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PROVIDENCE SAINT JOHNS HEALTH CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE SAINT JOHNS HEALTH CENTER (EIN 95-1684082)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-06
IRS object ID
202543109349302689
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-06T13:12:45-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12323 VICTORY AVENUE SUITE 2000AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75219ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951684082EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE SAINT JOHN'S HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPROVBusinessNameControlTxt
Phone3108295511PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJIM MARTINPersonNm
Person TitleCHIEF ACCOUNTING OFFICERPersonTitleTxt
Phone4255253985PhoneNum
Signature2025-10-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRYAN MAYORPreparerPersonNm
PTINP01650740PTIN
Phone2149698000PhoneNum
Preparation2025-10-27PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerERIK WEXLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SW ATTN TAX DEPTAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$501,626,822GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressCALIFORNIA.PROVIDENCE.ORG/SAINT-JOHNS/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1942FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1973TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$6,734,351TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12,735,991PYContributionsGrantsAmt
CY Contributions Grants$17,943,062CYContributionsGrantsAmt
PY Program Service Revenue$439,996,473PYProgramServiceRevenueAmt
CY Program Service Revenue$464,711,507CYProgramServiceRevenueAmt
PY Investment Income$981,846PYInvestmentIncomeAmt
CY Investment Income$13,664,892CYInvestmentIncomeAmt
PY Other Revenue$3,209,554PYOtherRevenueAmt
CY Other Revenue$3,213,710CYOtherRevenueAmt
PY Total Revenue$456,923,864PYTotalRevenueAmt
CY Total Revenue$499,533,171CYTotalRevenueAmt
PY Grants And Similar Paid$1,816,564PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$600,856CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$164,293,926PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$199,780,341CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$390,902,977PYOtherExpensesAmt
CY Other Expenses$336,822,412CYOtherExpensesAmt
PY Total Expenses$557,013,467PYTotalExpensesAmt
CY Total Expenses$537,203,609CYTotalExpensesAmt
PY Revenues Less Expenses-$100,089,603PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$37,670,438CYRevenuesLessExpensesAmt
Total Assets BOY$741,508,620TotalAssetsBOYAmt
Total Assets EOY$523,132,621TotalAssetsEOYAmt
Total Liabilities BOY$219,571,001TotalLiabilitiesBOYAmt
Total Liabilities EOY$214,216,262TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$521,937,619NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$308,916,359NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS EXPRESSIONS OF GOD'S HEALING LOVE, WITNESSED THROUGH THE MINISTRY OF JESUS, WE ARE STEADFAST IN SERVING ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$481,990,687ExpenseAmt
Grant$600,856GrantAmt
Revenue$468,493,681RevenueAmt
DescSEE SCHEDULE OAT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY. TOGETHER, OUR 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE AFFILIATE FAMILY INCLUDES: -PROVIDENCE ACROSS FIVE WESTERN STATES -COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO -FACEY MEDICAL GROUP IN LOS ANGELES, CA -KADLEC IN SOUTHEAST WASHINGTON -PACIFIC MEDICAL CENTERS IN SEATTLE, WA -SWEDISH HEALTH SERVICES IN SEATTLE, WA IN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES. ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CARE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT THROUGH OUR COMMUNITY BENEFIT PROGRAMS, WE FOCUS ON MEETING THE DIVERSE NEEDS OF THE PEOPLE WE SERVE BY WORKING TO ENSURE BASIC HEALTH NEEDS ARE MET, REMOVING BARRIERS TO CARE, BUILDING COMMUNITY RESILIENCE AND INNOVATING FOR THE FUTURE. PROVIDENCE CONTINUES TO WORK TOWARDS CARBON NEGATIVE AND IN 2024 DECREASED EMISSIONS BY 19 PERCENT COMPARED TO OUR 2019 BASELINE. OUR EFFORTS EARNED US A SYSTEM RECORD 55 ENVIRONMENTAL EXCELLENCE AWARDS FROM PRACTICE GREENHEALTH AND MADE US THE FIRST LARGE SYSTEM TO RECEIVE THE JOINT COMMISSION'S SUSTAINABLE HEALTHCARE CERTIFICATION IN 2024 FOR EACH OF OUR HOSPITALS. 2024 PROGRAM SERVICE ACCOMPLISHMENTSFOR SEVENTY-FIVE YEARS, SAINT JOHN'S HEALTH CENTER HAS OFFERED A RANGE OF HEALTH CARE PROGRAMS AND SERVICES UNPARALLELED ON THE WESTSIDE OF LOS ANGELES. PROVIDENCE SAINT JOHN'S HEALTH CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. IN CY24, PROVIDENCE ST. JOHN'S REPORTED $2.8M IN FINANCIAL ASSISTANCE (FREE AND DISCOUNTED CARE), AND $26.5M OF UNPAID COST OF MEDICAID. PROVIDENCE SAINT JOHN'S HEALTH CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. FURTHERMORE, IN 2024, PROVIDENCE SAINT JOHN'S HEALTH CENTER MADE PROGRESS TOWARDS ADDRESSING THREE KEY IDENTIFIED COMMUNITY HEALTH NEEDS AS OUTLINED BELOW: 1. HOMELESSNESS AND HOUSING INSTABILITY: - COMMUNITY HEALTH WORKER HOMELESS CARE NAVIGATORS PROVIDED ASSESSMENT AND RESOURCE REFERRAL ASSISTANCE FOR 375 HOMELESS PATIENTS VISITING OUR EMERGENCY DEPARTMENT, SUCCESSFULLY CONNECTING 62 OF THEM TO A FORM OF HOUSING AFTER DISCHARGE FROM THE HOSPITAL. - AWARDED $325,000 TO TWO ORGANIZATIONS SUPPORTING HOUSING AND HOMELESSNESS IN SANTA MONICA. - PROVIDED MEDICATION, TRANSPORTATION SERVICES, CLOTHING, AND REFERRALS TO OTHER SERVICES FOR DISCHARGED HOMELESS PATIENTS THROUGH OUR CARE MANAGEMENT DEPARTMENT. 2. MENTAL HEALTH INCLUDING SUBSTANCE USE/MISUSE: - TRAINED 176 PARTICIPANTS IN MENTAL HEALTH FIRST AID AT COMMUNITY LOCATIONS IN SANTA MONICA, HOLDING 18 CLASSES THROUGHOUT THE YEAR. - SERVED 513 PARTICIPANTS IN OUR CHILD AND FAMILY DEVELOPMENT CENTER'S (CFDC) OUTPATIENT THERAPY PROGRAM -SERVED 37 FAMILIES (56 CHILDREN AND 60 ADULTS) WITH HOME VISITS THROUGH THE CFDC PERINATAL WELLNESS PROGRAM - PROVIDED GROUP THERAPY SERVICES FOR 72 CHILDREN AND YOUTH THROUGH OUR CFDC CHILD/YOUTH DEVELOPMENT PROJECT. 3. ACCESS TO HEALTHCARE: - COMMUNITY HEALTH ACTIONS (CHAT) TEAMS WERE DEPLOYED TO IMPROVE ACCESS TO COLORECTAL CANCER SCREENING IN ZIP CODE 90404/SANTA MONICA WITH LOWER RATES OF COLORECTAL CANCER SCREENING COMPLIANCE. - IN CY2024, 54 INDIVIDUALS COMPLETED RISK SCREENINGS AT 4 EVENTS. THERE WERE 523 COLORECTAL CANCER OUTREACH ENCOUNTERS. 79 FIT KITS WERE MAILED OUT TO AT-RISK COMMUNITY MEMBERS, WITH 15 FIT KITS RETURNED. ALL THE RETURNED FIT KITS SCREENED NEGATIVE FOR COLORECTAL CANCER. - AWARDED $100,000 TO TWO LOCAL ORGANIZATIONS SUPPORTING INCREASED ACCESS TO HEALTH CARE SERVICES. FOR MORE INFORMATION BY NEED AREA GO TO OUR CB ANNUAL REPORT LOCATED AT: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/REPORTS/SOUTHERN-CALIFORNIADesc
Total Program Service Expenses$481,990,687TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document190IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1973EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JIM MARTINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4255253985PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 LIND AVE SWAddressLine1Txt
CityRENTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98057ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARY LYONS PHD
DIRECTOR0.5013.00Yes (X)$0$100,944$0
MICHAEL MURPHY
BOARD CHAIR0.5013.00Yes (X)$0$75,168$0
RICHARD BLAIR
DIRECTOR0.5013.00Yes (X)$0$51,379$0
CHARLES SORENSON MD
DIRECTOR0.5013.00Yes (X)$0$50,000$0
ISIAAH CRAWFORD PHD
DIRECTOR0.5014.50Yes (X)$0$50,000$0
MARVIN O'QUINN
DIRECTOR0.5012.50Yes (X)$0$42,989$0
ERIC SPRUNK
DIRECTOR0.5013.00Yes (X)$0$40,000$0
MARY BETH KINGSTON
DIRECTOR0.5013.00Yes (X)$0$40,000$0
SISTER CAROL PACINI LCM
DIRECTOR0.5013.00Yes (X)$0$0$0
SISTER DIANE HEJNA CSJ RN
DIRECTOR0.5013.00Yes (X)$0$0$0
SISTER DONNA MARKHAM
DIRECTOR0.5012.50Yes (X)$0$0$0
SISTER PHYLLIS HUGHES RSM DRPH
DIRECTOR0.5013.00Yes (X)$0$0$0
ERIK WEXLER
PRESIDENT/CEO0.5064.50$0$8,590,356$535,028Yes (X)
GREG HOFFMAN
EVP & CFO/TREASURER0.5064.50$0$3,880,224$390,705Yes (X)
ANNA NEWSOM
EVP & CHIEF LEGAL OFFICER/SECRETARY0.5064.50$0$2,610,531$285,144Yes (X)
JIM WATSON ESQ
ASSISTANT SECRETARY0.5054.50$0$955,923$128,530Yes (X)
JIM MARTIN
ASSISTANT TREASURER0.5054.50$0$820,365$96,888Yes (X)
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT0.5054.50$0$316,554$18,932Yes (X)
MICHAEL RICKS
CHIEF EXEC SO CA LA COASTAL27.0028.00$0$1,588,494$232,067Yes (X)
JOHN F GOEDERS
CFO ST JOHNS HEALTH CNT27.5027.50$0$431,314$35,347Yes (X)
JARED AMERSON
COO ST JOHNS HEALTH CNT55.000.00$424,859$0$25,720Yes (X)
SHERYL BOURGEOIS
PRESIDENT CEO SJHC FOUNDATION25.0030.00$693,798$0$41,173Yes (X)
MINA KANG
CHIEF MEDICAL OFFICER HOSPITAL50.000.00$465,047$0$36,254Yes (X)
STELLA NICHOLS
CFO COO SJHC FOUNDATION25.0030.00$446,990$0$39,604Yes (X)
STEPHANIE NOLAN
CHIEF NURSING OFFICER50.000.00$348,788$0$22,242Yes (X)
ROBERT KLEIN
PRESIDENT CEO SJHC FOUNDATION50.000.00$337,500$0$0Yes (X)
JO ANN ESCASA-HAIGH
FRMR TREASURER/CFO/VP0.000.00$0$879,466$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,716,982TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$20,523,707TotReportableCompRltdOrgAmt
Total Other Compensation$1,887,634TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K734IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AYA HEALTHCARE INC
PO BOX 674907DALLASTX75267STAFFING SERVICES$11,325,209
CASS INFORMATION SYSTEMS INC
12444 POWERSCOURT DR 550SAINT LOUISMO63131PAYMENT SERVICES$6,731,359
CROTHALL SERVICES GRPHLTHCARE
955 CHSTRBRK BLVD 300CHESTERBROOKPA19087CLEANING SERVICES$6,093,454
BAYSIDE ANESTHESIA MED GROUP
PO BOX 60790PASADENACA91116MEDICAL SERVICES$5,136,525
ALLIED UNIVERSAL SECURITY
1551 N TUSTIN AVE 650SANTA ANACA92705SECURITY SERVICES$2,602,128
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K102CntrctRcvdGreaterThan100KCnt
Government Grants$149,624GovernmentGrantsAmt
All Other Contributions$17,793,438AllOtherContributionsAmt
Total Contributions$17,943,062TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE622110$464,193,605$457,462,798$6,730,807
JV INCOME622110$450,000$450,000
OTHER PATIENT SERVICE622110$67,902$67,902
FieldValueIRS element (for citing)
Total Program Service Revenue$464,711,507TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,352,076TotalRevenueColumnAmt
Unrelated Business Revenue$3,544UnrelatedBusinessRevenueAmt
Exclusion$2,348,532ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,371,704RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,093,651RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$721,947RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$721,947TotalRevenueColumnAmt
Exclusion-$721,947ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$11,312,816OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$11,312,816OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,312,816TotalRevenueColumnAmt
Exclusion$11,312,816ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$153,483GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$153,483TotalRevenueColumnAmt
Exclusion$153,483ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARKING REVENUE812930$1,587,493$1,587,493
CAFETERIA REVENUE722514$1,538,991$1,538,991
CHILD CARE SERVICE REV624410$560,329$560,329

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$95,361TotalRevenueColumnAmt
Related Or Exempt Func Income$95,361RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,782,174OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$499,533,171TotalRevenueColumnAmt
Related Or Exempt Func Income$461,762,874RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,734,351UnrelatedBusinessRevenueAmt
Exclusion$13,092,884ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$600,856TotalAmt
Program Services$600,856ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$450,579TotalAmt
Program Services$390,941ProgramServicesAmt
Management And General$59,638ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$160,209,431TotalAmt
Program Services$139,004,464ProgramServicesAmt
Management And General$21,204,967ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,977,812TotalAmt
Program Services$7,789,529ProgramServicesAmt
Management And General$1,188,283ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,381,686TotalAmt
Program Services$15,948,727ProgramServicesAmt
Management And General$2,432,959ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,760,833TotalAmt
Program Services$10,204,195ProgramServicesAmt
Management And General$1,556,638ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,828,470TotalAmt
Program Services$2,454,100ProgramServicesAmt
Management And General$374,370ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$83,843,799TotalAmt
Program Services$72,746,420ProgramServicesAmt
Management And General$11,097,379ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$118,368TotalAmt
Program Services$102,701ProgramServicesAmt
Management And General$15,667ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,804,036TotalAmt
Program Services$5,903,469ProgramServicesAmt
Management And General$900,567ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$134,325TotalAmt
Program Services$116,546ProgramServicesAmt
Management And General$17,779ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,588,125TotalAmt
Program Services$8,319,062ProgramServicesAmt
Management And General$1,269,063ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$320,494TotalAmt
Program Services$278,074ProgramServicesAmt
Management And General$42,420ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,259,725TotalAmt
Program Services$4,563,559ProgramServicesAmt
Management And General$696,166ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,964,807TotalAmt
Program Services$4,307,676ProgramServicesAmt
Management And General$657,131ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,976TotalAmt
Program Services$7,788ProgramServicesAmt
