ST JOSEPH HEALTH SYSTEM FOUNDATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPH HEALTH SYSTEM FOUNDATION (EIN 33-0143024)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201721359349304832
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T11:28:26-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 VON KARMAN AVE STE 1700 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330143024 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HEALTH SYSTEM FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JO ANN ESCASA-HAIGH | InCareOfNm |
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 9493814000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3345 MICHELSON DR SUITE 100 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GABRIELA ROBLES | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9493814000 | PhoneNum |
| Signature | 2017-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | INAS RAOUF | PreparerPersonNm |
| PTIN | P01254678 | PTIN |
| Phone | 9497942300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HLTH COMMUNITY PRTNSP FUND | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GABRIELA ROBLES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3345 MICHELSON DR STE 100 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,174,284 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STJHS.ORG/SJH-PROGRAMS/SJH-FOUNDATION | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | WE PROVIDE FUNDING AND ASSISTANCE FOR IMPROVING THE HEALTH AND WELL BEING OF THE POOR, AND UTILIZE THE STRENGTH AND DIVERSITY OF OUR NEIGHBORS TO BUILD VIBRANT COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $30,684,001 | PYContributionsGrantsAmt |
| CY Contributions Grants | $31,651,500 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,486,399 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,522,784 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $38,170,400 | PYTotalRevenueAmt |
| CY Total Revenue | $37,174,284 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $15,742,205 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $21,378,512 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $870,795 | PYOtherExpensesAmt |
| CY Other Expenses | $946,513 | CYOtherExpensesAmt |
| PY Total Expenses | $16,613,000 | PYTotalExpensesAmt |
| CY Total Expenses | $22,325,025 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $21,557,400 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,849,259 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $132,387,085 | TotalAssetsBOYAmt |
| Total Assets EOY | $141,105,019 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,635 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $136,854 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $132,358,450 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $140,968,165 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $21,626,503 | ExpenseAmt |
| Grant | $21,378,512 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $21,626,503 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (true) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JO ANN ESCASA-HAIGH | PersonNm |
| Phone | 9493814000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3345 MICHELSON DR STE 100 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| SR MARIAN SCHUBERT | ||||||||
| CHAIRPERSON | 5.0 | 54.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JO ANN ESCASA-HAIGH | ||||||||
| BOARD MEMBER/CFO-SJHS | 4.0 | 50.0 | Yes (X) | Yes (X) | $0 | $848,677 | $36,701 | |
| ANNETTE WALKER | ||||||||
| BOARD MEMBER | 2.0 | 52.0 | Yes (X) | $0 | $960,096 | $52,380 | ||
| DOTTIE ANDREWS | ||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JAIME MUNOZ | ||||||||
| BOARD MEMBER/SECRETARY | 4.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KATHY HAYES | ||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH CARRILLO MD | ||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| AVA STEAFFENS | ||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JUDY WAGNER | ||||||||
| BOARD MEMBER | 2.0 | 50.0 | Yes (X) | $0 | $212,813 | $15,391 | ||
| SORA PARK TANJASIRI DRPH | ||||||||
| BOARD MEMBER (PART YEAR) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| LEAH ERSOYLU | ||||||||
| BOARD MEMBER (PART YEAR) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| GABRIELA ROBLES | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.0 | 0.0 | Yes (X) | $0 | $249,047 | $22,785 | ||
| DEBORAH PROCTOR | ||||||||
| FORMER CEO/CHAIRPESON | 0.0 | 52.0 | $0 | $2,259,199 | $28,611 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,529,832 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $155,868 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $31,651,500 | RelatedOrganizationsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $31,651,500 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,522,784 | TotalRevenueColumnAmt |
| Exclusion | $5,522,784 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,174,284 | TotalRevenueColumnAmt |
| Exclusion | $5,522,784 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,288,512 | TotalAmt |
| Program Services | $21,288,512 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,000 | TotalAmt |
| Program Services | $90,000 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $674,430 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $674,430 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,791 | TotalAmt |
| Program Services | $196,699 | ProgramServicesAmt |
| Management And General | $24,092 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391 | TotalAmt |
| Program Services | $391 | ProgramServicesAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,436 | TotalAmt |
| Program Services | $22,436 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,465 | TotalAmt |
| Program Services | $28,465 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,325,025 | TotalAmt |
