339,335 8) Lisa Vance a) SERP Interest Credit - $79,015 9) Janice Newell a) SERP Earned but not Paid - $23,422 10) Amy Compton-Phillips a) SERP Earned but not Vested - $223,438 b) SERP Interest Credit - $8,418 11) Aaron Martin a) SERP Earned but not Vested - $188,376 12) Joel Gilbertson a) SERP Earned but not Vested - $160,455 b) SERP Interest Credit - $39,169 13) Orest Holubec a) SERP Earned but not Vested - $144,707 b) SERP Interest Credit - $19,483 14) Greg Till a) SERP Earned but not Vested - $78,010 b) SERP Interest Credit - $10,002 15) Sharon Toncray a) SERP Earned but not Vested- $172,369 b) SERP Interest Credit - $22,823 16) Jack Mudd a) SERP Earned but not Paid - $5,896 b) SERP Interest Credit - $115,845 17) Debbie Burton a) SERP Earned but not Paid - $16,879 b) SERP Interest Credit - $37,391 18) Mike Waters a) SERP Earned but not Vested - $143,129 b) SERP Interest Credit - $10,334 19) David Brown a) SERP Earned but not Vested - $134,921 b) SERP Interest Credit - $42,528 20) Mary Kingston a) SERP Earned but not Vested - $168,011 b) SERP Interest Credit - $1,203 c) Taxable DCRP Earned - $4,903 21) Bernie Klein a) SERP Earned but not Vested - $188,733 22) Steven Mohr a) SERP Earned but not Vested - $90,686 b) SERP Interest Credit - $7,323 23) Dale Surowitz a) SERP Earned but not Vested - $188,373 24) Randy Axelrod, MD a) SERP Paid - $564,384 25) Craig Wright, MD a) SERP Earned but not Paid - $233,982 26) Michael Bernstein a) Taxable DCRP Earned - $18,682 27) Jim Corwin a) Taxable DCRP Earned - $42,791 28) Teresa David a) Taxable DCRP Earned - $42,362 29) Richard Glimp a) Taxable DCRP Earned - $12,889 30) Phil Jackson a) SERP Interest Credit - $4,117 |
| Part I, Lines 4a-b | SEVERANCE 1) Randy Axelrod - $850,776 2) Craig Wright, MD - $525,300 3) Michael Hunn - $374,738 4) Michael Rembis - $221,288 5) Phil Jackson - $114,365 |
| 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 (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CA Health Facilities Financing Authority | ||||||||
| A | 521643828 | 13033F7L8 | 2008-11-06 | $284,698,621 | See PART VI | Yes (1) | 0 | 0 |
| CA Health Facilities Financing Authority | ||||||||
| B | 521643828 | 13033LBZ9 | 2009-07-29 | $145,060,500 | Construct Patient Tower - Holy Cross Med. Ctr. | 0 | 0 | 0 |
| CA Health Facilities Financing Authority | ||||||||
| C | 521643828 | 13033L4G9 | 2014-06-26 | $305,080,327 | Advance Refund a Portion of CHFFA Series 2008C Bonds | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $277,410,000 | $251,010,000 | $284,698,623 | $4,582,212 | $280,116,410 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $145,228,932 | $2,072,500 | $84,216 | 2011 | 0 | 0 | Yes (1) | Yes (1) | $13,434,940 | $129,637,276 | ||
| C | $2,800,000 | $315,151,458 | $2,808,157 | $312,343,301 | 2008 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | Yes (1) | 0.00700 | Yes (1) | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | ||
| C | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, ISSUE A PART I, QUESTION (F) | Refinance bank loan used for acquisition of Providence Tarzana Medical Center, currently call the CHFFA Series 2001 A, B & C (Providence Health System) and CHFFA Series 1998 (Little Company of Mary). |
| SCHEDULE K, ISSUE A PART IV, QUESTION 2C | The most recent rebate computation for the bonds was completed through 12/11/2013. |
| SCHEDULE K, ISSUE C PART IV, QUESTION 2C | The most recent rebate computation for the bonds was completed through 08/01/2014. |
| SCHEDULE K, ISSUE B PART II - PROCEEDS | The amount of the Total Proceeds of Issue are greater than the Issue Price due to Investment Earnings on the proceeds. |
| SCHEDULE K, ISSUE A, PART III | As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, Line 6. The Organization has not undertaken an analysis of the private security test with respect to the bonds, as the level of private business use and/or unrelated trade or business use reported in Part III, Line 6 is not in excess of amounts permitted under Section 145 of the Code. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole Member of the Corporation is Providence Health & Services. |