Management And General$1,188ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$97,296,959$97,296,959
SYSTEM COST ALLOCATION$93,935,052$81,502,016$12,433,036
HOSPITAL FEE$22,156,774$22,156,774
OTHER DIRECT EXPENSES$7,540,549$6,542,499$998,050

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,021,953TotalAmt
Program Services$1,754,332ProgramServicesAmt
Management And General$267,621ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$537,203,609TotalAmt
Program Services$481,990,687ProgramServicesAmt
Management And General$55,212,922ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$58,306,270BOYAmt
EOY$109,083,894EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$807,881BOYAmt
EOY$631,102EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$91,575,252BOYAmt
EOY$95,450,966EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,845,185BOYAmt
EOY$7,765,830EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,488,251BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$85,415,427LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$67,993,105LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$285,335,535BOYAmt
EOY$17,422,322EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$276,414,431BOYAmt
EOY$276,414,431EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,735,815BOYAmt
EOY$16,364,076EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$741,508,620BOYAmt
EOY$523,132,621EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$34,789,026BOYAmt
EOY$38,851,212EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$21,573,466BOYAmt
EOY$23,359,488EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$163,208,509BOYAmt
EOY$152,005,562EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$219,571,001BOYAmt
EOY$214,216,262EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$344,250,967BOYAmt
EOY$131,229,707EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$177,686,652BOYAmt
EOY$177,686,652EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$521,937,619BOYAmt
EOY$308,916,359EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$741,508,620BOYAmt
EOY$523,132,621EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$37,670,438ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$175,350,822OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$70,374OtherActivitiesAmt
Total Lobbying Expenditures$70,374TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1, LOBBYING ACTIVITIES:FormAndLineReferenceDesc
ExplanationTHE OTHER LOBBYING EXPENDITURES REPORTED REPRESENT THE PORTION OF DUES PAID TO ASSOCIATIONS AND ALLIANCES THAT IS ALLOCATED TO LOBBYING ACTIVITIES. PROVIDENCE'S ADVOCACY AGENDA THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR THE HEALTH AND WELL-BEING OF ALL, ESPECIALLY THE POOR AND VULNERABLE. GROUNDED IN OUR MISSION AND INSPIRED BY OUR BELIEF THAT HEALTH IS A HUMAN RIGHT, WE WORK WITH LAWMAKERS AND COMMUNITY PARTNERS TO REMOVE THE CAUSES OF OPPRESSION AND PROMOTE JUSTICE FOR ALL. CORE TO THIS WORK IS ADVANCING POLICIES THAT INCREASE EQUITABLE ACCESS TO HIGH-QUALITY CARE, STRENGTHEN THE HEALTH CARE WORKFORCE AND ADDRESS SOCIAL AND ENVIRONMENTAL JUSTICE. PRESERVE AFFORDABLE ACCESS TO CARE - SUSTAIN MEDICARE AND MEDICAID: PROTECT HEALTH CARE COVERAGE AND SUPPORT REIMBURSEMENT RATES THAT APPROPRIATELY REFLECT THE COST OF DELIVERING CARE, ESPECIALLY FOR VULNERABLE POPULATIONS. - REDUCE MEDICATION COSTS: INCREASE PHARMACEUTICAL PRICING TRANSPARENCY AND PROTECT THE 340B DRUG PRICING PROGRAM, WHICH PROVIDES ACCESS TO LIFE-CHANGING MEDICATIONS FOR LOW-INCOME PATIENTS. - INCREASE CARE ACCESSIBILITY: PROMOTE CARE DELIVERY INNOVATION, INCLUDING MAINTAINING TELEHEALTH FLEXIBILITIES AND HOSPITAL-AT-HOME PROGRAMS. - PROTECT THE ABILITY OF NONPROFIT HEALTH CARE TO CARE FOR ALL: PRESERVE TAX-EXEMPT STATUS TO SUPPORT COMMUNITY NEEDS AND PROMOTE SUSTAINABLE FINANCIAL ASSISTANCE PROGRAMS. IMPROVE HEALTH SYSTEM SUSTAINABILITY - PROMOTE COLLABORATION AND ACCOUNTABILITY WITH INSURERS: INCREASE PARTNERSHIPS BETWEEN PAYERS AND PROVIDERS TO STRENGTHEN VALUE-BASED CARE AND LESSEN THE BURDEN ON PATIENTS. - ENSURE SUSTAINABLE HEALTH CARE COST GROWTH: ENSURE REASONABLE COST GROWTH TARGETS DON'T PENALIZE PROVIDERS FOR COSTS OUTSIDE OUR CONTROL, LIKE LABOR AND PHARMACEUTICAL COSTS. - PRESERVE RURAL HEALTH CARE: ENHANCE FUNDING TO PROTECT RURAL CLINICS AND PREVENT HOSPITAL CLOSURES STRENGTHEN AND DEVELOP OUR WORKFORCE - GROW THE PHYSICIAN AND PROVIDER WORKFORCE: INCREASE FUNDING FOR SCHOLARSHIPS, LOAN FORGIVENESS AND RESIDENCY TRAINING PROGRAMS. - EXPAND THE NURSING AND CAREGIVER PIPELINE: SUPPORT RECRUITMENT, RETENTION AND ADVANCED EDUCATION FOR NURSES AND OTHER ALLIED HEALTH PROFESSIONALS. - REFORM THE PHYSICIAN PAYMENT SYSTEM: SUPPORT REIMBURSEMENT RATES THAT REFLECT THE INCREASED COST OF DELIVERING HIGH-QUALITY CARE. - REDUCE ADMINISTRATIVE BURDEN: REMOVE BARRIERS TO LICENSURE FOR HEALTH CARE WORKERS AND REDUCE THE UNNECESSARY PRIOR AUTHORIZATION AND COVERAGE DENIALS TO HELP ADDRESS BURNOUT AND SUPPORT CAREGIVERS AT THE BEDSIDE. - ELIMINATE VIOLENCE AGAINST CAREGIVERS: SUPPORT CONTINUED HEALTH CARE WORKPLACE SAFETY AND FUND SUPPORT PROGRAMS TO KEEP CAREGIVERS SAFE. ADVANCE CARE DELIVERY AND INNOVATION - IMPROVE HOSPITAL CAPACITY: DEVELOP SOLUTIONS TO REDUCE UNNECESSARY LENGTHS OF STAY AND ENSURE PATIENTS RECEIVE CARE IN THE APPROPRIATE SETTINGS, INCLUDING IMPROVING ACCESS TO POST-ACUTE CARE SERVICES. - INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES: IMPROVE ACCESS ALONG THE CONTINUUM OF CARE, INCLUDING TREATMENT FOR PATIENTS IN CRISIS, COMMUNITY-BASED SERVICES, AND PREVENTATIVE SERVICES. - ADVANCE HEALTH IT: PROTECT HEALTH SYSTEMS FROM CYBERSECURITY THREATS AND PROMOTE APPROPRIATE REGULATION OF AI IN HEALTH CARE TO ALLOW FOR INNOVATION. - IMPROVE COORDINATION OF CARE: BOLSTER PALLIATIVE CARE AND LONG-TERM SERVICES, INCLUDING THE PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). PROMOTE SOCIAL AND ENVIRONMENTAL JUSTICE - ADVANCE HEALTH EQUITY: SUPPORT POLICIES THAT SEEK TO ADDRESS INEQUITIES IN HEALTH CARE DELIVERY, ESPECIALLY FOR UNDERSERVED POPULATIONS, INCLUDING IMMIGRANTS. - ADDRESS SOCIAL DETERMINANTS OF HEALTH: IMPROVE ACCESS TO HOUSING, TRANSPORTATION, HEALTHY FOOD, EDUCATION, AND EMPLOYMENT. - IMPROVE STEWARDSHIP OF OUR ENVIRONMENT: INCREASE FUNDING AND SUPPORT POLICIES TO DECARBONIZE THE HEALTH CARE SECTOR AND ADDRESS ENVIRONMENTAL JUSTICE AND CLIMATE RESILIENCY.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,503,493OtherCostOrOtherBasisAmt
Depreciation$1,278,699DepreciationAmt
Book Value$2,224,794BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$81,911,934OtherCostOrOtherBasisAmt
Depreciation$66,714,406DepreciationAmt
Book Value$15,197,528BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,422,322TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescBENEFICIAL INTEREST IN FOUNDATIONDesc
Book Value$276,414,431BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$276,414,431TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
I/C - TAX-EXEMPT BOND LIABILITIES$118,740,000
HOSPITAL FEE/PROVIDER TAX LIABILITY$24,518,721
CAPITAL LEASE OBLIGATIONS$3,589,415
DUE TO THIRD PARTY$5,157,426
FieldValueIRS element (for citing)
Total Liability$152,005,562TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,729,834TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,729,834NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,953,287TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,447,194DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,506,093NetCommunityBenefitExpnsAmt
Total Expense0.04930TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$313,196TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$237,208DirectOffsettingRevenueAmt
Net Community Benefit Expns$75,988NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,996,317TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,684,402DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,311,915NetCommunityBenefitExpnsAmt
Total Expense0.05450TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,694,884TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$495,573DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,199,311NetCommunityBenefitExpnsAmt
Total Expense0.00600TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$442,171TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,123DirectOffsettingRevenueAmt
Net Community Benefit Expns$438,048NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,199,251TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$611,163DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,588,088NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$454,298TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$454,298NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,790,604TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,110,859DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,679,745NetCommunityBenefitExpnsAmt
Total Expense0.01060TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,786,921TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,795,261DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,991,660NetCommunityBenefitExpnsAmt
Total Expense0.06510TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,303,956TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$498,815DirectOffsettingRevenueAmt
Net Community Benefit Expns$805,141NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,303,956TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$498,815DirectOffsettingRevenueAmt
Net Community Benefit Expns$805,141NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Reimbursed By Medicare$202,741,535ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$265,495,203CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$62,753,668MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 SM WILSHIRE IMAGINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesOUTPATIENT IMAGING CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.50000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAINT JOHN'S HEALTH CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 SANTA MONICA BLVDAddressLine1Txt
CitySANTA MONICACityNm
State AbbreviationCAStateAbbreviationCd
ZIP90404ZIPCd
FieldValueIRS element (for citing)
Website AddressCALIFORNIA.PROVIDENCE.ORG/SAINT-JOHNS/WebsiteAddressTxt
State License930000158StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SAINT JOHN'S HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 3E:THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE PRIORITIZED BASED ON THE METHODOLOGY DESCRIBED IN THE MOST RECENT CHNA SECTION ON SIGNIFICANT HEALTH NEEDS.
PART V, SECTION B, LINE 5:PROVIDENCE SAINT JOHN'S HEALTH CENTER PARTICIPATED IN A COLLABORATIVE PROCESS TO IDENTIFY A DIVERSE GROUP OF 31 INDIVIDUAL STAKEHOLDER INTERVIEWS, WHICH INCLUDED CEDARS-SINAI MEDICAL CENTER, CEDARS-SINAI MARINA DEL REY HOSPITAL, PROVIDENCE SAINT JOHN'S HEALTH CENTER, RONALD REAGAN UCLA MEDICAL CENTER, UCLA MEDICAL CENTER, SANTA MONICA, AND RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA. GIVEN THAT THESE PARTNERS SHARE AN OVERLAPPING SERVICE AREA, A COLLABORATIVE EFFORT INCREASED PRIMARY DATA COLLECTION EFFICIENCY AND REDUCED REDUNDANCIES. KEY INFORMANT INTERVIEWS WERE CONDUCTED, AND ORGANIZATIONS THAT PARTICIPATED ARE LISTED BELOW ALONG WITH THE NEED AREAS THEY ADDRESS. -ASIAN AMERICANS ADVANCING JUSTICE (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY) -CALIFORNIA COMMUNITY FOUNDATION (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY) -CATHOLIC CHARITIES OF LA (NATIONAL ORGANIZATION, HOMELESS SERVICES) -CHARLES R. DREW UNIVERSITY OF MEDICINE AND SCIENCE (COLLEGE, EDUCATION) -CITY OF LOS ANGELES (GOVERNMENT) -CITY OF SANTA MONICA (GOVERNMENT) -COMMUNITY CORPORATION OF SANTA MONICA (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS) -COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (COMMUNITY BASED ORGANIZATION, HEALTH CARE) -DIDI HIRSCH MENTAL HEALTH SERVICES (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH) -JEWISH FAMILY SERVICES OF LOS ANGELES (NATIONAL ORGANIZATION, SOCIAL SERVICES) -L.A. CARE HEALTH PLAN (COMMUNITY BASED ORGANIZATION, HEALTH CARE COVERAGE) -LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH (GOVERNMENT, BEHAVIORAL HEALTH) -LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH (GOVERNMENT, PUBLIC HEALTH) -LOS ANGELES HOMELESS SERVICES AUTHORITY (COMMUNITY BASED ORGANIZATION, HOUSING/HOMELESSNESS) -LOS ANGELES LGBT CENTER (COMMUNITY BASED ORGANIZATION, SOCIAL SERVICES, HEALTH, AND ADVOCACY) -LOS ANGELES UNIFIED SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION) -MEALS ON WHEELS WEST (NATIONAL ORGANIZATION, FOOD SECURITY) -NATIONAL ALLIANCE ON MENTAL ILLNESS WESTSIDE LOS ANGELES (NATIONAL ORGANIZATION, BEHAVIORAL HEALTH) -PUBLIC HEALTH ALLIANCE OF SOUTHERN CALIFORNIA (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY) -SANTA MONICA COLLEGE (COLLEGE, EDUCATION) -SANTA MONICA- MALIBU UNIFIED SCHOOL DISTRICT (SCHOOL DISTRICT, EDUCATION) -SANTA MONICA YMCA (NATIONAL ORGANIZATION, HEALTHY LIVING AND YOUTH DEVELOPMENT) -ST. JOSEPH CENTER (COMMUNITY BASED ORGANIZATION, HOMELESSNESS) -THE MAR VISTA FAMILY CENTER (COMMUNITY BASED ORGANIZATION, EARLY EDUCATION) -THE PEOPLE CONCERN (COMMUNITY BASED ORGANIZATION, SOCIAL SERVICES) -TWIN TOWN TREATMENT CENTERS (COMMUNITY BASED ORGANIZATION, BEHAVIORAL HEALTH) -UCLA/ VA VETERAN FAMILY WELLNESS CENTER (COMMUNITY BASED ORGANIZATION, HEALTH CARE) -UNIHEALTH FOUNDATION (COMMUNITY BASED ORGANIZATION, HEALTH GRANTMAKING) -UNITED WAY OF GREATER LOS ANGELES (COMMUNITY BASED ORGANIZATION, SOCIAL JUSTICE AND ADVOCACY) -VENICE FAMILY CLINIC (COMMUNITY BASED ORGANIZATION, HEALTH CARE) -WISE & HEALTHY AGING (COMMUNITY BASED ORGANIZATION, SENIOR SERVICES) PROVIDENCE SAINT JOHN'S HEALTH CENTER CONDUCTED LISTENING SESSIONS IN JUNE 2022, WITH COMMUNITY MEMBERS AND INTERVIEWS WITH COMMUNITY STAKEHOLDERS AS PART OF THEIR COLLECTION OF PRIMARY DATA. THE 2022 CHNA WAS APPROVED BY THE BOARD OF DIRECTORS ON NOVEMBER 30, 2022, AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2022.