| Program Services | $21,626,503 | ProgramServicesAmt |
| Management And General | $698,522 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,053,743 | BOYAmt |
| EOY | $4,073,339 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,824,385 | BOYAmt |
| EOY | $135,165,794 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,508,957 | BOYAmt |
| EOY | $1,865,886 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,387,085 | BOYAmt |
| EOY | $141,105,019 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,635 | BOYAmt |
| EOY | $136,854 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,635 | BOYAmt |
| EOY | $136,854 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,338,563 | BOYAmt |
| EOY | $126,428,677 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,887 | BOYAmt |
| EOY | $14,539,488 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,358,450 | BOYAmt |
| EOY | $140,968,165 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,387,085 | BOYAmt |
| EOY | $141,105,019 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $14,849,259 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,239,544 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,052,895 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,458,900 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,496,900 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,674,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,651,500 | CurrentTaxYearAmt |
| Total | $127,334,195 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,052,895 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,458,900 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,496,900 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,674,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,651,500 | CurrentTaxYearAmt |
| Total | $127,334,195 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $127,334,195 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,689,718 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,861,091 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,566,165 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,486,399 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,522,784 | CurrentTaxYearAmt |
| Total | $29,126,157 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $156,460,352 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $0 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.81384 | PublicSupportCY170Pct |
| Public Support PY170 | 0.80447 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp | |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | CONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2016 OR 2015. | ExplanationTxt |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|
| Middle East and North Africa | Grantmaking | $60,000 |
| Central America and the Caribbean | Grantmaking | $30,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $90,000 | SubtotalSpentAmt |
| Total Spent | $90,000 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)
| RegionRegionTxt | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt | Manner Of Cash DisbursementMannerOfCashDisbursementTxt |
|---|---|---|---|
| Middle East and North Africa | ASSIST SYRIAN REFUGEES | $60,000 | CHECK |
| Central America and the Caribbean | DISASTER RELIEF EARTHQUAKE | $30,000 | CHECK |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE F, PART I, LINE 2 | PROCEDURES FOR MONITORING GRANTS FOUNDATION STAFF TAKES REASONABLE STEPS TO INVESTIGATE A POTENTIAL GRANTEE'S CAPABILITY OF AND COMMITMENT TO EXECUTING THE PURPOSE OF THE GRANT. GRANTEES ARE REQUIRED TO PROVIDE MID YEAR AND END OF YEAR REPORTS OF THE GRANT'S FINANCIAL STATUS AND PROGRESS ON ACCOMPLISHING THE GRANT'S PURPOSES. |
| SCHEDULE F, PART I, LINE 3, COLUMN (F) AND PART II, LINE 1, COLUMN (E) | ORGANIZATION'S METHOD FOR ACCOUNTING FOR GRANTS ST. JOSEPH HEALTH SYSTEM FOUNDATION USES THE ACCRUAL METHOD FOR ACCOUNTING FOR GRANTS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (78 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| NEW HOPE VILLAGE | |||||||
| 100 WEST FREDRICKS | BARSTOW | CA | 92311 | 010653116 | 501(C)(3) | $25,000 | EMERGENCY FOOD & SHELTER WELLNESS & PREVENTION GRANT COMMUNITY BUILDING INITIATIVE WELLNESS & PREVENTION GRANT EMERGENCY FOOD & SHELTER EMERGENCY FOOD & SHELTER WELLNESS & PREVENTION GRANT EMERGENCY FOOD & SHELTER EMERGENCY FOOD & SHELTER EMERGENCY FOOD & SHELTER EMERGENCY FOOD & SHELTER EMERGENCY FOOD & SHELTER WELLNESS & PREVENTION GRANT WELLNESS & PREVENTION GRANT WELLNESS & PREVENTION GRANT EMERGENCY FOOD & SHELTER WELLNESS & PREVENTION GRANT COMMUNITY BUILDING INITIATIVE OPERATIONS SUPPORT WELLNESS & PREVENTION GRANT EMERGENCY FOOD & SHELTER EMERGENCY FOOD & SHELTER WELLNESS & PREVENTION GRANT COMMUNITY BUILDING INITIATIVE WELLNESS & PREVENTION GRANT WELLNESS & PREVENTION GRANT DISASTER RELIEF WELLNESS & PREVENTION GRANT COMMUNITY BUILDING INITIATIVE EMERGENCY FOOD & SHELTER WELLNESS & PREVENTION GRANT WELLNESS & PREVENTION GRANT EMERGENCY FOOD & SHELTER WELLNESS & PREVENTION GRANT WELLNESS & PREVENTION GRANT EMERGENCY FOOD & SHELTER WELLNESS & PREVENTION GRANT EMERGENCY FOOD & SH |
| THE GLOBAL GROUP | |||||||
| 2615 CAMINO DEL RIO SOUTH STE 300 | SAN DIEGO | CA | 92108 | 202076694 | 501(C)(3) | $80,000 | COMMUNITY BUILDING INITIATIVE |
| THE OLIN GROUP INC | |||||||
| 1505 E 17TH ST STE 101 | SANTA ANA | CA | 92705 | 203463134 | 501(C)(3) | $140,000 | WELLNESS & PREVENTION GRANT |
| GRANDMA'S HOUSE OF HOPE | |||||||
| 174 W LINCOLN AVE 541 | ANAHEIM | CA | 92805 | 260391438 | 501(C)(3) | $30,000 | EMERGENCY FOOD & SHELTER |
| CATERINA'S CLUB | |||||||
| 887 SOUTH ANAHEIM BLVD | ANAHEIM | TX | 92805 | 300751934 | 501(C)(3) | $10,000 | EMERGENCY FOOD & SHELTER |
| LA HABRA COMMUNITY COLLABORATIVE | |||||||
| 151 E WHITTIER BLVD | LA HABRA | CA | 92821 | 311645363 | 501(C)(3) | $25,000 | WELLNESS & PREVENTION GRANT |