| Form 990, Part VI, Section A, line 7a | The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause. |
| Form 990, Part VI, Section A, line 7b | The following powers are reserved exclusively to the Corporate Member: A) To adopt and amend the Articles of Incorporation and the Bylaws of the Foundation after consultation with the Foundation's Board of Directors. B) To approve the merger, consolidation, or affiliation of the Foundation with another corporation, organization or program, or the dissolution of the Foundation. C) To approve any strategic plan of the Foundation. D) To approve the annual fundraising plan including special events, annual, capital and planned giving activities. E) To approve the acceptance of any gift that carries conditions or limitations or any gift restricted to services, programs or facilities not currently offered or approved to be offered by the Corporate Member's Board of Directors. |
| 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 employees, including our senior executives. Salaries for senior executives are reviewed by the Providence Board's Human Resources 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. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources 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 Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources 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 Human Resources 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 - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated patient satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. |
| 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 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 | Erik Wexler - 20555 Earl Street, Torrance, CA 90503. Karl Carrier - 20555 Earl Street, Torrance, CA 90503. Steven Mohr - 501 S. Buena Vista Street, Burbank, CA 91505. Dale Surowitz - 18321 Clark Street, Tarzana, CA 91353. Bernie Klein, MD - 15031 Rinaldi Street, Mission Hills, CA 91345. Julie Sprengel - Thru 9/16 - 501 S. Buena Vista Street, Burbank, CA 91505. Mary Kingston - 4101 Torrance Boulevard, Torrance, CA 90503. Michael Bernstein - 501 S. Buena Vista Street, Burbank, CA 91505. Teresa David - 15451 San Fernando Mission Blvd., Mission Hills, CA 91345. Jim Corwin - 15451 San Fernando Mission Blvd., Mission Hills, CA 91345. Richard Glimp - 4101 Torrance Boulevard, Torrance, CA 90503. Gary Olney - 4101 Torrance Boulevard, Torrance, CA 90503. Michael Hunn - 501 S. Buena Vista Street, Burbank, CA 91505. Michael Rembis - 501 S. Buena Vista Street, Burbank, CA 91505. |
| Form 990, Part XI, line 9: | Recipient Organization Adjustment 10,169,142. IAF Consolidated Equity Transfers -62,227,171. Rounding 5. |
| FROM 990, PART XII, LINE 2C - AUDIT & COMPLIANCE | The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the System's financial statements and reporting, the audit process and the System's internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the System's internal and external auditors; the System's investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. |
| FORM 990, PART I, LINE 6 - VOLUNTEERS | Our volunteers provide valuable assistance to all of our ministries through a variety of services. Some specific examples include the following: BEYOND FIFTY VOLUNTEER In conjunction with the Beyond Fifty Program, volunteers may sign up to work on Beyond Fifty projects with the Beyond Fifty Program manager. These projects usually involve mailings and/or filing. CLERICAL VOLUNTEERS Clerical volunteers perform general office work such as filing, mailing, data entry, word processing, answering phones, making charts and copying forms. They work in most of the business and clinical offices throughout the hospital. CLINICAL VOLUNTEERS Clinical volunteers work on the nursing floors in 4 hour shifts. They help with trays and feeding and check on patients to