PART V, SECTION B, LINE 6A:THE 2022 PROVIDENCE SAINT JOHN'S HEALTH CENTER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) KEY INFORMANT INTERVIEW DATA COLLECTION PROCESS WAS CONDUCTED BY BIEL CONSULTING INC. IN COLLABORATION WITH THE CEDARS-SINAI MEDICAL CENTER, CEDARS-SINAI MARINA DEL REY HOSPITAL, AND THE RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA.
PART V, SECTION B, LINE 6B:THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH BIEL CONSULTING, INC, WHO TOOK PART IN STAKEHOLDER INTERVIEWS AND REVIEWED LISTENING SESSION SUMMARIES AND SECONDARY DATA, CONSOLIDATING THE INFORMATION AND HELPING WRITE OUR REPORT.
PART V, SECTION B, LINE 7A:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS UNDER: UNDER SOUTHERN CALIFORNIA - SANTA MONICA
PART V, SECTION B, LINE 10A:HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/CHNA-AND-CHIP-REPORTS UNDER: UNDER SOUTHERN CALIFORNIA - SANTA MONICA
PART V, SECTION B, LINE 11:OUR THREE-YEAR IMPLEMENTATION PLAN WAS ADOPTED IN RESPONSE TO THE IDENTIFIED HEALTH NEEDS FROM OUR MOST RECENT CHNA AND SERVES AS THE IMPLEMENTATION STRATEGY FOR OUR HOSPITAL TO ADDRESS THESE NEEDS. IN DEVELOPING THE LIST OF PRIORITY NEEDS, PROVIDENCE SAINT JOHN'S HEALTH CENTER LOOKED AT BRINGING ITS EXPERTISE AND RESOURCES TO THOSE ISSUES WHERE IT CAN MAKE POSITIVE CHANGE. IN OUR 2022 CHNA, THE BOARD COMMITTEE ON COMMUNITY BENEFITS IDENTIFIED THE FOLLOWING AS THE HIGHEST PRIORITY NEEDS WITHIN OUR COMMUNITIES: 1. HOMELESSNESS AND HOUSING INSTABILITY 2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE/MISUSE) 3. ACCESS TO HEALTH CARE AND PREVENTATIVE CARE THESE THREE PRIORITIZED HEALTH NEEDS ARE BEING ADDRESSED WITHIN OUR COMMUNITY-BASED PROGRAMS THAT PROVIDE INFORMATION, RESOURCES, AND ASSISTANCE TO THE UNDERSERVED COMMUNITIES AS PART OF A THREE-YEAR IMPLEMENTATION PLAN. HOUSING AND HOMELESSNESS: - COMMUNITY HEALTH WORKER HOMELESS CARE NAVIGATORS PROVIDED ASSESSMENT AND RESOURCE REFERRAL ASSISTANCE FOR 375 HOMELESS PATIENTS VISITING OUR EMERGENCY DEPARTMENT, SUCCESSFULLY CONNECTING 62 OF THEM TO A FORM OF HOUSING AFTER DISCHARGE FROM THE HOSPITAL. - AWARDED $325,000 TO TWO ORGANIZATIONS SUPPORTING HOUSING AND HOMELESSNESS IN SANTA MONICA. - PROVIDED MEDICATION, TRANSPORTATION SERVICES, CLOTHING, AND REFERRALS TO OTHER SERVICES FOR DISCHARGED HOMELESS PATIENTS THROUGH OUR CARE MANAGEMENT DEPARTMENT. MENTAL HEALTH INCLUDING SUBSTANCE USE/MISUSE:- TRAINED 176 PARTICIPANTS IN MENTAL HEALTH FIRST AID AT COMMUNITY LOCATIONS IN SANTA MONICA, HOLDING 18 CLASSES THROUGHOUT THE YEAR. - SERVED 513 PARTICIPANTS IN OUR CHILD AND FAMILY DEVELOPMENT CENTER'S (CFDC) OUTPATIENT THERAPY PROGRAM - SERVED 37 FAMILIES (56 CHILDREN AND 60 ADULTS) WITH HOME VISITS THROUGH THE CFDC PERINATAL WELLNESS PROGRAM - PROVIDED GROUP THERAPY SERVICES FOR 72 CHILDREN AND YOUTH THROUGH OUR CFDC CHILD/YOUTH DEVELOPMENT PROJECT. ACCESS TO HEALTH CARE: - COMMUNITY HEALTH ACTIONS (CHAT) TEAMS WERE DEPLOYED TO IMPROVE ACCESS TO COLORECTAL CANCER SCREENING IN ZIP CODE 90404/SANTA MONICA WITH LOWER RATES OF COLORECTAL CANCER SCREENING COMPLIANCE. - IN CY2024, 54 INDIVIDUALS COMPLETED RISK SCREENERS AT 4 EVENTS. THERE WERE 523 COLORECTAL CANCER OUTREACH ENCOUNTERS. 79 FIT KITS WERE MAILED OUT TO AT-RISK COMMUNITY MEMBERS, WITH 15 FIT KITS RETURNED. ALL THE RETURNED FIT KITS SCREENED NEGATIVE FOR COLORECTAL CANCER. - AWARDED $100,000 TO TWO LOCAL ORGANIZATIONS SUPPORTING INCREASED ACCESS TO HEALTH CARE SERVICES. NEEDS BEYOND THE HOSPITAL'S SERVICE PROGRAM NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. OUR HEALTH FACILITIES DO NOT PROVIDE ORAL HEALTH CARE, AND IT IS NOT OUR AREA OF EXPERTISE WITHIN THE PROVIDENCE HEALTH SYSTEM IN THE LOS ANGELES REGION. HOWEVER, THERE ARE A NUMBER OF COMMUNITY PARTNERS INCLUDING LOCAL FEDERALLY QUALIFIED HEALTH CENTERS WHO ARE FOCUSING ON INCREASING ACCESS TO ORAL HEALTH CARE ESPECIALLY FOR THE MEDI-CAL POPULATION. FOR COMMUNITY MEMBERS IN NEED OF THESE SERVICES WE REFER THEM TO THESE PROVIDERS OF LOW-COST DENTAL CARE.
PART V, LINE 16A FAP WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE
PART V, LINE 16B FAP APPLICATION WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE
PART V, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.PROVIDENCE.ORG/OBP/CA/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 20ETHE HOSPITAL DID NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS DURING THE TAX YEAR.
PART V, SECTION B, LINE 24:IF THE SERVICES WERE NOT MEDICALLY NECESSARY OR WERE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY, THEY WERE BILLED AT THE GROSS CHARGE.
FieldValueIRS element (for citing)
Facility77FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (77 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CSJPP - AGOURA
29525 CANWOOD ST STE 300AGOURA HILLSCA91301SPECIALTY CLINIC
2 - CSJPP - BEACHWOOD POST ACUTE & REHAB
1340 15TH STSANTA MONICACA90404REHAB & PHYSICAL THERAPY
3 - CSJPP - BERKLEY EAST CONVALESCENT HOSPITAL
2021 ARIZONA AVESANTA MONICACA90404SPECIALTY CLINIC
4 - CSJPP - BERKLEY WEST CONVALESCENT HOSPITAL
1623 ARIZONA AVESANTA MONICACA90404SPECIALTY CLINIC
5 - CSJPP - BRENTWOOD HEALTH CARE CENTER
1321 FRANKLIN STSANTA MONICACA90404SPECIALTY CLINIC
6 - CSJPP - CALIFORNIA REHABILITATION INSTITUT
2070 CENTURY PARK ELOS ANGELESCA90067SPECIALTY CLINIC
7 - CSJPP - CEDARS-SINAI MARINA DEL REY HOSPIT
4650 LINCOLN BOULEVARDMARINA DEL REYCA90292SPECIALTY CLINIC
8 - CSJPP - CEDARS-SINAI MEDICLA CENTER
8700 BEVERLY BLVDWEST HOLLYWOODCA90048SPECIALTY CLINIC
9 - CSJPP - CEDARS-SINAI SURGERY CENTER
2121 WILSHIRE BLVDSANTA MONICACA90403SPECIALTY CLINIC
10 - CSJPP - CHILDRENS HOSPITAL LOS ANGELES
4650 W SUNSET BLVDLOS ANGELESCA90027SPECIALTY CLINIC
11 - CSJPP - COUNTRY VILLA WESTWOOD HEALTHCARE
12121 SANTA MONICA BLVDLOS ANGELESCA90025SPECIALTY CLINIC
12 - CSJPP - DISNEY FAMILY CANCER CENTER (DFCC)
181 S BUENA VISTABURBANKCA91505SPECIALTY CLINIC
13 - CSJPP - FIRESIDE HEALTH CARE CENTER
947 3RD STSANTA MONICACA90403SPECIALTY CLINIC
14 - CSJPP - GOOD SAMARITAN HOSPITAL
1225 WILSHIRE BLVDLOS ANGELESCA90017SPECIALTY CLINIC
15 - CSJPP - GOOD SHEPHERD HEALTH CENTER
1131 ARIZONA AVESANTA MONICACA90401SPECIALTY CLINIC
16 - CSJPP - HOAG HOSPITAL IRVINE
16200 SAND CANYON AVEIRVINECA92618SPECIALTY CLINIC
17 - CSJPP - HOAG HOSPITAL NEWPORT BEACH
1 HOAG DR NEWPORT BEACHNEWPORT BEACHCA92663SPECIALTY CLINIC
18 - CSJPP - KINDRED HOSPITAL
5525 W SLAUSON AVELOS ANGELESCA90056SPECIALTY CLINIC
19 - CSJPP - LCM OUTPATIENT IMAGING TORRANCE
5215 TORRANCE BLVD STE 300TORRANCECA90503SPECIALTY CLINIC
20 - CSJPP - PACIFIC EYE & EAR SPECIALISTS
11645 WILSHIRE BLVD STE 600LOS ANGELESCA90025SPECIALTY CLINIC
21 - CSJPP - PACIFIC EYE & EAR SPECIALISTS
2125 ARIZONA AVESANTA MONICACA90404SPECIALTY CLINIC
22 - CSJPP - PACIFIC POST-ACUTE
1323 17TH STSANTA MONICACA90404SPECIALTY CLINIC
23 - CSJPP - PAVILION SURGERY CENTER
1140 W LA VETA AVE STE 300ORANGECA92868SPECIALTY CLINIC
24 - CSJPP - PROVIDENCE CEDARS-SINAI TARZANA ME
18321 CLARK STTARZANACA91345SPECIALTY CLINIC
25 - CSJPP - PROVIDENCE HOLY CROSS MEDICAL CENT
15031 RINALDI STMISSION HILLSCA91345SPECIALTY CLINIC
26 - CSJPP - PROVIDENCE LITTLE COMPANY OF MARY
1300 W 7TH STSAN PEDROCA90732SPECIALTY CLINIC
27 - CSJPP - PROVIDENCE LITTLE COMPANY OF MARY
4101 TORRANCE BLVDTORRANCECA90503SPECIALTY CLINIC
28 - CSJPP - PROVIDENCE SAINT JOHNS HEALTH CENT
2121 SANTA MONICA BLVDSANTA MONICACA90404SPECIALTY CLINIC
29 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
11550 INDIAN HILLS RD STE 261MISSION HILLSCA91345SPECIALTY CLINIC
30 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
12555 W JEFFERSON BLVD STE 301LOS ANGELESCA90066SPECIALTY CLINIC
31 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
12555 W JEFFERSON BLVD STE 302LOS ANGELESCA90066SPECIALTY CLINIC
32 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
12555 W JEFFERSON BLVD STE 303LOS ANGELESCA90066SPECIALTY CLINIC
33 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
1301 20TH ST STE 110SANTA MONICACA90404SPECIALTY CLINIC
34 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
1301 20TH ST STE 150SANTA MONICACA90404SPECIALTY CLINIC
35 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
1301 20TH ST STE 270SANTA MONICACA90404SPECIALTY CLINIC
36 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
1301 20TH ST STE 300ASANTA MONICACA90404SPECIALTY CLINIC
37 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
1301 20TH ST STE 540SANTA MONICACA90404SPECIALTY CLINIC
38 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
181 S BUENA VISTA ST FL 3BURBANKCA91505SPECIALTY CLINIC
39 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
1811 WILSHIRE BLVD STE 110SANTA MONICACA90403SPECIALTY CLINIC
40 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
1811 WILSHIRE BLVD STE 201SANTA MONICACA90403SPECIALTY CLINIC
41 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
1821 WILSHIRE BLVD STE 100SANTA MONICACA90403SPECIALTY CLINIC
42 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
1821 WILSHIRE BLVD STE 301SANTA MONICACA90403SPECIALTY CLINIC