| SECOND HARVEST FOOD BANK OF ORANGE COUNTY | |||||||
| 8014 MARINE WAY | IRVINE | CA | 92618 | 320362611 | 501(C)(3) | $40,000 | EMERGENCY FOOD & SHELTER |
| FAMILIES FORWARD | |||||||
| 9221 IRVINE BLVD | IRVINE | CA | 92618 | 330086043 | 501(C)(3) | $30,000 | EMERGENCY FOOD & SHELTER |
| FAMILY ASSISTANCE PROGRAM | |||||||
| 15075 7TH STREET | VICTORVILLE | CA | 92395 | 330107971 | 501(C)(3) | $35,000 | EMERGENCY FOOD & SHELTER |
| AIDS SERVICES FOUNDATION ORANGE COUNTY | |||||||
| 17982 SKY PARK CIRCLE STE J | IRVINE | CA | 92614 | 330126481 | 501(C)(3) | $30,000 | EMERGENCY FOOD & SHELTER |
| PATHWAYS OF HOPE | |||||||
| 514 WEST AMERIGE AVENUE | FULLERTON | CA | 92832 | 330147739 | 501(C)(3) | $20,000 | EMERGENCY FOOD & SHELTER |
| ST JUDE HOSPITAL YORBA LINDA | |||||||
| 200 W CENTER ST PROMENADE 8TH F | ANAHEIM | CA | 92805 | 330185031 | 501(C)(3) | $87,875 | WELLNESS & PREVENTION GRANT |
| MARY'S SHELTER | |||||||
| 1822 E 17TH STREET | SANTA ANA | CA | 92705 | 330203768 | 501(C)(3) | $30,000 | WELLNESS & PREVENTION GRANT |
| THOMAS HOUSE TEMPORARY SHELTER | |||||||
| 12601 MORNINGSIDE AVE UNIT 6 | GARDEN GROVE | CA | 92843 | 330204757 | 501(C)(3) | $30,000 | WELLNESS & PREVENTION GRANT |
| FRIENDSHIP SHELTER | |||||||
| 1335 S COAST HWY | LAGUNA BEACH | CA | 92651 | 330214404 | 501(C)(3) | $40,000 | EMERGENCY FOOD & SHELTER |
| ORANGE COUNTY COMMUNITY FOUNDATION | |||||||
| 4041 MACARTHUR BLVD STE 510 | NEWPORT BEACH | CA | 92660 | 330378778 | 501(C)(3) | $40,000 | WELLNESS & PREVENTION GRANT |
| OC HUMAN RELATIONS | |||||||
| 1300 S GRAND AVE BLDG B | SANTA ANA | CA | 92705 | 330438086 | 501(C)(3) | $100,000 | COMMUNITY BUILDING INITIATIVE |
| FAMILY ASSESSMENT COUNSELING & EDU SVCS | |||||||
| 1015 E CHAPMAN AVE STE A | FULLERTON | CA | 92831 | 330560054 | 501(C)(3) | $10,000 | OPERATIONS SUPPORT |
| LATINO HEALTH ACCESS | |||||||
| 450 W 4TH STREET STE 130 | SANTA ANA | CA | 92701 | 330562943 | 501(C)(3) | $25,000 | WELLNESS & PREVENTION GRANT |
| HELPING OTHERS PREPARE FOR ETERNITY | |||||||
| 11022 ACACIA PKWY STE C | GARDEN GROVE | CA | 92840 | 330784384 | 501(C)(3) | $10,000 | EMERGENCY FOOD & SHELTER |
| FAMILY ASSISTANCE MINISTRIES | |||||||
| 1030 CALLE NEGOCIO | SAN CLEMENTE | CA | 92673 | 330864870 | 501(C)(3) | $70,000 | EMERGENCY FOOD & SHELTER |
| THE KENNEDY COMMISSION | |||||||
| 17701 COWAN AVE STE 200 | IRVINE | CA | 92614 | 330959380 | 501(C)(3) | $100,000 | COMMUNITY BUILDING INITIATIVE |
| FIT TO BE KIDS | |||||||
| 20 EGRET LANE | ALISO VIEJO | CA | 92656 | 453171471 | 501(C)(3) | $25,000 | WELLNESS & PREVENTION GRANT |
| COMMUNITY HEALTH INITIATIVE | |||||||
| 1505 E 17TH STREET STE 121 | SANTA ANA | CA | 92705 | 472671013 | 501(C)(3) | $25,000 | WELLNESS & PREVENTION GRANT |
| PROVIDENCE HEALTH & SERVICES | |||||||
| PO BOX 389672 | SEATTLE | WA | 98138 | 510216586 | 501(C)(3) | $64,228 | DISASTER RELIEF |
| TALLER SAN JOSE | |||||||
| 801 NORTH BROADWAY | SANTA ANA | CA | 92701 | 593816355 | 501(C)(3) | $25,000 | WELLNESS & PREVENTION GRANT |
| OAK VIEW RENEWAL PARTNERSHIP | |||||||
| 17241 OAK LANE | HUNTINGTON BEACH | CA | 92647 | 611495237 | 501(C)(3) | $100,000 | COMMUNITY BUILDING INITIATIVE |
| REDWOOD EMPIRE FOOD BANK | |||||||
| 3990 BRICKWAY BLVD | SANTA ROSA | CA | 95403 | 680121855 | 501(C)(3) | $50,000 | EMERGENCY FOOD & SHELTER UNINSURED |
| NAPA VALLEY HOSPICE AND ADULT DAY SERVICES | |||||||
| 414 SOUTH JEFFERSON STREET | NAPA | CA | 94559 | 680393144 | 501(C)(3) | $20,000 | WELLNESS & PREVENTION GRANT |
| ILLUMINATION FOUNDATION | |||||||
| 2691 RICHTER AVE STE 107 | IRVINE | CA | 92606 | 711047686 | 501(C)(3) | $72,500 | EMERGENCY FOOD & SHELTER |
| ON THE MOVE | |||||||
| 780 LINCOLN AVENUE | NAPA | CA | 94558 | 753149095 | 501(C)(3) | $30,000 | WELLNESS & PREVENTION GRANT |
| COLETTE'S CHILDREN'S HOME | |||||||
| 7372 PRINCE DRIVE STE 106 | HUNTINGTON BEACH | CA | 92647 | 911939140 | 501(C)(3) | $10,000 | EMERGENCY FOOD & SHELTER |
| OC ASIAN PACIFIC ISLANDER CMTY ALLIANCE | |||||||
| 12900 GARDEN GROVE BLVD STE 214A | GARDEN GROVE | CA | 92843 | 912047245 | 501(C)(3) | $20,000 | WELLNESS & PREVENTION GRANT |
| VICTOR VLLY DOMESTIC VIOLENCEA BETTER WAY | |||||||
| 14114 HESPERIA ROAD | VICTORVILLE | CA | 92395 | 931067826 | 501(C)(3) | $40,000 | EMERGENCY FOOD & SHELTER |
| ST JOSEPH HOSPITAL-EUREKA | |||||||
| 2700 DOLBEER ST | EUREKA | CA | 95501 | 941156596 | 501(C)(3) | $741,000 | WELLNESS & PREVENTION GRANT |
| FAMILY SERVICE OF NAPA VALLEY | |||||||
| 709 FRANKLIN STREET | NAPA | CA | 94559 | 941236934 | 501(C)(3) | $15,000 | WELLNESS & PREVENTION GRANT |
| QUEEN OF THE VALLEY MEDICAL CENTER | |||||||
| 1000 TRANCAS STREET | NAPA | CA | 94558 | 941243669 | 501(C)(3) | $282,174 | WELLNESS & PREVENTION GRANT |
| ST VINCENT DE PAUL | |||||||
| 528 2ND STREET | EUREKA | CA | 95502 | 941573587 | 501(C)(3) | $35,000 | EMERGENCY FOOD & SHELTER |
| COMMUNITY ACTION NAPA VALLEY | |||||||
| 2310 LAUREL STREET STE 1 | NAPA | CA | 94558 | 941610851 | 501(C)(3) | $40,000 | EMERGENCY FOOD & SHELTER |
| COMMUNITY ACTION PARTNERSHIP SONOMA COUNTY | |||||||
| 1300 NORTH DUTTON AVE | SANTA ROSA | CA | 95401 | 941648949 | 501(C)(3) | $80,000 | COMMUNITY BUILDING INITIATIVE |
| HUMBOLDT SENIOR RESOURCE CENTER | |||||||
| 1910 CALIFORNIA STREET | EUREKA | CA | 95501 | 942261434 | 501(C)(3) | $40,000 | EMERGENCY FOOD & SHELTER |
| CATHOLIC CHARITIES OF DIOCESE OF SANTA ROSA | |||||||
| 987 AIRWAY COURT | SANTA ROSA | CA | 95403 | 942479393 | 501(C)(3) | $65,000 | DISASTER RELIEF |
| REDWOOD COMMUNITY ACTION AGENCY | |||||||
| 904 G STREET | EUREKA | CA | 95501 | 942646370 | 501(C)(3) | $11,025 | EMERGENCY FOOD & SHELTER |
| AREA AGENCY ON AGING NAPA & SOLANO | |||||||
| 400 CONTRA COSTA ST | VALLEJO | CA | 94590 | 942742309 | 501(C)(3) | $15,225 | WELLNESS & PREVENTION GRANT |
| FOOD FOR PEOPLE INC | |||||||
| 307 W 14TH STREET | EUREKA | CA | 95501 | 942772549 | 501(C)(3) | $33,475 | EMERGENCY FOOD & SHELTER |