be sure they are comfortable. They also put away clean linens, make beds, run errands for the nurses, keep the nurses' kitchen in order, take patients for wheelchair walks and discharge patients. EMERGENCY ROOM VOLUNTEERS These volunteers work a four hour shift once a week. Duties include making phone calls to recently discharged patients, checking on their condition and asking a few brief questions regarding the care they received while a patient, helping at the registration desk, checking on each patient to see if they need anything, running errands for the staff, answering phones, discharging patients by wheel chair, making beds, etc. INFORMATION DESK They must be able to multi-task: answer phones, direct patients and be willing to walk patients to their destinations. They must have excellent customer relation skills. MESSENGER CENTER Volunteers work a four hour shift answering the messenger phone, carrying lab samples, charts, x-rays, etc. and transporting ambulatory patients by wheel chair within the hospital. The messengers also work on mailing projects for various departments. This is an opportunity for those who like to walk and enjoy a variety of experiences as well as enjoying the constant contact with others. MUSIC PROGRAM Volunteers who sing or play a musical instrument schedule four hours per week to visit patients and sing or play for them. Harpists and guitar players are needed as well as other movable instruments which can be played individually. PATIENT VISITOR These volunteers visit the newly admitted patients to welcome them and provide a friendly ear for requests, complaints or just a brief visit. The volunteer must be outgoing and friendly, able to make easy conversation. PETS WITH A PURPOSE This program is in conjunction with Recreation Therapy. Pet volunteers visit patients with their dogs. The dogs are chosen for their friendly personalities and must pass behavioral tests and training to qualify. Visiting is done on a rotating schedule. All applications must be approved by Recreation Therapy Manager. SPIRITUAL CARE VOLUNTEERS Eucharistic Ministers visit the sick and bring Holy Communion to patients requesting the service. This is done on a rotating basis as the volunteer is available. Other volunteers work on projects such as little gifts and handouts for patients. SURGERY WAITING ROOM DESK Another customer service job places the volunteer in the Surgery Waiting room. He/she must keep track of all patients' family members and other visitors and dispense information regarding the patient in surgery. Duties include keeping the room neat, monitoring the television, making and serving coffee and tea and cleaning up at the end of the shift. The volunteer must also maintain a pleasant, helpful attitude at all times. Volunteers with Providence High School assist in the following capacities: * Mentoring for senior projects and other assignments * Class presentations * Meeting Attendance * Preparing special mailings * Laundry * Building Props and making costumes * Supervision of special events * Setting up for special events * Cleaning up after events * Hospitality for events * Video special events * Chaperoning field trips and dances * Courier Service * Traffic Control |
| FORM 990, PART VII - RELIGIOUS COMMUNITY MEMBERS | As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community. |
| FORM 990, 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 Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bell River LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20555 Earl St | AddressLine1Txt |
| City | Torrance | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510216589 | EIN |
| Primary Activities | Rental | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $69,441 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHS - So California | BusinessNameLine1Txt |
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 | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| Providence TrinityCare Hospice | |||||||||||