43 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
1831 WILSHIRE BLVD STE ASANTA MONICACA90403SPECIALTY CLINIC
44 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
1831 WILSHIRE BLVD STE BSANTA MONICACA90403SPECIALTY CLINIC
45 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
2001 SANTA MONICA BLVD 560WSANTA MONICACA90404SPECIALTY CLINIC
46 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
2001 SANTA MONICA BLVD STE 460WSANTA MONICACA90404SPECIALTY CLINIC
47 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
2001 SANTA MONICA BLVD STE 680WSANTA MONICACA90404SPECIALTY CLINIC
48 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
2021 SANTA MONICA BLVD STE 245ESANTA MONICACA90404SPECIALTY CLINIC
49 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
2021 SANTA MONICA BLVD STE 421ESANTA MONICACA90404SPECIALTY CLINIC
50 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
2021 SANTA MONICA BLVD STE 625ESANTA MONICACA90404SPECIALTY CLINIC
51 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
2336 SANTA MONICA BLVD STE 207SANTA MONICACA90404SPECIALTY CLINIC
52 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
2701 OCEAN PARK BLVD STE 118BURBANKCA90405SPECIALTY CLINIC
53 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
27799 MEDICAL CENTER RD STE 200MISSION VIEJOCA92691SPECIALTY CLINIC
54 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
4201 TORRANCE BLVD STE 520TORRANCECA90503SPECIALTY CLINIC
55 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
901 WILSHIRE BLVD FL 1SANTA MONICACA90401SPECIALTY CLINIC
56 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
901 WILSHIRE BLVD FL 2SANTA MONICACA90401SPECIALTY CLINIC
57 - CSJPP - PROVIDENCE SAINT JOHNS MEDICAL FOU
901 WILSHIRE BLVD FL 3SANTA MONICACA90401SPECIALTY CLINIC
58 - CSJPP - PROVIDENCE SAINT JOHN'S MEDICAL FO
181 S BUENA VISTA ST STE 447BURBANKCA91505SPECIALTY CLINIC
59 - CSJPP - PROVIDENCE SAINT JOHN'S MEDICAL FO
181 S BUENA VISTA ST STE 459BURBANKCA91505SPECIALTY CLINIC
60 - CSJPP - PROVIDENCE ST JUDE MEDICAL CENTER
2151 N HARBOR BLVD STE 3100FULLERTONCA92835SPECIALTY CLINIC
61 - CSJPP - PROVIDENCE ST JOSEPH MEDICAL CENT
501 S BUENA VISTA STBURBANKCA91505SPECIALTY CLINIC
62 - CSJPP - REHABILITATION CENTER OF SANTA MON
1338 20TH STSANTA MONICACA90404SPECIALTY CLINIC
63 - CSJPP - SANTA MONICA HEALTHCARE CENTER
1320 20TH STSANTA MONICACA90404SPECIALTY CLINIC
64 - CSJPP - SANTA MONICA WOMENS HEALTH
2001 SANTA MONICA BLVD STE 970WSANTA MONICACA90404SPECIALTY CLINIC
65 - CSJPP - SEAPORT 17TH CARE CENTER
1330 17TH STSANTA MONICACA90404SPECIALTY CLINIC
66 - CSJPP - SOUTHERN CALIFORNIA HEAD & NECK
1301 20TH ST STE 300SANTA MONICACA90404SPECIALTY CLINIC
67 - CSJPP - SOUTHERN CALIFORNIA HOSPITAL CULVE
3828 DELMAS TERRACECULVER CITYCA90232SPECIALTY CLINIC
68 - CSJPP - SOUTHERN CALIFORNIA MEDICAL GASTRO
1301 20TH ST STE 280SANTA MONICACA90404SPECIALTY CLINIC
69 - CSJPP - SOUTHERN CALIFORNIA MEDICAL GASTRO
2336 SANTA MONICA BLVD STE 204SANTA MONICACA90404SPECIALTY CLINIC
70 - CSJPP - SPECIALTY SURGICAL CENTER OF BEVER
8670 WILSHIRE BLVD STE 300BEVERLY HILLSCA90211SPECIALTY CLINIC
71 - CSJPP - ST JOSEPH HOSPITAL ORANGE
1100 W STEWART DRORANGECA92868SPECIALTY CLINIC
72 - CSJPP - UCLA
1225 15TH STSANTA MONICACA90404SPECIALTY CLINIC
73 - CSJPP - VALLEY PRESBYTERIAN HOSPITAL
15107 VANOWEN STVAN NUYSCA91405SPECIALTY CLINIC
74 - CSJPP - VISTA DEL SOL
11620 W WASHINGTON BLVDLOS ANGELESCA90066SPECIALTY CLINIC
75 - CSJPP - WEST HILLS HOSPITAL & MEDICAL CENT
7300 MEDICAL CENTER DRWEST HILLSCA91307SPECIALTY CLINIC
76 - CSJPP - WINDSOR CARE CENTER OF CHEVIOT HIL
3533 MOTOR AVELOS ANGELESCA90034SPECIALTY CLINIC
77 - CSJPP -PROVIDENCE SAINT JOHNS MEDICAL FOUN
12414 EXPOSITION BLVDLOS ANGELESCA90064SPECIALTY CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FPG IS A KEY FACTOR. THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS.
PART I, LINE 6A:PROVIDENCE SAINT JOHN'S HEALTH CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT/SOUTHERN-CALIFORNIA
PART I, LINE 7:THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING A COST-TO-CHARGE RATIO AND GENERAL LEDGER.
PART I, LINE 7G:NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:PROVIDENCE SAINT JOHN'S EXTENDS CARE BEYOND THE HOSPITAL'S WALLS TO IMPROVE THE HEALTH OF THE COMMUNITY AND CONDUCTS COMMUNITY BUILDING ACTIVITIES THROUGH ITS FOCUS ON THE INFANT & TODDLER PRESCHOOL PROGRAM OPERATED BY THE HOSPITAL'S CHILD AND FAMILY DEVELOPMENT CENTER (CFDC). PROVIDENCE SAINT JOHN'S PROVIDES CHILD CARE SERVICES TO EMPLOYEES AND RESIDENTS OF SANTA MONICA, SERVING 56 CHILDREN IN 2024.
PART III, LINE 4:AS A RESULT OF ADOPTING ASU 2014-09, THE HEALTH SYSTEM CONTINUED TO MAINTAIN AN ALLOWANCE FOR BAD DEBTS RELATED TO PERFORMANCE OBLIGATIONS SATISFIED PRIOR TO JANUARY 1, 2018. THESE ACCOUNTS HAVE ALL BEEN FULLY RESOLVED, THEREFORE THE ALLOWANCE FOR BAD DEBTS HAS DECLINED TO $0 AS OF DECEMBER 31, 2019.
PART III, LINE 8:THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT.
PART III, LINE 9B:OUR FINANCIAL ASSISTANCE POLICY INCLUDES BILLING AND COLLECTIONS DETAILS. COLLECTION EFFORTS ON UNPAID BALANCES WILL CEASE PENDING FINAL DETERMINATION OF FAP ELIGIBILITY. PROVIDENCE DOES NOT PERFORM, ALLOW, OR ALLOW COLLECTION AGENCIES TO PERFORM ANY EXTRAORDINARY COLLECTION ACTIONS. IT IS STANDARD PRACTICE TO CEASE COLLECTION ACTIVITIES FOR PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:EVERY THREE YEARS, PROVIDENCE SAINT JOHN'S HEALTH CENTER CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITIES IN SANTA MONICA. THROUGH A MIXED-METHODS APPROACH, USING QUANTITATIVE AND QUALITATIVE DATA, WE COLLECTED INFORMATION FROM EXISTING DATA SOURCHES. TO ACTIVELY ENGAGE THE COMMUNITY, WE CONDUCTED LISTENING SESSIONS WITH PEOPLE WHO HAVE CHRONIC CONDITIONS, ARE FROM DIVERSE COMMUNITIES, HAVE LOW-INCOMES, AND/OR ARE MEDICALLY UNDERSERVED. WE ALSO CONDUCTED STAKEHOLDER INTERVIEWS WITH REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE THESE POPULATIONS, SPECIFICALLY SEEKING TO GAIN A DEEPER UNDERSTANDING OF COMMUNITY STRENGTHS AND OPPORTUNITIES. THE 2022 CHNA WAS APPROVED BY THE BOARD OF DIRECTORS ON NOVEMBER 30, 2022, AND MADE PUBLICLY AVAILABLE BY DECEMBER 28, 2022.
PART VI, LINE 3:COMMUNICATION TO THE PUBLIC:THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE.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 SERVICE AREA DEFINED FOR THE PROVIDENCE SAINT JOHN'S HEALTH CENTER (PSJHC) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDES THE ZIP CODES LOCATED WITHIN SERVICE PLANNING AREA (SPA) 5 OF LOS ANGELES COUNTY. THE PLANNING AREA INCLUDES THE COMMUNITIES LOCATED ON THE WEST SIDE OF THE COUNTY (REFERRED TO AS "THE WESTSIDE" LOCALLY, AND IN THE CHNA REPORT), AND REPRESENTS THE AREA WHERE A SIGNIFICANT PORTION (OVER 70%) OF THE PATIENTS SERVED BY THE HOSPITAL RESIDES. THE AREA INCLUDES 20 DISTINCT COMMUNITIES AND 30 ZIP CODES. - AGE: A MAJORITY OF RESIDENTS IN THE SERVICE AREA ARE BETWEEN 20 AND 39 YEARS OLD. CHILDREN UNDER THE AGE OF 19 COMPRISE 19% OF THE POPULATION. ADULTS 60 YEARS OF AGE AND OLDER MAKE UP 21.5% OF THE TOTAL SERVICE AREA POPULATION - RACE/ETHNICITY: 69.7% OF RESIDENTS IDENTIFY AS WHITE, WHILE 13.8% IDENTIFY AS ASIAN/PACIFIC ISLANDER/HAWAIIAN, 0.5% AS ALASKA NATIVE OR AMERICAN INDIAN, 5.9% AS AFRICAN AMERICAN OR BLACK, AND 5.5% ARE OF TWO OR MORE RACES. AND WHILE 16% OF THE SERVICE AREA IDENTIFIES AS HISPANIC, IN THE HIGH NEED SERVICE AREA, 28% OF RESIDENTS IDENTIFY AS SUCH. - INCOME: IN 2022, 20.8% OF THE TOTAL SERVICE AREA FALLS BELOW 200% OF THE FEDERAL POVERTY LEVEL. IN THE HIGH NEED SERVICE AREA, HOWEVER, 34.8% IS BELOW THAT LEVEL. THIS MIRRORS LOS ANGELES COUNTY, WHICH IS AT 34.9%. - EDUCATION: THE VAST MAJORITY (94.4 %) OF ADULTS AGE 25+ LIVING IN THE PSJHC SERVICE AREA HAVE AT LEAST GRADUATED FROM HIGH SCHOOL. - LANGUAGE: WITHIN THE PSJHC SERVICE AREA, APPROXIMATELY 4.5% OF THE GENERAL POPULATION HAS LIMITED ENGLISH PROFICIENCY. IN THE HIGH NEED SERVICE AREAS, THAT NUMBER IS ALMOST DOUBLE, AT 8.0%. OTHER HOSPITALS IN SERVICE AREA THE OTHER HOSPITALS IN SANTA MONICA INCLUDE UCLA SANTA MONICA MEDICAL CENTER.