| ARCATA HOUSE PARTNERSHIP | |||||||
| 1005 ELEVENTH ST | ARCATA | CA | 95521 | 943163269 | 501(C)(3) | $65,000 | SUPPORT OPERATIONS |
| OPERATION ACCESS | |||||||
| 1119 MARKET ST STE 400 | SAN FRANCISCO | CA | 94103 | 943180356 | 501(C)(3) | $50,000 | SUPPORT OPERATION ACCESS NAPA COUNTY & SONOMA |
| PREVENTION INSTITUTE | |||||||
| 221 OAK STREET | OAKLAND | CA | 94607 | 943282858 | 501(C)(3) | $30,000 | WELLNESS & PREVENTION GRANT |
| HUMBOLDT STATE UNIV CENTER FOR RURAL POLICY | |||||||
| 1 HARPST ST | ARCATA | CA | 95521 | 946050071 | 501(C)(3) | $100,000 | COMMUNITY BUILDING INITIATIVE |
| ST JOSEPH HOSPITAL-ORANGE | |||||||
| 1100 W STEWART DRIVE | ORANGE | CA | 92868 | 951643359 | 501(C)(3) | $2,135,654 | WELLNESS & PREVENTION GRANT |
| SPECIAL SERVICE FOR GROUPS INC (APIOPA) | |||||||
| 905 E 8TH STREET | LOS ANGELES | CA | 90021 | 951716914 | 501(C)(3) | $10,000 | WELLNESS & PREVENTION GRANT |
| ST MARY MEDICAL CENTER | |||||||
| 18300 HIGHWAY 18 | APPLE VALLEY | CA | 92307 | 951914489 | 501(C)(3) | $896,069 | WELLNESS & PREVENTION GRANT |
| ONEOC | |||||||
| 1901 E FOURTH ST STE 100 | SANTA ANA | CA | 92705 | 952021700 | 501(C)(3) | $20,000 | DUES |
| MENTAL HEALTH ASSOCIATION OF ORANGE COUNTY | |||||||
| 822 TOWN COUNTRY ROAD | ORANGE | CA | 92865 | 952036972 | 501(C)(3) | $80,000 | EMERGENCY FOOD & SHELTER |
| REGENTS OF THE UNIV OF CALIFORNIA IRVINE | |||||||
| BIOLOGICAL SCIENCES 111 STE 1400 | IRVINE | CA | 92697 | 952226406 | 501(C)(3) | $10,000 | GENERAL SUPPORT SUMMER ACADEMIC ENRICHMENT PROGRAM |
| INTERVAL HOUSE | |||||||
| 6615 E PACIFIC COAST HWY STE 170 | SEAL BEACH | CA | 90803 | 952289113 | 501(C)(3) | $40,000 | EMERGENCY FOOD & SHELTER |
| COMMUNITY ACTION PARTNERSHIP SAN BERNARDINO | |||||||
| 696 S TIPPECANOE AVE | SAN BERNARDINO | CA | 92408 | 952376882 | 501(C)(3) | $10,000 | EMERGENCY FOOD & SHELTER |
| COMMUNITY ACTION PARTNERSHIP ORANGE COUNTY | |||||||
| 11870 MONARCH ST | GARDEN GROVE | CA | 92841 | 952452787 | 501(C)(3) | $40,000 | EMERGENCY FOOD & SHELTER |
| ORANGE COUNTY RESCUE MISSION | |||||||
| ONE HOPE DRIVE | TUSTIN | CA | 92782 | 952479552 | 501(C)(3) | $26,000 | EMERGENCY FOOD & SHELTER |
| FRIENDLY CENTER INC | |||||||
| 147 W ROSE AVE | ORANGE | CA | 92867 | 952479833 | 501(C)(3) | $30,000 | EMERGENCY FOOD & SHELTER |
| DELHI CENTER | |||||||
| 505 E CENTRAL AVENUE | SANTA ANA | CA | 92705 | 952620952 | 501(C)(3) | $100,000 | COMMUNITY BUILDING INITIATIVE |
| ORANGE CHILDREN & PARENTS TOGETHER INC | |||||||
| 1063 N GLASSELL STREET | ORANGE | CA | 92867 | 953062939 | 501(C)(3) | $15,000 | WELLNESS & PREVENTION GRANT |
| COMMUNITY SERVICE PROGRAMS INC | |||||||
| 1221 E DYER ROAD STE 120 | SANTA ANA | CA | 92705 | 953167866 | 501(C)(3) | $27,000 | EMERGENCY FOOD & SHELTER |
| SHARE OUR SELVES | |||||||
| 1550 SUPERIOR AVE | COSTA MESA | CA | 92627 | 953222316 | 501(C)(3) | $50,000 | SPONSORSHIP CHEF DINNER |
| CASA TERESA | |||||||
| 123 W MAPLE ST | ORANGE | CA | 92866 | 953251986 | 501(C)(3) | $55,000 | EMERGENCY FOOD & SHELTER |
| THE LORD'S TABLE | |||||||
| 1201 E HIGHLAND AVE | SAN BERNARDINO | CA | 92404 | 953293901 | 501(C)(3) | $20,000 | EMERGENCY FOOD & SHELTER |
| LESTONNAC FREE CLINIC | |||||||
| 1215 E CHAPMAN AVE | ORANGE | CA | 92866 | 953499011 | 501(C)(3) | $25,000 | WELLNESS & PREVENTION GRANT |
| CATHOLIC CHARITIES SAN BERNARDINORIVERSIDE | |||||||
| 1450 N D STREET | SAN BERNARDINO | CA | 92405 | 953516461 | 501(C)(3) | $40,000 | EMERGENCY FOOD & SHELTER |
| ST JOHN OF GOD HEALTH CARE SERVICES | |||||||
| 13333 PALMDALE ROAD | VICTORVILLE | CA | 92392 | 953806996 | 501(C)(3) | $55,000 | EMERGENCY FOOD & SHELTER |
| THE CAMBODIAN FAMILY | |||||||
| 1626 E 4TH ST | SANTA ANA | CA | 92701 | 953854831 | 501(C)(3) | $25,000 | WELLNESS & PREVENTION GRANT |
| CHILDREN AND FAMILIES COMMISSION OF ORANGE COUNTY | |||||||
| 1505 E 17TH STREET STE 230 | SANTA ANA | CA | 92705 | 956000928 | 501(C)(3) | $20,000 | WELLNESS & PREVENTION GRANT |
| PROVIDENCE SPEECH AND HEARING CENTER | |||||||
| 1301 PROVIDENCE AVE | ORANGE | CA | 92866 | 956154473 | 501(C)(3) | $15,000 | WELLNESS & PREVENTION GRANT |
| ST JUDE MEDICAL CENTER | |||||||
| 101 E VALENCIA MESA DR | FULLERTON | CA | 92868 | 951643325 | 501(C)(3) | $2,190,230 | |
| SANTA ROSA MEMORIAL HOSPITAL | |||||||
| 1165 MONTGOMERY DRIVE | SANTA ROSA | CA | 95405 | 941231005 | 501(C)(3) | $3,239,592 | |
| REDWOOD MEMORIAL HOSPITAL | |||||||
| 3300 RENNER DR | FORTUNA | CA | 95540 | 941384665 | 501(C)(3) | $356,000 | |
| COVENANT HEALTH SYSTEM | |||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752765566 | 501(C)(3) | $1,960,987 | |
| MISSION HOSPITAL REGIONAL MEDICAL CENTER | |||||||
| 27700 MED CNTR RD | MISSION VIEJO | CA | 92691 | 951643360 | 501(C)(3) | $6,360,729 | |
| SRM ALLIANCE HOSPITAL SERVICES | |||||||
| 400 NORTH MCDOWELL BLVD | PETALUMA | CA | 94954 | 680395200 | 501(C)(3) | $296,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 78 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS FOUNDATION STAFF TAKES REASONABLE STEPS TO INVESTIGATE A POTENTIAL GRANTEE'S CAPABILITY OF AND COMMITTMENT TO EXECUTING THE PURPOSE OF THE GRANT. GRANTEES ARE REQUIRED TO PROVIDE MID YEAR AND END OF YEAR REPORTS ON THE GRANT'S FINANCIAL STATUS AND PROGRESS ON ACCOMPLISHING THE GRANT'S PURPOSES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JO ANN ESCASA-HAIGH | ||||||||||||||
| BOARD MEMBER/CFO-SJHS | $0 | $519,385 | $0 | $262,021 | $0 | $67,271 | $0 | $13,250 | $0 | $23,451 | $0 | $885,378 | $0 | $0 |
| ANNETTE WALKER | ||||||||||||||
| BOARD MEMBER | $0 | $573,534 | $0 | $291,881 | $0 | $94,681 | $0 | $18,550 | $0 | $33,830 | $0 | $1,012,476 | $0 | $0 |
| GABRIELA ROBLES | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $0 | $165,526 | $0 | $61,731 | $0 | $21,790 | $0 | $11,797 | $0 | $10,988 | $0 | $271,832 | $0 | $0 |
| JUDY WAGNER | ||||||||||||||