| 5315 Torrance Blvd Suite B1 | Torrance | CA | 90503 | 953264139 | Hospice | CA | 501( c)(3) | Line 10 | PHS - So California | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Yes (1) | |
| 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 - Washington | 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 | Yes (1) | |
| 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 | |
| Providence Saint John's Health Center | |||||||||||
| 2121 Santa Monica Blvd | Santa Monica | CA | 90404 | 951684082 | Healthcare | CA | 501(c )(3) | Line 3 | PHS - So California | Yes (1) | |
| 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 | Yes (1) | |
| 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alpha Medical Laboratory LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 912017347 | Outpatient Lab | ID | PAML LLC | Related | 0 | 0 | |||
| Broadway Imaging LLC | |||||||||||||
| 500 W Broadway | Missoula | MT | 59802 | 522405971 | Medical Imaging | MT | PH&S - MT | Related | 0 | 0 | |||
| California Laboratory Associates LLC | |||||||||||||
| 501 Buena Vista | Burbank | CA | 91505 | 273888692 | Outpatient Lab | CA | PHS - So California | Related | 0 | 0 | -$2,071,643 | -$4,127,747 | 0.85900 |
| Center for Specialty Surgery LLC | |||||||||||||
| 11782 SW Barnes Rd | Portland | OR | 97225 | 263638838 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 0 | |||
| Clackamas Radiation Oncology Center LLC | |||||||||||||
| 4400 NE Halsey St Bldg II 495 | Portland | OR | 97213 | 260381897 | Radiation Oncology | OR | PH&S - OR | Related | 0 | 0 | |||
| Ctr for Med Imaging-Bridgeport LLC | |||||||||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 260796953 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 | |||
| Ctr for Med Imaging-Tanasbourne LLC | |||||||||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 200477972 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 | |||
| Greater Valley Medical Building LP | |||||||||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 954570858 | Real Estate - MOB | CA | PHS - So California | Investment | 0 | 0 | |||
| Minor & James Medical PLLC | |||||||||||||
| 515 Minor Avenue 200 | Seattle | WA | 98104 | 911340223 | Physician Clinic | WA | Swedish MJM Holdings Inc | N/A | 0 | 0 | |||
| Mountainstar Clinical Laboratories LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 261345983 | Outpatient Lab | MT | PAML LLC | Related | 0 | 0 | |||
| Oregon Advanced Imaging LLC | |||||||||||||
| 881 OHare Parkway | Medford | OR | 97504 | 450471748 | Medical Imaging | OR | PH&S - OR | Related | 0 | 0 | |||
| Oregon Outpatient Surgery Center | |||||||||||||
| 7300 SW Childs Rd | Tigard | OR | 97224 | 223883387 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 0 | |||
| PacLab LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911743952 | Outpatient Lab | WA | PH&S - WA | Related | 0 | 0 | |||
| Pathology Associates Medical Laboratories LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 270943279 | Outpatient Lab | WA | Bourget Health Services Inc | Related | 0 | 0 | |||
| PETCT Imaging at Swedish Cancer Institute LLC | |||||||||||||
| 1221 Madison Street | Seattle | WA | 98104 | 203132044 | Medical Imaging | WA | Swedish Health Services | Related | 0 | 0 | |||
| Portland Medical Imaging LLC | |||||||||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 201054971 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 | |||
| Prov Radiation Oncology Develop Assn LLC | |||||||||||||
| 4400 NE Halsey 495 | Portland | OR | 97213 | 260682491 | Real Estate - MOB | OR | PH&S - OR | Investment | 0 | 0 | |||
| Providence Imaging Center | |||||||||||||
| 3340 Providence Drive | Anchorage | AK | 99508 | 920118807 | Medical Imaging | AK | PH&S - WA | Related | 0 | 0 | |||
| Providence Partners for Health LLC | |||||||||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 454041798 | Clinical Quality & Integration | CA | PHS - So California | Related | 0 | Yes (1) | -$204 | $808,074 | 0.50000 |
| Providence Surgery Center LLC | |||||||||||||