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTHPROVIDENCE SAINT JOHN'S HEALTH CENTER HAS BEEN SERVING THE SANTA MONICA AND WESTSIDE LOS ANGELES COUNTY COMMUNITIES SINCE 1942, AND SINCE THAT TIME HAS EARNED A REPUTATION FOR CLINICAL EXCELLENCE AND AWARD-WINNING CARE IN A COMPASSIONATE AND TRANQUIL HEALING ENVIRONMENT. TODAY, PROVIDENCE SAINT JOHN'S IS A NATIONALLY RENOWNED 266-BED HOSPITAL WITH PHYSICIANS, NURSES, VOLUNTEERS AND SUPPORT STAFF WHO WORK AS A TEAM TO PROVIDE THE BEST POSSIBLE MEDICAL CARE TO ITS PATIENTS AND THE COMMUNITY. PROVIDENCE SAINT JOHN'S PROVIDES THE LATEST IN DIAGNOSTIC TECHNOLOGY AND SPECIALTY CARE WITH A STRONG COMMITMENT TO ITS CORE SERVICE LINES: HEART AND VASCULAR CARE, ONCOLOGY, ORTHOPEDICS AND WOMEN'S HEALTH. SAINT JOHN'S ALSO IS HOME TO THE WORLD-RENOWNED SAINT JOHN'S CANCER INSTITUTE, DEDICATED TO CLINICAL RESEARCH AND MEDICAL ADVANCEMENTS IN CANCER CARE. PROVIDENCE SAINT JOHN'S REPUTATION FOR ACADEMICALLY-BASED CARE GUIDED BY RESEARCH AND EVIDENCE-BASED MEDICINE IS DUE TO THE COMMITMENT TO EXCELLENCE BY OUR PHYSICIANS, NURSES AND CAREGIVERS. OUR CANCER SURGEONS CARE FOR PATIENTS IN THE CANCER CENTER AND HOLD FACULTY POSITIONS AT THE SAINT JOHN'S CANCER INSTITUTE AND OTHER TEACHING INSTITUTIONS IN THE COMMUNITY. NEARLY EVERY CORE SERVICE LINE AT PROVIDENCE SAINT JOHN'S PARTICIPATES IN RESEARCH OR CLINICAL TRIALS. FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH, WHO IN 2014 PASSED ITS SPONSORSHIP TO PROVIDENCE HEALTH & SERVICES, PROVIDENCE SAINT JOHN'S IS ROOTED IN THE CATHOLIC HEALTH CARE TRADITION, WHICH IS DEVOTED TO PROVIDING LEADING-EDGE MEDICINE WITH UNWAVERING COMPASSION AND PERSONALIZED CARE. IN LINE WITH BOTH ITS CATHOLIC MISSION AND ITS RESPONSIBILITIES AS A NON-PROFIT HEALTH CARE PROVIDER, PROVIDENCE SAINT JOHN'S SEEKS TO CREATE HEALTHIER COMMUNITIES BY INVESTING IN COMMUNITY BENEFIT PROGRAMS, WITH AN EMPHASIS ON THE POOR AND VULNERABLE. THROUGH THE DEDICATION AND COLLABORATIVE EFFORTS OF THE COMMUNITY, FRIENDS, PATRONS, PHYSICIANS, NURSES, STAFF AND VOLUNTEERS, PROVIDENCE SAINT JOHN'S CONTINUES ITS WORLD-CLASS TRADITION ESTABLISHED MORE THAN 70 YEARS AGO BY PROVIDING BREAKTHROUGH MEDICINE IN AN ENVIRONMENT OF INSPIRED HEALING. PROVIDENCE PROVIDENCE SAINT JOHN'S HEALTH CENTER PROVIDES VITAL COMMUNITY HEALTH SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE AND DISCOUNTED CARE. IN CY24, PROVIDENCE ST. JOHN'S REPORTED $2.7M IN FINANCIAL ASSISTANCE (FREE AND DISCOUNTED CARE), AND $27M OF UNPAID COST OF MEDICAID. PROVIDENCE SAINT JOHN'S HEALTH CENTER IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE IN ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) THE COMMUNITY MISSION BOARD IS COMPRISED OF EIGHT TO FIFTEEN BOARD MEMBERS WHO ARE NOT ONLY PROFESSIONALLY DIVERSE, BUT WHO CLOSELY REPRESENT THE AGE, GENDER, RACE, AND ETHNIC PROFILE OF ITS SERVICE AREA. NO MEMBER OF THE COMMUNITY MISSION BOARD WILL BE AN EMPLOYEE OF PROVIDENCE. 2) OPEN MEDICAL STAFF AND HEALTH PROFESSIONS EDUCATION PROGRAM DEDICATED TO RESPONDING TO THE NEEDS OF THE LOCAL COMMUNITY. 3) PROVIDENCE SAINT JOHN'S HEALTH CENTER DEMONSTRATES ORGANIZATIONAL COMMITMENT TO THE COMMUNITY BENEFIT PROCESS THROUGH THE ALLOCATION OF STAFF TIME, FINANCIAL RESOURCES, PARTICIPATION, AND COLLABORATION WITH COMMUNITY PARTNERS. THE DIRECTOR OF COMMUNITY HEALTH INVESTMENT IS RESPONSIBLE FOR COORDINATING COMPLIANCE AND COMMUNITY BENEFIT REPORTING OF STATE AND FEDERAL 501R REQUIREMENTS. ROBUST COMMUNITY BENEFIT PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS. SEE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
PART VI, LINE 6:AFFILIATED HEALTHCARE SYSTEM:AT PROVIDENCE, WE USE OUR VOICE TO ADVOCATE FOR VULNERABLE POPULATIONS AND NEEDED REFORMS IN HEALTH CARE. WE ARE ALSO PURSUING INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. IN AN INCREASINGLY UNCERTAIN WORLD, WE ARE COMMITTED TO HIGH-QUALITY, COMPASSIONATE HEALTH CARE FOR EVERYONE - REGARDLESS OF COVERAGE OR ABILITY TO PAY. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY. TOGETHER, OUR 125,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 51 HOSPITALS, 1,014 CLINICS AND A COMPREHENSIVE RANGE OF HEALTH AND SOCIAL SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE PROVIDENCE AFFILIATE FAMILY INCLUDES: -PROVIDENCE ACROSS FIVE WESTERN STATES -COVENANT HEALTH IN WEST TEXAS AND NEW MEXICO -FACEY MEDICAL GROUP IN LOS ANGELES, CA -KADLEC IN SOUTHEAST WASHINGTON -PACIFIC MEDICAL CENTERS IN SEATTLE, WA -SWEDISH HEALTH SERVICES IN SEATTLE, WA IN 2024, PROVIDENCE MINISTRIES AND AFFILIATES PROVIDED $1.9 BILLION IN COMMUNITY BENEFIT PROGRAMS. THIS INCLUDES FREE AND DISCOUNTED CARE, UNCOMPENSATED AND SUBSIDIZED CARE, AND OTHER COMMUNITY HEALTH ACTIVITIES. ONE OF THESE VITAL PROGRAMS, MEDICAID, IS A LIFELINE FOR MILLIONS OF INDIVIDUALS, INCLUDING SENIORS, CHILDREN, PREGNANT PATIENTS, THOSE WITH DISABILITIES AND VETERANS. WE ARE GRATEFUL TO EVERYONE IN OUR COMMUNITIES WHO HAS JOINED US IN ADVOCATING FOR CONTINUED FUNDING AND EXPANSION OF THIS PROGRAM. TOGETHER, WE ARE HELPING TO ENSURE MORE PEOPLE HAVE ACCESS TO NEEDED CARE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ANNUAL-REPORT.THE FOLLOWING ARE KEY EXAMPLES OF HOW WE ARE INVESTING IN ADVANCING THE HEALTH OF OUR COMMUNITIES:ST. JOSEPH FUND: ST. JOSEPH FUND (SJF) IS PROVIDENCE'S GRANTMAKING FOUNDATION. IT INVESTS IN AND FOSTERS LONG-TERM PARTNERSHIPS, ROOTED IN LOVE, WITH COMMUNITIES TO ENSURE THEY ARE LIVELY, HOPEFUL, HEALTHY, AND JUST. ITS PARTNERSHIPS ARE TAILORED TO PROVIDE EACH GROUP WITH CAPACITY-BUILDING SUPPORT SPECIFIC TO THEIR NEEDS. TOGETHER, THEY BUILD RELATIONSHIPS AND FOSTER ONGOING DIALOGUES BEYOND A GRANT TERM. EACH PARTNERSHIP ENCOURAGES THE ACCESSIBILITY OF STAFF TO GENERATE IDEAS AND INNOVATIONS. SJF INVESTS IN REGIONAL NONPROFITS AND COLLABORATIVES ACROSS ALASKA, CALIFORNIA, MONTANA, OREGON, AND WASHINGTON TO STRENGTHEN AND BUILD THE POWER OF COMMUNITIES, FOCUSING ON BUILDING COMMUNITY IN FOUR KEY AREAS: - DISASTER RESPONSE AND RESILIENCE - LIFELONG EDUCATION THAT OPENS DOORS - POSITIVE CHANGE THROUGH COMMUNITY POWER - COMMUNITY HEALING AND RESILIENCE CAPACITY BUILDING IS AT THE CENTER OF SJF'S WORK. BY THAT, IT MEANS INFRASTRUCTURE DEVELOPMENT, INTERNAL ASSESSMENTS, RESEARCH, TRAINING, COHORT LEARNING, EXAMINING POLICIES AND PROCEDURES, AND MORE TO ENCOMPASS THE BUILDING BLOCKS FOR ORGANIZATIONAL POWER TO CARRY FORTH DIRECT COMMUNITY AND SOCIAL IMPACT. IT PARTNERS WITH COMMUNITY MEMBERS TO GO THE DISTANCE WITH THEM TOWARD WHOLENESS. THE SJF DOESN'T JUST FUND INITIATIVES IT REMAINS PARTNERS LONG AFTER THE GRANT FUNDS HAVE BEEN EXPENDED. SJF LEADERS AND THOSE AT THEIR NONPROFIT PARTNERS EACH HAVE LIVED EXPERIENCE AND UNDERSTAND THE NEEDS OF UNDERSERVED COMMUNITIES. THE SJF TEAM IS MOTIVATED BY COMPASSION, KINDNESS, AND THE DESIRE TO BENEFIT OTHERS AND BELIEVES THIS LEADS TO MORE POSITIVE OUTCOMES AND CREATES A SENSE OF FULFILLMENT AND SATISFACTION. ABOVE ALL, SJF BELIEVES IN THE POWER OF THE COMMUNITY. IT CELEBRATES AND CENTERS COMMUNITY EXPERTISE AND EXPERIENCE. IT LISTENS TO THEIR WISDOM. IT UNDERSTANDS THEIR NEEDS. AND IT INVESTS IN THEIR OPPORTUNITIES. SJF ENVISIONS WORKING AND LIVING TOGETHER IN LIVELY, HOPEFUL, HEALTHY, AND JUST COMMUNITIES. THE SJF INVESTS IN LONG-TERM PARTNERSHIPS ROOTED IN LOVE. FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/INITIATIVES/ST-JOSEPH-FUND INVESTING IN OUR COMMUNITIES IS AN ESSENTIAL WAY WE LIVE OUR MISSION: FOR GENERATIONS, THE PROVIDENCE FAMILY OF ORGANIZATIONS HAS SERVED AS A VITAL SAFETY NET FOR THOSE WHO ARE VULNERABLE. GUIDED BY COMMUNITY HEALTH NEEDS ASSESSMENTS, WE CONTINUE OUR LONGSTANDING COMMITMENT TO THOSE IN NEED THROUGH COMMUNITY BENEFIT AND OTHER HIGH-IMPACT EFFORTS. BELOW WE HIGHLIGHT KEY EXAMPLES. THE PROVIDENCE FAMILY OF ORGANIZATIONS IS A TIRELESS ADVOCATE FOR HEALTH AND SOCIAL PROGRAMS, AND POLICIES THAT CONTRIBUTE TO THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. GROUNDED IN OUR MISSION AND BELIEF THAT EVERY PERSON IS EQUAL IN DIGNITY AND VALUE, WE ADVOCATE FOR MORE JUST AND EQUITABLE HEALTH CARE FOR ALL, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. WE BELIEVE THAT HEALTH IS A HUMAN RIGHT AND WE PARTNER WITH LAWMAKERS TO ADVANCE POLICIES THAT BRING OUR VISION OF HEALTH FOR A BETTER WORLD TO LIFE.THROUGH A COLLABORATION WITH LIKEMINDED STAKEHOLDERS AND ASSOCIATIONS, PROVIDENCE LED LOCAL, STATE AND FEDERAL POLICY PRIORITIES TO EXPAND ACCESS AND COVERAGE TO SOME OF OUR MOST VULNERABLE IN OUR COMMUNITIES. SOME OF OUR ACHIEVEMENTS INCLUDE: - EXPANDING ACCESS TO CARE FOR UNDERSERVED POPULATIONS- PRESERVING THE MEDICAID PROGRAM- SUPPORTING OPERATIONAL AND FINANCIAL STABILITY THROUGH IMPROVED REIMBURSEMENT- ADVANCING POLICIES THAT STRENGTHEN THE HEALTHCARE WORKFORCE PIPELINE- INCREASING ACCESS TO MENTAL HEALTH SERVICESADVOCACY AND SOCIAL RESPONSIBILITY:IN PARTNERSHIP WITH COMMUNITIES, THE PROVIDENCE FAMILY OF ORGANIZATIONS ADVOCATES FOR RESPONSIBLE, SUSTAINABLE, AND EQUITABLE POLICIES AND PRACTICES. WE REACH BEYOND THE WALLS OF HOSPITALS AND CARE FACILITIES TO WORK WITH LOCAL, STATE AND NATIONAL PARTNERS TO ADVANCE POLICIES THAT SERVE VULNERABLE POPULATIONS AND PROMOTE JUSTICE. WE ALSO PARTNER TO PROMOTE PRACTICES AND INFRASTRUCTURE THAT WILL SUSTAIN THE PLANET FOR FUTURE GENERATIONS AND TRANSFORM OUR COMMUNITIES FOR A HEALTHIER, MORE EQUITABLE WORLD.FOR MORE INFORMATION GO TO: HTTPS://WWW.PROVIDENCE.ORG/ABOUT/ADVOCACY-AND-SOCIAL-RESPONSIBILITYWELL BEING TRUST:PROVIDENCE'S WELL BEING TRUST IS A FOUNDATION DEDICATED TO ADVANCING THE MENTAL, SOCIAL, AND SPIRITUAL HEALTH FOR ALL. WITH A BOLD MISSION, VISION AND OVERARCHING GOAL, WELL BEING TRUST IS INVESTING IN APPROACHES THAT HAVE THE POTENTIAL TO MODEL THE WAY FORWARD AND ADVANCE CLINICAL, COMMUNITY AND CULTURAL CHANGETO TRANSFORM THE HEALTH OF THE NATION AND IMPROVE WELL-BEING FOR EVERYONE.FOR MORE INFORMATION GO TO: HTTPS://WELLBEINGTRUST.ORG/ABOUT/