| BOARD MEMBER | $0 | $154,733 | $0 | $44,302 | $0 | $13,778 | $0 | $4,415 | $0 | $10,976 | $0 | $228,204 | $0 | $0 |
| DEBORAH PROCTOR | ||||||||||||||
| FORMER CEO/CHAIRPESON | $0 | $1,267,739 | $0 | $777,360 | $0 | $214,100 | $0 | $18,333 | $0 | $10,278 | $0 | $2,287,810 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE J, PART I, LINE 3 | SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY ST. JOSEPH HEALTH SYSTEM. |
| FORM 990, SCHEDULE J, PART I, LINE 4B | BEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR AGE 65 VESTING SCHEDULE. EXECUTIVES PREVIOUSLY PARTICIPATED IN ANOTHER NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT WAS FROZEN EFFECTIVE DECEMBER 2007, AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED. THIS FROZEN PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. NO EMPLOYEES RECEIVED 457(F) PAYMENTS DURING THE YEAR. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1 | ORGANIZATION'S MISSION ESTABLISHED 29 YEARS AGO, THE ST. JOSEPH HEALTH SYSTEM FOUNDATION (ALSO KNOWN AS THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND) WAS THE VISION OF THE SISTERS OF ST. JOSEPH OF ORANGE WITH A MISSION TO SERVE AS AN EXTENSION OF CHRISTS HEALING MINISTRY, BY PROVIDING FUNDING AND ASSISTANCE FOR IMPROVING THE HEALTH AND WELLBEING OF THE ECONOMICALLY POOR, AND UTILIZING THE STRENGTHS AND DIVERSITY OF OUR NEIGHBORS TO BUILD VIBRANT COMMUNITIES. THIS IS ACCOMPLISHED BY MANAGING AND ALLOCATING RESOURCES TO COMMUNITIES AND PARTNERS OF GOODWILL ENGAGED IN INNOVATIVE AND EFFECTIVE INITIATIVES TO SERVE THE COMMON GOOD. |
| FORM 990, PART III, LINE 4A | DESCRIPTION OF PROGRAM SERVICES REALIZING OUR MISSION AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), THE ST. JOSEPH HEALTH SYSTEM FOUNDATION IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. WE ARE COMMITTED TO THREE SYSTEM WIDE MISSION OUTCOMES: 1) SACRED ENCOUNTER, 2) PERFECT CARE AND 3) HEALTHIEST COMMUNITIES. 1.) EVERY INTERACTION WILL BE EXPERIENCED AS A SACRED ENCOUNTER. THE GOAL OF SACRED ENCOUNTERS HAS A DIRECT CONNECTION TO OUR OVERALL MISSION. OUR VALUE OF DIGNITY CALLS FOR US TO RESPECT EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE. WE STRIVE TO DO THIS BY KEEPING AT THE FOREFRONT OF OUR MINDS THE UNDERSTANDING OF THE IMPACT WE CAN HAVE ON ONE ANOTHER WITH EVERY ACTION WE TAKE. 2.) ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENT'S EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. OVER 350 YEARS AGO, THE FOUNDER OF THE CONGREGATION OF THE SISTERS OF ST. JOSEPH CRAFTED A MESSAGE IN A PROPHETIC LETTER TO SPUR THE GROWTH OF A "LITTLE DESIGN." IT WAS TO BE A NEW FORM OF ASSOCIATION OF WOMEN, WHOSE MEMBERS WOULD CONSECRATE THEIR LIVES TO GOD, LIVE TOGETHER IN SMALL GROUPS, AND COMBINE A LIFE OF PRAYER WITH AN ACTIVE MINISTRY TO THE SICK AND THE POOR. TODAY, CARRYING ON FATHER MEDAILLE'S INSPIRATION, WE ARE CULTIVATING THE SEEDS OF A BOLD CONCEPT IN HEALTHCARE... PERFECT CARE. HIS WORDS ARE AS RELEVANT TO US TODAY AS THEY WERE FOR THE SISTER IN 1650. "GIVE YOUR FULL ATTENTION TO THE ACTIONS YOU PERFORM, REMOVE FROM THEM THE SLIGHTEST IMPERFECTIONS, AND TRY TO OBSERVE ALL CONDITIONS NECESSARY TO MAKE THEM PERFECT. ONE ACTION DONE WELL IS WORTH A HALF DOZEN DONE HALF-HEARTEDLY". JEAN PIERRE MEDAILLE, SJ-MAXIM 14:4. 3.) THE COMMUNITIES WE SERVE WILL BE AMONG THE HEALTHIEST IN OUR NATION. WE SEEK TO DEVELOP COMMUNITY HEALTH INITIATIVES THAT IMPACT LONG-TERM HEALTH ACROSS THE ENTIRE COMMUNITY. WHO WE ARE AND WHAT WE DO ORGANIZATIONAL COMMITMENT WE BELIEVE WE HAVE A SOCIAL RESPONSIBILITY AND A MORAL OBLIGATION TO RESPOND TO THE NEEDS OF LOW-INCOME FAMILIES AND INDIVIDUALS SERVED BY OUR MINISTRIES. IN 1986, ST. JOSEPH HEALTH (SJH) CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FREE CARE FOR THOSE IN NEED OF ACUTE CARE SERVICES, SJH CREATED THE COMMUNITY PARTNERSHIP FUND (THE FUND) TO IMPROVE THE LIVES OF LOW-INCOME INDIVIDUALS RESIDING IN ITS LOCAL COMMUNITIES. POLICY 13 IN ITS FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES THE PROCESS BY WHICH ALL HOSPITAL MINISTRIES CONTRIBUTE 10% OF NET INCOME TO THE FUND. OVER THE LAST 30 YEARS, THE COMMUNITY PARTNERSHIP FUND HAS CONTRIBUTED NEARLY $250 MILLION TOWARD PROGRAMS THAT ADDRESS THE HEALTH AND WELL-BEING OF LOW-INCOME INDIVIDUALS AND FAMILIES IN AREAS SURROUNDING THE HOSPITALS. THROUGH THE FUNDS STRATEGIC GRANT MAKING PROGRAMS, SIGNIFICANT OUTCOMES HAVE BEEN ACHIEVED IN COMMUNITY HEALTH SETTINGS AND CLINICS, NONPROFIT ORGANIZATIONS, AND LOCAL SJH HOSPITAL MINISTRIES. THE COMMUNITY PARTNERSHIP FUND HAS FOUR FUNDING INITIATIVES: WELLNESS AND PREVENTION INITIATIVE, COMMUNITY BUILDING INITIATIVE, EMERGENCY FOOD AND SHELTER INITIATIVE, AND THE DISASTER RELIEF INITIATIVE. BELOW WE OUTLINE THE TOP THREE INITIATIVES AS MEASURED BY PROGRAM EXPENSE. WELLNESS AND PREVENTION INITIATIVE THE SJH COMMUNITY PARTNERSHIP FUND HAS PROMOTED THE HEALTH AND WELL-BEING OF LOW-INCOME INDIVIDUALS AND FAMILIES IN COMMUNITIES SURROUNDING OUR HOSPITALS THROUGH THE WELLNESS AND PREVENTION INITIATIVE. BY FUNDING PROACTIVE PROGRAMS THROUGH THE GRANT CYCLES OF THE WELLNESS AND PREVENTION INITIATIVE, THE FUND SOUGHT TO ELIMINATE THE NEED FOR CATASTROPHIC CARE AND ITS ASSOCIATED SOCIAL, EMOTIONAL AND ECONOMIC COSTS. BEGINNING IN 2016, THE FUND IS TRANSITIONING FROM THE TRADITIONAL WELLNESS AND PREVENTION MODEL TO NEW INITIATIVES THAT FOCUS ON HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. AS PART OF THIS TRANSITION, THE FUND AWARDED CAPACITY BUILDING GRANTS TO PAST GRANTEES WITH THE GOAL OF STRENGTHENING ORGANIZATIONS THAT PROVIDE MUCH NEEDED SERVICES IN OUR COMMUNITIES. FROM THESE CAPACITY BUILDING GRANTS, THE SUSTAINABILITY INITIATIVE WAS CREATED, WHICH BEGAN AS A PILOT, SUPPORTING FIVE ORGANIZATIONS IN ADDRESSING THEIR TOP NEEDS. THESE ORGANIZATIONS WERE COACHED THROUGH A PROCESS THAT LED TO THE CREATION AND IMPLEMENTATION OF STRATEGIC PLANS TO INCREASE THEIR OVERALL