| 902 N Orange St | Missoula | MT | 59802 | 841401625 | Ambulatory Surgery Center | MT | PH&S - MT | Related | 0 | 0 | |||
| ProvidenceSilverton Rehab LLC | |||||||||||||
| 4400 NE Halsey 425 | Portland | OR | 97213 | 481287267 | Rehab Services | OR | PH&S - OR | Related | 0 | 0 | |||
| ProvidenceUSP Santa Clarita GP LLC | |||||||||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 202829660 | Ambulatory Surgery Center | CA | PHS - So California | Related | 0 | 0 | $83,167 | $1,920,547 | 0.76500 |
| ProvidenceUSP Surgery Ctrs LLC | |||||||||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 200905938 | Ambulatory Surgery Center | CA | PHS - So California | Related | 0 | 0 | $92,272 | $2,542,787 | 0.56500 |
| Southern Idaho Regional Laboratory LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 820511819 | Outpatient Lab | ID | PAML LLC | Related | 0 | 0 | |||
| The Madison Spokane Inn LLC | |||||||||||||
| 15 West Rockwood Blvd | Spokane | WA | 99204 | 841606484 | Hotel Services | WA | PH&S - WA | Rental | 0 | 0 | |||
| Tri-Cities Laboratory LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911773986 | Outpatient Lab | WA | PAML LLC | Related | 0 | 0 | |||
| HCSA Properties LLC | |||||||||||||
| 1600 M Street NW | Auburn | WA | 98001 | 460620892 | Real estate rental | WA | SHS & PHS-WA | Rental | 0 | 0 | |||
| Covenant Long-Term Care LP | |||||||||||||
| 4000 24th Street | Lubbock | TX | 79410 | 205033419 | Healthcare | TX | CHS | Related | 0 | 0 | |||
| Heritage Investment Group I LLC | |||||||||||||
| 500 S Main Street Ste 1000 | Orange | CA | 92868 | 271000061 | Investments | CA | PSE | Investment | 0 | 0 | |||
| Hoag Orthopedic Institute | |||||||||||||
| 1 Hoag Drive Box 6100 | Newport Beach | CA | 92658 | 611588294 | Healthcare | CA | HMHP | Related | 0 | 0 | |||
| Lubbock Surgery Center Ltd | |||||||||||||
| 4000 24th Street | Lubbock | TX | 79410 | 752177401 | Healthcare | TX | CHS | Related | 0 | 0 | |||
| Methodist Diagnostic Imaging | |||||||||||||
| 4000 24th Street | Lubbock | TX | 79410 | 752343261 | Healthcare | TX | LMHSI | Related | 0 | 0 | |||
| Mission Ambulatory Surgicenter Ltd | |||||||||||||
| 27800 Medical Center Road Ste 362 | Mission Viejo | CA | 92691 | 330355575 | Healthcare | CA | MHRMC | Related | 0 | 0 | |||
| Newport Imaging Center | |||||||||||||
| 360 San Miguel | Newport Beach | CA | 92660 | 330191776 | Healthcare | CA | HMHP | Related | 0 | 0 | |||
| SHA LLC | |||||||||||||
| 12940 North Highway 183 | Austin | TX | 78750 | 752569094 | Healthcare | TX | LMHSI | Related | 0 | 0 | |||
| St Joseph Physician Ventures I LLC | |||||||||||||
| 1100 West Stewart Drive | Orange | CA | 92868 | 454521884 | Real Estate | CA | SJHO | Rental | 0 | 0 | |||
| North Bay Endoscopy Center | |||||||||||||
| 1383 N McDowell Blvd Suite 110 | Petaluma | CA | 94954 | 611559876 | Healthcare | CA | SRMH | Related | 0 | 0 | |||
| Southern California Surgery Center LLC | |||||||||||||
| 18321 Ventura Blvd Ste 740 | Tarzana | CA | 91356 | 330939000 | Healthcare | CA | MHRMC | Related | 0 | 0 | |||
| Mission Viejo Physician Partners I LLC | |||||||||||||
| 27700 Medical Center Road | Mission Viejo | CA | 92691 | 471559873 | Healthcare | CA | MHRMC | Related | 0 | 0 | |||
| Advanced Surgery Institute LLC | |||||||||||||
| 1739 4th Street | Santa Rosa | CA | 95404 | 262299255 | Healthcare | CA | SRMH | Related | 0 | 0 | |||
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 | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Providence Little Company of Mary Foundation | ||
| B | $3,900,455 | Cost |
| Providence Little Company of Mary Foundation | ||
| C | $9,227,896 | Cost |
| Providence Health & Services Foundation | ||
| B | $7,044,301 | Cost |
| Providence Health & Services Foundation | ||
| C | $6,284,372 | Cost |
| Providence TrinityCare Hospice Foundation | ||
| B | $296,596 | Cost |
| Providence Medical Institute | ||
| B | $27,161,421 | Cost |
| Providence TrinityCare Hospice | ||
| C | $9,999,597 | Cost |