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
VENICE FAMILY CLINIC
604 ROSE AVENUEVENICECA90291952769432501(C)(3)$175,000$0COMMUNITY BENEFIT RESTRICTED GRANT
DAVID & GOLIATH LLC
990N PACIFIC COAST HIGHWAY SUITEEI SENGUNDOCA90245134088671501(C)(3)$199,750$0OPERATIONAL SUPPORT700
WESTSIDE FAMILY HEALTH CENTER
3861 SEPULVEDA BOULEVARDCULVERCA90230952931931501(C)(3)$50,000$0COMMUNITY BENEFIT RESTRICTED GRANT
SAINT ANNE SCHOOL
2015 COLORADO AVENUESANTA MONICACA90404910575944501(C)(3)$50,000$0COMMUNITY BENEFIT RESTRICTED GRANT
HEALTHSTREAM INC
PO BOX 102817ATLANTAGA30368621443555501(C)(3)$33,300$0OPERATIONAL SUPPORT
HEADSPACE INC
2417 MICHIGAN AVENUESANTA MONICACA90404461777570501(C)(3)$27,244$0SPONSORSHIP
ROCKET FARM
972 N COVE COLONY WAYEAGLEID83616272119840501(C)(3)$18,050$0OPERATIONAL SUPPORT
THE SHIPYARD LLC
580 N 4TH STREET STE 500COLUMBOSOH43215841844417501(C)(3)$18,000$0OPERATIONAL SUPPORT
CALIFORNIA STATE UNIV DOMINGUEZ HILLS
1000 EAST VICTORIA STREETCARSONCA90747952543028501(C)(3)$14,400$0SPONSORSHIP
MIGHTY WELL
105 WATERMAN 240EAST PROVIDENCERI02914814044945501(C)(3)$9,840$0OPERATIONAL SUPPORT
ACCUVEIN
DEP CH 16850PALATINEIL60055760823560501(C)(3)$5,272$0OPERATIONAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ERIK WEXLER
PRESIDENT/CEO$0$1,968,391$0$6,173,417$0$448,548$0$519,036$0$15,992$0$9,125,384$0$409,440
GREG HOFFMAN
EVP & CFO/TREASURER$0$1,402,471$0$2,154,592$0$323,161$0$377,326$0$13,379$0$4,270,929$0$239,249
ANNA NEWSOM
EVP & CHIEF LEGAL OFFICER/SECRETARY$0$1,053,930$0$1,511,654$0$44,947$0$284,757$0$387$0$2,895,675$0$0
MICHAEL RICKS
CHIEF EXEC SO CA LA COASTAL$0$631,427$0$466,443$0$490,624$0$181,629$0$50,438$0$1,820,561$0$165,002
JIM WATSON ESQ
ASSISTANT SECRETARY$0$494,455$0$358,832$0$102,636$0$110,879$0$17,651$0$1,084,453$0$77,014
JIM MARTIN
ASSISTANT TREASURER$0$463,263$0$290,109$0$66,993$0$88,541$0$8,347$0$917,253$0$64,532
JO ANN ESCASA-HAIGH
FRMR TREASURER/CFO/VP$0$0$0$0$0$879,466$0$0$0$0$0$879,466$0$0
SHERYL BOURGEOIS
PRESIDENT CEO SJHC FOUNDATION$480,896$0$185,000$0$27,902$0$26,004$0$15,169$0$734,971$0$0$0
MINA KANG
CHIEF MEDICAL OFFICER HOSPITAL$397,651$0$42,582$0$24,814$0$19,520$0$16,734$0$501,301$0$334$0
STELLA NICHOLS
CFO COO SJHC FOUNDATION$358,125$0$70,117$0$18,748$0$29,630$0$9,974$0$486,594$0$13,410$0
JOHN F GOEDERS
CFO ST JOHNS HEALTH CNT$0$384,424$0$39,004$0$7,886$0$19,558$0$15,789$0$466,661$0$4,030
JARED AMERSON
COO ST JOHNS HEALTH CNT$354,415$0$43,334$0$27,110$0$19,287$0$6,433$0$450,579$0$3,247$0
STEPHANIE NOLAN
CHIEF NURSING OFFICER$315,729$0$31,416$0$1,643$0$15,758$0$6,484$0$371,030$0$0$0
ROBERT KLEIN
PRESIDENT CEO SJHC FOUNDATION$0$0$0$0$337,500$0$0$0$0$0$337,500$0$0$0
DONALD ANDERSON JR
ASSISTANT SECRETARY FOR ENROLLMENT$0$287,131$0$28,005$0$1,418$0$14,332$0$4,600$0$335,486$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1APROVIDENCE EXPENSE REIMBURSEMENT PROCEDURES INCLUDE THE FOLLOWING POLICIES: FIRST CLASS TRAVEL OR CHARTER TRAVEL AIR TRAVEL IS GENERALLY REIMBURSABLE AT THE LEAST EXPENSIVE AIRFARE WHICH PERMITS DEPARTURES AND ARRIVALS AT REASONABLE TIMES AND REASONABLE DISTANCE TRAVELED. EMPLOYEES ARE ENCOURAGED TO PLAN IN ADVANCE TO GET AVAILABLE DISCOUNTS. AIRLINE FREQUENT FLYER UPGRADES WILL NEVER BE REIMBURSED. IN LIMITED SITUATIONS, FIRST CLASS TICKETS AND CHARTER MAY BE REIMBURSED WHEN APPROVED BY A SENIOR LEVEL SUPERVISOR. THESE REIMBURSEMENTS ARE NOT REPORTED AS TAXABLE COMPENSATION. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - RELOCATION PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO RELOCATION EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THE RELOCATION EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THE RELOCATION BENEFITS, SO THAT A PORTION OF THE REIMBURSEMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. TAX INDEMNIFICATIONS OR GROSS-UP PAYMENTS - FINANCIAL/RETIREMENT PLANNING PROVIDENCE FOLLOWS THE FEDERAL AND STATE TAXATION LAWS RELATED TO FINANCIAL AND RETIREMENT PLANNING EXPENSES PAID TO THE EMPLOYEE OR TO A THIRD PARTY ON THE EMPLOYEE'S BEHALF. THEY ARE CONSIDERED TAXABLE WAGES AND ARE REPORTED AS SUCH. BASED ON THE WAY PROVIDENCE HAS CHOSEN TO PAY THESE OTHER EXPENSES, PROVIDENCE REPORTS REIMBURSEMENTS AND PAYMENTS TO VENDORS AS INCOME AND THESE EXPENSE PAYMENTS ARE REFLECTED ON THE EXECUTIVE'S FORM W-2. PROVIDENCE PROVIDES A GROSS-UP FOR THIS BENEFIT, SO THAT A PORTION OF THE PAYMENT DOES NOT HAVE TO BE USED TO PAY TAXES, AND THIS TAX GROSS-UP IS ALSO REPORTED AS TAXABLE INCOME. THE AMOUNTS REPORTED FOR THESE GROSS-UP PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990. PERSONAL SERVICE PROVIDENCE OFFERS FINANCIAL PLANNING SERVICES AS AN OPTIONAL BENEFIT TO EMPLOYEES AT VICE PRESIDENT LEVEL AND ABOVE. THIS BENEFIT IS CONSIDERED A TAXABLE BENEFIT AND IS INCLUDED ON THE EMPLOYEE'S FORM W- 2. THE AMOUNTS REPORTED FOR THE FINANCIAL PLANNING SERVICES ARE INCLUDED AS TAXABLE INCOME ON SCHEDULE J, PART II, COLUMN B (III) - OTHER REPORTABLE COMPENSATION ON THE FORM 990 FOR THE EMPLOYEES WHO PARTICIPATE.
PART I, LINE 3DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/TOP MANAGEMENT OFFICIAL IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PROVIDENCE.
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: JO ANN ESCASA-HAIGH - $879,466 ENTITIES WITHIN THE PROVIDENCE SYSTEM SPONSOR NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS FOR CERTAIN EXECUTIVES. THE PLANS PROVIDE FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND, DEPENDING ON THE PLAN, ARE SUBJECT TO EITHER A THREE YEAR, AGE 59 1/2 OR A FIVE YEAR, AGE 65 VESTING SCHEDULE. UNTIL THE EXECUTIVE PROVIDES THESE SUBSTANTIAL FUTURE SERVICES, THESE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE AT RISK, AND WILL BE FORFEITED IF THE EXECUTIVE LEAVES THE ORGANIZATION BEFORE REACHING HER OR HIS VESTING DATE. THE SUPPLEMENTAL RETIREMENT CONTRIBUTIONS ARE INCLUDED IN COLUMN (C) AS A NONTAXABLE BENEFIT IN THE YEAR THE CONTRIBUTION IS CREDITED TO THE EXECUTIVE'S ACCOUNT, AND ARE INCLUDED AGAIN ON THE FORM 990 IN COLUMN (B)(III) IF AND WHEN THE AMOUNT BECOMES VESTED IN A FUTURE YEAR, AS THE FORM 990 REQUIRES. THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT DURING THE CURRENT YEAR: ERIK WEXLER - $409,440 GREG HOFFMAN - $239,249 MICHAEL RICKS - $165,002 JIM WATSON, ESQ - $77,014 JIM MARTIN - $64,532 MINA KANG - $334 STELLA NICHOLS - $13,410 JOHN F. GOEDERS - $4,030 JARED AMERSON - $3,247
PART I, LINE 7NON-FIXED PAYMENTS THE PROVIDENCE EXECUTIVE COMPENSATION COMMITTEE (OF THE BOARD) HAS APPROVED AN EXECUTIVE COMPENSATION PHILOSOPHY THAT CLOSELY TIES AN EXECUTIVE'S COMPENSATION TO PERFORMANCE - BOTH THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE EXECUTIVE. THERE IS NO GUARANTEE THAT THIS PART OF A LEADER'S COMPENSATION WILL BE PAID - IF THE PERFORMANCE OF THE ORGANIZATION OR OF THE INDIVIDUAL DOES NOT MEET THE PERFORMANCE STANDARDS FOR PAYMENT, NO PERFORMANCE-BASED PAYMENT IS MADE. THIS APPROACH IS REFLECTED IN PROVIDENCE'S LEADERSHIP ANNUAL INCENTIVE PLAN AND LONG-TERM INCENTIVE PLAN, WHICH ARE PERFORMANCE-BASED ANNUAL INCENTIVE PLANS THAT AFFORD PARTICIPATING EXECUTIVES THE OPPORTUNITY TO EARN "AT RISK" COMPENSATION THROUGH PERFORMANCE AGAINST VERY CHALLENGING GOALS. PAYOUTS WILL BE AWARDED BASED ON GOALS RELATED TO STRATEGIC OBJECTIVES, FISCAL STEWARDSHIP AND QUALITY OF CARE - THESE GOALS ARE SET BEFORE THE YEAR BEGINS AND ARE VERY CHALLENGING. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S PERFORMANCE GOALS TO MAKE SURE THEY ARE SUFFICIENTLY CHALLENGING, AND TO MAKE SURE THE GOALS ARE DESIGNED TO HELP PROVIDENCE MEET ITS MISSION AND STRATEGIC PURPOSES. EACH YEAR THE PSJH BOARD EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE INCENTIVE PERFORMANCE AND MUST CERTIFY THE ACHIEVEMENT OF PERFORMANCE GOALS BEFORE ANY AWARDS ARE PAID OUT. WHEN REVIEWING AND APPROVING TOTAL COMPENSATION FOR EXECUTIVES, THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES INCENTIVE AWARDS, TO MAKE SURE THAT COMPENSATION IS REASONABLE AND WELL-SUPPORTED BY MARKET DATA. THE COMMITTEE CONSISTS ONLY OF DIRECTORS WHO ARE FREE OF CONFLICTS OF INTEREST, AND THE COMMITTEE RELIES ON MARKET SURVEY DATA GATHERED BY AN INDEPENDENT CONSULTANT. THE COMMITTEE CONDUCTS THIS REVIEW AND APPROVAL PROCESS IN A MANNER THAT IS IN ACCORDANCE WITH IRS REQUIREMENTS FOR COMPENSATION OF TAX-EXEMPT ORGANIZATION LEADERS, AND IN ACCORDANCE WITH THE BEST GOVERNANCE PRACTICES IN THE INDUSTRY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 15:INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF THE RELATED ORGANIZATION. IT IS THE INTENTION OF PROVIDENCE AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE EMPLOYEES OF A RELATED ORGANIZATION WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. THE RELATED ORGANIZATION COMMON LAW EMPLOYEES ARE INCLUDED IN THE RELATED ORGANIZATION'S SECTION 4960 TAX ANALYSIS AND REPORTING.
FORM 990, PART VI, SECTION A, LINE 6CLASSES OF MEMBERS OR STOCKHOLDERS PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA IS THE SOLE CORPORATE MEMBER OF PROVIDENCE SAINT JOHN'S HEALTH CENTER.