SUCCESS AND SUSTAINABILITY. IN ADDITION TO THE SUSTAINABILITY INITIATIVE, THE FUND WILL ENGAGE IN OTHER PILOTS FOCUSED ON EXPLORING COMMUNITY LEVEL STRATEGIES ADDRESSING SOCIAL DETERMINANTS OF HEALTH. AMOUNT GRANTED IN FY 2016 $1,550,274 COMMUNITY BUILDING INITIATIVE THE COMMUNITY BUILDING INITIATIVE (CBI) WAS CREATED IN 2000 AS A MAJOR COMMITMENT TO MEETING THE COMMUNITY PARTNERSHIP FUNDS MISSION. THE FUNDS DESIRED LONG-TERM VISION FOR ITS COMMUNITY BUILDING INITIATIVE IS THE DEVELOPMENT OF RESIDENT-BASED CAPACITY TO DETERMINE AND IMPLEMENT POSITIVE CHANGE IN LOW INCOME COMMUNITIES. THIS CAPACITY IS DEVELOPED THROUGH COMMUNITY-BASED WORK ON ONE ISSUE OF CONCERN TO THE COMMUNITY. IN FY16 THREE IMPLEMENTATION GRANTS IN THE AMOUNT OF $300,000 ($100,000 EACH) WERE AWARDED TO THE CALIFORNIA CENTER FOR RURAL POLICY IN HUMBOLDT, CA, THE KENNEDY COMMISSION IN SANTA ANA, CA, AND ORANGE COUNTY HUMAN RELATIONS. TWO PLANNING GRANTS IN THE AMOUNT OF $160,000 ($80,000 EACH) WERE AWARDED TO COMMUNITY ACTION PARTNERSHIP OF SONOMA COUNTY AND THE GLOBAL GROUP IN SAN DIEGO, CA. AMOUNT FUNDED IN FY 2016 $660,000 EMERGENCY FOOD AND SHELTER INITIATIVE AS A RESPONSE TO THE CURRENT ECONOMIC CLIMATE, THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND CREATED A FUNDING INITIATIVE FOCUSED ON EMERGENCY FOOD AND SHELTER PROGRAMS. EMERGENCY FOOD AND SHELTER PROGRAMS PROVIDE DIRECT SERVICES IN THE FOLLOWING AREAS: FOOD (FOOD PANTRY PURCHASES, FOOD DISTRIBUTION, AND MEAL SITES) AND/OR SHELTER (EMERGENCY SHELTER, SHELTER VOUCHERS, RENT, MORTGAGE OR UTILITY ASSISTANCE). BEGINNING IN 2016, FUNDING WAS ALSO MADE AVAILABLE THROUGH THIS INITIATIVE FOR CARE COORDINATION, AS WELL AS FOOD AND SHELTER SERVICES. CARE COORDINATION FUNDING IS INTENDED TO ASSIST CLIENTS WHO SEEK FOOD AND SHELTER SERVICES IN BREAKING THE CYCLE OF HUNGER AND HOMELESSNESS. CARE COORDINATION IS DEFINED AS A PERSON-CENTERED, ASSESSMENT-BASED, INTERDISCIPLINARY APPROACH TO INTEGRATING HEALTH CARE AND SOCIAL SUPPORT SERVICES THAT ARE TAILORED TO CLIENTS NEEDS AND GOALS. CARE COORDINATION SERVICES MAY INCLUDE THE FOLLOWING: - CASE MANAGEMENT - LINKAGES TO HEALTH CARE OR SOCIAL SERVICES - ENROLLMENT IN HEALTH INSURANCE - CHRONIC DISEASE CARE MANAGEMENT - ASSISTANCE WITH FINDING EMPLOYMENT AMOUNT GRANTED IN FY 2016 $1,000,000 DISASTER RELIEF FUNDING THE COMMUNITY PARTNERSHIP FUND CONSIDERS NEEDS ARISING FROM THE OCCURRENCE OF DISASTERS AND UNFORESEEN EMERGENCY NEEDS NATIONALLY AND THROUGHOUT THE WORLD. THROUGH RESPONSIVE GRANT MAKING, THE FUND WORKS TO ADDRESS THE POVERTY AND SUFFERING THAT OFTEN FOLLOW CATASTROPHIC EVENTS. DISASTER RELIEF FUNDING WAS PROVIDED TO U.S.-BASED, NON PROFIT ORGANIZATIONS THAT PROVIDE RELIEF EFFORTS IN THE U.S. AND ABROAD. THESE ORGANIZATIONS HAVE PROVEN EXPERTISE IN RECONSTRUCTION, DEVELOPMENT AID AND IN REBUILDING COMMUNITIES. AMOUNT GRANTED IN FY 2016: $179,227 FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM FOUNDATION, PLEASE VISIT HTTP://WWW.STJHS.ORG/SJH-PROGRAMS/SJH-FOUNDATION.ASPX FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG |
| FORM 990, PART VI, LINE 6 | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HEALTH SYSTEM FOUNDATION. |
| FORM 990, PART VI, LINE 7A | DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS ST. JOSEPH HEALTH SYSTEM FOUNDATION HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE ST. JOSEPH HEALTH SYSTEM FOUNDATION BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. |
| FORM 990, PART VI, LINE 7B | DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. |
| FORM 990, PART VI, LINE 11B | DESCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE MAY 2017 BOARD MEETING. DURING THE BOARD MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. |
| FORM 990, PART VI, LINE 12C | OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN CONNECTION WITH THAT INDIVIDUAL SATISFYING THEIR FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WITH GUIDANCE FROM THE ST. JOSEPH HEALTH SYSTEM CHIEF COMPLIANCE OFFICER (CCO), THE CHIEF EXECUTIVE AND/OR THE GOVERNING BOARD CHAIRPERSON, AS APPROPRIATE, CONSIDERS THE MATTER INITIALLY. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL, THE MATTER IS ESCALATED TO THE CCO. THE CCO, IN CONSULTATION WITH THE ST. JOSEPH HEALTH SYSTEM GENERAL COUNSEL, REVIEWS THE MATTER AND PRESENTS RECOMMENDATIONS TO THE GOVERNING BOARD AND/OR BOARD COMMITTEE, AS APPROPRIATE, FOR DISCUSSION AND VOTE. THE INDIVIDUAL WHOSE POTENTIAL CONFLICT IS BEING REVIEWED MAY BE REQUESTED TO BE PRESENT DURING ANY MEETING IN WHICH THE BOARD OR BOARD COMMITTEE CONDUCTS ITS EVALUATION BUT SHALL BE EXCUSED FOR ANY DISCUSSION OR VOTE. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. |
| FORM 990, PART VI, LINES 15A & 15B | PROCESS FOR DETERMINING COMPENSATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. EXECUTIVE COMPENSATION IS APPROVED BY THE EXECUTIVE COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE REVIEWS COMPARABILITY DATA PREPARED FOR AND COMPILED BY THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE, A COMMITTEE OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES COMPRISED OF INDEPENDENT MEMBERS. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE ACTS IN ACCORDANCE WITH A COMMITTEE CHARTER APPROVED BY THE ST. JOSEPH HEATLH SYSTEM BOARD OF TRUSTEES AND AN EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER DIRECTS THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND TO APPROVE PROGRAM CHANGES, AS NECESSARY, TO ENSURE ALIGNMENT WITH THE STATED PHILOSOPHY AND ENSURE CONTINUED COMPLIANCE WITH FEDERAL AND STATE REGULATIONS ON BEHALF OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS RETENTION OF KEY MANAGEMENT TALENT. THE EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF FOR PROFIT AND NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. ST. JOSEPH HEALTH SYSTEM PROVIDES COMPENSATION TO ITS EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO ENSURE COMPENSATION PHILOSOPHY ADHERENCE AND GENERAL FAIR MARKET VALUE COMPENSATION, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA AND ENGAGES LEGAL COUNSEL AND CONSULTING SUPPORT, AS NEEDED. THEY USE THIS INFORMATION TO SUPPORT ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE, MEETS AT LEAST 3 TIMES A YEAR AND TAKES ACTION IN EXECUTIVE SESSION. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. A FULL COMPENSATION REVIEW IS CONDUCTED ON A BIENNIAL BASIS AND THE LAST REVIEW WAS PERFORMED IN JUNE 2016. DURING THE YEAR, THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTNG FIRM WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION. IN ADDITION, ANNUAL INCENTIVE AWARDS ARE REVIEWED AND APPROVED PRIOR TO PAYMENT CONSISTENT WITH THE MOST RECENT COMPENSATION BIENNIAL REVIEW AND IN ACCORDANCE WITH THE PLAN DOCUMENT. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES WHICH ARE SUBSEQUENTLY APPROVED AT THE COMMITTEE MEETING. |
| FORM 990, PART VI, LINE 19 | AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. |
| FORM 990, PART IX, LINE 11A | MANAGEMENT FEES A MANAGEMENT FEE PAID TO ST. JOSEPH HEALTH SYSTEM (SJHS) INCLUDES TIME FOR AN EXECUTIVE DIRECTOR, GRANT MANAGER AND A PROGRAM OFFICER. ALL ARE ON THE PAYROLL OF SJHS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT HEALTH NETWORK INC | ||||||||||
| 3345 MICHELSON DRIVE STE 100 | IRVINE | CA | 92612 | 461259908 | HEALTHCARE | CA | 501(C)(3) | 11,III | SJHS | Yes (true) |
| COVENANT ACO | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 611573313 | HEALTHCARE | TX | 501(C)(3) | 11,I | CHS | Yes (true) |
| COVENANT HEALTH SYSTEM | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752765566 | HEALTHCARE | TX | 501(C)(3) | 3 | SJHS | Yes (true) |
| COVENANT HEALTH SYSTEM FOUNDATION | ||||||||||
| 3623 22ND PLACE | LUBBOCK | TX | 79410 | 752897026 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | Yes (true) |
| COVENANT MEDICAL GROUP | ||||||||||
| 3420 22ND PLACE | LUBBOCK | TX | 79410 | 752743883 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| COVENANT HEALTH PARTNERS | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 463516417 | HEALTHCARE | TX | 501(C)(3) | 11,I | CHS | Yes (true) |
| HMTS INC | ||||||||||
| 1 HOAG DRIVE | NEWPORT BEACH | CA | 92658 | 453583707 | HEALTHCARE | CA | 501(C)(3) | 11,I | HMHP | Yes (true) |
| HOAG CHARITY SPORTS | ||||||||||
| 330 PLACENTIA AVE | NEWPORT BEACH | CA | 92663 | 452982422 | SUPPORT | CA | 501(C)(3) | 7 | HHF | Yes (true) |
| HOAG HOSPITAL FOUNDATION | ||||||||||
| 330 PLACENTIA AVE | NEWPORT BEACH | CA | 92663 | 953222343 | FUNDRAISING | CA | 501(C)(3) | 7 | HMHP | Yes (true) |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | ||||||||||
| 1 HOAG ROAD BOX 6100 | NEWPORT BEACH | CA | 92663 | 951643327 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| HOME CARE PARTNERS | ||||||||||
| 1165 MONTGOMERY DR | SANTA ROSA | CA | 95405 | 680318656 | INACTIVE | CA | 501(C)(3) | 3 | SRMH | Yes (true) |
| HOSPICE OF LUBBOCK | ||||||||||
| 3702 21ST STREET | LUBBOCK | TX | 79410 | 752133781 | HEALTHCARE | TX | 501(C)(3) | 9 | CHS | Yes (true) |
| LUBBOCK METHODIST HOSPITAL FOUNDATION | ||||||||||
| 3615 19TH STREET | LUBBOCK | TX | 79410 | 752220963 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | Yes (true) |
| METHODIST CHILDREN'S HOSPITAL | ||||||||||
| 4015 22ND PLACE | LUBBOCK | TX | 79410 | 752428911 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| METHODIST HOSPITAL LEVELLAND | ||||||||||
| 1900 COLLEGE AVENUE | LEVELLAND | TX | 79336 | 752246348 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| METHODIST HOSPITAL PLAINVIEW | ||||||||||
| 2601 DIMMITT ROAD | PLAINVIEW | TX | 79072 | 752426010 | HEALTHCARE | TX | 501(C)(3) | 3 | CHS | Yes (true) |
| MISSION HOSPITAL REGIONAL MEDICAL CTR | ||||||||||
| 27700 MEDICAL CENTER ROAD | MISSION VIEJO | CA | 92691 | 951643360 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| QUEEN OF THE VALLEY MEDICAL CENTER | ||||||||||
| 1000 TRANCAS STREET | NAPA | CA | 94558 | 941243669 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| REDWOOD MEMORIAL FOUNDATION | ||||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 942779313 | HEALTHCARE | CA | 501(C)(3) | 7 | RMH | Yes (true) |
| REDWOOD MEMORIAL HOSPITAL | ||||||||||
| 3300 RENNER DRIVE | FORTUNA | CA | 95540 | 941384665 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| SANTA ROSA MEMORIAL HOSPITAL | ||||||||||
| 1165 MONTGOMERY DR | SANTA ROSA | CA | 95405 | 941231005 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| SISTERS OF ST JOSEPH OF ORANGE | ||||||||||
| 480 S BATAVIA | ORANGE | CA | 92868 | 951643383 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | NA | false |
| SRM ALLIANCE HOSPITAL SERVICES (PVH) | ||||||||||
| 400 NORTH MCDOWELL BLVD | PETALUMA | CA | 94954 | 680395200 | HEALTHCARE | CA | 501(C)(3) | 3 | SRMH | Yes (true) |
| ST JOSEPH HEALTH MINISTRY | ||||||||||
| 3345 MICHELSON DRIVE STE 100 | IRVINE | CA | 92612 | 271666576 | RELIGIOUS ORG | CA | 501(C)(3) | 1 | SSJO | false |
| ST JOSEPH HEALTH SYSTEM | ||||||||||
| 3345 MICHELSON DRIVE STE 100 | IRVINE | CA | 92612 | 953589356 | HEALTHCARE | CA | 501(C)(3) | 11, I | SJHM | false |
| ST JOSEPH HOME CARE NETWORK | ||||||||||
| 1111 SONOMA STE 308 | SANTA ROSA | CA | 95405 | 680331084 | HEALTHCARE | CA | 501(C)(3) | 9 | SJHS | Yes (true) |
| ST JOSEPH HOSPITAL OF EUREKA | ||||||||||
| 2700 DOLBEER STREET | EUREKA | CA | 95501 | 941156596 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| ST JOSEPH HOSPITAL OF ORANGE | ||||||||||
| 1100 WEST STEWART DRIVE | ORANGE | CA | 92868 | 951643359 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| ST JUDE HOSPITAL YORBA LINDA | ||||||||||
| 200 WEST CENTER ST PROMENADE | ANAHEIM | CA | 92805 | 330185031 | HEALTHCARE | CA | 501(C)(3) | 3 | SJHS | Yes (true) |
| ST JUDE HOSPITAL INC | ||||||||||