FORM 990, PART VI, SECTION A, LINE 7ACLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PROVIDENCE SAINT JOHN'S HEALTH CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT THE PROVIDENCE SAINT JOHN'S HEALTH CENTER'S GOVERNING BOARD. ALL NOMINATIONS THAT COME FROM THE PROVIDENCE SAINT JOHN'S HEALTH CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA, AS THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BCLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS THE FOLLOWING POWERS RESIDE WITH THE CORPORATE MEMBER: 1) TO ADOPT OR CHANGE THE MISSION, PHILOSOPHY, AND VALUES, INCLUDING THE STRATEGIC PLAN AND MISSION STATEMENT. 2) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS. 3) TO APPROVE THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE TRANSFER, ASSIGNMENT OR ENCUMBERING OF ASSETS EXCEEDING A SPECIFIED THRESHOLD, OR THE SALE OR TRANSFER OF ANY PROPERTY WHICH MAY HAVE HISTORICAL OR RELIGIOUS SIGNIFICANCE. 4) TO APPROVE THE DISSOLUTION OR LIQUIDATION. 5) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS. 6) TO APPOINT THE CERTIFIED PUBLIC ACCOUNTANTS. 7) TO APPROVE THE CLOSURE OF ANY INSTITUTION OR MAJOR ENTITY OR WORK OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION INCLUDING THE FINANCE TEAM, HUMAN RESOURCES, PAYROLL, COMPLIANCE AND THE GENERAL COUNSEL'S OFFICE. THE ORGANIZATION ENGAGED AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE RETURN. THE RETURN HAS BEEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A FULL COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. THE AUDIT COMMITTEE OF THE PARENT ORGANIZATION IS PROVIDED AN ANNUAL UPDATE ON THE TAX REPORTING PROCESS AND KEY DISCLOSURES.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PROVIDENCE TAKES THE ISSUE OF CONFLICTS OF INTEREST, AND INDEPENDENT UNCONFLICTED DECISION-MAKING, VERY SERIOUSLY. PROVIDENCE HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY AND INTEREST DISCLOSURE POLICY, REVISED IN 2023, AND CAREFULLY AND THOROUGHLY ADMINISTERS THESE POLICIES. BOARD MEMBERS, SPONSORS, SENIOR LEADERS AND KEY CORE LEADERS ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN ACCORDANCE WITH THE PROVIDENCE CONFLICT OF INTEREST POLICY, AND SO THAT THE INDIVIDUAL SATISFIES HIS OR HER FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES ARE MADE ANNUALLY, AS WELL AS ANY TIME AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. PROVIDENCE CHIEF LEGAL OFFICER AND/OR PROVIDENCE CHIEF RISK OFFICER, AND/OR PROVIDENCE CHIEF COMPLIANCE OFFICER, REVIEW ALL DISCLOSURES. WHERE APPROPRIATE, THE CEO AND/OR THE BOARD CHAIR WILL REVIEW CONFLICT OF INTEREST SITUATIONS THAT INVOLVE SENIOR LEADERSHIP OR A BOARD MEMBER OTHER THAN THE CHAIR. PROVIDENCE CHIEF LEGAL OFFICER AND/OR CHIEF RISK OFFICER REVIEW MATTERS WHERE CONFLICT IS DIFFICULT OR CANNOT BE READILY RESOLVED AND PRESENT RECOMMENDATIONS TO THE APPROPRIATE BOARD COMMITTEE OR THE CEO, FOR DISCUSSION AND RESOLUTION. WHEN APPROPRIATE, THE INDIVIDUAL WITH THE REAL/POTENTIAL CONFLICT THAT IS BEING REVIEWED MAY PARTICIPATE IN THE DISCUSSION BUT IS RECUSED FROM THE MEETING, AND FROM ANY FINAL DISCUSSION AND VOTE, WHEN A DECISION IS BEING MADE ON WHETHER A CONFLICT EXISTS, OR WHEN THE ACTION GIVING RISE TO THE CONFLICT OF INTEREST IS DECIDED. WHERE APPROPRIATE, CHIEF RISK OFFICER OR CHIEF LEGAL OFFICER WILL PROVIDE A PLAN TO MANAGE CONFLICTS AND AVOID PARTICIPATION BY THE CONFLICTED INDIVIDUAL IN THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST. AUDITING AND MONITORING OF THIS PROCESS IS DONE PERIODICALLY. ALL DOCUMENTATION OF CONFLICT OF INTEREST DISCLOSURES IS RETAINED IN ACCORDANCE WITH ORGANIZATION RETENTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER/PRESIDENT/EXECUTIVE DIRECTOR IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PROVIDENCE HEALTH & SERVICES - WASHINGTON, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. IT IS PROVIDENCE'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW PROVIDENCE ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. PROVIDENCE HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE PROVIDENCE MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF PROVIDENCE'S LEGAL ENTITIES. PROVIDENCE ALSO MAINTAINS A NETWORK OF COMMUNITY ENTITY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. PROVIDENCE HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS SENIOR EXECUTIVES, INCLUDING ALL OFFICERS. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED AT LEAST ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE PROVIDENCE BOARD CONSISTING ONLY OF OUTSIDE, INDEPENDENT DIRECTORS. THE COMMITTEE MAKES SURE, AT EACH OF ITS MEETINGS, THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST AS TO ANY EXECUTIVE WHOSE COMPENSATION IS REVIEWED BY THE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. PROVIDENCE IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS THAT ARE SUBSTANTIALLY SIMILAR TO PROVIDENCE IN SIZE AND COMPLEXITY (SUCH AS HAVING A SIMILAR AMOUNT OF ANNUAL NET REVENUE). ADDITIONALLY, BECAUSE PROVIDENCE OFTEN LOOKS TO GENERAL INDUSTRY FOR LEADERS IN CERTAIN FUNCTIONAL AREAS, PROVIDENCE ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY MARKET DATA IN THESE SPECIAL SITUATIONS. BASE SALARIES FOR PROVIDENCE EXECUTIVES ARE GENERALLY TARGETED TO THE "MEDIAN" LEVEL OF THE MARKET DATA (WHERE HALF THE SALARIES IN THE DATA ARE LOWER AND HALF THE SALARIES IN THE DATA ARE HIGHER), AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. TOTAL COMPENSATION IS TIED CLOSELY TO PERFORMANCE OF THE ORGANIZATION AND THE INDIVIDUAL. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY HELP LEAD PROVIDENCE IN ACHIEVING SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING PROVIDENCE'S OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH REVIEW PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR SETTING, REVIEWING AND APPROVING EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS (TO ASSURE THAT ALL COMPENSATION IS CONSIDERED REASONABLE) AND REFLECTS BEST GOVERNANCE PRACTICES IN THE INDUSTRY. THE PROCESS WAS LAST COMPLETED IN JUNE 2025.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE PROVIDENCE COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, CONSOLIDATED AUDITED FINANCIAL STATEMENTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE PROVIDENCE INTERNET SITE.
FORM 990, PART IX, LINE 11GAGENCY & CONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,545,421. MANAGEMENT AND GENERAL EXPENSES 845,947. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,391,368. BILLING AND COLLECTIONS: PROGRAM SERVICE EXPENSES 7,843. MANAGEMENT AND GENERAL EXPENSES 1,196. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,039. GENERAL CONSULTING FEES: PROGRAM SERVICE EXPENSES 4,654,310. MANAGEMENT AND GENERAL EXPENSES 710,009. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,364,319. MEDICAL DIRECTOR & MED PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 23,336,038. MANAGEMENT AND GENERAL EXPENSES 3,559,885. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,895,923. OTHER PATIENT SERVICES: PROGRAM SERVICE EXPENSES 26,498,387. MANAGEMENT AND GENERAL EXPENSES 4,042,298. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,540,685. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 12,704,421. MANAGEMENT AND GENERAL EXPENSES 1,938,044. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,642,465.
FORM 990, PART XPROVIDENCE SAINT JOHN'S HEALTH CENTER HAS UPDATED THE FOLLOWING FORM 990 SECTIONS TO REMOVE AMOUNTS RELATED TO REAL PROPERTY DETERMINED TO BE LEGALLY OWNED BY ITS TAX-EXEMPT CORPORATE MEMBER PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA. THE REAL PROPERTY WILL BE REPORTED ON PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA'S FORM 990 SECTIONS NOTED BELOW. - FORM 990, PART X, LINE 10A - FORM 990, PART X, LINE 10B - FORM 990, PART X, LINE 10C - FORM 990, SCHEDULE D, PART VI, LINE 1A - FORM 990, SCHEDULE D, PART VI, LINE 1B - FORM 990, SCHEDULE D, PART VI, LINE 1E
FORM 990, PART XI, LINE 9:NET ASSET TRANSFERS BETWEEN RELATED TAX-EXEMPT ORGANIZATIONS 98,898,821. OTHER CHANGES IN NET ASSETS -134,999. REAL PROPERTY TRANSFER (SEE FORM 990, PART X NARRATIVE) -274,114,644.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (102 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COLLABRIA CARE
414 SOUTH JEFFERSON STREETNAPACA94559680393144HEALTHCARECA501(C)(3)10SJHCNYes (1)
COVENANT ACO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611573313HEALTHCARETX501(C)(3)12, ICHSYes (1)
COVENANT CHILDREN'S PHYSICIANS GROUP
3615 19TH STREETLUBBOCKTX79410881290850HEALTHCARETX501(C)(3)PENDINGCHSYes (1)
COVENANT HEALTH PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057463516417HEALTHCARETX501(C)(3)12, ICHSYes (1)
COVENANT HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752765566HEALTHCARETX501(C)(3)3SJHSYes (1)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACELUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHSYes (1)
COVENANT HOME AND COMMUNITY CARE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057920275096HEALTHCARETX501(C)(3)10CHSYes (1)
COVENANT HOSPITAL HOBBS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057844273963HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057822913146HEALTHCARETX501(C)(3)3CHSYes (1)
COVENANT MEDICAL GROUP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752743883HEALTHCARETX501(C)(3)3CHSYes (1)
EVERETT TRANSITIONAL CARE SERVICES
PO BOX 5128EVERETTWA982065128943264605TRANSITIONAL CAREWA501(C)(3)100N/A
GAMELIN WASHINGTON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057201910170SUPPORTWA501(C)(3)7PHS WAYes (1)
GLOBAL TO LOCAL HEALTH INITIATIVE
2800 SOUTH 192ND ST 104SEATACWA98188273133200HEALTHCAREWA501(C)(3)7SHSYes (1)
GRACE CLINIC OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057203856995HEALTHCARETX501(C)(3)3LHH LLCYes (1)
HOSPICE OF LUBBOCK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752133781HEALTHCARETX501(C)(3)10CHSYes (1)
INSTITUTE FOR SYSTEMS BIOLOGY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912003593HEALTHCAREWA501(C)(3)7WHCYes (1)
KADLEC AUXILIARY INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057916033089SUPPORTWA501(C)(3)12, IIIKRMCYes (1)
KADLEC FOUNDATION
888 SWIFT BLVDRICHLANDWA99352237005501SUPPORTWA501(C)(3)7KRMCYes (1)
KADLEC REGIONAL MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910655392HEALTHCAREWA501(C)(3)3WHCYes (1)
LITTLE COMPANY OF MARY ANCILLARY SERVICES CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330844408IMAGING SERVICESCA501(C)(3)10PHS SOCALYes (1)
LUBBOCK HERITAGE HOSPITAL LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057264021016HEALTHCARETX501(C)(3)3CHSYes (1)
LUNDBERG ASSOCIATION PROVIDENCE HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911562797SUPPORTOR501(C)(3)7PHS ORYes (1)
METHODIST CHILDREN'S HOSPITAL
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752428911HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL LEVELLAND
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752246348HEALTHCARETX501(C)(3)3CHSYes (1)
METHODIST HOSPITAL PLAINVIEW
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057752426010HEALTHCARETX501(C)(3)3CHSYes (1)
MISSION HOSPITAL REGIONAL MEDICAL CTR
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643360HEALTHCARECA501(C)(3)3SJHSYes (1)
NORTHWEST HOPE & HEALING FOUNDATION
PO BOX 16069SEATTLEWA98116200799737SUPPORTWA501(C)(3)12, ISHSYes (1)
OPEN DOOR VENTURES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911608508SUPPORTWA501(C)(3)7PHS WAYes (1)
PACMED CLINICS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057562290878HEALTHCAREWA501(C)(3)10WHCYes (1)
PH&S FOUNDATIONSFVSA & SCVSA
501 SOUTH BUENA VISTA STREETBURBANKCA915054809953544877HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE ALASKA FOUNDATION
3760 PIPER STREET SUITE 2021ANCHORAGEAK99508920093565HEALTHCAREAK501(C)(3)7PHS WAYes (1)
PROVIDENCE BENEDICTINE NURSING CENTER FOUNDATION
540 SOUTH MAIN STMT ANGELOR97362911940286HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE BLANCHET ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911789266SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE CHILDREN'S HEALTH FOUNDATION
4805 NE GLISAN ST STE 2N35PORTLANDOR97213930800140SUPPORTOR501(C)(3)7PHS ORYes (1)
PROVIDENCE COMMUNITY HEALTH FOUNDATION
940 ROYAL AVE SUITE 410MEDFORDOR97504930692907HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE DETHMAN HOUSE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057473385506SUPPORTWA501(C)(3)70N/A
PROVIDENCE FACEY MEDICAL FOUNDATION (FKA FACEY MEDICAL FDN)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954322584SUPPORTCA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE GAMELIN HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311744654SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911549796HEALTHCAREWA501(C)(3)12, IIPSJH0
PROVIDENCE HEALTH & SERVICES - MONTANA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231793HEALTHCAREMT501(C)(3)3PHS WAYes (1)
PROVIDENCE HEALTH & SERVICES - OREGON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216587HEALTHCAREOR501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216586HEALTHCAREWA501(C)(3)3PHSYes (1)
PROVIDENCE HEALTH & SERVICES - WESTERN WASHINGTON
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911303277HEALTHCAREWA501(C)(3)3PMWHCYes (1)
PROVIDENCE HEALTH ASSURANCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057550828701MEDICAID HEALTHCARE PROVIDEROR501(C)(4)N/APHPYes (1)
PROVIDENCE HEALTH PLAN
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057930863097HEALTHCAREOR501(C)(4)N/APH GROUP LLCYes (1)
PROVIDENCE HEALTH SYSTEM - SO CALIFORNIA
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057510216589HEALTHCARECA501(C)(3)3PHSYes (1)
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL FOUNDATION INC
810 12TH STREET PO BOX 149HOOD RIVEROR97031930921990HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE HOSPICE AND HOME CARE FOUNDATION SNOHOMISH COUNTY
1615 75TH ST SW SUITE 210EVERETTWA98203272552749HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE HOSPICE OF SEATTLE FOUNDATION
2811 SOUTH 102ND NO 220TUKWILAWA98168912077378HEALTHCAREWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE INLAND NORTHWEST FOUNDATION (FKA PROV HC FDN - E WA)
101 W 8TH AVESPOKANEWA99204320014330HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION
4101 TORRANCE BLVDTORRANCECA90503510224944HEALTHCARECA501(C)(3)7PHS SOCALYes (1)
PROVIDENCE MEDICAL FDN (FKA ST JOSEPH HERITAGE HEALTHCARE)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330185031HEALTHCARECA501(C)(3)3SJHSYes (1)
PROVIDENCE MEDICAL INSTITUTE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057330283773HEALTHCARECA501(C)(3)12, IPHS SOCALYes (1)
PROVIDENCE MILWAUKIE FOUNDATION
10150 SE 32ND AVEMILWAUKIEOR97222943079515HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE MINISTRIES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057RELIGIOUS ORGWA501(C)(3)10N/A
PROVIDENCE MOUNT ST VINCENT FOUNDATION
4831 35TH AVE SWSEATTLEWA981262799911188119HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE NEWBERG HEALTH FOUNDATION
1001 PROVIDENCE DRIVENEWBERGOR97132930889144HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE PETER CLAVER ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311629656SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE PLAN PARTNERS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911861964HEALTHCAREWA501(C)(4)N/APHS ORYes (1)
PROVIDENCE PORTLAND MEDICAL FOUNDATION
4805 NE GLISAN STPORTLANDOR972132967931231494HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ROSSI ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057311584166SUPPORTWA501(C)(3)10PHS WAYes (1)
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814542216HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
PROVIDENCE SEASIDE HOSPITAL FOUNDATION
725 S WAHANNA ROADSEASIDEOR97138930927320HEALTHCAREOR501(C)(3)7PHS ORYes (1)
PROVIDENCE ST ELIZABETH HOUSE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057912171539SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST FRANCIS ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943244854SUPPORTWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH HEALTH
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057811244422HEALTHCAREWA501(C)(3)12, III0N/A
PROVIDENCE ST JOSEPH HEALTH FOUNDATION
4400 NE HALSEY ST STE 599PORTLANDOR97213943078543HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST JOSEPH MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810463482HEALTHCAREMT501(C)(3)3PHS WAYes (1)
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401 W POPLAR STREETWALLA WALLAWA99362452841492HEALTHCAREWA501(C)(3)7PHS WAYes (1)
PROVIDENCE ST VINCENT MEDICAL FOUNDATION
9205 SW BARNES ROAD STE MT2111PORTLANDOR97225930575982HEALTHCAREOR501(C)(3)7PHS ORYes (1)
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413 LILLY ROAD NEOLYMPIAWA985065166911097056SUPPORTWA501(C)(3)7PHS W WAYes (1)
PROVIDENCE TRINITYCARE HOSPICE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953264139HEALTHCARECA501(C)(3)10PHS SOCALYes (1)
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5315 TORRANCE BLVD NO B-1TORRANCECA90503330261016HEALTHCARECA501(C)(3)7PTCHYes (1)
PROVIDENCE WILLAMETTE FALLS MEDICAL FOUNDATION
1500 DIVISION STREETOREGON CITYOR97045931003750HEALTHCAREOR501(C)(3)12, IPHS ORYes (1)
REDWOOD MEMORIAL FOUNDATION
2700 DOBEER STREETEUREKACA95501942779313HEALTHCARECA501(C)(3)7SJHNC LLCYes (1)
SAINT JOHN'S CANCER INSTITUTE (FKA JOHN WAYNE CANCER INST)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057954291515HEALTHCARECA501(C)(3)4PSJHCYes (1)
SAINT JOHN'S HOSPITALHEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVDSANTA MONICACA90404956100079SUPPORT SAINT JOHN HEALTH CENTER & SJCICA501(C)(3)7PSJHCYes (1)
SEATTLE SCIENCE FOUNDATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057611502822PHYSICIAN COLLABORATIONWA501(C)(3)7WHCYes (1)
SISTERS OF PROVIDENCE OF MONTANA CORPORATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057262612415SHELL CORPORATIONMT501(C)(3)1PHS WA0
SISTERS OF ST JOSEPH OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643383RELIGIOUS ORGCA501(C)(3)10N/A
SRM ALLIANCE HOSPITAL SERVICES (PVH)
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680395200HEALTHCARECA501(C)(3)3SJHNC LLCYes (1)
ST JOSEPH HEALTH MINISTRY
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057271666576RELIGIOUS ORGCA501(C)(3)1SSJO0
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814791043HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JOSEPH HEALTH SYSTEM
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057953589356HEALTHCARECA501(C)(3)12, IPSJH0
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE SUITE 100IRVINECA92612330143024HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOME CARE NETWORK
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057680331084HEALTHCARECA501(C)(3)10SJHSYes (1)
ST JOSEPH HOSPITAL OF ORANGE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643359HEALTHCARECA501(C)(3)3SJHSYes (1)
ST JUDE HOSPITAL INC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951643325HEALTHCARECA501(C)(3)3SJHSYes (1)
ST LUKE ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057943176618SUPPORTWA501(C)(3)7PHS WAYes (1)
ST MARY MEDICAL CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057951914489HEALTHCARECA501(C)(3)3SJHSYes (1)
ST PATRICK HOSPITAL FOUNDATION
502 W SPRUCE STREETMISSOULAMT59802237056976HEALTHCAREMT501(C)(3)7PHS WAYes (1)
ST THOMAS CHILD AND FAMILY CENTER
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810233495EDUCATIONMT501(C)(3)10PHS WAYes (1)
SWEDISH EDMONDS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057272305304HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH HEALTH SERVICES
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057910433740HEALTHCAREWA501(C)(3)3WHCYes (1)
SWEDISH MEDICAL CENTER FOUNDATION
747 BROADWAYSEATTLEWA98122910983214HEALTHCAREWA501(C)(3)7SHSYes (1)
SWEDISH MJM HOLDINGS
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057273139262HOLDING COMPANYWA501(C)(3)12, ISHSYes (1)
TARZANA MEDICAL CENTER LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057833972614HEALTHCARECA501(C)(3)3PHS SOCALYes (1)
THE GAMELIN ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911180824SUPPORTWA501(C)(3)7PHS WAYes (1)
THE GAMELIN OREGON ASSOCIATION
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057911214491SUPPORTOR501(C)(3)10PHS ORYes (1)
TRI-CITIES CANCER CENTER FOUNDATION
7350 W DESCHUTES AVE BUILDING AKENNEWICKWA99336911739024SUPPORTWA501(C)(3)7KRMCYes (1)
UNIVERSITY OF PROVIDENCE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057810231777EDUCATIONMT501(C)(3)2PHSYes (1)
WESTERN HEALTHCONNECT
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057454171900HEALTHCAREWA501(C)(3)3PHS W WAYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (38 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
20TH STREET SURGERY LLC
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BRIDGEPORT MEDICAL IMAGING LLC (BMI)
4400 NE HALSEY 495PORTLANDOR97213260796953IMAGING - DIAGNOSTICSORN/A0Yes (1)
BROADWAY IMAGING LLC
PO BOX 4587MISSOULAMT598064587522405971MEDICAL IMAGINGMTN/A0Yes (1)
CANBY MEDICAL CENTER I LLC
4800 SW MACADAM AVE STE 120PORTLANDOR97239205470937REAL ESTATE - MOBORN/A0Yes (1)
CENTER FOR MEDICAL IMAGING LLC (CMI)
4400 NE HALSEY 495PORTLANDOR97213200477972IMAGING - DIAGNOSTICSORN/A0Yes (1)
CLACKAMAS RADIATION ONCOLOGY CENTER LLC
4400 NE HALSEY 495PORTLANDOR97213260381897RADIATION ONCOLOGYORN/A0Yes (1)
COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY
1031 W CHAPMAN AVE 101ORANGECA92868264591502HEALTHCARECAN/A0Yes (1)
COVENANT HIGH PLAINS SURGERY CENTER LLC
569 BROOKWOOD VILLAGE STE 901BIRMINGHAMAL35209752177401HEALTHCARETXN/A0Yes (1)
COVENANT PARK PHASE I VENTURE LLC
3615 19TH STLUBBOCKTX79410871464045REAL ESTATETXN/A00
CSS JV LLC
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FIRST HILL SURGERY CENTER LLC
1101 MADISON STREET STE 200SEATTLEWA98104472066485AMBULATORY SURGERY CENTERWAN/A0Yes (1)
FULLERTON SURGICAL CENTER LP
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057470927394AMBULATORY SURGERY CENTERCAN/A0Yes (1)
GREATER VALLEY MEDICAL BUILDING LP
501 S BUENA VISTA STBURBANKCA91505954570858REAL ESTATE - MOBCAN/A0Yes (1)
HERITAGE INVESTMENT GROUP I LLC
500 S MAIN STREET STE 1000ORANGECA92868271000061INVESTMENTSCAN/A00
IMAGING ASSOCIATES LLC
3650 PIPER STREET STE AANCHORAGEAK99508203906048MEDICAL IMAGINGAKN/A0Yes (1)
LSC REAL PROPERTY LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057474646059REAL ESTATETXN/A0Yes (1)
METHODIST DIAGNOSTIC IMAGING
4005 24TH STREETLUBBOCKTX79410752343261HEALTHCARETXN/A0Yes (1)
MISSION VIEJO PARTNERS II LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823943675REAL ESTATE - MOBCAN/A0Yes (1)
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1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057852444305HEALTHCARECAN/A00
OREGON ADVANCED IMAGING LLC
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PAVILION SURGERY CENTER LLC
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PERFORMANCE MEDICAL EQUIPMENT & RESPIRATORY SERVICES LLC
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1221 MADISON STREETSEATTLEWA98104203132044MEDICAL IMAGINGWAN/A0Yes (1)
PHS INVESTMENT TRUST SHORT TERM INVESTMENT PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057812701056INVESTMENTSWAN/A00
PROVIDENCE & SCA OFF-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209823765555MEDICALALN/A00
PROVIDENCE & SCA ON-CAMPUS HOLDINGS LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209823270499MEDICALALN/A0Yes (1)
PROVIDENCE HOUSE OAKLAND LP
540 23RD STOAKLANDCA94612811441264SUPPORTIVE HOUSINGCAN/A0Yes (1)
PROVIDENCE IMAGING CENTER JOINT VENTURE
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057920118807MEDICAL IMAGINGAKN/A00
PROVIDENCE ST JOSEPH HEALTH LONG TERM PORTFOLIO
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057823190634INVESTMENTSWAN/A00
PROVIDENCEUSP SPOKANE SURGERY CENTERS LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057881149413AMBULATORY SURGERY CENTERWAN/A00
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11550 INDIAN HILLS ROAD 160MISSION HILLSCA91345200684116AMBULATORY SURGERY CENTERCAN/A00
RADIATION THERAPY INNOVATIONS LLC
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ST JOSEPH PHYSICIAN VENTURES I LLC
1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057454521884REAL ESTATECAN/A0Yes (1)
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1801 LIND AVENUE SW ATTN TAX DEPTRENTONWA98057814657391HEALTHCARECAN/A00
ST JUDE SURGICAL CENTERS LLC
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Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
1221 MADISON STREET OWNERS ASSOC
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ADVATA INC (FKA KENSCI INC)
615 2ND AVE 700SEATTLEWA98104474048082HEALTHCAREWAN/AC0
AYIN HEALTH HOLDINGS INC
4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213833037172HEALTHCAREDEN/AC0
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4400 NE HALSEY ST STE 609 ATTN ACCOPORTLANDOR97213931211733HEALTHCAREORN/AC0
BOURGET HEALTH SERVICES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204911354431CLINICAL/MEDICAL LABWAN/AC0
CARON CORPORATION
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057810486082MEDICAL PHYSICIAN SERVICEMTN/AC0
CLOUD 21 LIMITED
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCAREN/AC0UK
ENDOSCOPY CENTER OF SOUTHERN CALIFORNIA
1301 20TH ST STE 280SANTA MONICACA90404952880495HEALTHCARECAN/AS0
HOSPITAL CENTRAL SERVICES ASSOCIATION
1600 M STREET NWAUBURNWA98001910818155LAUNDRY SERVICESWAN/AC0
INTEGRIS SOLUTIONS LIMITED
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KENSCI ASIA PACIFIC PTE LTD
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KENSCI TECH INDIA PRIVATE LIMITED
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LINDY TRANSFER HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057934609079HEALTHCAREWAN/AC0
LUBBOCK METHODIST HOSP PRACTICE MGMT
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057752578995INACTIVETXN/AC0
LUBBOCK METHODIST HOSPITAL SVCS
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MEDICAL SPECIALTIES MANAGERS INC
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PHN HOLDINGS
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461814184STRATEGIC PLANNING SERVICESCAN/AC0
PROVIDENCE GLOBAL CENTER LLP
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057981516461IT SVCSN/AC0IN
PROVIDENCE HEALTH CARE VENTURES INC
101 W 8TH AVE TAF C-9SPOKANEWA99204900155714CLINICAL/MEDICAL LABWAN/AC0
PROVIDENCE HEALTH NETWORK
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057800886966PREPAID HEALTHCARECAN/AC0
PROVIDENCE PARTNERS HOLDINGS INC
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PROVIDENCE PHYSICIAN SERVICES CO
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PROVIDENCE ST JOSEPH HEALTH NETWORK
20555 EARL STTORRANCECA90503823771547HEALTHCARECAN/AC0
PROVSOURCE
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057902318536HEALTHCAREDEN/AC0
ST JOSEPH HEALTH
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057462340232HOLDING COMPANYCAN/AC0
ST JOSEPH HEALTH SOURCE INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057461900168HEALTHCARECAN/AC0
ST JOSEPH MEDICAL PLAZA ASSOCIATION
1140 W LA VETA STE 400ORANGECA92868330621539CONDO ASSOCIATIONCAN/AC0
ST JOSEPH PROF SVCS ENTERPRISES INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057330155323HEALTHCARECAN/AC0
TEGRIA HOLDINGS LLC (FKA GRADY BLOCKER LLC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057842092143HOLDING COMPANYDEN/AC0
TEGRIA INSIGHTS GROUP HOLDINGS INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057861400769HOLDING COMPANYWAN/AC0
TEGRIA INSIGHTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057861532593HEALTHCAREWAN/AC0
TEGRIA PRODUCTS GROUP INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057870995138HOLDING COMPANYDEN/AC0
TEGRIA RCM GROUP US INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057863046450HOLDING COMPANYDEN/AC0
TEGRIA RCM GROUP INC (FKA PROV RCM GROUP INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844686520HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP INC (FKA PROVIDENCE SERVICES GROUP)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057844704409HOLDING COMPANYDEN/AC0
TEGRIA SERVICES GROUP-CAN INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057HEALTHCAREN/AC0CA
TEGRIA SERVICES GROUP-US INC (FKA BLUETREE NETWORK INC)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057900872936HEALTHCAREWIN/AC0
TRUSANA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057922370159HEALTHCAREDEN/AC0
VINSERRA INC
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057953943315INVESTMENTCAN/AC0
WEIGHT LOSS INC (FKA HMR WEIGHT MANAGEMENT SERVICES CORP)
1801 LIND AVE SW ATTN TAX DEPTRENTONWA98057463598718HEALTHCAREWAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROVIDENCE SAINT JOHN'S MEDICAL FOUNDATION
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PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
J$478,874COST
PROVIDENCE HEALTH & SERVICES-WASHINGTON
O$400,000COST
PROVIDENCE HEALTH & SERVICES-WASHINGTON
L$269,903COST