| 101 EAST VALENCIA MESA DRIVE | FULLERTON | CA | 92835 | 951643324 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| ST MARY MEDICAL CENTER | ||||||||||
| 18300 HIGHWAY 18 | APPLE VALLEY | CA | 92307 | 951914489 | HEALTHCARE | CA | 501(C)(3) | 3 | CHN | Yes (true) |
| ST MARY OF THE PLAINS HOSPITAL FDN | ||||||||||
| 4000 24TH STREET | LUBBOCK | TX | 79410 | 751653181 | HEALTHCARE | TX | 501(C)(3) | 7 | CHS | Yes (true) |
| TALLER SAN JOSE | ||||||||||
| 801 NORTH BROADWAY | SANTA ANA | CA | 92701 | 593816355 | WORK DEVELOPM | CA | 501(C)(3) | 2 | SSJO | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|
| COVENANT LONG-TERM CARE LP | |||||||
| SEE PART VII | ORANGE | CA | 92868 | HEALTHCARE | TX | NA | N/A |
| HERITAGE INVESTMENT GROUP | |||||||
| SEE PART VII | ORANGE | CA | 92868 | INVESTMENTS | CA | NA | N/A |
| HOAG ORTHOPEDIC INSTITUTE | |||||||
| SEE PART VII | ORANGE | CA | 92868 | HEALTHCARE | CA | NA | N/A |
| LUBBOCK SURGERY CENTER LTD | |||||||
| SEE PART VII | ORANGE | CA | 92868 | HEALTHCARE | TX | NA | N/A |
| METHODIST DIAGNOSTIC IMAGING | |||||||
| SEE PART VII | ORANGE | CA | 92868 | HEALTHCARE | TX | NA | N/A |
| MISSION AMBULATORY SURGICENTER | |||||||
| SEE PART VII | ORANGE | CA | 92868 | HEALTHCARE | CA | NA | N/A |
| NEWPORT IMAGING CENTER | |||||||
| SEE PART VII | ORANGE | CA | 92868 | HEALTHCARE | CA | NA | N/A |
| SHA LLC | |||||||
| SEE PART VII | ORANGE | CA | 92868 | HEALTHCARE | TX | NA | N/A |
| ST JOSEPH PHYSICIAN VENTURES | |||||||
| SEE PART VII | ORANGE | CA | 92868 | REAL ESTATE | CA | NA | N/A |
| ST JOSEPH HLTH SYS HOME CARE | |||||||
| SEE PART VII | ORANGE | CA | 92868 | HOME HEALTH | CA | NA | N/A |
| ST JOSEPH HLTH SYS HOME HLTH | |||||||
| SEE PART VII | ORANGE | CA | 92868 | HOME HEALTH | CA | NA | N/A |
| THE INNOVATION INSTITUTE | |||||||
| SEE PART VII | ORANGE | CA | 92868 | HEALTHCARE | DE | NA | N/A |
| NORTH BAY ENDOSCOPY CENTER | |||||||
| SEE PART VII | ORANGE | CA | 92868 | HEALTHCARE | CA | NA | N/A |
| MISSN VIEJO PHSCN PRTNRS I LLC | |||||||
| HEALTHCARE | CA | NA | N/A | ||||
| ADVANCED SURGERY INSTITUTE LLC | |||||||
| HEALTHCARE | CA | NA | N/A | ||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN UNITY GROUP LTD | |||||||||||||
| 90 PITTS BAY ROAD | PEMBROKE | BD | HM08 | CAPTIVE INSURANCE | BD | NA | C-CORP | ||||||
| COASTAL MANAGEMENT SERVICES ORGANIZATION | |||||||||||||
| HEALTHCARE | NA | C-CORP | 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 330676831 | CA | |||||
| DATU HEALTH INC | |||||||||||||
| IT SVCS | NA | C-CORP | 16150 MAIN CIRCLE DR SUITE 250 | CHESTERFIELD | MO | 63017 | 463070062 | DE | |||||
| HOAG MANAGEMENT SERVICES INC | |||||||||||||
| HEALTHCARE | NA | C-CORP | 1 HOAG DRIVE BOX 6100 | NEWPORT BEACH | CA | 92658 | 330731587 | CA | |||||
| LUBBOCK METHODIST HOSP PRACTICE MGMT | |||||||||||||
| INACTIVE | NA | C-CORP | 2107 OXFORD STREET STE 300 | LUBBOCK | TX | 79410 | 752578995 | TX | |||||
| LUBBOCK METHODIST HOSPITAL SVCS | |||||||||||||
| HEALTHCARE | NA | C-CORP | PO BOX 1201 | LUBBOCK | TX | 79410 | 752118585 | TX | |||||
| MISSION VIEJO MEDICAL VENTURES | |||||||||||||
| HEALTHCARE | NA | C-CORP | 27800 MEDICAL CENTER RD 354 | MISSION VIEJO | CA | 92691 | 330212905 | CA | |||||
| ST JOSEPH HEALTH | |||||||||||||
| HOLDING COMPANY | NA | C-CORP | 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 462340232 | CA | |||||
| ST JOSEPH HEALTH SOURCE INC | |||||||||||||
| HEALTHCARE | NA | C-CORP | 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 461900168 | CA | |||||
| ST JOSEPH PROF SVCS ENTERPRISES INC | |||||||||||||
| HEALTHCARE | NA | C-CORP | 3345 MICHELSON DRIVE SUITE 100 | IRVINE | CA | 92612 | 330155323 | CA | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (21 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST JOSEPH HOSPITAL ORANGE | ||
| B | $2,135,654 | ACCRUAL |
| ST JUDE MEDICAL CENTER | ||
| B | $2,190,230 | ACCRUAL |
| ST MARY MEDICAL CENTER | ||
| B | $896,069 | ACCRUAL |
| QUEEN OF THE VALLEY MEDICAL CENTER | ||
| B | $282,174 | ACCRUAL |
| SANTA ROSA MEMORIAL HOSPITAL | ||
| B | $3,239,592 | ACCRUAL |
| ST JOSEPH HOSPITAL EUREKA | ||
| B | $741,000 | ACCRUAL |
| REDWOOD MEMORIAL HOSPITAL | ||
| B | $356,000 | ACCRUAL |
| COVENANT HEALTH SYSTEM | ||
| B | $1,960,987 | ACCRUAL |
| MISSION HOSPITAL REGIONAL MEDICAL CENTER | ||
| B | $6,360,729 | ACCRUAL |
| SRM ALLIANCE HOSPITAL SERVICES | ||
| B | $296,000 | ACCRUAL |
| ST JUDE HOSPITAL YORBA LINDA | ||
| B | $87,875 | ACCRUAL |
| ST JOSEPH HOSPITAL ORANGE | ||
| C | $3,947,500 | ACCRUAL |
| ST JUDE MEDICAL CENTER | ||
| C | $4,459,300 | ACCRUAL |
| ST MARY MEDICAL CENTER | ||
| C | $2,104,600 | ACCRUAL |
| QUEEN OF THE VALLEY MEDICAL CENTER | ||
| C | $1,501,800 | ACCRUAL |
| SANTA ROSE MEMORIAL HOSPITAL | ||
| C | $6,616,200 | ACCRUAL |
| ST JOSEPH HOSPITAL EUREKA | ||
| C | $3,257,000 | ACCRUAL |
| REDWOOD MEMORIAL HOSPITAL | ||
| C | $79,000 | ACCRUAL |
| COVENANT HEALTH SYSTEM | ||
| C | $3,553,100 | ACCRUAL |
| MISSION HOSPITAL REGIONAL MEDICAL CENTER | ||
| C | $5,533,000 | ACCRUAL |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | ||
| C | $600,000 | ACCRUAL |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART III | FormAndLineReferenceDesc |
| Explanation | IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 500 S. MAIN STREET, STE 1000, ORANGE, CA 92868 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE 362, MISSION VIEJO, CA 92691 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE 100, ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE 200 ORANGE, CA 92868-2012 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 THE INNOVATION INSTITUTE EIN: 90-0745066 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954 MISSION VIEJO PHYSICIAN PARTNERS I LLC EIN: 47-1559873 ADDRESS: 27700 MEDICAL CENTER ROAD, MISSION VIEJO, CA 92691 ADVANCED SURGERY INSTITUTE LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 | ExplanationTxt |